Browsing by Author "Sharath, Krishnaveni"
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Item Craniocerebral and Spinal Dysraphism with Omphalocele – A Case Report of Primary Neurulation Defect(IMD Research Publications, 2022-03) Rajan, Rahe; Johnson, WMS; Sharath, Krishnaveni; G, Durga Devi; Koshy, Jinu MerlinBackground: Anencephaly and Spina bifida are the two most common types of neural tube defects (NTDs). Disrupted formation and closure of neural folds leads to Craniocerebral and spinal dysraphisms. Materials and methods: An 18 week old foetus was received in the department of Anatomy after elective medical termination of pregnancy due to the diagnosis of neural tube defect and associated congenital anomalies. Case Report: The foetus had anencephaly, thoracic-lumbar spina bifida, omphlocele and clubbed foot and hands. The foetus was dissected and studied, to look for abnormal internal structures. On meticulous dissection it was found that there were abnormalities in spine, gastrointestinal system and cranium. Conclusion: Anencephaly is a neural tube defect which has multiple neural and non-neural associated anomalies. A detailed description of the combination of associated anomalies goes a long way in updating knowledge on the same.Item Effectiveness of Flipped Class Room Approach as a Teaching Methodology in Anatomy for Early Clinical Exposure Modules for First-Year Medical Students – An Interventional Study(IMD Research Publications, 2022-03) M. S, Arathi; Devi, G. Durga; Sharath, Krishnaveni; Johnson, WMS.; Bhandari, AshiniBackground: The National Medical Commission (NMC) of India has rolled out the competency based undergraduate medical curriculum in the year 2019 where there is more emphasis on integration of basic and clinical sciences, early clinical exposure (ECE) and clinical competence and skills. To achieve this it is essential to work on higher forms of cognitive work. Hence it reckons for the change in the teaching–learning methodology currently in practice. Thus we introduced a innovative teaching methodology such as flipped class room (FCR) methodology among first year medical graduates for early clinical exposure modules in anatomy. Materials and methods: This interventional study was conducted among the 1st year MBBS students of Sree Balaji Medical College & Hospital (2019–2020 academic year). The ECE modules were taught using both traditional lectures and FCR methodology. Pre and post tests were conducted for both the methodology. A comparative analysis of FCR teaching method with lecture based session was done by obtaining the scores of the students. A Structured questionnaire to assess the learner’s perception about FCR teaching methodology was obtained from the participants. The Results were analyzed using microsoft excel and SPSS software version 23. Evaluation of teaching tool was done by using Kirkpatrick model Results: Repeated measures Anova was applied and there was a significant difference within the two methodology and the interaction effect was also significant with P value 0.001. Although both methods show increase in mean from pre to post test the mean increase in flipped class method is more than the lecture. Spearman’s correlation was done which showed there is a significant relationship between both the methods with p value 0.001 correlation co-efficient r was 0.377. Overall Response to FCR method received higher rating. Conclusion: FCR methodology creates the opportunity to meet the needs of students through various instructional activities. There is a positive reinforcement and improvement in the student’s performance.Item Exploring the Learner’s Perception about Embryology – Before and After Introduction of Competency Based Medical Curriculum (CBME)(IMD Research Publications, 2022-03) Sharath, Krishnaveni; Rajan, Rahe; G, Durga Devi; Johnson, WMSBackground: The perceived relevance of a subject/area will decide how much the student will study that. Competency based Medical Curriculum helps students to understand the subject relevance due to its structured format. The feedback from students about subject relevance is needed as they are the primary stakeholders for learning. In this era of involving molecular biology and genetics in medical field, it is very difficult to determine how much to teach a basic subject like embryology. This questionnaire study was done to know the viewpoints of 3rd semester & 5th semester medical students about the relevance and necessity of embryology in medical education. Method: An anonymous questionnaire was sent to 3rd semester, CBME batch & 5th semester students, traditional or regular batch of Sree Balaji Medical College, Chrompet. The pre validated questionnaire contained questions regarding the perceived relevance & importance of embryology. Results: Students reported the relevance of embryology knowledge for learning other medical subjects & they more often acknowledged embryology as being of great importance for their professional careers. This perception has increased especially after introduction of Competency based Medical Curriculum. Overall, study results suggest that medical students have a positive attitude toward embryology undergraduate course. Conclusion: This evidence could be used as an additional motive for the development embryology courses, with special emphasis on practical application of knowledge in clinically-oriented setting.Item Morphometric Analysis of Vertebral Artery in the Scaleno Vertebral Triangle(IMED Research Publications, 2024-12) B, Rajesh; R, Rahe; G, Durga Devi; Sharath, Krishnaveni; Koshy, Jinu MerlinBackground: The vertebral arteries (VA) play a vital role in supplying blood to the brainstem and cerebellum. Vertebral artery anomalies, including abnormal origins, courses, and structural irregularities, heighten the risk of cerebrovascular events. Typically, the vertebral arteries arise from the posterosuperior aspect of the first part of the subclavian artery. The aim of this study is to present the presence of variation in the origin of vertebral artery Material and Methods: Twenty-eight embalmed cadavers allotted for 1st year MBBS dissection in the Department of Anatomy were used for the study. The triangle of vertebral artery was exposed in all the cadavers, and examined the origin of vertebral artery. Dimensions of the Triangle of Vertebral artery (TVA) and vertebral artery were then measured using a digital vernier caliper and the area and height of the TVA were calculated. Result: In the present study, we have evaluated the morphometric parameters of the TVA and vertebral artery. Even though there were no noticeable differences in the boundaries of TVA of both sides, the morphometric parameters showed slight difference in the measurements, but not significant. Among the 28 cadavers the unilateral origin of VA in one cadaver was from the arch of aorta between the left common carotid artery (LCA) and left subclavian artery (LSCA) . Discussion & Conclusion: The mean height of TVA was 26.3mm (range, 23.7-33.7 mm) on the left and 26.2mm (range, 23.5-32.8 mm) on the right. In the current study it was observed the origin of VA from the arch of aorta between the left common carotid artery (LCA) and left subclavian artery (LSCA). The current study found that 3.6% of the variations in the origin of VA. This study highlights the variation in the origin of the vertebral artery and accentuates the importance of identifying these variations in clinical practice.Item Risk Of Down Syndrome In Elderly Mothers: A Retrospective Study In Tumkur(IMED Research Publications, 2018-10) H.K, Vidya; Sharath, Krishnaveni; K.R, AshaBackground: Down syndrome being the most common chromosomal disorder is researched extensively. The onlyetiology that is well established is increased maternal age. In the developing countries, the incidence of Downsyndrome is increasing in younger mother.Method: 75 cases of Down syndrome children and age matched 75 children without known congenitalabnormalities were taken for this study. The parental age was noted and statistical analysis was done tocorrelate the maternal age withy DS.Result: Only 26.4% of DS children were born in mothers aged above 35. There was a decrease in number ofchildren born in aged mothers of both group, but there was no much difference in the groups.Conclusion: Maternal age is not only the risk factor for occurrence of DS. There is generally a tendency of earlypregnancy in India, which leads to increase in number of DS children being born to mothers below 35