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Sethi S, Garg R, Agarwal R, Mittal R, Sethi S, Madaan H, Virk A. Learning Preference of Medical Undergraduate Students: A Multi-Institutional Survey. Indian Pediatr 2023; 60:589-591. [PMID: 37078480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/21/2023]
Abstract
This cross-sectional multi-institutional study was conducted to analyze learning preference among medical undergraduate students (n=1659) in four colleges in Haryana. VARK questionnaire (v8.01) was administered through designated study leaders of the respective institutes. The most preferred learning modality was kinesthetic (21.7%), which favors experiential form of learning, most suited for teaching-learning of skills in medical curriculum. More information on the learning preference of medical students is needed to optimize learning outcomes.
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Affiliation(s)
- Sumita Sethi
- BPS GMC for Women, Khanpur Kalan, Sonepat, Haryana
| | - Renu Garg
- BPS GMC for Women, Khanpur Kalan, Sonepat, Haryana.
| | | | - Rakesh Mittal
- Post Graduate Institute of Medical Sciences, Rohtak, Haryana
| | - Sujata Sethi
- Post Graduate Institute of Medical Sciences, Rohtak, Haryana
| | | | - Amrit Virk
- Adesh Medical College and Hospital, Kurukshetra, Haryana
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Madaan H, Puri M, Kaur V, Dokwal S, Chahal S. COVID-19 Pandemic Effect on Psychological Status and Perception towards the Medical Profession among Haryana’s First Year MBBS Students: A Cross-sectional Study. J Clin Diagn Res 2022. [DOI: 10.7860/jcdr/2022/57776.16704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Introduction: The Coronavirus Disease-2019 (COVID-19) pandemic has emerged as a major health crisis throughout the world. In order to control the spread of disease in India, the Central Government imposed a nationwide lockdown. The ongoing spread of the pandemic, strict lockdown measures and delay in the opening of educational institutions in the country are expected to affect the mental health of medical college students too. In order to help and guide the students, we should first be aware of the magnitude of the problem faced by medical students due to the pandemic. For this purpose, this study was conducted online. Aim: To assess the effect of the pandemic on the psychological status of the students and their perception towards medical profession. Materials and Methods: A cross-sectional study was conducted by the Department of Biochemistry of Kalpana Chawla Government Medical College, Haryana, India from 22nd May 2020 to 5th June 2020, among 538 first year Bachelor of Medicine, Bachelor of Surgery (MBBS) students from several Government and Government aided medical schools in the state of Haryana after obtaining ethical clearance. The detailed questionnaire, a study consisting of sections on the current status in relation to the COVID-19 pandemic, perception towards medical profession and psychological status. It was posted online on social media platforms and the responses were collected within 15 days of posting. The psychological status was assessed based on a 21 item Depression, Anxiety, and Stress Scale (DASS-21). Statistical analysis was done by Chi-square test, using Statistical Package for Social Sciences (SPSS) version 20.0 software. Results: Out of 538 student’s responses, it shows that 19.1% (n=103) of students experienced moderate stress, probably because of the COVID-19 outbreak and the effect it had on the social and academic aspects of their lives. About 11.5% (n=62) of students had a moderate level of anxiety, and 16.9% (n=91) had experienced moderate depression during the ongoing pandemic. Conclusion: The study demonstrates various factors, like interruptions in regular studies, social distancing, fear of infection, fear of losing a loved one, and worry about the completion of the syllabus and examinations, all cause stress and anxiety in students.
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Kaur V, Madaan H, Puri M, Kare PK. Lipid Profile and C-Reactive Protein Levels in Healthy, Overweight and Obese Adults: A Hospital-based Observational Study. J Clin Diagn Res 2020. [DOI: 10.7860/jcdr/2020/43462.13632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Agrawal A, Madaan H, Yadav S. Rheumatoid Arthritis Complicated by Pseudochylothorax Without Pleural Thickening: A Diagnostic Challenge for Clinicians. Indian J Chest Dis Allied Sci 2016; 58:59-61. [PMID: 28394099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
A 60-year-old female who was known to have rheumatoid arthritis for the preceding two-and-half years presented with difficulty in breathing associated with chest pain over the right hemithorax of two months duration. She was found to have a right-sided mild to moderate pleural effusion; there was no evidence of pleural thickening. The pleural fluid was pale yellow in appearance and diagnostic work-up confirmed it to be a pseudochylous pleural effusion. The present case highlights the rare occurrence of pseudochylothorax without pleural thickening as a complication of rheumatoid arthritis.
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Rani Singhal S, Ghalaut V, Lata S, Madaan H, Kadian V, Sachdeva A. Correlation of 2 hour, 4 hour, 8 hour and 12 hour urine protein with 24 hour urinary protein in preeclampsia. J Family Reprod Health 2014; 8:131-4. [PMID: 25628723 PMCID: PMC4275555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
OBJECTIVE To find shortest and reliable time period of urine collection for determination of proteinuria. MATERIALS AND METHODS It is a prospective study carried out on 125 pregnant women with preeclampsia after 20 weeks of gestation having urine albumin >1 using dipstick test. Urine was collected in five different time intervals in colors labeled containers with the assistance of nursing staff; the total collection time was 24 hours. Total urine protein of two-hour, four-hour, eight-hour, 12-hour and 24-hour urine was measured and compared with 24-hour collection. Data was analyzed using the Pearson correlation coefficient. RESULTS There was significant correlation (p value < 0.01) in two, four, eight and 12-hour urine protein with 24-urine protein, with correlation coefficient of 0.97, 0.97, 0.96 and 0.97, respectively. When a cut off value of 25 mg, 50 mg. 100 mg, and 150 mg for urine protein were used for 2-hour, 4-hours, 8-hour and 12-hour urine collection, a sensitivity of 92.45%, 95.28%, 91.51%, and 96.23% and a specificity of 68.42%, 94.74%, 84.21% and 84.21% were obtained, respectively. CONCLUSION Two-hour urine proteins can be used for assessment of proteinuria in preeclampsia instead of gold standard 24-hour urine collection for early diagnosis and better patient compliance.
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Affiliation(s)
- Savita Rani Singhal
- Department of Obstetrics and Gynecology, Pt B D Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Veena Ghalaut
- Department of Biochemistry, Pt B D Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Shashi Lata
- Department of Obstetrics and Gynecology, Pt B D Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Himanshu Madaan
- Department of Biochemistry, Pt B D Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Veenu Kadian
- Department of Obstetrics and Gynecology, Pt B D Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Ashuma Sachdeva
- Department of Biochemistry, Pt B D Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
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Agrawal P, Reddy VS, Madaan H, Patra SK, Garg R. Urban-rural differences in atherogenic dyslipidaemia (URDAD Study): a retrospective report on diabetic and non-diabetic subjects of Northern India. J Health Popul Nutr 2014; 32:494-502. [PMID: 25395912 PMCID: PMC4221455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Diabetes and urbanization are major contributors to increased risk factors of cardiovascular diseases. Studying whether atherogenic dyslipidaemia increases with urbanization in type 2 diabetes mellitus is, therefore, important. The sample of the present study consisted of 400 subjects. They were categorized according to residential area and diabetes into four groups: urban diabetic group, urban non-diabetic control group (from a metropolitan city Delhi), rural non-diabetic diabetic group, and rural control group (from villages of Khanpur Kalan, Sonepat, Haryana). Differences in lipid levels and risk factors of emerging cardiovascular diseases between groups were evaluated with analysis of variance. Diabetic patients of both urban and rural areas had significantly higher total cholesterol (TC), triglycerides (TG), very low-density lipoproteins (VLDL), TC to high-density lipoprotein cholesterol (TC/HDL) ratio, TG to high-density lipoprotein cholesterol (TG/HDL) ratio, and atherogenic index (AI) compared to respective controls (p<0.05). The HDL concentrations in urban diabetics were significantly lower (p<0.05) than in urban non-diabetic group and rural diabetic group. Comparison between urban and rural diabetic groups showed significantly higher atherogenic dyslipidaemia (AD) in the urban patient-group (p<0.05). We evaluated significant relationships of diabetes and urbanization with AD by multiple regression analysis. Receiver operating curve (ROC) analysis showed high area under curve (AUC) for TG/HDL in urban diabetic group (0.776, p<0.0001) and in rural diabetic group (0.692, p<0.0001). It is concluded that diabetes was associated with higher AD parameters. Urbanization in diabetes is also associated with elevated levels of AD, indicating higher risk in urban population. This study suggests that TG/HDL may be particularly useful as atherogenic risk predictor in newly-diagnosed type 2 diabetic patients.
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Affiliation(s)
- Poonam Agrawal
- Department of Biochemistry, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
| | - Varikasuvu Seshadri Reddy
- Department of Biochemistry, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
| | - Himanshu Madaan
- Department of Biochemistry, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
| | | | - Renu Garg
- Department of Biochemistry, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
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Agrawal P, Chopra D, Patra SK, Madaan H. Periodic paralysis: An unusual presentation of drug-induced hyperkalemia. J Pharmacol Pharmacother 2014; 5:63-6. [PMID: 24554915 PMCID: PMC3917171 DOI: 10.4103/0976-500x.124429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Hyperkalemia is a life-threatening electrolyte abnormality. The most common cause of hyperkalemia includes renal disease and ingestion of medications. Drug-induced hyperkalemia may develop in patients with underlying renal impairment, disturbed cellular uptake of potassium load, excessive ingestion or infusion of potassium-containing substances. We report a case of “drug-induced severe hyperkalemia” presenting as periodic paralysis. A 67-year-old diabetic and hypertensive woman presented to emergency department with the complaint of intermittent episode of inability to walk for the past 5 days. Each episode lasted for 15-20 minutes and was associated with breathlessness and restlessness. There was no family history of periodic paralysis and drug history revealed that the patient was onolmesartan 20 mg per day (for past 2 years), perindopril 4 mg per day (for past 16 months), and torsemide 10 mg/day. On examination patient was found to be conscious, alert, and afebrile. Vitals were normal. Examination of cardiovascular and respiratory system did not reveal any significant finding. Blood report of the patient showed serum K+ level 8.6 mmol/l. All other investigations were within normal limits. A diagnosis of drug-induced hyperkalemia was made. Patient responded well to the symptomatic treatment. To the best of the author's knowledge, this is the first case report of drug-induced hyperkalemia presenting as periodic paralysis.
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Affiliation(s)
- Poonam Agrawal
- Department of Biochemistry, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
| | - Deepti Chopra
- Department of Pharmacology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India
| | - Surajeet K Patra
- Department of Biochemistry, Lady Hardinge Medical College, New Delhi, India
| | - Himanshu Madaan
- Department of Biochemistry, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
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Verma M, Shanker V, Singh H, Soni A, Madaan H, Singh J. Microalbuminuria: A marker of severe disease activity in rheumatoid arthritis. Indian Journal of Rheumatology 2013. [DOI: 10.1016/j.injr.2013.04.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Dahiya K, Dhankhar R, Madaan H, Singh V, Arora K. Nitric oxide and antioxidant status in head and neck carcinoma before and after radiotherapy. Ann Clin Lab Sci 2012; 42:94-7. [PMID: 22371916 DOI: pmid/22371916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVES The mainstay of the treatment of head and neck squamous cell carcinoma (HNSCC) is radiotherapy, which acts by producing free radicals. Therefore, this study was planned to observe the effect of radiotherapy on oxidative stress in patients of HNSCC. METHODS This study was conducted on 50 histopathologically proven cases of HNSCC. The levels of nitric oxide, glutathione-S-transferase, and vitamin C were estimated colorimetrically before and after treatment in patients and in 30 age- and sex-matched healthy controls. The results were compared statistically. RESULTS The levels of nitric oxide and glutathione-S-transferase were significantly higher in patents as compared to controls and increased significantly after treatment. Vitamin C levels were significantly lower in patients as compared to controls and decreased significantly after treatment. CONCLUSIONS HNSCC leads to increased oxidative stress and treatment in the form of radiotherapy itself produces an accentuation of this stress.
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Affiliation(s)
- Kiran Dahiya
- Department of Biochemistry, Bharat Colony, Rohtak, Haryana, India.
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