Stress is common in medical students. However, studies on stress among students in Indian medical schools are very few. The present study was undertaken to determine the prevalence and sources of stress among first year Malaysian students at Melaka Manipal Medical College (MMMC), (Manipal Campus), India. The General Health Questionnaire (GHQ) was used as the screening instrument. Based on the score, the prevalence of emotional disorders was determined. The sources of stress in students were identified by asking them to respond to a questionnaire which had items categorized under academic and non-academic problems. It was found that the prevalence of stress among the students was 37.3%. Among the sources of stress, frequent examinations and information overload were found to be the greatest sources of stress among academic problems. Among nonacademic problems, limited time for recreation and home-sickness were found to be the greatest sources of stress. The present study revealed that academic problems were greater sources of stress in first year medical students compared to non-academic problems. The study provided scope for adopting strategies intended to reduce students' stress.
Pelvic external fixator is used for stabilisation of pelvic fracture. Iliac crest placement of pin is commonly used but supra-acetabular pin placement is becoming more popular as it can offer more stability, avoiding irritation to abdominal soft tissue and prevent disruption to the skin over iliac crest especially if anterior approaches to the sacroiliac joint are planned for future surgery. However, there is risk of hip septic arthritis due to proximity of the pin to the hip capsule but cases are rarely reported. This case report highlights the importance of correct placement of pin and the possibilities of hip septic arthritis as a complication of supra-cetabular pin.
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