Background: Pharmacology has always been one subject ultimatum and a cornerstone in building up competency, based on applied therapeutics among medical graduates in prescribing and practicing skills. A focus on an integrated strategical approach towards teaching pharmacology for better proficiency in achieving clinical skills is mandatory. Thus, this study has been done to assess the impact and retainment of overall knowledge gained on various domains, based on a revised method of teaching in pharmacology.Methods: An observational, questionnaire based comparative study was done in a medical college, in Chennai. The study included two group of students, one who have completed their pharmacology course based on the revised pattern of teaching with a comparative group of students who have not been exposed to the revised pattern of teaching. A feedback survey was also done.Results: The study results indicated that the average scoring based on the questionnaire was 84% with the students who have been exposed to revised pattern of teaching in comparison to the average scoring of 70% with the students who have not been exposed to the new pattern of teaching. The average scoring of the students who were found to agree to several questions on the new method of teaching was 74% and 22% of the students were found to disagree. 4% of students were non responders.Conclusions: The ultimate improvement in the outcome of health care education can be achieved through appropriate skill building through a simple strategical modification of the regular teaching pattern with an integrated approach involving pharmacologists and clinicians. A refresher course in pharmacology in the final year curriculum and CRRI involving pharmacologists is mandatory.
Background: Adverse drug reactions (ADRs) have a major impact on public health. Pharmacovigilance has become an integral part of pharmacotherapy. This study has been undertaken to retrospectively analyze the various adverse drug reactions and to promote the reporting of ADRs among the healthcare providers.Methods: A retrospective analysis of the reported ADRs over a period of 3 years at a tertiary care hospital, in Chennai was done. Data related to the number of adverse drug reactions, the demographic particulars, details on the drugs administered, type of ADRs, serious events and prevention strategies undertaken was analyzed. ADRs were assessed for their causality, severity, and preventability as per the standard criteria.Results: A total of 128 suspected ADRs were found to be reported over a period of 3 years. 81.25% ADRs were found to be of mild severity using the Hartwigs scale of assessment, 71.09% were classified as possible using the Naranjo’s causality assessment, the outcome of 63.28% were found to be recovering from the ADR and 41.40 % were under the probably preventable category. The most common ADRs were the skin reactions. The antimicrobial agents were found to have caused the highest number (58.59%) of ADRs followed by NSAIDs (14.84%) and the antihypertensive drugs (14.06%).Conclusions: The antimicrobial agents were associated with ADRs in majority of the patients. The commonly reported ADR s were the skin reactions.
Introduction: Halitosis or oral malodor is characterized by unpleasant odor arising from the oral cavity. The aim of this study was to evaluate the self perception of oral malodor and oral hygiene habits amongst dental students.
Background: Antibiotics are important and essential armamentarium against bacterial infections. Resistance to antibiotics is an emerging global public health problem, attributed to many factors, including injudicious use. Medical students in India have been taught about the microbes as well as pharmacological aspects of antibiotics in their second professional year by microbiology and pharmacology departments respectively. But the knowledge acquired would be incomplete if the application aspects are found wanting, like self-medication practice. Objectives 1. To evaluate the Knowledge, Attitude and Practice (KAP) towards antibiotic usage among undergraduate medical students 2. To understand the effect of curriculum on their knowledge regarding antibiotic use. 3. To identify gaps in knowledge, attitude and practice among medical students from antibiotic use perspective. 4. To assess the self-medication of antibiotics among the students. Methods: A cross sectional Questionnaire based survey was done over a period of two months (July -August, 2019) in Government Villupuram Medical College on medical students who had completed their second professional year. Out of 204 prefinal and final year M.B.B.S students; 150 were selected based on homogeneous, purposive sampling. Validated Questionnaire for KAP (Knowledge, Attitude and Self-medication Practice) with respect to antibiotic use was administered and responses were collected.Results: Almost all had adequate knowledge about rational use of antibiotics as per 10-item Questionnaire (48.6% scored 10 out of 10; 42.6% scored 9/10; 6.6% scored 8/10 and 1.3% scored 7/10). Results for attitude aspect showed that most agreed that antibiotic resistance was a major public health problem and antibiotics were freely available. For 64% of study population newer antibiotics were more efficacious whereas 48% stated costly drugs were more efficacious. 45.3% of students selfmedicated themselves with antibiotics without consulting a doctor in the previous year. Conclusion:The results revealed that theoretical knowledge and attitude about antibiotic usage translated inadequately into practice, necessitating interventions from clinical departments so that when medical students enter internship as well as after completion of the course, they start using antibiotics judiciously.
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