Papers by Dr Prashant . J. Patil
Indian Journal of Clinical Anatomy and Physiology,, 2017
Coaching is an interactive process that helps sport participants & athletes to learn, improve, or... more Coaching is an interactive process that helps sport participants & athletes to learn, improve, or take performance to better level. Sports participation has risks of sports injury which can be devastating for their hard earned fitness and performance level. A descriptive study was carried out to evaluate knowledge of 40 voluntarily participated coaches regarding sports injury & mechanism causing it in sports participants along with their attitude towards injuries and prevention practices.
Result: The direct condition enquiry questionnaire revealed that all 40 coaches had observed musculoskeletal injuries in past one year, of which maximum i.e. 85% was during competition. Sprain or strain or pulled muscle/ligament was common injury noted by 92.5% coaches. Specific sports action which involved skilled movement (100%) and running (80%) was identified mechanism of injury. Ankle joint (75%) was commonly injured area and poor technique (80%), lack of flexibility (75%), inadequate warm up (70%) and poor field conditions were the noted risk factors causing musculoskeletal sports injuries in participants. None of the coach had undergone the specific training for injury prevention and was neither acquainted with Cardiopulmonary resuscitation (CPR) technique. Though coaches had knowledge of protective gear use, but still 32.5% allowed sports participants to practice without sports gear.
Conclusion: There is need for appropriate measures and education for the coaches in sports injury prevention and proper sports injury registration
International Archives of Integrated Medicine, 2015
Background: Medical equipments are necessary to effectively monitor, treat and support the care o... more Background: Medical equipments are necessary to effectively monitor, treat and support the care of patients by doctors in the management of their medical conditions. Proper maintenance affects the performance and safety of equipment. As equipments are part of health care provision in hospital, it is necessary to have well planned and managed equipment maintenance system in the organization.
Aim: The study revealed the medical equipment maintenance system in Physiology Department of tertiary care government teaching institute.
Material and methods: A retrospective observational study, during February to June 2014 of fifty-two equipments costing more than 10,000 rupees was done for their maintenance system in the department. Information about equipment was collected by onsite inspection and departmental equipment records in structured proforma.
Results: In the study, 45 mechanical and 7 electrical equipment costing less than 100,000 rupees were evaluated. It was found that 94.2% equipments did not have any service contract. From time of installation in the department it was found that most equipment i.e. 53.8% had crossed the life period of 15 years. Maximum i.e. 85.7% electrical equipments had crossed their average life period. There was no proper maintenance of logbook and non availability of the user manual by the side of 84.6% of the equipments in department. Service history in worksheet of all 52 instruments was not recorded, post warranty maintenance in all equipments was by local personals only which was needed in 90.4% equipments. Out of equipments needing the maintenance and f repair, it was corrective type in 98.2% times and reactive type in 1.8% times. There was no special training of the technicians about the maintenance of equipments. 73.1% equipments were working while 21.2% were awaiting repair. The procedure of ‘maintenance , request’ was noted in log book for all equipments. 3 of the equipment were having the long down time period above 5 years. Nonfunctional equipment with long down time period was due to non availability of the spare parts in 21.2% equipment and vendor was not responding for maintenance in 5.7% equipment.
Conclusion: There was need of proper equipment maintenance system in department. The long down time period of equipment was due to old technology, non-availability of parts and non-responding vendors.
National Journal of Medical Sciences, 2016
Hemoglobin (Hb) assessments is the most reliable indicator widely used to screen individuals for ... more Hemoglobin (Hb) assessments is the most reliable indicator widely used to screen individuals for anemia and to evaluate responses to nutritional interventions. Determination of hemoglobin concentration for anemia assessment is among the most frequently performed laboratory tests in inpatient and outpatient care. Method: Adult 78
clinically suspected anemic patients (42 non pregnant female and 36 male) had hemoglobin estimation done. The capillary and venous blood samples of same patients were tested by Haemiglobincyanide (HiCN) method using Drabkin's procedure and Sahli's method for haemoglobin. Drabkin's HiCN method in venous blood was considered as the standard reference method. Result: The mean hemoglobin concentration was found highest by Drabkin's HiCN method in venous
blood i.e. 10.5 gm/dl. The coefficient of variation was lowest for the using venous blood in Drabkin's HiCN method i.e. 12.4% and highest for the Sahli's method of capillary blood i.e. 22.8%. Lower correlation coefficient was noted of reference method with the Sahli's capillary and venous blood. Statistically significant (p<0.001) difference in the
proportion of patients grades of anemia was noted in between the two methods. Conclusion: Sahli's method had higher coefficient of variability and lower haemoglobin estimation in the capillary and venous blood compared to the reference method.
Natl J Intergr Res Med, 2020
Background: Competency based medical education aims in higher order learning Critical thinking in... more Background: Competency based medical education aims in higher order learning Critical thinking in medical education. Cognitive skills are needed to rise above recall based to conceptualization, interpretation, analysis, synthesis and evaluation for skilled judgment in medical students. Thus consolidation of learning is necessary for improvements in student’s academic performance. Not only teacher directed learning but also students self directed and controlled learning are identified need for time. For students to be successful in self-directed learning, they must be able to engage in reflection and self-evaluation of their learning goals and progress in a unit of study. Objective: To evaluate the effectiveness of “5 Minute Insight” (5MI) as formative Classroom assessment technique of medical students. Material And Methods: A Quasi experimental descriptive study undertaken in 70 voluntary participating 1st phase MBBS students in department of physiology. After 45 minute traditional interactive lecture session the students had “5 Minute Insight” as reflection of learning and classroom assessment. 5MI formative classroom assessment technique was designed to create an insight statement. The 5MI was based on understanding of lecture session by student based on statements on competency to achieve, What he knew, now he knows, whether he knows all, why not and why does. Quantification of learning was scored using application based 10 single response multiple choice questions on physiology topic, before and after 5MI formative assessment. Correct response was scored one for each question. Data was analyzed using for difference in proportion or correct responses using Chi square test and paired difference in mean score by Wilcoxon Sign Rank test. Result: Correct responses before 5 MI for Q1 to Q10 were within 7.1% to 85.7% which after the 5MI were within 35.7% to 92.9% range. Improvement in correct responses after 5MI was found for Q1 to Q3, Q5 to Q7 and Q10 was statistically significant (p<0.05). Mean 38.9% students had correct responses before the 5MI which increase to 61.6% and was statistically significant (p=0.012). Mean total score before 5MI was 3.9 which increased to 6.2 with mean improvement of 2.3 (p<0.001). Conclusion: ‘5 Minute Insight’ formative assessments caused improvement of correct response in students thus indicating better learning. ‘5 Minute Insight’ type of formative assessment technique is as if learning by self-assessment by students. [Patil P A Natl J Integr Res Med, 2020; 11(3):49-53]
National Journal of Physiology, Pharmacy and Pharmacology, 2020
Background: Medical students should be able to undertake responsibility in terms of identifying t... more Background: Medical students should be able to undertake responsibility in terms of identifying their own learning needs and
learning activities. For self-directed learning to be effective, the student needs to have a degree of the awareness of their own
knowledge and performance, often referred to as “Insight.” Aim and Objective: The study aimed to compare of “5-min insight”
(5MI) with conventional classroom random questioning technique in formative assessment of the 1st phase medical students.
Materials and Methods: It was a quasi-experimental cohort study with parallel design. According to the type of classroom
formative assessment (CFA) technique, students were randomly assigned to control group, i.e., questioning technique and
“5MI” group. Pre-test and post-test learning outcomes were noted before and after CFA. Post-test was done 1 week after pretest
for three sessions. Feedback of learning was noted. Results: There was a statistically no significant (P > 0.05) difference of
pre-CFA (P = 0.642) and post-CFA (P = 0.466) total score between the control and “5MI” groups for session 1. In the “5MI”
group, there was a statistically significant (P < 0.05) increased proportion of correct responses in sessions 2 and 3. There was a
statistically no significant (P > 0.05) difference of pre-CFA (P = 0.576) while statistically significant (P ≤ 0.05) post-CFA total
score difference was higher in the “5MI” group than the control group for session 2. In session 3, statistically significant (P <
0.05) post-CFA (P = 0.047) total score difference was higher in the “5MI” group than the control group. Students feedback on
perception of “5MI” assessment was that they felt sense of responsibility about learning, had spent time in self-analysis and able
to identify own shortfalls, and it stimulated them to read on topics unclear also lead them a habit to plan and assess instructional
sessions. Conclusion: Focusing on insight learning as a process by which internal representations are formed and revised. It
can lead to improved continuous performance and better management of the complex health system and patient improvement.
Learning medicine is associated with the ability to carry out practical procedures and utilize sk... more Learning medicine is associated with the ability to carry out practical procedures and utilize skills in healthcare management. The effectiveness of an instructional multimedia tool in learning clinical motor examination skills was compared to that of traditional teaching technique. Pre-structured questionnaire for feedback and knowledge with OSCE was used for evaluation. After a week period of reading assignment, students had traditional teaching learning session of motor skill examination testing with rehearsal. After evaluation, they had instructional multimedia training session using compact disc for a week followed with rehearsals. In third and fifth week the students were assessed. Maximum students immediately experienced that instructional multimedia had clear instructions, interesting and they had adequate time for understanding skills which caused improved outcome. The confidence of correct eliciting the deep tendon reflex was more after exposure to instructional multimedia method. 61.9% students considered that perfection of skills was acquired by instructional multimedia method only and 52.4% would prefer in future the instructional multimedia method. There was statistically significant (p<0.01) higher score for eliciting deep tendon reflexes and no significant (p>0.05) difference of acquired knowledge by students of instructional multimedia method to traditional method. Instructional multimedia had drawback of non availability of immediate teacher's feedback and queries clarification while few students were worried about the technical support of the material on their computers. Instructional multimedia was beneficial in learning clinical examination skills.
Background: Haemoglobin concentration provides information about the status of anaemia in the pop... more Background: Haemoglobin concentration provides information about the status of anaemia in the population. Haemoglobin estimation is the routine and frequently performed screening haematological test of laboratory services. The Type of methods used and sites of collection of blood samples has found to make differences in haemoglobin concentration. The methods used in routine measurement are needed to be adjusted to obtain comparability with the haemiglobincyanide method. So the present study was undertaken with a objective to test the reliability of Sahli's method in estimation of haemoglobin concentration and standardizing it in district hospital laboratory of Dhule in Maharashtra. Material & Methodology: Haemoglobin concentration (gm/dl) in blood is compared in 173 apparently healthy medical college students within 18 to 23 years age. Results from Sahli's method were compared to Haemiglobincyanide (HiCN) method within capillary and venous blood of same subjects. Results: Sahli's method has lower values than Haemiglobincyanide method with mean difference of 0.62gms/dl(95%CI; 0.51 to 0.73, p<0.01) in capillary blood and 1.1gms/dl(95%CI; 0.92 to 1.26, p<0.01) in venous blood.
Background: Traffic policemen are in outdoor environment exposed to dust and other pollutants wit... more Background: Traffic policemen are in outdoor environment exposed to dust and other pollutants without any preventive measures making them susceptible for compromised lung functions with time being.
Background and objectives: Biomedical waste has been a growing concern due to increased awareness... more Background and objectives: Biomedical waste has been a growing concern due to increased awareness in public regarding HIV/AIDS, hepatitis B and exposure to other potential infectious diseases. Good BMW disposal practices lead to reduction in medical expenditure, unsightly scenes at various disposal bins and dumping sites. Improper biomedical waste management practices and indiscriminate disposal of hospital waste causes spread of illness leading to financial burden to society. The money saved by reduction in hospital acquired infections is much more than spent on control of hospital acquired infections. Therefore it is necessary to educate the staff, patients and community about the management of the infectious waste. The present study was designed to assess the awareness regarding biomedical waste in health care workers at a tertiary care Government hospital, Dhule (Maharashtra). Methods: Shri Bhausaheb Hire Government Medical College and Hospital is a 545 bedded tertiary care teaching Government hospital situated in rural area of Maharashtra at Dhule where per day approximately 90 Kg biomedical waste is generated .The present crosssectional study was conducted during 1 st August 2011 to 30 th September 2011. Knowledge and practices about BMW was assessed among 153 health care workers (81 nursing staff, 35 laboratory technicians and 37 sweepers) handling BMW in the tertiary care Government hospital at Dhule. Results: It was found that only 70.6% of the health care workers were aware of biomedical waste management and 50.3 % had undergone training. 72.5 % of the health care workers were aware of 3 color coded bags used for collection of BMW. In the study only 41.8% of the workers were vaccinated against shepatitis B and 81.7% had received tetanus toxoid vaccine. Conclusion: For proper handling and disposal of BMW, all health care providers must undergo regular training in BMW management. [Patil S et al NJIRM 2013; 4(4) : 74-79]
National Journal of Physiology, Pharmacy and Pharmacology, 2018
Tuberculosis (TB) is being a preventable and curable disease that it accounts the world-wide prob... more Tuberculosis (TB) is being a preventable and curable disease that it accounts the world-wide problem. India is one of the TB burden countries. Clinical manifestation of pulmonary TB leads pulmonary dysfunction with functional changes in the lung tissue. Treated patients are free from mycobacterium and considered cured, but the restoration of lungs function in these patients is also needed. Aims and Objectives: This study plans to evaluate and compare the pulmonary function test (PFT) parameters immediately, 3 months and 6 months after the completion of TB treatment and assess its severity. Materials and Methods: By convenient sampling, 118 voluntarily participated pulmonary TB-treated patients completing Category I regimen. PFT during three intervals after the completion of full course of antitubercular drugs was evaluated. Spirometry was done in sitting position according to the American Thoracic Society (ATS) recommendation and interpretation of the results was done. Results: Male-to-female proportion of the pulmonary TB patients was 56.8% versus 43.2%, respectively, within 22-65 years. Maximum patients, that is, 39% were within 31-40-year-age group. Immediate after completion of the treatment, 7.6% had symptoms of exertion dyspnea which were not on follow-up visits. The percent predictive values of the PFT were marginally above the impairment values. There was statistically significant difference mean forced vital capacity (FVC) (P < 0.001), forced expiratory volume at one second/FVC ratio percentage (P < 0.01), peak expiratory flow rate (P < 0.05), and maximal voluntary ventilation (P < 0.01) at the three intervals. Pulmonary function results were normal in 89.8% of patients immediately after the completion of TB treatment, in 91.5% at 3 months and 88.1% at 6 months. Impaired pulmonary function values were in 10.2% of patients at immediate, 8.5% at 3 months, and 11.9% patients at 6 months after completion of TB treatment. The 6-month PFT findings in 6.8% had obstructive changes, 3.4% had restrictive, and 1.7% with mixed PFT changes. Conclusion: There is the presence of pulmonary functional
limitations in Category I TB-treated patients. Values for PFT were still lower in few patients even after completion of 6 months of treatment for Category I pulmonary TB.
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Papers by Dr Prashant . J. Patil
Result: The direct condition enquiry questionnaire revealed that all 40 coaches had observed musculoskeletal injuries in past one year, of which maximum i.e. 85% was during competition. Sprain or strain or pulled muscle/ligament was common injury noted by 92.5% coaches. Specific sports action which involved skilled movement (100%) and running (80%) was identified mechanism of injury. Ankle joint (75%) was commonly injured area and poor technique (80%), lack of flexibility (75%), inadequate warm up (70%) and poor field conditions were the noted risk factors causing musculoskeletal sports injuries in participants. None of the coach had undergone the specific training for injury prevention and was neither acquainted with Cardiopulmonary resuscitation (CPR) technique. Though coaches had knowledge of protective gear use, but still 32.5% allowed sports participants to practice without sports gear.
Conclusion: There is need for appropriate measures and education for the coaches in sports injury prevention and proper sports injury registration
Aim: The study revealed the medical equipment maintenance system in Physiology Department of tertiary care government teaching institute.
Material and methods: A retrospective observational study, during February to June 2014 of fifty-two equipments costing more than 10,000 rupees was done for their maintenance system in the department. Information about equipment was collected by onsite inspection and departmental equipment records in structured proforma.
Results: In the study, 45 mechanical and 7 electrical equipment costing less than 100,000 rupees were evaluated. It was found that 94.2% equipments did not have any service contract. From time of installation in the department it was found that most equipment i.e. 53.8% had crossed the life period of 15 years. Maximum i.e. 85.7% electrical equipments had crossed their average life period. There was no proper maintenance of logbook and non availability of the user manual by the side of 84.6% of the equipments in department. Service history in worksheet of all 52 instruments was not recorded, post warranty maintenance in all equipments was by local personals only which was needed in 90.4% equipments. Out of equipments needing the maintenance and f repair, it was corrective type in 98.2% times and reactive type in 1.8% times. There was no special training of the technicians about the maintenance of equipments. 73.1% equipments were working while 21.2% were awaiting repair. The procedure of ‘maintenance , request’ was noted in log book for all equipments. 3 of the equipment were having the long down time period above 5 years. Nonfunctional equipment with long down time period was due to non availability of the spare parts in 21.2% equipment and vendor was not responding for maintenance in 5.7% equipment.
Conclusion: There was need of proper equipment maintenance system in department. The long down time period of equipment was due to old technology, non-availability of parts and non-responding vendors.
clinically suspected anemic patients (42 non pregnant female and 36 male) had hemoglobin estimation done. The capillary and venous blood samples of same patients were tested by Haemiglobincyanide (HiCN) method using Drabkin's procedure and Sahli's method for haemoglobin. Drabkin's HiCN method in venous blood was considered as the standard reference method. Result: The mean hemoglobin concentration was found highest by Drabkin's HiCN method in venous
blood i.e. 10.5 gm/dl. The coefficient of variation was lowest for the using venous blood in Drabkin's HiCN method i.e. 12.4% and highest for the Sahli's method of capillary blood i.e. 22.8%. Lower correlation coefficient was noted of reference method with the Sahli's capillary and venous blood. Statistically significant (p<0.001) difference in the
proportion of patients grades of anemia was noted in between the two methods. Conclusion: Sahli's method had higher coefficient of variability and lower haemoglobin estimation in the capillary and venous blood compared to the reference method.
learning activities. For self-directed learning to be effective, the student needs to have a degree of the awareness of their own
knowledge and performance, often referred to as “Insight.” Aim and Objective: The study aimed to compare of “5-min insight”
(5MI) with conventional classroom random questioning technique in formative assessment of the 1st phase medical students.
Materials and Methods: It was a quasi-experimental cohort study with parallel design. According to the type of classroom
formative assessment (CFA) technique, students were randomly assigned to control group, i.e., questioning technique and
“5MI” group. Pre-test and post-test learning outcomes were noted before and after CFA. Post-test was done 1 week after pretest
for three sessions. Feedback of learning was noted. Results: There was a statistically no significant (P > 0.05) difference of
pre-CFA (P = 0.642) and post-CFA (P = 0.466) total score between the control and “5MI” groups for session 1. In the “5MI”
group, there was a statistically significant (P < 0.05) increased proportion of correct responses in sessions 2 and 3. There was a
statistically no significant (P > 0.05) difference of pre-CFA (P = 0.576) while statistically significant (P ≤ 0.05) post-CFA total
score difference was higher in the “5MI” group than the control group for session 2. In session 3, statistically significant (P <
0.05) post-CFA (P = 0.047) total score difference was higher in the “5MI” group than the control group. Students feedback on
perception of “5MI” assessment was that they felt sense of responsibility about learning, had spent time in self-analysis and able
to identify own shortfalls, and it stimulated them to read on topics unclear also lead them a habit to plan and assess instructional
sessions. Conclusion: Focusing on insight learning as a process by which internal representations are formed and revised. It
can lead to improved continuous performance and better management of the complex health system and patient improvement.
limitations in Category I TB-treated patients. Values for PFT were still lower in few patients even after completion of 6 months of treatment for Category I pulmonary TB.
Result: The direct condition enquiry questionnaire revealed that all 40 coaches had observed musculoskeletal injuries in past one year, of which maximum i.e. 85% was during competition. Sprain or strain or pulled muscle/ligament was common injury noted by 92.5% coaches. Specific sports action which involved skilled movement (100%) and running (80%) was identified mechanism of injury. Ankle joint (75%) was commonly injured area and poor technique (80%), lack of flexibility (75%), inadequate warm up (70%) and poor field conditions were the noted risk factors causing musculoskeletal sports injuries in participants. None of the coach had undergone the specific training for injury prevention and was neither acquainted with Cardiopulmonary resuscitation (CPR) technique. Though coaches had knowledge of protective gear use, but still 32.5% allowed sports participants to practice without sports gear.
Conclusion: There is need for appropriate measures and education for the coaches in sports injury prevention and proper sports injury registration
Aim: The study revealed the medical equipment maintenance system in Physiology Department of tertiary care government teaching institute.
Material and methods: A retrospective observational study, during February to June 2014 of fifty-two equipments costing more than 10,000 rupees was done for their maintenance system in the department. Information about equipment was collected by onsite inspection and departmental equipment records in structured proforma.
Results: In the study, 45 mechanical and 7 electrical equipment costing less than 100,000 rupees were evaluated. It was found that 94.2% equipments did not have any service contract. From time of installation in the department it was found that most equipment i.e. 53.8% had crossed the life period of 15 years. Maximum i.e. 85.7% electrical equipments had crossed their average life period. There was no proper maintenance of logbook and non availability of the user manual by the side of 84.6% of the equipments in department. Service history in worksheet of all 52 instruments was not recorded, post warranty maintenance in all equipments was by local personals only which was needed in 90.4% equipments. Out of equipments needing the maintenance and f repair, it was corrective type in 98.2% times and reactive type in 1.8% times. There was no special training of the technicians about the maintenance of equipments. 73.1% equipments were working while 21.2% were awaiting repair. The procedure of ‘maintenance , request’ was noted in log book for all equipments. 3 of the equipment were having the long down time period above 5 years. Nonfunctional equipment with long down time period was due to non availability of the spare parts in 21.2% equipment and vendor was not responding for maintenance in 5.7% equipment.
Conclusion: There was need of proper equipment maintenance system in department. The long down time period of equipment was due to old technology, non-availability of parts and non-responding vendors.
clinically suspected anemic patients (42 non pregnant female and 36 male) had hemoglobin estimation done. The capillary and venous blood samples of same patients were tested by Haemiglobincyanide (HiCN) method using Drabkin's procedure and Sahli's method for haemoglobin. Drabkin's HiCN method in venous blood was considered as the standard reference method. Result: The mean hemoglobin concentration was found highest by Drabkin's HiCN method in venous
blood i.e. 10.5 gm/dl. The coefficient of variation was lowest for the using venous blood in Drabkin's HiCN method i.e. 12.4% and highest for the Sahli's method of capillary blood i.e. 22.8%. Lower correlation coefficient was noted of reference method with the Sahli's capillary and venous blood. Statistically significant (p<0.001) difference in the
proportion of patients grades of anemia was noted in between the two methods. Conclusion: Sahli's method had higher coefficient of variability and lower haemoglobin estimation in the capillary and venous blood compared to the reference method.
learning activities. For self-directed learning to be effective, the student needs to have a degree of the awareness of their own
knowledge and performance, often referred to as “Insight.” Aim and Objective: The study aimed to compare of “5-min insight”
(5MI) with conventional classroom random questioning technique in formative assessment of the 1st phase medical students.
Materials and Methods: It was a quasi-experimental cohort study with parallel design. According to the type of classroom
formative assessment (CFA) technique, students were randomly assigned to control group, i.e., questioning technique and
“5MI” group. Pre-test and post-test learning outcomes were noted before and after CFA. Post-test was done 1 week after pretest
for three sessions. Feedback of learning was noted. Results: There was a statistically no significant (P > 0.05) difference of
pre-CFA (P = 0.642) and post-CFA (P = 0.466) total score between the control and “5MI” groups for session 1. In the “5MI”
group, there was a statistically significant (P < 0.05) increased proportion of correct responses in sessions 2 and 3. There was a
statistically no significant (P > 0.05) difference of pre-CFA (P = 0.576) while statistically significant (P ≤ 0.05) post-CFA total
score difference was higher in the “5MI” group than the control group for session 2. In session 3, statistically significant (P <
0.05) post-CFA (P = 0.047) total score difference was higher in the “5MI” group than the control group. Students feedback on
perception of “5MI” assessment was that they felt sense of responsibility about learning, had spent time in self-analysis and able
to identify own shortfalls, and it stimulated them to read on topics unclear also lead them a habit to plan and assess instructional
sessions. Conclusion: Focusing on insight learning as a process by which internal representations are formed and revised. It
can lead to improved continuous performance and better management of the complex health system and patient improvement.
limitations in Category I TB-treated patients. Values for PFT were still lower in few patients even after completion of 6 months of treatment for Category I pulmonary TB.