Ranitidine-Induced Hepatitis in a Young Man with Myalgia and Insomnia

2014 ◽  
Vol 4 (3) ◽  
pp. 18-26
Author(s):  
Shrutika Singh ◽  
Rakesh Biswas

This is a conversational narrative of the learning experience of a group of medical students around an interesting case that was brought to them through the network of the user driven healthcare (UDHC) system. In addition to the traditional didactic framework of lecture-based clinical medicine, the students were exposed to patient-centered learning exercises where a patient of clinically complex issues was present as a part of the didactic experience in the classroom. As an innovative approach, which has not been trialed in the Indian medical education system, the teaching experience required following up with student narratives that reflected on the learning experience gleaned from the multidimensional clinical-didactic encounter. This paper outlines a case of ranitidine-associated hepatitis, a little known side effect of a vastly prescribed drug, and the associated discussion generated on online forums, mainly driven by the students who were involved in the clinical history of the case. There are reflective accounts of the student and preceptor involved in the teaching-learning exercise discussing the clinical encounter.

Author(s):  
Durga Prasad Garapati ◽  
Padmaja S.M.

Quality evaluation is a basic part of education that enables teachers to help learning and to improve instructive programs. Engineering education has been confronting impressive difficulties concerning commendable educating, information organization, and knowledge deployment. Consequently, desires for new teaching methods and learning approaches should be created in the arena. The objective of this chapter is to incorporate various teaching learning methods, educational tools to improve the learning experience of students, and also to fulfil the teaching experience of faculty. The purpose of this research is also to explore the effects of innovative teaching learning strategies based on the performance of student grades. The experiment has been carried out on two courses of electrical and electronics engineering. There are no commendable measures to evaluate the learning outcomes of the student hourly basis in traditional pedagogy. Therefore, this chapter proposed various pedagogical approaches that help to achieve the desirable things.


2017 ◽  
pp. 811-820
Author(s):  
Nitesh Arora ◽  
Neha Tamrakar ◽  
Amy Price ◽  
Rakesh Biswas

Patient-centered learning and participatory research are emerging movements in the transformation of primary healthcare and research participation. In recent years this focus has extended to the utilization of User Driven Health Care (UDHC) networks for patient centered learning in medical education. Technology now makes it possible for patients, medical students, and providers to communicate through the Internet on a secure platform. Student authors experiencing this new brush with technology-supported, patient centered learning experience share how participation in a User Driven Health Care online education experience informed their learning and incited them to develop an interest in evidence based knowledge. They developed a survey tool and conducted interviews over the Internet to report on the experiences of others within the network. The findings were largely positive although some students did not feel the reality of the connection to an actual patient. Others report enjoying the experience and being enriched through the interaction, but, at the same time, expressed doubts whether this was a sustainable way to learn given the volume of information a student has to master to attain to the level of a practicing physician


2014 ◽  
Vol 4 (3) ◽  
pp. 7-17 ◽  
Author(s):  
Nitesh Arora ◽  
Neha Tamrakar ◽  
Amy Price ◽  
Rakesh Biswas

Patient-centered learning and participatory research are emerging movements in the transformation of primary healthcare and research participation. In recent years this focus has extended to the utilization of User Driven Health Care (UDHC) networks for patient centered learning in medical education. Technology now makes it possible for patients, medical students, and providers to communicate through the Interneton a secure platform. Student authors experiencing this new brush with technology-supported, patient centered learning experience share how participation in a User Driven Health Care online education experience informed their learning and incited them to develop an interest in evidence based knowledge. They developed a survey tool and conducted interviews over the Internet to report on the experiences of others within the network. The findings were largely positive although some students did not feel the reality of the connection to an actual patient. Others report enjoying the experience and being enriched through the interaction, but, at the same time, expressed doubts whether this was a sustainable way to learn given the volume of information a student has to master to attain to the level of a practicing physician


2019 ◽  
Author(s):  
Anna Cornaro ◽  
◽  
Ruben Garcia Rubio ◽  

The paper intends to introduce the capriccio as an artstic expression in the history of architecture and arrive at the digital capriccio as a teaching tool in courses of Theory and History of Architecture. Afterward, the practical part of the teaching experience will be described where students are asked to use software packages and mobile devices apps in order to give a response to architectural concepts through digital capricci. Students are requested to produce their collages, creating a digital composition of simulated spaces that can be obtained by combining fragments of notable buildings or composing together more abstract forms, with the aim of express the concept behind an architect, a style, or a movement. The experiment follows the theory by Walter Benjamin of the “art in the age of mechanical reproduction,” bringing architecture to the same concept of being a simulacrum of the source, and intends to respond with innovative tools to the call for action in architecture teaching. The final part of the paper will simulate an exercise held in the class environment bringing to the reader to have a similar learning experience than the students.


Author(s):  
Beatriz Andreu Mediero

En el marco del sistema de competencias europeo, este trabajo analiza la importancia de la práctica reflexiva para la enseñanza-aprendizaje de la Historiaen el Prácticum del Máster de Formación del Profesorado, en su especialidad de Geografía e Historia, con el fin de lograr un profesorado intelectualmente comprometido, reflexivo y crítico.Para ello, a través de la investigación cualitativa y la investigación-acción, se pretende: conocer cómo se desarrolla la práctica reflexiva en el modelo de Practicum portugués, concretamente en el Practicum de Historia de la Universidad de Porto, Portugal; analizar el modelo de Practicum de la especialidad de Geografía e Historia de la Universidad de Las Palmas de Gran Canaria, acercándonos a la valoración que el alumnado hace de las prácticas y de la relación entre teoría y práctica, y, por último, reflexionar sobre nuestra propia experiencia docente durante las prácticas del Máster. Within the framework of the European competency system, this work: analyzes the importance of reflective practice for the teaching-learning of Social Sciences, specifically of History, in the Practicumof the Master's Degree in Teacher Training, in its specialty of Geography and History, in order to achieve an intellectually committed, reflective and critical faculty.For this purpose, through qualitative research and action research, we intend to know how reflective practice is developed in the Portuguese Practicummodel, specifically in the History Practicumof the University of Porto, Portugal; analyze the Practicummodel of the Geography and History specialty of the University of Las Palmas de Gran Canaria, approaching students' assessment of practices and the relationship between theory and practice, and finally, reflecting on our own teaching experience during the practices of the Master.


2019 ◽  
Vol 1 (1) ◽  
pp. 45-60
Author(s):  
Naveed Akram Ansari

Educational strategies are designed to cope with and fulfill the multifarious pedagogical and educational needs of teachers and learners. Moreover, no educational plan can possibly yield the required results without incorporating suitable instructive strategies. This research paper advocates the role and importance of schemas in learning new forms of knowledge and data in the perspective of class room teaching-learning. Cognitive approach is adopted to understand how students learn new forms of knowledge and experiences through different mental processes, quite unlike that of behaviorism. The concept of schema helps us understand how learners can link new pieces of information to the already existing knowledge in their minds. The notion of ‘Constructivist Approach’ has been extracted from the field of educational psychology for triangulation. Extracts are taken from the textbooks of English used in matriculation and intermediate through purposive sampling. Their analysis shows that schemas can play a vital role in enhancing the learning experience and making new forms of knowledge a permanent part of the memory of students which is the ultimate goal of education.


2020 ◽  
Vol 41 (5) ◽  
pp. 336-340
Author(s):  
Yasmin Hamzavi Abedi ◽  
Cristina P. Sison ◽  
Punita Ponda

Background: Serum Peanut-specific-IgE (PN-sIgE) and peanut-component-resolved-diagnostics (CRD) are often ordered simultaneously in the evaluation for peanut allergy. Results often guide the plans for peanut oral challenge. However, the clinical utility of CRD at different total PN-sIgE levels is unclear. A commonly used predefined CRD Ara h2 cutoff value in the literature predicting probability of peanut challenge outcomes is 0.35kUA/L. Objective: To examine the utility of CRD in patients with and without a history of clinical reactivity to peanut (PN). Methods: This was a retrospective chart review of 196 children with PN-sIgE and CRD testing, of which, 98 patients had a clinical history of an IgE-mediated reaction when exposed to PN and 98 did not. The Fisher's exact test was used to assess the relationship between CRD and PN-sIgE at different cutoff levels, McNemar test and Gwet’s approach (AC1 statistic) were used to examine agreement between CRD and PN-sIgE, and logistic regression was used to assess differences in the findings between patients with and without reaction history. Results: Ara h 1, 2, 3, or 9 (ARAH) levels ≤0.35 kUA/L were significantly associated with PN-sIgE levels <2 kUA/L rather than ≥2 kUA/L (p < 0.0001). When the ARAH threshold was increased to 1 kUA/L and 2 kUA/L, these thresholds were still significantly associated with PN-sIgE levels of <2, <5, and <14 kUA/L. These findings were not significantly different in patients with and without a history of clinical reactivity. Conclusion: ARAH values correlated with PN-sIgE. Regardless of clinical history, ARAH levels are unlikely to be below 0.35, 1, or 2 kUA/L if the PN-sIgE level is >2 kUA/L. Thus, if possible, practitioners should consider PN-sIgE rather than automatically ordering CRD with PN-sIgE every time. Laboratory procedures that allow automatically and reflexively adding CRD when the PN-sIgE level is ≤5 kUA/L can be helpful. However, further studies are needed in subjects with challenge-proven PN allergy.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1042-1047
Author(s):  
Khushbu Balsara ◽  
Deepankar Shukla

In a very short period of time, “COVID-19” has seized the consciousness globally by making remarkable changes in our day to day living and has superintended as a public health emergency globally. It has high radar of transmission, affecting an individual at work to frontline workers. The measures and planning for a response plays a key role from drawing up an emergency committee and this follows an equation which broadly deals with epidemiological to clinical history of the patient, management steps from isolation, screening, diagnostic assays for identification and treatment. The application of an organized plan with secure structure aids in better performance, increases efficacy of management and saves time. Also saves time for a health care worker to g through routine levels of channels of administration if already a familiar way of operation is known for such situations. Thus, planning and developing a ‘blueprint of approach’ towards management of patient while facing such situation is a must. This review provides an insight to the measures for detection, response and preparedness of the hospital and health care workers should largely be inclusive of; also highlights the measures to be taken at every step after coming in contact with a positive case of “COVID-19”.


2020 ◽  
Author(s):  
Nélia Lúcia Fonseca

This study first approaches the history of the observer’s gaze, that is, as observers, we are forming or constructing our way of visualizing moving images. Secondly, it reaffirms the importance and need of resistance of the teaching / learning of Art as a compulsory curricular component for high school. Finally, the third part reports an experience with video art production in a class of first year high school students, establishing an interrelationship between theory and practice, that is, we study video art content to reach the production of videos, aiming as a final result, the art videos created by the students of the Reference Center in Environmental Education Forest School Prof. Eidorfe Moreira High School. The first and second stages of this research share a theoretical part of the Master ‘s thesis, Making films on the Island: audiovisual production as an escape line in Cotijuba, periphery of Belem, completed in 2013.


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