What is Simulation? – Simulator Aided Inter Disciplinary Workshop

What is Simulation?

Simulation is a technique to replace or amplify real-patient experiences with guided experiences. Various types of simulators are used to train and assess different levels of learners. These include mannequin simulators, human cadaver or animal models, computer-based simulation, haptic and/or virtual simulation, as well as simulation using standardized patients. Simulation has been an accepted part of training, assessment and research in high-reliability organizations, such as aviation, nuclear power, and military. Healthcare has adopted simulation from these fields for the purpose of training healthcare providers. Simulation-based learning has been used to shorten the gap that exists between the learning environment and the real clinical environment. Many skill trainers have been developed to actualize real clinical site especially for novice residents .

Utilization of simulatiors has many advantages for medical education:
1) learning can be focused on the level of trainees with various levels of difficulties;
2) learners can either learn the whole procedure process or just focus on certain tasks of the procedure;
3) learners have the opportunity to repetitively practice in quick succession;
4) learners learn in a safe environment where they can be allowed to learn from their mistakes rather than be rescued by their supervisor to keep the patient safe;
5) simulators can provide objective evidence of performance, offering potential for their use for assessment, both formative and summative;
6) simulation can provide practice on certain procedures such as cricothyrotomy, which is a critical life-saving procedure that is uncommon and rarely performed by residents.

Simulation has a potential to promote a new paradigm compared to traditional education tools. Technical skills and non-technical skills can be taught to residents via a standardized and organized simulation program teams.

Simulation based teaching workshop by the department of Anaesthesia and critical care was conducted on 7Th and 8th of Dec 2017.The whole programme had audio-video facilities.The whole process was beamed to the another class room in the Ist floor of the college building.

After the invocation, Dr, Sahajananda welcomed the gathering and the Guest faculty from Perth and Melbourne, Australia.
The guest faculty addressed the gathering and gave introductory lecture.

There were two case scenarios on 7th.
1.A pregnant patient with RTA having sustained chest and pelvic injuries. 16 participants were split into two groups and ask to conduct the management of the case.
2.Pregnant patient with severe PIH
After the procedure the defbreefing was done by the faculty namely: Parasad B Achar and Sunanda Gargeswari,in the ist floor class room. Detailed discussions were also held.
On 8th Dec 2017:

Dr. Sahajanand welcomed the gathering and delegates.He also introduced the guest faculty Dr.Shashikanth Manikappa from Melbourne.
Delegates were split into two batches.There were two case scenarios:
Patient with sepsis and septic shock
Patient in the OT who developed Anaphylaxix.

After the procedure the defbreefing was done by the faculty namely: Dr. Shashikanth and Sahajananda H, in the Ist floor class room. Detailed discussions were also held.

The whole programme was well attended by the residents and faculty from Surgery, Orthopedics, OBG, General Medicine and Pulmonary medicine.

 

Date : 7th Dec 2017 and 8th Dec 2017

Time : 2:00 pm to 6:00 pm

Venue : College first floor lecture hall & Kadamba Auditorium (College auditorium)

Speaker : Dr B. G. Prasad Achar & Ms Sunanda Achar, Melbourne, Australia

Inauguaration of Rajarajeswari Centre For Diabeties in Children

Center for Diabetes in Children was inaugurated at the pediatric OPD block of RRMCH on 8/9/17. This centre caters to all children with diabetes with a multidisciplinary approach. This centre provides free insulin, glucometer and glucometer strips on a regular basis for underprivileged children with TIDM. It gives an opportunity to monitor the compliance to medication for all children. The centre also impacts education towards management of diabetes along with nutritional advice. This is a part of the project named “Changing Diabetes in Children” which is a global initiative. The centre at RRMCH is named as Rajarajeswari’s centre for Diatbetes in Children (RCDIC) which will be coordinated by Dr. R.Prema.

The Chairman A.C. Shanmugam has not left any stone unturned in providing services to the poor and needy and this adds another feather to his cap. Similarly last year Human Milk Bank, the first of its kind in Karnataka was opened to cater the needs of neonates till the mothers can recover enough milk.
To commemorate the opening of this centre, Department of Pediatrics, RRMCH, has organized a CME on changing diabetes in children helping all doctors understand the detailed and latest management of such children. Also an elaborate nutritional exhibition which throws much light and knowledge on nutritional aspects of TIDM including carbohydrate counts and glycemic index which is apt for today’s modern children’s lifestyle was displayed. This impacted practical knowledge of eating the right food. During CME our chairman Sri A.C. Shanmugham has promised to provide infrastructure and investigations including treatment for underprivileged children with Type 1 diabetes in pediatric ward.

The program was huge success with more than 200 doctors attending and the awareness of nutrition imbibed by them.

Dr. Adarsh E
Prof and HOD
Department of Pediatrics RRMCH

The Technique of Knocking Out Genes – A Sneak Peek

Knocking out genes is a technique which researchers and scientists use when the want to find out
which gene is responsible for production of which protein. In a human body there are around 20,500 different genes that each gene is responsible for making a protein because they are known to be the building blocks for different components of the body be it muscles or bones or brain and more. Apparently, our body is made up proteins. Every gene is responsible for producing a different type of protein and the knocking out technique only helps scientists figure out who is responsible for what.

The Technique of Knocking Out Genes - A Sneak Peek

Knocking out a Gene
The scientists first find out genes with some serious mutation or mistake or create one if needed. These genes are dud genes and do not contribute a bit in production of protein. Now, this gene is injected into the DNA of a healthy cell. The scientists attach a tag called reporter gene to it for identification purpose of whether they have been accepted by the cell. Another identification of reporter genes is that the proteins they produce often glow in blue or green. The scientists apparently fool the DNA in a way. A DNA a we know is made up of long strand of genes and these genes can get damaged but the DNA has an inbuilt mechanism to fix the issue. With the help of a cellular tool box the scientist insert the knocked out gene into the DNA. They do this very smartly by making it look like a perfect copy of the surrounding gene that is to be replaced in that DNA. This disguise of sorts fold the DNA repair system and its swaps the dud gene for the old healthy gene, thus knocking out the original gene.

Some times scientists do not have to swap the gene fully. They can simply insert the reporter gene into the DNA they wish to get rid of, randomly. Now, the reporter gene is wedged in the middle of the old gene. Now, there is an all new piece of DNA inside and if a cell goes to read the gene, the instructions would not make sense to the cell due to its presence there. It would not use the gene to make a protein.

The scientist keep a watch on the process. They observe the working in case it is yeast or bacterium but if it is an embryo, scientists observe on how the animal or plant growth differs from other normal ones.
Today, scientists use different techniques to knock out the genes of any organism they want to. It could be mice or bacteria or for that matter even plants that have knocked out genes. Well, scientists today can knock out even human cells growing in the labs.

Rajarajeswari Medical College and Hospital – MOTTO: Availability of medical facilities is of utmost importance. We aim to serve the healthcare requirements needs to the medically unreached population. Through this, we provide quality medical, paramedical, nursing and allied healthcare education, excellent and compassionate hospital services with state of the art facilities as well as to carry out health research for the betterment of the humankind in tune with the holistic values of the institution.

*source from the internet

Medicine As a Career in India

Indian parents have been long obsessed with this career stream and yes no marks for guess that right… its medical offcourse. Though, times are changing, but the attraction for medicine hasn’t faded as yet with parents only because of the surefire career that it is. But, over the years there are a lot of choices that are available around the medicine field apart from MBBS. So, students who aren’t able to crack the NEET can try to opt for some related courses that include BDS, Physiotherapy, Phsychiatry, Pharmacy and more. So, as per your area of interest you may choose a course. One major advantage of NEET being brought into effect is that intelligent students coming from lower income groups can try to get entry into medical without paying hefty donations to colleges.

Medicine As a Career in India

In case you opt for MBBS, a masters is always a good idea considering future growth. You could either opt for a MD or MS. Though being a surgeon isnt a cake walk and invovles daily encounters with patients fighting for their lives. Its a great responshibility to shoulder and a time costing too.

As a surgeon or a masters degree holder you need to be available to your patients anytime. It could be in the wee hours of the night as well. So, its quite a stressful and hectic work schedule that you’ll have to manage. But, the perks include immense work satisfaction with successful medical procedures and blessing from families. If surgery is not your cup of tea then you might as well opt for MD in areas like radiology, anaesthesiology, paediatrics, forensic medicine and more.

Well, if not MBBS than the option of Physiotherapy, BDS, Ayurvedic medicine, Homeopathy, Veterinary and Pharmacy are definitely some of the good choices around medicine. A masters degree with these streams can offer rewarding career prospects.

Coming down to the bottom line, medical education does blow a hole into your pocket and for students coming from middle income and lower income groups, its not an easy way ahead. But, with the help of student loans, you may as well manage to realize your medical education dreams. Though, it is important to have indepth information on the student loan interest, payback procedure and time for repayment in detail, needs to be known particularly when you are planning to pursue higher education abroad.

Medical is undoubtedly a lucrative career but having said that it does come with its own cons which need to be considered before taking a plunge into it.

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Microscopic Robots To Replace Doctors Sooner or Later?

Microscopic robots may seem a new phrase but we all are aware of nanotechnology, the word at least if not more. Now, nanometer is equal to one billionth of a meter and is smallest of the scales. It is apparently the size we consider for atoms and cells inside the body. We all know are body is made of millions of cells and atoms but when it comes to treatment, it happens on a greater scale. Cells or atoms are not even visible through the naked eye. So, nanotechnology works at the cellular level thus matching the levels at which our body cells or atoms work. Though, its not perfected as yet, we’ve certainly come out with a lot of solutions based on nanotechnology and are probably heading northward in the arena.

Microscopic Robots To Replace Doctors Sooner or Later

In layman’s language using nanotechnology, we can shrink the medical tools used for treating or intervention in the human body to the size of cells or atoms present inside. Using the right size tool will help intricate interventions with simplicity. Surgeries with complexities and involving heavy blood loss can be done away with using such a technology. There is a lot of scope to this technology, as per the researchers and experts in the field. Be it targeted drug treatment to treating critical illnesses like cancers, where nano scalpels are presently being used for damage repair of individual cells.

Furthermore, there is a possibility of improved biological sensors as well as disease diagnosis in the times to come. Just imagine subatomic robots just like a miniature army of soldiers getting into your body and fighting against the ailment to cure you off, that too without any major blood filled surgeries or incisions.

One of the examples on which researchers are presently working in some part of the world is ‘drug agnostic’. Consider a reservoir miniature in nature filled with a drug that needs to be delivered to a certain part of the body. All this needs to be done in a sustained linear way without using pumps, valves or any electrically powered tool. Its works through the nano channel delivery system (NDS). On the basis of the size of the drug molecules, the nano channel membranes are tailored and implanted below the skin. It then moves through the membranes into the patients body. As per the researchers, presently, the nano channel size is a barrier to its movement and lower the size to 2.5 nano meters would definitely help overcome the snag and also help control the drug delivery speed. Looking at the potential of this project a multi-million dollar grant has been already approved for the same.

Well, the use of microscopic robots for treatment is just at its infancy stage and a lot needs to be worked on yet, but positively it would take less than a decade to see it reach the operation theatres of hospitals and that’s definitely a good sign.

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* Disclaimer – Sourced from the internet. Verification required