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Search Results: 1 - 10 of 442 matches for " Nisha Dogra "
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Stakeholder views regarding cultural diversity teaching outcomes: a qualitative study
Nisha Dogra, Olivia Carter-Pokras
BMC Medical Education , 2005, DOI: 10.1186/1472-6920-5-37
Abstract: A semi-structured interview was undertaken with 61 stakeholders (including policymakers, diversity teachers, students and users). The data were analysed and themes identified.Many participants felt that clinical practice was improved through 'cultural diversity teaching' and this was mostly as a result of improved doctor-patient communication. There was a strong view that service users need to participate in the evaluation of outcomes of cultural diversity teaching.There is a general perception, rather than clear evidence, that cultural diversity teaching can have a positive effect on clinical practice. Cultural diversity teaching needs to be reviewed in undergraduate and postgraduate medicine and better evaluation tools need to be established.Cultural diversity teaching has been advocated for over forty years in the US and more recently in the UK [1,2]. One of the major justifications for it has been that it will help reduce healthcare disparities. The Sainsbury Centre for Mental Health reported a case in which a young black man died after being inappropriately restrained. It accused the National Health Service of being racist, and advocated cultural awareness training for healthcare professionals [3]. This paper reports on stakeholders' views about the perceived outcomes of cultural diversity teaching. The discussion considers the implications for undergraduate and postgraduate medical education.The use of 'cultural diversity' in this paper is broadly consistent with the definition of culture adopted by the Association of American Medical Colleges (AAMC) Task Force [4] in its report on Spirituality, cultural issues and end of life care. AAMC noted that:"Culture is defined by each person in relationship to the group or groups with whom he or she identifies. An individual's cultural identity may be based on heritage as well as individual circumstances and personal choice. Cultural identity may be affected by such factors as race, ethnicity, age, language, country of
Cultural diversity teaching and issues of uncertainty: the findings of a qualitative study
Nisha Dogra, James Giordano, Nicholas France
BMC Medical Education , 2007, DOI: 10.1186/1472-6920-7-8
Abstract: A semi-structured interview was undertaken with 61 stakeholders (including policymakers, diversity teachers, students and users). The data were analysed and themes identified.There were diverse views about what the term cultural diversity means and what should constitute the cultural diversity curriculum. There was a need to provide certainty in teaching cultural diversity with diversity teachers feeling under considerable pressure to provide information. Students discomfort with uncertainty was felt to drive cultural diversity teaching towards factual emphasis rather than reflection or taking a patient centred approach.Students and faculty may feel that cultural diversity teaching is more about how to avoid professional, medico-legal pitfalls, rather than improving the patient experience or the patient-physician relationship. There may be pressure to imbue cultural diversity issues with levels of objectivity and certainty representative of other aspects of the medical curriculum (e.g. – biochemistry). This may reflect a particular selection bias for students with a technocentric orientation. Inadvertently, medical education may enhance this bias through training effects, and accommodate disregard for subjectivity, over-reliance upon technology and thereby foster incorrect assumptions of objective certainty. We opine that it is important to teach students that technology cannot guarantee certainty, and that dealing with subjectivity, diversity, ambiguity and uncertainty is inseparable from the personal dimension of medicine as moral enterprise. Uncertainty is inherent in cultural diversity so this part of the curriculum provides an opportunity to address the issue as it relates to pateint care.Ambiguity is defined as 1) a double meaning that is either deliberate or caused by inexactness in description, or as 2) an expression that is interpretable in more than one way [1]. Uncertainty is a fact or condition that lacks firm predictability, and can also refer to the co
Policy into practice: an experience of Higher Education Link in Child and Adolescent Psychiatry
Kedar Nath Dwivedi,Nisha Dogra,Indira Sharma,Karen Bretherton
Journal of Indian Association for Child and Adolescent Mental Health , 2005,
Abstract: Aim The main aim of the Child and Adolescent Overseas Working Party has been to support the development of services in low-income countries through enhancing their training capacity. This is congruent with the British Council s policy of Higher Education Link. The paper shares an experience of translating such a policy into practice. Method The experience of implementing a British Council Higher Education Link in Child and Adolescent Psychiatry between the two Universities in Varanasi and Leicester is shared. Implication In spite of various difficulties, all parties concerned learnt some valuable lessons and found it to be a worthwhile venture.
Design of Aperture Coupled Microstrip Antenna Using Radial Basis Function Networks  [PDF]
Tanushree Bose, Nisha Gupta
Wireless Engineering and Technology (WET) , 2010, DOI: 10.4236/wet.2010.12010
Abstract: This paper, two Artificial Neural Network (ANN) models using radial basis function (RBF) nets are developed for the design of Aperture Coupled Microstrip Antennas (ACMSA) for different number of design parameters. The effect of increasing the number of design parameters on the ANN model is also discussed in this work. The performances of the models when compared are found that on decreasing the number of design parameters, accuracy of the model is in-creased. The results given by the prepared models are comparable with the results of the IE3D software. So, these models are accurate enough to measure the design parameters of ACMSAs. Thus the neural network approach elimi-nates the long time consuming process of finding various designing parameters using costly software packages.
Monte Carlo Integration Technique for Method of Moments Solution of EFIE in Scattering Problems  [PDF]
Mrinal MISHRA, Nisha GUPTA
Journal of Electromagnetic Analysis and Applications (JEMAA) , 2009, DOI: 10.4236/jemaa.2009.14039
Abstract: An integration technique based on use of Monte Carlo Integration is proposed for Method of Moments solution of Electric Field Integral Equation. As an example numerical analysis is carried out for the solution of the integral equation for unknown current distribution on metallic plate structures. The entire domain polynomial basis functions are employed in the MOM formulation which leads to only small number of matrix elements thus saving significant computer time and storage. It is observed that the proposed method not only provides solution of the unknown current distribution on the surface of the metallic plates but is also capable of dealing with the problem of singularity efficiently.
Chromohysteroscopy—A new technique for endometrial biopsy in Abnormal Uterine Bleeding (AUB)  [PDF]
Nisha Singh, Bharti Singh
Open Journal of Obstetrics and Gynecology (OJOG) , 2013, DOI: 10.4236/ojog.2013.35A1003
Abstract:

Objective: To evaluate the role of chromohysteroscopy in improving diagnostic accuracy of endometrial biopsy in cases of AUB. Design: Cross sectional interventional study. Materials and Methods: This study was conducted on 60 women with AUB in Dept. of Obst. & Gyne at King George Medical University, Lucknow over a period of one year. All cases underwent diagnostic hysteroscopy followed by chromohysteroscopy using 2% methylene blue dye. Hysteroscopic guided biopsy was taken from stained and unstained areas followed by an endometrial aspiration biopsy from whole uterine cavity. The histopathology results of three samples were compared and analyzed in relation with staining pattern and type of AUB. Data analysis was done on SPSS version 15 of windows 2007. Results: Out of 60 cases, 11cases were found to have non hormonal pathology after chromohysterosopic biopsy. Eight (72.72%) cases were diagnosed by stained endometrial tissue, one (9.09%) by unstained tissue and three (27.27%) by endometrial aspiration. The diagnostic ability of stained tissue biopsy was significantly higher (p = 0.006) than unstained biopsy and endometrial aspiration. Conclusion: Chromohysteroscopy is a simple and effective technique for diagnosing endometrial pathology in cases of AUB.

Oral azithromycin in extended dosage schedule for chronic, subclinical Chlamydia pneumoniae infection causing coronary artery disease: a probable cure in sight? Results of a controlled preliminary trial
Dogra J
International Journal of General Medicine , 2012, DOI: http://dx.doi.org/10.2147/IJGM.S31625
Abstract: al azithromycin in extended dosage schedule for chronic, subclinical Chlamydia pneumoniae infection causing coronary artery disease: a probable cure in sight? Results of a controlled preliminary trial Original Research (1867) Total Article Views Authors: Dogra J Video abstract presented by Jaideep Dogra. Views: 48 Published Date June 2012 Volume 2012:5 Pages 505 - 509 DOI: http://dx.doi.org/10.2147/IJGM.S31625 Received: 09 March 2012 Accepted: 10 April 2012 Published: 08 June 2012 Jaideep Dogra Poly Clinic, Central Government Health Scheme, Jaipur, Rajasthan, India Purpose: Two mega trials have raised the question as to whether the hypothesis that infection plays a role in atherosclerosis is still relevant. This controlled preliminary trial investigated an extended dose of azithromycin in the treatment of Chlamydia pneumoniae infection causing coronary artery disease (CAD). Patients and methods: Forty patients with documentary evidence of CAD were screened for immunoglobulin G titers against C. pneumoniae and grouped into either the study group (patients with positive titer, n = 32) or control group (patients with negative titer, n = 8). Cases who met inclusion criteria could not have had coronary artery bypass graft surgery or percutaneous coronary intervention in the preceding 6 months. Informed consent was obtained from every patient. Baseline blood samples were analyzed for red blood cell indices, serum creatinine, and liver function tests, and repeated every 2 months. A primary event was defined as the first occurrence of death by any cause, recurrent myocardial infarction, coronary revascularization procedure, or hospitalization for angina. Patients in the study group received 500 mg of oral azithromycin once daily for 5 days, which was then repeated after a gap of 10 days (total of 24 courses in the 1-year trial period). The control group did not have azithromycin added to their standard CAD treatment. Results: In the study group, 30 patients completed the trial. Two patients had to undergo percutaneous coronary intervention in the initial first quarter of the 1-year trial period. In the control group, one patient died during the trial, one had to undergo coronary artery bypass graft surgery, and one had percutaneous coronary intervention. Conclusion: The patients tolerated the therapy well and there was a positive correlation between azithromycin and secondary prevention of CAD.
Oral azithromycin in extended dosage schedule for chronic, subclinical Chlamydia pneumoniae infection causing coronary artery disease: a probable cure in sight? Results of a controlled preliminary trial
Dogra J
International Journal of General Medicine , 2012,
Abstract: Jaideep DograPoly Clinic, Central Government Health Scheme, Jaipur, Rajasthan, IndiaPurpose: Two mega trials have raised the question as to whether the hypothesis that infection plays a role in atherosclerosis is still relevant. This controlled preliminary trial investigated an extended dose of azithromycin in the treatment of Chlamydia pneumoniae infection causing coronary artery disease (CAD).Patients and methods: Forty patients with documentary evidence of CAD were screened for immunoglobulin G titers against C. pneumoniae and grouped into either the study group (patients with positive titer, n = 32) or control group (patients with negative titer, n = 8). Cases who met inclusion criteria could not have had coronary artery bypass graft surgery or percutaneous coronary intervention in the preceding 6 months. Informed consent was obtained from every patient. Baseline blood samples were analyzed for red blood cell indices, serum creatinine, and liver function tests, and repeated every 2 months. A primary event was defined as the first occurrence of death by any cause, recurrent myocardial infarction, coronary revascularization procedure, or hospitalization for angina. Patients in the study group received 500 mg of oral azithromycin once daily for 5 days, which was then repeated after a gap of 10 days (total of 24 courses in the 1-year trial period). The control group did not have azithromycin added to their standard CAD treatment.Results: In the study group, 30 patients completed the trial. Two patients had to undergo percutaneous coronary intervention in the initial first quarter of the 1-year trial period. In the control group, one patient died during the trial, one had to undergo coronary artery bypass graft surgery, and one had percutaneous coronary intervention.Conclusion: The patients tolerated the therapy well and there was a positive correlation between azithromycin and secondary prevention of CAD.Keywords: azithromycin, Chlamydia pneumoniae, coronary artery disease
Why your manuscript was rejected and how to prevent it?
Dogra Sunil
Indian Journal of Dermatology, Venereology and Leprology , 2011,
Abstract:
Fate of medical dermatology in the era of cosmetic dermatology and dermatosurgery
Dogra Sunil
Indian Journal of Dermatology, Venereology and Leprology , 2009,
Abstract:
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