Journal of Education and Health Promotion

Neurophysiological parameters of sensory perception and cognition among different modalities of learners

. Rachna Parashar; . Mukesh Shukla; . Abhimanyu Ganguly; . Sandip M. Hulke

Volume 10, Issue 6 , June 2020, , Pages 1-10

Abstract

INTRODUCTION: Different types of learners based on sensory modalities are observed. Cognition orphysiological alterations in the sensory pathways might play its role in different modalities ... Read More INTRODUCTION: Different types of learners based on sensory modalities are observed. Cognition orphysiological alterations in the sensory pathways might play its role in different modalities of visual,auditory, read and write, and kinesthetic learners which are based on different sensory modalitiesof perceptionOBJECTIVE: The objective of this study is to ascertain an objective parameter (neurophysiologicalparameters) for the classification of learners based on their preferred sensory modalityMATERIALS AND METHODS: An experimental cross‑sectional study was conducted among100 medical students. Learners were classified into visual, auditory, read‑write, and kinestheticlearners based on the interpretation drawn on the basis of the VARK questionnaire. Sensory‑evokedpotentials (SEPs), including pattern shift visual (PSVEPs), brain stem auditory (BAEPs), short‑latencysomatosensory (SSEP), and event‑related potentials (P300) were measured. SEPs measured inmicrovolts were recorded from the scalp with the help of active and reference electrodes. Multipleresponses to sensory stimuli (using NIHON KOHDEN Corporation Neuropack X1, Tokyo, Japan)were recored and averaged using the computerized signal averging technique.RESULTS: No statistically significant difference was observed in conduction velocities (in terms oflatency and amplitude) of SEP among different type of learners, except latency N145 wave form inVEP (P < 0.05). A characteristic pattern of minimal comparative latency was observed among themajority of visual learners. Similary, P300 has shown a characteristic pattern of decreased comparativelatency among majority of read and write learners.CONCLUSION: Study findings suggested that among existing teaching and learning modalities,visual modalities were observed faster but to retain it in memory and for abstract thinking, studentsshould utilize read and writing skills which are lacking in the era of digitalization and overuse ofelectronic devices.

Effect of focused birth preparedness and complication readiness counseling on pregnancy outcome among females attending tertiary care hospital in Barabanki district, Uttar Pradesh, India

. Mukesh Shukla; . Nahid Zia Khan; . Anjana Agarwal; . Akhilesh Dutta Dwivedi; . Jai Vir Singh; . Shahnoor Alam

Volume 9, Issue 6 , June 2019, , Pages 1-7

Abstract

CONTEXT: Measures related to birth preparedness and complication readiness (BPCR) duringpregnancy play an important role in producing better pregnancy outcome. If the pregnant females ... Read More CONTEXT: Measures related to birth preparedness and complication readiness (BPCR) duringpregnancy play an important role in producing better pregnancy outcome. If the pregnant females areproperly counseled during antenatal visits, it could help in bringing out desirable behavior changes.AIMS: This study aims to study BPCR‑related awareness and practices among the pregnant femalesand the effect of focused and structured birth preparedness counseling on complication readinessamong pregnant females.SUBJECT AND METHODS: A facility‑based follow‑up study was conducted from July to December2016, and a total of 130 pregnant females were enrolled. All study participants were initially assessedfor various domains of BPCR index consisting of seven key indicators. The index reassessmentwas done again, after 1 month, during follow‑up visit. Information regarding any pregnancy‑relatedcomplication in due course and behavior was also recorded during successive follow‑up.STATISTICAL ANALYSIS USED: The difference in pre‑ and postcounseling mean BPCR index wasassessed using paired t‑test, and McNemar’s test was used for paired categorical data analysis.P < 0.05 was considered to be statistically significant.RESULTS: The postcounseling BPCR index (70.65 ± 19.18) was found to be significantly muchhigher as compared to pre‑counseling baseline BPCR index (41.12 ± 11.34). Knowledge aboutdanger signs of pregnancy, transportation services provided by government, financial assistanceprovided in Government schemes, identification of skilled birth attendant, mode of transportation,and arrangement of emergency blood donor was found to increase significantly after counseling.Abortion was found to occur significantly higher (about thrice) among those who had postcounselingBPCR index below average, i.e., <50% (P < 0.05).CONCLUSIONS: The results of the present study revealed that focused birth preparednesscounseling on complication readiness could play an important role in increasing the baselineknowledge of pregnant females regarding pregnancy‑related complications and bring out desirableideal health‑seeking behavior changes during pregnancy.

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Author = . Mukesh Shukla

Neurophysiological parameters of sensory perception and cognition among different modalities of learners

Abstract

Effect of focused birth preparedness and complication readiness counseling on pregnancy outcome among females attending tertiary care hospital in Barabanki district, Uttar Pradesh, India

Abstract