Background:Current data regarding infertility suggests that male factor contributes up to 30% of the total cases of infertility. Semen analysis reveals the presence of spermatozoa as well as a number of non-sperm cells, presently being mentioned in routine semen report as “round cells” without further differentiating them into leucocytes or immature germ cells.Aim:The aim of this work was to study a simple, cost-effective, and convenient method for differentiating the round cells in semen into immature germ cells and leucocytes and correlating them with total sperm counts and motility.Materials and Methods:Semen samples from 120 males, who had come for investigation for infertility, were collected, semen parameters recorded, and stained smears studied for different round cells. Statistical analysis of the data was done to correlate total sperm counts and sperm motility with the occurrence of immature germ cells and leucocytes. The average shedding of immature germ cells in different groups with normal and low sperm counts was compared. The clinical significance of “round cells” in semen and their differentiation into leucocytes and immature germ cells are discussed.Conclusions:Round cells in semen can be differentiated into immature germ cells and leucocytes using simple staining methods. The differential counts mentioned in a semen report give valuable and clinically relevant information. In this study, we observed a negative correlation between total count and immature germ cells, as well as sperm motility and shedding of immature germ cells. The latter was statistically significant with a P value 0.000.

Introduction: As anatomy subject is the basis of all surgical branches, its understanding in depth is of great value. Surgeons need to understand normal morphology of organs to understand the Pathology. Syllabus of Anatomy is vast and also volatile, to summarise large amounts of facts and train students for acquisition of skills, we believes that student learn by practice. Aims and Objectives: To help students for development of concepts, to assess the student's opinion about Self-Directed Learning (SDL) method and to evaluate retention of subject. Method: The present study included 140 students of first year MBBS. Steps to conduct SDL were four. Orientation and planning, Brain storming session, Presentation and Written Assessments. Total 10 close ended feedback questionnaires were given after SDL intervention. Results: It was observed that students enjoyed the new method of teaching and they felt that it could be helpful to perform better in university examination. At the same time student's perception was assessed by using Pre and Post Multiple Choice Questions test (MCQ). All the students scored better in the post-test, hence making it evident as to how helpful this session had been, to clear the concepts. Students wrote the answers to the point with well labelled diagram and presented the answers in a proper manner. Conclusion: SDL definitely improved understanding of the subject. This method encourages students to actively participate leading to active learning with better retention, in additionthismethod helped students to develop communication skills.

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Axillary arch muscle or the Langer's muscle is one of the rare muscular variation in the axillary region. It is the additional muscle slip extending from latissimus dorsi in the posterior fold of axilla to the pectoralis major or other neighbouring muscles and bones. In the present article a case of 68 yrs old female cadaver with axillary arch in the left axillary region is reported. It originated from the anterior border of lattissimus dorsi and merged with the short head of biceps and pectoralis major muscles. The arch was compressing the axillary vein as well as the branches of the cords of brachial plexus. The presence of the muscle has important clinical implications, as the position, unilateral presence, axillary vein entrapment, multiple insertions makes the case most complicated. Recognising the presence of axillary arch muscle in such complex form is important in clinical practice as the arch causes the difficulties in staging lymph nodes, axillary surgery, thoracic outlet syndrome, shoulder instability or cosmetic problems. The anatomy, embryological and clinical importance of this muscular variation is discussed in this paper

Introduction: Colour is believed to stimulate senses. It improves the attention span and helps in developing cognitive abilities and hence, can be beneficial in the educational set-up. There is a void in literature about usefulness of colours in the education settings in India. Aim: This study was conducted to assess students’ preference, perception, emotional responses, memory, and cognition related to colours. Materials and Methods: A cross-sectional study conducted over a period of two months (January-February 2018) comprised of 300 students divided into two equal groups: Group A with 13 to 18 years of age, Group B with 19 to 25 years of age. On four consecutive days, both the groups were exposed to the same power point slide with some words highlighted with a single colour (red: material related to discovery of earth’s polarity, blue: material related to arbovirus, yellow: material related to pathophysiology of diabetes mellitus, or green: material related to Mangalyan). At the end of the fourth session, a validated questionnaire was used to evaluate the students’ perceptions and responses to various colours. The data were analysed using R software v 3.6.1. The Kruskal-Wallis test was used to find significant differences within the group, p<0.05. Results: In group A, the highest mean preference was observed for the colour red (mean=8.02±2.83; p=2.20e-16), blue was found to be a soothing colour (n=65) and yellow helped in better recollection of facts (n=44). In contrast, in group B, the highest mean preference was observed for the colour blue (mean=8.35±3.59; p=5.90e-15). Yellow was considered a more soothing colour (n=43), and black helped in better recollection (n=41). Conclusion: Colour perception varies in different age groups. It also affects emotions, memory, and influences mood disposition.