Background: Treatment resistant depression can be a life-threatening condition as it leads to an increase of suicide attempts by two to three folds. It has been estimated that nearly 1 million people die due to suicide every year, and more than two-third of these cases occur when the person is undergoing a major depressive episode. Ketamine is an NMDA receptor antagonist, an anesthetic agent that is short acting and has recently been used as an antidepressant and anti-suicidal agent. It has been seen that a single intravenous infusion of ketamine at a lower dose. i.e., subanesthetic dose of 0.5 mg/kg over a period of 40 minutes produces antidepressant effect which lasts for about a week and various studies have proved that repeated infusions of ketamine can prolong the duration of the antidepressant response. Methods: It was an observational/descriptive study done in the ketamine clinic/ECT suite of institute of mental health and neurosciences Kashmir (an associate hospital of government medical college Srinagar) which runs once a week. In this study, patients satisfying the criteria of TRD and depressive patients with active suicidal ideations, visiting the ketamine clinic who had given a valid informed consent for ketamine infusion enrolled and observed for ketamine efficacy by using specific scales. The study done over a period of 18 months from January 2020 till July 2021. Results: The response rate of ketamine in our study for treatment resistant depression was 70.27%. The response rate of ketamine for suicidality in our study was 63.16%. Our study showed a rapid onset of action for ketamine, two hours after ketamine infusion. Conclusions: A significant fraction of patients suffering from major depressive disorder do not respond to antidepressants and have a poor psychosocial functioning and an increased risk of suicide attempts making their condition life threatening. These patients therefore require special attention to address their underlying condition as well as suicidality to improve their outcome. In this context we studied the role of intravenous ketamine infusion in these patients in improving the psychosocial outcome as well as preventing the suicidal ideation.

Introduction: Anatomy is a major subject that is usually considered to be toughest and presents itself as one of the most challenging subjects in medical education. Anatomical knowledge of students is greatly affected by effective teaching methods and engagement of multiple learning modalities has been shown to promote learning. This study aimed to evaluate the Perception of multimodal approach in teaching Anatomy among Kashmiri undergraduate medical students for better learning and effective teaching.Methodology: This cross-sectional study was conducted among 75 first MBBS students of SKIMS Medical College in the Department of Anatomy. Perception of the multimodal approach in teaching Anatomy was sought by a validated questionnaire. The completed questionnaires were returned by only 72 students and were interpreted after studying the filled questionnaires.Results: Majority of the students were of the opinion that Anatomy is the most difficult subject among pre-clinical subjects and most of them believed that it was essential to incorporate advancements in teaching Anatomy. 55.55 % were of the opinion that clinically oriented teaching will improve anatomy teaching. Respondent’s perceived significantly greater usefulness for Web based applications and incorporating imaging such as MRI, CT and Ultrasound in better understanding the subject.Conclusion: Teaching Anatomy can become interesting. Incorporation of conceptual learning by advanced virtual three dimensional aids are required along with traditional didactic lectures in providing a successful integrated approach of teaching and learning of basic sciences for better understanding of concepts.

Introduction: Radiology is taught less. Knowledge in Radiology and acquiring basic Radiological skills of interpretation are important in development of a medical graduate. This would add to the overall clinical acumen of a basic medical graduate and improve his interest in basic subjects study. Methodology: The Study was conducted on students of SKIMS Medical College in the Department of Anatomy. This was done as a sequential event. Study Population was the First MBBS Students of the same Medical College. Objective: To Check the Response of Medical Undergraduates to Combined Integrative Teaching Methodology. Results: The integration of Radiology with Anatomy was appreciated by a majority (77 %) of students. It was to the liking of most students (73%).It was found to generate interest in majority of the students (73%).Most students found it interesting to be taught this way (74%). Significant and statistically well-judged results were obtained. Conclusion: Combining Radiology with Anatomy and interpreting radiographic procedures should be started in the studies of First MBBS and a more clinically oriented teaching strategy should be placed. The concept needs to be introduced at an early stage in medical curriculum. This concept has potential benefits for the students.

Background: Dactylography/Dactyloscopy/Dermatoglyphics is the study of fingerprints as a method of identification.Fingerprint is an easily available,accurate and authentic method of identification.Importance of fingerprints is of immense use in forensic,and criminal application.Nowadays the subject is also developing importance in various other field as well.A Aim:To identify the fingerprint pattern and its relation with gender in kashmiri population. Material and Method: A cross sectional study was done in the government chest disease hospital.The subjects were the staff of the department belonging to various regions and districts of kashmir.The subjects were asked to press their fingers on the stamp pad and then transfered to the paper. Result: Loops were the most common pattern found followed by whorls and arches.Loops was found in 53.8%,whorls in 39.5% and arches in 6.7%.In gender wise distribution a higher percentage of loops was found in females and whorls in males. Conclusion: In the current research work different types of fingerprint patterns were found. Fingerprint is an easily available and effective method of identification of a person. This study will prove helpful to experts in solving criminal cases, identifying missing persons or in case of a disaster.

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