15 research outputs found
Seroprevalence of contagious caprine pleuropneumonia in Kefta Humera, Alamata (Tigray) and Aba-‘ala (Afar), Northern Ethiopia
No full textA cross sectional study was conducted to determine the sero-prevalence of contagious caprine pleuroneumonia in three districts of Tigray and Afar regions of Ethiopia namely; Kefta Humera, Alamata and Aba-‘alla. Proportions and chi-square test statistics were used to analyze the data. From a total of 863 goats and 137 sheep tested, 282 (32.68%) and 25 (18.25%) were positive for antibodies of Mycoplasma capricolum subsp. capripneumoniae respectively using complement fixation test (CFT). The seroprevalence of CCPP in goats among the three districts was statistically significant (x2 = 76.00, p < 0.001). In this study there was no statistical significant variation in the seroprevalence of CCPP in both sexes (x2 = 3.619, p = 0.0571) and age (x2 = 0.990, p = 0.095) groups. The finding of high seroprevalence of CCPP in sheep (18.25%) could indicate that sheep are potential carriers of Mccp.Ethiopian Science and Technology Agency (ESTA
Frequency and Antimicrobial Susceptibility Pattern of Gram-Negative Bacilli Isolated From Urine Specimens at a Tertiary Care Setting
No full textOBJECTIVES:
To find out the frequency and pattern of conventional antibiotic susceptibility of gram-negative bacilli cultured from urine specimens of patients at a tertiary care setting.
METHODOLOGY:
This study was conducted at the Microbiology Department of Combined Military Hospital Multan from June 2016 to May 2017. The data in this retrospective descriptive study was collected from urine culture records of the Microbiology Department, CMH Multan. Only those urine specimens who revealed positive gram-negative bacilli cultures were included in the study. Drug susceptibility patterns of these isolates were recorded against routinely used antibiotics (e.g. Nitrofurantoin, Imipenem, Sulbactum-cefoperazone, Gentamicin and Ciprofloxacin) and evaluated accordingly.
RESULTS:
A total of 1703 urine specimens were submitted for culture and antibiotics susceptibility testing during the period of study. A total of 128 specimens showed growth of gram-negative rods. Imipenem (95% sensitivity), Sulbactam- Cefoperazone (88% sensitivity) and Nitrofurantoin (87% sensitivity) were highly effective antibiotics against the cultured gram-negative bacilli in the study.
CONCLUSION:
This study showed that E. coli is the commonest cause of urinary tract infection (UTIs), followed by Klebsiella and Enterobacter species among gram-negative bacilli in our set up. In-vitro efficacy of Imipenem, Sulbactam- Cefoperazone and Nitrofurantoin was found to be the highest against these gram-negative bacilli as compared to other antimicrobials. On the contrary, in-vitro efficacy of ciprofloxacin and gentamycin was found to be extremely low
Survival in general surgery: The female surgeons’ perspective
No full textObjective: Specialty choices in health profession has long been influenced by gender. The field of General Surgery remains the least preferred specialty by females, especially in Pakistan. The objective of this study was to identify the factors leading to success and retention of females in General Surgery in Pakistan. Methods: Qualitative case study was conducted from February to May 2020 at Khyber Medical University, Peshawar. Ten semi-structured interviews were conducted with purposive sample of female surgeons at various academic position in different tertiary care hospitals of Pakistan. Data were thematically analyzed. Results: Participants were driven by their passion for surgery, which led them to choose this specialty in the beginning. Their survival in male dominant workplace was made possible by their own personality traits and conducive environment provided by the supervisors and peers. However, a structured mentorship program for females was found lacking. Conclusion: The necessary ingredients for success are passion and personality traits in any field but attention to nurturing and supportive environment for females in the General Surgery is paramount in determining success. Due consideration to the factors identified in the current study will enhance the retention and success of females in General Surgery.The authors would like to thank all the participants for their time. The study was conducted as part of MHPE at Khyber Medical University, Pakistan and supervised by Dr Ahsan Sethi.Scopu
Socio-demographic Factors Affecting Health-related-quality of Life in Post-renal-transplant Patients
No full textObjective: The objective of this study was to identify the socio-demographic factors affecting health related quality of life in renal transplant recipients.
Material and Methods: A census of all registered post-renal-transplant patients was conducted from October 1, 2018, to January 31, 2019. Data were collected on a Kidney Disease Quality of Life questionnaire (SF-1.3) and analysed by Statistical Package for the Social Science (SPSS). Scores in the three main domains, physical component summary (PCS), mental component summary (MCS), and kidney disease component summary, were calculated. Mean scores for gender, type of donor, and employment were compared by unpaired t-test, while mean scores for age, level of education, and duration of transplant were compared by analysis of variance.
Results: Out of 315 patients, 277 (87.9%) were males and 38 (12.1%) were females. The mean age was 37.26 (±10.14) years. Live unrelated transplants were 58.41% while live related transplants were 41.58%. Males had a significantly higher average (p-value=0.001) PCS score, but females had significantly higher average (p-value=0.05) MCS score. There was variation with respect to the PCS (p-value=0.031) and MCS (p-value=0.001) scores in the different age categories. The education groups varied significantly with respect to MCS (p-value=0.05). The recipients of live unrelated transplants had significantly lower average PCS score.
Conclusion: The female gender, live related donor and variations in ages were associated with lower PCS scores, while male gender, variations in ages, and education were associated with lower MCS scores. This study demonstrates that the Kidney Disease Quality of Life Short Form-1.3 (KDQOL SF-1.3) is a good tool to reveal differences in HRQOL scores in renal transplant recipients
Role of Case-Based Discussion as Workplace-Based Assessment Tool in Urology and General Surgery
No full textOBJECTIVES
To determine the effectiveness of case-based discussion in terms of medical record-keeping, clinical reasoning, clinical judgment, and self-reflection in the management of patients.
METHODOLOGY
A multidisciplinary descriptive study was conducted in the Department of Urology Institute of Kidney Diseases, Hayatabad Medical Complex Peshawar, and Department of General Surgery, Hayatabad Medical Complex Peshawar, Pakistan, from January to December 2023. A total number of 20 postgraduate residents, ten from Urology and General Surgery, participated in the study with equal male and female participants. Case-based discussion (CBD) assessments focused on medical record-keeping, clinical Decision-making, clinical judgment, management, follow-up, and reflective writing. The data was collected on structured proforma and was analyzed on SPSS-25.
RESULTS
The total number of study participants was 20, and 410 Case-Based Discussion sessions were conducted. This constitutes an average of 4.8 assessments per week. Most encounters were related to medical clinical decisions and management. The case-based discussion showed significant improvement on the Likert scale of the supervisor’s rating, which extended over four quarters on all major parameters of formative assessment (p 0.001). The multimodal regression test showed significant enhancement in learning parameters on case-based discussions. R2=0.172 F ration=25.141 n=410 (p=0.001). There was no significant difference in the gender of residents as well as training specialty of residents of urology and general surgery (p >0.05).
CONCLUSION
A case-based discussion is an effective tool for formative assessment of Urology and General Surgery postgraduate residents
Perceptions and comparison of bedside teaching among final year students of public and private medical colleges of Peshawar
No full textIntroduction: Bedside teaching is an important but declining strategy in medical education. The regulatory authority’s insistence on structure of an institute needs be supplemented with quality of bedside teaching. The objective of this study was to find perceptions and compare bedside teaching among students of public and private medical colleges of Peshawar.
Methods: A cross-sectional study was conducted at four medical colleges of Peshawar during the month of February 2020. A Likert scale tool with 30 items and four subscales; physical environment, patient’s comfort and student attitude, teaching session and teaching fellow was filled by 242 students. Mean score for each question and each subscale was calculated for each institute for perceptions. Mean score of two public and two private institutes for each subscale was compared by unpaired t-test.
Results: Physical environment mean score was highest at Khyber Girls Medical College Peshawar (2.97±0.50). Patients’ comfort and students’ attitude mean score was approximately equal in four institutes. In teaching session, the highest mean score was reported by Khyber Girls Medical College and was lowest by Khyber Medical College. For teaching fellow, mean score was highest at Khyber Girls Medical College (3.70±0.67) and lowest at Kabir Medical College (2.85±0.55). For physical environment (public 2.87±0.48 vs. private 2.59±0.60) and teaching fellow scale (public 2.87±0.48 vs. private2.59±0.60) there was highly significant difference (p=0.0001).
Conclusion: Mean score in four subscales are comparable in four institutes with some variation but there are significant differences between public and private institutes in physical environment and teaching fellow subscales. There are some consistencies and conflicts with regional and international literature. This needs in-depth qualitative exploration
Stakeholder’s Perspective on the Challenges Faced during the Implementation of the Integrated Curriculum at Medical Colleges of Khyber Pakhtunkhwa
No full textOBJECTIVES
To explore and identify the challenges stakeholders face in implementing and sustaining the integrated curriculum in undergraduate medical colleges of Khyber Pakhtunkhwa
METHODOLOGY
The study design was qualitative exploratory. A total of 15 participants
(student, faculty member, and educationist from each institute, two public sector and three private sector medical colleges in Peshawar. The participants meeting the inclusion criteria were enrolled through a purposive sampling technique. An interview guide was developed based on the literature review, and experts’ validation was done and used to conduct semi-structured interviews with nine participants. A Focused group discussion (FGD) comprised six participants to complement the data from individual interviews. Audio recordings of interviews and FGD were transcribed verbatim manually. The ten transcripts were fragmented and searched for primary codes. A total of 166 codes in vivo codes were generated. The second cycle of 44 descriptive codes was defined. The secondary codes were merged into 17 subthemes and six themes.
RESULTS
A total of six themes were derived from the data. The themes were that planning curriculum integration is like planning an uphill drive, dream versus ground reality, moving up and down the ladder, teamwork is the heart of the paradigm shift, the challenges, and the road to success. Participants views on the difficulty of implementing an integrated curriculum varied widely, and these differences were attributable to the participants' unique perspectives and contextual factors of the institutes.
CONCLUSION
Implementing an integrated curriculum is not a journey on the road; it faces many challenges. Teamwork is the hallmark of successful implementation.
Trying to make sense of the chaos: Clinical psychologists' experiences and perceptions of clients with borderline personality disorder'
No full textBackground Evidence of negative perceptions of clients with borderline personality disorder (BPD) in mental health professionals has been well documented. However, few researchers have focused upon perspectives of clinical psychologists on this client group. The aim of the present research was to explore clinical psychologists' experiences and perceptions of clients with BPD. Method Sixteen female clinical psychologists (including trainees and qualified staff) participated in focus groups, 12 of whom had direct clinical experience with this client group. All four groups' audio recordings were transcribed verbatim and analysed using interpretative phenomenological analysis (Smith, 1996). Results The following eight superordinate themes emerged from the analysis: negative perceptions of the client, undesirable feelings in the psychologist, positive perceptions of the client, desirable feelings in the psychologist, awareness of negativity, trying to make sense of the chaos, working in contrast to the system and improving our role. Discussion Implications include concerns regarding negativity, yet also the suggestion of hope and optimism in working with this client group. Copyright (C) 2012 John Wiley & Sons, Ltd.</p
Sesame Plant Disease Classification Using Deep Convolution Neural Networks
No full textMonitoring sesame plant health and detecting disease early are essential to reducing disease spread and facilitate effective management practices. In this research, we developed an image classification model to detect bacterial blight-infected, phyllody-infected, and healthy sesame crops. Since images were necessary to carry out this study, we collected 2300 images at the Gondar and Humera Agriculture Research Centers and directly from the field in Metema. Since the collected images were limited, to increase the number of images in the dataset, we used image augmentation with different variations. In the image preprocessing step, we used a median filter for noise filtering, and contrast stretching techniques were used for image contrast and brightness enhancement. SegNet semantic segmentation, which is deep convolution neural network-based architecture, was used to segment the leaf part of the image from the background. In the feature extraction and classification steps, a deep convolutional neural network was used. Finally, we evaluated the proposed model and compared it with two recent deep convolution neural network models, namely, Xception and InceptionV3. The proposed model for the classification of sesame diseases achieved better accuracy, with 96.67% testing accuracy, 97.78% validation accuracy, and 98% training accuracy
