7 research outputs found
ChatGPT and Death of an Author
Get PDFThe proposed piece seeks to critically explore pedagogical implication of ChatGPT, especially on students’ capacities to author a text. The piece suggests that increased reliance on the ChatGPT, while provide short term solution to produce a text, in the long term it is likely to lead to ‘death of an author’. Here the usage of the phrase is a twist to earlier usage by Barthes- which refers to ‘death of an author’ where once the text is written, it gets re-created in readers’ reception and through interpretive act and imagination. The overarching argument of the paper emphasizes that technology is not neutral, especially in a context where its opacity has risen concerns about surveillance, control, and manipulation of human behavior, and therefore its infiltration in education begs critical questioning and sensitive e-value-ation. The discussion argues that rise of AI in education should be checked and not embraced uncritically, but rather it should be critically scrutinized, debated, and scaffolded through critical theoretical, pedagogical, and ethical references to counter its hegemonic and de-humanization of learning. For empirical part, the analysis draws upon reflections generated through a focus group discussion with four undergraduate students enrolled in a Bachelors degree in Computer Science who employed use of ChatGPT in preparing their speeches in context of a humanities course. The students found ChatGPT useful in terms of composing a text/speech and saving time and efforts. However, they realized that its use caused them loss of authentic learning, imagination and suppressed self’s voice. Based on the analysis, the piece shares further insights into pedagogic implications, and suggest a pedagogical scaffolding using critical pedagogical references of relationship between technology and human/learners’ values, distinction between information, knowledge, and wisdom, application and experiential learning references, and praxis in learning
Protein induced vitamin k absence(PIVKA-II) response in relation to treatment modalities among hepatocellular carcinoma patients at Hospital Universiti Sains Malaysia
Get PDFBackground: Hepatocellular carcinoma(HCC) is the commonest tumour of the
liver with multiple aetiologies responsible for cirrhosis which evidently and
eventually leads to hepatocellular carcinoma. With drastically increasing
incidence since 1990 in Malaysia from 6.1 to 42.8% and with an annual mortality
rate of 6.1%, the diagnosis of hepatocellular carcinoma is mainly dependent of
imaging and biochemical markers. The commonest imaging modalities used to
diagnose hepatocellular carcinoma are magnetic resonance imaging and
computed tomography of the liver, while the commonest tumour marker used in
conjunction with imaging is alpha-fetoprotein(AFP).In the setting of
hepatocellular carcinoma, 30% of the time, the tumour marker alpha-fetoprotein
is not elevated which leads to a conundrum during the time of diagnosis. A more
robust tumour marker is required and PIVKA-II has shown potential in this
regards with a few studies showing that PIVKA-II was superior in both
sensitivity and specificity in the initial diagnosis, during follow up post treatment
via hepatic artery embolization and hepatic artery infusion and it also shows a better correlation with overall survival in comparison to AFP. The purpose of
this study is to evaluate the association between radiological response and
PIVKA-II response among patients who undergo interventional radiological
treatment, as radiological response is used as a bench mark to either proceed with
more interventions or to observe the patients.
Methods: A prospective study was conducted at Hospital Universiti Sains
Malaysia(USM), Kota Bharu, Kelantan, Malaysia, where 66 patients who
underwent interventional radiological treatment for hepatocellular carcinoma
had blood investigation for PIVKA-II taken prior to the treatment, 6 weeks post
treatment and 3 months post treatment with concurrent computed tomography or
magnetic resonance imaging at baseline, 6 weeks post treatment and 3 months
post treatment. Of the 66 patients, only 28 patients were available at the end of
the 3rd month post intervention, this was due largely to the patients succumbing
to their disease and partly due to the pandemic. The radiological response was
based on modified response evaluation criteria(mRECIST) into four criteria’s of
progressive disease, stable disease, partial response and complete response.
PIVKA-II response was classified into either PIVKA-II responders or nonresponders.
The association between radiological response and PIVKA response
was carried out using Fischer exact test.
Results: There was a significant association between radiological response and
PIVKA-II response at 6 weeks post interventional radiological treatment with a
P value of <0.001 and a Cramer’s V value of 0.71. However at 3 months post treatment, there was no significant association between radiological response
and PIVKA-II response with a P value of 0.915 and Cramer’s V value of 0.141.
Conclusion: The overall study shows that there was no significant association
between post interventional radiological response at 3 months and PIVKA-II
response and as of now, tumour marker PIVKA-II in itself cannot be a substitute
for radiological imaging. However, it can be used in conjunction with imaging
Lissencephaly with subcortical band heterotopia in an East African child: A case report
Get PDFLissencephaly is a rare neuronal migration defect that results in a smooth cerebral surface, mental retardation, and seizures. It is diagnosed primarily by correlating clinical manifestations with MRI findings. We present a case of a 3-year-old girl with developmental delay and seizures. Her first seizure was at 14 months and MRI showed features of lissencephaly and subcortical band heterotopia. Lissencephaly is associated with gene mutations. Treatment focuses on antiseizure meds and physiotherapy to reduce seizures and improve motor skills. This case report highlights the importance of promptly diagnosing the LIS/SBH spectrum to enhance patient outcomes. Timely identification and treatment, such as physiotherapy, can significantly improve the quality of life, especially in resource-limited settings
Dorsal pancreas agenesis, an incidental finding during acute appendicitis diagnosis: a case report
No full textIntroduction and importance: Dorsal pancreas agenesis is a rare congenital anomaly characterized by the absence or severe underdevelopment of the dorsal pancreatic bud. We report a case of a man who presented with features of appendicitis only to the incidentally discovery of dorsal pancreas agenesis during the diagnosis of acute appendicitis. We describe our experience on radiological diagnostic formulation and work up. Case presentation: We present the case of a 45-year-old male patient who presented to the emergency department with symptoms and signs suggestive of acute appendicitis. A computed tomography scan and laboratory investigations confirmed the diagnosis of appendicitis. Incidentally, the scan also revealed the absence of dorsal pancreatic tissue, leading to the incidental diagnosis of dorsal pancreas agenesis. Clinical discussion: Dorsal pancreas agenesis is often asymptomatic and can be incidentally discovered during imaging studies or surgical interventions for unrelated conditions. In our case, the initial presentation of acute appendicitis provided an opportunity for the fortuitous diagnosis of dorsal pancreas agenesis. This emphasizes the importance of comprehensive imaging reporting in patients who undergo imaging for other conditions. Conclusion: This case report highlights the fortuitous discovery of dorsal pancreas agenesis during the diagnostic workup for acute appendicitis. It emphasizes the need for thorough imaging evaluation and reporting along with the importance of considering anatomical variations in patients presenting with abdominal symptoms. Increased awareness among healthcare professionals about such congenital anomalies can lead to their early recognition and appropriate management
Dorsal pancreas agenesis, an incidental finding during acute appendicitis diagnosis; A case report
Get PDFIntroduction and importance: Dorsal pancreas agenesis is a rare congenital anomaly characterized by the absence or severe underdevelopment of the dorsal pancreatic bud. We report a case of a man who presented with features of appendicitis only to the incidentally discovery of dorsal pancreas agenesis during the diagnosis of acute appendicitis. We describe our experience on radiological diagnostic formulation and work up.
Case presentation: We present the case of a 45-year-old male patient who presented to the emergency department with symptoms and signs suggestive of acute appendicitis. A computed tomography scan and laboratory investigations confirmed the diagnosis of appendicitis. Incidentally, the scan also revealed the absence of dorsal pancreatic tissue, leading to the incidental diagnosis of dorsal pancreas agenesis.
Clinical discussion: Dorsal pancreas agenesis is often asymptomatic and can be incidentally discovered during imaging studies or surgical interventions for unrelated conditions. In our case, the initial presentation of acute appendicitis provided an opportunity for the fortuitous diagnosis of dorsal pancreas agenesis. This emphasizes the importance of comprehensive imaging reporting in patients who undergo imaging for other conditions.
Conclusion: This case report highlights the fortuitous discovery of dorsal pancreas agenesis during the diagnostic workup for acute appendicitis. It emphasizes the need for thorough imaging evaluation and reporting along with the importance of considering anatomical variations in patients presenting with abdominal symptoms. Increased awareness among healthcare professionals about such congenital anomalies can lead to their early recognition and appropriate management
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Technological impact on the art of moviemaking: deploying new and convergent media to redefine a model for Pakistan’s cinema
No full textThis thesis examines the decline in Pakistani cinema during the last two decades. It examines the history of the cinema and exposes some possible, previously ignored, causes for that decline. This research led the author to ask “Can new and convergent media be helpful in reviving the Pakistani cinema?” The thesis introduces the ideas of established and emergent cinema, building on the work of Williams (1977) in discussing the ideas of dominant, residual and emergent culture. The exploration reveals two gaps in the film industry: first, the lack of training in the making of films; and, second, the change in possible production methods allowed by new and emergent technologies. The thesis addresses both of these gaps by suggesting new production paradigms which incorporate the new technology and by examining two scripts to develop methodologies for teaching. The scripts are produced into films as the practice section of the research. The first film, creative element 1, is developed using some of the new tehnologies, students as crew and the available resources of an educational establishment to test the methodologies that have been derived. The outcomes of the creative element 1 laid the foundation of the second film, creative element 2. It is shot on mobile phones and distributed from Pakistan through Vimeo with a negligible budget. The social networks helped to arrange equipment and locations and allowed extreme freedom to the filmmaker
