85 research outputs found
Patient empowerment in dose adjustment of premixed insulin
No full textBackground: To compare the patient-led titration (intervention group) versus physician-led titration (control group) in optimizing the use of premixed insulin in patients with uncontrolled Diabetes treated DM-2.
Methods: This Prospective, Randomized, open-label controlled trial was carried out for 6 months at Endocrinology and Medicine Clinics of Shifa Hospital .Total of 50 patients ,25 in patient-led titration (intervention group) versus 25 in physician-led titration (control group) after written informed consent, fulfilling other inclusion criteria and exclusion criteria were enrolled. Fasting blood sugar were checked on Monday, Tuesday and Wednesday before injecting premixed insulin, average of three readings were calculated , if the average was more than 110mg/dl then 2 units of insulin was increased at night. When the average was between 80- 110mg/dl, night dose remained same and for below 80mg/dl, decreased 2 units of insulin. Simultaneously pre-dinner blood sugar was checked on Thursday, Friday and Saturday to adjust the morning dose. Patients were advised for follow up initially weekly for two weeks then monthly visits for two months. At the beginning and end of study, patient were advised to check fasting,pre-dinner blood sugar and ( PRE / Post HBA1c ) Both groups were provided with a booklet containing basic information about insulin hypoglycemia, injection technique and telephonic access to the clinical team.
Results: The primary efficacy criterion will be the change of HbA1c from baseline to study endpoint. Comparative analysis between the two groups PRE / Post HBA1c will be analysed by paired T-test. Significance of p value will be less than 0.05.
Conclusions: SMBG is an important self-management tool for insulin-treated patients with DM-2. With SMBG & guidance, patients can adjust their insulin dose quickly to achieve the good glycemic control Keywords: Self-monitoring of blood glucose glycated Heamoglobin (HBA1c ). DM-
Development and validation of a tool for assessing professionalism among Pakistani medical students
No full textData sets of study submitted at MedED Publis
To wiki or to blog: Piloting social software technologies for assessment in a large first year information systems class
No full textThis paper describes two exploratory pilot projects using the social software technology (i.e. blog and wiki) for assessment purposes to teach an introductory Information Systems subject at University of Canberra in 2007. Social software technologies known as web 2.0 have gained considerable interest among academics across the higher education landscape. These tools have features that focus on the social construction of collective knowledge, communication, reflection and peer networking. However, while there are many claimed pedagogical benefits, little is known about the impact and effectiveness of social technologies to support innovative approaches to Information System assessment tasks in large classes. In this study the author reflects on the process of integrating social technologies into the teaching syllabus for assessment purposes and presents a reflective account of the outcomes of the trial from both student and staff perspectives. Important teaching and learning issues associated with the development and implementation of social technology based assessment tasks for large classes are discussed. This analysis confirms the importance of usability, workload and 'fit for task' for technology-infused teaching and learning for large classes. © 2008 Sultana Lubna Alam
PERILAKU MENGHEMAT ALA ANAK KOS MAHASISWA INDONESIA DALAM KOMIK WEBTOON SI JUKI: LIKA LIKU ANAK KOS KARYA FAZA MEONK (TINJAUAN SOSIOLOGI SASTRA)
No full textGanis, Alya Lubna. 2018. ‘Save Behavior of Indonesian Boarding College Student in Si Juki: Lika Liku Anak Kos Webtoon Comic Created by Faza Meonk (The Study of Literature Sociology)’. Skripsi. Indonesian Literature Program, Bachelor Program, Faculty of Humanities, Diponegoro University Semarang. Leaders I Dra. Mirya Anggrahini, M.Hum., II Fajrul Falah, S.Hum., M.Hum.
Spesifically the material object is webtoon comic Si Juki: Lika Liku Anak Kos created by Faza Meonk. This research used structural theory and literature sociology that explaine with descriptive method. The purpose of this research to expose intrinsict elemen in comic Si Juki: Lika Liku Anak Kos and reveal save behavior of Indonesian boarding college student.
Structural theory use for describe intrinsict elemen spesifically figures and characterization, plot and plotterization, background and backgroundization in Si Juki: Lika Liku Anak Kos comic. In the other side for analyze save behavior boarding college student, author used sociology theory especially six aspect, among others: creative behavior for food, creative behavior for transportation, creative behavior for outfit, creative behavior for entertainment, creative behavior to used water and electricity, and have another income source.
Analysis result based structure to webtoon comic Si Juki: Lika Liku Anak Kos, there is 14 figures with main character Juki and 13 subordinate characters. Plot which used in this comic straight or linear. Background in this comic divided be three part, place background, time, and socio-cultural background. Analysis result with literature sociology theory is exposure save behaviors of Indonesian boarding college, based mannerism characters inside. This point proved with dialogue, narration, and picture that indicate save behavior.
Keywords: webtoon, comic, Juki, save, boarding, college student
Personality Traits and Teaching Practices of Supervisors in Postgraduate Residency Training
No full textBackground: To study the type of relationship (positive correlation, negative correlation or no correlation) between different traits of supervisor’s personality and their teaching practices in postgraduate residency training.Methods: In this co- relational study registered supervisors (n=121) currently supervising post graduate training and their registered trainees (n=242, two trainees for one supervisor), were included.Two well validated questionnaires namely BFI (Big five inventory) and systematics evaluation of teaching qualities (SETQ) employing five point likert scale were used to collect data. Five factor model (15 items) covering conscientiousness, agreeableness, extraversion, emotional stability and openness was given to assess personality traits of supervisors. Residents evaluated overall teaching practices of respective supervisorusing a validated 21-item System for Evaluation of Teaching Qualities (SETQ) tool. It also evaluated five specific domains like learning climate, professional attitude, communication, evaluation, and feedback. Inter-scale correlations between two scales as a whole and between subscales were calculated by using Pearson’s correlation coefficient (r). Values < 0.05 were taken as statistically significant.Results: Positive correlation(r=.124,p=.175 statistically insignificant) was observed between personality traits and teaching practices. Positive correlation (statistically insignificant) was found between conscientiousness(r =.16, p =.06) and agreeable (r =.06, p =.49) traits of supervisor’s personality with their teaching practices in relation to post graduate training.Conclusion: None of the personality trait of supervisors appeared to have any significant correlation with their teaching performances generally in postgraduate residency training. Positive correlation(statistically significant) was observed between conscientiousness trait of supervisor’s personality and learning climate(r =.18, p =.04), professional attitude (r =.20, p =.02) and feedback (r =.18, p =.04)domains of teaching practices
Perception of undergraduate medical students regarding civic responsibility through service learning by visiting persons with different abilities
No full textObjectives: Addressing various attitudes of students, can be a challenging task for educationists, so it is generally
embedded in the hidden curriculum in most Medical Institutes. The purpose of this study was to build up civic
duty among undergraduates, rooted in their learning objectives of the curriculum through a visit to the school of
children with different abilities (CFSPF).
Materials and Methods: In year 4, students of Shifa College of Medicine during the clerkship of Community
Medicine, were taken on a field visit which is part of the curriculum. CFSP is privately run by an NGO, it has 45
enrolled individuals with different mental and physical abilities. The medical students visited CFSPF in small
groups for 8 months (Sep 2019 to April 2020) where they interacted with the individuals with special needs in
their environment. Students were able to practice empathy through the general physical examination and other
entertaining activities. In this qualitative study, this strategy was assessed by exploring the medical student’s
perceptions.
Results: Focus Group discussions were conducted with the medical students and themes identified were:
interaction with children having different abilities, being thankful to the Almighty, philanthropy, learning to
empathize, the feeling of including them in our society, selfless smile, the contribution of services, and developing
various attributes.
Conclusion: Students found the visit to a school for children with different abilities useful. The interaction in a
different environment has revealed opportunities for a wider scope of learning.
Keywords: Civic responsibility, Empathy, Persons with different abilities, Service learning
Ultrasound Assisted Reverse Micellar Extraction of Lactoperoxidase from Milk whey
No full textThis Dissertation / Report is the outcome of investigation carried out by the creator(s) / author(s) at the department/division of Central Food Technological Research Institute (CFTRI), Mysore mentioned below in this page
ULTRASOUND AS AN AID TO DIAGNOSIS IN DENGUE:
No full textObjective: To determine the ultrasound findings in patients with dengue fever and to evaluate their relationship with laboratory parameters.
Study Design and Setting: This prospective cross-sectional study was conducted at –removed for blind review---from September 2020 to August 2021.
Methodology: Total of 248 patients diagnosed with dengue fever, fulfilling the exclusion and inclusion criteria, were included in the study. Demographic data was recorded on a structured proforma. Serological confirmation along with complete blood counts and liver function tests were obtained. Abdominal and chest ultrasounds were conducted in all patients. The ultrasonographic features of these patients were analyzed with laboratory investigations through SPSS version 23. Student’s t-test and Chi-square tests were used assessingess the association between the ultrasonographic findings and laboratory features. A P-value of <0.05 was considered significant.
Results: The most common ultrasonographic feature among dengue patients was acalculous cholecystitis (49.6%) followed by hepatomegaly (47.2%), splenomegaly (46.8%), altered echotexture of the liver (46.4%), ascites (37.5%) and pleural effusion (7.3%).
Acalculous cholecystitis and ascites were significantly associated with severe thrombocytopenia and increasing hematocrit. Acalculous cholecystitis, ascites, pleural effusion and altered echotexture of the liver were associated with raised transaminases.
A low platelet count showed the strongest relationship with sonographic features of capillary leak syndrome.
Conclusion: Ultrasound is a useful investigation to diagnose severe, critical dengue. The development of ultrasonographic features should prompt proactive management of these patients in order to prevent emergence of severe complicated dengue.
Establishing Validity And Reliability Of Newly Developed Professionalism Assessment Tool
No full textObjective: This study aims to establish construct validity and reliability of a newly developed tool for assessment of professionalism in undergraduate medical students.
Method: The study was carried out after establishing feasibility and obtaining ethical approval from Aga Khan University and Rawalpindi Medical University. Data was collected from 3rd-year and 4th-year undergraduate medical students at the end of 2-week rotations. The tool was initially administered to year 4 MBBS students (pilot test); the data obtained was analysed by principal component factor analysis and reliability analysis to estimate the construct validity and reliability. A total of 391 Year 3 medical students were assessed using the 16-item PAT. The principal component analysis (PCA) and reliability analysis were conducted, thus further establishing the validity and reliability of the tool.
Result: Four factors were obtained on exploratory PCA. Nine items loaded on Factor 1 and merged the items on the proposed P-SS2 and P-SS3 subscales of “Ethics and personal characteristics” into one (SS1). SS2 was validated as all three items loaded on this subscale were related to “Effective communication and doctor-patient relationship.” SS3 and SS4 separated the four items included in the P-SS4 of ‘Supports Community Needs and Others’ into SS3 of “Respects and Supports Others” and into SS4 with items related to “collegiality: Responsive to Community Needs and Other Health Professionals.” The 16-item PAT had an overall reliability (Cronbach’s alpha) of 0.856. The Reliability of the new Subscales obtained after PCA for SS1 was 0.767, for SS2 was 0.726, for SS3 was 0.568 and for SS4 was 0.380.
Conclusion: The final tool developed for assessment of professionalism had 16 items on a 7-point Likert-like scale, across 4 Subscales. It can be used as a reliable and valid tool for assessment and feedback of professionalism for undergraduate medical students
Metabolic Syndrome in Patients with Atherosclerotic Vascular Disease
No full textBackground:To determine the frequency of metabolic syndrome (MetS) in patients having atherosclerotic vascular disease.Methods: In this cross sectional study 100 patients with atherosclerotic vascular disease were included. Patients were enquired about the presence of diabetes, hypertension, ischemic heart disease, symptoms of peripheral vascular disease and any history of ischemic stroke. Blood pressure and waist circumference were measured. Fasting blood sugar and lipid profile (triglyceride and HDL) were estimated.Results: The mean age of the patients was 53.97±9.95 years. Forty five percent were males. Seventy five percent presented with a history of ischemic heart disease, 19% presented with a history of ischemic stroke and 6% had peripheral vascular disease. Overall, 46% patients had metabolic syndrome. The mean age of the patients with MetS was significantly lower than the patients without MetS(p= 0.005). Among the 75 CAD patients 32 (42.7%) had MetS; among the 19 ischemic stroke patients 10 (52.6%) had MetS and among the 6 PVD patients 4 (66.7%) had MetS. This difference in the proportion of patients with MetS was not statistically significant(p=0.427).Conclusion: Nearly half of the patients with atherosclerotic vascular disease have metabolic syndrome
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