16 research outputs found

    National clinical practice guidelines for food allergy and anaphylaxis: an international assessment

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    Background: clinical practice guidelines are important tools to promote evidence-based clinical care, but not all countries have the capacity or infrastructure to develop these in-house. The European Academy of Allergy and Clinical Immunology has recently developed guidelines for the prevention, diagnosis and management of food allergy and the management of anaphylaxis. In order to inform dissemination, adaptation and implementation plans, we sought to identify countries that have/do not have national guidelines for food allergy and anaphylaxis.Methods: two reviewers independently searched PubMed to identify countries with guidelines for food allergy and/or anaphylaxis from the inception of this database to December 2016. This was supplemented with a search of the Agency for Healthcare Research and Quality's National Guideline Clearinghouse in order to identify any additional guidelines that may not have been reported in the peer-reviewed literature. Data were descriptively and narratively synthesized.Results: overall, 5/193 (3%) of countries had at least one guideline for food allergy or anaphylaxis. We found that one (1%) country had a national guideline for the prevention of food allergy, three (2%) countries had a guideline for the diagnosis of food allergy and three (2%) countries had a guideline for the management of food allergy. Three (2%) countries had an anaphylaxis guideline.Conclusions: this study concludes that the overwhelming majority of countries do not have any national clinical practice guidelines for food allergy or anaphylaxis

    Novel approaches to estimate compliance with lockdown measures in the COVID-19 pandemic

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    A lockdown is a social distancing intervention that aims to minimise physical contact between individuals and groups in order to reduce transmission of a communicable disease [1]. Social distancing measures are typically introduced in an attempt to reduce and/or delay the peak of an epidemic/pandemic, to minimise the potential for surges in healthcare utilisation and to protect vulnerable groups. In the context of COVID-19, the World Health Organization has encouraged use of the term ‘physical distancing’ instead of social distancing to highlight that the aim of this intervention is only to reduce physical contact, not social contact which is often still possible through telephone and video calls, and social media [2]. There are a range of physical distancing measures, which can be broadly categorised as operating at the individual (eg, to support self-isolation of confirmed or suspected cases) or population levels (eg, closing of schools or workplaces)

    Teamwork process among Amanah Ikhtiar Malaysia (AIM) participants. Case study in Hulu Langat district

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    The present research sought to examine the teamwork performance among AIM microcredit participants based on Tuckman (1965) model. Hence, the author elaborates the level of teamwork process such as forming, norming, storming and performing in a group among AIM participant in Daerah Hulu Langat. The AIM is replication of the Grameen Bank approach in Malaysia and the teamwork concept was apply which is the scheme must be apply in a group and not in individual. Selfadministrative questionnaire was applied to conduct a data collection and a sample of 160 respondents among participant from Sungai Gabai, Sungai Ramal, Sungai Chua, Sungai Tangkas, Bukit Mewah, Semenyih and Sungai Jelok in Kajang were chosen based on stratified and simple random sampling techniques to complete the survey. Researcher suggests the finding indicate that the high level stage in teamwork process is forming, storming and performing stage. Only norming stage was in moderate level. Consequently, high and positive teamwork resulted efficiencies in the microfinance group. Teamwork with the right process can achieved positive outcome among AIM microcredit participants

    What’s the way out? Potential exit strategies from the COVID-19 lockdown

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    With over 4.5 billion people under some form of lockdown, concern is mounting about the economic, social and adverse health effects resulting from these restrictions, including disruption in non-COVID-19 related health care and an increasing number of families being thrown into poverty. Policymakers need to balance the clear benefits of lockdown measures in containing transmission of SARS-CoV-2 against growing concerns about their negative effect

    Reopening schools after the COVID-19 lockdown

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    With nationwide school closures currently operating in 191 countries, the United Nations Educational, Scientific and Cultural Organization (UNESCO) has estimated that 1.6 billion (90.2%) students are currently out of primary, secondary and tertiary education (henceforth schools) as a result of the global COVID-19 lockdown. These restrictions have been introduced to help maintain physical distancing and have contributed to the stabilising incidence of SARS-CoV-2 infections and resulting COVID-19 hospitalizations and deaths now being witnessed in many parts of the world. These measures have the potential however – particularly if prolonged – to result in major detrimental effects on the health and well-being of children and adolescents. In the absence of a robust evidence base on lockdown exit strategies, we consider the range of options being taken globally to reopen schools with a view to informing the formulation of national plans

    Faculty experience regarding learner’s engagement in didactic sessions of anaesthesiology postgraduate training programmes

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    Background: This explorative-descriptive qualitative study was designed to explore the problem of a notable decrease in learner engagement in didactic sessions scheduled for Anaesthesiology postgraduate training programs through a central question revolving around faculty experiences. Purpose: Four College of Physicians and Surgeons, Pakistan (CPSP)-accredited institutes of Karachi were selected. The chosen participants were faculty members of both genders involved in teaching didactic sessions for postgraduate trainees in Anaesthesiology. Based on the collected qualitative data, the purpose is to improve the didactic aspect of the anesthesiology residency programs. Methodology: Semi-structured in-depth interviews of 15-30 minutes were carried out for data collection through purposive sampling. Seven faculty members from four different hospitals participated. Major and sub-themes were derived through an inductive data analysis process, and findings were reported in tabular form, hierarchical tree diagrams, and personal quotes. The author has explicitly explained research methods and rigor. For the sake of clarity, results and discussion have been arranged around broader themes –the versatility of anesthesia, faculty perspective, hurdles, and teaching strategies. Results: The result is consistent with the literature that anesthesia is versatile, and training varies among institutes. Participants perceived engagement as a two-way process and considered participation to be a very important component. Senior faculty members developed a personalized teaching style and teaching philosophy. Time management, clinical commitments, and distractions were prominent hurdles faced by faculty members in conducting didactic sessions and keeping residents engaged. Various teaching strategies were employed, of which PowerPoint presentations and case-based discussions were identified as the commonest strategies. Conclusion: Engagement is difficult to define; however, faculty members understand that it’s important to address it. Anaesthesiology has a vast curriculum, and traditional one-hour didactic sessions are conducted at all institutes. Faculty members face many challenges in engaging residents during the session, of which time management, clinical commitments and distractions are the most prominent hurdles

    Frequency and outcome of high risk caesarean deliveries in a tertiary care hospital of a developing country

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    Background: Caesarean section is a commonly performed operation with globally increasing prevalence each year. Global rate of Caesarean section has been estimated as 15%.The management of high risk pregnancies with medical comorbidities is becoming an increasing prominent responsibility for anaesthesiologists. This study of local experience is an initial overview of the spectrum of diseases in parturients in a tertiary care hospital.Objectives: The purpose of this study was to observe the frequency of associated co-morbidities in patients coming for high risk Caesarean deliveries with ASA status III and IV. The secondary objectives included outcomes regarding morbidity and mortality, intensive care admissions and neonatal outcomes.Methodology: It was retrospective chart review study, conducted at Aga Khan University Hospital. All patients who were given ASA status III or IV scheduled for elective or emergency Caesarean deliveries were included. in the study period (1st January 2010 till 31st December 2015).Results and Conclusion: 11,500 Caesarean deliveries were performed during the period 2010- 2015.659 cases fulfilled our criteria for which data was collected and analyzed. The percentage of high risk deliveries was found to be 5.7%.Maternal mortality rate of found to be 0.6% with no direct anaesthesia related study

    Pembuatan Sistem Visual Question Answering Berbasis Web Untuk Mendukung Pembelajaran Visual Anak TK Berbahasa Indonesia Menggunakan Deep Learning

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    Seiring pesatnya perkembangan teknologi, Indonesia semakin gencar melakukan persiapan transformasi digital untuk menghadapi perubahan teknologi. Salah satunya adalah implementasi e-learning di berbagai sektor, termasuk pendidikan. E-learning telah diterapkan dalam pembelajaran taman kanak-kanak, termasuk pembelajaran visual. Bentuk pembelajaran visual pada e-learning dapat dibuat dengan pembangunan sistem visual question answering. Beberapa penelitian telah dibuat untuk pembangunan sistem visual question answering dan berhasil membuat sistem visual question answering dengan ilmu patologi dalam bahasa inggris, dan dataset objek di sekitar monas dalam bahasa indonesia. Oleh karena itu, dilakukan pengajuan pembuatan sistem visual question answering dengan dataset yang lebih umum dan dapat dikenali oleh anak TK berbahasa indonesia. Dadanya penelitian ini akan dapat membantu tenaga pendidik dalam kegiatan belajar mengajar yang lebih interaktif dalam e-learning. Penelitian ini menggunakan model Bootstrapping Language-Image Pre-training (BLIP) untuk proses pembuatan sistem visual question answering dan mengimplementasikan model No Language Left Behind (NLLB) pada input-output pertanyaan untuk menerjemahkan bahasa yang digunakan. Hasil implementasi kedua model BLIP dan NLLB berhasil membangun sistem visual question answering berbahasa indonesia. Berdasarkan hasil pengujiannya, dari beberapa pertanyaan yang mengandung 6 jenis jawaban: ya/tidak, kata benda, kata kerja, kata sifat, kata keterangan, dan numeral, sistem ini berhasil menjawab tepat untuk jenis jawaban ya/tidak, kata benda, kata kerja, dan kata keterangan dengan nilai ketepatan jawaban ya/tidak 100, kata benda 100, kata kerja 100, dan kata keterangan 87.5. =============================================================================================================================== Along with the rapid development of technology, Indonesia is increasingly intensifying its digital transformation preparations to face the existing technological advancements. With the rapid development of technology, Indonesia is increasingly intensifying its preparations for digital transformation to face technological changes. One of these preparations involves the implementation of e-learning across various sectors, including education. E-learning has been applied in kindergarten education, including visual learning. Visual learning in e-learning can be achieved through the development of a visual question answering system. Several studies have been conducted on visual question answering systems and have successfully created such systems using pathology images in English and object datasets around Monas (National Monument) in Indonesian. Therefore, the author proposes the creation of a visual question answering system with a more general dataset that can be recognized by Indonesian-speaking kindergarten children. The purpose of this research is to assist educators in conducting more interactive e-learning activities. The research utilizes the Bootstrapping Language-Image Pre-training (BLIP) model for the development of the visual question answering system and implements the No Language Left Behind (NLLB) model for translating the language used in the input-output questions. The implementation results of both the BLIP and NLLB models successfully build a visual question answering system in the Indonesian language. Based on testing, the system can provide accurate answers for yes/no, nouns, verbs, and adverbial questions, with accuracy rates of 100% for yes/no, 100% for nouns, 100% for verbs, and 87.5% for adverbial questions, all of which contain six types of answers: yes/no, nouns, verbs, adjectives, adverbs, and numerals

    ANALISIS POLA SELEKSI, GRADASI, PRESENTASI DAN REPETISI KITÂB QOWÂ’ID AL-LUGHOH AL-‘ARABIYYAH KARYA MUHAMMAD YUSRON TAHUN 2022

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    This research is based on the existence of a theory of material analysis offered by William Francis Mackey, which the author examined by looking at the teaching materials of the book "Qowȃ'id Al-Lughoh Al-'Arabiyyah" as a comparison of material analysis, the reason the author took this book, because this book is a textbook aimed at students, especially at UIN KH. Abdurrahman Wahid Pekalongan in the learning stages in lectures. Based on the background of the problem above, the problems can be formulated as follows: how is the suitability of the selection of material for the book "Qowȃ'id Al-Lughoh Al-'Arabiyyah" by Muhammad Yusron in 2022?, how is the suitability of the gradation of the material for the book "Qowȃ'id Al-Lughoh Al-'Arabiyyah" by Muhammad Yusron in 2022?, how is the suitability of the presentation of the material for the book "Qowȃ'id Al-Lughoh Al-'Arabiyyah" by Muhammad Yusron in 2022?, how is the suitability of the repetition of the material for the book "Qowȃ'id Al-Lughoh Al-'Arabiyyah" by Muhammad Yusron in 2022?. This study aims to analyze the quality of the book "Qowȃ'id Al-Lughoh Al-'Arabiyyah" based on Mackey's textbook compilation theory in terms of selection (selection of material), gradation (organization of material), presentation (presentation of material) and repetition (sharpening of material) in the book. This study uses a type of library research (Library Research) and the approach used is a qualitative approach. Data collection techniques use documentary study techniques or data collection techniques through documents, journal notes, books, theses and others obtained from libraries that contain the information sought to then be classified according to the research object needed. The data analysis technique in this study uses content analysis. The results of this study show similarities with the theory put forward by William Francis Mackey, namely that it has fulfilled (1) good selection, because the arrangement of the material is in accordance with the objectives, the level of student proficiency and the length of a language learning program, (2) good gradation, because the presentation of the material prioritizes simple rules that are more useful than complex rules, (3) the presentation used in the material is a differential procedure, an intensive procedure, a pictorial procedure and a context procedure, and (4) repetition is found in the form of repetition of reading skills and writing skills
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