7 research outputs found
Manukau Institute of Technology : an annotated bibliography
No full textManukau Institute of Technology is one of New Zealand's major providers of education in the fields of training and technology. It has progressed to offering degree level programmes related to technology, business, human science and the arts. This annotated bibliography is the first to be compiled, which documents its histoiy, progress, challenges and achievements from its establishment in 1970 to the present. It includes monographs, periodical and newspaper articles, archives, reports, documents and Internet sources. Items are arranged primarily within chronological time periods that correspond to the name changes during its thirty- two-year history. Within each period, items are arranged by material type in alphabetical order. Annotations are descriptive and aim to provide an indication of the content of each item. An appendix listing in chronological order Manukau Institute of Technology's significant events and subject and author indexes are included
Learning at the Workplace: The Call of the Day
No full textIn the present era of modern medical education, the clinicians are realizing the importance and role of workplace learning as compared to the formal classroom teaching. However, multiple practical challenges hamper the process and prevent the optimization of this type of learning. The author has tried to identify the issues and provide suggestions as how all members of the learning team can be prepared to optimize this learning situation. This team includes the student, the tutor, the patient, and an inductive learning environment. The student and tutor should equip themselves with necessary skills and knowledge by reviewing the subject before approaching the patient. The patient should be taken into confidence as their consent, is important. Lastly, the educational environment in the ward should be modified to facilitate learning.Key Words: Learning environment, Medical education, Workplace learningAddres
Comparative Study Of Verapamil And Amytriptyline In Acute Opioid Abstinence Syndrome
No full textABSTRACT: Objective: To evaluate the effectiveness of verapamil and amitriptyline in the treatment of acute opioid withdrawal syndrome in patients with chronic dependence on opioids. Materials and Methods: The study was conducted at Psychological Medicine Ward, Civil Hospital Karachi and Arshi Hospital, Naseerabad, F.B.area, Karachi. A total of forty (40) patients were admitted for ten (10) days in hospital. No treatment was given during the first two days of admission after abrupt termination of opioid to observe the acute opioid withdrawal signs and symptoms. Patients were divided into 2 groups. Each group had 20 opiate addicts. One group was given verapamil orally in a 40mg dose thrice daily and the other group was given amitriptyline orally in a 10mg dose thrice daily from day 3 to day 9 of admission. The intensity of signs and symptoms were recorded by using subjective and objective opiate withdrawal questionnaire. Urine analysis for opioids was done on day 1, 5 and 10 of admission. Results: Verapamil in comparison to amitriptyline significantly decreased the intensity of signs and symptoms of acute opioid withdrawal from day 4 to day 10 of admission. Urine analyses for opioids were positive on day 01 while zero on day 10. Conclusion:Verapamil in comparison to amitriptyline was found to be safe and effective for the treatment of signs and symptoms of acute opioid withdrawal in in-door patients without any significant side effects.
Stylistic Study of Adjectives in How to Get Filthy Rich in Rising Asia
No full textThe present research explores the choice of adjectives as a lexical category in Mohsin Hamid’s novel, How to Get Filthy Rich in Rising Asia by using Leech and Short model (1981). An empirical enquiry is carried out to trace the author’s choice of adjectives and their intended functions by subjecting How to Get Filthy Rich in Rising Asia to stylistic analysis and linguistic scrutiny. The various functions of adjectives are interpreted after the text is subjected to close reading for their contextual occurrence where they are carefully engraved by the author. The resultant functions throw ample light on the life, culture, economic scenario and love and gender relations construed in the text through adjectives. The present paper, however, is limited only to the interpretation of the adjective categories based on the model suggested by Leech & Short (1981). This study is, therefore, instrumental in initiating a voyage to interpret literary language via linguistic tools and evidences contributing amply to the field of stylistics as well as literary criticism. </jats:p
An Uninformed Decision-Making Process for Cesarean Section: A Qualitative Exploratory Study among the Slum Residents of Dhaka City, Bangladesh
No full textThe decision-making process and the information flow from physicians to patients regarding deliveries through cesarean section (C-section) has not been adequately explored in Bangladeshi context. Here, we aimed to explore the extent of information received by mothers and their family members and their involvement in the decision-making process. We conducted a qualitative exploratory study in four urban slums of Dhaka city among purposively selected mothers (n = 7), who had a cesarean birth within one-year preceding data collection, and their family members (n = 12). In most cases, physicians were the primary decision-makers for C-sections. At the household level, pregnant women were excluded from some crucial steps of the decision-making process and information asymmetry was prevalent. All interviewed pregnant women attended at least one antenatal care visit; however, they neither received detailed information regarding C-sections nor attended any counseling session regarding decisions around delivery type. In some cases, pregnant women and their family members did not ask health care providers for detailed information about C-sections. Most seemed to perceive C-sections as risk-free procedures. Future research could explore the best ways to provide C-section-related information to pregnant women during the antenatal period and develop interventions to promote shared decision-making for C-sections in urban Bangladeshi slums
Proportion and Risk Factors of Internet Addiction among Medical Students in A Medical College in A Non-Metropolitan City in West Bengal
No full textIntroduction: Internet addiction (IA) is an emerging public health problem worldwide, especially among adolescents and young adults. Medical students, due to high academic pressure and easy access to digital platforms, are particularly vulnerable. This study aimed to determine the prevalence of internet addiction and factors associated with moderate to severe internet addiction among undergraduate medical students in a government medical college of West Bengal.
Materials and Methods: A descriptive cross-sectional study was conducted June to August 2024 among 63 second-year MBBS students at Jalpaiguri Government Medical College. Data were collected using a pretested questionnaire and the Young’s Internet Addiction Test (IAT). Sociodemographic variables and internet use patterns were assessed. Univariate logistic regression was used to identify predictors of moderate to severe internet addiction.
Results: The mean age of participants was 21.9 (±1.5) years; 69.8% were male. Overall, 41.3% showed some level of internet addiction—23.8% mild, 14.3% moderate, and 3.2% severe. On univariate analysis, using more than one gadget for internet access (OR=3.7, 95% CI:1.0–13.9), internet use >6 hours/day (OR=13.2, 95% CI:1.2–140.7), and father’s postgraduate education (OR=6.6, 95% CI:1.5–28.5) were significant predictors. Initiating internet use at 16–20 years was protective (OR=0.22, 95% CI:0.07–0.69).
Conclusion: A substantial proportion of medical undergraduates were affected by internet addiction. Longer screen time, access via multiple devices, and socio-familial factors were strongly associated with higher odds of moderate to severe addiction.
Prehospital transdermal glyceryl trinitrate in patients with ultra-acute presumed stroke (RIGHT-2): an ambulance-based, randomised, sham-controlled, blinded, phase 3 trial
No full text© 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: High blood pressure is common in acute stroke and is a predictor of poor outcome; however, large trials of lowering blood pressure have given variable results, and the management of high blood pressure in ultra-acute stroke remains unclear. We investigated whether transdermal glyceryl trinitrate (GTN; also known as nitroglycerin), a nitric oxide donor, might improve outcome when administered very early after stroke onset. Methods: We did a multicentre, paramedic-delivered, ambulance-based, prospective, randomised, sham-controlled, blinded-endpoint, phase 3 trial in adults with presumed stroke within 4 h of onset, face-arm-speech-time score of 2 or 3, and systolic blood pressure 120 mm Hg or higher. Participants were randomly assigned (1:1) to receive transdermal GTN (5 mg once daily for 4 days; the GTN group) or a similar sham dressing (the sham group) in UK-based ambulances by paramedics, with treatment continued in hospital. Paramedics were unmasked to treatment, whereas participants were masked. The primary outcome was the 7-level modified Rankin Scale (mRS; a measure of functional outcome) at 90 days, assessed by central telephone follow-up with masking to treatment. Analysis was hierarchical, first in participants with a confirmed stroke or transient ischaemic attack (cohort 1), and then in all participants who were randomly assigned (intention to treat, cohort 2) according to the statistical analysis plan. This trial is registered with ISRCTN, number ISRCTN26986053. Findings: Between Oct 22, 2015, and May 23, 2018, 516 paramedics from eight UK ambulance services recruited 1149 participants (n=568 in the GTN group, n=581 in the sham group). The median time to randomisation was 71 min (IQR 45–116). 597 (52%) patients had ischaemic stroke, 145 (13%) had intracerebral haemorrhage, 109 (9%) had transient ischaemic attack, and 297 (26%) had a non-stroke mimic at the final diagnosis of the index event. In the GTN group, participants' systolic blood pressure was lowered by 5·8 mm Hg compared with the sham group (
