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Full-Text Articles in Medicine and Health Sciences

Three Siblings With Familial Non-Medullary Thyroid Carcinoma: A Case Series, Owais Rashid, Naeemul Haque, Saad Farooq, Zareen Kiran,, Sabeeh Siddique, Shahid Pervez Aug 2016

Three Siblings With Familial Non-Medullary Thyroid Carcinoma: A Case Series, Owais Rashid, Naeemul Haque, Saad Farooq, Zareen Kiran,, Sabeeh Siddique, Shahid Pervez

Department of Biological & Biomedical Sciences

Abstract

BACKGROUND:

In 2015, thyroid carcinoma affected approximately 63,000 people in the USA, yet it remains one of the most treatable cancers. It is mainly classified into medullary and non-medullary types. Conventionally, medullary carcinoma was associated with heritability but increasing reports have now begun to associate non-medullary thyroid carcinoma with a genetic predisposition as well. It is important to identify a possible familial association in patients diagnosed with non-medullary thyroid carcinoma because these cancers behave more destructively than would otherwise be expected. Therefore, it is important to aggressively manage such patients and screening of close relatives might be justified. Our …


Making Lectures Memorable: A Cognitive Perspective, Azam Afzal, Shazia Babar Aug 2016

Making Lectures Memorable: A Cognitive Perspective, Azam Afzal, Shazia Babar

Department of Continuing Professional Education

Lectures have been a cornerstone of medical education since the introduction of a discipline based curricular model more than two hundred years ago. Recently this instructional strategy has come under criticism because of its reliance on passive learning. There are still many medical schools that cover content predominantly through lectures due to its feasibility. With the introduction of the flipped classrooms, lectures have been given a new lease of life.
Improving cognitive imprinting during lectures would enhance retrieval and promote long term storage. Simplifying the content reduces the cognitive load of the information being received and makes it more meaningful …


Stretching The Boundaries Of Medical Education: A Case Of Medical College Embracing Humanities And Social Sciences In Medical Education, Kulsoom Ghias, Kausar S. Khan, Rukhsana Ali, Shireen Azfar, Rashida Ahmed Jul 2016

Stretching The Boundaries Of Medical Education: A Case Of Medical College Embracing Humanities And Social Sciences In Medical Education, Kulsoom Ghias, Kausar S. Khan, Rukhsana Ali, Shireen Azfar, Rashida Ahmed

Community Health Sciences

Objective:

Aga Khan University, a private medical college, had a vision of producing physicians who are not only scientifically competent, but also socially sensitive, the latter by exposure of medical students to a broad-based curriculum. The objective of this study was to identify the genesis of broad-based education and its integration into the undergraduate medical education program as the Humanities and Social Sciences (HASS) course.

Methods:

A qualitative methodology was used for this study. Sources of data included document review and in-depth key informant interviews. Nvivo software was utilized to extract themes.

Results:

The study revealed the process of operationalization …


Glycaemic Control In Type 1 Diabetes Mellitus Among Children And Adolescents In A Resource Limited Setting In Dar Es Salaam - Tanzania, Mariam Noorani, Kaushik Ramaiya, Karim Manji May 2016

Glycaemic Control In Type 1 Diabetes Mellitus Among Children And Adolescents In A Resource Limited Setting In Dar Es Salaam - Tanzania, Mariam Noorani, Kaushik Ramaiya, Karim Manji

Faculty of Health Sciences, East Africa

Background

Type 1 Diabetes Mellitus is a rapidly growing problem in Tanzania. Children and adolescents with type 1 diabetes have previously been found to have poor glycaemic control and high prevalence of complications. Strict glycaemic control reduces the incidence and progression of chronic complications. The aim of this study was to identify the factors associated with glycaemic control among children and adolescents.

Methods

A cross sectional study was done at the diabetes clinic for children and adolescents. Data on socioeconomic, demographic and diabetes specific variables including adherence, diabetes knowledge, caregivers knowledge and their involvement in the care of the child …


Induction Process Of Trainees In Pathology Residency, Imran Siddiqui, Natasha Bahadur Ali May 2016

Induction Process Of Trainees In Pathology Residency, Imran Siddiqui, Natasha Bahadur Ali

Department of Pathology and Laboratory Medicine

This article describes the evolution of the induction process of pathology residency at The Aga Khan University hospital. The Department of Postgraduate Medical Education was established in 1985. The induction process is an exhaustive exercise that includes an admission test held simultaneously in Karachi, Hyderabad, Lahore, and Rawalpindi, followed by an interview of the shortlisted candidates. The pathology residency program was started 25 years ago and since then the induction process has undergone major changes with the course of time.


Predicting Mortality In Low-Income Country Icus: The Rwanda Mortality Probability Model (R-Mpm), Elisabeth D. Riviello, Willy Kiviri, Robert A. Fowler, Ariel Mueller, Victor Novack, Valerie M. Banner-Goodspeed, Julia L. Weinkauf, Daniel S. Talmor, Theogene Twagirumugabe May 2016

Predicting Mortality In Low-Income Country Icus: The Rwanda Mortality Probability Model (R-Mpm), Elisabeth D. Riviello, Willy Kiviri, Robert A. Fowler, Ariel Mueller, Victor Novack, Valerie M. Banner-Goodspeed, Julia L. Weinkauf, Daniel S. Talmor, Theogene Twagirumugabe

Faculty of Health Sciences, East Africa

Introduction

Intensive Care Unit (ICU) risk prediction models are used to compare outcomes for quality improvement initiatives, benchmarking, and research. While such models provide robust tools in high-income countries, an ICU risk prediction model has not been validated in a low-income country where ICU population characteristics are different from those in high- income countries, and where laboratory-based patient data are often unavailable. We sought to validate the Mortality Probability Admission Model, version III (MPM 0-III) in two public ICUs in Rwanda and to develop a new Rwanda Mortality Probability Model (R-MPM) for use in low-income countries.

Methods

We prospectively collected …


A Medical Editor's Utopia, Saba Sohail May 2016

A Medical Editor's Utopia, Saba Sohail

Department of Radiology

No abstract provided.


Lung Functions Among Patients With Pulmonary Tuberculosis In Dar Es Salaam – A Cross-Sectional Study, Mohamed Manji, Grace Shayo, Simon Mamuya, Rose Mpembeni, Ahmed Jusabani, Ferdinand Mugusi Jan 2016

Lung Functions Among Patients With Pulmonary Tuberculosis In Dar Es Salaam – A Cross-Sectional Study, Mohamed Manji, Grace Shayo, Simon Mamuya, Rose Mpembeni, Ahmed Jusabani, Ferdinand Mugusi

Faculty of Health Sciences, East Africa

Background

Approximately 40–60 % of patients remain sufferers of sequela of obstructive, restrictive or mixed patterns of lung disease despite treatment for pulmonary tuberculosis (PTB). The prevalence of these abnormalities in Tanzania remains unknown.

Methods

A descriptive cross-sectional study was carried out among 501 patients with PTB who had completed at least 20 weeks of treatment. These underwent spirometry and their lung functions were classified as normal or abnormal (obstructive, restrictive or mixed). Logistic regression models were used to explore factors associated with abnormal lung functions.

Results

Abnormal lung functions were present in 371 (74 %) patients. There were …


Institutionalized Training Of Research Editors, Saba Sohail, Jamshed Akhtar Jan 2016

Institutionalized Training Of Research Editors, Saba Sohail, Jamshed Akhtar

Department of Radiology

No abstract provided.


Medical Students' Perceptions Of Clinical Teachers As Role Model, Sonia Ijaz Haider, David R J Snead, Muhammad Furqan Bari Jan 2016

Medical Students' Perceptions Of Clinical Teachers As Role Model, Sonia Ijaz Haider, David R J Snead, Muhammad Furqan Bari

Department for Educational Development

Introduction: Role models facilitate student learning and assists in the development of professional identity. However, social organization and cultural values influence the choice of role models. Considering that the social organization and cultural values in South East Asia are different from other countries, it is important to know whether this affects the characteristics medical students look for in their role models in these societies.
Methods: A 32 item questionnaire was developed and self-administered to undergraduate medical students. Participants rated the characteristics on a three point scale (0 = not important, 1 = mildly important, 2 = very important). One way …