Simulation Based Training in Internal Medicine as an Essential Adjunct to Conventional Medical Education in a Developing World Setting
Christopher Nyirenda,
Kennedy Gondwe,
Moono Silitongo,
Samuel Phiri
Issue:
Volume 7, Issue 1, February 2021
Pages:
1-5
Received:
23 October 2020
Accepted:
26 November 2020
Published:
12 January 2021
Abstract: Medical training has over time significantly evolved globally. Plausibly, this may have been motivated by the need to produce qualified human resource in order to match the ever increasing demand on health services in the face of population growth and the associated rise in disease burden. The growing number of medical training institutions coupled with the increasing number of students enrolled in these institutions in the face of limited qualified human resource, infrastructure, equipment and patient subjects may pose a threat to the quality of medical training expected to be delivered and the caliber of graduates to be produced. However, this may also be an opportunity for the affected medical training institutions to come up with ways of supplementing the traditional methods of teaching in order to overcome the challenges met with delivering to huge numbers of students using the traditional approach alone. In this case simulation based training can be considered and applied in medical schools in the hope of enhancing training in clinical skills. The simulation based approach in training has been commonly used in faculties such as nursing, surgery, obstetrics and gynecology but less so, though now increasingly becoming the practice in Internal Medicine and Pediatrics training. Medical simulation can be defined as the use of a device or series of devices to emulate a real patient care situation or environment for the purposes of training, evaluation and/ or research. It is a mode of medical training that can enhance clinical skills in the students while also promoting patient safety. This paper will seek to examine the various simulation based methods and there applicability in medical training. The paper will further seek to analyze the role of simulation based training in the setting of medical education in Internal Medicine.
Abstract: Medical training has over time significantly evolved globally. Plausibly, this may have been motivated by the need to produce qualified human resource in order to match the ever increasing demand on health services in the face of population growth and the associated rise in disease burden. The growing number of medical training institutions coupled...
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Molecular Screening for Potential Pathogenic Organisms in Some Six Major Representative Sources of Water in Saki
Adeoti Olatunde Micheal,
Akinbo Kehinde Oluwabusayo,
Adesina David Ademola,
Olufemi Samson Olutope
Issue:
Volume 7, Issue 1, February 2021
Pages:
6-11
Received:
24 December 2019
Accepted:
16 January 2020
Published:
28 January 2021
Abstract: Water security and safety is of vital concern in Saki and the rest of the world. The aim of this was to screen major sources of water in Saki of potential pathogens of public health importance. Water samples of six different water sources were purposely collected aseptically from six different locations in Saki (well water, river water, rain water, borehole water, sachet water and bottled water); these were subjected to standard laboratory analysis. Four highly populated plates were sent for molecular characterization for Polymerase Chain Reaction and species sequencing for molecular identification. The highest total colony count was 70.0×10-5 from river water followed by rain water with the lowest of 0.1×105 CFU from borehole water. Molecular analysis identified amplification of isolates genes at 15000 base pair for river water and well water samples. The analysis showed that Klebsiella pneumonia (MN208186) and Enterobacter kobeii (KM593928) were the organisms found in rain water and river water respectively. The resulting nucleotide sequences was blasted at NCBI for pairwise comparison with existing data in the GenBank and their similarity was noted. The pathogenicity of the two isolates have been well-documented, making some of the water sources tested so unfit for human usage. Large-scale treatment of water sources are recommended before consumption viz-a-vis hygienic practices around water bodies.
Abstract: Water security and safety is of vital concern in Saki and the rest of the world. The aim of this was to screen major sources of water in Saki of potential pathogens of public health importance. Water samples of six different water sources were purposely collected aseptically from six different locations in Saki (well water, river water, rain water,...
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Prevalence, Awareness, Treatment and Control of Hypertension Among Adults Living in the Port City of Boma, Democratic Republic of the Congo
Blaise Makoso Nimi,
Francois Lepira Bompeka,
Benjamin Longo Mbenza,
Carine Nkembi Nzuzi,
Gédeon Longo Longo,
Aliocha Nkodila,
Roland Vangu Vangu,
Memoria Makoso Nimi,
Jean Pierre Mvuezolo Ndenga,
Bienvenu Nkongo,
Jean Paul Nkambu Nlandu,
Deo Tagize,
Antoinette Ndele Nzita,
Michel Lutete Nkelani,
Jean René M’Buyamba-Kabangu
Issue:
Volume 7, Issue 1, February 2021
Pages:
12-20
Received:
18 January 2021
Accepted:
6 February 2021
Published:
4 March 2021
Abstract: Background and Aim: In limited resource settings, reliable epidemiological data generated from hypertension high risk geographical areas or people is a prerequisite for the planning of proven and effective interventions. The aim of the present survey was to assess the prevalence, awareness, control and factors associated with hypertension in adults living in the port City of Boma, located in the southwestern part of DRC. Methods: a cross-sectional survey using a modified WHO STEP wise questionnaire for data collection during face-to face interviews was conducted from March, 1 to April 15, 2018. We did multi-stage cluster sampling. Was an all-inclusive adult over the age of≥18 years having given informed consent. Information on demographic parameters, lifestyles, anthropometric measurements and blood pressure (BP) were obtained. Hypertension was defined as a mean of two BP≥140/90 mmHg or a self-reported history of antihypertensive drug use. Independent factors associated with hypertension were identified using logistic pressure analysis. P<0.05 defined level of statistical significance. Results: The prevalence of hypertension was 35% (Women 63, 5%) with 56,1% of hypertensive participants being unaware of their hypertension status. Of those who were aware and on treatment, only 47, 9% had a controlled BP. Older age (p<0.001), FH-HT (p=0.021), smoking (p<0.001), overweight (p<0.001), and obesity (p=0.030) emerged as main cardiovascular risk factors associated with hypertension. Conclusion: Hypertension was characterized by a high prevalence, low rate of awareness and suboptimal BP control, high cardiovascular risk and associated with smoking and obesity as modifiable risk factors. Therapeutic lifestyle changes and pharmacological treatment are needed for those hypertensive participants with increased global cardiovascular risk.
Abstract: Background and Aim: In limited resource settings, reliable epidemiological data generated from hypertension high risk geographical areas or people is a prerequisite for the planning of proven and effective interventions. The aim of the present survey was to assess the prevalence, awareness, control and factors associated with hypertension in adults...
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