Pub Date : 2021-12-15DOI: 10.33762/mjbu.2021.130470.1077
P. Hotha, C. Naidu, Nimisha Elezebeth Zachariah
{"title":"A 5 year retrospective analysis of pharmacovigilance study, completeness and quality of suspected adverse drug reaction forms at adverse drug reaction monitoring center Port Blair.","authors":"P. Hotha, C. Naidu, Nimisha Elezebeth Zachariah","doi":"10.33762/mjbu.2021.130470.1077","DOIUrl":"https://doi.org/10.33762/mjbu.2021.130470.1077","url":null,"abstract":"","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75650486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.33762/mjbu.2022.131231.1086
Hassan Alkazzaz, Khelowd Salih, R. Farhan, sahar alshatari
ANC is described as care provided to pregnant women and adolescent girls by experienced personnel with substantial healthcare training in order to ensure the greatest possible health circumstances for both the mother and the fetus throughout gestation. The objective of this study is to find the percentage of antenatal care booking, care regularity and antenatal care irregularity. This study is a cross-sectional field survey with an analytic element conducted from 1 January -1 July 2018. We chose 10% of all the catchment area (shown in block numbers) as a two-stage cluster sampling method. Fifteen clusters (one cluster for every 180 families in the block) were chosen, each with 15 households, for a total of 225 households. There were two to three married women of reproductive age (15-49 years old) in some houses, bringing the total female participation to 255.This study was done in Bab Al-Moatham Primary Health care center. it revealed that most houses 195(76.47%) have one adult woman of reproductive age per house, 106(41.6%) of participant's age between 30-39 years, 77(30.2%) married between 20122007, and 87(34.1%) completed primary school. In concern to women reproductive history, the highest percentage have two pregnancies, two babies, without abortion or stillbirth. Out of 255 studied women, During the previous three years, 236 women were pregnant, 191(80.93%) of them had ANC booking, 148(58.1%) have regular ANC visit, while 43(16.9%) have irregular ANC visiting, and 188(98.43%) of them had ANC card. Abortion represents a major problem for irregularity in consuming ANC services. Improving health services and health promotion are essential steps in reducing abortion which might lead to increase ANC booking.
{"title":"Antenatal care field survey in the catchment area of Bab Al-Moatham Primary Health Care center, Baghdad","authors":"Hassan Alkazzaz, Khelowd Salih, R. Farhan, sahar alshatari","doi":"10.33762/mjbu.2022.131231.1086","DOIUrl":"https://doi.org/10.33762/mjbu.2022.131231.1086","url":null,"abstract":"ANC is described as care provided to pregnant women and adolescent girls by experienced personnel with substantial healthcare training in order to ensure the greatest possible health circumstances for both the mother and the fetus throughout gestation. The objective of this study is to find the percentage of antenatal care booking, care regularity and antenatal care irregularity. This study is a cross-sectional field survey with an analytic element conducted from 1 January -1 July 2018. We chose 10% of all the catchment area (shown in block numbers) as a two-stage cluster sampling method. Fifteen clusters (one cluster for every 180 families in the block) were chosen, each with 15 households, for a total of 225 households. There were two to three married women of reproductive age (15-49 years old) in some houses, bringing the total female participation to 255.This study was done in Bab Al-Moatham Primary Health care center. it revealed that most houses 195(76.47%) have one adult woman of reproductive age per house, 106(41.6%) of participant's age between 30-39 years, 77(30.2%) married between 20122007, and 87(34.1%) completed primary school. In concern to women reproductive history, the highest percentage have two pregnancies, two babies, without abortion or stillbirth. Out of 255 studied women, During the previous three years, 236 women were pregnant, 191(80.93%) of them had ANC booking, 148(58.1%) have regular ANC visit, while 43(16.9%) have irregular ANC visiting, and 188(98.43%) of them had ANC card. Abortion represents a major problem for irregularity in consuming ANC services. Improving health services and health promotion are essential steps in reducing abortion which might lead to increase ANC booking.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91223450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.33762/mjbu.2021.130674.1080
A. AL-Hamdi
Background: Brugada syndrome is a clinical entity composed of twelve leads electrocardiographic changes of coved or saddle shaped STsegment elevation in V1 and V2 with serious ventricular arrhythmias which may cause sudden cardiac death. Objectives: The objectives of this study is to highlight the clinical presentation and the types of ECG changes of Brugada syndrome cases seen in Iraq and to orient physicians about this fatal condition. Patients and Methods: Patients presented with symptoms of palpitation, dizzy attacks or syncope and diagnosed as Brugada syndrome were included in this case series study. The diagnosis of Brugada syndrome based mainly on the typical coved or saddle shaped or variant STSegment elevation in electrocardiographic leads V1, V2. Results: Eighteen patients were included in this case series study. All are males. Age ranged from 15-45 Y. The presenting symptoms were palpitation in 12 patients, syncope in 8, dizzy spells and pre syncope in 14 and chest pain seen in 2. The arrhythmic events were clinically documented in 10. Monomorphic VT seen in 4, VF in 2, atrial fibrillation in 2 and atrial flutter in 2. Induced VF by EP study seen in 2. Type I Brugada ECG pattern was seen in 6 patients, type II in 4 and three of type III. Five showed a variant type of the syndrome. Family history of sudden cardiac death was seen in 8 patients while in 10 it was negative. ICD was implanted in 6 patients. In 12 patients (67%) the diagnosis of Brugada syndrome was missed during the provisional medical contacts. Conclusion: Brugada syndrome is not uncommon in Iraq but needs a high diagnostic suspicion through appreciating the symptomologies and electrocardiographic features of this fatal syndrome to plan management to prevent sudden cardiac death.
{"title":"Clinical presentation and electrocardiographic features of Brugada syndrome in Iraq","authors":"A. AL-Hamdi","doi":"10.33762/mjbu.2021.130674.1080","DOIUrl":"https://doi.org/10.33762/mjbu.2021.130674.1080","url":null,"abstract":"Background: Brugada syndrome is a clinical entity composed of twelve leads electrocardiographic changes of coved or saddle shaped STsegment elevation in V1 and V2 with serious ventricular arrhythmias which may cause sudden cardiac death. Objectives: The objectives of this study is to highlight the clinical presentation and the types of ECG changes of Brugada syndrome cases seen in Iraq and to orient physicians about this fatal condition. Patients and Methods: Patients presented with symptoms of palpitation, dizzy attacks or syncope and diagnosed as Brugada syndrome were included in this case series study. The diagnosis of Brugada syndrome based mainly on the typical coved or saddle shaped or variant STSegment elevation in electrocardiographic leads V1, V2. Results: Eighteen patients were included in this case series study. All are males. Age ranged from 15-45 Y. The presenting symptoms were palpitation in 12 patients, syncope in 8, dizzy spells and pre syncope in 14 and chest pain seen in 2. The arrhythmic events were clinically documented in 10. Monomorphic VT seen in 4, VF in 2, atrial fibrillation in 2 and atrial flutter in 2. Induced VF by EP study seen in 2. Type I Brugada ECG pattern was seen in 6 patients, type II in 4 and three of type III. Five showed a variant type of the syndrome. Family history of sudden cardiac death was seen in 8 patients while in 10 it was negative. ICD was implanted in 6 patients. In 12 patients (67%) the diagnosis of Brugada syndrome was missed during the provisional medical contacts. Conclusion: Brugada syndrome is not uncommon in Iraq but needs a high diagnostic suspicion through appreciating the symptomologies and electrocardiographic features of this fatal syndrome to plan management to prevent sudden cardiac death.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75616529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.33762/mjbu.2021.130966.1085
Nedhal Kudhayer, S. Habib
Background Ready-to-use supplementary foods are high-energy, lipid-based provide energy, protein, fat, vitamins and minerals to treat acute malnutrition in children aged 6 -59 months. Aim To evaluate the effect of ready-to-use supplement foods on the outpatient management of children with acute malnutrition. Methods A prospective appropriate study was carried out on children with acute malnutrition who were referred to the nutritional rehabilitation center at Basra Teaching Hospital; were received ready-touse supplementary foods at a quantity sufficient to meet their nutrient requirements for full catchup growth and followed at two subsequent visits Results Moderate wasting and underweight recorded in (66.7 %) and severe wasting in (33.33%) of the patients. Mean weight gain at the first and second follow-up visit was (5.78 ±2.43) and (6.52 ±2.75) g/kg/day respectively. There was a significant improvement in the weight for height Z score at the first and second follow-up visits after the administration of ready-to-use supplementary foods (P value < 0.05). Approximately 32% of the children aged 12-18-month experienced moderate weight gain. Bottle feeding with complementary feeding was reported in 24.19% of the children with moderate weight gain, and 9.52% and 34.68% of the children of illiterate parents and unemployed fathers respectively, showed moderate weight gain. Children belong to families with low income group accounted for 37.09% of those with moderate weight gain. Family income was the only variable that depend on the weight gain results (P value < 0.05). Conclusion: Readyto-use supplementary food is significantly effective for outpatient management of acute malnutrition.
{"title":"Ready to-Use Supplementary Food in the Outpatient Management of Children with Acute Malnutrition in Basrah","authors":"Nedhal Kudhayer, S. Habib","doi":"10.33762/mjbu.2021.130966.1085","DOIUrl":"https://doi.org/10.33762/mjbu.2021.130966.1085","url":null,"abstract":"Background Ready-to-use supplementary foods are high-energy, lipid-based provide energy, protein, fat, vitamins and minerals to treat acute malnutrition in children aged 6 -59 months. Aim To evaluate the effect of ready-to-use supplement foods on the outpatient management of children with acute malnutrition. Methods A prospective appropriate study was carried out on children with acute malnutrition who were referred to the nutritional rehabilitation center at Basra Teaching Hospital; were received ready-touse supplementary foods at a quantity sufficient to meet their nutrient requirements for full catchup growth and followed at two subsequent visits Results Moderate wasting and underweight recorded in (66.7 %) and severe wasting in (33.33%) of the patients. Mean weight gain at the first and second follow-up visit was (5.78 ±2.43) and (6.52 ±2.75) g/kg/day respectively. There was a significant improvement in the weight for height Z score at the first and second follow-up visits after the administration of ready-to-use supplementary foods (P value < 0.05). Approximately 32% of the children aged 12-18-month experienced moderate weight gain. Bottle feeding with complementary feeding was reported in 24.19% of the children with moderate weight gain, and 9.52% and 34.68% of the children of illiterate parents and unemployed fathers respectively, showed moderate weight gain. Children belong to families with low income group accounted for 37.09% of those with moderate weight gain. Family income was the only variable that depend on the weight gain results (P value < 0.05). Conclusion: Readyto-use supplementary food is significantly effective for outpatient management of acute malnutrition.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"159 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72435165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.33762/mjbu.2021.131456.1088
M. Mahdi, Hussein Al Yusir
Background: The main goals of anterior cruciate ligament (ACL) reconstruction and rehabilitation are to reestablish knee function. Quadriceps weakness is one of the most important complications associated with ACL injury and represents a major rehabilitation challenge. This study is designed to test the early effect of tourniquet on muscle wasting and to differentiate weather it is because muscle disuse or injury. Methods: Twenty six male patients who submit to arthroscopic ACL reconstruction were randomly assigned to the use of an inflated (group T, n _ 13) or deflated (group NT, n _ 13) tourniquet. Patients with preoperative quadriceps wasting or abnormal electro conductive studies were excluded. The primary measures were thigh girth preoperatively and after two weeks, serum creatinine phosphokinase (CPK) preoperatively and one day postoperatively and electro conductive studies preoperatively and 1 month postoperatively. Results: Patients' mean age was comparable in both groups. There was a significant difference between T and NT groups in term of thigh girth, CPK and electro conductive studies. Mean thigh girth in T group was 2.6 ± 0.5 while in NT group 1.4 ± 0.5. Mean CPK in T group was 813 ± 149 while in NT group 520 ± 203. Mean femoral latency was 1.85 ± 0.4 in T group and 1 ± 0 in NT group; mean femoral conduction velocity was 1.77 ± 0.4 in T group and 1 ± 0 in NT group; mean muscle denervation was 1.92 ± 0.3 in T group and 1.54 ± 0.5 in NT group; mean motor unit number estimation was 1.9 ± 0.3 in T group and 1.5 ± 0.5 in NT group. Conclusion: This comparative study show that tourniquet play a significant role in direct muscle injury proved by measurement of postoperative CPK and thigh girth in T group comparing it with NT group.
{"title":"The effect of tourniquet on early postoperative quadriceps muscle wasting in ACL arthroscopic surgery","authors":"M. Mahdi, Hussein Al Yusir","doi":"10.33762/mjbu.2021.131456.1088","DOIUrl":"https://doi.org/10.33762/mjbu.2021.131456.1088","url":null,"abstract":"Background: The main goals of anterior cruciate ligament (ACL) reconstruction and rehabilitation are to reestablish knee function. Quadriceps weakness is one of the most important complications associated with ACL injury and represents a major rehabilitation challenge. This study is designed to test the early effect of tourniquet on muscle wasting and to differentiate weather it is because muscle disuse or injury. Methods: Twenty six male patients who submit to arthroscopic ACL reconstruction were randomly assigned to the use of an inflated (group T, n _ 13) or deflated (group NT, n _ 13) tourniquet. Patients with preoperative quadriceps wasting or abnormal electro conductive studies were excluded. The primary measures were thigh girth preoperatively and after two weeks, serum creatinine phosphokinase (CPK) preoperatively and one day postoperatively and electro conductive studies preoperatively and 1 month postoperatively. Results: Patients' mean age was comparable in both groups. There was a significant difference between T and NT groups in term of thigh girth, CPK and electro conductive studies. Mean thigh girth in T group was 2.6 ± 0.5 while in NT group 1.4 ± 0.5. Mean CPK in T group was 813 ± 149 while in NT group 520 ± 203. Mean femoral latency was 1.85 ± 0.4 in T group and 1 ± 0 in NT group; mean femoral conduction velocity was 1.77 ± 0.4 in T group and 1 ± 0 in NT group; mean muscle denervation was 1.92 ± 0.3 in T group and 1.54 ± 0.5 in NT group; mean motor unit number estimation was 1.9 ± 0.3 in T group and 1.5 ± 0.5 in NT group. Conclusion: This comparative study show that tourniquet play a significant role in direct muscle injury proved by measurement of postoperative CPK and thigh girth in T group comparing it with NT group.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90682625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.33762/mjbu.2021.127786.1028
Jawd Albazoony
Background:Fasting has been shown to have an impact body systems in different manners. The influence of fasting on immune system regulation remains controversial. Immunomodulatory effect of nicotine was suggested recently. Low prevalence of smoking was observed among patients with COVID-19.Aim: To study fasting as an immune modulator in relation to the severity and mortality of COVID-19 patients, and to determine the effect of smoking on such patients. Methods:This is a comparative study included all PCR-confirmed COVID-19 patients during April, May and June 2020 in Basrah. The severity of and mortality due to COVID-19 infection were studied in fasting patients in Ramadan as compared with the non-fasting months before and one month later. Current smoking in relation to the severity of infection was also studied. Results :Significantly less severe cases and lower mortality were detected in patients with COVID-19 who were fasting as compared with non-fasting patients before and after the fasting month. Current smoking is significantly less frequently detected among severe as compared with mild to moderate cases. Conclusion Fasting could be useful to improve immune response against infection and to reduce severity and mortality in patients with infections. Smoking benefit in preventing and ameliorating of respiratory tract infection needs to be further investigated. .
{"title":"The Effect of Fasting and Smoking on the severity and mortality of COVID-19 patients in Basrah, Iraq","authors":"Jawd Albazoony","doi":"10.33762/mjbu.2021.127786.1028","DOIUrl":"https://doi.org/10.33762/mjbu.2021.127786.1028","url":null,"abstract":"Background:Fasting has been shown to have an impact body systems in different manners. The influence of fasting on immune system regulation remains controversial. Immunomodulatory effect of nicotine was suggested recently. Low prevalence of smoking was observed among patients with COVID-19.Aim: To study fasting as an immune modulator in relation to the severity and mortality of COVID-19 patients, and to determine the effect of smoking on such patients. Methods:This is a comparative study included all PCR-confirmed COVID-19 patients during April, May and June 2020 in Basrah. The severity of and mortality due to COVID-19 infection were studied in fasting patients in Ramadan as compared with the non-fasting months before and one month later. Current smoking in relation to the severity of infection was also studied. Results :Significantly less severe cases and lower mortality were detected in patients with COVID-19 who were fasting as compared with non-fasting patients before and after the fasting month. Current smoking is significantly less frequently detected among severe as compared with mild to moderate cases. Conclusion Fasting could be useful to improve immune response against infection and to reduce severity and mortality in patients with infections. Smoking benefit in preventing and ameliorating of respiratory tract infection needs to be further investigated. .","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77717159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.33762/mjbu.2021.130830.1082
Amira S. Khalafalla, Abuagla M. Dafalla, Y. Mohammed, A. Abakar, M. Adil, G. Modawe
Introduction: Breast cancer is the most frequent cancer in women globally as well asSudan, it has risen to become the second commonest cause of death in women.Vitamin D receptor (VDR) is a ligand-dependent transcription factor. Vitamin D-ligandedVDR, has antiproliferative properties in a variety of tumor types by inducing cell cycle arrest, senescence, differentiation, and death. The role of VDR TaqI polymorphism is currently unknown. However, studies suggest that these polymorphisms may affect messenger RNA (mRNA) stability. Methods:This case control 198 participants, (97) breast cancer patients and another 101control group.Data wascollectedby a questionnaire. 2 ml of venous blood was collected and stored at -20 till DNA extraction. Phenol chloroform method was used for DNA extraction. VDR TaqI was examined and genotyped using CTPP-PCR after designing of suitable primers and PCR condition. Then data was analyzed statistically using the SPSS program (version 21) and the SNPStats online tool. Results:the three genotypes reported in this study for TaqI SNP (CC, TC, and TT) were evenly distributed throughout cases and controls, so according to this findings there is no statistically significant association of this SNP with breast cancer risk (p. value 0.650) (OR(95%CI) 1.39 (0.64-3.00), 1.00 (0.54-1.87), 1.00). Conclusions:This study found no association of TaqI polymorphism and breast cancer riskfactors
{"title":"Association between Taq1 rs: 731236 SNP of VDR gene and risk factor among Sudanese patients with breast cancer","authors":"Amira S. Khalafalla, Abuagla M. Dafalla, Y. Mohammed, A. Abakar, M. Adil, G. Modawe","doi":"10.33762/mjbu.2021.130830.1082","DOIUrl":"https://doi.org/10.33762/mjbu.2021.130830.1082","url":null,"abstract":"Introduction: Breast cancer is the most frequent cancer in women globally as well asSudan, it has risen to become the second commonest cause of death in women.Vitamin D receptor (VDR) is a ligand-dependent transcription factor. Vitamin D-ligandedVDR, has antiproliferative properties in a variety of tumor types by inducing cell cycle arrest, senescence, differentiation, and death. The role of VDR TaqI polymorphism is currently unknown. However, studies suggest that these polymorphisms may affect messenger RNA (mRNA) stability. Methods:This case control 198 participants, (97) breast cancer patients and another 101control group.Data wascollectedby a questionnaire. 2 ml of venous blood was collected and stored at -20 till DNA extraction. Phenol chloroform method was used for DNA extraction. VDR TaqI was examined and genotyped using CTPP-PCR after designing of suitable primers and PCR condition. Then data was analyzed statistically using the SPSS program (version 21) and the SNPStats online tool. Results:the three genotypes reported in this study for TaqI SNP (CC, TC, and TT) were evenly distributed throughout cases and controls, so according to this findings there is no statistically significant association of this SNP with breast cancer risk (p. value 0.650) (OR(95%CI) 1.39 (0.64-3.00), 1.00 (0.54-1.87), 1.00). Conclusions:This study found no association of TaqI polymorphism and breast cancer riskfactors","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85228871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.33762/mjbu.2021.169992
G. Alsheikh
The gradual decline of doctor-patient communication skills and professional attitudes and behaviour have steadily been observed in all countries across the globe. This deterioration has resulted in repeated and renewed demands to make medical schools more aligned to the necessity to train professional behaviours in undergraduate medical study. Medical educators have been criticised for not effectively training and rigorously assessing these skills. Training of behaviour has been abstracted in teaching of ethics and communication skills which in most of the cases is based on theoretical “preaching” lectures and use of book/guide and in some cases, training using supervised role-playing sessions at the best of options. Although good communication skills are essential for an optimal doctor-patient relationship and certainly contribute to improved health outcomes, still other aspects of behaviour are not covered. Furthermore, while the need for training on professional behaviour is specified as a requirement in the adopted graduate outcomes, formal training in these skills has been fragmentary and not clearly addressed in curriculum documents of the medical colleges in Iraq. A practical approach is here proposed to support medical colleges to bridge this gap. The methods of design, construction and use of standardised checklists for training medical students and assessing their acquisition of behavioural (affective) skills is described
{"title":"Practical approach to train and assess professional behaviour of medical students","authors":"G. Alsheikh","doi":"10.33762/mjbu.2021.169992","DOIUrl":"https://doi.org/10.33762/mjbu.2021.169992","url":null,"abstract":"The gradual decline of doctor-patient communication skills and professional attitudes and behaviour have steadily been observed in all countries across the globe. This deterioration has resulted in repeated and renewed demands to make medical schools more aligned to the necessity to train professional behaviours in undergraduate medical study. Medical educators have been criticised for not effectively training and rigorously assessing these skills. Training of behaviour has been abstracted in teaching of ethics and communication skills which in most of the cases is based on theoretical “preaching” lectures and use of book/guide and in some cases, training using supervised role-playing sessions at the best of options. Although good communication skills are essential for an optimal doctor-patient relationship and certainly contribute to improved health outcomes, still other aspects of behaviour are not covered. Furthermore, while the need for training on professional behaviour is specified as a requirement in the adopted graduate outcomes, formal training in these skills has been fragmentary and not clearly addressed in curriculum documents of the medical colleges in Iraq. A practical approach is here proposed to support medical colleges to bridge this gap. The methods of design, construction and use of standardised checklists for training medical students and assessing their acquisition of behavioural (affective) skills is described","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83186240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-15DOI: 10.33762/mjbu.2021.129372.1063
Z. Mahmood
Background: Arrhythmias are common in the first hours after myocardial infarction. Electrolytes imbalance often contribute to the development of cardiac arrhythmias. Aims of the study to show the correlation between serum potassium and calcium and development of post myocardial infarction ventricular fibrillation and to assess the effect of different age groups and gender in the development of this arrhythmia. Methods: Ninety-three patients, 66(70.96%) males and 27 (29%) females were studied. The mean age was 57.13±11.86 years. Patients included were those who were admitted to the cardiac care units with acute myocardial infarction in 4 hospitals in Basra (southern of Iraq), blood samples for Potassium and Calcium were taken upon admission. Results: Forty (43%) patients had developed primary ventricular fibrillation. The incidence of primary ventricular fibrillation was greater among patients with serum Potassium ≤3.5mmol/L and >4.5mmol/L (p value=0.002). Age was not associated with increased frequency of primary ventricular fibrillation in patients with abnormal serum Potassium, but the incidence of primary ventricular fibrillation as caused by abnormal serum Potassium level was higher among females. No increase in primary ventricular fibrillation was found in patients with abnormal serum Calcium. Conclusion: The incidence of post myocardial ischemic primary ventricular fibrillation was very common in patients with serum Potassium ≤3.5mmo/L and >4.5mmol/L.
{"title":"Serum potassium and calcium level in patients with post-myocardial infarction ventricular fibrillation","authors":"Z. Mahmood","doi":"10.33762/mjbu.2021.129372.1063","DOIUrl":"https://doi.org/10.33762/mjbu.2021.129372.1063","url":null,"abstract":"Background: Arrhythmias are common in the first hours after myocardial infarction. Electrolytes imbalance often contribute to the development of cardiac arrhythmias. Aims of the study to show the correlation between serum potassium and calcium and development of post myocardial infarction ventricular fibrillation and to assess the effect of different age groups and gender in the development of this arrhythmia. Methods: Ninety-three patients, 66(70.96%) males and 27 (29%) females were studied. The mean age was 57.13±11.86 years. Patients included were those who were admitted to the cardiac care units with acute myocardial infarction in 4 hospitals in Basra (southern of Iraq), blood samples for Potassium and Calcium were taken upon admission. Results: Forty (43%) patients had developed primary ventricular fibrillation. The incidence of primary ventricular fibrillation was greater among patients with serum Potassium ≤3.5mmol/L and >4.5mmol/L (p value=0.002). Age was not associated with increased frequency of primary ventricular fibrillation in patients with abnormal serum Potassium, but the incidence of primary ventricular fibrillation as caused by abnormal serum Potassium level was higher among females. No increase in primary ventricular fibrillation was found in patients with abnormal serum Calcium. Conclusion: The incidence of post myocardial ischemic primary ventricular fibrillation was very common in patients with serum Potassium ≤3.5mmo/L and >4.5mmol/L.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89495986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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