Search

Introduction: Assessing and improving infection prevention and control (IPC) knowledge and practicing skills among medical students who are the future medical practitioners is crucial for reducing the burden of healthcare-associated infections (HAIs). In this study, we assessed the IPC knowledge of undergraduate clinical-year medical students before and after interventional IPC modular training and evaluated the effectiveness and students’perception on structured modular IPC training presented to them.Methods: This cross-sectional interventional study was conducted on single medical cohort comprising of 145 final-yearundergraduate medical students of the academic year 2022-23 at COMHS. Pre-test, post-test, and feedback questionnaire were used as the assessing tools. The data were collected, entered into Excel sheet, and analyzed using SPSS software version 22. McNemar and Paired-T tests were carried out, and a P-value90%) perceived IPC training as an excellent tool to improve IPC knowledge and practicing skills.Conclusion: IPC training had a significant impact in gaining adequate IPC knowledge and practicing skills among ourparticipants. Therefore, it is recommended that IPC training should be implemented in the undergraduate medical curriculum with greater emphasis on practicing skills.

Background: The purpose of the study was to analyse interprofessional learning experience and the overall experience of the breast cancer awareness workshop among undergraduate medical and nursing students. Method: This was a cross-sectional study using mixed method design. The study was carried out for medical students of College of Medicine and Health Sciences, National University of Science and Technology, Oman and nursing students of Sohar Nursing Institute and the North Batinah Nursing Institute in November 2019. A total of 170 students attended the breast cancer awareness workshop. Out of which 105 (55 -medical and 50 – nursing) students filled the post workshop survey questionnaire. Thematic content analysis was done for open ended questions and quantitative type questions were analysed using SPSS software version 22. Results: The feedback survey looked on four domains of learning experience 1) Interprofessional experience: students of nursing (54.8%) preferred to have frequent inter-professional training sessions when compared to medical students (6.2%) (P-value

Fat embolization syndrome (FES) is often seen as a complication of fractures and has been known to cause respiratory failure, rashes of the skin, thrombocytopenia, and neurological damage. Nontraumatic FES is uncommon and occurs due to bone marrow necrosis. Vaso-occlusive crisis in sickle cell patients secondary to steroid therapy is a rare entity and not widely acknowledged. We report a case of FES secondary to steroid therapy administered for a patient with intractable migraine. FES is an uncommon yet serious complication that occurs due to bone marrow necrosis and is usually associated with increased mortality or damaging neurologic sequelae for the surviving patient. Our patient was initially admitted for intractable migraine and worked up to rule out any acute emergency conditions. She was then given steroids for her migraine which did not subside with the initial treatment. Her condition worsened, and she developed respiratory failure along with altered mental status requiring care in the intensive care unit (ICU). Imaging studies showed microhemorrhages throughout the cerebral hemispheres, brainstem, and cerebellum. The imaging of her lungs confirmed severe acute chest syndrome. The patient also had hepatocellular and renal injuries indicative of multiorgan failure. The patient was treated with a red cell exchange transfusion (RBCx) leading to an almost complete recovery in a few days. The patient, however, had residual neurological sequelae with the presence of numb chin syndrome (NCS). This report thus highlights the need to recognize potential multiorgan failure secondary to steroid treatment and the importance of initiating treatment with red cell exchange transfusions to decrease the risk of such complications secondary to steroids.

BackgroundCOVID-19 was first identified in Wuhan, China, in December 2019, spreading to the rest of the globe, becoming a pandemic. Some studies have shown an association between pregnancy status and severe COVID-19 with a cytokine storm, whereas others have shown contrasting results. ObjectiveThe aim of this study was to examine the relationship between pregnancy status and the clinical COVID-19 severity characterized by the cytokine storm through a systematic review and meta-analysis. MethodsWe searched the Google Scholar, PubMed, Scopus, Web of Science, and Embase databases to identify clinical studies suitable for inclusion in this meta-analysis. Studies reporting pregnancy status and comparing the COVID-19 severity cytokine storm outcome were included. COVID-19 severity characterized by a cytokine storm was described using parameters such as intensive care unit admission, invasive mechanical ventilation, mechanical ventilation, hospital admission, pro- and anti-inflammatory cytokine levels, consolidation on chest computed tomography scan, pulmonary infiltration, extreme fevers as characteristic of a cytokine storm, syndromic severity, higher neutrophil count indicative of a cytokine storm, and severe COVID-19 presentation. ResultsA total of 17 articles including data for 840,332 women with COVID-19 were included. This meta-analysis revealed a correlation between positive pregnancy status and severe COVID-19 with a cytokine storm (random-effects model odds ratio [OR] 2.47, 95% CI 1.63-3.73; P

Abstract Background Children living in sub-Saharan Africa have a high burden of rickets and infectious diseases, conditions that are linked to vitamin D deficiency. However, data on the vitamin D status of young African children and its environmental and genetic predictors are limited. We aimed to examine the prevalence and predictors of vitamin D deficiency in young African children. Methods We measured 25-hydroxyvitamin D (25(OH)D) and typed the single nucleotide polymorphisms, rs4588 and rs7041, in the GC gene encoding the vitamin D binding protein (DBP) in 4509 children aged 0–8 years living in Kenya, Uganda, Burkina Faso, The Gambia and South Africa. We evaluated associations between vitamin D status and country, age, sex, season, anthropometric indices, inflammation, malaria and DBP haplotypes in regression analyses. Results Median age was 23.9 months (interquartile range [IQR] 12.3, 35.9). Prevalence of vitamin D deficiency using 25(OH)D cut-offs of

Abstract Background Iron deficiency (ID) is a major public health burden in African children and accurate prevalence estimates are important for effective nutritional interventions. However, ID may be incorrectly estimated in Africa because most measures of iron status are altered by inflammation and infections such as malaria. Through the current study, we have assessed different approaches to the prediction of iron status and estimated the burden of ID in African children. Methods We assayed iron and inflammatory biomarkers in 4853 children aged 0–8 years from Kenya, Uganda, Burkina Faso, South Africa, and The Gambia. We described iron status and its relationship with age, sex, inflammation, and malaria parasitemia. We defined ID using the WHO guideline (ferritin

Hematopoietic stem cell transplant (HSCT) is the only cure for patients with sickle cell disease (SCD). Although most SCD patients experience progressive end-organ damage and shortened lifespans, not all patients follow the same disease course, tempo, or outcome. Therefore, the dilemma facing physicians is weighing the selection of patients and timing for the procedure against donor type and transplant-related mortality and morbidity that go up with increasing age. On the other hand, the dilemma facing the patients and families is how acceptable HSCT that carries some mortality risks to them. We have analyzed the chronic conditions due to SCD in 449 patients to determine whether SCD-related multiple chronic conditions (MCC) can be risk-stratified to identify the group of patients predicted to not only have shortened lifespans but also functional limitation and poor quality of life so that these at-risk patients can be offered HSCT early and before MCC develops. We identified that the age of onset of the first SCD-related chronic conditions strongly predicted for the risks for disease-related MCC. SCD patients who suffered their first disease-related chronic condition before age 30 years developed MCC at a rate of 19.1 times faster than those at a later age. These patients are therefore high-risk patients and should be offered HSCT early in the course of their disease before multiple organ damage intervenes, even if matched-related donors are not available. This patient selection and timing approach provides a forum for an easy-to-understand and real-time discussion, including the choice of donor type, with SCD patients and families when considering HSCT.

Malaria and invasive non-typhoidal Salmonella (NTS) are life-threatening infections that often co-exist in African children. The iron-regulatory hormone hepcidin is highly upregulated during malaria and controls the availability of iron, a critical nutrient for bacterial growth. We investigated the relationship between Plasmodium falciparum malaria and NTS bacteremia in all pediatric admissions aged

Purpose Breast cancer is one of the most common cancers in women worldwide. Educational and awareness programs impact early practices of breast self-examination, resulting in the early detection of cancer and thereby decreasing mortality. The study aimed to assess the levels of knowledge and awareness of breast cancer and breast self-examination among medical and nursing students in Oman and to compare their knowledge, attitudes, and skills after a training program. Methods This quasi-experimental study was carried out for female 90 medical and 80 nursing students in Oman in November 2019. A pre-test questionnaire was given before the training program and a post-test questionnaire was administered after the training program. Students’ knowledge, attitude, and skills regarding breast cancer and breast self-examination were compared. Scores for skills of practicing breast self-examination were compared between lecture and activity group and lecture-only group. Results Pre-test and post-test data were collected from 170 female students. Significant improvements were observed in the post-test scores for students’ knowledge, attitude, and skills after the intervention (P

Background: Anaemia is a major public health concern especially in African children living in malaria-endemic regions. Interferon-gamma (IFN-γ) is elevated during malaria infection and is thought to influence erythropoiesis and iron status. Genetic variants in the IFN-γ gene (IFNG) are associated with increased IFN-γ production. We investigated putative functional single nucleotide polymorphisms (SNPs) and haplotypes of IFNG in relation to nutritional iron status and anaemia in Gambian children over a malaria season. Methods: We used previously available data from Gambian family trios to determine informative SNPs and then used the Agena Bioscience MassArray platform to type five SNPs from the IFNG gene in a cohort of 780 Gambian children. We also measured haemoglobin and biomarkers of iron status and inflammation at the start and end of a malaria season. Results: We identified five IFNG haplotype-tagging SNPs (IFNG-1616 [rs2069705], IFNG+874 [rs2430561], IFNG+2200 [rs1861493], IFNG+3234 [rs2069718] and IFNG+5612 [rs2069728]). The IFNG+2200C [rs1861493] allele was associated with reduced haemoglobin concentrations (adjusted β -0.44 [95% CI -0.75, -0.12]; Bonferroni adjusted P = 0.03) and a trend towards iron deficiency compared to wild-type at the end of the malaria season in multivariable models adjusted for potential confounders. A haplotype uniquely identified by IFNG+2200C was similarly associated with reduced haemoglobin levels and trends towards iron deficiency, anaemia and iron deficiency anaemia at the end of the malaria season in models adjusted for age, sex, village, inflammation and malaria parasitaemia. Conclusion: We found limited statistical evidence linking IFNG polymorphisms with a risk of developing iron deficiency and anaemia in Gambian children. More definitive studies are needed to investigate the effects of genetically influenced IFN-γ levels on the risk of iron deficiency and anaemia in children living in malaria-endemic areas.

The development of flexible and compliant conductive polymer composites with textile‐like characteristics remains an important endeavor in light of the recent activity in polymer/textile‐based electronics and the need for compliant electrodes for electroactive polymer actuators. In this work, carbon black (CB) was dispersed in a polymer solution to form electrospun fiber webs consisting mainly of nanofibers. The effect of the filler content on the fiber‐web morphology, mechanical behavior, electrical conductivity, and thermal resistance was examined. The electrical conductivity percolation threshold of the fiber‐web structure was found to be around 4.6 vol %. Scanning electron micrographs of the fiber webs revealed a significant influence of the CB content on the fiber formation as well as the bond structure of the fiber web, which influenced the mechanical properties of the web. © 2007 Wiley Periodicals, Inc. J Appl Polym Sci 104: 2410–2417, 2007 [ABSTRACT FROM AUTHOR]

Digital technologies are essential to establishing new forms of dominance through drones and surveillance systems; these forms have significant effects on individuality, privacy, democracy, and American foreign policy; and popular culture registers how the uses of drone technologies for aesthetic, educational, and governmental purposes raise questions about the exercise of individual, governmental, and social power. By extending computational methodologies in the digital humanities like macroanalysis and distant reading in the context of drones and surveillance, this article demonstrates how drone technologies alter established notions of war and peace, guilt and innocence, privacy and the common good; in doing so, the paper connects postcolonial studies to the digital humanities. RésuméLes technologies numériques sont essentielles pour établir de nouvelles formes de domination par le biais des drones et des systèmes de surveillance. Ces formes ont des effets importants sur l’individualité, la vie privée, la démocratie et la politique étrangère américaine. La culture populaire dénombre un éventail de ces effets employant des technologies de drones pour des objectifs esthétiques, éducatifs et gouvernementaux d’une manière qui soulève des questions sur la mise en pratique du pouvoir individuel, gouvernemental et social. En étendant des méthodologies statistiques des Humanités numériques, tels que la macroanalyse et la lecture globale, dans le contexte des drones et de la surveillance, cet article démontre la façon dont les technologies numériques modifient fondamentalement les notions déjà établies de la guerre et de la paix, de la culpabilité et de l’innocence, de la vie privée et du bien commun. De ce fait, cet article lie les études post-coloniales aux Humanités numériques.Mots-clés: Drones; Surveillance; Humanités numériques; études post-coloniales; Mondialisation; Cultures numériques

Malaria and iron deficiency are common among children living in sub-Saharan Africa. Several studies have linked a child’s iron status to their future risk of malaria infection; however, few have examined whether malaria might be a cause of iron deficiency. Approximately a quarter of African children at any one time are infected by malaria and malaria increases hepcidin and tumor necrosis factor-α concentrations leading to poor iron absorption and recycling. In support of a hypothetical link between malaria and iron deficiency, studies indicate that the prevalence of iron deficiency in children increases over a malaria season and decreases when malaria transmission is interrupted. The link between malaria and iron deficiency can be tested through the use of observational studies, randomized controlled trials and genetic epidemiology studies, each of which has its own strengths and limitations. Confirming the existence of a causal link between malaria infection and iron deficiency would readjust priorities for programs to prevent and treat iron deficiency and would demonstrate a further benefit of malaria control.

In investigating Kenya rainfall variability and its relationship to other climatic elements it has become imperative to analyze the irregularly distributed rainfall events in time. To meet this requirement, this study used a stepwise regression technique. The study seeks to improve existing rainfall monitoring and prediction in Nairobi. Monthly rainfall data was fitted to several mathematical functions. The best mathematical model which best simulated the March-May (MAM) and October -December (OND) seasonal rainfall over the three stations of analysis was chosen using a stepwise regression technique. The value of R-squared for the best fit was computed to show the percentage of rainfall information that is explained by the variation in the independent (time) variable. From the results obtained, the stepwise regression technique selected the fourth degree polynomial as the best fit for analyzing the March-May (MAM) and October -December (OND) seasonal rainfall data set. Solar cycle period of ten (10) years was employed to get the fourth degree polynomial variables. Hence from the study, it can be deducted that the 4th degree polynomial function can be used to predict the peak and the general pattern of seasonal rainfall over Nairobi, with acceptable error values. This information can be used in the planning and management of water resources over Nairobi. The same information can be extended to other areas.

Patients with sickle cell disease have high morbidity and healthcare utilization due to repeated painful crises. Some coexisting conditions which cause pain similar to sickle cell disease may go undiagnosed in these patients. We report two adults with concurrent hyperparathyroidism who experienced significant improvement in sickle cell pain following parathyroidectomy thereby pointing to hyperparathyroidism as the principal causative factor for their pain. Meticulous evaluation for parathyroid disorders can be rewarding in sickle cell disease.