An innovative approach to enhancement of medical student dermatology clinical assessment skills in the early detection of melanoma

2010 ◽  
Vol 62 (3) ◽  
pp. AB100
Keyword(s):  
Medical Student ◽  
Early Detection ◽  
Clinical Assessment ◽  
Innovative Approach ◽  
Assessment Skills

scholarly journals Psychological effects of war: A role play

2019 ◽  
Author(s):  
Ziad Kronfol ◽  
Mhd Omar Subei ◽  
Haidar Kubba ◽  
Khalid Taha ◽  
Aicha Hind Rifai
Keyword(s):  
Medical Student ◽  
Middle East ◽  
Role Play ◽  
Peer Education ◽  
Peer To Peer ◽  
Psychological Effects ◽  
Innovative Approach ◽  
Anxiety Depression ◽  
Effects Of War

The practice of psychiatry, perhaps more than any other specialty, is largely affected by culture. The medical student psychiatry curriculum often fails to incorporate this reality. In the Middle East currently, because of the endemic violence and warfare, the topic of the Psychological Effects of War should be an integral part of the psychiatry curriculum. Unfortunately, this topic is often neglected or poorly addressed in most psychiatric textbooks or curricula. A group of three students at WCM-Q in Doha took matter in their own hands to fill this gap. They used role play to illustrate three different conditions that are associated with the psychological effects of war in three different scenarios: anxiety, depression and PTSD. They made a video of the scenes with other fellow students participating in the discussion. This innovative approach is a good example of peer-to-peer education to cover an important topic that is frequently missing in standard curricula.

scholarly journals Tissue Dielectric Constant Measures in Women With and Without Clinical Trunk Lymphedema Following Breast Cancer Surgery: A 78-Week Longitudinal Study

2020 ◽  
Vol 100 (8) ◽  
pp. 1384-1392
Author(s):  
Linda A Koehler ◽  
Harvey N Mayrovitz
Keyword(s):  
Breast Cancer ◽  
Dielectric Constant ◽  
Lymph Node ◽  
Longitudinal Study ◽  
Early Detection ◽  
Clinical Assessment ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Node Removal ◽  
Prospective Longitudinal

Abstract Objective Following breast cancer surgery with lymph node removal, women are at risk of developing lymphedema in the upper extremity or trunk. Currently, trunk lymphedema diagnosis relies on a clinical assessment because no quantifiable standard method exists. Tissue dielectric constant (TDC) values are quantifiable measures of localized skin tissue water and may be able to detect trunk lymphedema. The goal of this study was to (1) compare parameters derived from TDC measurements with those derived from clinically accepted criteria for trunk lymphedema in women following breast cancer surgery and (2) explore the potential utility of TDC to detect trunk lymphedema early in its progression. Methods This prospective longitudinal study, a secondary analysis from a larger study, observed women with and without clinically determined truncal lymphedema following breast cancer surgery. TDC was measured on the lateral trunk wall at post-surgery weeks 2, 4, 12, and 78 in women who had surgical breast cancer treatment with lymph node removal. Clinical assessment for trunk lymphedema was determined at 78 weeks by a lymphedema expert. Comparison of TDC measurements in women with and without clinical trunk lymphedema was analyzed. Results Clinical assessment identified trunk lymphedema in 15 out of 32 women at 78 weeks. These women had TDC ratios statistically higher than women without truncal lymphedema. Conclusion The overall findings indicate that TDC has the ability to quantify trunk lymphedema and might be valuable in early detection. Impact TDC may be a beneficial tool in the early detection of breast cancer–related trunk lymphedema, which could trigger intervention. Lay Summary A new device may help recognize trunk lymphedema in patients with breast cancer so they could receive appropriate treatment.

scholarly journals Prediction of neonatal hyperbilirubinemia using umbilical cord blood bilirubin

2019 ◽  
Vol 6 (2) ◽  
pp. 248
Author(s):  
Kiran Haridas ◽  
Rajendra Shinde ◽  
Gangadhar Belavadi
Keyword(s):  
Early Detection ◽  
Prospective Study ◽  
Cord Blood ◽  
Umbilical Cord ◽  
Umbilical Cord Blood ◽  
Clinical Assessment ◽  
Neonatal Period ◽  
Neonatal Hyperbilirubinemia ◽  
Potential Complication ◽  
Term Newborns

Background: Neonatal hyperbilirubinemia is a common problem among newborns.  Neonatal hyperbilirubinemia has a potential complication of kernicterus which is still seen in many newborns. In present study authors used umbilical cord blood bilirubin to predict the development of significant hyperbilirubinemia in the early neonatal period. The objective of this study is to evaluate the correlation between concentration of bilirubin in the cord blood and occurrence of hyperbilirubinemia in term newborns.Methods: In this prospective study authors included 500 term healthy consecutively born babies whose umbilical cord blood was collected and were followed up for first 7 days for the appearance of jaundice. The clinical assessment of jaundice was done by Kramer rule. The data was analyzed by using SPSS 17 statistical software.Results: Study found that umbilical cord blood bilirubin was 90% sensitive and 87% specific with a PPV of 75% and NPV of 92% in predicting significant neonatal hyperbilirubinemia.Conclusions: The study conducted clearly points that the use of cord blood bilirubin for identifying newborns at risk of hyperbilirubinemia helps in early detection and treatment of jaundice. There by preventing the potential complication kernicterus. This method is economical and socially acceptable. Hence cord blood bilirubin should be done on all healthy term newborns.

Medical Student Perspectives on the Use of Immersive Virtual Reality for Clinical Assessment Training

2019 ◽  
Vol 19 (7) ◽  
pp. 849-851 ◽  
Author(s):  
Matthew W. Zackoff ◽  
Francis J. Real ◽  
Bradley Cruse ◽  
David Davis ◽  
Melissa Klein
Keyword(s):  
Virtual Reality ◽  
Medical Student ◽  
Clinical Assessment ◽  
Student Perspectives ◽  
Immersive Virtual Reality ◽  
Assessment Training ◽  
Medical Student Perspectives

scholarly journals Vascular Thoracic Outlet Syndrome: Experiences at the National Institute of Cardiovascular Diseases, Dhaka

2018 ◽  
Vol 11 (1) ◽  
pp. 50-52
Author(s):  
MF Hossain ◽  
SR Sarker ◽  
MN Sabah ◽  
AHM Bashar ◽  
NK Dey ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cardiovascular Diseases ◽  
Early Detection ◽  
Clinical Assessment ◽  
Thoracic Outlet Syndrome ◽  
Arterial Tree ◽  
Threatening Condition ◽  
One Year ◽  
Age Range

Background: To analyze our recent experiences at the National Institute of Cardiovascular Diseases (NICVD) with the management of vascular Thoracic Outlet Syndrome (TOS).Methods: Retrospective review identified 51 patients (age range 23 to 67 years) with vascular TOS, among them 47 patients with arterial type TOS underwent surgical treatment from January 2012 to December 2015. Evaluation included clinical assessment plus duplex ultrasonography and contrast arteriography and outcome of treatment.Results: In 44 (94%) patients, surgery was successful in relieving the ischemic symptoms. Major amputations could be avoided in 21 of the 28 patients presenting with gangrene. Recurrent thrombo-embolism of the distal arterial tree was found in 5 patients requiring repeat embolectomy. At one year follow-up, 73% of the patients remained free from ischemic upper limb symptoms.Conclusions: Though relatively uncommon, arterial TOS is a potentially limb threatening condition. Early detection of the anatomical abnormality with its surgical correction is required to avoid major complications.Cardiovasc. j. 2018; 11(1): 50-52

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