scholarly journals Reflecting on the current scenario and forecasting the future demand for medical doctors in South Africa up to 2030: towards equal representation of women

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ritika Tiwari ◽  
Angelique Wildschut-February ◽  
Lungiswa Nkonki ◽  
René English ◽  
Innocent Karangwa ◽  
...  
Keyword(s):  
Gender Equity ◽  
Medical Profession ◽  
Population Group ◽  
Medical Doctors ◽  
Female Ratio ◽  
Male And Female ◽  
Significance Level ◽  
Representation Of Women ◽  
Significant Difference ◽  
Male To Female

Abstract Background Increasing feminization of medical professions is well-acknowledged. However, this does not always equate to equitable representation of women within medicine, regarding their socio-demographic indicators, regions, sectors and fields of practice. Thus, this paper quantifies the gap in supply of female medical doctors in relation to demand, towards reaching different gender equity scenarios. Methods A retrospective review of the Health Professions Council of South Africa’s (HPCSA) database on registered medical doctors (medical practitioners and medical specialists) from 2002 until 2019 was utilized as an indicator of supply. Descriptive statistics were used to summarize data, and inferential statistics (considering a significance level of 0.05) were utilized to determine the association between the number of male and female doctors, disaggregated by demographic variables. We forecasted future gaps of South African male and female doctors up to 2030, based on maintaining the current male-to-female ratio and attaining an equitable ratio of 1:1. Results While the ratio of female doctors per 10 000 population has increased between 2000 and 2019, from 1.2 to 3.2, it remains substantially lower than the comparative rate for male doctors per 10 000 population which increased from 3.5 in 2000 to 4.7 in 2019. Men continue to dominate the medical profession in 2019, representing 59.4% (27,579) of medical doctors registered with the HPCSA with females representing 40.6% (18,841), resulting in a male-to-female ratio of 1:0.7. Female doctors from the Black population group have constantly grown in the medical workforce from 4.4% (2000), to 12.5% (2019). There would be a deficit of 2242 female doctors by 2030 to achieve a 1:1 ratio between male and female medical doctors. An independent-samples t-test revealed that there was a significant difference in the number of male and female doctors. The Kruskal–Wallis test indicated that there was a sustained significant difference in terms of the number of male and female doctors by population groups and geographical distribution. Conclusions Based on the investigation, we propose that HRH planning incorporate forecasting methodologies towards reaching gender equity targets to inform planning for production of healthcare workers.

scholarly journals The Effect of Practical Presentations’ Strategy on the Achievement of the Ninth Graders Students of the Pre-Vocational Education Subject in Shobak District Schools

2017 ◽  
Vol 10 (5) ◽  
pp. 109 ◽  
Author(s):  
Haroon M. Al Tawarah ◽  
Omar M. Mahasneh ◽  
Nourah A. Al-Hawartheh
Keyword(s):  
Vocational Education ◽  
Ninth Graders ◽  
Control Group ◽  
Experimental Sample ◽  
Control Male ◽  
Male And Female ◽  
Significance Level ◽  
Significant Difference ◽  
Post Test ◽  
Experimental Group

The present research was conducted to evaluate the effect of using practical presentations on the achievement of the ninth graders students in pre-vocational education subject in Shobak district schools, in comparison to the prevailing method, and identify whether there are differences attributed to the gender variable. To answer the questions, the study was applied to an experimental sample in two schools of Shobak district consisting of (46) male and female students from the ninth grade for the academic year 2015/2016, who studied the pre-vocational education by using the practical presentation method, and a control group in two schools consisting of (46) students studied by using the lecturing method. The results of the study showed statistically significant differences between mean scores of members of the two groups (the experimental),male and female and (the control), male and female in the post-test application in favor of the of the experimental group that used practical presentations. The results also showed the absence of statistically significant difference at the significance level (0.05) attributed to the gender variable in the achievement of the experimental group.

Group structure in wood bison: nutritional and reproductive determinants

1993 ◽  
Vol 71 (7) ◽  
pp. 1367-1371 ◽  
Author(s):  
Petr E. Komers ◽  
François Messier ◽  
Cormack C. Gates
Keyword(s):  
Habitat Selection ◽  
Group Structure ◽  
Dilution Effect ◽  
Foraging Strategies ◽  
Female Ratio ◽  
Male And Female ◽  
Wood Bison ◽  
Males And Females ◽  
Mixed Groups ◽  
Male To Female

Sexual segregation in ungulates has been documented for many species including bison. However, male and female bison do not differ in their pattern of habitat selection. In the present study we observed that a fraction of bison groups did not have young (<2 years) despite the presence of males and females. The male to female ratio in these groups was 2.4. We call them adult groups, in contrast to mixed groups, where young were present and the male to female ratio was 0.4. The proportion of cows with young (mothers) in a group was negatively correlated with the male to female ratio, suggesting that mothers associated more often with other cows than with bulls. Before the rut, cows without young (non-mothers) spent less time feeding than either mothers or bulls. However, mothers and non-mothers did not differ in the number of steps per minute they took while grazing, and both types of cows stepped faster than bulls. We suggest that cows feed more selectively than bulls and that the differing foraging strategies result in temporal but not spatial segregation of the sexes. Possibly as a result of similar nutritional demands, mothers tended to aggregate, forming nursery groups. We suggest that the formation of nursery groups can also serve to protect calves through a dilution effect of predation. Whether mothers actually prefer to associate with other mothers remains to be investigated.

scholarly journals Dietary practices in type 2 diabetes patients at Bhopal, Madhya Pradesh: a cross-sectional study

2019 ◽  
Vol 6 (8) ◽  
pp. 3423
Author(s):  
Rama Singodiya Lodha ◽  
Smriti Singh ◽  
Dinesh Kumar Pal ◽  
Manju Toppo ◽  
Shipra Verma ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Patient ◽  
Consumption Pattern ◽  
Diabetic Patients ◽  
Dietary Practices ◽  
Cross Sectional ◽  
Male And Female ◽  
Significance Level ◽  
Significant Difference ◽  
The Mean

Background: Diabetes mellitus (DM) is a rapidly growing health problem in India. Diet and physical activity are important modifiable risk factors affecting the incidence, severity and management of DM. The aim of the study was to assess diet of diabetes mellitus patients. 87 adults from a cohort of diabetic patients attending the Medical Clinics at the Hamidia Hospital Bhopal were invited for the study.Methods: Information about their nutritional status & food consumption pattern was taken by 24-hour dietary recall and food frequency questionnaire. Data was analysed using Epi Info and MS Excel. Frequency counts and percentages were used to describe the demographic characteristics of the participants while the significance difference in between male and female participants. The significance level was set at P <0.05 and 0.01. Statistical analysis used:  MS Excel and Epi Info.Results: The study sample was 87 out of which 56 were females and 31 were males; mean age of DM patients was 48.21±12.98.The mean energy intake was 1386.52 kcal and 1125.79 kcal among male and female. The mean protein intake was 68.71 g and 50.50 among male and female diabetics. There was significant difference between male and female age. There were no significant difference in body mass index and waist hip ratio between male and female. 30 (34.5%) & 16 (18.4%) were overweight and obese respectively.Conclusions: Based on these findings, the dietary practices of diabetic patients are inadequate and require improvement. Education and counselling about diet of a diabetes patient is needed. 

scholarly journals Characteristics of predominantly right-sided colonic diverticulitis without need for colectomy

2020 ◽  
Author(s):  
Zhi Chen ◽  
Bing Zhang ◽  
Dan Wu ◽  
Ye Jin
Keyword(s):  
Hospital Stay ◽  
Recurrence Rate ◽  
Sigmoid Diverticulitis ◽  
Colonic Diverticulitis ◽  
Abdominal Drainage ◽  
Female Ratio ◽  
Uncomplicated Diverticulitis ◽  
Significant Difference ◽  
Male To Female ◽  
Acute Colonic Diverticulitis

Abstract Background: In China, diverticulitis is more often located in the right colon, mainly in the cecum and ascending colon. Here we study the characteristics of acute colonic diverticulitis and compare various treatments for acute right-sided colonic diverticulitis.Methods: A retrospective analysis of 123 patients with acute colonic diverticulitis treated in our hospital from April 2013 to April 2020, including 114 cases of right-sided colonic diverticulitis, was performed. The characteristics of acute colonic diverticulitis were analyzed, and the therapeutic effects of different treatments for acute right-sided colonic diverticulitis were compared.Results: 111 cases of caecal and ascending colonic diverticulitis were identified (90.2% of cases, male to female ratio 2.26:1, average age 39.6 ± 14.4 years, surgery ratio 24.3%, mean hospital stay 7.4 ± 4.3 days, recurrence rate 3.6%). Three cases of transverse colonic diverticulitis and three cases of descending colonic diverticulitis were found. Six cases of Sigmoid diverticulitis (4.9% of cases, male to female ratio 1:1, average age 67.7 ± 4.5 years, surgery ratio 33.3%, mean hospital stay 11.7 ± 5.5 days, recurrence rate 0%) were found. 13 patients underwent right-sided colonic diverticulitis resection and repair, while zero patients underwent colectomy. Abdominal drainage was performed in 15 patients with right-sided colonic diverticulitis. There was no significant difference in the length of hospital stay among the three treatments for right-sided colonic diverticulitis (P = 0.05). There was no significant difference in the recurrence rate among the three treatments of right-sided colonic diverticulitis ( P = 0.358). While the recurrence rate of right-sided colonic diverticulitis was only 3.5%, relapse usually occurred within the first year following treatment.Conclusions: In our patients, right-sided colonic diverticulitis is more common in young and middle-aged patients than in elderly patients and we see a higher incidence in males. Acute right-sided complex diverticulitis is rare. While non-surgical treatment is preferred for acute right-sided uncomplicated diverticulitis, no significant difference in outcome was observed between the three different treatments we compared. Resection and repair of diverticulum or abdominal drainage can also be used to treat patients with acute uncomplicated diverticulitis.

scholarly journals Vitamin Cobalamin deficiency in macrocytic anemia reporting at a Tertiary Care Hospital.

2021 ◽  
Vol 28 (04) ◽  
pp. 527-532
Author(s):  
Kashif Rasheed Shaikh ◽  
Shumaila Shaikh ◽  
Sadia Tabassum ◽  
Shagufta Memon ◽  
Umair Ali Soomro ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Megaloblastic Anemia ◽  
Tertiary Care ◽  
Macrocytic Anemia ◽  
Cobalamin Deficiency ◽  
Categorical Variables ◽  
Care Hospital ◽  
Female Ratio ◽  
Male And Female ◽  
Significant Difference

Objective: Determine the frequency of vitamin cobalamin deficiency in macrocytic anemia cases reporting at tertiary care hospital. Study Design: Cross Sectional study. Setting: Faculty of Medicine and Allied Medical Sciences, Isra University, Hyderabad, Sindh Pakistan. Period: January 2017 to October 2018. Material & Methods: 450 cases of both genders, diagnosed as macrocytic- megaloblastic anemia were studied for the vitamin Cobalamin levels. Cases were collected through non- probability convenient sampling by inclusion and exclusion criteria. Consenting volunteers were asked for blood sampling. 5 mL blood was taken from ante – cubital fossa. Samples were centrifuged and sera were collected for the estimation of vitamin cobalamin by ELISA – assay kit. Continuous and categorical variables were entered in SPSS (version 21.0) and analyzed by Student t-test and Chi-square test respectively at 95% CI (P ≤ 0.05). Results: Male and female comprised 225 (43.3%) and 294 (56.6%) of 519 subjects. Male to female ratio was noted 1.30:1. MCV, MCH and MCHC show statistically significant difference between male and female (P<0.05). MCV in male was 96.8±9.92 fl vs. 105.5±12.04 fl in female (P=0.0001). Normal cobalamin was noted in 15.2% (n= 79) and any type of cobalamin deficiency was noted in 84.7% (n= 440) (P=0.0001). Conclusion: The present study reports frequency of 84.7% Cobalamin deficiency in macrocytic anemia reporting at Indus Medical College Hospital. Further studies are recommended by the treating physicians.

scholarly journals Intranasal Splint in Nasal Septal Surgery: Is It Necessary?

2020 ◽  
Vol 32 (2) ◽  
pp. 126-129
Author(s):  
Jahangir Alam Mazumder ◽  
Md Golam Mustafa ◽  
AHM Delwar ◽  
Shazibur Rashid ◽  
Md Mostafizur Rahaman ◽  
...  
Keyword(s):  
Complete Healing ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Septal Surgery ◽  
Significant Difference ◽  
Group A ◽  
Medicine Today ◽  
Group B ◽  
Male To Female

Introduction: After SMR/septoplasty with or without turbinate surgery, it needs to keep apart the septum and turbinates upto their complete healing otherwise there is a chance of adhesion (synechia) formation. To prevent this there are variousprocedures. To place an intranasal splint in one or both sides of the septum is one of them. Nowadays there raised thequestion of whether the splinting is necessary or not. There is no significant difference in result with or without anintranasal splint. Weighing against the co-morbidities the routine use of an intranasal splint can no longer be justified. Materials and Methods: This is a randomized control study of 200 patients of SMR/septoplasty, done for nasal septaldeviation causing symptoms in Cumilla Medical College Hospital in the period of January 2016 to December 2019. Theywere equally divided into two groups, group-A were operated placing an intranasal splint and group-B with no intranasalsplint. They were followed up for 6 weeks to detect any synechia and co-morbidities. Result: The age of our patients wasranged from 13-49 years with a mean age of 22.45 years. The male to female ratio is 1.78:1. Synechia was found in 4% ofthe splinted group and 6 of the nonsplinted groups. Co-morbidities were detected more in the splinted group than that ofnon-splinted. In INS group these were found as follows: pain in the nose, face and head (26%), faint during removal ofnasal splint (6%), nasal obstruction (38%), the anxiety of splint removal in the postoperative period (35%) and vestibulitisdue to persistent irritation by a splint (17%). Conclusion: There is little significant advantage of using intranasal splintroutinely in septal surgery to prevent synechia formation. Medicine Today 2020 Vol.32(2): 126-129

scholarly journals Colorectal Cancer in Octogenarian and Nonagenarian Patients: Clinicopathological Features and Survivals

2020 ◽  
Vol 36 (5) ◽  
pp. 323-329 ◽  
Author(s):  
Soo Min Lee ◽  
Jun Sang Shin
Keyword(s):  
Colorectal Cancer ◽  
Elderly Patients ◽  
Univariate Analysis ◽  
Survival Rates ◽  
The Elderly ◽  
Clinicopathological Parameters ◽  
Female Ratio ◽  
Significant Difference ◽  
Differentiation Stage ◽  
Male To Female

Purpose: Elderly population will comprise a substantial proportion of colorectal cancer (CRC) patients. We examined patients older than 80 years according to their clinical and pathological characteristics to fully understand the elderly patients.Methods: CRC patients, 60 years or older at diagnosis, admitted between 2009 and 2014 at our hospital were enrolled. The patients were divided into 2 groups: elderly (aged > 80 years, n = 133), and controls (aged 60 to 79 years, n = 596). Patient’s demographics, risk factors for prognosis of CRC, Clinicopathological parameters, treatment, and survival rates were compared.Results: The mean ages were 83.9 and 64.8 years, respectively. Male-to-female ratio and tumor sidedness were comparable in both groups. Prognostic factors found in univariate analysis; differentiation, stage, lymphovascular invasion, and carcinoembryonic antigen showed no statistical difference. The microsatellite instability status and number of retrieved lymph nodes were also similar (17.2 vs 21.6, P = 0.505). A significant difference was found in the treatment approach for chemotherapy as the elderly patients with stage III and IV tend to have omitted adjuvant (43.6% vs. 92.8%, P < 0.001) or palliative (35.8% vs. 89.4%, P = 0.016) chemotherapy. Except in stage I, elderly patients showed significantly lower overall survival rates.Conclusion: Current study shows far-elderly patients with CRC were less likely to receive standard treatments, which might have resulted in an inferior outcome. As the number of elderly patients with CRC increase, our results provide a basis for further clinical and molecular investigations of elderly CRC patients.

scholarly journals Reproductive biology of the commercially important Indian squid Uroteuthis (Photololigo) duvaucelii (d’ Orbigny [in Ferussac & d’ Orbigny], 1835) off Mangalore, south-west coast of India

2017 ◽  
Vol 64 (1) ◽  
pp. 75
Author(s):  
N. Rajendra Naik ◽  
S. M. Shivaprakash ◽  
H. N. Anjaneyappa ◽  
S. R. Somasekhara ◽  
Jaya Naik ◽  
...  
Keyword(s):  
West Coast ◽  
Female Ratio ◽  
West Coast Of India ◽  
Size Dependent ◽  
South West ◽  
Significant Difference ◽  
South West Coast ◽  
Commercially Important ◽  
First Maturity ◽  
Male To Female

Uroteuthis (Photololigo) duvaucelii is one of the commercially important inshore squid resources off the south-west coast of India. Length-weight relationship for this species indicated no significant difference between the sexes and hence, the relationship for both the sexes was represented with the common equation W = 0.4624 L2.1158. U. (P.) duvaucelii spawned throughout the year with peak spawning in May. Absolute fecundity ranged from 1,545 to 13,585 eggs with an average of 7,554 eggs. Size at first maturity indicated that females matured earlier at 70 mm DML (dorsal mantle length) whereas males matured little later at 90 mm DML. Males were observed to be dominant during most of the study period with overall male to female ratio of 1:0.93. Seasonal and size dependent variations in sex ratio were distinct.

scholarly journals Optimization of reproduction of ricefish endemic to Southeast Sulawesi Oryzias woworae Parenti & Hadiaty, 2010 through different sex ratios in spawning

2021 ◽  
Vol 21 (3) ◽  
pp. 235-251
Author(s):  
Mohamad Ayip Firmansyah ◽  
Mustahal Mustahal ◽  
Mas Bayu Syamsunarno ◽  
Muh Herjayanto
Keyword(s):  
Water Quality ◽  
Sex Ratio ◽  
Ornamental Fish ◽  
Egg Hatching ◽  
Female Ratio ◽  
Male And Female ◽  
Status Information ◽  
The Difference ◽  
Endangered Status ◽  
Male To Female

Oryzias woworae has a beautiful color and has been traded as ornamental fish. This species is an endemic ricefish from Muna Island, Southeast Sulawesi, and is threatened with endangered status. Information on the optimal spawning sex ratio in O. woworae is unknown. This study aimed was to examine the optimization of reproduction based on the sex ratio of male: female broodstock O. woworae involved in spawning. The sex ratio of male: female spawning broodstock used were 1:1, 1:2, 1:3, and 1:4. The male and female brooders used had a total length of 3,1 ± 0,5 cm and 2,5 ± 0,5 cm. After adaptation, the broodstock of O. woworae was put into aquariums according to the treatment, and each container contained three spawning substrates. The harvesting of eggs on the substrate is carried out two times a day. The results showed that spawning O. woworae with a ratio of 1♂: 4♀ produced the lowest number of eggs and was significantly different with ratios of 1♂: 1♀ and 1♂: 2♀ (P<0,05). The ratio of 1♂ : 3♀ gave the highest egg hatching of 55% but was not significantly different from other treatments (P>0,05). The difference in male and female ratios did not affect the survival rate of O. woworae larvae (P>0,05), with values from 91,9-100%. The highest larvae produced was found in the spawning ratio of 1♂ : 3♀ with 37 larvae but not significantly different from other treatments (P>0,05). The water quality values during the study were temperature 26,5-310C, pH 5,5-8,8, and dissolved oxygen 5,3-6,0 mg L-1. O. woworae broodstock spawning can be optimized with a male to female ratio of 1:3.

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