scholarly journals Lung ultrasound training and evaluation for proficiency among physicians in a low-resource setting

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Darlene R. House ◽  
Yogendra Amatya ◽  
Benjamin Nti ◽  
Frances M. Russell
Keyword(s):  
Lung Ultrasound ◽  
Cumulative Sum Analysis ◽  
Resource Setting ◽  
Individual Zone ◽  
Low Resource Setting ◽  
Hands On ◽  
Level Of Training ◽  
A Prospective Study ◽  
Training Physicians ◽  
Study Physician

Abstract Background Lung ultrasound (LUS) is helpful for the evaluation of patients with dyspnea in the emergency department (ED). However, it remains unclear how much training and how many LUS examinations are needed for ED physicians to obtain proficiency. The objective of this study was to determine the threshold number of LUS physicians need to perform to achieve proficiency for interpreting LUS on ED patients with dyspnea. Methods A prospective study was performed at Patan Hospital in Nepal, evaluating proficiency of physicians novice to LUS. After eight hours of didactics and hands-on training, physicians independently performed and interpreted ultrasounds on patients presenting to the ED with dyspnea. An expert sonographer blinded to patient data and LUS interpretation reviewed images and provided an expert interpretation. Interobserver agreement was performed between the study physician and expert physician interpretation. Cumulative sum analysis was used to determine the number of scans required to attain an acceptable level of training. Results Nineteen physicians were included in the study, submitting 330 LUS examinations with 3288 lung zones. Eighteen physicians (95%) reached proficiency. Physicians reached proficiency for interpreting LUS accurately when compared to an expert after 4.4 (SD 2.2) LUS studies for individual zone interpretation and 4.8 (SD 2.3) studies for overall interpretation, respectively. Conclusions Following 1 day of training, the majority of physicians novice to LUS achieved proficiency with interpretation of lung ultrasound after less than five ultrasound examinations performed independently.

scholarly journals The efficiency, accuracy and acceptability of smartphone-delivered data collection in a low-resource setting – A prospective study

2017 ◽  
Vol 44 ◽  
pp. 252-254 ◽  
Author(s):  
Awais Raza ◽  
Ibrahim Raza ◽  
Thomas M. Drake ◽  
Ahmed Bani Sadar ◽  
Muhammad Adil ◽  
...  
Keyword(s):  
Data Collection ◽  
Prospective Study ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
A Prospective Study

scholarly journals Fetal Doppler for prediction of adverse perinatal outcome in preeclampsia in a low resource setting

2019 ◽  
Vol 8 (7) ◽  
pp. 2662
Author(s):  
Pratima Mishra ◽  
Bikash Pattanayak ◽  
Ramakanta Sahoo ◽  
Mahesh Rath
Keyword(s):  
Universal Screening ◽  
Benign Lesion ◽  
Malignant Lesion ◽  
Ovarian Activity ◽  
Inclusion Criteria ◽  
Nutritional Factors ◽  
Medical College ◽  
Resource Setting ◽  
Low Resource Setting ◽  
A Prospective Study

Background: Menopause is defined as the permanent cessation of menstruation resulting from loss of ovarian activity. Menopause normally occurs between the age of 45 to 50 years. The age of menopause varies with geographical, racial and nutritional factors. The objective of this study was to evaluate and to know the incidence of various cause of PMB.Methods: This was a prospective study of the patient with PMB attending the OPD or admitted for evaluation under Obstetrics and Gynecology department. Hi-Tech Medical College and Hospital, BBSR, Odisha from November 2016 to October 2018 who fulfilled the inclusion criteria with history clinical examination and investigation and informed consent from the patient. Data analyses will be done by appropriate statistical methods.Results: Maximum number of cases with PMB were found in age group 55-64 (52%). 57% of cases were malignant and rest 43% were benign origin. carcinoma cervix is most common  malignant lesion in 80% cases and atrophic endometrium is most common benign lesion (42%).Conclusions: In the present study the incidence malignancy causing PMB was 57% and benign cases was 43% Universal Screening of all PMB cases for genital tract malignancy is mandatory.

University Dropout

2008 ◽  
Vol 29 (3) ◽  
pp. 134-147 ◽  
Author(s):  
Manuel C. Voelkle ◽  
Nicolas Sander
Keyword(s):  
Grade Point Average ◽  
Structural Equation ◽  
Unobserved Heterogeneity ◽  
School Grade ◽  
Grade Point ◽  
High School Grade ◽  
Hands On ◽  
University Dropout ◽  
The Individual ◽  
A Prospective Study

University dropout is a politically and economically important factor. While a number of studies address this issue cross-sectionally by analyzing different cohorts, or retrospectively via questionnaires, few of them are truly longitudinal and focus on the individual as the unit of interest. In contrast to these studies, an individual differences perspective is adopted in the present paper. For this purpose, a hands-on introduction to a recently proposed structural equation (SEM) approach to discrete-time survival analysis is provided ( Muthén & Masyn, 2005 ). In a next step, a prospective study with N = 1096 students, observed across four semesters, is introduced. As expected, average university grade proved to be an important predictor of future dropout, while high-school grade-point average (GPA) yielded no incremental predictive validity but was completely mediated by university grade. Accounting for unobserved heterogeneity, three latent classes could be identified with differential predictor-criterion relations, suggesting the need to pay closer attention to the composition of the student population.

Evaluation of a New Protocol of Insulin Dose Adjustment in a Low-Resource Setting

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 93-LB
Author(s):  
EDDY JEAN BAPTISTE ◽  
PHILIPPE LARCO ◽  
MARIE-NANCY CHARLES LARCO ◽  
JULIA E. VON OETTINGEN ◽  
EDDLYS DUBOIS ◽  
...  
Keyword(s):  
Dose Adjustment ◽  
Insulin Dose ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals Right paraduodenal hernia with extensive bowel gangrene treated with staged surgery: a Bogota bag followed by resection in a low-resource setting

2021 ◽  
Vol 14 (4) ◽  
pp. e239250
Author(s):  
Vijay Anand Ismavel ◽  
Moloti Kichu ◽  
David Paul Hechhula ◽  
Rebecca Yanadi
Keyword(s):  
Plastic Material ◽  
Successful Outcome ◽  
Paraduodenal Hernia ◽  
Transparent Plastic ◽  
Low Resource ◽  
Entire Small Bowel ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Right Paraduodenal Hernia ◽  
Bowel Gangrene

We report a case of right paraduodenal hernia with strangulation of almost the entire small bowel at presentation. Since resection of all bowel of doubtful viability would have resulted in too little residual length to sustain life, a Bogota bag was fashioned using transparent plastic material from an urine drainage bag and the patient monitored intensively for 18 hours. At re-laparotomy, clear demarcation lines had formed with adequate length of viable bowel (100 cm) and resection with anastomosis was done with a good outcome on follow-up, 9 months after surgery. Our description of a rare cause of strangulated intestinal obstruction and a novel method of maximising length of viable bowel is reported for its successful outcome in a low-resource setting.

scholarly journals Humanitarian Surgical Missions in Times of COVID-19: Recommendations to Safely Return to a Sub-Saharan Africa Low-Resource Setting

2021 ◽  
Author(s):  
Víctor Lopez-Lopez ◽  
Ana Morales ◽  
Elisa García-Vazquez ◽  
Miguel González ◽  
Quiteria Hernandez ◽  
...  
Keyword(s):  
Sub Saharan Africa ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Sub Saharan

scholarly journals Vulvar cancer: surgical management and survival trends in a low resource setting

2020 ◽  
Vol 32 (1) ◽  
Author(s):  
Navin Kumar ◽  
Mukur Dipi Ray ◽  
D. N. Sharma ◽  
Rambha Pandey ◽  
Kanak Lata ◽  
...  
Keyword(s):  
Surgical Management ◽  
Vulvar Cancer ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting
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