scholarly journals Giving Correct names to Disciplines in Pathology in the 21st Century: A Review of Working Environments among Pathologists across Nigeria

2020 ◽  
Vol 1 (1) ◽  
pp. 35-42
Author(s):  
GTA Jombo ◽  
MS Odimayo ◽  
TM Adaja ◽  
AM Onoja ◽  
BA Ojo
Keyword(s):  
21St Century ◽  
Clinical Pathology ◽  
Medical Laboratory ◽  
Teaching Hospitals ◽  
Medical Laboratories ◽  
Working Environments ◽  
Medical Microbiology ◽  
Social Media Platforms ◽  
The Difference ◽  
The University

A name gives one identity, inspiration, strength, vision and an ability to see far into the future end from the beginning. Pathology disciplines therefore need correct and proper names that will carry along it all those attributes to enable them explore all her potentials unhindered in the 21st century practice of Medicine in the country. This study reviewed the functions of Medical Microbiologists and Haematologists in the midst of incessant inter-professional rivalry involving medical laboratory scientist in the country's teaching hospitals. Data was collected based on information from electronic, online and print media, and social media platforms. Questionnaires were administered to assess the knowledge of students of Adeyemi College of Education Ondo-City on the difference between Consultant Medical Microbiologists and Academic Microbiologists. We found out that in over 85% of the crisis in the medical laboratories in the country are from either Medical Microbiology and or Haematology laboratories; disciplines whose names have little to do with pathology, and that Anatomic Pathology and Chemical Pathology disciplines are usually only in solidarity with the two. Also other health personnel including scientists do not feel fully convinced that Consultants in the former two disciplines (Medical Microbiology and Haematology) are truly Pathologists. It was also found that 90% of members of the general public cannot differentiate between a Pathologist who specializes in Microbiology from an individual who graduated with BSc or MSc in Microbiology and so could hardly understand why such could not also practice as Consultant Microbiologist or Lecture in Clinical Pathology departments. At the University of Medical Sciences teaching Hospital Complex (UNIMED THC) where both the discipline and the Department are named Microbial Pathology, the tension has substantially been put under check. The two subspecialties should be properly named as: Microbial Pathology and Haematologic Pathology instead of Medical Microbiology and Parasitology, and Haematology respectively along with their respective Departments.

The University of Oklahoma College of Medicine Department of Surgery: Indian Territory to the 21st Century

2010 ◽  
Vol 76 (4) ◽  
pp. 354-357
Author(s):  
Donald R. Carter ◽  
Russell G. Postier
Keyword(s):  
21St Century ◽  
Faculty Members ◽  
Teaching Hospitals ◽  
Indian Territory ◽  
Faculty Diversity ◽  
Medicine Department ◽  
Research Programs ◽  
University Of Oklahoma ◽  
Surgery Department ◽  
The University

The Surgery Department of the University of Oklahoma College of Medicine is profiled in this article, including history, goals, opportunities, and demographics. Our research programs, clinical resources, teaching hospitals, and faculty diversity are reviewed. The local and national contributions of our faculty members and 212 chief residents who have completed our program are enumerated.

scholarly journals Teaching Experience based on Service Learning (SL) at the Islamic University in Gaza: the Pros and Obstacles

2017 ◽  
Vol 11 (1) ◽  
pp. 123
Author(s):  
Sanaa I. Abu -Dagga ◽  
Iyad A. Al Dajani ◽  
Abdelraouf A. Elmanama ◽  
Farid Al-Qeeq
Keyword(s):  
Service Learning ◽  
Educational Administration ◽  
Teaching Experience ◽  
Faculty Members ◽  
Medical Laboratory ◽  
Educational Management ◽  
Positive Difference ◽  
University Courses ◽  
Medical Microbiology ◽  
The University

This research aims to evaluate the introduction of the Service Learning (SL) component in three university courses in Islamic University of Gaza. The study focused on the following questions: 1) What are the steps followed to implement teaching that is based on service learning from the perspective of involved faculty members? 2) What are the advantages and the obstacles associate with the implementation of service learning? 3) To what extent was student involvement in this experience beneficial to students' academic, personal, societal and professional domains from their perspectives? The study sample consisted of 101 students, of whom -88- at the bachelor's level. It was distributed as follows: Department of Architecture, Urban Flaming course (16 students), and the Department of Medical Laboratory Sciences, Medical Microbiology course (72 students). The MA students were from the Department of Educational Administration: Educational Management course. Researchers relied on a questionnaire completed by the students, in addition to the interviews conducted with the three (3) faculty members involved in those courses. Results of the analysis showed that teaching based on service learning was successful and has achieved its objectives in various forms. Results exceeded expectations and were ahead of the targets set by the university. It appears through the university has benefited from the experience in a direct way in terms of strengthening the reputation, and in making a positive difference in the lives of the beneficiaries.

Quality management in medical laboratories

2010 ◽  
Vol 30 (02) ◽  
pp. 55-62
Author(s):  
M. Fritzer-Szekeres
Keyword(s):  
Quality Management ◽  
Medical Laboratory ◽  
Management Systems ◽  
The European Union ◽  
Quality Management Systems ◽  
Iso 17025 ◽  
Iso 15189 ◽  
Medical Laboratories ◽  
Systems Quality ◽  
Standard Iso 15189

SummaryDuring the 20th century understanding for quality has changed and international and national requirements for quality have been published. Therefore also medical branches started to establish quality management systems. Quality assurance has always been important for medical laboratories. Certification according to the standard ISO 9001 and accreditation according to the standard ISO 17025 have been the proof of fulfilling quality requirements. The relatively new standard ISO 15189 is the first standard for medical laboratories. This standard includes technical and management requirements for the medical laboratory. The main focus is the proof of competence within the personnel. As this standard is accepted throughout the European Union an increase in accreditations of medical laboratories is predictable.

scholarly journals Impact of immediate postpartum insertion of TCu380A on the quantity and duration of lochia discharges in Tanzania

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Projestine Selestine Muganyizi ◽  
Grasiana Festus Kimario ◽  
France John Rwegoshora ◽  
Ponsian Patrick Paul ◽  
Anita Makins
Keyword(s):  
Service Providers ◽  
International Federation ◽  
Teaching Hospitals ◽  
Evidence Based ◽  
Contraceptive Device ◽  
Postpartum Contraception ◽  
Gynecology And Obstetrics ◽  
Intrauterine Contraceptive ◽  
The Difference

Abstract Background The insertion of Intrauterine Contraceptive Device (PPIUD) for the purpose of contraception immediately after delivery is becoming popular in countries where the use of IUD for contraception has been extremely low. Since 2015, Tanzania implemented the initiative by the International Federation of Gynecology and Obstetrics (FIGO) to institutionalize PPIUD. As a result of capacity building and information delivery under the initiative, there have been increased uptake of the method. Working in this context, the focus of the study was to generate evidence on the effect of TCu380A IUD on amount and duration of lochia and equip service providers with evidence-based knowledge which can help them in counselling their PPIUD clients. Objective Establish impact of postpartum TCu380A on amount and duration of lochia. Methods A prospective cohort study of delivered women in two teaching hospitals in Tanzania with immediate insertion of TCu380A or without use of postpartum contraception in 2018. TCu380A models; Optima (Injeflex Co. Brazil) and Pregna (Pregna International, Chakan, India) were used. Follow-up was done by weekly calls and examination at 6th week. Lochia was estimated by Likert Scale 0–4 relative to the amount of lochia on the delivery day. An estimated 250 women sample (125 each group) would give 80% power to detect a desired 20% difference in the proportion of women with prolonged lochia discharges among the Exposed and Unexposed groups. Data analysis was by SPSS. Results Two hundred sixty women were analysed, 127 Exposed and 133 Unexposed. Medical complaints were reported by 41 (28.9%) Exposed and 37 Unexposed (27.8%), p = 0.655. Lack of dryness by end of 6th week was to 31 (23.3%) Exposed and 9 (7.1%) Unexposed, p < 0.001. Exposed had higher weekly mean lochia scores throughout with the difference most marked in 5th week (3.556 Versus 2.039, p < 0.001) and 6th week (1.44 Versus 0.449, p<0.001). Conclusion PPIUD is associated with increased amount of lochia and slows progression to dryness within 6 weeks of delivery. The implications of PPIUD clients’ needs to be informed about the possibility of delayed dryness of lochia at time of counseling are discussed.

scholarly journals Enamel interproximal reduction during treatment with clear aligners: digital planning versus OrthoCAD analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Giuseppina Laganà ◽  
Arianna Malara ◽  
Roberta Lione ◽  
Carlotta Danesi ◽  
Simonetta Meuli ◽  
...  
Keyword(s):  
Treatment Plan ◽  
End Of Treatment ◽  
The Mean ◽  
The Difference ◽  
Dependent Sample ◽  
University Of Rome ◽  
The University ◽  
Enamel Reduction ◽  
Lower Arch

Abstract Background The aim of the study was to compare the amount of interproximal enamel reduction (IPR) provided on ClinCheck software with the amount of IPR carried out by the orthodontist during treatment with clear aligners. Methods 30 subjects (14 males, 16 females; mean age of 24.53 ± 13.41 years) randomly recruited from the Invisalign account of the Department of Orthodontics at the University of Rome “Tor Vergata” from November 2018 to October 2019, were collected according to the following inclusion criteria: mild to moderate dento-alveolar discrepancy (1.5–6.5 mm); Class I canine and molar relationship; full permanent dentition (excluding third molars); both arches treated only using Comprehensive Package by Invisalign system; treatment plan including IPR. Pre- (T0) and post-treatment (T1) digital models (.stl files), created from an iTero scan, were collected from all selected patients. The OrthoCAD digital software was used to measure tooth mesiodistal width in upper and lower arches before (T0) and at the end of treatment (T1) before any refinement. The widest mesio-distal diameter was measured for each tooth excluding molars by “Diagnostic” OrthoCAD tool. The total amount of IPR performed during treatment was obtained comparing the sum of mesio-distal widths of all measured teeth at T0 and T1. Significant T1–T0 differences were tested with dependent sample t-test (P < 0.05). Results In the upper arch, IPR was digitally planned on average for 0.62 mm while in the lower arch was on average for 1.92 mm. As for the amount of enamel actually removed after IPR performing, it was on average 0.62 mm in the maxillary arch. In the mandibular arch, the mean of IPR carried out was 1.93 mm. The difference between planned IPR and performed IPR is described: this difference was on average 0.00 mm in the upper arch and 0.01 in the lower arch. Conclusions The amount of enamel removed in vivo corresponded with the amount of IPR planned by the Orthodontist using ClinCheck software.

ISO/TS 20914:2019 – a critical commentary

2020 ◽  
Vol 58 (8) ◽  
pp. 1182-1190 ◽  
Author(s):  
Ian Farrance ◽  
Robert Frenkel ◽  
Tony Badrick
Keyword(s):  
Measurement Uncertainty ◽  
Measurement Data ◽  
International Normalized Ratio ◽  
Medical Laboratory ◽  
Uncertainty In Measurement ◽  
Medical Laboratories ◽  
Functional Relationships ◽  
Critical Commentary ◽  
Combined Uncertainty ◽  
Expression Of Uncertainty

AbstractThe long-anticipated ISO/TS 20914, Medical laboratories – Practical guidance for the estimation of measurement uncertainty, became publicly available in July 2019. This ISO document is intended as a guide for the practical application of estimating uncertainty in measurement (measurement uncertainty) in a medical laboratory. In some respects, the guide does indeed meet many of its stated objectives with numerous very detailed examples. Even though it is claimed that this ISO guide is based on the Evaluation of measurement data – Guide to the expression of uncertainty in measurement (GUM), JCGM 100:2008, it is with some concern that we believe several important statements and statistical procedures are incorrect, with others potentially misleading. The aim of this report is to highlight the major concerns which we have identified. In particular, we believe the following items require further comment: (1) The use of coefficient of variation and its potential for misuse requires clarification, (2) pooled variance and measurement uncertainty across changes in measuring conditions has been oversimplified and is potentially misleading, (3) uncertainty in the results of estimated glomerular filtration rate (eGFR) do not include all known uncertainties, (4) the international normalized ratio (INR) calculation is incorrect, (5) the treatment of bias uncertainty is considered problematic, (6) the rules for evaluating combined uncertainty in functional relationships are incomplete, and (7) specific concerns with some individual statements.

scholarly journals Determination of Force Coefficients for a Submerged Rigid Breakwater under the Action of Solitary Waves

Water ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 315
Author(s):  
Francesco Aristodemo ◽  
Giuseppe Tripepi ◽  
Luana Gurnari ◽  
Pasquale Filianoti
Keyword(s):  
Solitary Waves ◽  
Pressure Sensors ◽  
Wave Forces ◽  
Wave Loads ◽  
Force Coefficients ◽  
Wave Flume ◽  
Physical Tests ◽  
The Difference ◽  
The University ◽  
Semi Empirical

We present an analysis related to the evaluation of Morison and transverse force coefficients in the case of a submerged square barrier subject to the action of solitary waves. To this purpose, two-dimensional experimental research was undertaken in the wave flume of the University of Calabria, in which a rigid square barrier was provided by a discrete battery of pressure sensors to determine the horizontal and vertical hydrodynamic forces. A total set of 18 laboratory tests was carried out by varying the motion law of a piston-type paddle. Owing to the low Keulegan–Carpenter numbers of the tests, the force regime of the physical tests was defined by the dominance of the inertia loads in the horizontal direction and of the lift loads in the vertical one. Through the use of the time series of wave forces and the undisturbed kinematics, drag, horizontal inertia, lift, and vertical inertia coefficients in the Morison and transverse semi-empirical schemes were calculated using time-domain approaches, adopting the WLS1 method for the minimization of the difference between the maximum forces and the linked phase shifts by comparing laboratory and calculated wave loads. Practical equations to calculate these coefficients as a function of the wave non-linearity were introduced. The obtained results highlighted the prevalence of the horizontal forces in comparison with the vertical ones which, however, prove to be fundamental for stability purposes of the barrier. An overall good agreement between the experimental forces and those calculated by the calibrated semi-empirical schemes was found, particularly for the positive horizontal and vertical loads. The analysis of the hydrodynamic coefficients showed a decreasing trend for the drag, horizontal inertia, and lift coefficients as a function of the wave non-linearity, while the vertical inertia coefficient underlined an initial increasing trend and a successive slight decreasing trend.

Drug Alert Experience and Salience during Medical Residency at Two Healthcare Institutions

2021 ◽  
Vol 12 (02) ◽  
pp. 355-361
Author(s):  
Kinjal Gadhiya ◽  
Edgar Zamora ◽  
Salim M. Saiyed ◽  
David Friedlander ◽  
David C. Kaelber
Keyword(s):  
Internal Medicine ◽  
Residency Training ◽  
Medical Center ◽  
Internal Medicine Resident ◽  
Clinical Decision ◽  
University Of Pennsylvania ◽  
Teaching Hospitals ◽  
Medicine Resident ◽  
Internal Medicine Residents ◽  
The University

Abstract Background Drug alerts are clinical decision support tools intended to prevent medication misadministration. In teaching hospitals, residents encounter the majority of the drug alerts while learning under variable workloads and responsibilities that may have an impact on drug-alert response rates. Objectives This study was aimed to explore drug-alert experience and salience among postgraduate year 1 (PGY-1), postgraduate year 2 (PGY-2), and postgraduate year 3 (PGY-3) internal medicine resident physicians at two different institutions. Methods Drug-alert information was queried from the electronic health record (EHR) for 47 internal medicine residents at the University of Pennsylvania Medical Center (UPMC) Pinnacle in Pennsylvania, and 79 internal medicine residents at the MetroHealth System (MHS) in Ohio from December 2018 through February 2019. Salience was defined as the percentage of drug alerts resulting in removal or modification of the triggering order. Comparisons were made across institutions, residency training year, and alert burden. Results A total of 126 residents were exposed to 52,624 alerts over a 3-month period. UPMC Pinnacle had 15,574 alerts with 47 residents and MHS had 37,050 alerts with 79 residents. At MHS, salience was 8.6% which was lower than UPMC Pinnacle with 15%. The relatively lower salience (42% lower) at MHS corresponded to a greater number of alerts-per-resident (41% higher) compared with UPMC Pinnacle. Overall, salience was 11.6% for PGY-1, 10.5% for PGY-2, and 8.9% for PGY-3 residents. Conclusion Our results are suggestive of long-term drug-alert desensitization during progressive residency training. A higher number of alerts-per-resident correlating with a lower salience suggests alert fatigue; however, other factors should also be considered including differences in workload and culture.

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