Role Model Characteristics and Impact of Role Models on Medical Students’ Specialty Choices (difficult to catch the concept! can it be “Medical teacher’s role model characteristics and their impact on student’s carrier choice”?)

This was a descriptive type of cross-sectional study conducted to identify the Characteristics /qualities of role model/ medical teachers as perceived by medical students and to identify the influence of role models in selecting subjects for their future career. This descriptive type of cross-sectional study was conducted during July 2019 to June 2020. A semi-structured, self-administered questionnaire was used to collect data. A total of 868 medical students of phase III and phase IV were the respondents of the study. All available students who were willing to participate in the study were selected and medical colleges were selected purposively. Study revealed that out of 868 respondents 741 (85.4%) had identified role models during the course of their studies and 127 (14.6%) respondents could not identify any role models. It was observed that 91% students opted for clinical subjects while 9% opted for preclinical and para-clinical subjects. With regards to their subjects of choice for future career 21.0% of the students preferred Medicine, followed by Surgery (20.0%), Gynecology (9.2%) and Orthopedics (3.8%).Two hundred and thirty-two (26.7%) of the students did not choose any subject for their future career. Regarding the influence of role models in selecting subjects for future career it was revealed that 334 (61%) respondents felt that role models had influence. Maintaining integrity and neutrality by role models was given the highest importance and general appearance of role model was considered least important by the respondents. (Not clear! is it Role Model Characteristics?).The academic institutes should make an effort to develop the role modeling of faculty by highlighting positive attributes of role models. Teachers should be made aware of the influence of role models on their future colleagues Bangladesh Journal of Medical Education Vol.13(1) January 2022: 3-9

Two new species of nasal mites of the genus Rhinonyssus (Acari, Mesostigmata, Rhinonyssidae) from shearwaters

Nasal mites of the family Rhinonyssidae are parasites living in the respiratory system of birds. To date there were no record of these mites from representatives of the order Procellariiformes, a numerous grouping of exclusively marine birds that includes albatrosses, petrels, storm-petrels and shearwaters. The paper describes two new species of the genus Rhinonyssus from shearwaters (Procellariidae) found on various shores of Brazil: Rhinonyssus borealis sp. nov. from Calonectris borealis (Cory’s shearwater) and R. procellaricus sp. nov. from Puffinus puffinus (Manx shearwater) and Ardenna gravis (Great shearwater). Both described mites are characterized by a large elliptical body and a relatively large and strongly sclerotized with the well-developed caudal extension. Rhinonyssus borealis sp. nov. and R. procellaricus sp. nov. are similar in their general appearance to each other but differ in the size of idiosoma, shape of podosomal and sternal shields and leg chaetotaxy.

Satisfaction and attitudes of the student population about dental aesthetics

Introduction: Perceptions of the esthetic appearance of teeth vary in different individuals and can affect satisfaction with the dental appearance, attitudes, and the need for appropriate dental treatment. The research aims to examine the factors influencing the satisfaction with the appearance of the dentition and the attitude toward treatments which improve dental esthetics among students of the faculty of dentistry in comparison to the attitudes of students of non-dental faculties.Methods: The research included a total of 358 students of the Faculty of Dentistry and Faculty of Architecture in Sarajevo who voluntarily filled out a questionnaire created for this research. The questionnaire contained questions related to satisfaction with the appearance of teeth in general, tooth color, tooth position, questions related to the previous, and future desired esthetic restorations and treatments.Results: Female subjects expressed statistically significantly greater dissatisfaction with the appearance of the dentition and did or plan to do treatments that could improve dental esthetics compared to male subjects. Students of the Faculty of Dentistry at final years were significantly more satisfied with the general appearance of teeth and tooth color compared to freshmen students of the Faculty of Dentistry and students of the Faculty of Architecture.Conclusion: Satisfaction with dental appearance is a subjective experience that is influenced by various factors, level, and type of education is among them.

A New Species of Angaria Röding, 1798 (Gastropoda: Angariidae) from North-Western Sumbawa, Indonesia

This paper describes a new species of Angaria Röding, 1798 from north-western Sumbawa, Indonesia. In general appearance it resembles some forms of the species Angaria delphinus (Linnaeus, 1758) found in the same area and on neighbouring islands. The new species differs from it in sculptural features and interstitial markings, which it shares with two Vietnamese species, Angaria fratrummonsecourorum Günther, 2013 and Angaria guntheri Thach, 2018.

Influence of amaranth and melon seeds on the nutritional composition of an energy bar

Energy bars are considered a healthy food alternative due to the different properties attributed to them. The research aimed to evaluate the influence of amaranth and melon seeds on the nutritional composition of an energy bar intended for human consumption. A unifactorial design with three treatments T1 (45% amaranth, 15% melon seeds), T2 (30% amaranth, 30% melon seeds), T3 (15% amaranth, 45% melon seeds) was used to prepare the bars. energetic. Proximal analysis of protein, ash, fat, fiber, moisture, carbohydrates, and energy were performed on each of the formulations. A sensory evaluation of each of the treatments was carried out in which the attributes of smell, color, flavor, texture and general appearance were evaluated; A total of 20 untrained panelists were used for this. The results were analyzed with the statistical program InfoStat. The proximal analysis shows that the content of protein, ash and fiber was higher in the T2 treatment with a total of 11.03%, 12.59% and 13.43%, respectively. The fat, moisture and energy contents were higher in the T3 treatment with a total of 13.74%, 5.62% and 3820.85%. While the highest carbohydrate content was presented in treatment T1 with 67.14%. The evaluation of the organoleptic properties of taste, smell, color, texture and general appearance was better in the T3 treatment. The inclusion of the different levels of amaranth flour and melon seeds showed favorable results of the proximal and sensory characteristics (color, smell, flavor, texture and general appearance).

Young Maternal Death Caused by COVID-19

Maternal death refers to the death of a woman during pregnancy, during delivery, or within 42 days after the termination of pregnancy, and for any reason exaggerated by the pregnancy condition or pregnancy process regardless of the duration and location of the pregnancy. Starting on 11 March 2020 in Turkey, the COVID-19 pandemic resulted in a total of 5,638,178 confirmed cases and 51,048 deaths. Our case aged 24 years was a young mother having severe weight loss since the beginning of pregnancy because of malnutrition due to depression, smoking, and nausea. The weight loss of the patient, who was infected by COVID-19 in a short while after the last visit in family healthcare, became more severe, the general appearance became worse, and she gave preterm birth in the 30th gestational week. The cardiopulmonary arrest occurred during the delivery. Although necessary interventions were made, the patient was lost on the same day. Since it is a rare case, this case is presented together with a literature review. Keywords: COVID-19, pandemics, maternal mortality

Comparison of Penile Appearance and Outcomes Between Prefabricated Urethra and Pre-implanted Urethral Plate for Treatment of Children With Severe Hypospadias: A Retrospective Study

Objective: To compare the effect of prefabricated urethra and pre-implanted urethral plate in the treatment of severe hypospadias in children.Methods: We retrospectively analyzed the clinical data of 53 patients who diagnosed as severe hypospadias underwent staging urethroplasty from January 2015 to January 2018 in the Department of Pediatric Surgery, First People's Hospital, Zunyi City. The patients were divided into two groups: group A (n = 25) were treated with prefabricated urethra and group B (n = 28) were treated with pre-implanted urethral plate. After the second stage surgery, the ratios of complications such as urethral fistula, urethral stenosis, urethrocele, and recurrence chordee were compared. The penis was scored from meatus, glans, shaft skin, general appearance by the parents, blinded urologists according to The Pediatric Penile Perception Score, and the scores were compared too.Results: All patients were followed up after two stage operations for an average of 28 months. Glans dehiscence occurred in two patients (8%), urethral orifice stenosis occurred in one (4%) and urethral fistula occurred in three (12%) in group A. No urethral stenosis, urethrocele and recurrence chordee was observed. One patient presented urethral plate inactivation (3.6%), two patients presented urethral fistula (7.1%) and one patient presented urethral stenosis (3.6%) in group B. No urethrocele, glans dehiscence and recurrence chordee was observed. The total complication rate in group A was 24 and 14.3% in group B, respectively, and the difference was not statistically significant (P = 0.582). The differences between two groups scored by parents in glans (P = 0.030) was statistically significant. The differences between two groups scored by operators in meatus (P = 0.041), shaft skin (P = 0.000), glans (P = 0.001), and general appearance (P = 0.007) were statistically significant. The differences between two groups scored by counterparts in meatus (P = 0.006), shaft skin (P = 0.003), glans (P = 0.010), and general appearance (P = 0.014) were statistically significant.Conclusion: Both prefabricated urethra and pre-implanted urethral plate methods are suitable for correction of severe hypospadias as staging surgery in children. In general, pre-implanted urethral plate is more worthy of spread because it is much more applied in patients with small glans and achieve good appearance of penis.

Connections Between Perceived Social Support and the Body Image in the Group of Women With Diastasis Recti Abdominis

Background: The psychological features of the body image and the role of perceived social support for women with diastasis recti abdominis (DRAM) is significant for the treatment of this group of patients, but it is difficult to identify research on this topic. We aimed to search for similarities and differences between postpartum women with DRAM in terms of their psychological features of the body image and perceived social support from the partner, family and friends.Methods: Three hundred forty-five Polish women with DRAM were asked to fill the The Multidimensional Body-Self Relations Questionnaire (MBSRQ), The Multidimensional Scale of Perceived Social Support (MSPSS) and The Drawing Self-Assessment Sheet. Data analysis included the stepwise regression analysis and k-cluster analysis.Results: We identified several predictors in the group of women with DRAM. Social support of partner, family, and friends are the predictors of self-assessment of general body appearance. Social support of family is a predictor of self-assessment of the health of the body. Social support of friends is a predictor of self-esteem of weight and fear of gaining weight. Moreover, three clusters of women with DRAM were found. Type 1—women with DRAM with one child and low self-esteem of the general appearance of the body, low self-esteem of health condition of the body, high self-esteem of weight, and fear of weight gain, and low level of social support; Type 2—women with DRAM with three or more children and low self-esteem of the general appearance of the body, low self-esteem of health condition of the body, high self-esteem of weight and fear of weight gain, and high level of social support; and Type 3—women with DRAM with two children and high self-esteem for the general appearance of the body, high level of self-esteem for health of the body, low self-esteem of weight and fear of weight gain, and high levels of social support.Conclusions: Social support is a predictor of body image in women with DRAM, but there are other factors that influence body acceptance more in this group of women. Furthermore the three clusters featured in the study may help in treating women with DRAM.

Determinants of Sputum Ordering for Tuberculosis Diagnosis in People Living with HIV in the Greater Accra Region, Ghana

BackgroundTuberculosis (TB) remains a significant public health concern, and a leading cause of ill-health and death globally. More so, People living with HIV have been shown to carry an increased risk of developing TB with an estimated one-third of deaths in this population. The World Health Organization recommends systematic and routine screening of PLHIV for TB on every clinic visit and further testing using sputum for those with a positive TB screen test. Not all PLHIV with a positive TB screen test in Ghana are further tested for TB using sputum and the factors for this are not well understood. This study assessed factors associated with sputum ordering for TB diagnosis in PLHIV who were screened positive for TB in three hospitals providing HIV care and treatment services in the Greater Accra region of Ghana.MethodsMixed method study performed at three purposively selected hospitals providing HIV care and treatment services in the Greater Accra region. The study involved a cross sectional review of patients’ charts and in-depth interviews with health workers involved in the care and treatment of PLHIV. Quantitative data was analyzed using STATA version 15. Chi square test was used for bivariate analysis. Logistic regression was used for multivariate analysis. P≤ 0.05 was considered statistically significant. Inductive thematic analysis was used to determine emerging themes from the interviews. The major themes were represented with representative quotations.ResultsFour hundred (400) patient charts were reviewed of which 67.7% were female with median age of 39 (IQR 31-49). TB screening was recorded in 78% (95% CI 73.6, 82.0) of the patients of whom ninety-two (92) patients had a positive TB screen test. Only 53 (57.6%) who had a positive screen test had sputum ordered for further TB testing. In the multivariate analysis, patient general appearance described as abnormal (OR=3.05, p=0.036), having more than one TB symptom (OR=3.42, p=0.028) and presence of an alternative presumptive diagnosis (OR=0.34, p=0.023) were associated with having a sputum test ordered. High patient numbers, inability to produce sputum, unwillingness of the not so sick patients to provide sputum and the costs associated with chest X-ray were perceived as the challenges to further testing for TB.ConclusionTB screening in PLHIV is still lower than recommended and almost half of PLHIV with a positive TB screen test did not have a sputum test documented. Sputum testing was likely to be done in patients with an abnormal general appearance and more than one TB symptom and unlikely in those with an alternative presumptive diagnosis. High workload, costs of TB tests, lack of training for health workers and inability to produce sputum by patients were the barriers to sputum testing highlighted by the health workers.

Fisikokimia, Mikrobiologi dan Organoleptik Sosis Daging Sapi dengan Penambahan Tepung Biji Durian (Durio zibethinus Murr)

Durian seeds are waste products from durian fruit that have not been utilized properly. Durian seedflour contain high starch as well as tapioca flour, therefore, durian seed flour can be combined withtapioca flour as a filler for sausage dough, in order to reduce production costs of sausage products. Theaim of this study was to analyze the physicochemical, microbiological and organoleptic properties of beefsausage with the addition of 0%, 25% and 50% durian seed flour from a maximum 30% of the flour usedin making sausages. The results of physical characteristics showed that the addition of durian seed flourhad a significant effect (P <0.05) on the cohesiveness of sausages and had no significant effect (P>0.05) onother physical characteristics of sausages. The microbiological assay showed that durian seed flour didnot affect the total plate count (TPC) of beef sausages. However, the total plate count of the sausages withthe addition of 25% durian seed flour still met the SNI (Indonesian National Standard) for sausages,instead of sausages with 50% durian seed flour addition. The results of chemical analysis showed that theaddition of durian seed flour had no affect on moisture content, ash content, fat content, protein content,and carbohydrate content of the sausages. The hedonic test values on the parameters of aroma, color,texture and general appearance also showed no significant effect (P> 0.05), except for taste parameters.The hedonic quality test value also showed that the addition of durian seed flour had no different effect(P> 0.05) on the parameters of aroma, color, texture, and general appearance, but had different effect (P<0.05) on the sausage taste. The addition of durian seed flour produced a distinctive taste which coverthe flavor of sausage.