CONCEPT MAPPING VERSUS TRADITIONAL TEACHING METHOD ON HEALTH SCIENCES’ STUDENTS’ SCORE

In the recent years, health care systems have been dynamically changing which demanded modifications in health care education. Current educational models are becoming more and more obsolete in enhancing the professional level of both teachers and students. Concepts maps are effective tools in processing large amounts of information, comprehending new concepts, as well as in generating information and amplifying creativity levels. The aim of this study is to compare the concept mapping versus traditional teaching method on Health Sciences’ students’ score. A Quasi-experimental design was implemented in the study. The study revealed that there was a significant difference between learning by traditional method and by concept mapping that can be a predictor of better academic achievement. Concept maps prove to be an efficient teaching-learning method in health sciences education

EFFECT OF SEGMENTAL VIBRATION ON HAND AND PINCH GRIP STRENGTHS IN HEALTHY SUBJECTS

Handgrip and pinch strengths are important markers in many sports as well as in determining health status. Many interventions have been proposed for increasing hand muscle strength. The aim of this study was to investigate the effect of segmental hand vibration on hand and pinch grip strengths. Ninety-two healthy university students were randomly assigned into two equal groups. By the end of the study, Group (A) and (B) consisted of 40 and 37 participants, respectively. The measurements consisted of the hand grip and pinch grip strengths using electronic dynamometer, measured in Kg, before, after three weeks, and after six weeks of training. Group (A) underwent isometric exercise training using hand gripper as follows: 4 seconds maximum grip, release for 2 seconds, repeated for 1 minute for three sets and with 3 minutes rest in between. Group (B) had the same exercise implemented in group (A) with the addition of five minutes of segmental vibration on both upper limb with 30Hz and amplitude of 2mm. The training was done two times per week for six weeks. Results revealed that both groups did demonstrate significant increase in hand and grip strengths after six weeks (p.05). It can be concluded that, segmental upper limb vibration does not have additional effect over isometric muscle training alone on hand grip and pinch grip strengths

ACUTE EFFECTS OF NINTENDO WII FIT ON BALANCE IN YOUNGADULTS: A RANDOMIZED TRIAL

To investigate the effects of Nintendo Wii Fit balance board on young adults’ balance. This experimental randomized trial included 98 participants. The participants were randomly divided into two groups, the control (54) and experimental group (44). The control group received no intervention, and was used to give reliable data to be compared with the data from the experimental group. The experimental group on the other hand played the “Table Tilt” game on the Nintendo Wii balance board. The two tests used to observe the effect of the balance board on balance were unipedal and bipedal stance tests by using Biodex stability system (BBS). These tests were performed before and after the program to study the difference. In both groups, there was a significant reduction (p \u3c 0.05) in Double Leg Stance Stability (DLSS), Dominant Single Leg Stance Stability (DSLS), and Non- Dominant Single Leg Stance Stability (NDSLS) in the post treatment condition compared with the pretreatment. Moreover, there was a significant improvement (p \u3c 0.05) in balance in favor of the study group for the Double Leg Stance Stability. However, there wasn’t a significant difference (p \u3c 0.05) between the two groups in the Dominant Single Leg Stance Stability (DSLS), and the Non-Dominant Single Leg Stance Stability(NDSLS

Pharmacokinetic/Pharmacodynamic (PK/PD) Modeling of Anti-Neoplastic Agents

Development of tumor resistance to chemotherapeutics is related to inherent tumor variations regarding sensitivity to chemotherapeutics and to sub-optimal dosing regimens, including variation in patient pharmacokinetics that result in suboptimal exposure of tumor cells to anti-neoplastic drugs [1, 2]. The rate and extent of drug efficacy depends on the extent of drug exposure at the tumor site and the time above the effective concentration [3]. In vitro models that incorporate these pharmacokinetic and pharmacodynamic (PK/PD) principles to optimize therapeutic response may be considered the method of choice for optimizing dosing schedules before translating data from static assays to animals and clinical trials [4, 5]. The hollow fiber bioreactor was recently used to evaluate pharmacokinetic/pharmacodynamic (PK/PD) effects of gemcitibine in lung and breast cancers and to model HIV treatments [4-6].https://digitalcommons.chapman.edu/pharmacy_books/1008/thumbnail.jp

Solid Pseudopapillary Tumor of the Pancreas: A Case Report

Introduction: Solid pseudopapillary tumor (SPT) of the pancreas is rare, accounting for 0.13-2.7% of all pancreatic tumors. It has specific clinical, pathological and radiological characters that make it quite different from other pancreatic tumors.Presentation of case:  A 15-year-old girl with SPT of the pancreas diagnosed after surgical resection with histopathology and immunohistochemistry confirmation. As no clear role for adjuvant treatment, she was elected for follow up.Conclusion: Although SPT is a rare tumor without notable symptoms. Complete surgical excision is the treatment of choice. The place of chemotherapy or radiotherapy needed to be elucidated

Seeing revolution non-linearly: www.filmingrevolution.org

Filming Revolution, launched in 2015, is an online interactive data base documentary tracing the strands and strains of independent (mostly) documentary filmmaking in Egypt since the revolution. Consisting of edited interviews with 30 filmmakers, archivists, activists, and artists based in Egypt, the website is organised by the themes that emerged from the material, allowing the viewer to engage in an unlimited set of “curated dialogues” about issues related to filmmaking in Egypt since 2011. With its constellatory interactive design, Filming Revolution creates as much as documents a community of makers, as it attempts to grapple with approaches to filmmaking in the wake of such momentous historical events. The non-hierarchical polysemous structure of the project is meant to echo the rhizomatic, open-ended aspect of the revolution and its aftermath, in yet another affirmation and instantiation of contemporary civil revolution as a non-linear, ever-unfolding, on-going, event

EVALUATION OF THE RISK OF DEVELOPING WORKRELATEDMUSCULOSKELETAL DISORDERS IN PRECLINICALAND CLINICAL DENTAL STUDENTS

The purpose of this study was to evaluate the risk of developing musculoskeletal disorders in preclinical and clinical dental students in Beirut Arab University (BAU) clinics.190 students were recruited from the Faculty of Dentistry at BAU: 95 preclinical and 95clinical dentistry students, and asked to fill the Ergonomic Awareness Questionnaire (EAQ). Then the students were blindly assessed by a physical therapist using Rapid Entire Body Assessment Scale (REBA) scale.Results indicated that 90% of the preclinical and clinical students are at medium to high risk of developing musculoskeletal problems. In addition, 78% of preclinical students showed awareness regarding ergonomics compared to 83% of clinical students. However, only 44% of preclinical students and 62% of clinical students follow good ergonomic practices in their work. On the other hand, 58% of preclinical students and 81% of clinical students suffer from musculoskeletal disorders, but only 23% and 33% of preclinical and clinical students, respectively, are seeking medical consultation. Even though dental curricula integrates the work-related ergonomic challenges in several courses, measures seems to be unsatisfactory to lower the risk of musculoskeletal disorders. Adoption of more interactive and effective means to foster proper ergonomics is recommended. Incorporating good ergonomics should start in dental practice in order to avoid illnesses and injuries and to increase efficiency and productivity

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Mapping child growth failure across low- and middle-income countries

Child growth failure (CGF), manifested as stunting, wasting, and underweight, is associated with high 5 mortality and increased risks of cognitive, physical, and metabolic impairments. Children in low- and middle-income countries (LMICs) face the highest levels of CGF globally. Here we illustrate national and subnational variation of under-5 CGF indicators across LMICs, providing 2000–2017 annual estimates mapped at a high spatial resolution and aggregated to policy-relevant administrative units and national levels. Despite remarkable declines over the study period, many LMICs remain far from the World Health 10 Organization’s ambitious Global Nutrition Targets to reduce stunting by 40% and wasting to less than 5% by 2025. Large disparities in prevalence and rates of progress exist across regions, countries, and within countries; our maps identify areas where high prevalence persists even within nations otherwise succeeding in reducing overall CGF prevalence. By highlighting where subnational disparities exist and the highest-need populations reside, these geospatial estimates can support policy-makers in planning locally 15 tailored interventions and efficient directing of resources to accelerate progress in reducing CGF and its health implications

Burden of injury along the development spectrum : associations between the Socio-demographic Index and disability-adjusted life year estimates from the Global Burden of Disease Study 2017

Background The epidemiological transition of non-communicable diseases replacing infectious diseases as the main contributors to disease burden has been well documented in global health literature. Less focus, however, has been given to the relationship between sociodemographic changes and injury. The aim of this study was to examine the association between disability-adjusted life years (DALYs) from injury for 195 countries and territories at different levels along the development spectrum between 1990 and 2017 based on the Global Burden of Disease (GBD) 2017 estimates. Methods Injury mortality was estimated using the GBD mortality database, corrections for garbage coding and CODEm-the cause of death ensemble modelling tool. Morbidity estimation was based on surveys and inpatient and outpatient data sets for 30 cause-of-injury with 47 nature-of-injury categories each. The Socio-demographic Index (SDI) is a composite indicator that includes lagged income per capita, average educational attainment over age 15 years and total fertility rate. Results For many causes of injury, age-standardised DALY rates declined with increasing SDI, although road injury, interpersonal violence and self-harm did not follow this pattern. Particularly for self-harm opposing patterns were observed in regions with similar SDI levels. For road injuries, this effect was less pronounced. Conclusions The overall global pattern is that of declining injury burden with increasing SDI. However, not all injuries follow this pattern, which suggests multiple underlying mechanisms influencing injury DALYs. There is a need for a detailed understanding of these patterns to help to inform national and global efforts to address injury-related health outcomes across the development spectrum.Peer reviewe