The Hospitalist Huddle: a 1-year experience of teaching Hospital Medicine utilizing the concept of peer teaching in medical education

Mohammed Elhassan Department of Internal Medicine, Division of Hospital Medicine, UCSF/Fresno Center for Medical Education and Research, Fresno, CA, USA Background: The relatively new specialty of Hospital Medicine in the USA is one of the fastest growing fields in internal medicine. Academic hospitalists are largely involved in the medical education of postgraduate residents and medical students. Little is known about the effectiveness of peer-to-peer teaching in internal medicine residency training programs and how the medical residents perceive its educational value in learning Hospital Medicine.Materials and methods: The Hospitalist Huddle is a weekly educational activity newly established by our Hospitalist Division to facilitate the concept of peer-to-peer teaching. It requires medical residents to teach and educate their peers about the clinical topics related to Hospital Medicine. Faculty hospitalists serve as facilitators during the teaching sessions. A survey ­disseminated at the end of the first year of its implementation examined the residents’ perception of the educational value of this new teaching activity.Results: Most residents reported that they see the Huddle as a useful educational forum which may improve their skills in teaching, create a better educational and learning environment during their inpatient rotation, and improve their understanding of Hospital Medicine. Most residents also prefer that their peers, rather than faculty hospitalists, run the activity and do the teaching.Conclusion: The survey results support the notion that teaching and learning with flat hierarchies can be an appealing educational method to medical residents to help them understand Hospital Medicine during their medical wards rotation. Some areas need to be improved and others need to be continued and emphasized in order to make this novel educational activity grow and flourish in terms of its educational value and residents’ satisfaction. Keywords: graduate medical education, peer-to-peer teaching, teaching Hospital Medicine, medical residents’ educatio

Effect of Conjunctive Use of Water for Paddy Field Irrigation on Groundwater Budget in an Alluvial Fan

Rosana G. Moreira, Editor-in-Chief; Texas A&M UniversityThis is a Technical Paper from International Commission of Agricultural Engineering (CIGR, Commission Internationale du Genie Rural) E-Journal Volume 5 (2003): A. Elhassan, A. Goto, and M. Mizutani. Effect of Conjunctive Use of Water for Paddy Field Irrigation on Groundwater Budget in an Alluvial Fan. Vol. V. December 2003

Response of aerobic rice (Oryza sativa L.) to seed rate and inter-row spacing, Gezira State, Sudan

    Field experiments were conducted for two consecutive seasons (2013/14 and 2014/15) at the Gezira Research Station Farm, Wad Medani, Sudan under irrigation condition. A randomized complete block design with four replicates was used. Treatments were arranged in a factorial combination of four inter-row spacing (15, 20, 25 and 30 cm) and five seed rates (59, 71, 83, 95 and 107 kg/ha). Data collected consisted of growth attributes, grain yield and yield components. Data collected were subjected to standard analysis of variance procedure. The results showed that seed rate, inter-row spacing and their interaction exhibited highly significant differences in grain yield and yield components. The highest grain yield was obtained by the seed rate of 95 kg/ha and 15 cm inter-row spacing in both seasons and the combined analysis. To obtain high grain yield of aerobic rice under Gezira conditions, 95 kg/ha seed rate and inter-row spacing of 15 cm is recommended to be used

Water Harvesting of the area North of Khartoum Bahri

The purpose of this study is to solve the problem of rain water of the area north of the Khartoum Bahri and protect the Villages from the floods, and conduct a comprehensive hydrological study of the water basins passing through that area. The methods used in this study were to collect data from different sources such as Digital Elevation Maps, Urban development maps, Rainfall data. In addition to hydrological, hydro geological studies and survey works. These data were analyzed using hydraulics equations and probability distribution functionsf(x). From the results the basins catchment drainage has been identified and planned based on hydrology, geological and topography of the area and it was found that the basins that produce the torrents, mostly located north east of the catchment, the area of these catchment is 11.5 km 2. The maximum out flow for catchment is about 138 m3/s in the central of catchment area, and is considered the best selected area for the construction of water harvesting technique. Normal distribution has been found to be the best fitted distribution for the representation of the annual rainfall in study area. Conclusion and recommendation drawn from this study is to Construct embankment or dike to prevent the water passing in the north-east direction of the study are

RAK CERVIKSA U TRUDNOĆI: PRIKAZ BOLESNICE

The case of 29 years old pregnant III-para at 38 weeks of gestational age is presented. The patient was admitted complaining of vague abdominal pain. By speculum examination the large cervix with reddish ulcerative cervical canal was established and punch biopsy performed. The pathohistological diagnosis was well differentiated squamous cell carcinoma. No local metastases or lymph node or other signs of cancer spreading were present (stage 1a). The CS was done, born vital newborn of 2 kg weight, proceeded to total abdominal hysterectomy with bilateral salpingoophorectomy. The pathohistological finding was: Stromal invasion of 3 mm in depth and 6 mm in lateral spread (FIGO stage 1a1). Postoperative period was uneventfull, the patient was reffered to Institute of Nuclear Medicine for further management, where she received only 2 cycles of radiation and chemotherapy and thereafter stopped the treatement. Two years later the patient presented very ill and passed because of uremia.Prikazana je bolesnica dobi 29 godina, III-para, s oko 38 tjedana trudnoće. Primljena je zbog nejasnih boli u donjem trbuhu. Pregledom u spekulima nađen je krupni cerviks s ulceracijom u cervikalnom kanalu. Pod anestezijom je učinjena biopsija cerviksa i dobivena patohistološka dijagnoza: dobro diferencirani karcinom pločastih stanica. Nije bilo lokalnih metastaza, širenja u limfne čvorove ili drugih znakova širenja raka (stupanj 1a). Učinjen je carski rez i nastav¬ljena totalna histerektomija s obostranom salpingooforektomijom. Patohistološki nalaz je bio: stomalna invazija 3 mm u dubinu i postranična zahvaćenost 6 mm (FIGO stupanj 1a1). Postoperativni je tijek bio uredan, bolesnica je upućena u Zavod za nuklearnu medicinu radi zračenja i kemoterapije. Primila je samo dva ciklusa terapije i tada napustila liječenje. Nakon dvije godine pacijentica se pojavila vrlo bolesna, umrla je od uremije

Use of Combined Economic Threshold Level to Control Insect Pests

The economic threshold level (ETL) is a key factor to be studied for insect pests control. It is difficult to monitor cotton insect pests separately, and it is not reasonable to base decision-making for spraying on an ETL of individual insects and ignore sub-levels of other cotton insect pests. So, we want to use a combined ETL in a way of insect units, to put all major insect pests to consideration as an insect pests‘ complex. This means delaying the first spray to give a chance for natural enemies to develop and then lower the number of sprays and consequently reduce the cost of production

Enhancement of Cotton Boll Retention by GA3 Treatment

Cotton quantity and quality improvement could be achieved by hybridization. Intraspecific and interspecific crossing is one of the ways to transfer desirable gene(s) combinations for crop improve-ment. One of the limitations that face the cotton crossing process is the high flowers and bolls shedding after pollination particularly in interspecific hybridization. During the course of an ongoing program to transfer resistance too bacterial blight from diploids to tetraploids cotton, we experienced excessive boll shedding after pollination. Therefore, the present study was conducted to investigate the effect of GA3 on flower and boll retention after pollination