Applying a humanistic pedagogy to advance and integrate humane values in a medical school environment

Sometimes universities in general are criticised because of impersonal campus environments, or “academic incivility”. However, research shows that this phenomenon is more common in medical schools, pointing to increased levels of stress and incidences of attempted suicide among medical students. The decay in humanitarian attitudes and decline in humane values contribute to stress, although some academics believe that this type of environment is normal for medical students. To confront this criticism, academics should not only focus on cognitive aspects, but also adopt a humanistic pedagogy by integrating humane values in curricular and co-curricular activities of the academic environment. The aim of this paper is to illustrate how a humanistic pedagogy is applied in a Medical School in South Africa, by sharing narratives collected from medical teachers who advance and integrate humane values such as, care, empathy and love in their teaching practice

Creating demand for safe human excreta disposal in a nomadic community: a case study of Riba location, Wajir county

Wajir South Development Association (WASDA) as one of the WASH actors in Wajir county, with support from Amref Health Africa in Kenya, has been implementing the Kenya Sanitation and Hygiene Improvement Programme (K-SHIP) funded by Water Supply and Sanitation Collaborative Council (WSSCC) through the Global sanitation Fund (GSF). The programme targeted the rural set ups in Wajir East, where communities majorly practice pastoralism. Though this lifestyle is viewed as maintaining the livelihood of communities, it presents significant health challenges and environmental pressures, especially where it is combined with nomadism. This paper presents the methods adopted to influence behaviour change to make the communities open defecation free (ODF) and lessons learnt during implementation of the program. The programme implementing team adopted several innovative approaches within the actual CLTS approach to overcome these barriers. Customizing the timing of triggering where CLTS activities are mainly intensified during the rainy seasons with post-triggering follow ups done at dawn and dusk targeting household heads, involvement of religious leaders and school children and empowering women played a big role in achieving several ODF villages

Mixed Cryoglobulin-induced Esophageal Necrosis in a Patient With Hepatitis C

To the Editor: Mixed cryoglobulinemic vasculitis is a well-documented phenomenon, and is the most common extrahepatic manifestation in patients with hepatitis C virus (HCV)

Transfer Pricing, Bagaimana Pengaruh Perencanaan Pajak, Tunneling Incentive, Aset Tidak Berwujud, Persentase Komisaris Independen dan Debt Covenant?

The aim of this research is to examine tax planning variables, tunneling incentives, intangible assets, the portion of independent commission agents and debt arrangements that influence transfer prices. The research object is a manufacturing company listed on the Indonesian Stock Exchange. The sample was 50 companies, selected using purposive sampling techniques. Secondary data sources using multivariate linear regression analysis techniques. The research results show that tunneling incentives have a positive effect on transfer prices. Tax planning, intangible assets, percentage of independent commission agents and debt arrangements have no effect on transfer pricing

Palliative treatment for symptomatic malignant pericardial effusion†.

Consensus has yet to emerge regarding the optimal choice of therapy in the management of malignant pericardial effusion. We review the literature to evaluate the existing evidence on the clinical effectiveness of surgical and interventional cardiological approaches. A formal literature search for all studies addressing the treatment of pericardial effusion in cancer patients was undertaken using predefined keywords. Abstracts were screened and reviewed, and data extracted. Data on intervention type, number of patients treated, number of patients surviving the procedure, effusion recurrences, need for further interventions and procedure-related complications were obtained from each study and collated in a quantitative synthesis. Of 1181 articles identified, 59 contained sufficient quantitative information to be included in the synthesis. A total of 2322 patients with symptomatic pericardial effusion were identified, of which 1399 patients were reported to have underlying malignancy. Three surgical approaches were described in a total of 19 studies, with overall success rates ranging from 93.3 to 100% and associated complication rates ranging from 4.5 to 10.3%. The remaining 40 studies reported four non-surgical treatment modalities, with success rates of 55.1-90.4% and complication rates of 5.9-32%. Data from the literature suggest that surgical drainage of the pericardium is superior to non-surgical approaches for symptom relief, effusion recurrence and morbidity; however, the lack of randomized controlled trials means that selection bias remains an important limitation to the field and definitive adequately controlled trials should be a priority

Big Data Services Security and Security challenges in cloud environment

This paper explores security issues of storage in the cloud and the methodologies that can be used to improve the security level. This study is concluded with a discussion of current problems and the future direction of cloud computing. Big data analysis can also be classified into memory level analysis, business intelligence (BI) level analysis, and massive level analysis. This research paper is based on cloud computing security and data storage issues that organizations face when they upload their data to the cloud in order to share it with their customers. Most of these issues are acknowledged in this paper, and there is also discussion of the various perspectives on cloud computing issues

Multiplicative disadvantage of being an unmarried and inadequately insured woman living in poverty with colon cancer: historical cohort exploration in California

Background: Many Americans diagnosed with colon cancer do not receive indicated chemotherapy. Certain unmarried women may be particularly disadvantaged. A 3-way interaction of the multiplicative disadvantages of being an unmarried and inadequately insured woman living in poverty was explored. Methods: California registry data were analyzed for 2,319 women diagnosed with stage II to IV colon cancer between 1996 and 2000 and followed until 2014. Socioeconomic data from the 2000 census classified neighborhoods as high poverty (≥30% of households poor), middle (5–29%) or low poverty (\u3c5% poor). Primary health insurance was private, Medicare, Medicaid or none. Comparisons of chemotherapy rates used standardized rate ratios (RR). We respectively used logistic and Cox regression models to assess chemotherapy and survival. Results: A statistically significant 3-way marital status by health insurance by poverty interaction effect on chemotherapy receipt was observed. Chemotherapy rates did not differ between unmarried (39.0%) and married (39.7%) women who lived in lower poverty neighborhoods and were privately insured. But unmarried women (27.3%) were 26% less likely to receive chemotherapy than were married women (37.1%, RR = 0.74, 95% CI 0.58, 0.95) who lived in high poverty neighborhoods and were publicly insured or uninsured. When this interaction and the main effects of health insurance, poverty and chemotherapy were accounted for, survival did not differ by marital status. Conclusions: The multiplicative barrier to colon cancer care that results from being inadequately insured and living in poverty is worse for unmarried than married women. Poverty is more prevalent among unmarried women and they have fewer assets so they are probably less able to absorb the indirect and direct, but uncovered, costs of colon cancer care. There seem to be structural inequities related to the institutions of marriage, work and health care that particularly disadvantage unmarried women that policy makers ought to be cognizant of as future reforms of the American health care system are considered

2-(4-Bromo­phen­yl)-2-oxoethyl anthracene-9-carboxyl­ate

In the title compound, C23H15BrO3, the anthracene ring system is essentially planar [maximum deviation = 0.29 (2) Å] and makes a dihedral angle of 5.74 (8)° with the mean plane of the bromo-substituted benzene ring. An intra­molecular C—H⋯O hydrogen bond generates an S(9) ring motif. In the crystal, mol­ecules are linked by C—H⋯O inter­actions, forming a two-dimensional network parallel to the ac plane. π–π stacking inter­actions are observed between benzene rings [centroid–centroid distances = 3.5949 (14) and 3.5960 (13) Å]

2,5-Bis(4-pyridyl)-1,3,4-oxadiazole as Efficient Organic Corrosion Inhibitor for Carbon Steel in Normal Hydrochloric Acid Medium: Influence of the Temperature on the Inhibition Process

2,5-Bis(4-pyridyl)-1,3,4-oxadiazole (4-POX) has been synthesized and studied as organic corrosion inhibitor for carbon steel (CS) in 1M HCl solution using the weight loss technique in the temperature range from 303 to 333 K. The obtained results confirmed the excellent anticorrosion properties of 4-POX and the inhibition efficiency increased with increasing inhibitor concentration and decreased with increasing temperature medium. A mixture of physisorption and chemisorption is proposed for the corrosion inhibition mechanism and the process followed the kinetic/thermodynamic model of Langmuir in the temperature range from 303 to 343 K. The adsorption and kinetic parameters for CS/4-POX/1 M HCl system were calculated from experimental gravimetric data and the interpretation of the results are given