The effect of question generation activity on students’ learning and perception

Introduction: Student-generated questions can be a very helpful tool in medical education. The use of this activity can allow the students to feel more involved in the subjects covered and may improve their knowledge and learning. The aim of this study was to identify the effect of question-writing activity as a stimulus factor on learning in midwifery students and determine their perception about this activity. Methods: This quasi-experimental study with two groups of pre- and post-tests was conducted on two groups of midwifery students who had taken the immunology course. Two classes of midwifery students (N=62) participated and were randomly assigned to two different groups. One class was selected as the experimental group (n=32) and the other class was considered as the control group (n=30). The experimental group’s students were asked to write questions covering different topics of the syllabus components taught during 15 weeks from February 2016 to May 2016. They were asked to write, answer and explain their multiple-choice questions (MCQs). The students’ performance in immunology course was compared between the two groups at the end of the semester. After their final exam, we asked them to fill in a questionnaire on their views about this activity. The data were analyzed by independent t- test using SPSS software, version 18. Results: The differences between pre- and post-test mean scores of the experimental and control groups were 24.53±5.74 and 20.63±5.58, respectively. The results of independent t-test showed that these differences in the two groups were significant (p=0.009). Nevertheless, most of the students stated that question writing activity as a learning tool is an unfamiliar exercise and unpopular learning strategy. Conclusion: Results showed that question writing by students has been found to promote learning when it is implemented as a part of the teaching curriculum in immunology course; therefore, this activity could be effective in improving the students’ learning

Inheritance patterns, consanguinity & risk for asthma

Background & Objectives: Family history is an important risk factor for the development of asthma, contingent upon genetic and environment interaction. Since there is paucity of data on asthma inheritance in Indian population, the present study was undertaken to investigate the inheritance patterns of asthma and the effect of family history and consanguineous marriage on asthma inheritance. Methods: A total of 200 families, 100 index children and 100 index adults with clinically diagnosed asthma, along with 400 non-asthmatic children and adults as controls were selected for the present study. Information about the family history of each patients and controls was collected and analyzed pedigrees were also constructed. Results: A history of asthma in any member of the family was observed in 44.5 per cent of cases and 5.3 per cent of controls (P<0.001). A differential risk of developing asthma was noted in family history of asthma in different first and second degree relatives of children and adult patients. Consanguineous marriage was also noted in parents in 24.5 per cent of cases and 12.3 per cent of controls (P<0.001). The most common mode of asthma inheritance was recessive. Interpretation & Conclusions: Our results showed that consanguineous marriage and family history of asthma are important determinants in the development of asthma in the offspring

Study of the immunogenicity of outer membrane protein A (ompA) gene from Acinetobacter baumannii as DNA vaccine candidate in vivo

Objective(s): Acinetobacter baumannii is one the most dangerous opportunistic pathogens in hospitalized infections. This bacterium is resistant to 90% of commercial antibiotics. Therefore, developing new strategies to cure A. baumannii-infections is urgent. The DNA vaccines new approach in which the immunogen can be directly expressed inside the target cells through cloning of immunogen into an expression vector. The outer membrane protein A(OmpA) is one the critical factors in pathogenicity of A. baumannii which has been repeatedly described as a powerful immunogen to trigger the immune responses. As the pure form of the OmpA is insoluble, vaccine delivery is very hard. Materials and Methods: We previously cloned the ompA gene from A. baumannii into the eukaryotic expression vector pBudCE4.1 and observed that the OmpA protein has been considerably expressed in eukaryotic cell model. In current study, the immunogenic potential of pBudCE4.1-ompA has been evaluated in mice model of experimental. The serum levels of IgM, IgG, IL-2, IL-4, IL-12 and INF-γ were measured by enzyme-linked immunosorbent assay (ELISA) after immunization with ompA-vaccine. The protective efficiency of the designed-DNA vaccine was evaluated following intranasal administration of mice with toxic dose of A. baumannii.Results: Obtained data showed the elevated levels of IgM, IgG, IL-2, IL-4, IL-12 and INF-γ in serum following the vaccine administration and mice who immunized with recombinant vector were survived more than control group.Conclusion: These findings indicate ompA-DNA vaccine is potent to trigger humoral and cellular immunity responses although further experiments are needed

Medical genetics teaching in Iranian medical schools, especially Ahvaz, south of Iran

Introduction: Physicians have to visit, diagnose and refer patients with genetic disorders, so they need to be familiar with the basics and indications of genetic tests. In other words, they should have effective theoretical and practical knowledge about medical genetics before they do their job. Medical genetics courses at Medical Universities of Iran are generally presented as a theoretical subject in the first period of medical education. Methods: In this descriptive research, the results of interviews with teachers of medical genetics in 30 medical schools in Islamic Republic of Iran and responses to a questionnaire by 125 medical students of Ahvaz Jundishapur University of medical sciences, about presentation time, curricula and also efficacy of medical genetics courses were analyzed. The interviews with teachers were done on phone and the students’ comments were collected by a researcher-made questionnaire. The data were analyzed, using SPSS software, version 14. Results: In two thirds of medical universities, medical genetics is taught in the third or fourth semester and in 5 universities in the fifth semester. 86% of the students believed that the quality of genetics courses is moderate and such courses are same as clinical manifestation of genetic disorders are benefitial to medical students. Conclusion: This article suggests that medical genetics be offered in the second or third period of medical education (physiopathology or stagger period). Furthermore, in teaching such courses advanced educational methods (animation presentation, case-based learning, problem-based learning, etc.) should be used, together with simple genetic tests in laboratories, the visit of genetic patients in hospitals, and the genetics consult

The recurrence risk of genetic complex diseases

Complex inherited diseases affected by an interaction between collective effects of the genotype at one or multiple loci either to increase or to lower susceptibility to disease, combined with a variety of environmental exposures that may trigger, accelerate, exacerbate, or protect against the disease process. The new aspects of genetic techniques have been opened for diagnosis and analysis of inherited disorders. While appropriate Mendelian laws is applied to estimate the recurrence risk of single gene diseases, using empirical recurrence risks are the most important and available method to evaluate pedigree of complex (multifactorial), chromosomal, and unknown etiology disorders. Although, generally, empirical recurrent risks are not accurate, either because of the difference of gene frequencies and environmental factors among populations or heterogeneity of disease; using results of plenty family population studies, computerized estimating programs, genotyping technologies, and Genome-wide association studies (GWASs) of single nucleotide polymorphisms (SNPs), can make it possible nowadays to estimate these risks. The specific family situation and importance recurrence risks of some common complex genetic diseases will be presented in this review and some important multifactorial disorders' recurrence risks will be summarized to help genetic counselors for supporting families and representing better view of genetic disorders

An understanding of the genetic basis of asthma

Asthma is the most common chronic childhood disease in developed nations and its prevalence has increased in the world over the last 25 years. It is a complex disease with both genetic and environmental risk factors. Asthma is caused by multiple interacting genes, some having a protective effect and others contributing to the disease pathogenesis, with each gene having its own tendency to be influenced by the environment. This article reviews the current state of the genetics of asthma in six categories, viz. epidemiology, management, aetiology, family and twin studies, segregation and linkage studies, and candidate genes and single nucleotide polymorphisms (SNPs)

Factors affecting medical major selection and the extent of changes in students’ motivation during their study in Ahvaz Jundishapur University of Medical Sciences

Introduction: Assessment and identification of factors and motivations affecting medical major selection could be effective in training committed physicians and improving society’s general health. The aim of this study was to assess the factors and motivations which affect medical students’ major selection. Methods: In this descriptive cross-sectional study, opinions of 351 medical students of Ahvaz Jundishapur University of Medical Sciences who were selected by means of census method in 2014-15 were analyzed. Data were collected by a 22-item questionnaire whose validity was verified by experts. Its reliability was confirmed by Cronbach’s alpha at 0.84. Descriptive statistical tests, independent t-test and ANOVA were used to analyze the data. Results: 185 students (57.5%) were female and 191 (61%) were natives of Khuzestan Province and their average age was 22.33±3.7 (18-32 years old). According to the mean scores, individual motivations and serving the society (3.07±0.69), employment, high income and social status (3.01±0.68) and interest in the medical field (2.87±0.98) were the most important factors affecting medical major selection. The role of family and friends in female students’ major selection was significantly more important than male students (p=0.03, F=1.255). Comparison of the views of students divided by their year of entrance to the university showed that the mean score of students’ views in most of the aspects decreases significantly (p=0.001, F=34.97). Conclusion: Medical students believe that serving the society, high income and social status are important factors in medical major selection. With higher educational stage, students’ motivation and interest in studying medical fields would decrease. Decreased motivation of medical students during their study should be taken as a warning for the authorities of health care sector

Single nucleotide polymorphism and asthma: from conformational variations to structural alternations

Background: Asthma is the main reason of disability, health resource exploitation and low quality of life for those who are affected. It is estimated that nearly 300 million people in the world are suffering from asthma. Studies have identified 18 genomic regions and more than 100 genes associated with asthma. Among these candidate genes, IL-17F plays a very interesting role in asthma. This study was conducted to predict the conformational and functional impact of asthma-associated IL-17F polymorphisms on protein product of the corresponding gene using Phyre2, PolyPhen2 and SIFT softwares. Methods: In the present study, 10 significant missense SNPs (rs763780, rs144576902, rs11465553, rs368500268, rs141798304, rs2397084, rs146083682, rs200163061, rs376671742, and rs373228601) were taken from Ensembl Genome Browser database. Polymorphism-induced protein structural changes were predicted using Protein Homology analogY Recognition Engine V2.0 (PHYRE2) program. The possible impact of an amino acid substitution on the function of protein was analyzed using PolyPhen-2 (Polymorphism Phenotyping Version2) and SIFT (Sorting Intolerant From Tolerant) tools. Results: The analysis revealed mutant proteins having structural changes in the number of atoms, H-bonds, turns and helices. While wild copy has 82 H-bonds, 5 helices and 20 turns, the mutant types show considerable changes. At functional level also, substantial changes were observed between the wild protein and the mutant one. Conclusion: A single nucleotide polymorphism in the gene sequence can lead to the substantial structural and functional variations in the protein product of the gene, a process that may account for etiology of a number of complex diseases including asthma

Single nucleotide polymorphism and Asthma: from conformational variations to structural alternations

Background: Asthma is the main reason of disability, health resource exploitation and low quality of life for those who are affected. It is estimated that nearly 300 million people in the world are suffering from asthma. Studies have identified 18 genomic regions and more than 100 genes associated with asthma. Among these candidate genes, IL-17F plays a very interesting role in asthma. This study was conducted to predict the conformational and functional impact of asthma-associated IL-17F polymorphisms on protein product of the corresponding gene using Phyre2, PolyPhen2 and SIFT softwares. Methods: In the present study, 10 significant missense SNPs (rs763780, rs144576902, rs11465553, rs368500268, rs141798304, rs2397084, rs146083682, rs200163061, rs376671742, and rs373228601) were taken from Ensembl Genome Browser database. Polymorphism-induced protein structural changes were predicted using Protein Homology analogY Recognition Engine V2.0 (PHYRE2) program. The possible impact of an amino acid substitution on the function of protein was analyzed using PolyPhen-2 (Polymorphism Phenotyping Version2) and SIFT (Sorting Intolerant From Tolerant) tools. Results: The analysis revealed mutant proteins having structural changes in the number of atoms, H-bonds, turns and helices. While wild copy has 82 H-bonds, 5 helices and 20 turns, the mutant types show considerable changes. At functional level also, substantial changes were observed between the wild protein and the mutant one. Conclusion: A single nucleotide polymorphism in the gene sequence can lead to the substantial structural and functional variations in the protein product of the gene, a process that may account for etiology of a number of complex diseases including asthma

Lack of association between asthma and ABO blood group

ABO is the most important blood group system in transfusion and transplantation practices. Glycosyltransferases are controlled by the ABO system which is helpful in building oligosaccharide structures on the cell surface of erythrocytes and vascular endothelium and in the exocrine secretion system, including the respiratory tract. We analyzed the ABO blood group of 200 children and adults with asthma as well as that of 2000 healthy subjects as controls. The most common blood group among the patients and controls was ``O'' (43.5% and 43.6%, respectively), followed by B, A, and AB. In the distribution of different blood groups, nonsignificant difference between patients and controls was observed (p = 0.931). We conclude that ABO blood group status has a nonsignificant association with asthma among the population of Mysore, Karnataka, South India