A Comparison Between Students’ Performance In Multiple Choice and Modified Essay Questions in the MBBS Pediatrics Examination at the College of Medicine, King Khalid University, KSA

Objectives: To investigate the relation between the students' scores in MCQs and MEQs of the summative assessment in pediatrics at the College of medicine KKU. Introduction: Student assessment is the most difficult task in medicine since it is ultimately related to human life and safety. Assessment can take different types of formats with advantages and disadvantages and there is no single prescribed method of choice. Research Methods: This is a quantitative, observational retrospective study enrolling 50 students who completed the final MBBS examination in pediatrics in 2015.The medical students’ scores in MCQs and MEQs in the final MBBS pediatrics examination were collected and SPSS used for analysis. Results: 52% of the students scored A and B, 46% scored C and 2% scored D and nobody scored F. The mean percentage scores in MCQs, MEQs and the combined are75.03%, 79.99% and 76.68% respectively. The standard deviation (SD) for MCQs, MEQs and combined are 0.0753, 0.0763 and 0.0559 respectively.There are no significant differences in means and SD. The correlation (CR) between MCQs and MEQs is -1.73%. The CR between MCQs and MEQs for those who scored A and B is 7.38% which could indicate a weak but significant +ve CR (p value 0.017), (table3). For those who scored C inverse CR (-74.38%) was observed between MCQs and MEQs. Discussion: The main finding of this study was the weakly negative CR between students' performance on MCQs and MEQs. Good performance in MCQs is not necessary correlated with good performance in LEQs. This is not in agreement with Oyebola et al. and Moqattash et al findings, who reported positive CR in the performance of their students. The discrepancy observed in performance between MCQs and MEQs could be explained by the subjectivity and the difficulty in avoiding bias in setting and marking essay questions.   Key Words: multiple choice questions, Modified long essay questions, correlation

Performance of a local signalized intersection for handling traffic operation in Baghdad City

The inspection of the flexibility and performance of a local signalized intersection in managing traffic operation in Baghdad city is the main target of this study. Andalus intersection is one of the important local intersections in Bagdad city which recorded remarkable traffic congestion problem now a days and have been chosen in this study as a part of continuous studies due to its vital location. Smart Traffic Analysis (STA) software is used to give an aspect to the inefficient performance of the Andalus signalized intersection having three approached links and four exit legs while SYNCHRO software is used to simulate the data analysis and offer different alternative solutions to solve the congestion problem. From the obtained data analysis it has been found that the best suggested alteration for handling the current traffic volume of each studied intersection approach is the signalized intersection with optimum cycle time combined with the addition of two lanes, where the mean delay for the entire intersection can be reduced by approximately 26% by applying alteration No.1 while the mean delay for the entire intersection can be reduce approximately by 31% by applying alteration No.2. Furthermore, the queue length for the entire intersection can be reducing by approximately 6% and 17% for alteration No.1 and No.2 respectively

Screening of some sorghum genotypes for resistance to sorghum midge, Stenodiplosis (= Contarinia) sorghicola Coqillet (diptera: Cecidomyiidae) under gedarif rainfed conditions

Preliminary experiments were conducted at Northern area, Gedarif State during seasons of 2002-03, 2006-07.Where as advanced trials during 2008/2009 to 2012/2013 at northern and Southern areas. The objective was to evaluate selected sorghum genotypes for sorghum midge resistance. A total of 3000 accessions were obtained from Gene Bank Resources. Resistant genotype, DJ 6514 (Resistant Check already released in 2007) was obtained from International Crops Research Institute for the Semi-Arid Tropics (ICRISAT). Result showed that the midge damage rating was significantly different among genotypes. The midge damage rating scores ranged between, 1.3- 8.6; 1.1- 9.2; 1.4- 9.0; 1.1 – 9.4; and 1.2- 9.2 for all seasons (2008/09; 2009/10; 2010/11; 2011/12 and 2012/13). However, the lowest midge damage rating was recorded by DJ 6514 (Resistant check), followed by P₁ 570162 (Hag Abbakar); GBM 30 (Early Feterita); Wad Baco; and Safra (1.4; 1.5; 1.5, 1.6 and 1.7), respectively. Genotypes, P₁ 570162 (Hag Abbakar); GBM 30 (Early Feterita); Wad Baco; Safra and Harerai showed lowest % yield loss and performed similar to the resistant check (14.2; 14.5; 14.5; 17.0 and 17.3%), respectively. The combined analysis showed that a significant difference was observed between genotypes. The genotypes were significantly different in panicle types, compact and semi-compact headed genotypes showed lower % glumes coverage (1.3- 4.5%), while semi-compact headed genotypes ranged between 5.5 – 7.8%. Genotypes, Wad Baco; P₁ 570162 (Hag Abbakar); GBM 30 (Early Feterita); Safra; Wad Ahmed; Harerai and Wad Akar showed the shortest glumes coverage (1.3; 1.3; 1.5; 1.5; 1.6; 1.7 and 1.8 %). Compact headed genotypes recorded lowest midge density (6.5 adults/ 5 heads), while the semi-compact headed genotypes were recorded 15.7 adults/ 5 heads compared with others types of heads

Thyroid Panel and Modified Lipid Profile among Sudanese Patients with Coronary Heart Disease

Abstract: The analytical, comparative cross-sectional study was conducted to assess the thyroid profiles and modified lipid profiles levels among Sudanese patients with coronary heart disease performed on forty-one patients with coronary heart disease as test group collected from Sudan Heart Center, Al rebat teaching hospital and Al mawada hospital in Khartoum state, during the period between November 2017 and May 2018. Furthermore, the test group compared with forty-one apparently healthy volunteers as control group was selected with the same inclusion criteria. Spectrophotometeric methods were used for measurement of lipid profile. Thyroid hormones (T3 &T4) and thyroid stimulating hormone were measured by using Sandwich Enzyme-Linked Immunosorbent Assay (ELISA). Moreover, statistical package for social science (SPSS version 23) computer software was used for data analysis. The study clearly demonstrated that there was statistically significant decrease in T3, and significant increase in T4 levels in test group compared to control with (P. value 0.047) for T3, and (P. value 0.002) for T4.Nonetheless, the result of this study indicated a significant elevation in mean of total cholesterol, low density lipoprotein-cholesterol levels and significant decrease in high density lipoprotein –cholesterol in test group compared to control (P.value 0.000). In conclusion Coronary heart diseases patients have significantly low Triiodothyronine, elevated Thyroxin, and normal Thyroid Stimulating Hormone levels, with significantly higher Total Cholesterol, Low Density Lipoprotein-Cholesterol concentrations, and lower HighDensity Lipoprotein-Cholesterol concentrations

Is Prolonged Sitting a Risk Factor in Developing Hemorrhoids and Anal Fissures?

Background: Anal fissures and hemorrhoids are common anal conditions. They cause significant morbidity, social embarrassment, and work absenteeism. In addition, they form a significant workload on the healthcare system. Nevertheless, the etiology of these conditions is still contentious. It has been observed that hemorrhoids and anal fissures are associated with prolonged sitting. This study aims to investigate this observation.Methods: This is a case–control study. We compared 81 patients with symptomatic and endoscopically proven hemorrhoids and/or anal fissures with 162 controls with no symptoms or endoscopic evidence of perianal disease. The study was conducted at Khartoum North Teaching Hospital (KNTH) endoscopy unit between January and December 2019. Demographic data, sitting hours per day, and endoscopic findings of patients and controls were recorded in a proforma. The cases and controls were matched for age, sex, and bowel habits. Data were analyzed and compared using the SPSS version 23.Results: The mean sitting hours for cases was 5.99 (SD 3.4) whereas that for controls was 4.0 (SD 3.0) with a highly significant difference (P < 0.001). Sitting for 5 hr or more per day (exposure) was associated with an increased risk of developing hemorrhoids and/or anal fissures [odds ratio 3.68, 95% CI: 2.1–6.47].Conclusion: The study showed that sitting down for 5 hr or more per day might increase the risk of developing hemorrhoids and/or anal fissures. This finding could help in the prevention and treatment of these diseases and the reduction of recurrences

Research Output on Strategy Formulation and Implementation: Global Picture, Development and Key Bibliometric Indicators

Effective strategic management serves as the bedrock for an organization's vision, goal attainment, and stakeholder expectations. Consequently, the research focus on strategy formulation and implementation has garnered substantial attention in recent decades. This study aims to evaluate bibliometric indicators of research productivity related to strategy formulation and implementation through meticulous bibliometric analysis. The analysis leverages the R Bibliometrix library on scientific publications indexed in the Web of Science database. The dataset comprises 672 publications on strategy formulation and implementation, spanning the years 1971 to 2022. Authored by 1,280 contributors from 69 countries, these publications are dispersed across 374 diverse sources, including journals and books. Impressively, this body of work has garnered a cumulative total of 24,635 citations, averaging 36.66 citations per document. The top-ranking article, "The Resource-Based Theory of Competitive Advantage: Implications for Strategy Formulation" by Robert M. Grant, stands out with 3,649 citations. Examining global scientific production, the United States emerges as the primary contributor with 154 publications (22.91%), followed by China with 56 (8.33%) and the United Kingdom with 54 (8.03%). The study's findings offer valuable insights for researchers and organizations alike, shedding light on significant research contributions. This comprehensive assessment enables a nuanced understanding of the historical progression and growth within this domain. Additionally, it identifies current focal points of research and highlights areas that warrant attention in future studies

Control del crecimiento de hongos en semillas de sésamo (Sesamum indicum L.) con irradiación γ: impactos en algunas propiedades del aceite de sésamo

This study investigated the free fatty acids, fatty acid profile, total phenolics, and antioxidant activity of sesame seed oil extracted from γ-irradiated seeds and the decontamination effects of the treatment on fungal incidence in the seeds. Gamma irradiation reduced (P ≤ 0.05) fungal growth and colony forming units of sesame seeds in a dose-dependent manner. The free fatty acid content of sesame oil decreased (P ≤ 0.05) in irradiated samples compared to non-radiated controls, but there was no difference (P ≥ 0.05) between samples treated at doses ≥ 1.0 kGy. A concomitant (P ≤ 0.05) increase in total phenolic and scavenging activity was observed in the oil extracted from γ-irradiated sesame seeds in comparison with non-radiated samples, while free fatty acid (FFA) content decreased. The results obtained in the present study demonstrate that γ-irradiation at low doses can be used as an effective post-harvest preservation method for sesame seeds without a major effect on the quality of sesame oil.Este estudio investigó los ácidos grasos libres, el perfil de los ácidos grasos, los fenoles totales, la actividad antioxidante del aceite de semillas de sésamo extraído de las semillas irradiadas con rayos gamma y los efectos de descontaminación del tratamiento sobre la incidencia de hongos en las semillas. La irradiación gamma redujo (P ≤ 0,05) el crecimiento de hongos y las unidades formadoras de colonias en las semillas de sésamo de una manera dependiente de la dosis. El contenido de ácidos grasos libre del aceite de sésamo disminuyó (P ≤ 0,05) en las muestras irradiadas en comparación con los controles no irradiados, pero no hubo diferencia (P ≥ 0,05) entre las muestras tratadas a dosis ≥ 1,0 kGy. Se observó un aumento concomitante (P ≤ 0,05) en la actividad fenólica total y de eliminación en el aceite extraído de semillas de sésamo irradiadas con rayos gamma en comparación con muestras no irradiadas, mientras que el contenido de ácidos grasos libres (FFA) disminuyó. Los resultados obtenidos en el presente estudio demostraron que la irradiación con rayos γ a dosis bajas se puede usar como un método efectivo de conservación del sésamo después de la cosecha sin un efecto importante en la calidad del aceite de sésamo

Variations of Arterial Supply of the Liver: C.T. Angiographic Study Among Sudanese Adults

Hepatobiliary surgery through laparoscopic approach is becoming a routine. Knowledge of extrahepatic arterial tree is essential for surgical and imaging procedures. Anatomical complexity is expected since the liver is developed by mergingof lobules with its separate blood supply. This makes a wide range of variations in the pattern of vascular arrangement and so reinforces the need for an accurate understanding of full spectrum of variations. This study aimed to investigate the variations in origin and distribution of extrahepatic arterial supply. Fifty volunteers (32 males and 18 females) aged 20–70 years were randomly recruited from the department of CT scan in Al Amal Hospital, Khartoum North, Sudan. The patients were already candidates for CT angiography with contrast for conditions other than hepatobiliary diseases. The reported data is related to those who accepted to participate in the study. Patients with history of hepatobiliary disease were excluded. 3D views of the scans were treated and the extrahepatic arterial tree was traced in a computer-based software. Key findings suggest that Michel’s classification was considered the standard template for description – 76% of them showed Michel’s type I classification. Types III and V constituted about 2%. About 4% of the cases were represented by types VI and IX. Other types of variations constituted about 12%. To conclude, although type I classification which describes the textbook pattern of hepatic artery distribution was significantly detected among the Sudanese population, other variants were to be considered since they are related to major arteries like aorta and superior mesenteric

The African Political Business Cycle: Varieties of Experience

We seek to understand both the incidence and the impact of the African political business cycle in the light of a literature which has argued that, with major extensions of democracy since the 1990s, the cycle has both become more intense and has made African political systems more fragile. With the help of country-case studies, we argue, first, that the African political business cycle is not homogeneous, and occurs relatively infrequently in so-called ‘dominant-party systems’ where a pre-election stimulus confers little political advantage. Secondly, we show that, in those countries where a political cycle does occur, it does not necessarily cause institutional damage. Whether it does or not depends not so much on whether there is an electoral cycle as on whether this cycle calms or exacerbates fears of an unjust allocation of resources. In other words, the composition of the pre-election stimulus, in terms of its allocation between different categories of voter, is as important as its size

The differential effects of eicosapentaenoic (EPA) and docosahexaenoic (DHA) acids on seizure frequency in patients with drug-resistant epilepsy – A Randomized, double-blind, placebo-controlled trial

Abstract The omega-3 (n-3) fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are known to play an important role in maintenance and modulation of neuronal functions. There is evidence that omega-3 fatty acids may have anticonvulsant effects. The effect of DHA and EPA on seizure rate in patients with DRE was investigated. Methods: A double-blind, randomized, placebo-controlled clinical trial included ninety-nine (n=99) DRE patients, aged 5-16 (n=85) and 17-45 (n=14). After randomization, patients were given two, four or six capsules per day of DHA (417.8 mg DHA and 50.8 mg EPA/capsule, n=33), EPA (385.6 mg EPA and 81.2 mg DHA/capsule, n=33) or placebo (high oleic acid sunflower oil, n=33) for one year. The primary endpoint was the effect of treatment on rate of seizure. Random-effects negative binomial regression models were fitted to model the patients’ total count of seizures per month. The treatment effects on seizure incidence rate ratio was tested after controlling for the covariate effects of gender, age, rate of seizure per week at enrollment, type of seizure and number of AEDs combinations used at enrollment. Results: Fifty-nine patients (n=59) completed the study (59.6%).The average number of seizures per month were 9.7 ± 1.2 in the EPA group, 11.7 ± 1.5 in the DHA group, and 16.6 ± 1.5 in the placebo group. Age, gender and seizure type adjusted seizure incidence rate ratios (IRRs) of the EPA and DHA groups compared with the placebo were 0.61 (CI= 0.42-0.88, p=0.008, 42% reduction) and 0.67 (CI = 0.46-1.0, p= 0.04, 39% reduction), respectively. There was no difference in IRR between the EPA and DHA groups (p=0.56). Both treatment groups had a significantly higher number of seizure-free days compared to placebo (p<0.05). Significance: This study demonstrates that EPA and DHA are effective in reducing seizure frequency in patients with DRE