Psychiatric morbidity: prevalence, associated factors and significance

A cross-sectional observational systematic study was carried out on ambulatory patients at a tertiary care hospital to determine the probable prevalence, associated factors and significance of psychiatric morbidity by using an Urdu translation of the hospital anxiety and depression (HAD) scale over a period of 6 days in a week. Results showed a prevalence of 38.4% which is slightly higher than what has been generally reported (30%). Two variables, i.e., female sex and being a housewife were significantly related with the outcome. An attempt has been made to identify the probable reasons for this and some suggestions laid down for further work

The impact of assessment techniques on the relationship between work-based learning and teamwork skills development

The purpose of this study was to investigate the mediating effect of assessment techniques on the relationship between work-based learning and teamwork skills development at technical colleges in Nigeria. The sample consists of 257 technical teachers. The CFA models were developed to obtain the Chi-square values, modification indices, and standardized estimates using AMOS. Structural Equation Modeling (SEM), employing AMOS version 22 was utilized to test the mediation effect and also the relationship between work-based learning and teamwork skills development among students of technical colleges. The findings of the study revealed that work-based learning has a direct significant negative relationship with teamwork skills development among students of technical colleges, while, it has a direct insignificant positive relationship with assessment techniques. However, when the mediation hypothesis was tested, the result indicates that assessment techniques have a significant positive indirect impact on teamwork skills development, that is, it fully mediates the relationship between work-based learning and teamwork skills development among students of technical colleges. This study implies to educators that there is a need to appropriately enforce the assessment techniques for effective development of teamwork skills among TVET students. It is therefore, confirmed that teamwork skills should be enhanced when work-based learning is used in collaboration with appropriate assessment techniques

The impact of generic skills on building technology graduates employability

Stressing the generic skills among learners is an essential component of producing graduates who would be employable and highly competitive in the world of work situations. This study empirically examined the influence of soft skill elements on building technology graduates’ employability at technical colleges in Nigeria. The study tested six hypotheses on soft skill elements influencing building technology graduates’ employability. Data were collected through personal-administered questionnaire from 314 building technology teachers at technical colleges in the north-western States of Nigeria. The instrument was embraced from an earlier study and distributed to Building technology teachers at technical colleges in North West, Nigeria. The results revealed through Partial Least Square (PLS) analysis that ICT skills, and resource management skills have a significant positive relationship with building technology graduates’ employability while personal skills and problem-solving skills have a positive but insignificant relationship with building technology graduates’ employability at technical colleges in Nigeria. It is recommended that teachers or academicians should come out with more interactive ways to develop soft skills among students at every stage to make them become more employable hence, avert them from being unemployed in the future

Developing soft skills through project-based learning in technical and vocational institutions

Soft skills have become critical in the preparation of employable graduates. The education system must, therefore, aim to ensure quality training for the production of employable graduates. Soft skills are personal abilities that one retains and can adequately be nurtured through active participation of students in the teaching and learning process. It is validated by researchers that the prevalent employability skills deficiencies have been one of the main causes of unemployment globally. Consequently, soft skills have all the potentials for equipping graduates with adequate employability skills. Thus, this study investigated the effect of project-based learning on the development of soft skills among technical students at technical and vocational colleges, Kaduna State, Nigeria Smart PLS software was used to test the developed model. As the sample size for this study was relatively small, the researchers were not certain to have normally distributed data. Subsequently, Smart PLS is appropriate for non-normally distributed data and therefore, it was used to simultaneously evaluate the measurement model, structural models and to confirm the convergent and discriminant validity of the measure. The study revealed that collaborative skills construct have a significant positive relationship with soft skills of technical students at technical and vocational colleges, while communication skills, initiative skills, and problem-solving skills have a positive insignificant relationship with soft skills of technical students at technical and vocational colleges. The findings of this study suggest that the curriculum of technical programs in Nigerian technical colleges need to be reviewed and geared more towards activity-based teaching and learning to enable technical students effectively develop soft skills for employment

Effects of the solar eclipse on 15 January 2010 on the surface O3, NO, NO2, NH3, CO mixing ratio and the meteorological parameters at Thiruvanathapuram, India

In this paper, we present the effect of total solar eclipse on surface O3, NO, NO2, NH3, CO mixing ratio and the meteorological parameters on 15 January 2010 at Thiruvanathapuram, India. On the day of total solar eclipse (i.e., 15 January 2010), the decrease in mixing ratio of surface O3 and NO2 is observed after the beginning of the solar eclipse events (11:15 to 15:30). Decrease in surface O3 may be due to decreased efficiency of the photochemical ozone formation, whereas, mixing ratio of NO and NH3 have been changed following the night time chemistry. Surface O3 reduced to 20.3 ppb after 22 min of full phase of the eclipse. During the solar eclipse period, the ambient temperature and wind speed have decreased, whereas, relative humidity has increased as expected

The Importance of Preventive Medicine in Family Practice: A Review of Current Guidelines and Recommendations

Prevention is seen as a critical topic in family practice. Primordial prevention, primary prevention, secondary prevention, tertiary prevention, and quaternary prevention are all part of this strategy to disease prevention. To avoid the formation and development of risk factors, primary prevention focuses on addressing the fundamental causes and social determinants of disease. Primary prevention is the practice of preventing illnesses before they arise via the use of treatments such as immunizations and health education. Secondary prevention focuses on illness identification and intervention as early as possible to avoid disease development. Tertiary prevention addresses illness outcomes by restoring health and offering rehabilitation. Finally, quaternary prevention seeks to safeguard patients against needless medical treatments and the harm caused by over-medicating. Risks frequently rise in tandem with frailty and comorbidities. In contrast, advantages frequently drop as life expectancy increases. Preventive management strategies should consider the patient's viewpoint and be mutually agreed upon. Healthcare providers must prioritize the deployment of preventive care services, even when clinical treatments are required, in order to overcome preventive care hurdles. Healthcare practitioners may play a critical role in illness prevention and contribute to family well-being by investing in preventive care and executing these measures

Common genetic variation and susceptibility to partial epilepsies: a genome-wide association study

Partial epilepsies have a substantial heritability. However, the actual genetic causes are largely unknown. In contrast to many other common diseases for which genetic association-studies have successfully revealed common variants associated with disease risk, the role of common variation in partial epilepsies has not yet been explored in a well-powered study. We undertook a genome-wide association-study to identify common variants which influence risk for epilepsy shared amongst partial epilepsy syndromes, in 3445 patients and 6935 controls of European ancestry. We did not identify any genome-wide significant association. A few single nucleotide polymorphisms may warrant further investigation. We exclude common genetic variants with effect sizes above a modest 1.3 odds ratio for a single variant as contributors to genetic susceptibility shared across the partial epilepsies. We show that, at best, common genetic variation can only have a modest role in predisposition to the partial epilepsies when considered across syndromes in Europeans. The genetic architecture of the partial epilepsies is likely to be very complex, reflecting genotypic and phenotypic heterogeneity. Larger meta-analyses are required to identify variants of smaller effect sizes (odds ratio <1.3) or syndrome-specific variants. Further, our results suggest research efforts should also be directed towards identifying the multiple rare variants likely to account for at least part of the heritability of the partial epilepsies. Data emerging from genome-wide association-studies will be valuable during the next serious challenge of interpreting all the genetic variation emerging from whole-genome sequencing studie

Global, regional, and national burden of chronic kidney disease, 1990–2017 : a systematic analysis for the Global Burden of Disease Study 2017

Background Health system planning requires careful assessment of chronic kidney disease (CKD) epidemiology, but data for morbidity and mortality of this disease are scarce or non-existent in many countries. We estimated the global, regional, and national burden of CKD, as well as the burden of cardiovascular disease and gout attributable to impaired kidney function, for the Global Burden of Diseases, Injuries, and Risk Factors Study 2017. We use the term CKD to refer to the morbidity and mortality that can be directly attributed to all stages of CKD, and we use the term impaired kidney function to refer to the additional risk of CKD from cardiovascular disease and gout. Methods The main data sources we used were published literature, vital registration systems, end-stage kidney disease registries, and household surveys. Estimates of CKD burden were produced using a Cause of Death Ensemble model and a Bayesian meta-regression analytical tool, and included incidence, prevalence, years lived with disability, mortality, years of life lost, and disability-adjusted life-years (DALYs). A comparative risk assessment approach was used to estimate the proportion of cardiovascular diseases and gout burden attributable to impaired kidney function. Findings Globally, in 2017, 1·2 million (95% uncertainty interval [UI] 1·2 to 1·3) people died from CKD. The global all-age mortality rate from CKD increased 41·5% (95% UI 35·2 to 46·5) between 1990 and 2017, although there was no significant change in the age-standardised mortality rate (2·8%, −1·5 to 6·3). In 2017, 697·5 million (95% UI 649·2 to 752·0) cases of all-stage CKD were recorded, for a global prevalence of 9·1% (8·5 to 9·8). The global all-age prevalence of CKD increased 29·3% (95% UI 26·4 to 32·6) since 1990, whereas the age-standardised prevalence remained stable (1·2%, −1·1 to 3·5). CKD resulted in 35·8 million (95% UI 33·7 to 38·0) DALYs in 2017, with diabetic nephropathy accounting for almost a third of DALYs. Most of the burden of CKD was concentrated in the three lowest quintiles of Socio-demographic Index (SDI). In several regions, particularly Oceania, sub-Saharan Africa, and Latin America, the burden of CKD was much higher than expected for the level of development, whereas the disease burden in western, eastern, and central sub-Saharan Africa, east Asia, south Asia, central and eastern Europe, Australasia, and western Europe was lower than expected. 1·4 million (95% UI 1·2 to 1·6) cardiovascular disease-related deaths and 25·3 million (22·2 to 28·9) cardiovascular disease DALYs were attributable to impaired kidney function. Interpretation Kidney disease has a major effect on global health, both as a direct cause of global morbidity and mortality and as an important risk factor for cardiovascular disease. CKD is largely preventable and treatable and deserves greater attention in global health policy decision making, particularly in locations with low and middle SDI