Objectives:To determine students’ perception of bedside teaching, to find out barriers in its effective implementation and to suggest strategies to make it an effective learning tool.Methods:This study was conducted in Faculty of Medicine, Northern Border University Arar, Kingdom of Saudi Arabia between November 2013 and January 2014. The study design was qualitative inductive thematic analysis using transcripts from audio-recorded focus group discussions. Four focused group discussions with medical students of 4th and 5th year MBBS were conducted. Each 40 to 50 minutes discussion session was audio taped and transcribed verbatim. Thematic analysis extracted key themes pertaining to objectives of the study.Results:A total 75 students of 4th and 5th year MBBS took part in the study, 48 were female and 27 of them were male. Students believed that bedside teaching is valuable for learning essential clinical skills. They described many barriers in its effective implementation: uncooperative and less number of patients and faculty attitude. Our students suggested various strategies to address these barriers: promotion of awareness among general public about students’ learning and its benefits, free medical treatment for expatriates and building of university hospital.Conclusion:Bedside teaching is an important learning tool. Its utility can be enhanced by orienting local patients’ attitude towards importance of students’ learning, by providing free medical treatment to expatriates and by including bedside teaching in faculty development programs.
Background and Objective:Appendicectomy for acute appendicitis is one of the most commonly performed surgical procedures. Acute appendicitis has remained a clinical entity and an ongoing diagnostic challenge. A retrospective study was performed to determine histological diagnosis, demographic data, the rate of perforated appendicitis and negative appendicectomies.Methods:Histopathological records of 480 resected appendices submitted to histopathology department at Arar Central Hospital in the Northern Border Province of Saudi Arabia over the period of 3 years from July 2011 to June 2014 were reviewed retrospectively, to determine acute appendicitis, complication (gangrene, perforation) rate, negative appendicectomy rate, histopathological diagnosis and unusual finding on histology.Results:Out of 480 specimens of appendix, appendicitis accounted for 466 (97.0%) with peak occurrence in the age group of 11 to 50 years in male and 11 to 40 years in female. Histopathological diagnosis include acute appendicitis 250 (52.0%), suppurative appendicitis 135 (28.0%) acute gangrenous appendicitis 60 (12.5%), perforated appendicitis 9 (2.0%), chronic appendicitis 12 (2.5%). Negative appendicectomy rate was 14 (3%) and two time more common in female with peak occurrence in the age group of 20-30 yrs. There was no unusual histological finding like carcinoid tumour of appendix.Conclusion:The present study showed a high number of appendicitis in adolescents and young adults. Negative appendectomy was more common in females. The study support routine histological examination of all the appendicectomy specimens to avoid missing of any clinically important and treatable condition.
This work presents an analysis of a two-dimensional model of a liquid chromatographic column. Constant flow rates and linear adsorption isotherms are assumed. Different sets of boundary conditions are considered, including injections through inner and outer regions of the column inlet cross section. The finite Hankel transform technique in combination with the Laplace transform method is applied to solve the model equations. The developed analytical solutions illustrate the influence and quantify the magnitude of the solute transport in radial direction. Comparing Dirichlet and Danckwerts boundary conditions, the predicted elution profiles differ significantly for large axial dispersion coefficients. For further analysis of the solute transport behavior, the temporal moments up to the fourth order are derived from the Laplace-transformed solutions. The analytical solutions for the concentration profiles and the moments are in good agreement with the numerical solutions of a high resolution flux limiting finite volume scheme. Results of different case studies
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