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Home > Patients’ Level of Knowledge and Perception of the Involvement of Post-Graduate Trainees in Their Surgical Care at Aga Khan University Hospital, Nairobi.

Patients’ Level of Knowledge and Perception of the Involvement of Post-Graduate Trainees in Their Surgical Care at Aga Khan University Hospital, Nairobi.

Thesis Info

Author

Githae, Jane Mugure

Department

General Surgery (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2017

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728057045

Similar


Introduction: Surgical training is fashioned on a system of graduated responsibilities and independence for acquisition of skills and competence. While many benefit from acquisition of these skills, few would want to be the ‘practicing ground’ for the trainee surgeon. Moreover, disclosure is inappropriate and surgical care does not specifically spell out the role of the surgical trainee in these procedures. A pilot survey conducted on 20 first-time patients presenting to General Surgery and Orthopaedic Clinics at Aga Khan University Hospital, Nairobi, revealed varied understandings as to who is a post-graduate surgical trainee. Objective: To explore the patients’ level of knowledge of involvement of post-graduate trainees in their surgical care and their perceptions towards the same. Design: Qualitative study conducted through in-depth interviews Methods: Data was collected via in-depth interviews until theoretical saturation was attained. Eighteen first-time patients presenting to the General Surgery and Orthopaedic clinics and eight medical personnel were interviewed; the latter were Key Informants. All interviews were conducted by the principal investigator and were audio-recorded as well as documented via field notes. Audio recordings were transcribed verbatim with data analysis done by two reviewers using the thematic framework, with aid of the MAXQDA Analytics Pro 12 Software. Results: Generally, patients displayed either acceptance or apprehension of the role of the surgical trainee. The overarching themes identified from this study were: 1) Varied knowledge base of the surgical training system; 2) Patients are willing to be part of the surgical training process; 3) Divergent effects of full disclosure on informed consent; 4) Factors linked to patients’ receptivity or apprehension of involvement of post-graduate trainees in their surgical care. Conclusion: Patients are eager to be part of the surgical training process, provided that adequate trainee supervision is provided. In addition, the scope of full disclosure may need to be patient-based, rather than adopt a ‘one-size-fits-all’ approach.
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ام المومنین حضرت زینبؓ بنت خزیمہ

ام المومنین حضرت زینب ؓ بنت خزیمہ
ان کا پہلا نکاح حضرت عبیدہ ؓ بن حارث بن عبدالمطلب سے ہوا ۔ ان کی وفات کے بعد جہم بن عمرو سے نکاح ہوا اور وہ بھی غزوہ بدر میں کام آئے تب تیسرا نکاح عبداللہ ابن جحش ؓسے کیا انہوں نے بھی غزوہ احد میں جام شہادت نوش کیا ۔ اس طرح یکے بعد دیگرے حضرت زینب ؓ بیوگی کے صدمہ سے دو چار ہوئیں لیکن غم گسار آقا آنحضرت ﷺ نے اپنے حرم میں انہیں داخل فرمایا ۔ قدرت کو یہی منظور تھا کہ آپ ام المومنینؓ کے اعزاز سے بہرہ ور ہوں اور آپ ﷺ کے ساتھ دور کی رفاقت میسر نہ ہو ، ایسا ہی ہوا کہ صرف چند ماہ بعد سیدہ زینب بنت خزیمہ ، جو ام المساکین کی کنیت سے معروف تھیں ، کا انتقال ہو گیا ۔ وفات کے وقت ان کی عمر مبارک تیس برس تھی ۔
صہیب ؓ آہن گر تھے ۔ قریش نے روک دیا کہ مدینہ ہجرت نہ کریں ۔ سامان باندھ کر مدینہ منورہ کو چلے تو قریش نے کہا ’’ جب تم یہاں آئے تھے تو فقیر تھے ، محتاج تھے ، یہاں رہ کر مالدار اور غنی ہو گئے ہو ، اور اب تم چاہتے ہو کہ وہ سب کچھ جو تم نے یہا ں کمایا ہے وہ ساتھ لے کر مدینہ چلے جائو ۔۔۔ واللہ ! یہ تو ہم کبھی نہ ہونے دیں گے ‘‘۔ حضرت صہیب ؓ نے کہا ’’ اگر میں یہ سارا کچھ تمہارے لیے چھوڑ دوں تو کیا مجھے جانے دو گے ‘‘؟ مشرکین بولے ’’ہاں ! پھر تم آزاد ہو ۔ ‘‘ صہیب ؓ نے بغیر سوچے اور بغیر کسی جھجھک کے اپنا سارا سامان کفار کے حوالے کیا اور خالی ہاتھ مدینہ روانہ ہو گئے ۔ جب...

Historical Contribution of Islamic Waqf in Human Capital Development Through Funding Education

Islam being a complete code of life encompasses all aspects of a person’s personal and social life. Islam considers those as Muslims who submit to the will of Allah Almighty in all aspects of life. Islam is not merely a matter of private life and its worship system is not restricted only to a set of rituals, but has pervasive social consequences and develops a strong sense of moral society based on system of rules around center of universal concept of justice. Therefore, Islam proposed institutions with relation to justice, governance, cooperation and solidarity for achieving high economic growth and development. Achievement of development and growth of economy is fast in a society or country if it has developed human capital (human resource). Human capital is developed when education is imparted and facilities of health and sound life are provided to human beings. According to Islamic principles, if human beings cannot afford proper education in the society (or other facilities such as health care) then those who are well off endow their properties in Zakat, Awqaf (plural of waqf) and Charities for their better development and nourishment. These properties when endowed as Awqaf are deployed for propagation of education (knowledge, skills, training etc.) by establishing Madrassas (schools, maktabs, colleges, universities etc.) libraries, translating books, and conducting research. In Islamic society there were many Awqaf founded for establishing Madrassas. This paper is dedicated to discuss the development of human capital through education funded by Islamic Awqaf by reviewing literature.

Molecular Screening of Stripe Rust Resistance Genes in Segregating Wheat Populations and its Evaluation in the Field

Stripe rust, a serious threat to food security, has a worldwide distribution and also responsible for up to 70% yield losses in wheat. There is a dire need to develop stripe rust resistant varieties which is an environment friendly and ultimate solution to minimize yield losses in wheat. The present study was aimed to investigate the genetic diversity in a segregating population’s genome that is enriched with yellow rust genes and their interactions with agro-morphological traits. In this study, two segregating wheat populations (NIGAB-08 and NIGAB-09), which were developed at National Institute of Genomics and Advanced Biotechnology (NIGAB) have been analyzed at seedling and adult plant stage against stripe rust along with its effects on yield contributing traits. Further, it was screened for the presence of stripe rust resistance genes by using various available molecular markers. In all, NIGAB-08 (F5 and F6) segregating population comprised of 50 wheat lines and NIGAB-09 (F5 and F6) segregating populations having 86 wheat lines have been evaluated for yield contributing traits in the consecutive two years. Among them, 50 wheat lines of NIGAB-08 and 60 wheat lines of NIGAB-09 were evaluated for genetic variation in markers linked with stripe rust in consecutive two years. Results have shown that Coefficient of Infection (CI) value has a negative correlation with yield per plant by direct or indirect effects on other traits including tillers per plant, spikelet per spike, spike length and 1000 grains weight. Moreover, it has been observed that spike length, spikelet per spike and thousand grain weight have a positive correlation with yield per plant. Regression analysis in NIGAB-08 showed the same results that spikelet per spike, spike length and 1000 grains weight are the significant yield contributing traits. Then the segregating wheat populations were evaluated for yellow rust resistance at seedling and adult plant stage. In NIGAB- 08, 87% of the population was resistant, 2% having the intermediate type of resistance and 10% was susceptible at seedling stage (in greenhouse experiment) that indicate the presence of major yellow rust (Yr) resistant genes in this population. While NIGAB-09 wheat population was observed for 83% resistant, 5% intermediate and 13% of the population found as susceptible. It showed that the population is enriched with major Yr genes. NIGAB-08 showed 16% of the population was resistant, 47% showed an intermediate type of resistance while 35% was found as susceptible at adult plant stage. These results indicate that NIGAB-08 wheat population has less number of minor Yr genes as compared to major Yr genes. In Field evaluation, 79% of NIGAB-09 population was scored as resistant, 11% with intermediate type of resistance and 10% as susceptible. These results showed that the population is also enriched with minor Yr genes along with some major genes. Both wheat segregating populations (NIGAB-08 and NIGAB-09) were assayed for the presence of stripe rust resistance genes by using 27 SSR and microsatellite markers. In NIGAB-09 wheat population, on the basis of distance of marker from target gene, Yr5 showed 56% presence in F5 population and 55% in F6 whereas; Yr7, Yr15, Yr17, Yr18, Yr26, Yr29, Yr35 Yr36, YrCN19/Yr41 and YrHua showed 58%, 70%, 70%, 45%, 70%, 52%, 64%, 78%, 26% and 56% presence in first year of study respectively ( F5 Population) and 70%, 62%, 92%, 47%, 90%, 70%, 70%, 70%, 75% and 83% in second year of study (F6 population), respectively. In NIGAB-08 segregating wheat population, it had been observed that frequency of Yr5 was 84% in F5 segregating lines and 88% in F6 population while the Yr7 genes was 44% present in F5 and 30% in F6 population whereas Yr15, Yr17, Yr18, Yr26, Yr29, Yr35 Yr36, YrCN19/Yr41 and YrHua were 72%, 54%, 68%, 56%, 94%, 46%, 56%, 54% and 48% abundant in the first year of study (F5 Population) while, 94%, 46%, 88%, 70%, 92%, 48%, 62%, 50% and 62% in consecutive next year of study (F6 segregating population). Dendrograms have been developed for both populations on the basis of low Coefficient of Infection value, higher Thousand Grain Weight and Yield per plant (values) to identify the slow rusting lines in these segregating wheat populations along with best agro-morphological traits. One line of NIGAB-08 (Line no. 40) and eighteen lines of NIGAB-09 (Line no. 2, 6, 10, 17, 20, 21, 22, 27, 30, 35, 39, 49, 82, 84, 89, 94, 97, and 108) have shown best results in terms of seedling screening, field evaluation against stripe rust along with agro-morphological traits and in molecular evaluation in these wheat lines. When wheat lines were selected on the basis of best results at seedling stage and adult plant resistance, the two lines of NIGAB-08 (23, 36) and 35 wheat lines of NIGAB-09 (5, 16, 19, 24, 26, 28,29, 31, 32, 33, 34, 36, 37, 40, 42, 44, 45, 46, 52, 54, 57, 60,61, 62, 68, 70, 71, 73, 83, 86, 95, 98,105, 109, 110) were found in this category. Nine wheat lines of NIGAB-08 (4, 11, 10, 35, 63, 41, 32, 53, 61) and twenty wheat lines of NIGAB-09 (51, 8, 69,107, 3, 88, 85, 65, 93, 87, 27, 92, 76, 74, 12, 75,106, 13, 25, 38) have shown good results in screening at adult plat stage with best agro-morphological traits and in molecular evaluation. This study has been focused on to screen segregating wheat populations in all aspects, which are enriched with stripe rust resistance genes which can further be utilized in developing commercial wheat varieties. Some novel genes have also been identified during these studies which were not previously reported in Pakistani wheat cultivars.