Critical Thinking
Definition of Critical Thinking: “Critical thinking is a cognitive process of actively
and carefully evaluating the reasoning and evidence behind knowledge and
arguments and developing defensible knowledge and arguments ourselves.”
Teaching Critical Thinking to Undergraduate and
Postgraduate Students.
Main Aims of Critical Thinking:
1. Quality
of Argument.
2. Strength
of Evidence.
3. Clarity
of Communication.
Dr.
Sarag Ivory (The University of Edinburgh)
Predictor
Factors of Mortality among Hospitalized COVID-19 Patients: Retrospective Cohort
Study in A Quarantine Hospital
Shaimaa H Fouad (1), Mayada Moneer (1), Sara Ibrahim (2),
Ahmed Ashraf Okba (3), Amr Hosny (3), Sylvia W Roman (1), Inas Abd El Rahim Ali
(4), Mohamed Farouk Allam (5)
Department of Internal Medicine (1), Department of
Clinical Pathology (2), Department of Anesthesia and Intensive Care (3),
Department of Family Medicine (5), Faculty of Medicine, Ain Shams University,
Cairo, Egypt
(4) Department of Family and Community Medicine, Faculty
of Medicine, Misr University for Science and Technology MUST, Giza, Egypt
The Egyptian Journal of Hospital Medicine 2023;90:1472-1475.
DOI: 10.21608/EJHM.2023.282371
ABSTRACT
Background:
Over 630 million COVID-19 instances have been documented worldwide, and there
have been close to 6.5 million fatalities. The primary methods for evaluating
the effects of various variables on the COVID-19 mortality rate have centred on
individual comorbidities and risk factors related to ageing. Objective: We looked at the connection
between COVID-19 degree upon admittance to a quarantined hospital and risk of
patient death with an emphasis on several prospective therapies in order to
present additional evidences. Patients
and methods: 338 participants who were admitted to Ain Shams University
Hospitals were the subjects of a retrospective cohort analysis from April 20,
2020, to July 30, 2020, of whom 317 individuals had documented outcomes
(hospital discharge or fatal prognosis). Applying logistic regression analysis,
it was possible to determine the adjusted hazard variables for fatal outcome. Results: At the univariate stage,
individuals who were elderly, smokers, hypertensives, diabetics, and
individuals with chronic kidney disease (CKD), as well as those taking
steroids, tocilizumab, or enoxaparin sodium, were more likely to have a fatal
outcome. Diabetes mellitus (DM) is a strong indicator of death due to its high
prevalence (65%) in COVID-19 participants who did not survive. The
multivariable investigation suggests only 2 factors from the risk categories
significantly related with fatal outcome in the univariate study: older age and
steroid use. Conclusion: The use of
steroids may be more indicative of the degree of the illness than a terminal
prognosis. Steroids are frequently administered to participants who have severe
respiratory problems or indications, therefore cause effect bias is extremely
possible. Additional research is required to verify the advantages of various
drugs in COVID-19 individuals.
Keywords: COVID-19,
Hospital, ICU, severity, risk factors, mortality, Ain Shams University.
The Egyptian Journal of Hospital Medicine 2023;90:1472-1475.
https://ejhm.journals.ekb.eg/article_282371.html
The “new normal” for medical education during and post-COVID-19
Fady Andraous, Ghada
Essam Al-Din Amin, Mohamed Farouk Allam
Department of Family Medicine, Faculty of Medicine, Ain Shams University,
Cairo, Egypt
Education for Health (Abingdon). 2022 May-Aug;35(2):67-68.
doi: 10.4103/efh.efh_412_20.
Abstract
After outbreaks in more than 110
countries, the World Health Organization declared COVID-19 a global pandemic on
the March 11, 2020, heralding unprecedented challenges in medical education.
Our aim is to provide a descriptive overview of the impact of COVID-19 on
medical education worldwide and to assess its future repercussions. Worldwide,
medical students were removed from clerkship training. Clinical skills and
practical procedure training transitioned to being online, and in some cases,
postponed. Medical educators scrambled to convert the curriculum into online
formats. Access to Internet, technology, and computer education posed resource
allocation challenges in developing countries and further widened the
disparities in medical education. Even in countries where the framework and
funding were available to support the online transition, debatably, this
arrangement can lead to disparities in clinical skills, bedside manner, and
field experience among pre- and post-COVID-19 medical graduates. Challenges extend
beyond undergraduate medical education to include the medical licensing process
of international and national postgraduates. The international community of
medical educators needs to collaborate to drive the future of medical
education, as the world adapts to the “new normal.”
Keywords: Clerkship,
clinical skills, COVID-19, medical education, online.
Education for Health (Abingdon). 2022 May-Aug;35(2):67-68.
https://www.educationforhealth.net/article.asp?issn=1357-6283;year=2022;volume=35;issue=2;spage=67;epage=68;aulast=Andraous
Participation in the National Campaign on Viral Hepatitis C and Non-Communicable Diseases among Administrative Workers of Ain Shams University, Egypt
Nashwa
I. Basyoni, Nourhan B. Abd-ElSamad, Mohamed F. Allam *, Samia I. El-Damaty
Department
of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain
Shams University, Egypt
World Journal of
Medical Microbiology, 2023, 2, 584
DOI:
10.31586/wjmm.2023.584
Abstract:
Background:
On the first of October 2018, the Egyptian Ministry of Health and Population (MOHP)
launched an initiative; named “100 Million Healthy Lives”, for nationwide
screening of hepatitis c virus (HCV) and non-communicable diseases (NCDs).
Egypt has the highest prevalence of HCV infection in the world where about 10%
of the Egyptian population is affected by the disease. NCDs are the leading
cause of mortality in Egypt and account for about 84% of all deaths. This study
was conducted to a) Estimate the prevalence of participation in the national
campaign on viral hepatitis C and non-communicable diseases among
administrative workers in Ain shams University (ASU), b) Estimate the
self-reported satisfaction of these participants with the campaign. Subjects
and Methods: A cross-sectional study was conducted on 400 administrative
workers of ASU faculties between March and August 2019 in Cairo, Egypt. A
multistage random sample was done. Results: The study showed that 96% of the
study group participated in the campaign. “Evaluating health status” was
considered the main reason for participation at 92%, followed by "desire
to obtain follow-up card", at 36%. Non-participation rate was about 4% and
the main cause of non-participation was “fear of needle prick". About 91%
of the participants were satisfied with the provided services. Mass media
played a major role in awareness about the campaign for 91% of participants.
Conclusions: The majority of the study group participated and was satisfied
with the campaign. Mass media played a major role in participant awareness of
the campaign.
Keywords:
Hepatitis C Virus, Non-Communicable Diseases, Participation, Satisfaction, Ain
Shams University, Egypt.
World Journal of
Medical Microbiology, 2023, 2, 584
https://www.scipublications.com/journal/index.php/wjmm/article/view/584
Post COVID-19 Symptoms?
Nesma
Nabil Ahmed Elgohary (1)
Mohamed
Nazmy Farris (2)
Diaa
Marzouk Abdel Hamid (1,3)
Mohamed
Farouk Allam (1,3)
Salwa
Mostafa Mohammad Abdel Rahman (1,4)
1.
Department of Family Medicine, Faculty of Medicine, Ain Shams University,
Cairo, Egypt.
2.
Department of Internal Medicine, Faculty of Medicine, Ain Shams University,
Cairo, Egypt.
3.
Department of Community, Environmental and Occupational Medicine, Faculty of
Medicine, Ain Shams University, Cairo, Egypt.
4.
Department of Anesthesia, Intensive Care and Pain Management, Faculty of
Medicine, Ain Shams University, Cairo, Egypt.
World Journal of
Medical Microbiology, 2022, 1, 478
DOI:
10.31586/wjmm.2022.478
Abstract:
The
SARS-COV-2 rapid spread caused an international public health emergency with
unprecedented rates of morbidity and mortality. Post COVID-19 condition occurs
as a spectrum of symptoms that present four or more weeks after acute infection
with SARS-CoV-2. Most published data to date state 50-70% of hospitalized
patients experienced at least one post-acute COVID-19 symptom up to 3 months
after discharge. Commonly reported symptoms include; neurocognitive post
COVID-19 (fatigue, dizziness, inattention, and brain fog), respiratory
post-COVID (dyspnea, chest pain, and cough), and mental health related symptoms
(insomnia, depression, and post-traumatic stress disorder). Additionally,
gastro-intestinal post COVID-19 (diarrhea, vomiting, and abdominal pain) along
with decline in quality of life and decreased ability to perform activities of
daily living were reported. The response to post COVID-19 symptoms is still in
its infancy despite being an emerging crisis as scientific evidence and robust
data are nonetheless required for clear definition, identification of time
frame, classification and management of the condition. New studies are needed
to identify total and individual incidence/prevalence rates of different
clinical presentations of post COVID-19 symptoms. These future studies will
help us to o improve early recognition of long term symptoms after acute
infection of COVID-19.
Keywords:
Post COVID-19,
COVID-19, Fatigue, Brain Fog, Dyspnea, Insomnia, Depression, Quality of Life.
World Journal of
Medical Microbiology, 2022, 1, 478
https://www.scipublications.com/journal/index.php/wjmm/article/view/478
