ABSTRACT
During September-October 2010, an unprecedented outbreak of Rift Valley fever was reported in the northern Sahelian region of Mauritania after exceptionally heavy rainfall. Camels probably played a central role in the local amplification of the virus. We describe the main clinical signs (hemorrhagic fever, icterus, and nervous symptoms) observed during the outbreak.
Subject(s)
Disease Outbreaks , Rift Valley Fever/epidemiology , Rift Valley fever virus/isolation & purification , Animals , Camelus/virology , Humans , Mauritania/epidemiology , Rift Valley Fever/diagnosisABSTRACT
The housemanship performance of the first two classes of the University of Gezira Medical School was assessed on 107 occasions by using a questionnaire administered to the senior doctors (consultants) in the units in which they worked and the data, which covered 32% of all housemanship rotations taken by these graduates, were analysed. On a 5-point scale (poor to excellent) the rating of performance for 26 questions was average and above (S = 3: + S = 4: + S = 5) in 95% of instances. The good and excellent rating (S = 4 + S = 5) for the same questions was about 80%. The grand mean for rating of questions in the cognitive, psychomotor and attitudes domain was 4.1, 3.9 and 4.2 out of 5 respectively. The graduates were found to be better off (45%), comparable to (50%) and less than (5%) when compared to other graduates who worked with the same consultants in the past. Results of three general questions inquiring about graduates' practice safety, overall standing and consultants' preference for Gezira graduates had a 95% positive rating. It is concluded that these results provide significant positive answers for some basic questions concerning credibility which are often raised about Gezira and similar schools with innovative medical curricula.
Subject(s)
Clinical Competence , Community Medicine/standards , Education, Medical, Graduate , Medical Staff, Hospital/standards , Community Medicine/education , Egypt , HumansABSTRACT
Two cases of cutaneous leishmaniasis with ocular involvement are presented. The diagnostic difficulty, the possible complications and the importance of a correct diagnosis of such cases is discussed in the light of the cases presented and of previous similar case reports.
