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1.  National AIDS Control Organisation's human resource capacity building initiatives for better response to HIV/AIDS in India 
The Australasian Medical Journal  2011;4(12):638-644.
Human resource capacity building is a key strategy in the design, delivery, sustainability and scale up HIV treatment and prevention programmes. The review aims to present human resource capacity building initiatives undertaken by the National AIDS Control Organisation (NACO) and to discuss the available opportunities in India.
There was minimal emphasis on human resource capacity building in National AIDS control programme (NACP)-I. The focus of capacity building in NACP-II was on strengthening the capacity of partners implementing various HIV/AIDS interventions. NACP-III (2007–2012) focussed on capacity building as a priority agenda. Other than short-term training programmes, NACP-III is strengthening the capacity of partners through the State Training and Resource Centre, Technical Support Unit, District AIDS Prevention Control Unit, Fellowship Programme and Network of Indian Institutions for HIV/AIDS Research.
Various opportunities to enhance and consolidate capacity building responses in HIV/AIDS in India may include mainstreaming of capacity building, appropriate management of knowledge and resources, effective delivery of training, measuring and documenting impact,accreditation of programmes and institutes,use of information technology, identifying and implementing innovations and working for sustainability.
Growing demand for capacity-building in HIV/AIDS needs substantial efforts to ensure that these are implemented effectively and efficiently. NACO had made significant strides in these regards, but at the same time there are arduous challenges like measuring impact, quality, documentation, operational research, and sustainability. NACO is formulating Phase-IV of NACP. This review will provide feedback to the NACO for strengthening its strategic document for human resource capacity building.
doi:10.4066/AMJ.2011851
PMCID: PMC3413963  PMID: 22905039
Human resource capacity building; NACO; HIV/AIDS
2.  Big tobacco “pull out all stops” for a landmark example: The Burswood Casino case 
The Australasian Medical Journal  2011;4(12):645-654.
Background
With the aid of internal tobacco industry documents, this paper provides a chronology of events documenting the role of the Philip Morris tobacco company in the 1993 litigation case against the Burswood International Resort Casino (BIRC). The paper also examines the implications of this case for the regulation of second hand smoke exposure.
Method
A systematic keyword search and analysis of internal tobacco industry documents was conducted using documents available on the World Wide Web through the Master Settlement Agreement.
Results
The industry documents provide comprehensive evidence that the Philip Morris tobacco company provided assistance to the BIRC in its defence against action by the Western Australian government. The Philip Morris tobacco company, along with others, sought to publicise and promote the outcome as a ‘landmark example’ to lobby against the implementation of indoor smoking bans.
Conclusion
Philip Morris' investment in the BIRC defence demonstrated the industry's recognition of the potential significance of the case beyond Western Australia. Involvement in the BIRC case assisted the wider tobacco industry by helping to prolong smoking at casinos and other Australian hospitality venues. The findings contribute to our understanding of the history of tobacco industry strategies implemented in Western Australia and internationally to slow tobacco control progress, and the preparedness of the tobacco industry to exploit favourable developments originating anywhere in the world.
doi:10.4066/AMJ.20111017
PMCID: PMC3413964  PMID: 22905040
Tobacco; tobacco industry; second hand smoke; Burswood Casino; policy
3.  “Below the Line”: The tobacco industry and youth smoking 
The Australasian Medical Journal  2011;4(12):655-673.
Background
This paper provides a comprehensive account of how the tobacco industry, over time, has promoted its products to young people.
Method
A comprehensive search of tobacco industry documents relating to youth smoking was conducted using documents available on the World Wide Web through the Master Settlement Agreement.
Results
The documents provide evidence that the industry invested great time and resources in developing strategies to attract young people through Youth Smoking Prevention strategies (including education strategies) and marketing to youth. The results include information from published literature and direct excerpts from the tobacco industry documents.
Conclusion
The tobacco industry documents confirm that the tobacco industry has promoted and supported strategies that are ineffective in reducing smoking by youth, and opposed strategies that have proven to be effective. It is clear from the documents reviewed that the industry values the youth market and through a number of measures continues to promote its products to young people.
doi:10.4066/AMJ.20111018
PMCID: PMC3413965  PMID: 22905041
Youth; tobacco; tobacco industry
4.  Tubercular neuritis: A new manifestation of an ancient disease 
The Australasian Medical Journal  2011;4(12):674-676.
A 25-year-old housewife presented with a burning sensation over both legs for the past 15 months, and fever with weight loss for the past six months. She had noticed a lump in her left breast one month ago. Examination revealed hyperaesthesia and allodynia over the lower limbs. Nerve conduction studies confirmed the presence of sensory neuropathy. Nerve biopsy was suggestive of a chronic axonopathy. Subsequently sputum as well as aspirate from the breast lump tested positive for acid fast bacilli. Treatment with anti-tubercular therapy resulted in full recovery. Peripheral neuropathy is a unique and unusual presentation of tuberculosis.
doi:10.4066/AMJ.2011.1029
PMCID: PMC3413966  PMID: 22905042
peripheral neuropathy; disseminated tuberculosis; sensory polyneuropathy
5.  Ten basic competencies for undergraduate pharmacology education at KIST Medical College, Lalitpur, Nepal 
The Australasian Medical Journal  2011;4(12):677-682.
Medical schools have a major challenge in teaching students to choose and prescribe medicines safely and effectively. Problem-based learning based on national essential medicine lists and standard treatment guidelines has been strongly recommended to improve prescribing. In Nepal, pharmacology is taught during the first two years of the undergraduate medical course. At KIST Medical College, Lalitpur the Department of Clinical Pharmacology teaches students to use essential medicines rationally. Small group, activity-based learning is used during practical sessions. In this article the author lists the 10 basic competencies which students should have developed by the end of the pharmacology practical module and also describes a selection of activities with regard to a particular competency used during the practical module and an exercise used to assess these competencies during the practical examination.
doi:10.4066/AMJ.2011.1046
PMCID: PMC3413967  PMID: 22905043
Competencies; Nepal; Pharmacology; Small groups
6.  ‘You get the quickest and the cheapest stuff you can’: Food security issues among low-income earners living with diabetes 
The Australasian Medical Journal  2011;4(12):683-691.
Background
Diabetes prevalence is increasing worldwide. More than 800,000 Australians live with diabetes, and there are stark inequities in prevalence and clinical outcomes among Indigenous people and low socio-economic groups.
Aims
This paper focuses on food security issues experienced by low-income earners living with type 2 diabetes in Perth, Western Australia. The results presented here are part of a broader qualitative study exploring the impact of socioeconomic disadvantage on diabetes.
Method
Data was collected through focus groups and semistructured interviews conducted from October 2008 to November 2009. The sample, comprising 38 participants ( Indigenous and non-Indigenous), was recruited from areas with high indices of socio-economic disadvantage in Perth. Deductive data analysis identified categories from an existing conceptual framework for the relationship between socio-economic position and diabetes health outcomes, while an inductive approach was adopted to identify new themes.
Results
Participants had a good understanding of their dietary requirements. However, access to healthy food was not always realised, as many participants depended on others for food provision and meal preparation and had little control over their diets. Furthermore, the majority struggled to accommodate the price of healthy food within a limited budget.
Conclusion
In this study, low-income earners living with diabetes faced food security issues. Participants reported cost barriers, but also physical barriers relating to functional limitations and lack of transport. This study highlights that the socioeconomic circumstances in which vulnerable populations experience their disease need to be understood and addressed in order to reduce the inequities surrounding diabetes outcomes.
doi:10.4066/AMJ.20111104
PMCID: PMC3413968  PMID: 22905044
Diabetes; food security; access; disadvantage; low income; Indigenous health
7.  A critical review of nutrition resources for General Practitioners focusing on healthy diet, including seafood 
The Australasian Medical Journal  2011;4(12):694-699.
Background
General practitioners (GPs) are considered a trusted and reliable source of health-related information including nutritional advice. Preliminary investigation found that GPs wanted evidence-based nutrition resources that could be used within a 10 minute consultation.
Aim
The aim of the study was to identify and critically review current resources available to GPs that promote seafood consumption within a healthy diet, as a preventative or treatment measure for common lifestyle or medical conditions.
Methods
English language resources currently available to GPs in 2008 were sourced through multiple avenues including: individual organisations; medical service networks; health information services and internet search engines. Assessment included critical review of: format; appropriateness for target groups; reference to seafood and supporting evidence; credibility; readability; and suitability for use by practitioners in a short consultation.
Results
One hundred and twenty resources were identified. The majority (88.4%, n=106) of identified resource were available Electronically. Just over half (57.5%, n=69) of the resources were targeted at specific audiences. All of the resources made reference to the health benefits of regular consumption of fish (100%, n=120), 22.5% (n=27) made reference to seafood in general and 5% (n=6) made reference to fish oil. Only 15% (n=18) of the identified resources were suitable for use with the general Australian population at or below the recommended reading level of Year Eight. The majority (87.5%, n=105) of the identified resources were associated with credible sources of information about the health benefits of regular consumption of seafood.
Conclusions
This study found that the majority of resources available to GPs were not suitable for use with the general Australian population at the recommended reading level of Year 8 or lower. Whilst it is acknowledged that written health information alone cannot change health behaviours, it can provide accurate information to assist in making changes to behaviours with support from appropriate health care professionals.
doi:10.4066/AMJ.20111134
PMCID: PMC3413969  PMID: 22905045
General Practitioners; nutrition education; seafood
8.  The Great Portion Debate 
The Australasian Medical Journal  2011;4(12):700-702.
doi:10.4066/AMJ.2011.1151
PMCID: PMC3413970  PMID: 22905046
9.  Fishing with the ‘net: A case for an electronic intervention to increase seafood consumption. 
The Australasian Medical Journal  2011;4(12):814-819.
There is good evidence that regular fish consumption can lead to a range of health benefits, and that there is high public awareness of this fact. In spite of this, Australians do not, on average, consume fish to recommended levels. An intervention is proposed, leveraging social media and mobile technology. This approach is justified on the basis of a precedence of similar initiatives and the calculation of a potential target group size of 2.8 million adult Australians.
doi:10.4066/AMJ.2011.1158
PMCID: PMC3413971  PMID: 22905047
Brief health interventions; chronic disease; fish; seafood; social media; mobile technology
10.  A study on risk factors associated with inconsistent condom and lubricant use among men who have sex with men in central Karnataka, India 
The Australasian Medical Journal  2011;4(10):469-473.
Background
Among the sexual minority groups, the Men who have Sex with Men (MSM) community is a large and scattered network. Sexual activity among MSM is frequent and often unplanned. STI and HIV are major medical problems faced by this vulnerable group. Stigma and discrimination towards this group result in poor access to preventive services that encourage condom and lubricant usage.
Method
A cross-sectional, community-based study of 309 MSM was carried out in the Davangere district between December 2008 and February 2010. Participants were identified in three stages: cruising venue identification and mapping; determining eligibility and willingness to participate; and recruitment to the study. Consecutive sampling was used to recruit the participants with the help of a snowball technique, obtaining informed and written consent.
Results
Of the participants 79.61% and 88.03% reported inconsistent use of condom and lubricant during the three months prior to the interview, respectively. In multivariate analysis, middle socioeconomic class, sex in a public place and increased frequency of sex were significantly associated with inconsistent condom use. Whereas, practising both types of anal sex (receptive and insertive), not using a condom during the last sexual encounter and increased frequency of sex were significantly associated with inconsistent lubricant use.
Conclusion
Many social and behavioural factors are involved in the inconsistent use of condom and lubricant among MSM. Preventive programmes must identify these factors in order to target consistent condom and lubricant use among the MSM community.
doi:10.4066/AMJ.2011.563
PMCID: PMC3562872  PMID: 23386862
Inconsistent condom use; Men who have Sex with Men; Human Immunodeficiency Virus; Sexual risk behaviour
11.  Crimean-Congo haemorrhagic fever: An outbreak in India 
The Australasian Medical Journal  2011;4(11):589-591.
doi:10.4066/AMJ.2011.701
PMCID: PMC3562913  PMID: 23386871
12.  Telepathology for effective healthcare in developing nations 
The Australasian Medical Journal  2011;4(11):592-595.
Telepathology has grown immensely due to rapid advances in information and technology. It has a wide variety of applications especially in the developing world, namely for remote primary diagnosis, specialist referrals, secondary opinions, remote teachings and in research. Basic infrastructure and skilled and experienced staff are the prerequisites for its successful implementation.
Socio-economic differences in developing nations result in a chaotic scenario so that, the advanced areas have expertise, while rural and remote areas remain deprived. Telepathology has the potential to bridge this gap.
This article discusses how successful use of the internet for telepathology is bridging this gap in developing nations and thereby contributing positively to effective healthcare. Possible constraints to telepathology and some solutions to overcome them are also discussed.
doi:10.4066/AMJ.2011.855
PMCID: PMC3562914  PMID: 23386872
Internet; Healthcare; Telepathology; Telereporting; Developing nations
13.  Sexual assault: An overview and implications for counselling support 
The Australasian Medical Journal  2011;4(11):596-602.
Sexual Assault (SA) is a major public health and pervasive social problem that transcends socio-cultural bounds; with myriad bio-psychosocial effects on victims/survivors and the wider community. Indeed, survivors of SA suffer the effects of assault for a lifetime. A key aspect for practitioners working with individuals, families and communities affected by SA is to understand the background, nature and extent of the problem; as well as important medicolegal considerations and support services.
doi:10.4066/AMJ.2011858
PMCID: PMC3562915  PMID: 23386873
Sexual assault; rape; counselling
14.  Cutaneous Nocardia brasiliensis infection in an immunocompetent host after ovarian cystectomy: A case study. 
The Australasian Medical Journal  2011;4(11):603-605.
Nocardia brasiliensis is a rare human pathogen that is usually associated with localised cutaneous infections. We report a case of primary cutaneous Nocardia brasiliensis infection causing delayed wound healing that developed after ovarian cystectomy in an otherwise healthy 32-year-old woman. The patient was initially treated with cotrimoxazole, however due to intolerance intravenous amikacin was given and gradually the wound healed. The diagnosis was confirmed by demonstrating the causative organism in exudates, and cultures. Early diagnosis as well as early institution of chemotherapy is effective in most patients, and antimicrobial susceptibility testing of the isolate should be performed to identify the best treatment options.
doi:10.4066/AMJ.2011.898
PMCID: PMC3562916  PMID: 23386874
Nocardia brasiliensis; immunocompetent; cutaneous Nocardiosis; ovarian cystectomy
15.  Sex, drugs and the medical role: A case report of a man prescribed Alprazolam following stroke. 
The Australasian Medical Journal  2011;4(11):608-609.
It is well-known that sexual dysfunction can result from many classes of drugs including sedatives, anti-hypertensives and anti-depressants. Untreated sexual dysfunction can lead to patient distress.
A 64-year-old man with a history of a left cerebrovascular accident participated in a qualitative research study on sex after stroke. He had been experiencing sexual dysfunction for four years.
Discussions with the patient were difficult due to his expressive dysphasia. The researcher asked him to re-visit his general practitioner (GP) who reviewed his medications and changed the prescribed sleeping tablet. Sexual function returned within a week. This case report highlights the contribution of medication to sexual dysfunction and the need for doctors to initiate conversations about sexual concerns.
doi:10.4066/AMJ.2011.1045
PMCID: PMC3562917  PMID: 23386875
Sexual dysfunction; doctor-patient communication; stroke; sleeping tablets; expressive dysphasia
16.  Stepped Skills: A team approach towards communication about sexuality and intimacy in cancer and palliative care 
The Australasian Medical Journal  2011;4(11):610-619.
Background
Cancer often has a profound and enduring impact on sexuality, affecting both patients and their partners. Most healthcare professionals in cancer and palliative care are struggling to address intimate issues with the patients in their care.
Methods
Study 1: An Australian study using semi-structured interviews and documentary data analysis.
Study 2: Building on this Australian study, using a hermeneutic phenomenological approach, data were collected in the Netherlands through interviewing 15 cancer patients, 13 partners and 20 healthcare professionals working in cancer and palliative care. The hermeneutic analysis was supported by ATLAS.ti and enhanced by peer debriefing and expert consultation.
Results
For patients and partners a person-oriented approach is a prerequisite for discussing the whole of their experience regarding the impact of cancer treatment on their sexuality and intimacy. Not all healthcare professionals are willing or capable of adopting such a person-oriented approach.
Conclusion
A complementary team approach, with clearly defined roles for different team members and clear referral pathways, is required to enhance communication about sexuality and intimacy in cancer and palliative care. This approach, that includes the acknowledgement of the importance of patients' and partners' sexuality and intimacy by all team members, is captured in the Stepped Skills model that was developed as an outcome of the Dutch study.
doi:10.4066/AMJ.20111047
PMCID: PMC3562918  PMID: 23386876
Sexuality; intimacy; cancer care; palliative care; communication; hermeneutics; Stepped Skills
17.  The impact of infertility on sexuality: A literature review 
The Australasian Medical Journal  2011;4(11):620-627.
Background:
Most studies address medical treatment of infertility and psychosocial outcomes caused by infertility-related stress, but few studies examine the infertility's impact on sexuality.
Aim:
A literature review was conducted to answer the questions: 1) How is sexual self concept impacted in infertile individuals and their partners? 2) Does infertility have a negative impact on sexual relationships? 3) Is sexual function affected by infertility? In answering these questions, we may develop a better understanding of sexuality in the context of infertility, and thus better inform infertility management. Ultimately the aim is to improve the quality of life for infertile couples.
Method:
A literature search was conducted for publications from 1990 to 2011 via the electronic databases PubMed, PsycInfo and Scopus, which focused on sexuality in infertile subjects or couples.
Results:
In this review, all studies were descriptive quantitative studies which mapped the different aspects of sexuality in the context of infertility. The results suggested that infertility and its treatment approaches for fertilisation could lead to changes in sexual self-esteem, sexual relationship and sexual function.
Conclusion:
The literature substantiated that many infertile subjects experienced trouble in various aspects of sexuality. However, further research should examine the reciprocal relations between sexual self concept, sexual relationship and sexual function in the context of infertility. How these changes affect the partners of infertile subjects should also be addressed.
doi:10.4066/AMJ.20111055
PMCID: PMC3562919  PMID: 23386877
Infertility; sexuality; IVF; Assisted Reproduction Technology (ART)
18.  An urgent need to strengthen medical journals in South Asia 
The Australasian Medical Journal  2011;4(11):628-630.
Medical journals published in South Asia and other developing regions encounter many challenges. Often authors do not perceive that they have received a fair deal from the journals. In this article the author puts forward a few suggestions to strengthen medical journals in South Asia and also other developing regions.
doi:10.4066/AMJ.2011.1078
PMCID: PMC3562920
Authors; developing countries; medical journals; South Asia
19.  Invasive pulmonary aspergillosis caused by Aspergillus versicolor in a patient on mechanical ventilation 
The Australasian Medical Journal  2011;4(11):632-634.
Aspergillus spp. often colonise the respiratory tract of critically ill patients in intensive care units and subsequently cause invasive disease. The risk of developing invasive disease is more in immunocompromised patients. Here we report a case of fatal invasive pulmonary aspergillosis caused by Aspergillus versicolor in a post-operative patient on mechanical ventilation, who did not respond to intravenous itraconazole. We then discuss the challenges involved in the accurate diagnosis of this condition and appropriate management.
doi:10.4066/AMJ.2011.905
PMCID: PMC3562921  PMID: 23386878
Aspergillosis; Aspergillus versicolor; itraconazole; ventilator
20.  Condoms No Laughing Matter 
This multimedia project was as a beer commercial, a lad’s night in, an environment that can be used to target the relevant audience. The goal was to deploy a familiar atmosphere and recognisable characters whilst delivering a serious message with humour in a very short space of time.
doi:10.4066/AMJ.2011.1129
PMCID: PMC3562922  PMID: 23386879
Video; technology; condoms; advertisement; youth
21.  The AMJ Serving Australasia 
The Australasian Medical Journal  2011;4(11):636-637.
doi:10.4066/AMJ.2011.1130
PMCID: PMC3562923  PMID: 23386880
22.  Morphological and topographical anatomy of nutrient foramina in the lower limb long bones and its clinical importance 
The Australasian Medical Journal  2011;4(10):530-537.
Background
Knowledge regarding nutrient foramina of bones is useful in surgical procedures such as microvascular bone transfer in order to preserve the circulation. The objective of the present study was to study the morphology and topography of nutrient foramina and to determine the foraminal index of the lower limb long bones to provide detailed data on such features.
Method
The study comprised examination of 206 lower limb long bones which included femora, tibiae and fibulae. The nutrient foramina were identified analysed macroscopically and the foramen index calculated. Each bone was divided into five parts and topographical analysis was performed on each section.
Results
Femora had single nutrient foramen in 47.7% of the cases, double foramen in 44.2% of the cases, triple in 3.5% of the cases and an absence of foramen in 4.6%. In the case of tibiae, 98.6% showed single foramen and in 1.4% of the cases, the foramen was absent. With respect to fibulae, 90.2% had single foramen and foramen was absent in 9.8%. The mean foraminal index was 38.9 for the femora, 32.5 for tibiae and 49.2 for fibulae. The majority (51.3%) of the foramina in the femora were located at the 2/5th part, 98.3% of the tibiae foramina at the 2/5th part and 60% of the fibulae at the 3/5th part.
Conclusion
The study provides information on the morphology and topography of nutrient foramina in lower limb long bones. The double foramina were more common in femur and rare in the tibia and fibula. The foramina of the femur and tibia were commonly observed at their upper part, whereas in the fibula they were present on the lower part. This knowledge of the nutrient foramina has to be kept in mind during surgical procedures.
doi:10.4066/AMJ.2011.725
PMCID: PMC3562873  PMID: 23386863
Foraminal index; long bones; morphology; nutrient foramen; topography
23.  Contamination of renal patients' hospital chart covers with vancomycin-­ resistant enterococci: Handle with care 
The Australasian Medical Journal  2011;4(10):538-541.
Background
Vancomycin-­resistant enterococci (VRE) have been increasingly associated with patients with renal failure attending large metropolitan teaching hospitals. Monash Medical Center has been following guidelines issued by the Department of Human Services to reduce the spread of VRE, but unfortunately this has had limited impact, especially in the renal unit. In an attempt to investigate the causes of the sustained VRE prevalence in the renal unit, this study sought to determine if renal patient chart covers were contaminated with VRE and if there was any genetic similarity to patient VRE isolates.
Method
Using convenience sampling, chart covers of patients colonised or infected with VRE were swabbed from July to September 2010 (n=46). Samples were also collected from chart covers of non-VRE patients. Molecular typing of all matching VRE patient and chart isolates was performed using pulsed field gel electrophoresis (PFGE) by the public health laboratory (Microbiological Diagnostic Unit, University of Melbourne).
Results
None of the patients who were VRE negative (n=14) had contaminated chart covers. VRE was recovered from two drug chart covers (patient A and B) from the 31 VRE positive patients sampled. One patient (patient C) was misidentified as a VRE patient for two weeks and was subject to contact precautions while being dialysed, yet three chart types belonging to this patient were found to be contaminated with VRE.
Conclusion
The findings of this study demonstrate that it is possible for patients' hospital chart covers to be contaminated with VRE even though there was no genetic similarity to the current patient strain. In this regard, the study reveals that patient charts may have an important role in spreading VRE.
doi:10.4066/AMJ.2011.726
PMCID: PMC3562874  PMID: 23386864
Vancomycin-resistant enterococci; renal patients; patient chart covers
24.  Morphometric study of cricoid cartilages in Western India 
The Australasian Medical Journal  2011;4(10):542-547.
Background
It is important to determine the size and proportion of the larynx as such information is useful in procedures such as intubation, endoscopy and surgical manipulations. Recent interest in the cases of subglottic stenosis and postintubational stenosis of the lower respiratory tract has led to renewed interest in ascertaining the measurements of the various laryngeal cartilages. The aim of the present study was to collect morphometric data of cricoid cartilage from a regional population.
Method
Fifty laryngeal preparations from adult cadavers of Western India were assessed. Sections were prepared via dissection and the removed cricoid cartilages then measured and weighed.
Results
The mean antero-posterior diameter (19.29±2.47) of the cricoid cartilage was greater than the average transverse diameter (18.33±2.26). The height of arch of cricoid cartilage was 6.54±1.23mm and height of lamina was 21.45±1.97mm. Mean weight of cricoid cartilage was 4.53±1.27grams. The shape of the cricoid cartilage was ovoid in 46% of cases, oval in 38%, pear shaped in 12% and narrow-oblong in 4% of cases.
Conclusion
Inter-subject variability in the dimensions of cricoid cartilages was observed. The large difference in almost all sizes and shapes of the cricoid cartilage makes it difficult to standardise the rigid stents used in these organs. Endotracheal tubes of the appropriate size should therefore be based on the measurements of individual patients. Clinicians should therefore be aware of morphological variations as they are of fundamental clinical importance.
doi:10.4066/AMJ.2011.816
PMCID: PMC3562875  PMID: 23386865
Cricoid cartilage; larynx; morphometry
25.  Intrinsic component of resilience among entry level medical students in the United Arab Emirates 
The Australasian Medical Journal  2011;4(10):548-554.
Background
Resilience is the capacity to recover and to cope successfully with everyday challenges. Resilience has intrinsic and extrinsic components and an effort has been made to study the intrinsic component and its association with sociodemographic factors, among the entry level students of the Integrated Bachelor of Medicine and Bachelor of Surgery (MBBS) course.
Method
The present study was conducted in Gulf Medical University, using a self-administered questionnaire, comprising of two parts, distributed to all the students who consented to participate. The first part contained questions on socio-demographic details while the second part contained questions on the intrinsic and extrinsic components of resilience of the students. The data collected was analysed using Predictive Analytic Software (PASW) 18.0 using frequency, mean, SD and median.
Results
Among the 58 students who participated 24 (41.4%) were males and 34 (58.6%) females, of which 70.7% were < 20 years and 29.3% ≥ 20years. The mean score for the intrinsic component of resilience was 48.9 (SD, 5 and range 35–60). The median scores showed no significant variation (p<0.05) with age, gender, religion, nationality, family structure, highest education among parents, the person they share their feelings with or the number of friends. However, minimally higher scores were noted in the median scores of students from nuclear families, with Western nationality and those whose parents had a university level education, who shared their feelings with people of their own generation or outside their family and who have 5–9 friends.
Conclusion
The intrinsic component of resilience was found to be almost uniform for the study group and the level is high. A study has to further look into its effect on coping with the stresses encountered during the academic year.
doi:10.4066/AMJ.2011.826
PMCID: PMC3562876  PMID: 23386866
Intrinsic component of resilience; medical students; socio-demographiccharacteristics; number of friends; sharing feelings

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