Family and community health in a new medical school

Musgrove, Jean

doi:10.1111/j.1365-2923.1990.tb02510.x

Cited by 8 publications

(5 citation statements)

References 6 publications

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“…SBP1on the other hand is the main binding protein for antioxidant enzymes including glutathione peroxidase that catalyzes the reduction of lipid hydroperoxide and hydrogen peroxide levels in adipose tissue. The comparative decrease in the expression of these enzymes in the MUHO group indicates a decrease in the antioxidant capacity of the VAT that can in turn lead to metabolic dysregulation (Musgrove, 1990). …”

Section: Discussionmentioning

confidence: 99%

A Proteomics Based Approach Reveals Differential Regulation of Visceral Adipose Tissue Proteins between Metabolically Healthy and Unhealthy Obese Patients

Alfadda

Masood

Al-Naami

et al. 2017

Molecules and Cells

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Obesity and the metabolic disorders that constitute metabolic syndrome are a primary cause of morbidity and mortality in the world. Nonetheless, the changes in the proteins and the underlying molecular pathways involved in the relevant pathogenesis are poorly understood.In this study a proteomic analysis of the visceral adipose tissue isolated from metabolically healthy and unhealthy obese patients was used to identify presence of altered pathway(s) leading to metabolic dysfunction. Samples were obtained from 18 obese patients undergoing bariatric surgery and were subdivided into two groups based on the presence or absence of comorbidities as defined by the International Diabetes Federation. Two dimensional difference in-gel electrophoresis coupled with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry was carried out. A total of 28 proteins were identified with a statistically significant difference in abundance and a 1.5-fold change (ANOVA, p ≤ 0.05) between the groups. 11 proteins showed increased abundance while 17 proteins were decreased in the metabolically unhealthy obese compared to the healthy obese. The differentially expressed proteins belonged broadly to three functional categories: (i) protein and lipid metabolism (ii) cytoskeleton and (iii) regulation of other metabolic processes. Network analysis by Ingenuity pathway analysis identified the NFκB, IRK/MAPK and PKC as the nodes with the highest connections within the connectivity map. The top network pathway identified in our protein data set related to cellular movement, hematological system development and function, and immune cell trafficking. The VAT proteome between the two groups differed substantially between the groups which could potentially be the reason for metabolic dysfunction.

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Section: Discussionmentioning

confidence: 99%

A Proteomics Based Approach Reveals Differential Regulation of Visceral Adipose Tissue Proteins between Metabolically Healthy and Unhealthy Obese Patients

Alfadda

Masood

Al-Naami

et al. 2017

Molecules and Cells

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“…Musgrove (1990) has described the background and concepts of the teaching of Family and Community Health at the Sultan Qaboos University. As stated in his paper, each class of students ‘adopts’ a village, to which the students continue to relate throughout the period of their medical education.…”

Section: The Situation In Omanmentioning

confidence: 99%

Teaching clinical skills to new medical students: the Oman experience

1992

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The College of Medicine at the Sultan Qaboos University (SQU) in Oman took up the challenge of moving away from a didactic emphasis in the teaching of family and community health by actively involving students in health care, requiring some clinical skills, as early as possible. This paper describes the experience of the Department of Family and Community Health at SQU of the feasibility of training first-year medical students in the measurement of blood pressure within a few days. Our experience showed that proper training before starting field-work can teach clinical skills to students who have had no prior exposure to medical subjects. There was a strong correlation between the measurements of blood pressure of 638 individuals by the students and the supervisors. This experience at SQU has encouraged us to implement the idea of family- and community-based clinical exposure for every class. Teaching of clinical skills is feasible in the field for new entrants, provided there is adequate orientation beforehand and skilled supervision of the students in small groups.

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“…The usual problems of changing from an outdated system did not apply. Musgrove (1990) has described the background and concepts underpinning the development of the undergraduate medical curriculum at SQU.…”

Section: College Of Medicinementioning

confidence: 99%

Education in family and community health: the challenge faced by a new medical school

1992

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This paper describes the efforts of the Department of Family and Community Health at Sultan Qaboos University in providing opportunities for the development of 'hands-on' problem-solving skills appropriate for Oman. The curriculum of the Department is discussed, highlighting the unusual emphasis of this discipline in both the preclinical and clinical curriculum of the College of Medicine. The importance of continuous assessment and supervision of students is discussed. Course-work in the preclinical curriculum of the Department is kept to a minimum. Field-work forms an important part of preclinical training, where application and problem-based learning are emphasized. During the clinical years the students are exposed to an integrated series of lectures and practicals covering core knowledge in clinical medicine. Practical clinical training, over a total period of 15 weeks, takes place at a variety of sites where common problems in primary health care in Oman are handled by students under supervision.

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Family and community health in a new medical school

Abstract: The planning and implementation of a curriculum for a department of family and community health in a new medical school in a developing country presents special problems. The evolution of the programme at Sultan Qaboos University in the Sultanate of Oman is described and discussed.

Cited by 8 publications

References 6 publications

A Proteomics Based Approach Reveals Differential Regulation of Visceral Adipose Tissue Proteins between Metabolically Healthy and Unhealthy Obese Patients

A Proteomics Based Approach Reveals Differential Regulation of Visceral Adipose Tissue Proteins between Metabolically Healthy and Unhealthy Obese Patients

Teaching clinical skills to new medical students: the Oman experience

Education in family and community health: the challenge faced by a new medical school

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