Browsing by Author "Kakia, Aloysious"
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- ItemThe efficacy and safety of complete pericardial drainage by means of intrapericardial fibrinolysis for the prevention of complications of pericardial effusion : a systematic review protocol(BMJ Publishing Group, 2016) Kakia, Aloysious; Wiysonge, Charles S.; Ochodo, Eleanor A.; Awotedu, Abolade A.; Ristic, Arsen D.; Mayosi, Bongani M.ENGLISH SUMMARY : Introduction: Intrapericardial fibrinolysis has been proposed as a means of preventing complications of pericardial effusion such as cardiac tamponade, persistent and recurrent pericardial effusion, and pericardial constriction. There is a need to understand the efficacy and safety of this procedure because it shows promise. Methods and analysis: We aim to assess the effects of intrapericardial fibrinolysis in the treatment of pericardial effusion. We will search PubMed, the Cochrane Library, African Journals online, Cumulative Index to Nursing and Allied Health Literature, Trip database, Clinical trials.gov and the WHO International Clinical Trials Registry Platform for studies that evaluate the efficacy and/or safety of complete pericardial fluid drainage by intrapericardial fibrinolysis irrespective of study design, geographical location, language, age of participants, aetiology of pericarditis or types of fibrinolytics. Two authors will do the search independently, screen the search outputs for potentially eligible studies and assess whether the studies meet the inclusion criteria. Discrepancies between the two authors will be resolved through discussion and arbitration by a third author. Data from the selected studies shall be extracted using a standardised data collection form which will be piloted before use. The methodological quality of studies will be assessed using the Cochrane Collaboration’s tools for assessing risk of bias for experimental studies and non-randomised studies, respectively. The primary meta- analysis will use random effects models due to expected interstudy heterogeneity. Dichotomous data will be analysed using relative risk and continuous with data mean differences, both with 95% CIs.
- ItemThe perceptions of preceptors regarding assessment of clinical associate students at Walter Sisulu University(Stellenbosch : Stellenbosch University, 2019-12) Kakia, Aloysious; Couper, Ian; Stellenbosch University. Faculty of Medicine and Health Sciences. Centre for Health Professions Education.ENGLISH SUMMARY : Introduction: Preceptors are vital stakeholders in the training of clinical associate students at district hospital training sites in the Walter Sisulu University Bachelor of Medical Clinical practice (BMCP) programme. They conduct teaching and learning, and assessment activities. Whereas preceptors have facilitated learning and assessment for clinical associate students for ten years, their perceptions of the assessment process had not been explored and factored into clinical associate training. Aim: The aim of this study was to explore the perceptions of preceptors regarding assessing clinical associate students at district hospital training sites. Methods: This was a qualitative study using a phenomenological approach. Nine preceptors were purposively selected and interviewed from three district hospitals. The interviews were audio recorded, transcribed, and thematic analysis was conducted. Results: Four themes emerged from data analysis with several subthemes and categories. The themes were: assessment issues, student issues, preceptor issues and university issues. The subthemes under assessment issues were conduct of assessment, tools of assessment, validity of assessment and ease of assessment. The theme of student issues had the subthemes of poorly performing students, student demands, and conflicts with students. The theme of preceptor issues included the subthemes of preceptor skills for assessment, affect related to assessment, and preceptor motivation. The theme of university issues had one subtheme which was university support for assessment. Discussion: Preceptors were found to be actively engaged with students at the district hospitals, are highly motivated, and obtained satisfaction from the assessment that they do. There was no training of the preceptors in preparation for their role. They therefore employed various individual techniques to train and assess students which resulted in a heterogeneous picture across the sampled sites. The lack of training coupled with reluctance to fail poor performing students and the possibility of subjectivity bring the reliability of assessment by preceptors into question. Conclusion: The district hospital training sites are seen to be appropriate for training and assessing clinical associates. There is a need for training and continued support of preceptors so as to assure reliability and uniformity of the assessment process.