Could be true. There are also too many "Perdana"s nowadays from bakery to dhobi to even car wash!

when any uni needs to trumpet itself with it's name, it is best to steer clear of them......

do you see any such names in the top 100 unis in the world?........or even in the top 1000....

Top 100 academies consist of colleges and universities that need not to have adjectives in their names.. In contrast, top-tier institutions had the names of the founders and co-founders, such as Harvard University.

This post has been edited by kasturipurba: Jul 23 2011, 06:47 PM

quick question

is Schatzker type VI and medial plateau fracture-dislocations the same thing?

Hi folks, I have few doubts to ask you fellas

I'm planning to take up medicine at an IPTS medical school. It's only the 3rd year of commencement so yet to be recognized by MMC and listed under IMED. Attended the interview and currently waiting for the announcement. I'm having few doubts about USMLE.

(1). Is it advisable to sit for Step 1 of USMLE at the end of 2nd year of medical school?

(2). Is it practical for Malaysian IPTS graduate to sit for USMLE to become an IMG with the hope getting a residency in the States? What are the odd?

(3). Errr....any alternative to United States Clinical Experience (USCE) ?

(4). When we should start prepare for USMLE?

Kindly advice.

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Added on July 30, 2011, 4:08 pmI heard that it might due o some licensing fiasco with the previous Perak government. Their programme is not advertised in their web. It will cost about RM293K-RM310K depending whether your want thier hostel or not.

Lecturers will shipped in from India, not sure about the quality, intake's in September.

This post has been edited by md.azlan23: Jul 30 2011, 04:15 PM

list 4 features of malignant hypertension.

1.___________________________
2.___________________________
3.___________________________
4.___________________________

What would happen again with the imminent change of the Perak Gomen again in the coming GE13?

Maybe another flip flop?

I personally think to avoid being caught in another fiasco.

hi

can someone help me

urinalysis...
what parameter has higher predictive value of urinary tract infections?
nitrite or wbc?

thank you in advance.

My renal lectures are a few weeks later x.x but I'll be going for WBC as a main detection that there's something going on? prob culture/serology/stain the urine for any suspected bacts?

I think it's depends on type of microorganism...if the pathogen is bacteria normally presented with WBC cast in the urine....Nitrite is due to present of pseudomonas aeruginosa with nitrase which can convert the nitrate to nitrite...or even direct detection of bacteria in the urine.....

This post has been edited by MBBS siang: Aug 8 2011, 02:14 AM

Again, I'm not sure as I haven't really go into renal yet. I don't think it's confined to P.aeruginosa, many G+ve and -ve can do the same thing too. I read somewhere that nitrite testing has high specificity and low sensitivity? so thats why I'm saying WBC has a higher predictive value for UTI. I've not heard about P.aeruginosa being a common UTI source, probably nosocomial? E.Coli would be more common in community I think. (seniors/doctors help pls =D)

pseudomonas is the most common bacteria for nosocomial UTI....

This post has been edited by MBBS siang: Aug 9 2011, 01:16 AM

that is incorrect.......what are they teaching you?!

the microbial spectrum of nosocomial uti will vary from hospital to hospitals and region/country to region/country......but e.coli, klebsiella, enterococcus and candida consistently will be at the top of the lists......and pseodomonas somewhere down the list......

Oh I see....because during urinary system...my lecturer list pseudomonas as one of the commonest causative agent as nosocomial UTI....her name is DR rosni...."Pseudomonas aeruginosa,Disease: common cause of cystitis and pyelonephritis; higher incidence in hospital and nursing home patients,Epidemiology: one of the most common nosocomial pathogen" I quote this from my lecture notes.....

Limeuu...I'm entering clinical years....so far as what I know something I had learned from pre-clinical years is actually not that correct as the statement I made above is a proof...is there any advice to me during my clinical attachment because I really want to be a competent doctor in future but not a killer......To be honest I learned quite a lot from this forum....

This post has been edited by MBBS siang: Aug 9 2011, 04:38 PM

i rmb during my pre-clinical years the answer would always be pseudomonas lol for nosocomial infection

there are 4 main types of nosomial infections, ie UTI, pneumonia, bacteremia and wound infections. Pseudomonas is more for pneumonia. limeuu is right with the organisms.

http://www.ncbi.nlm.nih.gov/pubmed/20625622
http://www.ncbi.nlm.nih.gov/pubmed/8129347

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Added on August 9, 2011, 7:21 pmThe biochemical reaction that is detected by the nitrite test is associated with members of the family Enterobacteriaceae (the pathogens most commonly responsible for UTIs), but the usefulness of the test is limited because nitrite production is not associated with urinary-tract pathogens such as S. saprophyticus, Pseudomonas species, or enterococci .

http://cid.oxfordjournals.org/content/38/8/1150.long

Pappas PG et al. Laboratory in the diagnosis and management of urinary tract infections. Med Clin N Amer 1991;75:313-25.

This post has been edited by wgy589: Aug 9 2011, 09:43 PM

check out this table, for paediatric group though.
no time to find other sources, will update here if manage to.

This post has been edited by wgy589: Aug 9 2011, 09:40 PM


Attached File(s)
 UTI_tests.ppt ( 659k ) Number of downloads: 8

Hi guys, need your advise here. I'm an IMU student, choosing my PMS very soon so I need to know something about specialty training.

1)Specialties(say cardiology) are offered by Universities or Hospitals?
2)What do they take in account when I apply for a specialty i.e my MBBS grades or any research achievements?
3)Is it harder to cross country(if I graduate from Aus and decided I want to go UK for my specialty training instead)

I know it may seem funny for me to think of that so early but I think it really affects my PMS choice a lot, so I need some advise from you guys. thanks!

i am more worried that after 4+ semesters at imu, you have to ask these questions.....because there are (and should be) resources at imu to answer all these......and really, by sem 5, a medical students should know how postgraduate is conducted in the medical world......

and it is way too early to think about postgraduate..........concentrate on getting through med school first.....

as for choosing pms, decide based on which country you like, the cost implications, and finally, it's the luck of the draw.....getting to oz is very difficult now, as there are so few undergraduate places left.......so the bulk of people are going to end up in uk.........