The practice of obstetrics in Mongolia.
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Biomedical subjects
Publications and source records attributed to D J Daniels.
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Pyridostigmine was first used extensively during Operation Desert Storm for prophylaxis against the effects of nerve agents. After initial reports of asthma exacerbations following its use, we gave 10 asthmatic and 6 non-asthmatic soldiers a 30-mg dose of pyridostigmine. We found no changes in forced vital capacity in any of the soldiers, but observed exacerbation of asthma symptoms in seven of the asthmatics. Severity of the exacerbation correlated best with severity of asthma in the desert and inversely with body weight. The irritant effect of the dust may predispose asthmatics to worsen after pyridostigmine, an effect not seen in the laboratory.
This paper outlines part of a course evaluation which involves two objective tests based on prestated behavioural objectives. The mid-year test gave cause for satisfaction but the end-of-year examination showed a gross decline. An analysis of cognitive levels was done using Bloom's taxonomy as a basis, and it became apparent that in the end-of-year examination students were required to function at considerably higher cognitive levels. Care must obviously be taken in ensuring that examination papers accurately reflect both the skills and the cognitive levels which students are expected to attain.