The nearness to clinical reality was rated as 7.52 with artificiality of the stations rated as 4.12. The OSCE has gained acceptance amongst final year medical students. The OSCE has gained acceptance amongst final year medical students. Low education levels and language barriers present challenges in obtaining informed consent for clinical research. To describe and correlate the association between the level of education and the participant's preferred language of consent. Descriptive-analytical cross-sectional study. Adults being consented for participation in tuberculosis(TB) research studies in an East African community with varying levels of education. We analyzed data on demographic and educational characteristics collected from adults being consented for participation in TB studies .Only participants who could understand and speak Luganda (the main local language) or English (the official language of Uganda) were included in this analysis. A total of 523 participants were consented between April 2015 and December 2017 and included in this analysis; 250 below Senior four (< 11yrs of education), 114 senior four (at 11yrs of education),73 senior five-senior six (12-13yrs of education) and 86 beyond senior six (> 13yrs of education). We noted that the preference for English rises with the rising levels of education and peaked at beyond senior six (83%Vs17%,OR=49,95%CI22.8-106.3,p<0.001).Participants below senior four preferred Luganda Vs senior four and above(OR=16.9,95%CI9.9-28.8,p<0.001). Rising education levels of participants were associated with preference for English language usage during initial consent for clinical research studies. Rising education levels of participants were associated with preference for English language usage during initial consent for clinical research studies. Perspectives on the pioneering work of Electronic Health Recording (EHR) system in Nigeria was studied. To determine health workers perception, challenges, motivation and satisfaction with EHR. This was a descriptive cross sectional study using structured questionnaire to assess health workers perspective on EHR system at Kogi State Specialist Hospital. A total of 35 consenting health workers with an mean age of 39.4(± 7.6) years using EHR were assessed. The mean daily work hour was 8.0(± 2.4 hours) and median client load per participant was 20 daily. On perceptions, 74.3%, 52.9%, 45.5% and 60.0% were comfortable, well-motivated, satisfied and competent with EHR. The advantages were reduction in transcription cost (88.5%), Paper work (97.1%), administrative cost (91.4%), errors (82.9%) and it captures, provides more services including timely access and ease research in 94.3%, 74.3%, 94.3% and 82.9% respectively. https://www.selleckchem.com/products/asciminib-abl001.html Challenges were threat to patient privacy, poor internet, information overload, power outages, incomplete and inaccurate information in 17.0%, 65.7%, 31.5%, 62.9%, 37.1% and 22.9% respectively. Health workers were comfortable and satisfied with EHR and it eased their work.Scaling up EHR would reduce administrative cost, transcription errors and paper works to mitigate poor quality data from Nigeria a great contributor to global morbidities/mortalities. Health workers were comfortable and satisfied with EHR and it eased their work.Scaling up EHR would reduce administrative cost, transcription errors and paper works to mitigate poor quality data from Nigeria a great contributor to global morbidities/mortalities. South Africa is moving towards National Health Insurance (NHI), which aims to provide access to universal health coverage for all South Africans. The NHI will only accredit and contract eligible health facilities that meet nationally approved quality standards in the public and private sector. Detailed tools for measuring compliance with the National Core Standards (NCS) and Batho Pele principles have been developed and implemented in the public sector. To date and since its implementation in the public sector, very little is known about the national audit tool and the method used to evaluate quality and patient safety standards in private hospitals in eThekwini district. The aim of the study was to develop an audit tool for relicensing inspection of private hospitals in eThekwini district based on the clinical domains of the NCS and Batho Pele principles. An exploratory sequential mixed method research design was used with a qualitative first phase involving 24 nurse managers through purposive sampling. This was followed by a quantitative phase in which a structured questionnaire was administered to 270 nurses who were randomly sampled for the study from 4 hospitals. The results revealed that the NCS and the Batho Pele principles are not fully implemented or evaluated in the selected hospitals in eThekwini district. These findings were significant and denoted the need for a standardised clinical audit tool for private hospitals in eThekwini district. These findings were significant and denoted the need for a standardised clinical audit tool for private hospitals in eThekwini district. Pica is a poorly understood psychiatric disorder that presents with the ingestion of non-nutritious substances for unclear reasons. A high index of suspicion for unusual toxin exposure aids in the diagnosis of pica patients presenting with unexplained neurodegenerative features. We present a 47-year-old female with worsening gait over the past year. Prior to this, she was fully independent with activities of daily living, but is now mostly housebound due to frequent falls. Past medical history is significant for menorrhagia, iron deficiency anemia and pica. CBC and iron studies revealed iron deficiency with microcytic hypochromic anemia. MRI brain demonstrated symmetrical T2 hyperintensities within the middle cerebellar peduncles. Differential diagnoses for her clinical deficits and imaging, including Spinocerebellar Ataxia, Multiple System Atrophy and Fragile X Tremor-Ataxia Syndrome, were excluded based on neurological assessment, family history and genetic PCR testing. Collateral history revealed a regular habit of mothball ingestion and serum paradichlorobenzene levels were elevated to 15mcg/mL.