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Sample records for florida residents knowledge

  1. Hair mercury concentrations and fish consumption patterns in Florida residents.

    Science.gov (United States)

    Schaefer, Adam M; Jensen, Emily L; Bossart, Gregory D; Reif, John S

    2014-06-26

    Mercury exposure through the consumption of fish and shellfish represents a significant public health concern in the United States. Recent research has demonstrated higher seafood consumption and subsequent increased risk of methylmercury exposure among subpopulations living in coastal areas. The identification of high concentrations of total mercury in blood and skin among resident Atlantic bottlenose dolphins (Tursiops truncatus) in the Indian River Lagoon (IRL), a coastal estuary in Florida, alerted us to a potential public health hazard in the contiguous human population. Therefore, we analyzed hair mercury concentrations of residents living along the IRL and ascertained their sources and patterns of seafood consumption. The total mean mercury concentration for 135 residents was 1.53 ± 1.89 µg/g. The concentration of hair mercury among males (2.02 ± 2.38 µg/g) was significantly higher than that for females (0.96 ± 0.74 µg/g) (p < 0.01). Log transformed hair mercury concentration was significantly associated with the frequency of total seafood consumption (p < 0.01). Individuals who reported consuming seafood once a day or more were 3.71 (95% CI 0.84-16.38) times more likely to have a total hair mercury concentration over 1.0 µg/g, which corresponds approximately to the U.S. EPA reference dose, compared to those who consumed seafood once a week or less. Hair mercury concentration was also significantly higher among individuals who obtained all or most of their seafood from local recreational sources (p < 0.01). The elevated human mercury concentrations mirror the elevated concentrations observed in resident dolphins in the same geographical region. The current study is one of the first to apply the concept of a sentinel animal to a contiguous human population.

  2. Hair Mercury Concentrations and Fish Consumption Patterns in Florida Residents

    Directory of Open Access Journals (Sweden)

    Adam M. Schaefer

    2014-06-01

    Full Text Available Mercury exposure through the consumption of fish and shellfish represents a significant public health concern in the United States. Recent research has demonstrated higher seafood consumption and subsequent increased risk of methylmercury exposure among subpopulations living in coastal areas. The identification of high concentrations of total mercury in blood and skin among resident Atlantic bottlenose dolphins (Tursiops truncatus in the Indian River Lagoon (IRL, a coastal estuary in Florida, alerted us to a potential public health hazard in the contiguous human population. Therefore, we analyzed hair mercury concentrations of residents living along the IRL and ascertained their sources and patterns of seafood consumption. The total mean mercury concentration for 135 residents was 1.53 ± 1.89 µg/g. The concentration of hair mercury among males (2.02 ± 2.38 µg/g was significantly higher than that for females (0.96 ± 0.74 µg/g (p < 0.01. Log transformed hair mercury concentration was significantly associated with the frequency of total seafood consumption (p < 0.01. Individuals who reported consuming seafood once a day or more were 3.71 (95% CI 0.84–16.38 times more likely to have a total hair mercury concentration over 1.0 µg/g, which corresponds approximately to the U.S. EPA reference dose, compared to those who consumed seafood once a week or less. Hair mercury concentration was also significantly higher among individuals who obtained all or most of their seafood from local recreational sources (p < 0.01. The elevated human mercury concentrations mirror the elevated concentrations observed in resident dolphins in the same geographical region. The current study is one of the first to apply the concept of a sentinel animal to a contiguous human population.

  3. Internal Medicine Residents Do Not Accurately Assess Their Medical Knowledge

    Science.gov (United States)

    Jones, Roger; Panda, Mukta; Desbiens, Norman

    2008-01-01

    Background: Medical knowledge is essential for appropriate patient care; however, the accuracy of internal medicine (IM) residents' assessment of their medical knowledge is unknown. Methods: IM residents predicted their overall percentile performance 1 week (on average) before and after taking the in-training exam (ITE), an objective and well…

  4. Knowledge and attitudes of residents regarding electroconvulsive therapy

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    Gokay Alpak

    2015-02-01

    Full Text Available AIM: To determine the knowledge and attitudes of non-psychiatry residents about electroconvulsive therapy (ECT and additionally to make a comparison between residents of medical sciences and surgical sciences. METHODS: The study consisted of 176 medical school graduates in their residency training (119 medical sciences, 57 surgical sciences at a university hospital. All subjects are asked to fill a questionnaire prepared by the authors. RESULTS: Among all, 58 of the medical sciences residents (48.7%, and 32 of the surgical sciences residents (56.1% had reported that they have never observed any ECT session. There was no statistically significant difference between the residents of the two groups in terms of theirs attitudes towards ECT (p>0.05. The residents of surgical sciences differed from the others only in their response to the question that sought answer whether they would agree to have any of their relatives to undergo ECT. They more often disagreed to this statement (p=0.02. CONCLUSIONS: The knowledge and attitudes of residents in medical, and surgical sciences about ECT seemed to be similar. Despite their significant amount of knowledge about ECT the residents showed similar attitudes towards it with the patients and their caregivers that were previously reported in the literature. Additionally, the results also suggest that current training in medical schools need a revision that would eventually improve attitudes of medical graduates towards ECT. [TAF Prev Med Bull 2015; 14(1.000: 33-38

  5. [Knowledge of health care ethics in paediatric residents].

    Science.gov (United States)

    Hernández González, A; Rodríguez Núñez, A; Cambra Lasaosa, F J; Quintero Otero, S; Ramil Fraga, C; García Palacios, M V; Hernández Rastrollo, R; Ruiz Extremera, M A

    2014-02-01

    Bioethics has been recently incorporated in to the educational programs of both medical students and medical residents as part of their curriculum. However, its training based on clinical practice is not well structured. To evaluate the knowledge of bioethics in Spanish paediatric residents, and to analyse how this relates to the medical education during graduate and post-graduate training. A questionnaire with 20 multiple choice questions was designed to evaluate the knowledge in basic ethics with potential implications in clinical practice. We evaluated the education received during graduate and post-graduate training, and the main ethical conflicts faced. A total of 210 completed questionnaires were received from medical residents in paediatrics from 20 different Spanish hospitals, of whom 47 of these were first year residents (R1), 49 were second year residents (R2), 57 were third year residents (R3), and the remaining 57 were final year residents (R4). The mean number of correct answers was 16.8 out of 20. No differences were found between residents in different years of training, nor were there any differences between the group that had received specific training in bioethics versus those who had not. Residents were more likely to give wrong answers related with informed consent, the law on the freedom of the patient, principles of quality of life, the case analysis system, and the dimension of distributive justice. Limitation of therapeutic efforts was identified as the main ethical problem faced in clinical practice by Spanish residents in paediatrics. Most of the knowledge of bioethics is acquired during graduate training, and improved very little throughout the period of medical residence. Our results suggest that efforts are required in organising and structuring the education in bioethics during the training of residents in paediatrics. Copyright © 2012 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  6. An Analysis of Florida Physical Educators' Knowledge of Bicycle Laws

    Science.gov (United States)

    Connaughton, Daniel P.; Egberts, John B.; Spengler, J. O.; Zhang, James J.; Jin, Liyan

    2012-01-01

    Bicycling among youth is a popular activity, but like all modes of travel it is not without risk. Florida has a particularly high rate of bicycle-related fatalities and injuries. To reduce such risks, the Florida Department of Transportation and Florida Department of Education have developed a youth bicycle safety educational program (Florida…

  7. Assessing pharmacy residents' knowledge of biostatistics and research study design.

    Science.gov (United States)

    Bookstaver, P Brandon; Miller, April D; Felder, Tisha M; Tice, Danielle L; Norris, LeAnn B; Sutton, S Scott

    2012-01-01

    Historically, clinicians have demonstrated a lack of confidence and poor aptitude for biostatistics as a tool for medical literature interpretation. Evaluation of pharmacy residents' ability to interpret biostatistics commonly used in peer-reviewed literature has not been previously conducted. To evaluate the level of understanding and perception of biostatistics concepts among pharmacy residents. A survey of postgraduate year 1 (PGY1) residents in American Society of Health-System Pharmacists-accredited residency programs was conducted in May 2009. The survey instrument consisted of 27 items, including 10 knowledge-based questions, and was distributed to residency programs for anonymous reporting via SurveyMonkey. The primary outcome of interest was biostatistics knowledge, defined as the percent total score of correct knowledge items. Statistical attitude and confidence questions were rated on a 5-point Likert-type scale (1 = strongly disagree, 5 = strongly agree). The t-test or 1-way analysis of variance was conducted, as appropriate, to assess for differences in mean biostatistics knowledge scores by respondent characteristics. Forward stepwise regression was used to identify which characteristics were independently associated with biostatistics knowledge. A total of 214 PGY1 residents responded to the online survey assessment, and a subset of respondents (n = 166) answered 1 or more of the biostatistics knowledge questions. Of those who responded to at least 1 knowledge assessment, the overall mean (SD) biostatistics knowledge score was 47.3% (18.50%; range 0-90). Overall, respondents were predominantly female (74%) and younger than 30 years (81%). Residents scored highest in the recognition of the purpose of a double-blind study (92.6%; 95% CI 88.52 to 96.67), interpretation of relative risk (75.8%; 95% CI 69.02 to 82.57), and identification of the appropriate analytic method for a nominal variable (69.4%; 95% CI 62.16 to 76.59). Bivariate analyses showed

  8. Assessing Knowledge Base on Geriatric Competencies for Emergency Medicine Residents

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    Teresita M. Hogan

    2014-07-01

    Full Text Available Introduction: Emergency care of older adults requires specialized knowledge of their unique physiology, atypical presentations, and care transitions. Older adults often require distinctive assessment, treatment and disposition. Emergency medicine (EM residents should develop expertise and efficiency in geriatric care. Older adults represent over 25% of most emergency department (ED volumes. Yet many EM residencies lack curricula or assessment tools for competent geriatric care. Fully educating residents in emergency geriatric care can demand large amounts of limited conference time. The Geriatric Emergency Medicine Competencies (GEMC are high-impact geriatric topics developed to help residencies efficiently and effectively meet this training demand. This study examines if a 2-hour didactic intervention can significantly improve resident knowledge in 7 key domains as identified by the GEMC across multiple programs. Methods: A validated 29-question didactic test was administered at six EM residencies before and after a GEMC-focused lecture delivered in summer and fall of 2009. We analyzed scores as individual questions and in defined topic domains using a paired student t test. Results: A total of 301 exams were administered; 86 to PGY1, 88 to PGY2, 86 to PGY3, and 41 to PGY4 residents. The testing of didactic knowledge before and after the GEMC educational intervention had high internal reliability (87.9%. The intervention significantly improved scores in all 7 GEMC domains (improvement 13.5% to 34.6%; p<0.001. For all questions, the improvement was 23% (37.8% pre, 60.8% post; P<0.001 Graded increase in geriatric knowledge occurred by PGY year with the greatest improvement post intervention seen at the PGY 3 level (PGY1 19.1% versus PGY3 27.1%. Conclusion: A brief GEMC intervention had a significant impact on EM resident knowledge of critical geriatric topics. Lectures based on the GEMC can be a high-yield tool to enhance resident knowledge of

  9. Residents' Knowledge about and Attitudes toward Use of Computers.

    Science.gov (United States)

    Whiteside, Mary F.

    1993-01-01

    A survey of 129 medical residents in an urban teaching hospital revealed a general lack of knowledge about computers, although most had used a microcomputer. Students were most likely to be able to use word processing (73%) and bibliographic retrieval (71%) programs. Better access to and training for computer use are recommended. (Author/MSE)

  10. Knowledge and Attitude of Medical Resident Doctors Toward Antihistamines

    OpenAIRE

    Esha Chainani; Kiran Godse; Shweta Agarwal; Sharmila Patil

    2015-01-01

    Background: Allergic rhinitis and urticaria are chronic persistent allergic conditions that need proper management as they significantly reduce quality of life measures. Of the many pharmacological options of allergic rhinitis and urticaria, second-generation antihistamines are the mainstay of therapy. Aims: This review focuses on the knowledge of medical residents toward prescribing antihistamines, according to the new ARIA and GA2LEN guidelines for allergic rhinitis and urticaria, attemptin...

  11. Business and Practice Management Knowledge Deficiencies in Graduating Orthopedic Residents.

    Science.gov (United States)

    Miller, D Joshua; Throckmorton, Thomas W; Azar, Frederick M; Beaty, James H; Canale, S Terry; Richardson, David R

    2015-10-01

    We conducted a study to determine the general level of knowledge that orthopedic residents have on business and practice management topics at graduation and to evaluate the level of knowledge that practicing orthopedic surgeons need in order to function effectively in a medical practice. Residency graduates from a single training program were asked to complete a survey that gathered demographic information and had surgeons rate their understanding of 9 general business and practice management skills and the importance of these skills in their current practice situation. The amount of necessary business knowledge they lacked at graduation was defined as a functional knowledge deficiency (FKD) and was calculated as the difference between the reported importance of a topic in current practice and the level of understanding of that topic at graduation (larger FKD indicates greater deficiency). Those in physician-managed practices reported significantly higher levels of understanding of economic analytical tools than those in nonphysician-managed practices. There were no other statistically significant differences among groups. Hospital-employed physicians had the lowest overall FKD (4.0), followed by those in academic practices (5.1) and private practices (5.9). Graduating orthopedic surgeons appear to be inadequately prepared to effectively manage business issues in their practices, as evidenced by the low overall knowledge levels and high FKDs.

  12. Disability and physical and communication-related barriers to health care related services among Florida residents: A brief report.

    Science.gov (United States)

    Bauer, Sarah E; Schumacher, Jessica R; Hall, Allyson; Marlow, Nicole M; Friedel, Claudia; Scheer, Danielle; Redmon, Susan

    2016-07-01

    Research has not fully characterized barriers to health care faced by persons with disabilities (PWD) which constitutes a critical gap given the increased risk of chronic illness faced by PWD. To understand the current barriers to seeking health care-related services for PWD in Florida. The study was based on a random-digit-dial telephone interview survey of respondents aged 18 and over (n = 1429). Multivariable logistic regression assessed the relationship between disability and physical and communication barriers. One thousand four hundred and twenty-nine Florida residents participated in the survey. Thirty-three percent of respondents (n = 471) reported having a disability. PWD were significantly older (mean age 68 vs. 61) and had lower levels of income and education than persons without disabilities (PWOD) (p barrier (Odds Ratio [OR] = 16.6 95% CI: 7.9, 34.9), a clinical experience barrier (OR = 13.9 95% CI: 6.9, 27.9) a communication and knowledge barrier (OR = 6.7 95% CI: 4.0, 11.3) and a barrier coordinating care (OR = 5.7 95% CI: 3.4, 9.6) compared to persons without disabilities (PWOD). PWD disproportionately face health care access difficulties that can impede the receipt of high quality care within and between provider visits. Efforts to reduce physical barriers and improve communication between providers and PWD may improve functional status and quality of life for these patients. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Knowledge and attitude of medical resident doctors toward antihistamines

    Directory of Open Access Journals (Sweden)

    Esha Chainani

    2015-01-01

    Full Text Available Background: Allergic rhinitis and urticaria are chronic persistent allergic conditions that need proper management as they significantly reduce quality of life measures. Of the many pharmacological options of allergic rhinitis and urticaria, second-generation antihistamines are the mainstay of therapy. Aims: This review focuses on the knowledge of medical residents toward prescribing antihistamines, according to the new ARIA and GA2LEN guidelines for allergic rhinitis and urticaria, attempting to find the cause of less prescription of newer second-generation antihistamines by finding out the knowledge and attitude of the doctors prescribing them to the patients. Materials and Methods: The study was carried out among resident doctors at a tertiary care teaching hospital. Primary data from 100 resident doctors, who gave their informed consent, was collected. A prevalidated questionnaire regarding knowledge, attitude and prescribing practice of antihistamines was filled up. The data was then analyzed with suitable statistical tests. Every question was first validated using the Chi-square test, and significance was below 10% hence proving validity of the questions. Results: Out of the doctors surveyed, 82% of doctors said they prescribed second-generation antihistamines, while 18% still prescribed first-generation antihistamines. Out of the 82% that prescribed second-generation antihistamines, 8.9% also prescribed first-generation antihistamines as well. 23% of doctors surveyed had heard about the ARIA and GAL2EN guidelines and their recommendations for prescribing second-generation antihistamines over the older first-generation antihistamines, while 77% of them had not heard of these position papers. Conclusion: First-generation or classic antihistamines are still overused due to the lack of knowledge of various guidelines that have been published. The main reason for not prescribing the second-generation antihistamines was due to the increased

  14. Public knowledge of heart attack symptoms in Beijing residents

    Institute of Scientific and Technical Information of China (English)

    ZHANG Qing-tan; HU Da-yi; YANG Jin-gang; ZHANG Shou-yan; ZHANG Xin-quan; LIU Shu-shan

    2007-01-01

    Background Definitive treatment for heart attack is early reperfusion with either angioplasty or thrombolytic therapy,and the benefit is strictly time-dependent. Patient outcomes are improved with either therapy when initiated as soon as possible. Recognition of heart attack symptoms is logically tied to taking action to receive prompt emergency care.Inadequate knowledge of heart attack symptoms may prolong delay. The purpose of this study was to document knowledge about heart attack symptoms in Beijing residents and to identify the characteristics associated with increased knowledge of heart attack.Methods A structured survey was conducted in 18 communities in Beijing from March 1 through June 10 in 2006.Addresses and participants were selected randomly following a stratification. The survey was designed to collect knowledge of heart attack symptoms from sampled adults in each community.Results A total of 4627 respondents completed the questionnaires correctly, and 50.29% of them were female. Totally 64.15% of the respondents reported chest pain or discomfort (common symptoms) as a symptom of heart attack; 75.38% reported at least one of the following eight symptoms as a symptom of heart attack: back pain, shortness of breath, arm pain or numbness, nausea or vomiting, neck, jaw or shoulder pain, epigastric pain, sweating, weakness (less common symptoms); 20.36% correctly reported four or more heart attack symptoms, only 7.4% knew all the correct heart attack symptoms, and 28.94% knew about reperfusion therapy for heart attack; 31.7% reported to call 120 or 999 while having a heart attack themselves; however 89.6% reported to call 120 or 999 when someone else is suffering from a heart attack. Very old persons and those with health insurance coverage, high education level, high household income, longer living in Beijing and previous experience with heart disease had greater knowledge of heart attack symptoms.Conclusions Public knowledge of common heart attack

  15. Florida and Puerto Rico Secondary Science Teachers' Knowledge and Teaching of Climate Change Science

    Science.gov (United States)

    Herman, Benjamin C.; Feldman, Allan; Vernaza-Hernandez, Vanessa

    2017-01-01

    Misconceptions about climate change science are pervasive among the US public. This study investigated the possibility that these misconceptions may be reflective of science teachers' knowledge and teaching of climate change science. Florida and Puerto Rico secondary science teachers who claim to teach extensively about climate change were…

  16. Florida and Puerto Rico Secondary Science Teachers' Knowledge and Teaching of Climate Change Science

    Science.gov (United States)

    Herman, Benjamin C.; Feldman, Allan; Vernaza-Hernandez, Vanessa

    2017-01-01

    Misconceptions about climate change science are pervasive among the US public. This study investigated the possibility that these misconceptions may be reflective of science teachers' knowledge and teaching of climate change science. Florida and Puerto Rico secondary science teachers who claim to teach extensively about climate change were…

  17. Effects of an Educational Intervention on Residents' Knowledge and Attitudes Toward Interactions with Pharmaceutical Representatives

    OpenAIRE

    Hopper, John A.; Speece, Mark W; Musial, Joseph L

    1997-01-01

    To assess primary care resident and faculty knowledge and attitudes concerning interactions between physicians and pharmaceutical representatives (PRs) and to measure changes in residents' knowledge and attitudes after an educational intervention, we conducted preintervention and postintervention surveys with a causal-comparative group in a university-based primary care residency program. All primary care internal medicine and internal medicine-pediatrics residents and faculty were given the ...

  18. Effects of an educational intervention on residents' knowledge and attitudes toward interactions with pharmaceutical representatives.

    Science.gov (United States)

    Hopper, J A; Speece, M W; Musial, J L

    1997-10-01

    To assess primary care resident and faculty knowledge and attitudes concerning interactions between physicians and pharmaceutical representatives (PRs) and to measure changes in residents' knowledge and attitudes after an educational intervention, we conducted preintervention and postintervention surveys with a causal-comparative group in a university-based primary care residency program. All primary care internal medicine and internal medicine-pediatrics residents and faculty were given the voluntary survey. In general, residents and faculty demonstrated similar responses for the preintervention survey. Differences between faculty and resident opinions were seen in two areas. Faculty were more likely than residents to believe that PRs sometimes use unethical marketing practices (p unethical marketing practices (p marketing gifts with no patient benefit may be inappropriate (p = .05), and that other physicians' prescribing patterns could be negatively influenced through the acceptance of gifts (p < .05). A brief educational intervention can change resident attitudes concerning physician interactions with PRs.

  19. Normal versus Pathological Aging: Knowledge of Family Practice Residents.

    Science.gov (United States)

    Beall, S. Colleen; And Others

    1996-01-01

    Family physicians may lack discriminatory ability to differentiate normal aging form disease states. To assess such ability, 53 aging-related indicators or symptoms were presented to 65 physicians in 3 family practice residency programs. Respondents classified each symptom as normal aging or disease. On average, residents classified 73.4% of…

  20. An evaluation of knowledge, attitude and practices about prescribing fixed dose combinations among resident doctors

    Directory of Open Access Journals (Sweden)

    Nimit Goswami

    2013-01-01

    Full Text Available Background: Fixed Dose Combinations (FDCs improve patient compliance and decrease pill burden. However, irrational prescribing of FDCs is a major health concern. As resident doctors are primarily involved in patient management at tertiary care hospitals, knowledge about prescribing FDCs is of paramount importance. Objective: To evaluate knowledge, attitude and practice, regarding use of FDCs by resident doctors at a tertiary care teaching hospital. Materials and Methods: The study was carried out among resident doctors working at Civil Hospital, Ahmedabad, a tertiary care teaching hospital. One hundred resident doctors from the departments of medicine, obstetrics and gynaecology, surgery, paediatrics, skin and psychiatry, who gave their informed consent, were enrolled. A prevalidated questionnaire regarding knowledge, attitude and prescribing practice of fixed dose combinations was filled up. Data was analyzed with suitable statistical tests. Results: Out of the 100 residents recruited for the study, 34, 33 and 33 residents were selected from the 1 st , 2 nd and 3 rd year respectively. The resident doctors were not aware about all of the advantages and disadvantages of FDCs. On an average, only 31% of the residents (lowest 16% among 1 st year residents had knowledge about the Essential Medicine List (EML. Knowledge about rationality of given FDCs was lacking in 81% of the residents. Only 47% could name a single banned FDC in India. Common sources of information about FDCs were medical representatives, colleagues/peers, the Monthly Index of Medical Specialities (MIMS and Continuous Medical Education (CMEs. A majority of residents (96% agreed that FDCs should be allowed to be marketed. The residents opined that most commonly prescribed FDCs were of antimicrobial drugs, amongst which amoxicillin + clavulanic acid was the most frequent. Conclusion: There is need to improve knowledge about rationality, EML, usage and banned FDCs in post graduate

  1. ASSESSMENT OF KNOWLEDGE & ATTITUDE OF THE PEDIATRIC RESIDENT ABOUT NEONATAL & PEDIATRIC CARDIOPULMONARY RESUSCITATION

    Directory of Open Access Journals (Sweden)

    M KADIAVAR

    2003-09-01

    Full Text Available Introduction: A high leve of skill & knowledge is required in circumstances of cardiopulmonary resucitation which represents the most urgent clinical situations. The difficulties for pediatric residents who are fronted with the most cases of pediatric & neonatal resucitation are due to different causes of cardiorespiratory arrest in camparison to adults. This study aimed to assess the knowledge & their personal attitude toward the neonatal & pediatric cardiopulmonary resuscitatin. Methods: By cross - sectional multicenter study between the pediatric residents who were studied in the teaching hospitals in Tehran (1378-90. Data were gathered among 140 residents by self-completed questionnaires which were included three parts as. demographic information assessment of their attitude by summation of score via ranking list questions and total score from assessment to their knowledge by different scenarios which were formatted in the multiple choice questions. Results: 35.7% of the residents studied in the first year of residency 35.0% in the second year and the remainder (29/3% in the third year More than 90% of them considered their knowledge about neonatal and pediatric cardiopulmonary resuscitation low & less than average. Net only 80% of the residents self - assessed their actual ability about this issue low but also declaired the insufficient education during the medical training. The total score of knowledge assessment was 14.7 + 1_0.54 from 30 without any significant relations among the residents in different hospitals or various levels of pediatric residency. (P value= 0.1 , 0.7 There was not significant correlation between the total score from their attitude & their knowledge. Conclusion: Pediatric residents as the key personnel in the management of cardiopulmonary resuscitation of the neonates and children should have enough knowledge and skills about this topic. This survey demonstrates a low level of the pediatric & neonatal

  2. Residential Knowledge of Native Tree Species: A Case Study of Residents in Four Southern Ontario Municipalities

    Science.gov (United States)

    Almas, Andrew D.; Conway, Tenley M.

    2017-01-01

    In the past decade, municipalities across North America have increased investment in their urban forests in an effort to maintain and enhance the numerous benefits provided by them. Some municipalities have now drafted long-term urban forest management plans that emphasize the planting of native trees, to improve ecological integrity, and participation of residents, since the majority of urban trees are typically located on residential property. Yet it is unclear if residents are familiar with native trees or municipalities' urban forest management goals. Through a case study of southern Ontario municipalities, we administered a survey exploring residents' ability to correctly label common tree species as native or non-native, as well as their knowledge of urban forest management plans to test four hypotheses: 1) residents in municipalities with an urban forest management plans will be more knowledgeable about the native status of common street trees; 2) residents who have lived in the area longer will have greater knowledge; 3) knowledge level will be correlated with education level, ethnicity, and income; and 4) residents' knowledge will be related to having planted trees on their property. Our results indicate that residents are better able to identify common native trees than correctly determine which trees are non-native, although knowledge levels are generally low. Knowledge was significantly related to length of residency and tree planting experience, supporting hypotheses 2 and 4. These results highlight the importance of experience and local knowledge acquisition in relation to basic knowledge about urban trees, and also point to the failures of resident outreach within the case study municipalities.

  3. Residential Knowledge of Native Tree Species: A Case Study of Residents in Four Southern Ontario Municipalities.

    Science.gov (United States)

    Almas, Andrew D; Conway, Tenley M

    2017-01-01

    In the past decade, municipalities across North America have increased investment in their urban forests in an effort to maintain and enhance the numerous benefits provided by them. Some municipalities have now drafted long-term urban forest management plans that emphasize the planting of native trees, to improve ecological integrity, and participation of residents, since the majority of urban trees are typically located on residential property. Yet it is unclear if residents are familiar with native trees or municipalities' urban forest management goals. Through a case study of southern Ontario municipalities, we administered a survey exploring residents' ability to correctly label common tree species as native or non-native, as well as their knowledge of urban forest management plans to test four hypotheses: 1) residents in municipalities with an urban forest management plans will be more knowledgeable about the native status of common street trees; 2) residents who have lived in the area longer will have greater knowledge; 3) knowledge level will be correlated with education level, ethnicity, and income; and 4) residents' knowledge will be related to having planted trees on their property. Our results indicate that residents are better able to identify common native trees than correctly determine which trees are non-native, although knowledge levels are generally low. Knowledge was significantly related to length of residency and tree planting experience, supporting hypotheses 2 and 4. These results highlight the importance of experience and local knowledge acquisition in relation to basic knowledge about urban trees, and also point to the failures of resident outreach within the case study municipalities.

  4. Obstetrics and gynaecology residents' knowledge of the informed ...

    African Journals Online (AJOL)

    2014-07-24

    Jul 24, 2014 ... medical students and postgraduate medical doctors would go a long way in correcting this .... More residents that claimed to have attended a lecture on bioethics had good ... attitude of the doctor.[12,13,22] Most doctors ...

  5. Knowledge about cancer screening among medical students and internal medicine residents in Mexico City.

    Science.gov (United States)

    Villarreal-Garza, Cynthia; García-Aceituno, Luis; Villa, Antonio R; Perfecto-Arroyo, Miguel; Rojas-Flores, Miriam; León-Rodríguez, Eucario

    2010-12-01

    It is extremely important that physicians are aware of cancer screening precise indications. We sought to explore its knowledge among Mexican medical students and internal medicine residents. Students and residents completed a questionnaire-based survey about breast, cervical, colon, and prostate cancer screening. Four hundred fifty-one individuals answered the survey: 64.52% students and 35.48% residents. Mean knowledge score was 63.97 ± 14.97. Residents scored higher than students (p = 0.0001). No difference in the education concerning cervical and colon cancer screening was found. Knowledge of screening guidelines is suboptimal among medical students and residents. Further efforts should be targeted to educational and training programs in this country.

  6. Teaching Residents Practice-Management Knowledge and Skills: An "in Vivo" Experience

    Science.gov (United States)

    Williams, Laurel Lyn

    2009-01-01

    Objective: This article explores the relevant data regarding teaching psychiatric residents practice management knowledge and skills. This article also introduces a unique program for teaching practice management to residents. Methods: A literature search was conducted through PubMed and "Academic Psychiatry". Additionally residents…

  7. Physicians as Managers: Psychiatry Residents' Perceived Gaps in Knowledge and Skills in Administrative Psychiatry

    Science.gov (United States)

    Sockalingam, Sanjeev; Stergiopoulos, Vicky; Maggi, Julie

    2007-01-01

    Objective: The authors determine psychiatry residents' perceived needs and educational preferences for a physician-manager curriculum. Method: The authors surveyed 102 psychiatry residents at the University of Toronto for their perceived current and desired knowledge and skills in specific administrative areas, and their educational preferences…

  8. Predictors of Knowledge and Image Interpretation Skill Development in Radiology Residents.

    Science.gov (United States)

    Ravesloot, Cécile J; van der Schaaf, Marieke F; Kruitwagen, Cas L J J; van der Gijp, Anouk; Rutgers, Dirk R; Haaring, Cees; Ten Cate, Olle; van Schaik, Jan P J

    2017-09-01

    Purpose To investigate knowledge and image interpretation skill development in residency by studying scores on knowledge and image questions on radiology tests, mediated by the training environment. Materials and Methods Ethical approval for the study was obtained from the ethical review board of the Netherlands Association for Medical Education. Longitudinal test data of 577 of 2884 radiology residents who took semiannual progress tests during 5 years were retrospectively analyzed by using a nonlinear mixed-effects model taking training length as input variable. Tests included nonimage and image questions that assessed knowledge and image interpretation skill. Hypothesized predictors were hospital type (academic or nonacademic), training hospital, enrollment age, sex, and test date. Results Scores showed a curvilinear growth during residency. Image scores increased faster during the first 3 years of residency and reached a higher maximum than knowledge scores (55.8% vs 45.1%). The slope of image score development versus knowledge question scores of 1st-year residents was 16.8% versus 12.4%, respectively. Training hospital environment appeared to be an important predictor in both knowledge and image interpretation skill development (maximum score difference between training hospitals was 23.2%; P radiology residency and leveled off in the 3rd and 4th training year. The shape of the curve was mainly influenced by the specific training hospital. (©) RSNA, 2017 Online supplemental material is available for this article.

  9. Intrauterine device knowledge and practices: a national survey of obstetrics and gynecology residents.

    Science.gov (United States)

    Tang, Jennifer; Maurer, Rie; Bartz, Deborah

    2013-09-01

    The primary objective of this study was to assess the current intrauterine device (IUD) knowledge and counseling practices of US obstetrics and gynecology chief residents. The secondary objective was to evaluate the current IUD experience of obstetrics and gynecology residents. A Web-based survey about IUD knowledge and practices was sent to US obstetrics and gynecology residents in January 2010. An analysis of responses by postgraduate year was completed using descriptive statistics. We received 699 surveys (36%) from a pool of 1922 residents in 96 different residency programs. A total of 654 respondents (94%) had placed an IUD during residency and 88% had received formal teaching about IUDs during residency. Only 53% of respondents knew that the copper IUD could be used for emergency contraception. Less than 65% of respondents would routinely recommend the IUD to adolescents or immediately after first trimester abortion. Many US obstetrics and gynecology residents lack knowledge about IUD benefits and do not counsel all eligible women to use IUDs. We should continue to evaluate our training and educational programs to ensure that women's health providers do not act as a barrier to IUD use.

  10. Resident physician's knowledge and attitudes toward biostatistics and research methods concepts.

    Science.gov (United States)

    Alzahrani, Sami H; Aba Al-Khail, Bahaa A

    2015-10-01

    To assess the knowledge and attitudes of resident physicians toward biostatistics and research methodology concepts. We conducted a cross-sectional study between November 2014 and October 2014 at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia. A self-administered questionnaire was distributed to all participants. The response rate was 90%. One hundred sixty-two resident completed the questionnaire. Most residents were well-informed in basic concepts, such as, "P" values, study power, and case control studies; more than half had confidence in interpreting the results of scientific papers. Conversely, more than 67% of the residents were not knowledgeable on more sophisticated terms in biostatistics. Residents with previous training in evidence-based medicine (EBM) (p=0.05) and non-specialist residents (p=0.003) were more likely to have better knowledge scores. Females (p=0.003), and those with previous training in biostatistics and epidemiology had positive attitude toward biostatistics (p less than 0.001 in both cases). Residents who read medical journals scored lower than those who never read journals (p=0.001). Prior courses in EBM, as well as male gender were associated with knowledge scores. Reinforcing training after graduation from medical school with special focus on integrating biostatistics with epidemiology and research methods is needed.

  11. A Comparison of Coastal and Inland Residents' Knowledge of Marine Organisms and Their Feeding Relationships.

    Science.gov (United States)

    McDonald, Robert B.; Bethel, Lowell J.

    The purpose of this investigation was to compare the knowledge regarding marine organisms and their feeding relationships of fourth grade residents of one coastal and one inland community in south Texas and to generate grounded theory concerning the participants' construction of such knowledge. Four male and four female students were randomly…

  12. Early detection of factual knowledge deficiency and remediation in otolaryngology residency education.

    Science.gov (United States)

    Platt, Michael P; Davis, Elizabeth M; Grundfast, Kenneth; Grillone, Gregory

    2014-08-01

    Within otolaryngology residency training, the annual Otolaryngology Training Examination (OTE) is the primary method used to assess, quantify, and compare the factual knowledge acquired by each resident. The objective of this study was to develop a more frequent method for tracking of factual knowledge to prevent educational delay. Retrospective analysis of educational scores. For each didactic lecture within a single otolaryngology residency training program, multiple choice questions were provided before and after each lecture. Questions were based on lecture objectives that were derived from the American Board of Otolaryngology curriculum. Scores were tracked over the course of 1 academic year and compared to the scores of residents on the OTE administered in that year to determine correlation with a validated measure of factual knowledge. The effect of remedial measures on improvement in OTE scores was determined. Over the course of 1 academic year, there were 328 questions presented to 12 residents before and after 32 lectures in the didactic program. Ten residents completed an average of 244 questions. Overall OTE scores demonstrated a significant and very strong correlation to lecture question scores (Pearson r = 0.86, P = .002). Remedial measures for residents during the previous 5 years who had inadequate OTE scores were successful in improving scores (P = .002). A structured didactic program that uses review questions to assess knowledge can be used to track acquisition of factual knowledge. Early identification of residents with deficiencies facilitates the development of individualized learning plans that result in successful remediation. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

  13. Knowledge of Emergency Medicine Residents in Relation to Prevention of Tetanus

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    Hojjat Derakhshanfar

    2014-03-01

    Full Text Available Introduction: Knowledge of emergency medicine residents about the management of patients suspected of having tetanus favoring wounds is very important due to their responsibility for the treatment of such patients. The aim of the present study was to evaluate this knowledge and making sure of the adequacy of instructions they have received in relation to prevention of tetanus.  Methods: A reliable and reproducible questionnaire was used to evaluate knowledge of all the emergency medicine residents in Imam Hussein Hospital in Tehran, Iran, about conditions favoring tetanus (9 questions and proper interventions in such conditions (12 questions. The questionnaires were completed and scored as poor and good. The Mann-Whitney U test was used to analyze data. Statistical significance was set at P<0.05. Results: In the present study, 73 emergency medicine residents were evaluated (45.2% male. Knowledge of 31 (42.5% residents in relation to conditions favoring tetanus and 41 (56.2% residents in correct therapeutic interventions was in good level. The most frequent incorrect answer was related to diabetic ulcers and wounds in patients with sepsis. There was an increase in scores of conditions favoring tetanus (P<0.001 and correct therapeutic interventions (P=0.001 with an increase in educational years. However, age (P=0.64, gender (P=0.31, job experience (P=0.38 and participation in educational courses (P=0.67 had no effect on the knowledge level of emergency medicine residents. Conclusion: According to the findings of the present study, the knowledge of emergency medicine residents about correct management of patients suspected of tetanus was low, which emphasizes the necessity of providing further instructions on prevention of tetanus in wound management. 

  14. Internal medicine resident knowledge, attitudes, and barriers to naloxone prescription in hospital and clinic settings.

    Science.gov (United States)

    Wilson, J Deanna; Spicyn, Natalie; Matson, Pamela; Alvanzo, Anika; Feldman, Leonard

    2016-01-01

    The United States is facing an epidemic of opioid use and misuse leading to historically high rates of overdose. Community-based overdose education and naloxone distribution has effectively trained lay bystanders to recognize signs of overdose and administer naloxone for reversal. There has been a movement to encourage physicians to prescribe naloxone to all patients at risk of overdose; however, the rate of physician prescribing remains low. This study aims to describe resident knowledge of overdose risk assessment, naloxone prescribing practices, attitudes related to naloxone, and barriers to overdose prevention and naloxone prescription. The HOPE (Hospital-based Overdose Prevention and Education) Initiative is an educational campaign to teach internal medicine residents to assess overdose risk, provide risk reduction counseling, and prescribe naloxone. As part of a needs assessment, internal medicine residents at an academic medical center in Baltimore, Maryland, were surveyed in 2015. Data were collected anonymously using Qualtrics. Ninety-seven residents participated. Residents were overwhelmingly aware of naloxone (80%) and endorsed a willingness to prescribe (90%). Yet despite a high proportion of residents reporting patients in their panels at increased overdose risk (79%), few had prescribed naloxone (15%). Residents were willing to discuss overdose prevention strategies, although only a minority reported doing so (47%). The most common barriers to naloxone prescribing were related to knowledge gaps in how to prescribe and how to assess risk of overdose and identify candidates for naloxone (52% reporting low confidence in ability to identify patients who are at risk). Medicine residents are aware of naloxone and willing to prescribe it to at-risk patients. Due to decreased applied knowledge and limited self-efficacy, few residents have prescribed naloxone in the past. In order to improve rates of physician prescribing, initiatives must help physicians

  15. [Assessment of shoulder dystocia related knowledge among French obstetrics and gynecology residents].

    Science.gov (United States)

    Schmitt, A; Heckenroth, H; Cravello, L; Boubli, L; d'Ercole, C; Courbiere, B

    2016-09-01

    To study the related knowledge of French residents in obstetrics concerning maneuvers for shoulder dystocia (SD). Multicenter descriptive transversal study conducted from June to September 2014. Data collection was performed through questionnaires sent by email to French resident in obstetrics. Among the 1080 questionnaires sent, 366 responses were obtained with a response rate of 33.9%. One hundred and forty-three residents (39.1%) were in the first part of their training (≤5th semester) and 60.9% (n=223) were in the second part of their training. Theoretical training on the SD was provided to 88.2% of resident (n=323). In total, 38.8% (n=142) obtained their French degree in mechanical and technical obstetric and among them 77.5% (n=110) had the opportunity to train on simulators and dummies. Concerning their practical experiences, 31.5% (n=45) residents ≤5th semester reported having experienced SD during their residency vs 58.3% (n=130) amongst oldest residents (PObstetrics and Gynecology, which have to develop dependable measures to assess resident competencies to execute practical maneuvers for clinical emergencies in obstetrics. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  16. Resident Workshop Standardizes Patient Handoff and Improves Quality, Confidence, and Knowledge.

    Science.gov (United States)

    Murphy, Heidi J; Karpinski, Aryn C; Messer, Amanda; Gallois, Julie; Mims, Michelle; Farge, Ashley; Hernandez, Lauren; Steinhardt, Michelle; Sandlin, Chelsey

    2017-09-01

    Residency programs are required to instruct residents in handoff; however, a handoff curriculum endorsed by the Accreditation Council for Graduate Medical Education does not exist. Although curricula are available, we preferred to use a curriculum that could be taught quickly, was easy to implement, and used a mnemonic that resembled current practices at our institution. We designed and implemented a novel handoff educational workshop intended to improve resident confidence and performance. In this observational study, pediatric residents across postgraduate training years during winter 2014-spring 2015 participated in two study segments: a handoff workshop with questionnaires and handoff observations. Co-investigators developed and led an interactive workshop for residents that emphasized a standardized approach using the SIGNOUT mnemonic (see text for definition). The effect of workshop participation on handoff abilities was evaluated using a validated, handoff evaluation tool administered before and after the workshop. Qualitative feedback was obtained from residents using pre- and postworkshop surveys. Forty-three residents participated in the workshop; 41 residents completed handoff observations. Improvements were noted in clinical judgment (P = 0.02) and organization/communication (P = 0.005). Pre- and postworkshop surveys demonstrated self-perceived increases in confidence, comfort, and knowledge (P < 0.001). Improvements in handoffs, particularly in clinical judgment and organization/communication domains, suggest that a more standardized handoff approach is beneficial, especially for postgraduate year 1 residents. The novel, interactive workshop we developed can be taught quickly, is easy to implement, is appropriate for all resident training levels, and improves resident confidence and skill. This workshop can be implemented by training programs across all disciplines, possibly leading to improved patient safety.

  17. Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians.

    Science.gov (United States)

    Yu, L; Peterson, B; Inhorn, M C; Boehm, J K; Patrizio, P

    2016-02-01

    What knowledge, attitudes and intentions do US obstetrics and gynecology (OB/GYN) residents have toward discussing age-related fertility decline and oocyte cryopreservation with their patients? Most OB/GYN residents believe that age-related fertility decline, but not oocyte cryopreservation, should be discussed during well-woman annual exams; furthermore, nearly half of residents overestimated the age at which female fertility markedly declines. Oocyte cryopreservation can be utilized to preserve fertility potential. Currently, no studies of US OB/GYN residents exist that question their knowledge, attitudes, and intentions toward discussing age-related fertility decline and oocyte cryopreservation with patients. A cross-sectional online survey was conducted during the fall of 2014 among residents in American Council for Graduate (ACOG) Medical Education-approved OB/GYN residency programs. Program directors were emailed via the ACOG Council on Resident Education in Obstetrics and Gynecology server listing and asked to solicit resident participation. Participants included 238 residents evenly distributed between post-graduate years 1-4 with varied post-residency plans; 90% of residents were women and 75% were 26-30 years old. The survey was divided into three sections: demographics, fertility awareness, and attitudes toward discussing fertility preservation options with patients. Descriptive and inferential statistics were conducted. A strong majority of residents (83%) believed an OB/GYN should initiate discussions about age-related fertility decline with patients (mean patient age 31.8), and 73% percent believed these discussions should be part of an annual exam. One third of residents overestimated the age at which there is a slight decline in female fertility, while nearly half of residents overestimated the age at which female fertility markedly declines. Over three-quarters of residents (78.4%) also overestimated the likelihood of success using assisted

  18. Knowledge of Signs and Symptoms of Heart Attack and Stroke among Singapore Residents

    OpenAIRE

    Joy Li Juan Quah; Susan Yap; Si Oon Cheah; Yih Yng Ng; E. Shaun Goh; Nausheen Doctor; Benjamin Sieu-Hon Leong; Ling Tiah; Michael Yih Chong Chia; Marcus Eng Hock Ong

    2014-01-01

    Aim. To determine the level of knowledge of signs and symptoms of heart attack and stroke in Singapore resident population, in comparison to the global community. Methods. A population based, random sample of 7,840 household addresses was selected from a validated national sampling frame. Each participant was asked eight questions on signs and symptoms of heart attack and 10 questions on stroke. Results. The response rate was 65.2% with 4,192 respondents. The level of knowledge for preselec...

  19. First-Year Residents' Caring, Medical Knowledge, and Clinical Judgment in Relation to Laboratory Utilization.

    Science.gov (United States)

    Yarnold, Paul R.; And Others

    1994-01-01

    A study of 36 first-year Northwestern University (Illinois) medical residents found that students' medical knowledge was a predictor of increased laboratory test use, that clinical judgment was a predictor of decreased laboratory use, and that level of caring was statistically unrelated to amount of laboratory use. (Author/MSE)

  20. Diabetes related knowledge among residents and nurses: a multicenter study in Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    Ahmed Asma

    2012-09-01

    Full Text Available Abstract Background Assessment of knowledge among resident trainees and nurses is very important since majority of patients admitted in hospital have underlying diabetes which could lead to adverse clinical outcomes if not managed efficiently. Therefore, the purpose of this study was to evaluate and compare the knowledge related to the management of diabetes among registered nurses (RN and trainee residents of internal medicine (IMR, family medicine (FMR and surgery (SR at tertiary care hospitals of Karachi, Pakistan. Methods A validated questionnaire consisting of 21 open ended questions related to diabetes awareness was acquired through a study done at Thomas Jefferson University Hospital, Philadelphia with the permission of primary author. Results 169 IMR, 27 FMR, 86 SR and 99 RN completed a questionnaire that assessed the knowledge related to different aspects of management of diabetes. The results were further stratified by participant's specialty and level of training. The percentage of knowledge based questions answered correctly was found to be low. The overall mean correct percentage among all the participants was 50% +/- 21. There was no statistical difference in terms of knowledge between IMR & FMR residents (64% +/- 14 vs. 60% +/- 16, p = 0.47 respectively. The total scores of SR and RN were quite low (40% +/- 16 & 31% +/- 15 respectively.SR and RN were found to have profound deficit in both inpatient and outpatient knowledge of diabetes. We did not observe any improvement in level of knowledge of FMR & SR with increase in duration of their training (p = 0.47 & 0.80 respectively. In contrast, improvement in the level of knowledge of IMR was observed from first to second year of their training (p = 0.03 with no further improvement thereafter. RN's didn't respond correctly on most of the items related to in-patient management of diabetes (Mean score 40% +/- 20. Conclusion As there are no prior studies in our setting

  1. Adapting web-based instruction to residents' knowledge improves learning efficiency: a randomized controlled trial.

    Science.gov (United States)

    Cook, David A; Beckman, Thomas J; Thomas, Kris G; Thompson, Warren G

    2008-07-01

    Increased clinical demands and decreased available time accentuate the need for efficient learning in postgraduate medical training. Adapting Web-based learning (WBL) to learners' prior knowledge may improve efficiency. We hypothesized that time spent learning would be shorter and test scores not adversely affected for residents who used a WBL intervention that adapted to prior knowledge. Randomized, crossover trial. Academic internal medicine residency program continuity clinic. 122 internal medicine residents. Four WBL modules on ambulatory medicine were developed in standard and adaptive formats. The adaptive format allowed learners who correctly answered case-based questions to skip the corresponding content. The measurements were knowledge posttest, time spent on modules, and format preference. One hundred twenty-two residents completed at least 1 module, and 111 completed all 4. Knowledge scores were similar between the adaptive format (mean +/- standard error of the mean, 76.2 +/- 0.9) and standard (77.2 +/- 0.9, 95% confidence interval [CI] for difference -3.0 to 1.0, P = .34). However, time spent was lower for the adaptive format (29.3 minutes [CI 26.0 to 33.0] per module) than for the standard (35.6 [31.6 to 40.3]), an 18% decrease in time (CI 9 to 26%, P = .0003). Seventy-two of 96 respondents (75%) preferred the adaptive format. Adapting WBL to learners' prior knowledge can reduce learning time without adversely affecting knowledge scores, suggesting greater learning efficiency. In an era where reduced duty hours and growing clinical demands on trainees and faculty limit the time available for learning, such efficiencies will be increasingly important. For clinical trial registration, see http://www.clinicaltrials.gov NCT00466453 ( http://www.clinicaltrials.gov/ct/show/NCT00466453?order=1 ).

  2. Residents' and Fellows' Knowledge and Attitudes About Eating Disorders at an Academic Medical Center.

    Science.gov (United States)

    Anderson, Kristen; Accurso, Erin C; Kinasz, Kathryn R; Le Grange, Daniel

    2017-06-01

    This study examined physician residents' and fellows' knowledge of eating disorders and their attitudes toward patients with eating disorders. Eighty physicians across disciplines completed a survey. The response rate for this survey across disciplines was 64.5 %. Participants demonstrated limited knowledge of eating disorders and reported minimal comfort levels treating patients with eating disorders. Psychiatry discipline (p = 0.002), eating disorder experience (p = 0.010), and having ≥4 eating disorder-continuing medical education credits (p = 0.037) predicted better knowledge of anorexia nervosa but not bulimia nervosa. Psychiatry residents (p = 0.041), and those who had treated at least one eating disorder patient (p = 0.006), reported significantly greater comfort treating patients with eating disorders. These results suggest that residents and fellows from this sample may benefit from training to increase awareness and confidence necessary to treat patients with eating disorders. Sufficient knowledge and comfort are critical since physicians are often the first health care provider to have contact with patients who have undiagnosed eating disorders.

  3. Cross analysis of knowledge and learning methods followed by French residents in cardiology.

    Science.gov (United States)

    Menet, Aymeric; Assez, Nathalie; Lacroix, Dominique

    2015-01-01

    No scientific assessment of the theoretical teaching of cardiology in France is available. To analyse the impact of the available teaching modalities on the theoretical knowledge of French residents in cardiology. Electronic questionnaires were returned by 283 residents. In the first part, an inventory of the teaching/learning methods was taken, using 21 questions (Yes/No format). The second part was a knowledge test, comprising 15 multiple-choice questions, exploring the core curriculum. Of the 21 variables tested, four emerged as independent predictors of the score obtained in the knowledge test: access to self-assessment (P=0.0093); access to teaching methods other than lectures (P=0.036); systematic discussion about clinical decisions (P=0.013); and the opportunity to prepare and give lectures (P=0.039). The fifth variable was seniority in residency (P=0.0003). Each item of the knowledge test was analysed independently: the score was higher when teaching the item was driven by reading guidelines and was lower if the item had not been covered by the programme (Pcardiology by involving students in the training, by using teaching methods other than lectures and by facilitating access to self-assessment. The use of digital tools may be a particularly effective approach. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  4. Aging Q3: an initiative to improve internal medicine residents' geriatrics knowledge, skills, and clinical performance.

    Science.gov (United States)

    Moran, William P; Zapka, Jane; Iverson, Patty J; Zhao, Yumin; Wiley, M Kathleen; Pride, Pamela; Davis, Kimberly S

    2012-05-01

    A growing number of older adults coupled with a limited number of physicians trained in geriatrics presents a major challenge to ensuring quality medical care for this population. Innovations to incorporate geriatrics education into internal medicine residency programs are needed. To meet this need, in 2009, faculty at the Medical University of South Carolina developed Aging Q(3)-Quality Education, Quality Care, and Quality of Life. This multicomponent initiative recognizes the need for improved geriatrics educational tools and faculty development as well as systems changes to improve the knowledge and clinical performance of residents. To achieve these goals, faculty employ multiple intervention strategies, including lectures, rounds, academic detailing, visual cues, and electronic medical record prompts and decision support. The authors present examples from specific projects, based on care areas including vision screening, fall prevention, and caring for patients with dementia, all of which are based on the Assessing Care of Vulnerable Elders quality indicators. The authors describe the principles driving the design, implementation, and evaluation of the Aging Q(3) program. They present data from multiple sources that illustrate the effectiveness of the interventions to meet the knowledge, skill level, and behavior goals. The authors also address major challenges, including the maintenance of the teaching and modeling interventions over time within the context of demanding primary care and inpatient settings. This organized, evidence-based approach to quality improvement in resident education, as well as faculty leadership development, holds promise for successfully incorporating geriatrics education into internal medicine residencies.

  5. Species Richness and Diversity of Resident and Migratory Landbirds in Remnant Forest Patches and Residential Areas in the Florida Keys, USA

    Directory of Open Access Journals (Sweden)

    Martin B. Main

    2011-01-01

    Full Text Available Conservation of migratory birds necessitates protecting suitable stopover habitat along migratory routes as well as destination habitats, especially near large geographic barriers such as the Gulf of Mexico. The Florida Keys (Keys are an important stopover and breeding destination for migratory landbirds. We documented 47 migratory and 21 resident landbird species via point counts during March–May 2004 and 2005. As a group, species richness, species diversity, and the effective number of species of migratory landbirds, including several species of conservation concern, was significantly and positively associated with percent cover of tropical hardwood hammock, a threatened upland forest type. The collective resident landbird community in the Keys was negatively associated with native hammock cover, although species diversity of the resident community was positively associated with the proximity of native hammock and several resident species, including species of conservation concern, were commonly or predominantly associated with native hammock. Consequently, conservation of native hammock habitat in the Keys is an important conservation priority for migratory birds and several resident species of conservation concern.

  6. Knowledge of addiction medicine among internal medicine residents and medical students.

    Science.gov (United States)

    Brown, Angel T; Kolade, Victor O; Staton, Lisa J; Patel, Neha K

    2013-03-01

    More than 22 million Americans are living with addiction, including nearly seven million who misuse prescription medications. However, most medical schools and residency programs provide little to no education addressing alcohol and drug addiction. Implementation of a new addiction medicine curriculum at a single internal medicine program provided an opportunity for knowledge assessment in a select population of health professionals. We hypothesized that knowledge of addiction medicine would not differ by training level or geographical location of medical school, but that knowledge would improve following a structured curriculum. Study participants included internal medicine and transitional year residents, as well as a group of medical students who were enrolled in a single internal medicine program at the time of the didactic series. A pre-test was administered prior to a four-week structured curriculum. The topics addressed included but were not limited to: 1) an overview of addiction, 2) opioids and chronic pain, 3) benzodiazepines and illicit stimulants, and 4) alcohol. A panel discussion was convened at the end of the fourth session. Following participation in the symposium, participants completed an online post-test. ANOVA was used to compare means. Paired t-tests were used to compare pre-test and post-test scores. 36 of 44 eligible medical students and residents completed the pre-test. Mean pre-test percentage scores were 64 percent for fourth year medical students and 62.5 percent for all residents. For residents, U.S. medical school trainees answered 65 percent of the pre-test questions correctly, versus 58.6 percent correct responses among their international medical graduate peers. No inter-group differences were statistically significant. Of the 36 participants, 20 completed both pre-tests and post-tests. The mean post-test score of 68.75 percent was higher than the mean pre-test score of 61.75 percent, p = 0.009. Knowledge of addiction medicine can be

  7. Interactive Learning Module Improves Resident Knowledge of Risks of Ionizing Radiation Exposure From Medical Imaging.

    Science.gov (United States)

    Sheng, Alexander Y; Breaud, Alan H; Schneider, Jeffrey I; Kadom, Nadja; Mitchell, Patricia M; Linden, Judith A

    2016-01-01

    Physician awareness of the risks of ionizing radiation exposure related to medical imaging is poor. Effective educational interventions informing physicians of such risk, especially in emergency medicine (EM), are lacking. The SIEVERT (Suboptimal Ionizing Radiation Exposure Education - A Void in Emergency Medicine Residency Training) learning module was designed to improve provider knowledge of the risks of radiation exposure from medical imaging and comfort in communicating these risks to patients. The 1-hour module consists of introductory lecture, interactive discussion, and role-playing scenarios. In this pilot study, we assessed the educational effect using unmatched, anonymous preintervention and postintervention questionnaires that assessed fund of knowledge, participant self-reported imaging ordering practices in several clinical scenarios, and trainee comfort level in discussing radiation risks with patients. All 25 EM resident participants completed the preintervention questionnaire, and 22 completed the postintervention questionnaire within 4 hours after participation. Correct responses on the 14-question learning assessment increased from 6.32 (standard deviation = 2.36) preintervention to 12.23 (standard deviation = 1.85) post-intervention. Overall, 24% of residents were comfortable with discussing the risks of ionizing radiation exposure with patients preintervention, whereas 41% felt comfortable postintervention. Participants ordered fewer computed tomography scans in 2 of the 4 clinical scenarios after attending the educational intervention. There was improvement in EM residents' knowledge regarding the risks of ionizing radiation exposure from medical imaging, and increased participant self-reported comfort levels in the discussion of these risks with patients after the 1-hour SIEVERT learning module. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Text messaging versus email for emergency medicine residents' knowledge retention: a pilot comparison in the United States.

    Science.gov (United States)

    Hoonpongsimanont, Wirachin; Kulkarni, Miriam; Tomas-Domingo, Pedro; Anderson, Craig; McCormack, Denise; Tu, Khoa; Chakravarthy, Bharath; Lotfipour, Shahram

    2016-01-01

    We evaluated the effectiveness of text messaging versus email, as a delivery method to enhance knowledge retention of emergency medicine (EM) content in EM residents. We performed a multi-centered, prospective, randomized study consisting of postgraduate year (PGY) 1 to PGY 3 & 4 residents in three United States EM residency programs in 2014. Fifty eight residents were randomized into one delivery group: text message or email. Participants completed a 40 question pre- and post-intervention exam. Primary outcomes were the means of pre- and post-intervention exam score differences. Data were analyzed using descriptive statistics, paired t-test, and multiple linear regressions. No significant difference was found between the primary outcomes of the two groups (P=0.51). PGY 2 status had a significant negative effect (P=0.01) on predicted exam score difference. Neither delivery method enhanced resident knowledge retention. Further research on implementation of mobile technology in residency education is required.

  9. Bridging the Otolaryngology Peer Review Knowledge Gap: A Call for a Residency Development Program.

    Science.gov (United States)

    Schmalbach, Cecelia E

    2016-07-01

    Current otolaryngology literature and future scientific direction rely heavily on a rigorous peer review process. Just as manuscripts warrant thoughtful review with constructive feedback to the authors, the same can be said for critiques written by novice peer reviewers. Formal scientific peer review training programs are lacking. Recognizing this knowledge gap, Otolaryngology-Head and Neck Surgery is excited to offer its new Resident Reviewer Development Program. All otolaryngology residents who are postgraduate year 2 and above and in excellent academic standing are eligible to participate in this mentored program, during which they will conduct 6 manuscript reviews under the direction of a seasoned reviewer in his or her subspecialty area of interest. By completing reviews alongside a mentor, participants gain the required skills to master the peer review process-a first step that often leads to journal editorial board and associate editor invitations.

  10. Evaluation of pediatric CPR course on knowledge of pediatric residents--before and after ACLS course.

    Science.gov (United States)

    Soltani, Alireza Ebrahim; Khan, Zahid Hussain; Arbabi, Shahriar; Hossini, Babak; Nahvi, Hedaiatollah; Agamohammadi, Asghar

    2009-02-01

    An evaluation was conducted on the knowledge gained by pediatric residents on CPR, before and after a PALS (Pediatric Advanced Cardiac Life Support) course. Following an examination of all pediatric residents at Tehran University of Medical Sciences, they were divided into two groups: non-trained (Group 1) and a group scheduled to undergone training (Group 2). A course on ACLS was conducted. Examination were performed before and after the ACLS course. The mean of the examination prior to the course in Group 1 and 2 was low, reflecting no significant differences between the Groups. Examination after the ACLS course showed a statistically significant improvement in Group 2 (P ACLS course and enhanced after the course.

  11. Does the North American Society for Pediatric and Adolescent Gynecology Short Curriculum Increase Resident Knowledge in Pediatric and Adolescent Gynecology?

    Science.gov (United States)

    Huguelet, P S; Browner-Elhanan, K J; Fleming, N; Karjane, N W; Loveless, M; Sheeder, J; Talib, H J; Wheeler, C; Kaul, P

    2016-12-01

    To determine if the North American Society for Pediatric and Adolescent Gynecology (NASPAG) Short Curriculum improves self-reported knowledge in pediatric and adolescent gynecology (PAG) among obstetrics and gynecology (Ob/Gyn) residents, at programs without PAG-trained faculty. Prospective, cross-sectional exposure to the NASPAG short curriculum with a follow-up questionnaire. Ob/Gyn residency training programs without PAG faculty. Ob/Gyn residents in training from February 2015 to June 2015. Exposure to the NASPAG Short Curriculum. Improvement in self-perceived knowledge after completion of curriculum. Two hundred twenty-seven residents met inclusion criteria; 34 completed the study (15% response). Less than 50% of residents reported adequate knowledge in the areas of prepubertal vaginal bleeding, vulvovaginitis, precocious and delayed puberty, Home environment, Education and Employment, Eating, peer-related Activities, Drugs, Sexuality, Suicide/depression, Safety from injury and violence (HEEADSSS) interview, pelvic pain, and bleeding management in teens with developmental delay. After completion of the curriculum, self-reported knowledge improved in 8 of 10 learning objectives, with no significant improvement in bleeding disorders or Müllerian anomalies. There was no association between pretest knowledge and level of residency training, type of residency program, previous exposure to PAG lectures, and previous exposure to patients with PAG complaints. Significant deficiencies exist regarding self-reported knowledge of core PAG topics among Ob/Gyn residents at programs without PAG-trained faculty. Use of the NASPAG Short Curriculum by residents without access to PAG-trained faculty resulted in improved self-reported knowledge in PAG. Copyright © 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  12. Survey of Hawaii Resident Resource Users' Knowledge, Attitudes, and Perceptions of Coral Reefs in Two Hawaii Priority Sites

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This survey collects data regarding resident resource users' knowledge, attitudes, and perceptions about the condition of coral reef and watershed resources, current...

  13. A Study of Attitude and Knowledge of the Psychiatry Resident Doctors toward Clinician–Pharmaceutical Industry Interaction

    OpenAIRE

    Yatan Pal Singh Balhara; Shachi Mathur; Nikhilesh Anand

    2012-01-01

    Background: Pharmaceutical industry and clinicians are the two important stakeholders in the modern-day health care. However, concerns have been expressed about the lack of congruence between the goals of these two. Aims: The current study aimed at exploring the knowledge and attitude of the psychiatry resident doctors toward the clinician-pharmaceutical industry interaction and also at exploring the knowledge of the residents about the new Medical Council of India guidelines on this issue. M...

  14. Knowledge of Signs and Symptoms of Heart Attack and Stroke among Singapore Residents

    Directory of Open Access Journals (Sweden)

    Joy Li Juan Quah

    2014-01-01

    Full Text Available Aim. To determine the level of knowledge of signs and symptoms of heart attack and stroke in Singapore resident population, in comparison to the global community. Methods. A population based, random sample of 7,840 household addresses was selected from a validated national sampling frame. Each participant was asked eight questions on signs and symptoms of heart attack and 10 questions on stroke. Results. The response rate was 65.2% with 4,192 respondents. The level of knowledge for preselected, common signs and symptoms of heart attack and stroke was 57.8% and 57.1%, respectively. The respondents scored a mean of 5.0 (SD 2.4 out of 8 for heart attack, while they scored a mean of 6.8 (SD 2.9 out of 10 for stroke. Respondents who were ≥50 years, with lower educational level, and unemployed/retired had the least knowledge about both conditions. The level of knowledge of signs and symptoms of heart attack and stroke in Singapore is comparable to USA and Canada. Conclusion. We found a comparable knowledge of stroke and heart attack signs and symptoms in the community to countries within the same economic, educational, and healthcare strata. However older persons, those with lower educational level and those who are unemployed/retired, require more public health education efforts.

  15. Knowledge and attitudes about HIV/AIDS in illegal residents in the Kingdom of Saudi Arabia

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    Ziad A Memish

    2015-01-01

    Full Text Available Objectives: To study the knowledge, attitudes, and practices with regard to human immunodeficiency virus infection / acquired immune deficiency syndrome (HIV/AIDS in illegal residents, in the Kingdom of Saudi Arabia (KSA. Materials and Methods: A questionnaire study was conducted among the illegal residents from four regions in Saudi Arabia: Jeddah, Makkah, Riyadh, and Jazan. Results: The survey enrolled 5,000 participants, 79%male (39.6% from Jeddah; 20% from Riyadh; and 20% from Jazan, aged between 15 and 45 years. Of the total, 1288 (25.8% had not heard about HIV/AIDS. Knowledge of HIV transmission was poor in 90% of the respondents. Of the total, 737 had read about HIV/AIDS materials and 649 participants had been previously tested for HIV. The majority of participants (85% held a negative attitude toward people living with HIV/AIDS. Those who were knowledgeable about HIV/AIDS expressed more a positive attitude. One-fifth (968, majority were men; single 55%, married 45% had engaged in non-marital sexual activity. The largest proportion of the individuals who had engaged in non-marital sex were single (54.9% followed by the married ones (40.4%. Men cited pleasure as the main reason for such activity (84.6%, whereas women (73.4% cited financial gain. Of the respondents, 53.9 and 32.1% believed that TV and schools were the best media through which information with regard to HIV/AIDS could be imparted. Conclusions: Knowledge of HIV/AIDS, its mode of transmission, and prevention measures was poor. Educational programs specifically targeted toward this group were required.

  16. Knowledge, Attitudes, Practices and Biomonitoring of Farmers and Residents Exposed to Pesticides in Brazil

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    Eloisa Dutra Caldas

    2012-08-01

    Full Text Available In this study, the knowledge, attitudes and practices regarding pesticide use and the levels of exposure of farmers and residents to organophosphorous and/or carbamates pesticides were evaluated in two rural settings in Brazil. A questionnaire was completed by 112 farm workers aged ≥18 years. Almost all farmers acknowledged that pesticides were potentially harmful to their health (87.5%; however, over half rarely (48.2% or never (7.2% used personal protective devices (PPDs. An association was found (p = 0.001 between the work regimen and the use of PPDs, with more frequent equipment use among hired laborers than those involved in family agriculture. A significant correlation (p = 0.027 was found between the reporting of adverse symptoms and the use of backpack sprayers. Mean AChE activities of farmers (n = 64 and residents (n = 18 during the exposure and non-exposure periods were significantly lower than their control groups. Mean BChE activities of farmers and residents were significantly lower than their controls during the exposure period. Among the 60 farmers that had blood samples collected in both the exposure and non-exposure (baseline periods, 10 (16.7% had AChE depletion of over 30% during the exposure period compared with the baseline level. Six residents living on the same farms also presented this depletion. AChE was over 30% higher than the baseline level for 19 farmers (31.7%, indicating a reboot effect. Special education programs are needed in these regions to promote the safe use of pesticides in the field to decrease the risks from exposure to pesticides for farmers, and from secondary exposure to these compounds for their families.

  17. Knowledge, Attitudes, Practices and Biomonitoring of Farmers and Residents Exposed to Pesticides in Brazil

    Science.gov (United States)

    Oliveira Pasiani, Juliana; Torres, Priscila; Roniery Silva, Juciê; Zago Diniz, Bruno; Dutra Caldas, Eloisa

    2012-01-01

    In this study, the knowledge, attitudes and practices regarding pesticide use and the levels of exposure of farmers and residents to organophosphorous and/or carbamates pesticides were evaluated in two rural settings in Brazil. A questionnaire was completed by 112 farm workers aged ≥18 years. Almost all farmers acknowledged that pesticides were potentially harmful to their health (87.5%); however, over half rarely (48.2%) or never (7.2%) used personal protective devices (PPDs). An association was found (p = 0.001) between the work regimen and the use of PPDs, with more frequent equipment use among hired laborers than those involved in family agriculture. A significant correlation (p = 0.027) was found between the reporting of adverse symptoms and the use of backpack sprayers. Mean AChE activities of farmers (n = 64) and residents (n = 18) during the exposure and non-exposure periods were significantly lower than their control groups. Mean BChE activities of farmers and residents were significantly lower than their controls during the exposure period. Among the 60 farmers that had blood samples collected in both the exposure and non-exposure (baseline) periods, 10 (16.7%) had AChE depletion of over 30% during the exposure period compared with the baseline level. Six residents living on the same farms also presented this depletion. AChE was over 30% higher than the baseline level for 19 farmers (31.7%), indicating a reboot effect. Special education programs are needed in these regions to promote the safe use of pesticides in the field to decrease the risks from exposure to pesticides for farmers, and from secondary exposure to these compounds for their families. PMID:23202670

  18. Knowledge and attitude on ill effects of smoking among adults residing in Lekhnath, Kaski, Nepal

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    Gnanakshi D

    2014-09-01

    Full Text Available Background: Worldwide opinion says, “Smoking is injurious to health”. It is positively injurious in many ways not only to the health of smoker but also to the health of the people around him or her known as the passive smokers. The three main components of inhaled cigarette smoke are nicotine, carbon monoxide and tar, which can cause disease. If this nicotine is absorbed in the blood stream and left within 10 seconds it increases the heart rate and blood pressure by stimulating the release of hormones such as adrenaline and constricting blood vessels [1]. Aim: To assess knowledge and attitude on ill effects of smoking among adults residing in Lekhnath municipality, ward no.12, Khudi, Kaski”. Material & Method: A survey approach with the descriptive design was selected to achieve the objectives of the study. Convenient sampling technique was used to select the samples. The sample size was 100 adults of 20 years & above. Data was collected from 10/03/2013-10/04/2013 by interview technique regarding ill effects of smoking by using questionnaire and finally the data was analyzed using Excel 2007 & SPSS for Windows Version 16.0. Results: The major findings of the present study were as follows: Most of the participants (58% were having good level of knowledge, 31% were having average level of knowledge and remaining 11% were having poor level of knowledge towards ill effects of smoking. Majority of participants had favorable attitude (81% towards ill effects of smoking. The correlation between knowledge and attitude was found to be positive at the significance level of P>0.01.Significant association of knowledge was found with gender, marital status and education level regarding ill effects of smoking. Significant association of attitude was found with family type and source of information regarding ill effects of smoking. Conclusion: Hence, still few people residing in the community are having poor knowledge and attitude on ill effects of

  19. Survey on knowledge, attitudes, and training needs of Italian residents on genetic tests for hereditary breast and colorectal cancer.

    Science.gov (United States)

    Panic, Nikola; Leoncini, Emanuele; Di Giannantonio, Paolo; Simone, Benedetto; Silenzi, Andrea; Ferriero, Anna Maria; Falvo, Roberto; Silvestrini, Giulia; Cadeddu, Chiara; Marzuillo, Carolina; De Vito, Corrado; Ricciardi, Walter; Villari, Paolo; Boccia, Stefania

    2014-01-01

    The aim of the study was to assess knowledge and attitudes of medical residents working in Università Cattolica del Sacro Cuore, Rome, Italy, on genetic tests for breast and colorectal cancer. We distributed self-administered questionnaire to the residents. Logistic regression models were used to evaluate the determinants of knowledge and attitudes towards the tests. Of 754 residents, 364 filled in questionnaire. Around 70% and 20% answered correctly >80% of questions on breast and colorectal cancer tests, respectively. Knowledge on tests for breast cancer was higher among residents who attended course on cancer genetic testing during graduate training (odds ratio (OR): 1.72; 95% confidence interval (CI): 1.05-2.82) and inversely associated with male gender (OR: 0.55; 95% CI: 0.35-0.87). As for colorectal cancer, residents were more knowledgeable if they attended courses on cancer genetic testing (OR: 2.08; 95% CI: 1.07-4.03) or postgraduate training courses in epidemiology and evidence-based medicine (OR: 1.95; 95% CI: 1.03-3.69). More than 70% asked for the additional training on the genetic tests for cancer during the specialization school. The knowledge of Italian residents on genetic tests for colorectal cancer appears to be insufficient. There is a need for additional training in this field.

  20. Survey on Knowledge, Attitudes, and Training Needs of Italian Residents on Genetic Tests for Hereditary Breast and Colorectal Cancer

    Directory of Open Access Journals (Sweden)

    Nikola Panic

    2014-01-01

    Full Text Available Objectives. The aim of the study was to assess knowledge and attitudes of medical residents working in Università Cattolica del Sacro Cuore, Rome, Italy, on genetic tests for breast and colorectal cancer. Methods. We distributed self-administered questionnaire to the residents. Logistic regression models were used to evaluate the determinants of knowledge and attitudes towards the tests. Results. Of 754 residents, 364 filled in questionnaire. Around 70% and 20% answered correctly >80% of questions on breast and colorectal cancer tests, respectively. Knowledge on tests for breast cancer was higher among residents who attended course on cancer genetic testing during graduate training (odds ratio (OR: 1.72; 95% confidence interval (CI: 1.05–2.82 and inversely associated with male gender (OR: 0.55; 95% CI: 0.35–0.87. As for colorectal cancer, residents were more knowledgeable if they attended courses on cancer genetic testing (OR: 2.08; 95% CI: 1.07–4.03 or postgraduate training courses in epidemiology and evidence-based medicine (OR: 1.95; 95% CI: 1.03–3.69. More than 70% asked for the additional training on the genetic tests for cancer during the specialization school. Conclusion. The knowledge of Italian residents on genetic tests for colorectal cancer appears to be insufficient. There is a need for additional training in this field.

  1. Effects of adding a new PCMH block rotation and resident team to existing longitudinal training within a certified PCMH: primary care residents’ attitudes, knowledge, and experience

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    Anandarajah G

    2016-08-01

    Full Text Available Gowri Anandarajah,1,2 Christopher Furey,1 Rabin Chandran,1 Arnold Goldberg,3,4 Fadya El Rayess,1 David Ashley,1 Roberta E Goldman,1,5 1Department of Family Medicine, 2Department of Medical Science, Warren Alpert Medical School of Brown University, Providence, RI, 3Department of Family Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, 4Department of Family Medicine, Leigh Valley Family Health Network, Allentown, PA, 5Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA Background: Although the patient-centered medical home (PCMH model is considered important for the future of primary care in the USA, it remains unclear how best to prepare trainees for PCMH practice and leadership. Following a baseline study, the authors added a new required PCMH block rotation and resident team to an existing longitudinal PCMH immersion and didactic curriculum within a Level 3-certified PCMH, aiming for “enhanced situated learning”. All 39 residents enrolled in a USA family medicine residency program during the first year of curricular implementation completed this new 4-week rotation. This study examines the effects of this rotation after 1 year. Methods: A total of 39 intervention and 13 comparison residents were eligible participants. This multimethod study included: 1 individual interviews of postgraduate year (PGY 3 intervention vs PGY3 comparison residents, assessing residents’ PCMH attitudes, knowledge, and clinical experience, and 2 routine rotation evaluations. Interviews were audiorecorded, transcribed, and analyzed using immersion/crystallization. Rotation evaluations were analyzed using descriptive statistics and qualitative analysis of free text responses. Results: Authors analyzed 23 interviews (88% and 26 rotation evaluations (67%. Intervention PGY3s’ interviews revealed more nuanced understanding of PCMH concepts and more experience with system-level PCMH

  2. Assessment of cognitive biases and biostatistics knowledge of medical residents: a multicenter, cross-sectional questionnaire study.

    Science.gov (United States)

    Msaouel, Pavlos; Kappos, Theocharis; Tasoulis, Athanasios; Apostolopoulos, Alexandros P; Lekkas, Ioannis; Tripodaki, Elli-Sophia; Keramaris, Nikolaos C

    2014-01-01

    The aim of this study is to determine the perceived familiarity of medical residents with statistical concepts, assess their ability to integrate these concepts in clinical scenarios, and investigate their susceptibility to the gambler's fallacy and the conjunction fallacy. A multi-institutional, cross-sectional survey of Greek medical residents was performed. Participants were asked to indicate their familiarity with basic statistical concepts and answer clinically oriented questions designed to assess their biostatistics knowledge and cognitive biases. Univariate, bivariate, and multivariate statistical models were used for the evaluation of data. Out of 153 respondents (76.5% response rate), only two participants (1.3%) were able to answer all seven biostatistics knowledge questions correctly while 29 residents (19%) gave incorrect answers to all questions. The proportion of correct answers to each biostatistics knowledge question ranged from 15 to 51.6%. Residents with greater self-reported familiarity were more likely to perform better on the respective knowledge question (all pbiostatistics knowledge scores (pbiostatistics knowledge questions were less prone to the gambler's fallacy (odds ratio 1.38, 95% confidence intervals 1.12-1.70, p=0.003). Only 48 residents (31.4%) did not violate the conjunction rule. A large number of medical residents are unable to correctly interpret crucial statistical concepts that are commonly found in the medical literature. They are also especially prone to the gambler's fallacy bias, which may undermine clinical judgment and medical decision making. Formalized systematic teaching of biostatistics during residency will be required to de-bias residents and ensure that they are proficient in understanding and communicating statistical information.

  3. Awareness, knowledge, and practice: A survey of glaucoma in north Indian rural residents

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    Parveen Rewri

    2014-01-01

    Full Text Available Background: Studies done on the prevalence of glaucoma have reported a high proportion of undiagnosed patients. Late diagnosis is related to increased risk of glaucoma associated with visual disability. Lack of awareness and non-availability of appropriate screening procedures are among the major reasons for non-diagnosis or late diagnosis of glaucoma. The present study has been undertaken to evaluate the level of awareness about glaucoma among the North Indian rural population. Materials and Methods: A group-administered, questionnaire-based survey, involving 5000 rural residents (aged 20 and above was conducted through random sampling. The questionnaire was structured to evaluate the level of awareness and knowledge about glaucoma and the effect of gender, education status, and glaucoma diagnosis was also studied. The source of awareness about glaucoma was also questioned. Results: Of the 5000 individuals enrolled for the survey, responses from 4927 (98.5%; 95% Confidence Interval (CI: 98.2 - 98.9 participants, including 3104 males (63%; 95% CI: 61.7 - 64.3 and 1823 females (37%; 95% CI: 35.7 - 38.3 were evaluated. A total of 409 (~8.3%; 95% CI: 7.6 - 9.14 respondents were aware about glaucoma and only 93 (1.89%; 95% CI: 1.55 - 2.31 were qualified as having knowledge about glaucoma as per the set questionnaire. Education was the only variable significantly correlated (P value < 0.001 with the awareness and knowledge of glaucoma out of the parameters included in this study. Close acquaintance with a glaucoma patient was the most common source of information. Conclusions: There is a lack of awareness about glaucoma among the rural residents of North India. The study findings stress the need to spread awareness about glaucoma for prevention of glaucoma-related blindness.

  4. Investigating the knowledge and preparedness of proximal residents to a general-emergency event at the Koeberg Nuclear Power Station

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    Alberto P. Francioli

    2016-01-01

    Full Text Available Ward 23 in the City of Cape Town South Africa is situated within 16 km of Koeberg Nuclear Power Station (KNPS. Massive investments were made to provide the 13 800 residents of Ward 23 with information on emergency preparedness and evacuation procedures in case of a general-emergency event at KNPS. However, it is not known whether these efforts to inform and prepare the proximal residents for a general emergency have been effective or not. The objective of this study was to investigate the level of knowledge of and preparedness for an emergency exhibited by residents of Ward 23. Data was collected through the distribution of semi-structured questionnaires to 204 residents at the study site to ascertain their views on the provision and accessibility of emergency information and to find out whether they utilised this information to prepare themselves. The results revealed that the majority of interviewed residents had very poor knowledge concerning emergency procedures, and few had made any effort to prepare themselves. The majority of better-informed and prepared residents tended to reside closer to KNPS. The poor levels of knowledge and preparedness are attributed to residents’ lack of awareness concerning the availability of information, misconceptions regarding a nuclear hazard and a general emergency event or a lack of incentive to inform themselves due to a perceived high sense of security and the improbability of such an event occurring. To improve resident knowledge and preparedness, efforts should be made to advertise the availability and importance of such emergency information and enhance incentives for residents to inform themselves.

  5. Obstetrics and gynaecology residents' knowledge of the informed consent process and its practice in their training institutions.

    Science.gov (United States)

    Okonta, P I

    2015-01-01

    The ethical principle of autonomy as expressed in the practice of informed consent is a core tenet of clinical practice and good patient physician relationship. The aim was to identify specific gaps in the knowledge of trainee obstetricians and gynecologists in Nigeria about the informed consent process and its content. It also sought to describe the practice of informed consent in their respective institutions. A survey of Residents in obstetrics and gynecology attending the revision course of the Faculty of obstetrics and gynecology of the national postgraduate medical college was done to determine their knowledge of the informed consent process and its practice in their institutions. None of the residents was able to give responses that contained all five conditions for informed consent to be valid. Furthermore, only 3 (2.22%) Residents mentioned that the name of the surgeon to perform the surgery should be part of the information provided to patients during the informed consent process. Similarly, only 8 (5.93%) mentioned that consequences of not having the surgery should be part of the informed consent process. The concept of the 'emancipated minor' being competent to give consent was known by 38% of the residents. Although Residents in obstetrics and gynecology in Nigeria have some knowledge of the informed consent process, this knowledge is deficient in key areas such as competence to give consent, content and scope of information to be disclosed to patients for surgery. There is a need to teach residents the rudiments of informed consent and bioethics in general.

  6. Knowledge levels and training needs of disaster medicine among health professionals, medical students, and local residents in Shanghai, China.

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    Tong Su

    Full Text Available BACKGROUND: Disaster is a serious public health issue. Health professionals and community residents are main players in disaster responses but their knowledge levels of disaster medicine are not readily available. This study aimed to evaluate knowledge levels and training needs of disaster medicine among potential disaster responders and presented a necessity to popularize disaster medicine education. METHODS: A self-reporting questionnaire survey on knowledge level and training needs of disaster medicine was conducted in Shanghai, China, in 2012. A total of randomly selected 547 health professionals, 456 medical students, and 1,526 local residents provided intact information. The total response rate was 93.7%. RESULTS: Overall, 1.3% of these participants have received systematic disaster medicine training. News media (87.1% was the most common channel to acquire disaster medicine knowledge. Although health professionals were more knowledgeable than community residents, their knowledge structure of disaster medicine was not intact. Medical teachers were more knowledgeable than medical practitioners and health administrators (p = 0.002. Clinicians performed better than public health physicians (p<0.001, whereas public health students performed better than clinical medical students (p<0.001. In community residents, education background significantly affected the knowledge level on disaster medicine (p<0.001. Training needs of disaster medicine were generally high among the surveyed. 'Lecture' and 'practical training' were preferred teaching methods. The selected key and interested contents on disaster medicine training were similar between health professionals and medical students, while the priorities chosen by local residents were quite different from health professionals and medical students (p<0.001. CONCLUSIONS: Traditional clinical-oriented medical education might lead to a huge gap between the knowledge level on disaster medicine and

  7. Assessing Professionalism and Ethics Knowledge and Skills: Preferences of Psychiatry Residents

    Science.gov (United States)

    Marrero, Isis; Bell, Michael; Dunn, Laura B.; Roberts, Laura Weiss

    2013-01-01

    Background: Professionalism is one of the fundamental expectations and a core competency in residency education. Although programs use a variety of evaluative methods, little is known about residents' views of and preferences regarding various methods of assessment. Method: The authors surveyed residents at seven psychiatry residency programs…

  8. Psychometric properties of a novel knowledge assessment tool of mechanical ventilation for emergency medicine residents in the northeastern United States.

    Science.gov (United States)

    Richards, Jeremy B; Strout, Tania D; Seigel, Todd A; Wilcox, Susan R

    2016-01-01

    Prior descriptions of the psychometric properties of validated knowledge assessment tools designed to determine Emergency medicine (EM) residents understanding of physiologic and clinical concepts related to mechanical ventilation are lacking. In this setting, we have performed this study to describe the psychometric and performance properties of a novel knowledge assessment tool that measures EM residents' knowledge of topics in mechanical ventilation. Results from a multicenter, prospective, survey study involving 219 EM residents from 8 academic hospitals in northeastern United States were analyzed to quantify reliability, item difficulty, and item discrimination of each of the 9 questions included in the knowledge assessment tool for 3 weeks, beginning in January 2013. The response rate for residents completing the knowledge assessment tool was 68.6% (214 out of 312 EM residents). Reliability was assessed by both Cronbach's alpha coefficient (0.6293) and the Spearman-Brown coefficient (0.6437). Item difficulty ranged from 0.39 to 0.96, with a mean item difficulty of 0.75 for all 9 questions. Uncorrected item discrimination values ranged from 0.111 to 0.556. Corrected item-total correlations were determined by removing the question being assessed from analysis, resulting in a range of item discrimination from 0.139 to 0.498. Reliability, item difficulty and item discrimination were within satisfactory ranges in this study, demonstrating acceptable psychometric properties of this knowledge assessment tool. This assessment indicates that this knowledge assessment tool is sufficiently rigorous for use in future research studies or for assessment of EM residents for evaluative purposes.

  9. Ohio osteopathic residency directors' self-reported administrative knowledge and skills before and after participation in an administrative training program.

    Science.gov (United States)

    Sheehan, Olivia Ojano; Brannan, Grace

    2013-04-01

    Residency directors require myriad skills to perform their jobs efficiently. However, many residency directors receive no training prior to obtaining their positions. To determine the effectiveness of the Residency Directors Residency Administration Program (RD RAP)--a 1-year fellowship training program for Ohio osteopathic residency directors sponsored by the Ohio University Heritage College of Osteopathic Medicine/Centers for Osteopathic Research and Education--by measuring the administrative knowledge and skills of Ohio osteopathic residency directors before and after completion of the program. The authors administered a 54-item self-assessment instrument to RD RAP participants before and after the 2009-2010 and 2010-2011 programs. The assessment asked participants to rank their knowledge and skills in administration on a 5-point Likert scale, with lower values indicating higher knowledge and skills. We analyzed data from the pre- and postprogram assessments by using the Wilcoxon signed rank nonparametric test. The 54 assessment items were categorized into 10 content domains. Ten RD RAP participants completed the assessments. Median scores were statistically significantly lower for each of the 10 content domains after the RD RAP program. The content domain with the greatest change between pre- and postprogram assessment Likert scale scores was Legal Issues in Residency Training, with a median change of 1.7 (P=.007). Role of Program Directors, Personality, and Professional Development had the smallest change in pre- and postprogram assessment Likert scores, with a median change of 0.8 (P=.011). Statistically significant improvements were found in the osteopathic residency directors' self-reported administrative knowledge and skills after participation in the RD RAP.

  10. Survey of HIV/AIDS-related Knowledge, Attitude and Determinants in Urban Residents

    Institute of Scientific and Technical Information of China (English)

    何群; 杨放; 林鹏; 王晔; 刘勇鹰; 付笑冰; 赵茜茜

    2003-01-01

    Objectives: To provide references for HIV/AIDS-re-lated health education strategies through survey on HIV/AIDS-related knowledge, attitude and determi-nants of HIV/AIDS awareness.Methods: The study subjects were selected by ran-dom interception in a downtown street of Guangzhou city on World AIDS Day-December 1,2002. The uni-form questionnaires were finished by means of self-administration.Results: Two hundred questionnaires were distrib-uted and 147 qualified questionnaires were collected.The results showed, the awareness rate of HIV/AIDS-related knowledge was 63.3%, and awareness rate of transmission routes was 76.2 %, whilst non-transmis-sion route was 60.5 %; the awareness rate of trans-mission was 59.2%; the awareness rate of prevention was 47.0%; the positive attitude to people living with HIV/AIDS was 65.6%. Multiple variable Logistic re-gression analysis showed the determinants of HIV/AIDS-related knowledge were education level, age,marital status and gender, of which people with high level of education, young age and the group of male and married had better awareness of HIV/AIDS.Conclusion: Current HIV/AIDS-related knowledge of urban residents is relativly low, especially for the non-transmission route, hence further HIV/AIDS-re-lated education should be strengthened, especially fo-cusing on non-transmission route to eliminate dis-crimination over people living with HIV/AIDS.Further, education efforts also should be put on fe-male population, unmarried population and poorly edu-cated population.

  11. The Influence of an Orthopedic, Manual Therapy Residency Program on Improved Knowledge, Psychomotor Skills, and Clinical Reasoning in Nairobi, Kenya.

    Science.gov (United States)

    Cunningham, Shala; McFelea, Joni

    2017-01-01

    The purpose of this study was to describe the influence of a post-graduate orthopedic manual therapy residency program in Kenya on the development of physical therapists' (PTs) knowledge and clinical reasoning related to the performance of a musculoskeletal examination and evaluation as compared to an experience-matched control group of PTs waiting to enter the program. A cross-sectional design was utilized in which 12 graduating residents and 10 PTs entering the residency program completed a live-patient practical examination to assess the knowledge, clinical reasoning, and psychomotor skills related to the examination and evaluation of musculoskeletal conditions. The assessment utilized was based on the tasks, procedures, and knowledge areas identified as important to advanced clinicians in the US as outlined by the Orthopaedic Description of Specialty Practice. Inclusion criteria included participation in or acceptance to the residency program, practice as a PT between 3 and 25 years, and 50% of workday being involved in direct patient care. Overall pass rates were analyzed using the Pearson chi-square and Fisher's exact tests to determine if the graduating residents achieved significantly higher scores than experience-matched controls consisting of PTs entering the residency program. PTs completing a post-graduate orthopedic manual therapy residency in Nairobi, Kenya, achieved higher scores and passing rates compared to their colleagues who had not completed a residency program as determined by a live-patient practical examination. Graduating residents demonstrated statistically significant higher scores in the categories of examination, evaluation, and diagnosis. The average live-patient practical examination score for PTs without residency training was 38.2%, and their pass rate was 0.0%. The average live-patient practical examination score for residency-trained PTs was 83.4%, and their pass rate was 92.3%. These findings are statistically significant (p

  12. Knowledge of thrombolytic therapy for acute ischemic stroke among community residents in western urban China.

    Science.gov (United States)

    Yang, Juan; Zheng, Min; Chen, Shuqun; Ou, Shu; Zhang, Jie; Wang, Ni; Cao, Yingying; Wang, Jian

    2014-01-01

    Thrombolytic therapy rate for acute ischemic stroke remains low, and improving public awareness of thrombolytic therapy may be helpful to reduce delay and increase chances of thrombolytic therapy. Our purpose was to survey the level of knowledge about thrombolytic therapy for acute ischemic stroke among community residents in Yuzhong district, Chongqing, China. In 2011, a population-based face-to-face interview survey was conducted in Yuzhong district, Chongqing. A total of 1500 potential participants aged ≥18 years old were selected using a multi-stage sampling method. A total of 1101 participants completed the survey. Only 23.3% (95% CI = 20.8 to 25.8) were aware of thrombolytic therapy for acute ischemic stroke, of whom 59.9% (95% CI = 53.9 to 65.9) knew the time window. Awareness of thrombolytic therapy was higher among young people, those with higher levels of education and household income, those with health insurance, and those who knew all 5 stroke warning signs, while awareness of the time window was higher among those aged 75 years or older. Multivariate logistic regression analysis showed that awareness of thrombolytic therapy was independently associated with age, education level, health insurance and knowledge of stroke warning signs (Pacute ischemic stroke.

  13. Assessing residents' knowledge of patient satisfaction: a cross-sectional study at a large academic medical centre.

    Science.gov (United States)

    Stewart, Diana E; Dang, Bich N; Trautner, Barbara; Cai, Cecilia; Torres, Sergio; Turner, Teri

    2017-08-21

    Patient satisfaction impacts healthcare quality and outcomes. Residents play an important role in patient satisfaction at academic institutions. This study aims to assess residents' patient satisfaction knowledge and determine which learning experiences contributed to their knowledge acquisition. This study was conducted at a health science university in a large, urban, tertiary-care academic medical centre in the USA. All residents from internal medicine (n=185) and paediatrics (n=156) were asked to participate. Residents completed a survey from April 2013 to December 2013 that assessed (1) knowledge of factors that impact patient satisfaction and (2) learning experiences that may have contributed to their understanding of the drivers of patient satisfaction (eg, experiential (personal or clinical) or didactics). Trainees identified the importance of factors in determining patient satisfaction on a five-point Likert scale; answers were compiled into a knowledge score. The score was correlated with prior personal/clinical experience and didactics. Of the 341 residents, 247 (72%) completed the survey. No difference was found in knowledge among training levels or residency programme. More than 50% incorrectly thought physician board certification, patient's education, patient's income and physician's age impacted satisfaction. Personal experience, through hospitalisation of a relative or friend, was correlated with higher knowledge (67% vs 71%, p=0.03). Ninety-nine per cent (n=238) stated peer observation, and all stated faculty feedback impacted their patient satisfaction knowledge. Seventy-seven per cent (n=185) had attended didactics on satisfaction, but attendance did not correlate with higher scores. Our study showed trainees have a few gaps in their patient satisfaction knowledge, and attending past educational sessions on patient satisfaction did not correlate with higher knowledge scores. Our data suggest that academic centres should leverage residents

  14. Adolescent Depression: Evaluating Pediatric Residents' Knowledge, Confidence, and Interpersonal Skills Using Standardized Patients

    Science.gov (United States)

    Lewy, Colleen; Sells, C. Wayne; Gilhooly, Jennifer; McKelvey, Robert

    2009-01-01

    Objective: The authors aim to determine whether pediatric residents used DSM-IV criteria to diagnose major depressive disorder and how this related to residents' confidence in diagnosis and treatment skills before and after clinical training with depressed adolescents. Methods: Pediatric residents evaluated two different standardized patients…

  15. Survey of Obstetrics and Gynecology Residents Regarding Pneumococcal Vaccination in Pregnancy: Education, Knowledge, and Barriers to Vaccination

    Science.gov (United States)

    Fay, Emily E.; Hoppe, Kara K.; Schulkin, Jay; Eckert, Linda O.

    2016-01-01

    Objective. The 23-valent pneumococcal vaccine is recommended for adults over 65 years of age and younger adults with certain medical conditions. The Centers for Disease Control and Prevention (CDC) state insufficient evidence to recommend routine pneumococcal vaccination during pregnancy, but the vaccine is indicated for pregnant women with certain medical conditions. We designed this project to gauge obstetrics and gynecology (OB/GYN) resident knowledge of maternal pneumococcal vaccination. Methods. We administered a 22-question survey to OB/GYN residents about maternal pneumococcal vaccination. We performed descriptive analysis for each question. Results. 238 OB/GYN residents responded. Overall, 69.3% of residents reported receiving vaccination education and 86.0% reported having ready access to vaccine guidelines and safety data. Most residents knew that asplenia (78.2%), pulmonary disease (77.3%), and HIV/AIDS (69.4%) are indications for vaccination but less knew that cardiovascular disease (45.0%), diabetes (35.8%), asthma (42.8%), nephrotic syndrome (19.7%), and renal failure (33.6%) are also indications for vaccination. Conclusion. OB/GYN residents are taught about vaccines and have ready access to vaccine guidelines and safety data. However, knowledge of indications for pneumococcal vaccination in pregnancy is lacking. Likely, the opportunity to vaccinate at-risk pregnant patients is being missed. PMID:26949324

  16. Survey of Obstetrics and Gynecology Residents Regarding Pneumococcal Vaccination in Pregnancy: Education, Knowledge, and Barriers to Vaccination

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    Emily E. Fay

    2016-01-01

    Full Text Available Objective. The 23-valent pneumococcal vaccine is recommended for adults over 65 years of age and younger adults with certain medical conditions. The Centers for Disease Control and Prevention (CDC state insufficient evidence to recommend routine pneumococcal vaccination during pregnancy, but the vaccine is indicated for pregnant women with certain medical conditions. We designed this project to gauge obstetrics and gynecology (OB/GYN resident knowledge of maternal pneumococcal vaccination. Methods. We administered a 22-question survey to OB/GYN residents about maternal pneumococcal vaccination. We performed descriptive analysis for each question. Results. 238 OB/GYN residents responded. Overall, 69.3% of residents reported receiving vaccination education and 86.0% reported having ready access to vaccine guidelines and safety data. Most residents knew that asplenia (78.2%, pulmonary disease (77.3%, and HIV/AIDS (69.4% are indications for vaccination but less knew that cardiovascular disease (45.0%, diabetes (35.8%, asthma (42.8%, nephrotic syndrome (19.7%, and renal failure (33.6% are also indications for vaccination. Conclusion. OB/GYN residents are taught about vaccines and have ready access to vaccine guidelines and safety data. However, knowledge of indications for pneumococcal vaccination in pregnancy is lacking. Likely, the opportunity to vaccinate at-risk pregnant patients is being missed.

  17. Psychiatry resident-led tutorials increase medical student knowledge and improve national board of medical examiners shelf exam scores.

    Science.gov (United States)

    McKean, A J S; Palmer, B A

    2015-06-01

    Psychiatry residents have tremendous potential as educators. The authors envisioned residents as small-group tutors, efficiently assessing and correcting knowledge deficits using cases with discussion prompts and teaching points. They empirically tested whether this improves knowledge acquisition. Senior residents delivered eight tutorials during clerkship, which covered child and adolescent psychiatry, anxiety, mood, psychotic, cognitive, and substance use disorders. A 50-item multiple-choice quiz was administered at the beginning and end of clerkship. National Board of Medical Examiners (NBME) shelf exam scores from intervention year were compared to the 4 years prior to resident involvement. Mean score on the initial quiz was 34.5 ± 3.7 and 41.8 ± 3.5 on second attempt (p < 0.001). Mean score for NBME psychiatry subject exam during intervention year was 83.2 ± 8.9 and for the four prior years was 78.0 ± 9.3, which was significant (p = 0.002). Resident-led tutorials provide an effective means of increasing psychiatric knowledge and improving performance on NBME subject exams.

  18. High-fidelity simulation enhances pediatric residents' retention, knowledge, procedural proficiency, group resuscitation performance, and experience in pediatric resuscitation.

    Science.gov (United States)

    Mills, David M; Wu, Chang L; Williams, Daniel C; King, Lydia; Dobson, Joseph V

    2013-07-01

    The goal of this study was to assess the effect of high-fidelity simulation (HFS) pediatric resuscitation training on resident performance and self-reported experience compared with historical controls. In this case-control study, pediatric residents at a tertiary academic children's hospital participated in a 16-hour HFS resuscitation curriculum. Primary outcome measures included cognitive knowledge, procedural proficiency, retention, and self-reported comfort and procedural experience. The intervention group was compared with matched-pair historical controls. Forty-one residents participated in HFS training with 32 matched controls. The HFS group displayed significant initial and overall improvement in knowledge (P historical controls but also reported increased real-life resuscitation experiences and related procedures.

  19. Competency-based residency training and the web log: modeling practice-based learning and enhancing medical knowledge

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    Matthew F. Hollon

    2015-12-01

    Full Text Available Background: By using web-based tools in medical education, there are opportunities to innovatively teach important principles from the general competencies of graduate medical education. Objectives: Postulating that faculty transparency in learning from uncertainties in clinical work could help residents to incorporate the principles of practice-based learning and improvement (PBLI in their professional development, faculty in this community-based residency program modeled the steps of PBLI on a weekly basis through the use of a web log. Method: The program confidentially surveyed residents before and after this project about actions consistent with PBLI and knowledge acquired through reading the web log. Results: The frequency that residents encountered clinical situations where they felt uncertain declined over the course of the 24 weeks of the project from a mean frequency of uncertainty of 36% to 28% (Wilcoxon signed rank test, p=0.008; however, the frequency with which residents sought answers when faced with uncertainty did not change (Wilcoxon signed rank test, p=0.39, remaining high at approximately 80%. Residents answered a mean of 52% of knowledge questions correct when tested prior to faculty posts to the blog, rising to a mean of 65% of questions correct when tested at the end of the project (paired t-test, p=0.001. Conclusions: Faculty role modeling of PBLI behaviors and posting clinical questions and answers to a web log led to modest improvements in medical knowledge but did not alter behavior that was already taking place frequently among residents.

  20. Artist Residencies: Supporting Early Childhood Pre-Student Teachers' Knowledge and Pedagogy to Promote Arts-Based Learning

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    Laverick, DeAnna M.; Migyanka, Joann

    2014-01-01

    The purpose of this article is to describe the ways in which the artist residencies supported preservice teachers' acquisition of content knowledge and skills and influenced their confidence level with regard to integrating the arts in field experiences in early childhood classrooms. This article begins with a description of the artist…

  1. The Gap in Knowledge of Clinical Practice Guidelines by Mental Health Residents in Buenos Aires (Argentina

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    Javier Fabrissin

    2014-05-01

    Full Text Available The aim of this pilot study was to evaluate if the residents of psychiatry and clinical psychology from the city of Buenos Aires knew any of the existing mental health Clinical Practice and Treatment Guidelines (CPTGs. We asked residents their opinion about CPTGs and, also, if they followed their recommendations in clinical practice. We asked 59 mental health residents (28 physicians and 29 psychologists with different years of clinical training to fill a questionnaire to know their opinion about CPTGs and also if they follow the CPTG recommendations in their clinical practice. We found that 79.31% of residents did not know any CPTG. Eighty percent of the residents who did know any CPTG have a positive opinion about CPTGs. Finally, the American Psychiatric Association Guidelines were the most known CPTGs. The authors emphasize the need for a clinical guidelines diffusion policy in Buenos Aires city and particularly as a clinical and training resource for mental health residents.

  2. Knowledge, Attitudes, and Practices Study on Hand Hygiene Among Imam Hossein Hospital’s Residents in 2013

    Science.gov (United States)

    Nabavi, Mahmoud; Alavi-Moghaddam, Mostafa; Gachkar, Latif; Moeinian, Mohammad

    2015-01-01

    Background: Hand hygiene is considered one of the most important infection control measures for preventing health care-associated infections. Although the techniques involved in hand hygiene are simple, compliance with hand hygiene recommendations is poor worldwide. Objectives: We sought to perform a knowledge, attitudes, and practices (KAP) study on hand hygiene among medical residents at Imam Hossein hospital, Tehran, Iran. Patients and Methods: This cross-sectional KAP study was conducted among medical residents in Imam Hossein hospital, Iran, 2013. All medical residents from different wards were invited to participate in this study (270 in total). The world health organization questionnaires and an observational checklist were used to collect data. The χ2 test and the Fisher exact test were utilized to analyze the qualitative variables. Since the quantitative variables had no normal distribution, the Mann-Whitney test and the Kruskal-Wallis method were employed. A P value hand hygiene, and only 20.16% (n = 25) managed to identify the correct answer. Moreover, 3.1% (n = 8) of the residents adhered to the 8 standard steps, 12.1% (n = 31) washed their hands for 20 - 30 seconds, and only 2 residents observed the sequences of hand hygiene. Additionally, none of the residents performed hand washing with available means (water and hand-washing liquid) in the morning visit hours. Conclusions: Concerning hand hygiene, the residents had moderate knowledge but overall poor attitudes and practices. The present study underscores the need for further improvement in the existing training programs to address the gaps in KAP regarding hand hygiene. PMID:26568858

  3. Lack of chart reminder effectiveness on family medicine resident JNC-VI and NCEP III guideline knowledge and attitudes

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    Upshur Ross EG

    2004-07-01

    Full Text Available Abstract Background The literature demonstrates that medical residents and practicing physicians have an attitudinal-behavioral discordance concerning their positive attitudes towards clinical practice guidelines (CPG, and the implementation of these guidelines into clinical practice patterns. Methods A pilot study was performed to determine if change in a previously identified CPG compliance factor (accessibility would produce a significant increase in family medicine resident knowledge and attitude toward the guidelines. The primary study intervention involved placing a summary of the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI and the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (NCEP III CPGs in all patient (>18 yr. charts for a period of three months. The JNC VI and NCEP III CPGs were also distributed to each Wayne State family medicine resident, and a copy of each CPG was placed in the preceptor's area of the involved clinics. Identical pre- and post- intervention questionnaires were administered to all residents concerning CPG knowledge and attitude. Results Post-intervention analysis failed to demonstrate a significant difference in CPG knowledge. A stastically significant post-intervention difference was found in only on attitude question. The barriers to CPG compliance were identified as 1 lack of CPG instruction; 2 lack of critical appraisal ability; 3 insufficient time; 4 lack of CPG accessibility; and 5 lack of faculty modeling. Conclusion This study demonstrated no significant post intervention changes in CPG knowledge, and only one question that reflected attitude change. Wider resident access to dedicated clinic time, increased faculty modeling, and the implementation of an electronic record/reminder system that uses a team-based approach are compliance factors that

  4. Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians

    Science.gov (United States)

    Tallo, Fernando Sabia; de Campos Vieira Abib, Simone; de Andrade Negri, Alexandre Jorgi; Filho, Paulo Cesar; Lopes, Renato Delascio; Lopes, Antônio Carlos

    2017-01-01

    OBJECTIVE: To present self-assessments of knowledge about mechanical ventilation made by final-year medical students, residents, and physicians taking qualifying courses at the Brazilian Society of Internal Medicine who work in urgent and emergency settings. METHODS: A 34-item questionnaire comprising different areas of knowledge and training in mechanical ventilation was given to 806 medical students, residents, and participants in qualifying courses at 11 medical schools in Brazil. The questionnaire’s self-assessment items for knowledge were transformed into scores. RESULTS: The average score among all participants was 21% (0-100%). Of the total, 85% respondents felt they did not receive sufficient information about mechanical ventilation during medical training. Additionally, 77% of the group reported that they would not know when to start noninvasive ventilation in a patient, and 81%, 81%, and 89% would not know how to start volume control, pressure control and pressure support ventilation modes, respectively. Furthermore, 86.4% and 94% of the participants believed they would not identify the basic principles of mechanical ventilation in patients with obstructive pulmonary disease and acute respiratory distress syndrome, respectively, and would feel insecure beginning ventilation. Finally, 77% said they would fear for the safety of a patient requiring invasive mechanical ventilation under their care. CONCLUSION: Self-assessment of knowledge and self-perception of safety for managing mechanical ventilation were deficient among residents, students and emergency physicians from a sample in Brazil.

  5. Evidence-based practice in radiology: Knowledge, attitude and perceived barriers to practice among residents in radiology

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    Anuradha, Chandramohan, E-mail: anuradhachandramohan@gmail.com [Department of Radiology, Christian Medical College, Vellore, Tamil Nadu 632 004 (India); Jacob, K.S., E-mail: ksjacob@cmcvellore.ac.in [Department of Psychiatry, Christian Medical College, Vellore, Tamil Nadu 632 004 (India); Specialist Mental Health Service for Older People, Suite 106, 64–68 Derby Street, Kingswood, Penrith 2750 (Australia); Shyamkumar, N.K., E-mail: aparnashyam@gmail.com [Department of Radiology, Christian Medical College, Vellore, Tamil Nadu 632 004 (India); Sridhar, Gibikote, E-mail: gibikote@cmcvellore.ac.in [Department of Radiology, Christian Medical College, Vellore, Tamil Nadu 632 004 (India)

    2013-05-15

    Aim: We examinted the attitude, knowledge and perceived barriers to evidence-based practice of radiology (EBPR) among residents in radiology. Study design and setting: We used the McColl questionnaire (1) and the BARRIERS scale (2) to assess the issues among radiology trainees attending an annual refresher course. Ninety six residents from 32 medical colleges from Southern India attended the course. Results: Eighty (83.3%) residents, 55 male and 25 female of age range 24–34 years, consented and returned the questionnaire. The majority of the participants had a positive attitude towards EBPR. However, 45% were unaware of sources for evidence based literature although many had access to Medline (45%) and the internet (80%). The majority (70%) were aware of the common technical terms (e.g. odds ratio, absolute and relative risk) but other complex details (e.g. meta-analysis, clinical effectiveness, confidence interval, publication bias and number needed to treat) were poorly understood. Though majority of residents (59%) were currently following guidelines and protocols laid by colleagues within their departments, 70% of residents were interested in learning the skills of EBPR and were willing to appraise primary literature or systematic reviews by themselves. Insufficient time on the job to implement new ideas (70.1%); relevant literature is not being complied in one place (68.9%); not being able to understand statistical methods (68.5%) were considered to be the major barriers to EBPR. Training in critical appraisal significantly influence usage of bibliographic databases (p < 0.0001). Attitude of collegues (p = 0.006) influenced attitude of the trainees towards EBPR. Those with higher knowledge scores (p = 0.02) and a greater awareness of sources for seeking evidence based literature (p = 0.05) held stronger beliefs that EBPR significantly improved patient care. Conclusions: The large knowledge gap related to EBPR suggests the need to incorporate structured

  6. Trends in the Medical Knowledge and Clinical Competence of Graduates of Internal Medicine Residency Training Programs.

    Science.gov (United States)

    Norcini, John J.; And Others

    1991-01-01

    A study assessed the effectiveness of medical resident training programs during 1983-88 by evaluating students' certification scores and comparing them to the program's evaluation of students' clinical competence. Results are reported and analyzed for top-rated, university-affiliated, and non-university-affiliated programs, focusing on trends over…

  7. The study of knowledge and attitude of new coming residents in cardiopulmonary resuscitation in Tehran University of Medical Sciences, 1377-78

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    Haj Zeinali AM

    2000-09-01

    Full Text Available Cardiopulmonary resuscitation (CPR is one of the most important skills that every body must know it in medical services. In educational hospitals, the (Newly-arrived residents are in first cell for management of victims, specially in emergency rooms and at nights. Their knowledge and ability for successful CPR have a direct relation with prevalence of total mortality and morbidity. This research has assessed the knowledge and attitude of the new residents about CPR, and for answering to this question: "Is the CPR workshops necessary for all of the new residents in the beginning of their courses". All of the 506 new residents were examined simultaneously in 2 separate years with a questionnaire consist of 50 questions about their CPR secence and skills and 8 questions about their attitude in CPR. These informations were analyzed by SPSS and EPI6 softwares. The mean correct answers were 55%±11.8. The best results were about arrythmias (68.6% and airway management (63.6% and the worst were about IV access (43.1% and pediatric CPR (31.5%. These findings were similar in 2 sequential years. Their knowledge had significant relation with sex (P=0.002, their original university (P=0.031, their residency course (P=0.024 and their residency reception scores (P<0.001. Males and knowledge more than females. The max scores were from Kerman (62% and Beheshti universities (60.5% and the min score were from Hamadan (48% and Kashan universities (37%. The orthopedic (62.5% and urologic residents (61.6% had the most knowledge and the gynecology residents (53.8% had the least. The knowledge had no relation with the time of graduation. About their attitude in CPR: Their knowledge was moderate (65.8%, their abilities was moderate (58% and their education about CPR in MD course had been low (51.5%. Their references for education had been individual studies (74.6%, CPR workshop had not been condected in the most universities (92.7%. knowledge about CPR is low (55

  8. Knowledge, Attitudes, and Ordering Patterns for Routine HIV Screening among Resident Physicians at an Urban Medical Center.

    Science.gov (United States)

    Bares, Sara; Steinbeck, Jennifer; Bence, Lauren; Kordik, Abbe; Acree, Mary Ellen; Jih, Jane; Farnan, Jeanne; Watson, Sydeaka; Rasinski, Kenneth; Schneider, John; Pitrak, David

    2016-07-01

    We sought to measure resident physician knowledge of HIV epidemiology and screening guidelines, attitudes toward testing, testing practices, and barriers and facilitators to routine testing. Resident physicians in internal medicine, pediatrics, obstetrics and gynecology, and emergency medicine were surveyed. Overall response rate was 63% (162 of 259). Half knew details of the HIV screening guidelines, but few follow these recommendations. Less than one-third reported always or usually performing routine testing. A significant proportion reported only sometimes or never screening patients with risk factors. This was despite a strong belief that HIV screening improves patient care and public health. The most common barriers to testing were competing priorities and forgetting to order the test. Elimination of written consent and electronic reminders was identified as facilitators to routine testing. Although an institutional policy assigns responsibility for test notification and linkage of HIV-positive patients to care to the HIV care program, only 29% were aware of this. Few resident physicians routinely screen for HIV infection and some don't test patients with risk factors. While competing priorities remain a significant barrier, elimination of written consent form and electronic reminders has facilitated testing. Increasing the awareness of policies regarding test notification and linkage to care may improve screening. © The Author(s) 2014.

  9. Awareness, knowledge, and misconceptions of Ebola virus disease among residents of a rural community in Sokoto, Northwest Nigeria

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    Aminu U Kaoje

    2016-01-01

    Full Text Available Background: Since the discovery of Ebola in 1967, many localized outbreaks have occurred but the recent cross-border epidemic was fueled by the high level of illiteracy and some bad cultural practices. Aim: To assess the awareness, knowledge, and misconceptions of Ebola among residents of a rural community in Sokoto State, Nigeria. Materials and Methods: A cross-sectional study design was used. The study was conducted in a rural community and the participants were selected using the systematic sampling method. The data were analyzed with Statistical Package for the Social Sciences (SPSS version 20.0. Skewed quantitative variables were summarized using median and categorical variables using frequencies and percentages. Chi-square test was performed to assess the relationship between outcome variables (knowledge of Ebola and respondents′ sociodemographic characteristics. Binary logistic regression analysis was also performed to identify the predictors of outcome variable. Results: Respondents′ median age was 30 years and nearly half of the respondents (49% had no formal education. A large proportion (88% of the respondents was aware of Ebola and radio was their major source of information. Residents′ knowledge of Ebola was low and only 13% had good knowledge. Eating bitter kola, bathing with salt water, and drinking salt water were mentioned as methods of preventing the spread of the disease. Of their socio-demographic characteristics, only the educational level attained did predict their knowledge of Ebola. Respondents without formal education [odds ratio (OR = 0.198, P < 0.02] and secondary education (OR = 0.292, P < 0.01 were more likely to have poor knowledge. Conclusion: Although the majority was aware of Ebola, their knowledge about it was very low and misconceptions and misinformation were still not uncommon. There is a need for continuous public education and enlightenment about Ebola.

  10. Knowledge of and Attitude to Nuclear Power among Residents around Tianwan Nuclear Power Plant in Jiangsu of China

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    Ningle Yu, Yimei Zhang, Jin Wang, Xingjiang Cao, Xiangyong Fan, Xiaosan Xu, Furu Wang

    2012-01-01

    Full Text Available Aims: The aims of this paper were to determine the level of knowledge of and attitude to nuclear power among residents around Tianwan Nuclear power plant in Jiangsu of China.Design: A descriptive, cross-sectional design was adopted.Participants: 1,616 eligible participants who lived around the Tianwan nuclear power plant within a radius of 30km and at least 18 years old were recruited into our study and accepted epidemiological survey.Methods: Data were collected through self-administered questionnaires consisting of a socio-demographic sheet. Inferential statistics, t-test, ANOVA test and multivariate regression analysis were used to compare the differences between each subgroup and correlation analysis was conducted to understand the relationship between different factors and dependent variables.Results: Our investigation found that the level of awareness and acceptance of nuclear power was generally not high. Respondents' gender, age, marital status, residence, educational level, family income and the distance away from the nuclear power plant are important effect factors to the knowledge of and attitude to nuclear power.Conclusions: The public concerns about nuclear energy's impact are widespread. The level of awareness and acceptance of nuclear power needs to be improved urgently.

  11. Using an ACTIVE teaching format versus a standard lecture format for increasing resident interaction and knowledge achievement during noon conference: a prospective, controlled study.

    Science.gov (United States)

    Sawatsky, Adam P; Berlacher, Kathryn; Granieri, Rosanne

    2014-07-01

    The traditional lecture is used by many residency programs to fulfill the mandate for regular didactic sessions, despite limited evidence to demonstrate its effectiveness. Active teaching strategies have shown promise in improving medical knowledge but have been challenging to implement within the constraints of residency training. We developed and evaluated an innovative structured format for interactive teaching within the residency noon conference. We developed an ACTIVE teaching format structured around the following steps: assemble (A) into groups, convey (C) learning objectives, teach (T) background information, inquire (I) through cases and questions, verify (V) understanding, and explain (E) answer choices and educate on the learning points. We conducted a prospective, controlled study of the ACTIVE teaching format versus the standard lecture format, comparing resident satisfaction, immediate knowledge achievement and long-term knowledge retention. We qualitatively assessed participating faculty members' perspectives on the faculty development efforts and the feasibility of teaching using the ACTIVE format. Sixty-nine internal medicine residents participated in the study. Overall, there was an improvement in perceived engagement using the ACTIVE teaching format (4.78 vs. 3.80, P lecture. A structured ACTIVE teaching format improved resident engagement and initial knowledge, and required minimal resources. The ACTIVE teaching format offers an exciting alternative to the standard lecture for resident noon conference and is easy to implement.

  12. Assessment of Medical Student and Resident/Fellow Knowledge, Comfort, and Training With Sexual History Taking in LGBTQ Patients.

    Science.gov (United States)

    Hayes, Victoria; Blondeau, Whitney; Bing-You, Robert G

    2015-05-01

    Sexual health is an important aspect of overall health. Barriers to taking an adequate patient sexual history exist. Few studies have explored medical learners' comfort, knowledge, and training surrounding taking sexual histories with lesbian, gay, bisexual, transgender, questioning/queer (LGBTQ) patients specifically. A 10-question survey was offered to medical students and resident/fellows at one US institution. Survey questions reflected participants' knowledge, comfort, and training related to sexual history taking with attention to LGBTQ care. A total of 159 surveys were returned (rate of 42%). A significantly lower level of comfort existed with taking sexual histories and managing sexual health issues in the LGBTQ segment of the patient population versus all patients, especially in the advanced training group. Participants recognized the importance of understanding their patients' overall sexual health, though medical students rated this as more important than the resident/fellow group did. A correlation existed between both comfort with taking sexual histories and discussing safe sexual practices and management of sexual issues, suggesting that further training would be helpful in this area. Twenty percent of the respondents reported receiving no training at all in eliciting sexual histories in LGBTQ patients. The most preferred format in this study for future training was interviewing standardized patients. Medical students and resident/fellows reported a significantly lower level of comfort with sexual history-taking and management of sexual issues in the LGBTQ population. A comprehensive training format that not only views sexual health as an integral part of overall patient health, but also integrates LGBTQ care, is needed in medical education.

  13. Knowledge and practices towards malaria amongst residents of Bushbuckridge, Mpumalanga, South Africa

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    Khumbulani W. Hlongwana

    2011-02-01

    Full Text Available Background: Malaria remains one of the greatest public health challenges worldwide and it is amongst the top killers in sub-Saharan Africa. There is however, a general scepticism about the accuracy of Health Management Information Systems (HMIS in recording all the episodes of malaria in Africa. Given the importance of community knowledge of malaria, its signs and symptoms, as well as prompt treatment-seeking behaviour, the study assessing adult residents’ knowledge and practices in Bushbuckridge provided much needed insights into the Malaria Control Programme (MCP. Objectives: The objectives of this study were to determine the adult residents’ knowledge and practices towards malaria in Bushbuckridge, Mpumalanga Province, South Africa.Method: The study was undertaken as a descriptive cross-sectional survey in Bushbuckridge in August 2008. Six hundred and two (602 household heads or their proxies from the randomly selected households in 20 localities were interviewed (one household member per household, using a structured field-piloted questionnaire.Results: Approximately 93% of the respondents had heard about malaria, 84.6% of whom correctly associated it with mosquito bites. The health facility (29.1% and radio (19.8% were the main sources of malaria information. Knowledge of signs and symptoms was low, whilst treatment-seeking intention at the health facility was high (99% with 82% of which would be carried out promptly. Survey data showed an indoor residual spraying (IRS coverage of approximately 70% and a good understanding of the reasons for spraying. Walls were replastered infrequently and no evidence was established linking it to the removal of insecticide marks on the wall.Conclusion: The study revealed not only that householders possessed an adequate knowledge of malaria, but also that they had positive malaria treatment-seeking intentions. Their knowledge of malaria signs and symptoms was inadequate and required attention. Whilst

  14. Knowledge Attitude and Practices Toward Lassa Fever Control and Prevention Among Residents of Ile-Ife, Southwest Nigeria.

    Science.gov (United States)

    Olowookere, S A; Adegbenro, C A; Idowu, A; Omisore, A G; Shabi, O M; Ikem, U R; Ekwere, G A; Oderinde, I F

    2017-01-01

    Lassa fever had been reported as a cause of death especially in endemic parts of Nigeria. This study assessed the knowledge, attitude, and practices toward Lassa fever control and prevention among residents of Ile-Ife, southwest Nigeria. Descriptive cross-sectional study was conducted among consenting randomly selected adults using an interviewer administered questionnaire. Data were analyzed using descriptive and inferential statistics. A total of 400 questionnaires with completed data were analyzed (response rate 96%). Majority, 207 (51.8%), were males while 193 (48.2%) were females. Most, 234 (58.5%), had tertiary education while 148 (37%) had secondary education. Fifty-nine percent had heard of Lassa fever with radio as their major source of information. About 76% had inadequate knowledge, 54% had negative attitude while 51% had poor practice toward Lassa fever. Determinants of knowledge of Lassa fever include having higher education (Adjusted Odd Ratio (AOR) = 11.49, 95% CI [3.10, 42.69], p = .0001), being in civil service (AOR = 0.22, 95% CI [0.09, 0.51], p = .01), and earning higher income (AOR = 4.23, 95% CI [2.61, 6.84], p = .0001). In conclusion, the knowledge, attitude, as well as preventive practices to Lassa fever were poor. It is necessary to increase public education and improve hygienic practices.

  15. An evaluation of Northern Florida Bay as a nursery area for red drum, Sciaenops ocellatus, and other juvenile and small resident fishes.

    OpenAIRE

    Powell, Allyn B.; LaCroix, Michael W.; Cheshire, Robin T.

    2002-01-01

    Red drum is one ofthe most popular species sought by anglers in Florida Bay, yet juveniles are rarely encountered. We evaluated Florida Bay as a nursery area for red drum by sampling for recently-settled late larvae in basin areas within the bay with an epi-benthic sled at six stations in November 2000, and at seven stations during December 2000 through February 2001. In November 2000 we surveyed potential sampling sites in quiet backwaters adjacent to mangroves for juvenile red drum. A to...

  16. Knowledge of Medical Students, Residents, and Attending Physicians About Opiate Abuse.

    Science.gov (United States)

    Shine, Daniel, Demas, Penelope

    1984-01-01

    A questionnaire concerning knowledge of opiate abuse and attitudes about abusers was administered to 94 randomly selected physicians and medical students at Montefiore Medical Center in New York City. The results indicated that physicians might benefit from improved teaching in the area of opiate abuse. (Author/MLW)

  17. Sexual and Reproductive Health: Knowledge, Attitude, and Perceptions among Young Unmarried Male Residents of Delhi

    Science.gov (United States)

    Meena, Jitendra Kumar; Verma, Anjana; Kishore, Jugal; Ingle, Gopal Krishan

    2015-01-01

    Context. Men play a significant role in all spheres of domestic life including reproduction. Youth is a period of critical development and ignoring sexual and reproductive health (SRH) needs of young men ought to have wider social and health consequences. Aims and Objectives. To assess the knowledge, attitude, and perceptions regarding SRH among young unmarried men (18–25 years). Settings and Design. A semiqualitative study conducted across four health centers (2 rural, 2 urban) across Delhi. Materials and Methods. Focus group discussions (FGDs) were held among sixty-four participants regarding various aspects of SRH. Data Analysis. The data generated were analyzed using free listing and thematic content analysis along with simple quantitative proportions for different variable groups. Results. Good knowledge regarding HIV/AIDS was observed though found poor regarding other STIs/RTIs. Inadequate knowledge and negative attitude towards SRH and condom use were observed among rural participants. Peer group and mass media were the commonest SRH information sources among rural and urban participants, respectively. Conclusions. Poor SRH knowledge, perceptions, and available nonformal, unreliable information sources expose young men to poor SRH outcomes. Early, comprehensive SRH information provision can have life-long protective benefits to them and their partners. PMID:26346646

  18. Sexual and Reproductive Health: Knowledge, Attitude, and Perceptions among Young Unmarried Male Residents of Delhi

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    Jitendra Kumar Meena

    2015-01-01

    Full Text Available Context. Men play a significant role in all spheres of domestic life including reproduction. Youth is a period of critical development and ignoring sexual and reproductive health (SRH needs of young men ought to have wider social and health consequences. Aims and Objectives. To assess the knowledge, attitude, and perceptions regarding SRH among young unmarried men (18–25 years. Settings and Design. A semiqualitative study conducted across four health centers (2 rural, 2 urban across Delhi. Materials and Methods. Focus group discussions (FGDs were held among sixty-four participants regarding various aspects of SRH. Data Analysis. The data generated were analyzed using free listing and thematic content analysis along with simple quantitative proportions for different variable groups. Results. Good knowledge regarding HIV/AIDS was observed though found poor regarding other STIs/RTIs. Inadequate knowledge and negative attitude towards SRH and condom use were observed among rural participants. Peer group and mass media were the commonest SRH information sources among rural and urban participants, respectively. Conclusions. Poor SRH knowledge, perceptions, and available nonformal, unreliable information sources expose young men to poor SRH outcomes. Early, comprehensive SRH information provision can have life-long protective benefits to them and their partners.

  19. A pilot study describing local residents' perceptions of asthma and knowledge of asthma care in selected Chicago communities.

    Science.gov (United States)

    Conway, T; Hu, T C; Bennett, S; Niedos, M

    1999-10-01

    To understand inner-city Chicago residents' perception of the prevalence and severity of asthma as well as their knowledge of asthma control and management. Cross-sectional survey using a random digital telephone dialing method. Five inner-city Chicago communities where a high prevalence and mortality of asthma have been recognized. All the residents in the selected communities with a residential telephone had an equal opportunity to be surveyed. The unit of measurement was the household. Only one adult member (age 18 or older) in any randomly selected household was interviewed. The survey included questions modified from the Chicago Asthma Surveillance Initiative study. A total of 2,322 phone calls with 527 successful contacts were made over 1,938 distinct phone lines, resulting in a response rate of 175 of 527 calls (33.2%). Seventy-nine of the participants (45.1%) reported that at least one of their family members (including themselves) has asthma. Eight persons (4.6%) reported asthma as one of the top three health concerns in their community. Of the top three health reasons mentioned for children's being absent from school, only seven persons (4%) mentioned asthma. Participants were unlikely to perceive that the problems with access to asthma care and environmental triggers for asthma in their communities were any worse compared with other communities. Participants having family members with diagnosed asthma scored no better when asked general-knowledge questions about asthma or its signs and triggers than those without a family member having asthma. The participants' knowledge and beliefs about the seriousness of asthma revealed in this study appeared unlikely to enhance or support compliance with the challenging requirements of the National Asthma Education and Prevention Panel guidelines. The study was conducted with a small sample, and the results should be carefully interpreted.

  20. Neuroanatomy education: The impact on perceptions, attitudes, and knowledge of an intensive course on general practice residents.

    Science.gov (United States)

    Arantes, Mavilde; Barbosa, Joselina Maria; Ferreira, Maria Amélia

    2017-09-01

    General practitioners are responsible for the management of an increasing number of patients with neurological illness, and thus a solid education in neurosciences is a necessary component of their training. This study examines the effects of an intensive clinical neuroanatomy course on twenty general practice residents' perceptions, attitudes, and knowledge. A knowledge test was completed by the participants and by a control group at four different time points. The participants were asked to answer a questionnaire about their reasons for signing up for the course and their attitudes and perceptions toward the course experience. Experimental and control groups demonstrated identical mean baseline test scores. The experimental group significantly increased its test scores (plus 49.0% correct answers, a mean improvement of 120%) relative to controls after the educational intervention. There were no differences among scores from the evaluated time points after the educational intervention in the experimental group. In the control group, there were likewise no significant differences between the four evaluated time points. Most participants indicated that they signed up for the course to update/acquire knowledge and skills in the field of neurosciences, and also because they had difficulty in diagnosing and managing patients with neurological diseases. Participants' attitudes and perceptions toward the course experience were very positive. Most of the participants (n = 17; 85%) rated the course as "extremely useful," and 3 (15%) rated it as "very useful." This study provides evidence demonstrating the potential positive effect of neurosciences education to general practice residents. Anat Sci Educ 10: 465-474. © 2017 American Association of Anatomists. © 2017 American Association of Anatomists.

  1. Adapting Bulls to Florida

    Science.gov (United States)

    The adaptation of bulls used for natural breeding purposes to the Gulf Coast region of the United States including all of Florida is an important topic. Nearly 40% of the U.S. cow/calf population resides in the Gulf Coast and Southeast. Thus, as A.I. is relatively rare, the number of bulls used for ...

  2. Knowledge, attitude and recommendations for practice regarding dengue among the resident population of Queensland, Australia

    Directory of Open Access Journals (Sweden)

    Narayan Gyawali

    2016-04-01

    Conclusions: Although many people throughout QLD have heard of dengue, about 15% appear unaware of local transmission, its symptoms and of methods to reduce risk of infection. A lack of knowledge regarding prevention of mosquito breeding is evident in South East QLD, where dengue is not currently reported. The study suggests that future dengue awareness campaigns should target communities in both endemic and potentially endemic areas throughout Queensland.

  3. Knowledge and use of folic acid among pregnant Arabian women residing in Qatar and Oman.

    Science.gov (United States)

    Hassan, Abdelmonem S; Al-Kharusi, Balqees M

    2008-02-01

    The objective of this study was to assess the knowledge and use of folic acid among pregnant Arabian women in Qatar and Oman. Three hundred pregnant women were interviewed during their second trimester based on a questionnaire developed for the study. Results of the survey indicated that 94% of the women knew about folic acid, 41.3% knew it should be taken periconceptionally, 58.5% knew that it prevents birth defects and 34.4% were able to identify five or more food sources of folic acid. The majority (88.7%) of women was taking the supplement, 85.0% were taking it regularly and 13.2% took it before getting pregnant. Knowledge and use were significantly influenced by ethnicity, age, education level, employment and family income. Periconceptional use of supplement was lowest among younger women (4.9%) and illiterate and least educated women (5.3%). It was concluded that high level of knowledge of folic acid was not reflected as successful use of the folic acid supplement.

  4. Knowledge, attitudes, practices and emotional reactions among residents of avian influenza (H5N1 hit communities in Vietnam.

    Directory of Open Access Journals (Sweden)

    Toshie Manabe

    Full Text Available BACKGROUND: Awareness of individuals' knowledge and predicting their behavior and emotional reactions is crucial when evaluating clinical preparedness for influenza pandemics with a highly pathogenic virus. Knowledge, attitude, and practice (KAP relating to avian influenza (H5N1 virus infection among residents in communities where H5N1 patients occurred in Vietnam has not been reported. METHODS AND PRINCIPAL FINDINGS: Face-to-face interviews including KAP survey were conducted in Bac Kan province, located in the northeast mountainous region of Vietnam. Participants were residents who lived in a community where H5N1 cases have ever been reported (event group, n = 322 or one where cases have not been reported (non-event group, n = 221. Data on emotional reactions of participants and healthcare-seeking behavior after the event in neighboring areas were collected as well as information on demographics and environmental measures, information sources, and KAP regarding H5N1. These data were compared between two groups. Higher environmental risk of H5N1 and improper poultry-handling behaviors were identified in the event group. At the time of the event, over 50% of the event group sought healthcare for flu-like symptoms or because they were scared. Awareness of the event influenced KAP scores. Healthcare-seeking behavior and attention to H5N1 poultry outbreaks diminished in the event group as time passed after the outbreak compared with the non-event group. Factors that motivated participants to seek healthcare sooner were knowledge of early access to healthcare and the risk of eating sick/dead poultry, and perception of the threat of H5N1. CONCLUSIONS: Awareness of H5N1 patients in neighboring areas can provoke panic in residents and influence their healthcare-seeking behavior. Periodic education to share experiences on the occurrence of H5N1 patients and provide accurate information may help prevent panic and infection and reduce mortality

  5. Gaps in the Public's Knowledge About Chronic Pain: Representative Sample of Hispanic Residents From 5 States.

    Science.gov (United States)

    Turner, Barbara J; Liang, Yuanyuan; Rodriguez, Natalia; Valerio, Melissa A; Rochat, Andrea; Potter, Jennifer S; Winkler, Paula

    2017-01-12

    Educating the general public about chronic pain and its care is a national health priority. We evaluated knowledge, attitudes, and beliefs (KAB) of a 5-state, population-based sample of Hispanic individuals aged 35 to 75 years without chronic pain, representing more than 8.8 million persons. A Web-based survey assessed KAB using an adapted version of the Survey of Pain Attitudes-Brief and self-reported knowledge about chronic pain (nothing, a little, a lot). In unweighted analyses of participants (N = 349), the mean age was 52.0 (±10.6) years, 54% were women, 53% preferred Spanish, and 39% did not graduate from high school. More participants reported knowing nothing about chronic pain (24%) than a lot (12%). In weighted logistic models with knowing nothing as the reference, knowing a lot was associated with greater KAB for chronic pain-related emotions, functioning, and cure (all P chronic pain care, these data underscore the need for effective public educational campaigns about chronic pain.

  6. Knowledge attainment, perceptions, and professionalism in participants completing the didactic phase of an Army reserve critical care nursing residency program.

    Science.gov (United States)

    Wynd, C A; Gotschall, W

    2000-04-01

    Combat hospitals in today's Army demand nurses with critical care nursing "8A" additional skills identifiers. The intensity of future wars and operations other than war, together with highly technological weapons, forecast a large number of casualties evacuated rapidly from combat with wounds that require skillful and intensive nursing care. Many of the critical care nurses providing future care are positioned in the reserve components and require creative approaches to education and training concentrated into one weekend per month. An Army Reserve critical care nursing residency program was designed in one midwestern combat support hospital. The didactic course, phase I, was evaluated for effectiveness in achieving outcomes of increased knowledge attainment, enhanced perceptions of critical care nursing, and higher degrees of professionalism. Twenty-seven registered nurses completed the course, and 30 nurses from the same hospital served as controls. A repeated-measures analysis examined outcomes before intervention (time 1), at course completion (time 2), and at a 6-month follow-up (time 3). The course was effective at increasing scores on knowledge attainment and perceptions of critical care nursing; however; professionalism scores were initially high and remained so throughout the study. This research extends information about critical care nursing education and evaluates a training mechanism for meeting the unique requirements and time constraints of nurses in the reserve components who need to provide a high level of skill to soldiers in combat.

  7. Knowledge and uptake of community-based health insurance scheme among residents of Olowora, Lagos

    Directory of Open Access Journals (Sweden)

    O A Ibukun

    2013-01-01

    Full Text Available Background and Objective: The informal sector population in developing nations has low health coverage from Community Based Health Insurance (CBHI and problems such as limited awareness about the potential impact of prepayment health financing and the limited resources to finance health care can impede success. This study assessed the community based health insurance scheme uptake and determinants in Olowora, Lagos State. Methods: This was a descriptive cross sectional study carried out in July 2010 in all households of 12 out of 41 streets in Olowora,by multistage sampling. Four hundred and sixteen interviewer-administered questionnaires were completed and returned. Analysis was by Epi- info version 3.5.1 software. Results: Although 75.5% of respondents were aware of the Community Health Insurance scheme at Olowora, just about half (49.5% of them had good knowledge of the scheme. A substantial proportion (44.2% of respondents did not believe in contributing money for illness yet to come, and majority (72.3% of such respondents prefers payment for health care when ill. While about half (53% of respondentshad enrolled into the community health insurance scheme, 45.6% of those who had not enrolled were not aware of the scheme. Lack of money was the main reason (51.5% why some enrollees had defaulted. Conclusion: The study identified information gaps and poor understanding of the scheme as well as poverty as factors that have negatively affected uptake. The scheme management has to re-evaluate its sensitization programmes, and also strengthen marketing strategies with special emphasis on the poor.

  8. Primary Care Residents' Knowledge, Attitudes, Self-Efficacy, and Perceived Professional Norms Regarding Obesity, Nutrition, and Physical Activity Counseling

    National Research Council Canada - National Science Library

    Smith, Samantha; Seeholzer, Eileen L; Gullett, Heidi; Jackson, Brigid; Antognoli, Elizabeth; Krejci, Susan A; Flocke, Susan A

    2015-01-01

    .... To assess the degree to which residents training in adult primary care programs are prepared to provide obesity, nutrition, and physical activity (ONPA) counseling. Senior residents (postgraduate year [PGY]-3 and PGY-4...

  9. Hazard perception, risk perception, and the need for decontamination by residents exposed to soil pollution: the role of sustainability and the limits of expert knowledge.

    Science.gov (United States)

    Vandermoere, Frédéric

    2008-04-01

    This case study examines the hazard and risk perception and the need for decontamination according to people exposed to soil pollution. Using an ecological-symbolic approach (ESA), a multidisciplinary model is developed that draws upon psychological and sociological perspectives on risk perception and includes ecological variables by using data from experts' risk assessments. The results show that hazard perception is best predicted by objective knowledge, subjective knowledge, estimated knowledge of experts, and the assessed risks. However, experts' risk assessments induce an increase in hazard perception only when residents know the urgency of decontamination. Risk perception is best predicted by trust in the risk management. Additionally, need for decontamination relates to hazard perception, risk perception, estimated knowledge of experts, and thoughts about sustainability. In contrast to the knowledge deficit model, objective and subjective knowledge did not significantly relate to risk perception and need for decontamination. The results suggest that residents can make a distinction between hazards in terms of the seriousness of contamination on the one hand, and human health risks on the other hand. Moreover, next to the importance of social determinants of environmental risk perception, this study shows that the output of experts' risk assessments-or the objective risks-can create a hazard awareness rather than an alarming risk consciousness, despite residents' distrust of scientific knowledge.

  10. Knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses from a resource poor setting, Nepal.

    Science.gov (United States)

    Adhikari, Samaj; Paudel, Kumar; Aro, Arja R; Adhikari, Tara Ballav; Adhikari, Bipin; Mishra, Shiva Raj

    2016-11-08

    Healthcare ethics is neglected in clinical practice in LMICs (Low and Middle Income Countries) such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses in a tertiary teaching hospital in Nepal. This was a cross sectional study conducted among resident doctors (n = 118) and ward nurses (n = 86) in the largest tertiary care teaching hospital of Nepal during January- February 2016 with a self-administered questionnaire. A Cramer's V value was assessed to ascertain the strength of the differences in the variables between doctors and nurses. Association of variables were determined by Chi square and statistical significance was considered if p value was less than 0.05. Our study demonstrated that a significant proportion of the doctors and nurses were unaware of major documents of healthcare ethics: Hippocratic Oath (33 % of doctors and 51 % of nurses were unaware), Nuremberg code (90 % of both groups were unaware) and Helsinki Declaration (85 % of doctors and 88 % of nurses were unaware). A high percentage of respondents said that their major source of information on healthcare ethics were lectures (67.5 % doctors versus 56.6 % nurses), books (62.4 % doctors versus 89.2 % nurses), and journals (59 % doctors versus 89.2 % nurses). Attitude of doctors and nurses were significantly different (p ethics. More nurses had agreement than doctors on the tested statements pertaining to different aspects of healthcare ethics except for need of integration of medical ethics in ungraduate curricula (97.4 % doctors versus 81.3 % nurses),paternalistic attitude of doctor was disagreed more by doctors (20.3 % doctors versus 9.3 % nurses). Notably, only few (9.3 % doctors versus 14.0 % nurses) doctors stood in support of physician-assisted dying. Significant proportion of doctors and nurses were unaware of three major documents on

  11. Knowledge, Attitude and Practice of Iranian Urban Residents Regarding the Management of Household Hazardous Solid Wastes in 2014

    Directory of Open Access Journals (Sweden)

    Abdoliman Amouei

    2016-02-01

    Full Text Available Background & Aims of the Study : Household hazardous waste is an important part of municipal solid waste in any community and if it is not managed properly, it can significantly damage the health of family, community and environment. The present study aimed at evaluating the knowledge, attitude and practices of households regarding the management of household hazardous wastes in Amirkola, Mazandaran, Iran. Materials and Methods: This cross-sectional study was conducted on 330 households of Amirkola, Mazandaran, Iran in the summer of 2014. A researcher-made data collection form in accordance with the objectives of the study was used to assess the knowledge, attitude and practices of Iranian urban residents regarding the management of household hazardous wastes through observation of researchers and interview. The validity of the data collection form was confirmed by five faculty members of the Departments of Environmental Health and Community Medicine. Data were analyzed using SPSS version 19, descriptive statistical indexes, T-test and Chi- square tests, and p<0.05 was considered as significant level. Results : The mean age of studied people was 39.1±10 years and 51.5% had high school and diploma degrees. In this study, 75%, 36.7% and 6.3% of households were good in the knowledge, attitude and practices, respectively. A major part of household hazardous wastes (78% was the containers of disinfectants and detergents. 43.6% and 10.3% of households separated the household wastes and household hazardous wastes, respectively and no one recycled these wastes at home. 30% of households expressed that the lack of proper management of municipal on collecting the separated wastes as a major factor in the reluctance of them in waste separation. 86.7% of people need to get information about it. Conclusion : Despite appropriate knowledge of surveyed households on different kinds of household hazardous wastes, most of them had no good attitude and practices

  12. Using Standardized Patients to Evaluate Screening, Brief Intervention, and Referral to Treatment (SBIRT) Knowledge and Skill Acquisition for Internal Medicine Residents

    Science.gov (United States)

    Satterfield, Jason M.; O'Sullivan, Patricia; Satre, Derek D.; Tsoh, Janice Y.; Batki, Steven L.; Julian, Kathy; McCance-Katz, Elinore F.; Wamsley, Maria

    2012-01-01

    Comprehensive clinical competency curricula for hazardous drinking and substance use disorders (SUDs) exists for medical students, residents, and practicing health care providers. Evaluations of these curricula typically focus on learner attitudes and knowledge, although changes in clinical skills are of greater interest and utility. The authors…

  13. Impact of a Pediatric and Adolescent Gynecology Curriculum on an Obstetrics and Gynecology Residency.

    Science.gov (United States)

    Palaszewski, Dawn M; Miladinovic, Branko; Caselnova, Petra M; Holmström, Shelly W

    2016-12-01

    To determine the effectiveness of a new pediatric and adolescent gynecology (PAG) curriculum for improving obstetrics/gynecology resident physician knowledge and comfort level in patient management and to describe the current deficiencies in resident physician knowledge and comfort level in PAG. A PAG curriculum was implemented for the obstetrics/gynecology resident physicians (n = 20) at the University of South Florida in July 2013. Before and after the curriculum was introduced, resident physicians and recent graduates of the residency program completed a survey to assess their comfort level and a knowledge assessment consisting of 20 case-based questions. University-based residency program. Resident physicians and recent resident physician graduates in the Department of Obstetrics and Gynecology. Introduction of a PAG curriculum during the 2013-2014 academic year. Improvement in resident physicians' comfort level and knowledge in PAG. After the curriculum was introduced, comfort increased in examining the genitals of a pediatric gynecology patient (median difference = 1.5; P = .003) and history-taking, physical examination skills, and management (median difference = 1; P = .002) compared with before the curriculum. There was no significant difference in overall quiz score (15.5 ± 1.87 vs 15.8 ± 1.3; P = .78). A curriculum in PAG did improve resident comfort level in managing PAG patients, but did not significantly improve knowledge of this topic. Copyright © 2016.

  14. Knowledge,attitude and recommendations for practice regarding dengue among the resident population of Queensland,Australia

    Institute of Scientific and Technical Information of China (English)

    Narayan Gyawali; Richard Stewart Bradbury; Andrew William Taylor-Robinson

    2016-01-01

    Objective:To investigate levels of awareness of dengue among the inhabitants of Queensland(QLD),a dengue-prevalent state in the north east of Australia.Methods:A computer-assisted telephone interviewing survey was conducted in mid2014.A total of 1 223 randomly selected respondents( 18 years) across QLD completed a structured questionnaire covering all aspects of dengue.Results:97.55% had heard of dengue and participated further.Among them,54.70% had travelled overseas(48.11% to dengue-risk countries) in the last five years.A total of94.47% said transmission is by mosquito bite.In addition,84.83% knew of current transmission of dengue in QLD,while 80.97% knew the focus is Far North and North QLD.Furthermore,2.35% and 8.97% had experienced an infection in their life or that of their immediate family/partner,respectively.85.03% identified correctly at least one means of prevention.A total of 69.72% advised to use insect repellent,wear covered clothing and avoid visiting mosquito-prone areas while 20.93% advised fumigation and clearing water containers around residences.There was a significant difference(P 0.05).Conclusions:Although many people throughout QLD have heard of dengue,about 15%appear unaware of local transmission,its symptoms and of methods to reduce risk of infection.A lack of knowledge regarding prevention of mosquito breeding is evident in South East QLD,where dengue is not currently reported.The study suggests that future dengue awareness campaigns should target communities in both endemic and potentially endemic areas throughout Queensland.

  15. Knowledge of women`s issues in epilepsy: a survey of residents at a tertiary hospital in Calabar, Niger delta region of Nigeria

    Directory of Open Access Journals (Sweden)

    Williams Uduak

    2012-11-01

    Full Text Available Background: Reports reveal deficiencies in the knowledge of women related issues in epilepsy, among health care professionals, with consequent inadequate health education and poor health care delivery to this set of patients.Aim: To assess the knowledge of women`s issues in epilepsy among residents at the University of Calabar Teaching Hospital, Nigeria.Method: Seventy two consenting residents from the Internal medicine, Family Medicine and Obstetrics & Gynecology departments of the hospital, were requested to complete the KOWIE II questionnaire designed to assess knowledge of women`s issues in epilepsy. Results: One fifth of the respondents knew about the effects of sex hormones on seizures. Two fifths knew of the higher incidence of sexual dysfunction among women with epilepsy, the undesirable effects of anti-epileptic drugs (AEDs on bone health, and the best choice of anti-epileptic drug in pregnancy. Two thirds knew of reduction in contraceptive efficacy by some AEDs, and the need to administer vitamin K to neonates of women on AEDs. Four fifths knew that women on AEDs should be given folic acid, and that majority of women with epilepsy have healthy children. Half of the respondents knew that women on AEDs can safely breast feed. The overall mean KOWIE II score was 56.7%. Conclusion: The Residents were poorly informed about the issues affecting women with epilepsy. There is need for continuing medical education efforts to bridge the gap in knowledge.

  16. Biscayne Bay Florida Bottlenose Dolphin Studies

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These data sets include a compilation of small vessel based studies of bottlenose dolphins that reside within Biscayne Bay, Florida, adjacent estuaries and nearshore...

  17. The effect of education about health-promoting behaviors on the knowledge of the elderly in the geriatric nursing residences in Tehran ( 2009

    Directory of Open Access Journals (Sweden)

    Shirin Hejazi

    2012-05-01

    Full Text Available Background and Aim: In order to maximize the elderly's activities and keep them at an optimized level health-promoting behaviors and being conscious of them have significant role. The present study aimed at the evaluation of health-promoting behaviors' education and their effects on the knowledge of the elderly in the geriatric nursing residences in Tehran in 2009 Materials and Methods: This semi-experimental and interventional study was carried out on 87 elderly residents in the geriatric nursing residences in Tehran selected through simple random sampling. Data gathering means was a self-designed questionnaire consisting of 62 questions covering demographic data (8 questions and knowledge (54 questions in six different fields including responsibility to individual health, physical activity, diet, attention to spiritual growth, interpersonal communication, and stress management. The questionnaire was completed in every nursing residence by means of interview before the education and two weeks after the last educational session. Two education sessions, each lasting 45 mins, were held in two consecutive days. The education was conducted in a group setting data was analyzed by means of SPSS software using paired t-test or Wilcoxon test. P value less than 0.05 was considered statistically significant. Results: Mean of total awareness as well as knowledge in different fields significantly increased after education. Mean score of total awareness was 62.5±9.1 vs. 85.8±8.6 in pre- and post- education evaluation, respectively (P<0.001. Conclusion: It is confirmed that the education of health-promoting behaviors influences the awareness of the elderly in geriatric nursing residences.

  18. Identifying Invasive Species Educational Needs in Florida: Opportunities for Extension

    Science.gov (United States)

    Huang, Pei-wen; Lamm, Alexa J.

    2016-01-01

    Florida's ecology has been adversely affected by invasive species. In Florida, a study was conducted to explore opportunities for Extension educators to contribute to combating the issue of invasive species. Florida residents' responses were captured through the use of an online public opinion survey. The findings revealed a need for invasive…

  19. Seroprevalencia y conocimiento de vacunación en nuevos residentes Seroprevalence and vaccines knowledge among newcomers hospital residents

    Directory of Open Access Journals (Sweden)

    C. Serrano Ramos

    2009-03-01

    Full Text Available Objetivo: Valorar el conocimiento de los nuevos residentes sobre su calendario vacunal, su estado serológico frente enfermedades vacunoprevenibles y la validez de la historia clínico-laboral como indicador de protección frente éstas. Método: Mediante cuestionario específico obtenemos datos sobre el conocimiento del estado e historia vacunal, y mediante serología comprobamos el estado de protección actual de 130 nuevos residentes hospitalarios. Resultados: La edad media es de 26,7 años, siendo 62% mujeres. Son españoles 82%, de Centro y Sur América 17% y un 1% europeos. El 42% desconocen su calendario vacunal. Están protegidos frente varicela 93,1% y frente a sarampión 90.8%, pero frente parotiditis y rubéola sólo presentan anticuerpos positivos el 69.2% y 61.5% respectivamente. Refieren vacunación frente hepatitis B 81.5% y están protegidos 80,8%. Refieren vacunación de hepatitis A 35% y están protegidos 52.3%. 65% nunca se vacunó de gripe. Conclusiones: Se ha objetivado un gran desconocimiento sobre vacunaciones. La protección frente parotiditis y rubéola ha resultado escasa. La cobertura vacunal frente a VHB, VHA y gripe es baja contando con que se trata ya de personal de riesgo antes de realizar este estudio. La historia clínico laboral no es congruente con los resultados serológicos en muchos casos.Objective: To evaluate knowledge about vaccines, protection against vaccine-preventable diseases and labour medical history value. Methods: We obtained data on immunization status and serum antibodies against these diseases from 130 newcomers residents to our hospital that were enrolled from May to June 2008. Results: Their mean age was 26.7 years (62% women. They are Spanish 82%, from Centre and South America 17% and 1% European. 42% of subjects don't know their immunization schedule. 93.1% are immune against varicella and 90.8% against measles, but only 69,2% are immune against rubella and 61,5% against mumps. 81% have

  20. Awareness and knowledge of schistosomiasis infection and prevention in the "Three Gorges Dam" reservoir area: a cross-sectional study on local residents and health personnel.

    Science.gov (United States)

    Zeng, Huan; Yang, Xiaowei; Meng, Siying; Wang, Hong; Tang, Xiaojun; Tang, Wenge; Zeng, Shu; Jeschke, Sandra; Wang, Yang

    2011-12-01

    Schistosomiasis is a severe public health problem in China. It has been predicted that the ecological changes caused by the "Three Gorges Dam", the world's largest hydropower project, could potentially aggravate the spread of schistosomiasis in the area. This study focused on investigating (a) local residents' knowledge on the potential risks of schistosomiasis and (b) the capability of local health personnel in preventing schistosomiasis. A quantitative survey combined with qualitative interviews was conducted in three counties of the reservoir area during November and December 2008. A total of 1386 inhabitants and 180 local health personals participated in questionnaire survey; 18 inhabitants, 21 health professionals, and 8 local government officials were interviewed. Of the surveyed inhabitants, 66.3% had no access to safe drinking water; 47.9% had water-contact regularly through farming or swimming; 58.7% did not have hygienic toilets; and only 13.7% used methane for energy. Besides, only 3.8% of the inhabitants had knowledge scores higher than 6 points within the range 0-10. Educational level, occupation and income were significant predictors of knowledge score (Pwork as significant factors to their knowledge level (Pwork was often severely hindered by a shortage of funding, and challenged by monitoring of migrant population. There were very limited training opportunities for the health workers, and almost no health education for inhabitants, if any, neither efficient nor effective. Although there were multiple risks for potential Schistosoma japonicum infections in the study area, the knowledge level on schistosomiasis and surveillance was relatively low both in local residents and health personnel. Thus, more health education and professional training are urgently required to local residents and health personnel, respectively. By considering limited activities in surveillance and health education been implemented, a strategy plan on intervention to ensure a

  1. Institute of Medicine 2009 Gestational Weight Gain Guideline Knowledge: Survey of Obstetrics/Gynecology and Family Medicine Residents of the United States

    Science.gov (United States)

    Moore Simas, Tiffany A.; Waring, Molly E.; Sullivan, Gina M. T.; Liao, Xun; Rosal, Milagros C.; Hardy, Janet R.; Berry, Robert E.

    2014-01-01

    Background In 2009, the Institute of Medicine revised gestational weight gain recommendations; revisions included body mass index (BMI) category cut-point changes and provision of range of gain for obese women. Our objective was to examine resident prenatal care providers’ knowledge of revised guidelines. Methods Anonymous electronic survey of Obstetrics/Gynecology and Family Medicine residents across U.S. from January–April 2010. Results 660 completed the survey; 79% female and 69% aged 21–30 years. When permitted to select ≥1 response, 87.0% reported using BMI to assess weight status at initial visits, 44.4% reported using “clinical impression based on patient appearance”, and 1.4% reported not using any parameters. When asked the most important baseline parameter for providing recommendations, 35.8% correctly identified pre-pregnancy BMI, 2.1% reported “I don’t provide guidelines,” and 4.5% reported “I do not discuss gestational weight gain.” 57.6% reported not being aware of new guidelines. Only 7.6% selected correct BMI ranges for each category. Only 5.8% selected correct gestational weight gain ranges. Only 2.3% correctly identified both BMI cutoffs and recommended gestational weight gain ranges per 2009 guidelines. Conclusions Guideline knowledge is the foundation of accurate counseling, yet resident prenatal care providers were minimally aware of the 2009 Institute of Medicine gestational weight gain guidelines almost a year after their publication. PMID:24344704

  2. Survey on Blood Donation Knowledge and Behavior among Residents in Shijiazhuang%石家庄市居民献血知识与行为调查

    Institute of Scientific and Technical Information of China (English)

    宋任浩; 何二龙; 张丽娟; 何路军; 常缨

    2012-01-01

    Objective: To find out the blood donation consciousness and behavior among Shijiazhuang residents and establish the most appropriate method for recruiting blood donors. Methods; The self-designed questionnaire survey of Shijiazhuang residents was carried out anonymously. Results; Shijiazhuang residents' knowledge on "blood donor health inspection requirement" and "blood component and function" cognitive level is relatively low The percentage of knowledge of the people in Shijiazhuang Culture Square had donated blood was higher than railway station citizen, there was the cognitive difference in different educational crowd.74.5% of the residents had donating plan; 78.3% of the residents had an idea that the blood donation motive is "cure patents"; "Blood donation guide" and "the blood donation knowledge" is the main demand of the residents. The blood donation behavior and knowledge sources have certain relevance. Conclusion; The knowledge of the related blood donation knew less, Most residents had the positive attitude and motivation. The blood center should further strengthen blood donation propaganda,improve service quality and satisfaction.%目的:了解石家庄市民献血知识与行为,为改进献血者招募工作提供参考依据.方法:采用自行设计的调查问卷对石家庄市民进行匿名调查.结果:石家庄市民对“献血者健康检查要求”和“血液组成及其功能”认知程度较低;文化广场市民对献血知识的认知程度高于火车站市民(x2=71.88,P<0.01);市民年龄与献血知识的认知呈正相关(x2=17.60,P<0.01);不同教育程度认知有差异(x2=98.60,P<0.01);有献血经历者认知程度高于无献血经历者(x2=17.83,P<0.01).74.5%的市民有献血的打算;78.3%的市民认为献血的动机是“治病救人”;“献血指引”和“献血知识”是市民主要的献血需求,献血行为与知识来源有一定相关性.结论:石家庄市民献血相关知识知晓

  3. Academic member’s knowledge improvement effect on the results of multiple choice questions in residency exams analysis (2009)

    OpenAIRE

    Reza Pourmirza Kalhori; Farah Roshanpour; Mansour Rezaei; Arsalan Naderipour

    2011-01-01

    Background: Multiple choice questions are used for evaluation of learning in promotion residency exams. Due to holding these exams in a standard way, we conducted this study to evaluate the effect of board members, promotion scholarship who designed the questions on these exams results in 2009.Methods: A semi experimental research was designed and 105 exam boards of academic members were studied. The results of promotion exams analysis in 2008 plus a tripartite pamphlet for developing standar...

  4. Effects of adding a new PCMH block rotation and resident team to existing longitudinal training within a certified PCMH: primary care residents’ attitudes, knowledge, and experience

    Science.gov (United States)

    Anandarajah, Gowri; Furey, Christopher; Chandran, Rabin; Goldberg, Arnold; El Rayess, Fadya; Ashley, David; Goldman, Roberta E

    2016-01-01

    Background Although the patient-centered medical home (PCMH) model is considered important for the future of primary care in the USA, it remains unclear how best to prepare trainees for PCMH practice and leadership. Following a baseline study, the authors added a new required PCMH block rotation and resident team to an existing longitudinal PCMH immersion and didactic curriculum within a Level 3-certified PCMH, aiming for “enhanced situated learning”. All 39 residents enrolled in a USA family medicine residency program during the first year of curricular implementation completed this new 4-week rotation. This study examines the effects of this rotation after 1 year. Methods A total of 39 intervention and 13 comparison residents were eligible participants. This multimethod study included: 1) individual interviews of postgraduate year (PGY) 3 intervention vs PGY3 comparison residents, assessing residents’ PCMH attitudes, knowledge, and clinical experience, and 2) routine rotation evaluations. Interviews were audiorecorded, transcribed, and analyzed using immersion/crystallization. Rotation evaluations were analyzed using descriptive statistics and qualitative analysis of free text responses. Results Authors analyzed 23 interviews (88%) and 26 rotation evaluations (67%). Intervention PGY3s’ interviews revealed more nuanced understanding of PCMH concepts and more experience with system-level PCMH tasks than those of comparison PGY3s. More intervention PGY3s rated themselves “extremely prepared” to implement PCMH than comparison PGY3s; however, most self-rated “somewhat prepared”. Their reflections demonstrated deeper understanding of PCMH implementation and challenges than comparison PGY3s but inadequate experience to directly see the results of successful solutions. Rotation evaluations from PGY1, PGY2, and PGY3s revealed strengths and several areas for improvement. Conclusion Adding one 4-week block rotation to existing longitudinal training appears

  5. [Effect of student knowledge in gastronomy schools and origin of residence on their nutritional habits and nutritional status].

    Science.gov (United States)

    Chalcarz, W; Klemczak, L; Krajewski, P

    1991-01-01

    Nutritional habits and nutritional status of 142 pupils of a Gastronomic School Complex were examined from the standpoint of the year of school, school marks and place of residence. It was found that the year of school and place of residence exerted an effect on the nutritional habits of pupils. These young people failed to prefer dishes and food products recommended in the prophylaxis of civilization diseases. In all subjects the levels of total lipids and beta-lipoproteins exceeded the upper range of the norm. Hemoglobin concentration fluctuated within the lower range of the norm, and that of glucose--within the upper range of the norm. When completing school, the pupils displayed a lowered protein level and elevated glucose level. Pupils inhabiting the school boarding house ought to take part in the decisions on the menu and on food purchases. Recommendations concerning nutrition in the prophylaxis of civilization diseases ought to be as soon as possible introduced into the teaching program of the Gastronomic School Complex.

  6. Public knowledge of diabetes in Karen Ethnic rural residents: a community-based questionnaires study in the far north-west of Thailand

    Directory of Open Access Journals (Sweden)

    Lorga T

    2012-09-01

    Full Text Available Thaworn Lorga,1 Kannapatch Srithong,1 Pratumpan Manokulanan,1 Thin Nyein Nyein Aung,2 Myo Nyein Aung1,31Boromrajonani College of Nursing Nakhon Lampang (BCNLP, Lampang, Thailand; 2University of Medicine, Mandalay, Myanmar; 3Department of Public Health, Graduate School of Medicine Juntendo University, Tokyo, JapanBackground and purpose: The public knowledge of diabetes is important for prevention of disease. This study aimed to evaluate knowledge of diabetes, risk factors, and the common warning signs of diabetes and complications among community participants in a rural Karen ethnic community.Methods: Participants were asked to answer a questionnaire regarding their knowledge of diabetes. Fasting blood glucose testing, blood pressure measurement, and body mass index (BMI assessment were provided to the participants. The study was conducted at Thasongyang district, Tak province, Thailand.Results: A total of 299 Karen rural residents were included in the study. The median age was 45 years and median fasting blood glucose was 88 mg/dL. The response rate to the questionnaires was 91.97%. Half of the participants knew diabetes is a noncommunicable disease needing lifelong treatment. Overall, one-third of the community participants could correctly answer the knowledge assessment questions regarding risk factors and common features of diabetes. Whereas the other two-thirds either gave a wrong answer or were “not sure”. Female participants had poorer diabetes knowledge than the males.Conclusion: The public knowledge of diabetes, as represented by this sample of the Karen ethic community, is alarmingly low. There is significant gender difference in knowledge level. Culturally tailored and gender-sensitive diabetes health education interventions are urgently needed in this minority ethnic community.Keywords: health education, gender differences, ethnic minority, diabetes, Karen

  7. Knowledge of nutritional and health needs of children among rural residents of Enugu north senatorial zone in Enugu State, Nigeria.

    Science.gov (United States)

    Okoye, Uzoma O; Ngwu, Christopher N; Tanyi, Perpetua L

    2015-01-01

    The article assessed knowledge of the nutritional and health needs of children among rural dwellers in Nigeria. Focus group discussions were conducted with all male and female groups in four purposively chosen rural communities in Nsukka Senatorial zone of Enugu State. These generated data on participants' knowledge on the nutritional and health needs of the children as well as their socio-demographic characteristics. All the participants were married with mean age of 41 and 36 years for males and females, respectively. The participants had six and four children on the average for male and female participants, respectively. Findings show that participants demonstrate knowledge of basic dietary needs of children; however, actual practice is lacking. Men believe women have the sole responsibility for children's nutrition. Exclusive breastfeeding is not adhered to by participants. Some reservation still exists about immunization. Sustained health education on exclusive breastfeeding and child immunization targeting both sexes is still needed.

  8. Florida Hydrogen Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Block, David L

    2013-06-30

    monitoring at any facility engaged in transport, handling and use of hydrogen. Development of High Efficiency Low Cost Electrocatalysts for Hydrogen Production and PEM Fuel Cell Applications ? M. Rodgers, Florida Solar Energy Center The objective of this project was to decrease platinum usage in fuel cells by conducting experiments to improve catalyst activity while lowering platinum loading through pulse electrodeposition. Optimum values of several variables during electrodeposition were selected to achieve the highest electrode performance, which was related to catalyst morphology. Understanding Mechanical and Chemical Durability of Fuel Cell Membrane Electrode Assemblies ? D. Slattery, Florida Solar Energy Center The objective of this project was to increase the knowledge base of the degradation mechanisms for membranes used in proton exchange membrane fuel cells. The results show the addition of ceria (cerium oxide) has given durability improvements by reducing fluoride emissions by an order of magnitude during an accelerated durability test. Production of Low-Cost Hydrogen from Biowaste (HyBrTec?) ? R. Parker, SRT Group, Inc., Miami, FL This project developed a hydrogen bromide (HyBrTec?) process which produces hydrogen bromide from wet-cellulosic waste and co-produces carbon dioxide. Eelectrolysis dissociates hydrogen bromide producing recyclable bromine and hydrogen. A demonstration reactor and electrolysis vessel was designed, built and operated. Development of a Low-Cost and High-Efficiency 500 W Portable PEMFC System ? J. Zheng, Florida State University, H. Chen, Bing Energy, Inc. The objectives of this project were to develop a new catalyst structures comprised of highly conductive buckypaper and Pt catalyst nanoparticles coated on its surface and to demonstrate fuel cell efficiency improvement and durability and cell cost reductions in the buckypaper based electrodes. Development of an Interdisciplinary Hydrogen and Fuel Cell Technology Academic Program ? J

  9. Academic member’s knowledge improvement effect on the results of multiple choice questions in residency exams analysis (2009

    Directory of Open Access Journals (Sweden)

    Reza Pourmirza Kalhori

    2011-05-01

    Full Text Available Background: Multiple choice questions are used for evaluation of learning in promotion residency exams. Due to holding these exams in a standard way, we conducted this study to evaluate the effect of board members, promotion scholarship who designed the questions on these exams results in 2009.Methods: A semi experimental research was designed and 105 exam boards of academic members were studied. The results of promotion exams analysis in 2008 plus a tripartite pamphlet for developing standard exams were sent to all. Quantity data was collected by discrimination index, difficulty level, standard deviation and Reliability of test index (KR20, computer report of health ministry analyzing software, and the quality data by percent of Taxonomy II & III questions and report questions from the secretariat of medical educational salinity. Data was analyzed by Even and independent T test and variance analysis.Results: Data from 11 different academic groups were compared. A statistically significant increase was observed among average of distinction index, exam reliability, percent of questions without structural defects and Taxonomy II & III in 2008 compared to 2009 results (p=0.05. The highest difficulty level was related to questions of urology promotion test 0.54 (p=0.005 and the lowest in psychiatry group 0.69 (p=0.013. The most percent rise in the discrimination index was in the psychiatry group.Conclusions: This study suggested that medical academic members, scholarship promotion increase by using an educational pamphlet and providing feedback of results from previous exams.

  10. Knowledge, attitudes and behaviours related to dietary sodium among 35- to 50-year-old Ontario residents

    Science.gov (United States)

    Papadakis, Sophia; Pipe, Andrew L; Moroz, Isabella A; Reid, Robert D; Blanchard, Christopher M; Cote, Danielle F; Mark, Amy E

    2010-01-01

    BACKGROUND: Excessive consumption of dietary sodium is an important public health issue. Little is known about the knowledge, attitudes and behaviours related to sodium consumption among Canadians. OBJECTIVE: To examine knowledge, attitudes and behaviours related to sodium consumption among a sample of Canadians 35 to 50 years of age. METHODS: A random-digit-dial telephone survey was conducted among adults aged 35 to 50 years of age in two regions in Ontario. Logistic regression was used to examine the likelihood of having taken action in the past 30 days to reduce sodium consumption, and the likelihood that respondents were intending to reduce sodium in the next six months. RESULTS: A total of 3130 interviews were completed. The majority of respondents were aware of excessive sodium consumption as a health issue and reported that they were taking action to reduce their dietary sodium intake. A large proportion of respondents did not correctly identify many foods as being high in sodium and, consequently, may have incorrectly believed they were consuming healthy amounts of sodium. Respondents who believed sodium reduction was important were more likely to have taken action to reduce sodium within the previous 30 days. Respondents who self-identified as consuming too much sodium were less likely to have taken action. CONCLUSIONS: The findings of the present study suggest that in addition to policy changes designed to reduce the sodium content of foods, there is a need to address the low levels of knowledge surrounding sources of excessive sodium in popular Canadian foods, the importance of a reduced intake of sodium and the availability of lower-sodium alternatives. PMID:20485696

  11. An Assessment of the Knowledge and Demand of Young Residents regarding the Ecological Services of Urban Green Spaces in Phnom Penh, Cambodia

    Directory of Open Access Journals (Sweden)

    Yat Yen

    2016-05-01

    Full Text Available The fast and steady economic growth and social changes in recent years in Cambodia have brought rapid expansion and restructuring to its cities. These phenomena have brought numerous challenges including threats to urban green spaces (UGS’s. This study addresses problems of UGS’s by investigating the knowledge and perceptions of young residents of Phnom Penh (YRPPs toward UGS’s in relation to the following: (1 basic knowledge of YRPPs on ecological services (KES of UGS’s; (2 perceptions of YRPPs on the current state of UGS’s (PUGS’s in Phnom Penh; (3 demand of YRPPs for UGS’s in the city (DUGS; and (4 associations between KES, PUGS’s, social profiles (SoPs, and DUGS. A questionnaire was designed to solicit knowledge from 554 respondents randomly selected from the study area. The findings revealed that 83.1% of total respondents strongly recognized ecological services of UGS’s. Four subgroups of ecological services, namely microclimate (89.7%, environmental quality and functions (83.8%, recreational and public health services (88.5%, and economic benefits (70.4% were all rated highly. Because the current state of UGS’s was very poor (68.4%, demand for UGS’s was high (94.43%. Public toilets (84.7% and rubbish bins (75.6% were both rated the poorest. The PUGS’s were significantly associated with KES (r = 0.307, F (3, 543 = 18.83, p < 0.001. This study offers a deep understanding about knowledge and demand of YRPPs for UGS’s.

  12. 城乡居民食品安全知信行对比研究%Contrast study on knowledge, attitude and practice of foods security among residents

    Institute of Scientific and Technical Information of China (English)

    李建富; 邢广杰; 贾建平; 吕全军

    2011-01-01

    Objective To investigate the status of knowledge (K), attitude (A) and practice ( P) of foods security among residents in Kaifeng city, and to provide the reference for health education and practice intervention about foods security. Methods With the cluster random sampling method, questionnaire investigation were conducted 489 residents in six communities and 365 country dwellers in two administration village. Results Awareness rate and diet habit correct rate of foods security a-mong residents in Kaifeng city were statistical significance (P <0. 01). Foods security knowledge and attitude were statistical significance ( P < 0. 01). Pool, knife and chopping block in family kitchen did not meet foods security amount request. The problems on refrigerator utilization and utensils mixed use were existed. Conclutions All kinds of health education styles should be applied to foods security for residents, especially for country dweller,which could reduce difference in residents.%目的 了解开封市城乡居民食品安全的知识(k)、态度(A)和相关卫生行为(P)的情况,为食品安全健康教育和行为干预提供依据.方法 采用整群抽样的方法抽取开封市顺河回族区6个社区和2个行政村,对489名城市居民和365名农村居民开展问卷调查.结果 开封市城乡居民食品安全知识知晓率及饮食习惯正确率差异有统计学意义(P<0.01),居民食品安全知识和态度差异有统计学意义(P<0.01),居民家庭厨房内水池,刀、砧板不能满足食品卫生安全的数量要求,差异有统计学意义(P<0.01);城乡居民存在冰箱使用、食品用具混用等较多卫生问题.结论 应采用多种形式对居民,特别是农村居民开展食品卫生和安全知识教育,进行行为干预,改变其不良卫生行为习惯,养成良好的卫生行为,缩小城乡居民食品安全知信行的差距.

  13. Salmonella Knowledge, Attitudes and Practices: A Survey of Backyard Poultry Owners Residing in Seattle, Washington and the Surrounding Metropolitan Area.

    Science.gov (United States)

    Kauber, K; Fowler, H; Lipton, B; Meschke, J S; Rabinowitz, P

    2017-02-01

    Raising poultry flocks in urban backyard settings is becoming increasingly popular across the United States, but carries a risk of zoonotic infection. In the United States from 1990 to 2014, 53 outbreaks of human salmonellosis linked to live poultry have been documented resulting in 2611 known illnesses, 387 known hospitalizations and five known deaths (Centers for Disease Control and Prevention 2015a, http://www.cdc.gov/healthypets/resources/dont-play-chicken-with-your-health-poster-24x36_508.pdf). A cross-sectional descriptive study was developed to better understand knowledge, attitudes and practices of urban backyard poultry owners regarding Salmonella risk and prevention. The study included a survey of bird health, animal husbandry and hygiene practices, and knowledge, attitudes and practices relating to Salmonella risk. Participants were videotaped while caring for their birds, and the recordings were transcribed using notational analysis to determine whether reported practices differed from observed practices. The results indicated that while a large proportion of participants knew that exposure to Salmonella is an inherent risk associated with raising poultry and harvesting eggs, their reported and observed practices would not consistently reduce risk of transmission of Salmonella and other zoonotic diseases. Approximately one in four participants reported performing practices that increase risk of inoculation, such as snuggling and kissing birds or eating/drinking near them. None of the participants were observed kissing their birds on video; however, snuggling (holding birds to clothes) or touching their face during routine care was observed in approximately two-thirds of the video recordings. The video data provided a unique opportunity to compare reported practices with actions recorded during site visits. While the differences were not statistically significant, findings from our study suggest that flock owners may not accurately report the frequency

  14. Florida Hydrogen Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Block, David L

    2013-06-30

    monitoring at any facility engaged in transport, handling and use of hydrogen. Development of High Efficiency Low Cost Electrocatalysts for Hydrogen Production and PEM Fuel Cell Applications ? M. Rodgers, Florida Solar Energy Center The objective of this project was to decrease platinum usage in fuel cells by conducting experiments to improve catalyst activity while lowering platinum loading through pulse electrodeposition. Optimum values of several variables during electrodeposition were selected to achieve the highest electrode performance, which was related to catalyst morphology. Understanding Mechanical and Chemical Durability of Fuel Cell Membrane Electrode Assemblies ? D. Slattery, Florida Solar Energy Center The objective of this project was to increase the knowledge base of the degradation mechanisms for membranes used in proton exchange membrane fuel cells. The results show the addition of ceria (cerium oxide) has given durability improvements by reducing fluoride emissions by an order of magnitude during an accelerated durability test. Production of Low-Cost Hydrogen from Biowaste (HyBrTec?) ? R. Parker, SRT Group, Inc., Miami, FL This project developed a hydrogen bromide (HyBrTec?) process which produces hydrogen bromide from wet-cellulosic waste and co-produces carbon dioxide. Eelectrolysis dissociates hydrogen bromide producing recyclable bromine and hydrogen. A demonstration reactor and electrolysis vessel was designed, built and operated. Development of a Low-Cost and High-Efficiency 500 W Portable PEMFC System ? J. Zheng, Florida State University, H. Chen, Bing Energy, Inc. The objectives of this project were to develop a new catalyst structures comprised of highly conductive buckypaper and Pt catalyst nanoparticles coated on its surface and to demonstrate fuel cell efficiency improvement and durability and cell cost reductions in the buckypaper based electrodes. Development of an Interdisciplinary Hydrogen and Fuel Cell Technology Academic Program ? J

  15. Differences on the image of Brazil in external markets according to consumers’ age, gender, knowledge about the country and country of residence

    Directory of Open Access Journals (Sweden)

    Giraldi, J

    2012-01-01

    Full Text Available A country’s image could be managed to give greater value to products from that country, while making the country more attractive to investors and more desirable as a tourism destination. Considering two important gaps in the literature on country image (discrepant results on the influence of socio-demographic characteristics on the image of a country and few studies on the image of Brazil, this paper’s objective is to check for differences on Brazil image according to the following consumers’ characteristics: age, gender, knowledge about Brazil and country of residence. A quantitative survey was distributed to 380 respondents from four European countries: Germany, Ireland, England and France. This study concluded that beliefs about countries may differ according to the degree of perceived similarity with a given country and to certain demographic issues, and respondents that had better evaluations on Brazil’s image were: young, men, with a high level of knowledge about Brazil and from France. Moreover, aspects related to communication, distribution and differentiation of Brazilian products were those that received the worst evaluation by consumers participating in the survey, which indicates the need for greater investments from both the Brazilian government and the private sector in communicating and promoting Brazilian products abroad.

  16. Climate Responsive Design and the Milam Residence

    Directory of Open Access Journals (Sweden)

    Mohammad Shahadat

    2011-11-01

    Full Text Available Energy conservation and efficiency is an essential area of focus in contemporary building design. The perception that the designers of buildings during the Modernist period of architecture ignored these principles is a false one. The present study, an examination of Paul Rudolph’s Milam Residence, a masterpiece of American residential architecture, is part of a larger project endeavoring to create a knowledge base of the environmental performance of iconic modernist homes. A critical examination of the Milam House allows insight into specific design characteristics that impact energy efficiency and conservation. Located in Ponte Vedra Beach, Florida, the Milam Residence was constructed in 1962. It was the last of a series of Florida residences designed by Rudolph, Chairman of the Department of Architecture at Yale University (1958–1965. The structure’s form is strongly related to its location on a subtropical beachfront. This paper presents a detailed analysis of the building’s solar responsiveness. Specifically, we examine design strategies such as orientation and sunscreening and their effect on daylighting, shading, and heat gain. The analysis is based on parametric energy modeling studies using Autodesk’s Ecotect, an environmental analysis tool that allows simulation of building performance. While the initial target of the program was early design, the program allows the input of complex geometries and detailed programming of zones, materials, schedules, etc. The program's excellent analyses of desired parameters are augmented by visualizations that make it especially valuable in communicating results. Our findings suggest that the building, as built and situated on the site, does take advantage of daylighting and solar shading and does so in both expected and unexpected ways.

  17. Knowledges

    DEFF Research Database (Denmark)

    Berling, Trine Villumsen

    2012-01-01

    and reflectivism. Bourdieu, on the contrary, lets the challenge to the theory/reality distinction spill over into a challenge to the theory/practice distinction by thrusting the scientist in the foreground as not just a factor (discourse/genre) but as an actor. In this way, studies of IR need to include a focus......Scientific knowledge in international relations has generally focused on an epistemological distinction between rationalism and reflectivism over the last 25 years. This chapter argues that this distinction has created a double distinction between theory/reality and theory/practice, which works...... as a ghost distinction structuring IR research. While reflectivist studies have emphasised the impossibility of detached, objective knowledge production through a dissolution of the theory/reality distinction, the theory/practice distinction has been left largely untouched by both rationalism...

  18. 辽宁省居民对艾滋病相关知识知晓情况调查%SURVEY OF KNOWLEDGE TO AIDS AMONG LIAONING RESIDENTS

    Institute of Scientific and Technical Information of China (English)

    袁媛

    2012-01-01

    [Objective] To assess the urban and rural residents for the prevention of AIDS-related knowledge, so as to cany out more targeted dissemination of knowledge of AIDS prevention and control activities and the production of materials to prevent the spread of AIDS, according to the State Council AIDS Working Committee Office of the design requirements of the questionnaire to the provincial capital Rural residents to guide the work of health education. [Methods] The multi-stage sam-pling method was conducted in 1080 residents in Shenyang to conduct a survey of urban and rural residents. By using statistical analysis of the survey, SPSS 11.0 software was used to establish database for data entry and statistical analysis of the sampling method. [ Results ] Firstly, there was no significant difference in ihe AIDS awareness between men and women. Secondly, of AIDS knowledge and awareness among the middle-aged crowd was significantly higher than that among the young population and elderly population. Thirdly, the AIDS knowledge awareness was significantly increased with improvement of educational level. Forthly, The awareness rale of students, farmers and the military's relatively was significantly than the student groups. [Con-Clusion] (J) AIDS knowledge publicity should pay attention to the importance of non-route of transmission, prevention mea-sures, policy advocacy and mobilization the broad masses of medical personnel, including active participation in AIDS educa-tion, the use of radio and television publicity to build three-dimensional network in the whole society to create a good atmo-sphere for the prevention of AIDS. (2) The future work should be appropriate to the vulnerable groups tilt.%[目的]为评估城乡居民预防艾滋病相关知识的情况,以便今后更有针对性地开展防治艾滋病知识传播活动及制作预防艾滋病传播材料,根据国务院防治艾滋病工作委员会办公室相关要求设计的调查问卷对我省城乡居民

  19. 荆门市城市居民精神卫生知识掌握及获取途径的调查分析%Investigation and analysis in urban residents' mental health knowledge and access to it

    Institute of Scientific and Technical Information of China (English)

    齐玉梅; 王生锋; 王桂华

    2010-01-01

    Objective To probe into urban residents' mental health knowledge awareness in Jingmen city. Methods By means of self-compiled questionnaires, 563 community residents were surveyed about their mental health knowledge and access to it. Results For mental health- care knowledge, community residents scored a total of (42.52±8.79), among which, (15.34±3.25) points for relevant causes,(12.23±4.89) points for corresponding symptoms, and (14.92±4.26) for health behavior. Such aspects would affect a resident's awareness of mental health knowledge as the resident's education background,marriage and chronic diseases. Radio and television (48.3%), newspapers and magazines (41.4%), hospital expert advice (39.8%), and community medical services (36.1% ) were considered the better access to mental health knowledge. Conclusions Residents had considerably inadequate knowledge of mental health. Therefore, a variety of health- care education activities should be carried out to improve residents'mental health knowledge.%目的 了解荆门市城市居民精神卫生保健知识认知现状.方法 自编调查问卷对荆门市563名社区居民进行问卷调查,以了解其精神卫生知识认知状况及获取途径.结果 荆门市社区居民精神卫生保健知识总分为(42.52±8.79)分,其中相关病因(15.34±3.25)分,相应症状(12.23±4.89)分,保健行为(14.92±4.26)分,文化程度、婚姻状况和慢性病是荆门市社区居民精神卫生保健知识认知的影响因素.社区居民认为较好的健康教育途径是广播电视(48.3%)、报刊杂志(41.4%)、医院专家咨询(39.8%)和社区卫生服务机构(36.1%).结论 社区居民精神卫生保健知识认知率较低,应开展多种形式的健康教育,提高社区居民的精神卫生知识.

  20. Effects of the Gulf Oil Spill in Escambia County, Florida

    Science.gov (United States)

    Killingsworth, Kelcey Ray

    2012-01-01

    The purpose of this study was to assess the impact of the British Petroleum Gulf Oil Spill on resource change, psychological stress, and resilience for business owners, residents, and workers in Escambia County, Florida. This study was based on Hobfoll's (1988, 1989) Conservation of Resources theory. All business owners, residents, and…

  1. Human responses to Florida red tides: policy awareness and adherence to local fertilizer ordinances.

    Science.gov (United States)

    Kirkpatrick, Barbara; Kohler, Kate; Byrne, Margaret; Fleming, Lora E; Scheller, Karen; Reich, Andrew; Hitchcock, Gary; Kirkpatrick, Gary; Ullmann, Steven; Hoagland, Porter

    2014-09-15

    To mitigate the damages of natural hazards, policy responses can be beneficial only if they are effective. Using a self-administered survey approach, this paper focuses on the adherence to local fertilizer ordinances (i.e., county or municipal rules regulating the application of fertilizer to private lawns or facilities such as golf courses) implemented in jurisdictions along the Southwest Florida coast in response to hazardous blooms of Florida red tides (Karenia brevis). These ordinances play a role in the context of evolving programs of water pollution control at federal, state, water basin, and local levels. With respect to policy effectiveness, while the strength of physical linkages is of critical importance, the extent to which humans affected are aware of and adhere to the relevant rules, is equally critical. We sought to understand the public's depth of understanding about the rationales for local fertilizer ordinances. Respondents in Sarasota, Florida, were asked about their fertilizer practices in an area that has experienced several major blooms of Florida red tides over the past two decades. A highly educated, older population of 305 residents and "snowbirds" reported relatively little knowledge about a local fertilizer ordinance, its purpose, or whether it would change the frequency, size, or duration of red tides. This finding held true even among subpopulations that were expected to have more interest in or to be more knowledgeable about harmful algal blooms. In the face of uncertain science and environmental outcomes, and with individual motivations at odds with evolving public policies, the effectiveness of local community efforts to decrease the impacts of red tides may be compromised. Targeted social-science research on human perceptions about the risks of Florida red tides and education about the rationales for potential policy responses are warranted.

  2. Resident resistance.

    Science.gov (United States)

    Price, J L; Cleary, B

    1999-01-01

    Clearly, faculty must work hard with residents to explore the nature of their resistance to a program's learning and growth opportunities. Initial steps to a deeper, more effective, and longer-lasting change process must be pursued. If resident resistance is mishandled or misunderstood, then learning and professional growth may be sidetracked and the purposes of residency training defeated. Listening to the whole person of the resident and avoiding the trap of getting caught up in merely responding to select resident behaviors that irritate us is critical. Every faculty member in the family practice residency program must recognize resistance as a form of defense that cannot immediately be torn down or taken away. Resident defenses have important purposes to play in stress reduction even if they are not always healthy. Residents, especially interns, use resistance to avoid a deeper and more truthful look at themselves as physicians. A family practice residency program that sees whole persons in their residents and that respects resident defenses will effectively manage the stress and disharmony inherent to the resistant resident.

  3. Mangos of Florida, country contribution: Florida

    Science.gov (United States)

    The book chapter presents a review of the historical importance of mango in Florida; geographical distribution of mangos in Florida; statistical data including total and seasonal production, main cultivars and their descriptors; cultural practices (i.e. propagation, fertilization, pruning); pests an...

  4. 重庆市沙坪坝区居民肿瘤相关知识与态度的调查%Survey on cancer knowledge and attitude in community residents in Sha pingba district of Chongqing

    Institute of Scientific and Technical Information of China (English)

    邱惠; 冯长艳; 张艳; 何美; 雷海科; 周琦

    2012-01-01

    目的 了解重庆市沙坪坝区社区居民肿瘤防治知识和态度情况,为今后制定有效的社区肿瘤防治措施提供科学依据.方法 采用随机抽样方法,于2010年4~10月,选取重庆市沙坪坝区3个街道,对年龄在15~70岁的常住居民进行问卷调查,获得有效问卷4 327份.结果 社区居民肿瘤知识知晓率为10.0%~89.0%,不同社区肿瘤知识知晓情况各有不同;肿瘤综合知识得分女高于男(P<0.05),中青年居民高于老年居民(P<0.05),得分随文化程度增高而增高(P<0.05),有肿瘤家族史者肿瘤综合知识得分明显高于无肿瘤家族史者(P<0.05);84.7%的居民赞同"肿瘤防治与老百姓有关",74.4%的居民表示有机会愿意参加肿瘤防治宣传活动和肿瘤预防知识培训,61.2%的社区居民获取肿瘤防治知识的主要方式是广播、电视.结论 社区居民肿瘤知识相对匮乏,肿瘤知识获取渠道单一,肿瘤防治形势严峻,应进一步加大在社区中开展肿瘤综合防治宣传与教育的力度.%Objective To investigate the awareness status and attitude of knowledge on cancer prevention and control to provide scientific basis for developing corresponding intervention measures for cancer prevention and control in community. Methods An epidemiological questionnaires survey was conducted among residents age range from 15 to 70 by randomized sampling from 3 communities in Shapingba district of Chongqing from April to October 2010,4 327 valid questionnaires were retrieved. Results The awareness rate about cancer knowledge ranged from 10. 0% to 89. 0%, conditions were different from different communities. Women achieved significantly higher cancer knowledge scores than men(P<0. 05). There was also significant age difference in cancer knowledge scores for the young achieved higher cancer knowledge scores than elderly groups(P<0. 05). The higher knowledge scores the residents had and so were the residents with higher education and family

  5. Nutrition Education for Family Practice Residents.

    Science.gov (United States)

    Dappen, Alan; And Others

    1986-01-01

    The American Academy of Family Practice requires that nutrition be taught to residents throughout their three-year residencies, although it does not specify a block of nutrition instruction. The nutrition knowledge of residents in eight family practice residencies in California were examined. (MLW)

  6. Pharmacy residents' attitudes toward pharmaceutical industry promotion.

    Science.gov (United States)

    Ashker, Sumer; Burkiewicz, Jill S

    2007-08-15

    The attitudes of pharmacy residents toward pharmaceutical industry promotion and the perceived effects of such promotion on the knowledge and professional practice of the residents were studied. A questionnaire study of current postgraduate year 1 and postgraduate year 2 pharmacy residents was conducted. Questions were adapted from instruments used in studies of medical student or physician attitudes regarding the pharmaceutical industry. The questionnaire requested demographic information about the resident, information regarding the resident's exposure to specific types of pharmaceutical company-related activities, and the resident's perception of whether the residency program or department had policies or guidelines regarding interactions with the pharmaceutical industry. Questions investigated the attitudes toward pharmaceutical industry promotion and the perceived influence of pharmaceutical industry promotion on the professional knowledge and behavior of the residents. Responses were received from 496 pharmacy residents. Nearly all (89%) residents agreed that pharmaceutical company-sponsored educational events enhance knowledge. Almost half (43%) of the respondents reported that information from educational events influences therapeutic recommendations. One quarter (26%) of the pharmacy residents indicated prior training regarding pharmacist-industry interactions, and most (60%) residents indicated that their institution's residencies or departments have policies regarding interactions with the pharmaceutical industry. Most surveyed pharmacy residents believed that educational events sponsored by pharmaceutical companies enhance knowledge. Respondents whose institutions had policies or who had received training about such events were less likely than other respondents to perceive an influence of the events on their knowledge and behavior.

  7. Survey on knowledge and attitude for food safety among the residents in Taiyuan%太原市居民食品安全知识和态度的调查

    Institute of Scientific and Technical Information of China (English)

    杨喜花; 李秀花; 孙伟

    2011-01-01

    Objective To understand the residents ' knowledge on food safety and the concern and the satisfaction for current situation of food safety. Methods The simple random sampling method was used to obtain the sample. Four hundred residents from six regions in Taiyuan city were surveyed by the questionnaire. Results A total of 79. 2% of the residents obtained higher than 60 score, among whom 24. 3% were excellent. The scores showed significant difference among different sex or different education backgrounds. The residents were concerned with food safety, but the concern degree needed to be raised. The residents were worried about infant foods,cooked food and aquatic products. They felt safe to rice,flour.oil.fruit and vegetable. Conclusion The knowledge on food safety of Taiyuan residents is fine hut still needs to be strengthened. The concern on food safety of Taiyuan residents are good hut still needs to be raised.%目的 了解太原市居民对食品安全知识的知晓情况、对食品安全现状的满意程度及关注程度.方法 采用简单随机抽样的方法,由经过培训的调查员对来自太原市6个城区的400名居民进行问卷调查.结果 太原市居民的食品安全知识知晓的及格比例较高,为79.2%,但达到优秀的比例较低,为24.3%;性别和文化程度对食品安全知识的得分具有统计学意义;居民对各类食品中比较不放心的食品是儿童食品、熟食、水产品等,较为放心的食品是米面油、水果、蔬菜等;居民对食品安全问题是比较关注的,但是关注程度有待进一步提高.结论 太原市居民食品安全知识及对食品安全的关注程度需要进一步加强与提高.

  8. Florida Energy Assurance Plan

    Science.gov (United States)

    Turner, Niescja E.; Murtagh, William; Guthrie, Kevin; Nykyri, Katariina; Radasky, William A.; Senkowicz, Eric

    2012-08-01

    This spring, Florida held the nation's first statewide emergency preparedness training and exercises geared specifically to the aftermath of severe geomagnetic events. Funded by the State of Florida Division of Emergency Management (FDEM) via a Department of Energy grant and held in collaboration with Watch House International, Inquesta Corporation, and the Florida Institute of Technology, the 17-19 April 2012 workshop had 99 on-site attendees in an oceanfront hotel in Melbourne, Florida, as well as 16 over live Web streaming. The workshop was the capstone to a three-month season of 21 regional space weather training sessions and workshops serving 386 attendees in total.

  9. Knowledge of Food Production Methods Informs Attitudes toward Food but Not Food Choice in Adults Residing in Socioeconomically Deprived Rural Areas within the United Kingdom

    Science.gov (United States)

    Barton, Maria; Kearney, John; Stewart-Knox, Barbara J.

    2011-01-01

    Objective: Understand food choice, from the perspective of people residing in socioeconomically deprived rural neighborhoods. Methods: Focus groups (n = 7) were undertaken within a community setting involving 42 adults (2 males and 40 females) recruited through voluntary action groups. Data were recorded, transcribed verbatim, and content…

  10. Exploratory Investigation of Communication Management in Residential-Aged Care: A Comparison of Staff Knowledge, Documentation and Observed Resident-Staff Communication

    Science.gov (United States)

    Bennett, Michelle K.; Ward, Elizabeth C.; Scarinci, Nerina A.

    2016-01-01

    Background: There is a high prevalence of communication difficulty among older people living in residential-aged care. Such functional deficits can have a negative impact on resident quality of life, staff workplace satisfaction and the provision of quality care. Systematic research investigating the nature of communication management in…

  11. Knowledge of Food Production Methods Informs Attitudes toward Food but Not Food Choice in Adults Residing in Socioeconomically Deprived Rural Areas within the United Kingdom

    Science.gov (United States)

    Barton, Maria; Kearney, John; Stewart-Knox, Barbara J.

    2011-01-01

    Objective: Understand food choice, from the perspective of people residing in socioeconomically deprived rural neighborhoods. Methods: Focus groups (n = 7) were undertaken within a community setting involving 42 adults (2 males and 40 females) recruited through voluntary action groups. Data were recorded, transcribed verbatim, and content…

  12. Florida and Tennessee: Accountability in Civic Education

    Science.gov (United States)

    Delander, Brady

    2014-01-01

    While most states require testing in social studies or civic education, two states attach consequences for students and schools based on required statewide civics exams. Lawmakers in Florida, in 2010, and in Tennessee, in 2012, approved legislation that holds students accountable for their civics knowledge. Students are taking the tests for the…

  13. 广安花桥居民高血压认知情况及对策分析%Knowledge about hypertension among residents in Huaqiao Town of Guang'an, China and countermeasure analysis

    Institute of Scientific and Technical Information of China (English)

    冯亚岚; 梁君; 金波

    2013-01-01

    Objective To investigate the knowledge about hypertension among rural residents living in Huaqiao Town of Guang'an District, Guang'an, China and to provide a reference for decision makers to develop policies aimed at preventing hypertension. Methods A questionnaire survey (one card for each person) was performed to gather and analyze information on the knowledge of hypertension among residents living in Huaqiao Town. Results Local residents had generally poor knowledge about hypertension. Hypertensive patients were better informed than healthy people about hypertension, which, however, did not translate into significant improvement in living habits and behaviors.Conclusion Efforts should be made to build a network of hypertension prevention and treatment, conduct general surveys on a routine basis, enhance education on hypertension prevention, and develop prevention programs, in a bid to help rural residents learn more about hypertension, acquire the knowledge of self health care, and develop healthy lifestyles, eating habits, and behaviors, thus reducing the incidence of hypertension and improving quality of life.%目的:调查广安市广安区花桥镇农民群众对高血压相关知识的认知情况,为当地制定高血压防治对策提供依据。方法采用一人一卡直接询问的方式,对花桥镇居民高血压认知情况进行调研、分析。结果该地区群众对高血压的认知程度普遍偏低,高血压患者较非患者认知情况好,但生活习惯、行为改变不明显。结论应采取建立高血压病防治网、定期进行广泛普查、加强预防宣传教育和制定预防方案等对策,提高农民群众对高血压的认识,掌握自我保健知识,养成良好的生活方式、饮食习惯及行为,以降低高血压发病率,优化患者生存质量。

  14. Investigation of Knowledge and Demand of Community Residents about Osteoporosis%社区居民骨质疏松知识和需求状况调查分析

    Institute of Scientific and Technical Information of China (English)

    姚保富; 许祖芳

    2012-01-01

    From December 2010 to April 2011 , residents from four community of zhangqiao, hongguan, xingang and tilan in Hongkou district were chosen randomly. The questionnaire survey was carried out. Among the eight questions in the column, the numbers of "understanding" and "very understanding" were much more than 36% in "gender and age" and "calcium intake" and "exercise". Other questions,the number of "understanding" and "very understanding" shall not exceed 27 percent. Especially in "genetic(figure and skeleton) ","cigarette,wine" ,"related disease" and "drugs" ,the number of "don't understand" exceeded the number of 50% . There is certain tendentiousness and one-sided in demand for osteoporosis knowledge. The knowledge of osteoporosis in community residents was poorer. There was biggest influence in knowledge of osteoporosis in community residents using television and radio. It was important to improve residents knowledge level, and health education is the economical and effective means.%2010年12月-2011年4月选择虹口区嘉兴路街道张桥、虹关、新港和提蓝4个社区的居民、企事业员工、教师和服务行业人员进行问卷调查.结果在所列的8项问题中,只有“性别与年龄”、“钙质的摄取”和“运动量”3项的“了解”及“非常了解”人数超过36%,其余各项问题的“了解”及“非常了解”人数均不超过27%,特别是“遗传(身材及骨架)”、“烟、酒”、“相关疾病”和“治疗药物”等项问题的“不了解”人数超过了50%;对骨质疏松知识需求有一定的片面性和倾向性.社区居民对骨质疏松相关知识掌握较差,电视及广播对知晓率影响最大.提示市民知识有待普及,其中健康教育是预防骨质疏松症最经济、有效的手段之一.

  15. Permanent resident.

    Science.gov (United States)

    Fisher, John F

    2016-01-01

    The training of physicians in the past century was based primarily on responsibility and the chain-of-command. Those with the bulk of that responsibility in the fields of pediatrics and internal medicine were residents. Residents trained the medical students and supervised them carefully in caring for patients. Most attending physicians supervised their teams at arm's length, primarily serving as teachers of the finer points of diagnosis and treatment during set periods of the day or week with a perfunctory signature on write-ups or progress notes. Residents endeavored to protect the attending physician from being heavily involved unless they were unsure about a clinical problem. Before contacting the attending physician, a more senior resident would be called. Responsibility was the ultimate teacher. The introduction of diagnosis-related groups by the federal government dramatically changed the health care delivery system, placing greater emphasis on attending physician visibility in the medical record, ultimately resulting in more attending physician involvement in day-to-day care of patients in academic institutions. Without specified content in attending notes, hospital revenues would decline. Although always in charge technically, attending physicians increasingly have assumed the role once dominated by the resident. Using biographical experiences of more than 40 years, the author acknowledges and praises the educational role of responsibility in his own training and laments its declining role in today's students and house staff.

  16. Permanent resident

    Directory of Open Access Journals (Sweden)

    John F. Fisher

    2016-05-01

    Full Text Available The training of physicians in the past century was based primarily on responsibility and the chain-of-command. Those with the bulk of that responsibility in the fields of pediatrics and internal medicine were residents. Residents trained the medical students and supervised them carefully in caring for patients. Most attending physicians supervised their teams at arm's length, primarily serving as teachers of the finer points of diagnosis and treatment during set periods of the day or week with a perfunctory signature on write-ups or progress notes. Residents endeavored to protect the attending physician from being heavily involved unless they were unsure about a clinical problem. Before contacting the attending physician, a more senior resident would be called. Responsibility was the ultimate teacher. The introduction of diagnosis-related groups by the federal government dramatically changed the health care delivery system, placing greater emphasis on attending physician visibility in the medical record, ultimately resulting in more attending physician involvement in day-to-day care of patients in academic institutions. Without specified content in attending notes, hospital revenues would decline. Although always in charge technically, attending physicians increasingly have assumed the role once dominated by the resident. Using biographical experiences of more than 40 years, the author acknowledges and praises the educational role of responsibility in his own training and laments its declining role in today's students and house staff.

  17. Education Research: Neurology resident education

    Science.gov (United States)

    Mayans, David; Schneider, Logan; Adams, Nellie; Khawaja, Ayaz M.; Engstrom, John

    2016-01-01

    Objective: To survey US-trained graduating neurology residents who are American Academy of Neurology members, in an effort to trend perceived quality and completeness of graduate neurology education. Methods: An electronic survey was sent to all American Academy of Neurology members graduating from US neurology residency programs in the Spring of 2014. Results: Of 805 eligible respondents, 24% completed the survey. Ninety-three percent of adult neurology residents and 56% of child neurology residents reported plans to pursue fellowship training after residency. Respondents reported a desire for additional training in neurocritical care, neuro-oncology, neuromuscular diseases, botulinum toxin injection, and nerve blocks. There remains a clear deficit in business training of neurology residents, although there was notable improvement in knowledge of coding and office management compared to previous surveys. Discussion: Although there are still areas of perceived weakness in neurology training, graduating neurology residents feel generally well prepared for their chosen careers. However, most still pursue fellowship training for reasons that are little understood. In addition to certain subspecialties and procedures, practice management remains deficient in neurology training and is a point of future insecurity for most residents. Future curriculum changes should consider resident-reported gaps in knowledge, with careful consideration of improving business training. PMID:26976522

  18. From Japanese to Castilian, from Castilian to Catalan, but no English? A case study of language use and knowledge of Japanese residents in Catalonia

    OpenAIRE

    Fukuda, Makiko

    2016-01-01

    This study explores the language use and knowledge of the Japanese population in Catalonia. Catalonia, where two languages of different social statuses are in contact, raises some questions about migrants’ language practice and also questions the supposed role of English as an international lingua franca. The results of analysis of the data on language use and knowledge collected through the questionnaire survey show that this population are not homogeneous in these two variables, but they ca...

  19. Landscape Analysis of Adult Florida Panther Habitat.

    Directory of Open Access Journals (Sweden)

    Robert A Frakes

    Full Text Available Historically occurring throughout the southeastern United States, the Florida panther is now restricted to less than 5% of its historic range in one breeding population located in southern Florida. Using radio-telemetry data from 87 prime-aged (≥3 years old adult panthers (35 males and 52 females during the period 2004 through 2013 (28,720 radio-locations, we analyzed the characteristics of the occupied area and used those attributes in a random forest model to develop a predictive distribution map for resident breeding panthers in southern Florida. Using 10-fold cross validation, the model was 87.5 % accurate in predicting presence or absence of panthers in the 16,678 km2 study area. Analysis of variable importance indicated that the amount of forests and forest edge, hydrology, and human population density were the most important factors determining presence or absence of panthers. Sensitivity analysis showed that the presence of human populations, roads, and agriculture (other than pasture had strong negative effects on the probability of panther presence. Forest cover and forest edge had strong positive effects. The median model-predicted probability of presence for panther home ranges was 0.81 (0.82 for females and 0.74 for males. The model identified 5579 km2 of suitable breeding habitat remaining in southern Florida; 1399 km2 (25% of this habitat is in non-protected private ownership. Because there is less panther habitat remaining than previously thought, we recommend that all remaining breeding habitat in south Florida should be maintained, and the current panther range should be expanded into south-central Florida. This model should be useful for evaluating the impacts of future development projects, in prioritizing areas for panther conservation, and in evaluating the potential impacts of sea-level rise and changes in hydrology.

  20. Teaching professionalism to residents.

    Science.gov (United States)

    Klein, Eileen J; Jackson, J Craig; Kratz, Lyn; Marcuse, Edgar K; McPhillips, Heather A; Shugerman, Richard P; Watkins, Sandra; Stapleton, F Bruder

    2003-01-01

    The need to teach professionalism during residency has been affirmed by the Accreditation Council for Graduate Medical Education, which will require documentation of education and evaluation of professionalism by 2007. Recently the American Academy of Pediatrics has proposed the following components of professionalism be taught and measured: honesty/integrity, reliability/responsibility, respect for others, compassion/empathy, self-improvement, self-awareness/knowledge of limits, communication/collaboration, and altruism/advocacy. The authors describe a curriculum for introducing the above principles of professionalism into a pediatrics residency that could serve as a model for other programs. The curriculum is taught at an annual five-day retreat for interns, with 11 mandatory sessions devoted to addressing key professionalism issues. The authors also explain how the retreat is evaluated and how the retreat's topics are revisited during the residency, and discuss general issues of teaching and evaluating professionalism.

  1. 武汉市城市居民腰椎间盘突出症知识态度行为的现况调查%Investigation of knowledge-attitude-practice in Wuhan community residents on lumbar disc herniation

    Institute of Scientific and Technical Information of China (English)

    罗文娜; 孙虹

    2016-01-01

    Objective To investigate the status of knowledge-attitude-practice ( KAP ) in community residents on lumbar disc hernia ( LDH) in Wuhan residents., and provide references for medical staff to popularize the knowledge about LDH and carry out the related training. Methods Totally 500 community residents in Wuhan were selected by random sampling and were investigated about their LDH-KAP status by anonymous survey. 460 questionnaires were effectively recycled. Residents′ LDH status and the related influencing factors were analyzed. Results The score of knowledge, attitude and practice in survey of 460 community residents were:the average score of knowledge questionnaire was (13.17±3.30), and the scoring rate was 43.9%;the average score of attitude questionnaire was (5.21±1.00), and the scoring rate was 52.1%;the average score of practice questionnaire was (15.24±1.96), and the scoring rate was 63.5%. Scores of KAP in residents with different age, education background and whether they take part in the training were significantly different (P<0.05). Normalization process showed that the knowledge level of residents was lower than the average level, and the malpractice level was higher than the average level.Conclusions There is a strong desire for LDH-KAP in community residents; the lack of LDH-KAP knowledge of the residents lead to that residents can′t make a good prevention and self-protection. It is especially important to enhance the training and intervene about LDH-KAP for residents.%目的:调查城市居民对腰椎间盘突出症(LDH)知识态度行为(KAP)的了解现状,为医务人员有目的、有针对性地开展LDH相关知识的宣传普及和培训提供参考。方法采用便利抽样的方法选取武汉市500名城市居民,对其LDH相关KAP 的现况进行匿名抽样调查,回收有效问卷460份。分析居民的LDH知信行现状及影响因素。结果460名居民知识问卷平均分为(13.17±3.30)分、得分率为43.90%

  2. 江阴市居民合理膳食知识和行为干预效果评价%Residents' rational dietary knowledge and behavioral intervention effect evaluation in Jiangyin

    Institute of Scientific and Technical Information of China (English)

    蒋建章; 李蒋青; 谢琪

    2012-01-01

    Objective To improve the nutrition knowledge level ofresidents, cultivate rational dietary habit, and reduce the occurance of nutritional deficiency nutrition surplus and related chronic diseases. Method Develop universal education of nutrition knowledge emphasizing on rational diet and reduction of related chronic diseases in two villages and one middle school. Results Through a certain propaganda education, residents'awareness of Dietary Guidelines for Chinese Residents, relevant knowledge of rational diet and formation rate of rational dietary behavior had improved significantly. But residents' viewpoints on dietary nutrition and staple food, and their knowledge about fruits and vegetables nutrition, and drinking water had no obvious improvement The formation rate of some rational dietary behaviors, such as, eating more fruit, drinking water and tea, taking exercise every day had no obvious improvement Conclusions Rational dietary education was a long - term work. The popularity of nutrition knowledge should be developed by the common media ways aiming at all kinds of target population, and its content should combine with the local dietary habit%目的 为提高居民营养知识水平,养成合理膳食的行为习惯,降低营养缺乏和营养过剩及相关慢性疾病的发生.方法 对2个自然村及1所中学开展以合理膳食、降低相关慢性疾病的发生为重点的营养知识普及教育.结果 通过一定的宣传教育,居民对《中国居民膳食指南》的知晓率、合理膳食的相关知识水平及合理膳食行为的形成率明显提高,但居民的膳食营养观点、主食观点、对蔬菜和水果营养的了解和饮用水知识并无明显提高;常吃水果、喝水以饮用水和茶为主及每天参加锻炼等合理膳食行为的形成率无明显提高.结论 合理膳食教育是一项长期工作.营养知识的普及要针对各类目标人群,采用常见的传媒方式开展,其内容要与当地的膳食习惯相结合.

  3. 深圳市健康社区示范点居民健康知识与行为干预研究%Intervention study on health knowledge and behavior in residents of health community in Shenzhen

    Institute of Scientific and Technical Information of China (English)

    黄相刚; 魏南方; 庄润森

    2012-01-01

    目的 探讨深圳市健康社区示范点居民健康知识与行为水平及干预效果,为评价健康社区创建提供依据.方法 在健康社区示范项目的罗湖区、福田区、宝安区共3个社区随机抽取18岁以上居民,完成两次健康知识与行为入户调查.结果 干预后居民总体健康知识知晓率(83.1%)高于干预前(73.3%).居民健康行为形成率为74.9%,高于干预前的66.0%;吸烟、食用变质食品、吃饭看电视三种不良健康行为得到一定程度的改善.干预后,居民最想获取的健康资料是心理保健知识(41.3%)、传染病防治知识(34.4%)和慢性病防治知识(30.9%).干预前,居民获取健康信息的主要渠道为电视(56.4%)、报纸(38.8%)和网络(36.6%),干预后为电视(53.9%)、网络(47.4%)和健康教育宣传资料(27.7%).居民认为最需要改善的问题主要有治安问题(48.2%)、社区卫生服务问题(25.0%)与“四害”问题(23.7%).结论 应采取针对性干预措施,继续推进健康社区创建,提高居民的健康素养水平.%Objective To explore the status of health knowledge and behavior in residents and its intervention ef-fectiveness of health community in Shenzhen, and to provide basis for evaluating health community. Methods Three com-munities were chosen for comprehensive center from Shenzhen health community, and residents over 18 years old were se-lected for subsequent two investigations. Results After intervention the total awareness of rate of health knowledge in resi-dents was higher than before (83. 1% vs 73. 3% ). Total formation rate of basic health behaviors was also higher than be-fore (74. 9% vs 66. 0% ) ; the unhealthy behaviors such as smoking, eating bad food and eating with watching TV grew better than before. The residents made demands of health knowledge about psychology (41.3%), infectious disease (34.4%) and chronic disease (30.9%). Before intervention the residents acquired health

  4. Study on the Level of Health Knowledge and Related Influencing Factors Among Residents of Chaoyang District, Beijing City%北京市朝阳区居民健康知识水平及影响因素研究

    Institute of Scientific and Technical Information of China (English)

    肖琴; 孔浩南

    2012-01-01

    Objective To investigate the level of health knowledge and related influencing factors among the residents in Chaoyang District of Beijing City, and to provide a scientific basis for developing strategies and intervention measures. Methods Using multi - stage stratified random cluster sampling, 1,800 residents aged between 18 and 79 years selected from 6 streets were investigated with the questionnaire about health knowledge. Multiple linear regression analysis was used to evaluate the level of health knowledge and analyze its influencing factors. Results The scores of 5 aspects of health knowledge, including healthy lifestyles, safety and first aid, basic medical care and health care, chronic non-communicable diseases prevention, infectious diseases and endemic diseases prevention, among the residents of Chaoyang District were as follows: (69. 84 ± 12. 96), (80.99 ±14.56), (75.64±11.81), (66. 54 ± 15.30), and (72. 37 ± 13. 79), respectively. And the total score of health knowledge was (73.39 ± 9.49). The results of multivariate analysis showed that sex, age and educational background were the ' factors influencing the scores of health knowledge, and educational background was the main impact factor. Conclusions It is necessary to conduct targeted health education according to the level of health knowledge in the residents with different characteristics.%目的 了解北京市朝阳区居民健康知识水平状况及影响因素,为制定相关政策和干预措施提供科学依据.方法 采用多阶段分层整群随机抽样方法,在6个街乡抽取1 800名18~~ 79岁常住居民,通过问卷进行居民健康知识现状调查,利用多元线性回归分析进行评价并分析影响因素. 结果 北京市朝阳区居民5类健康知识问题得分分别为健康生活方式(69.84±12.96)分、安全与急救(80.99±14.56)分、基本医疗与保健(75.64±11.81)分、慢性病预防(66.54±15.30)分、传染病与地方病预防(72.37±13.79)分,

  5. 重庆市大众肺结核相关知识知晓现状分析%Awareness Status of Relevant Knowledge on Pulmonary Tuberculosis of Residents in Chongqing

    Institute of Scientific and Technical Information of China (English)

    易静; 胡代玉; 刘瑛; 杨德香; 汪洋; 王润华

    2012-01-01

    目的 了解重庆市居民结核病防治知识知晓现状及防治知识获取途径情况,为今后有效开展结核病防治及健康教育提供科学的依据.方法 采用分层整群随机抽样方法,对全国第五次肺结核病流行病学抽样调查的重庆市4个抽样点人群(九龙坡区、南岸区、开县、璧山县)进行问卷调查,调查大众关于肺结核病防治相关知识的知晓率.结果 调查对象对结核病防治的核心信息总的知晓率为64.71%,对结核病知识的认知不够全面.对于肺结核的传染途径、专门防治机构、主要症状、免费诊断及治疗政策的知晓水平较低,分别为54.66%、54.40%、60.24%和63.45%,其知识主要来源途径为听亲友及其他人说的、广播/电视/电影/网络/音像材料、张贴画/宣传栏/板报/展板/墙体标语.结论 相对于全国结核病防治规划(2001-2010年)规定的全民结核病知识知晓率到2010年达到80%,重庆市大众结核病防治知晓水平亟待提高,应针对其薄弱环节,加强宣传教育和健康促进工作.%Objective To understand the awareness status of tuberculosis ( TB ) prevention and treatment knowledge among residents in Chongqing and the approaches through which they acquired the related knowledge, in order to provide a scientific basis for effectively carrying out the health education of TB prevention and treatment in the future. Methods By a stratified sampling method, questionnaire survey was conducted among the sample people from four districts ( Jiulongpo district, Nan-an distract, Kaixian county, Bishan county ), where the fifth national tuberculosis epidemiology sample survey had been carried out, investigating the awareness status of tuberculosis prevention and treatment knowledge. Results The total awareness rate a-bout core information of TB prevention and treatment among the residents was 64. 71% , and the residents' knowledge about the disease itself was also not comprehensive

  6. Florida Abandoned Vessel Inventory

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Florida. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral...

  7. Late Gale in Florida

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — A severe gale in August of 1856 caused a lot of destruction in Florida. Ships and warehouses were damaged, a lighthouse was destroyed, crops were ruined, and several...

  8. Water withdrawals in Florida, 2012

    Science.gov (United States)

    Marella, Richard L.

    2015-09-01

    In 2012, the total amount of water withdrawn in Florida was estimated to be 14,237 million gallons per day (Mgal/d). Saline water accounted for 7,855 Mgal/d (55 percent), and freshwater accounted for 6,383 Mgal/d (45 percent). Groundwater accounted for 4,167 Mgal/d (65 percent) of freshwater withdrawals, and surface water accounted for the remaining 2,216 Mgal/d (35 percent). Surface water accounted for nearly all (99.9 percent) saline-water withdrawals. Freshwater withdrawals were greatest in Palm Beach County (682 Mgal/d), and saline-water withdrawals were greatest in Pasco County (1,822 Mgal/d). Fresh groundwater provided drinking water (through either public supply or private domestic wells) for 17.699 million residents (93 percent of Florida’s population), and fresh surface water provided drinking water for 1.375 million residents (7 percent). The statewide public-supply gross per capita water use for 2012 was estimated at 136 gallons per day.

  9. Investigation of the awareness rate of mental health knowledge among Baoding community residents%河北省保定市社区居民精神卫生知识现状调查

    Institute of Scientific and Technical Information of China (English)

    田梅; 张勇; 白珍; 朱新霞; 李慧敏; 马磊; 杨淑恩; 陈兰

    2011-01-01

    Objective To investigate the awareness rate among community residents for mental health knowledge in Baoding, Hebei Province, and to further popularize mental health knowledge and provide the basis for targeted public awareness and education. Methods 3854 community residents were sampled randomly from Psychosis Treatment and Management in Hebei Province ( Referred to as the" 686 Project" ) piloting areas. A self-made questionaire was used to investigate the participants. Results The total awareness rate of the knowledge on mental health among residents in all of the items was 56. 91%. Among them, the highest was knowledge about mental health science, and the lowest was identifying common symptoms of mental illness. Gender ( general knowledge of mental health: x2 = 6. 45, P < 0. 05; common symptoms of mental illness identification: x2 = 4.43, P <0.05; risk behavior: x2 = 8.93, P <0.01, level of education (general know ledge of mental health x2 = 137. 24, P <0.01; common symptoms of mental illness identification: x2 =69. 44, P < 0. 01; risk behavior x2 = 75.24, P < 0. 01, vocation ( general knowledge of mental health: x2 = 44. 55, P <0. 01; common symptoms of mental illness identification: x2 = 5. 66, P > 0. 05; risk behavior: x2 = 37. 39, P < 0. 01,social relations (general knowledge of mental health: x2 = 75.83, P <0. 01; common symptoms of mental illness identification: x2 = 1.16, P> 0.05; risk behavior: x2 = 10.42, P<0.05 had impact on the awareness level. Conclusion The implementation of" 686 Project" improved the extent of mental health knowledge of a part of population. However,the general population was still a general lack of knowledge of mental health. It was necessary to strengthen health education, then to prevent and control the incidences of mental illness and risk behavior.%目的:了解河北省保定市社区居民精神卫生知识知晓情况,为进一步普及精神卫生知识,有针对性开展宣传教育提供依据.

  10. The Urban Teacher Residency Program: A Recursive Process to Develop Professional Dispositions, Knowledge, and Skills of Candidates to Teach Diverse Students

    Science.gov (United States)

    Tindle, Kathleen; Freund, Maxine; Belknap, Bridget; Green, Colin; Shotel, Jay

    2011-01-01

    To be prepared to teach in an urban setting, preservice teachers must exit their teacher preparation program with a professional disposition toward equity and social justice as well as the knowledge and skills required to meet the needs of all students in their classroom. The National Council for the Accreditation of Teacher Education (NCATE)…

  11. Large-scale predation by river otters (Lontra canadensis) on Florida cooter (Pseudemys floridana) and Florida softshell turtles (Apalone ferox).

    Science.gov (United States)

    Stacy, Brian A; Wolf, Dan A; Wellehan, James F X

    2014-10-01

    Abstract We observed predation by river otters (Lontra canadensis) on large numbers of Florida cooter (Pseudemys floridana) and Florida softshell turtles (Apalone ferox) in two small lakes in North Central Florida, USA during a period of unusually low water levels. Carcasses were strewn on the shoreline and accumulated around floating boat docks, where some residents observed turtles being killed. We found 76 carcasses, including predominantly skeletons, and two live, severely injured turtles from one lake; however, numerous remains undoubtedly were unrecovered. The otters frequently eviscerated the turtles and removed the head and one or more appendages, including the phallus of mature males. In skeletal remains, injuries inflicted by otters were nonspecific, indistinguishable from damage caused by scavengers, or easily missed in incomplete carcasses. This report of large-scale mortality of freshwater turtles in Florida suggests that otters could have a significant impact on local turtle populations.

  12. Knowledge, attitudes, and practices regarding pandemic h1n1 influenza among medical and dental residents and fellowships in Shiraz, Iran

    Directory of Open Access Journals (Sweden)

    Mehrdad Askarian

    2013-01-01

    Conclusions: High knowledge is not sufficient lonely for improve attitude and practices.It seems that traditional educational models are not efficient and governments should emphasize to advanced and motivational education methods including health belief model and motivational interview at postgraduate levels. Perhaps younger students, dentists and males have less motivation to change their attitude and behavior, so we can focuses our interventions in these groups.

  13. Investigation on knowledge about AIDS prevention among rural residents in Suizhou City from 2007-2010%2007-2010年随州市农民艾滋病防治知识调查

    Institute of Scientific and Technical Information of China (English)

    佘冬梅; 姚秋菊

    2012-01-01

    目的 了解2007-2010年随州市农村居民艾滋病防治知识的认知水平、行为、相关态度和需求,以及在4年里发生的变化,为防治艾滋病的干预措施和干预效果评价提供相关信息和依据.方法 对随州市农村居民进行自填表式问卷调查,所有资料均经EpiData 3.02进行录入后用SPSS 16.0进行统计分析.结果 随州市农村居民对艾滋病的3个传播途径和经蚊虫叮咬等非传播途径的知晓率到2010年基本上均提高到90%左右;对艾滋病预防知识的知晓率亦有所提高,其中对使用安全套是否有保护作用的知晓率从52.23%提高到92.64%,对忠于性伴侣可以降低艾滋病传播风险的知晓率从76.89%提高到91.47%;对艾滋病病毒感染者在外表上与正常人群无区别的知晓率从45.24%提高到80.62%;2010年有78.10%的居民愿意与感染了HIV的熟人继续交往;农村居民获取艾滋病防治知识的主要途径是宣传资料、电视和报刊书籍.结论 随州市农村居民艾滋病防治知识的宣传教育工作有一定的成效,提高农村居民的防治知识和保护意识,对农村居民的艾滋病防治有重要意义.%[ Objective ] To understand the cognitive level, behaviors, attitude and demand of knowledge about AIDS prevention a-mong rural residents in Suizhou City from 2007-2010, as well as the changes in four years, to provide the information and basis for intervention measures and intervention effect evaluation of AIDS prevention. [ Methods ] A self-administered questionnaire survey was conducted among rural residents in Suizhou City, and the data were input by EpiData 3. 02 and statistically analyzed by SPSS 16.0. [Results] The awareness rates of three transmission routes and non-transmission routes (such as mosquito bites) of AIDS/HIV among rural residents in Suizhou City have basically increased to 90% until 2010. The awareness rate of knowledge a-bout AIDS prevention has

  14. Early resident-to-resident physics education in diagnostic radiology.

    Science.gov (United States)

    Kansagra, Akash P

    2014-01-01

    The revised ABR board certification process has updated the method by which diagnostic radiology residents are evaluated for competency in clinical radiologic physics. In this work, the author reports the successful design and implementation of a resident-taught physics course consisting of 5 weekly, hour-long lectures intended for incoming first-year radiology residents in their first month of training. To the author's knowledge, this is the first description of a course designed to provide a very early framework for ongoing physics education throughout residency without increasing the didactic burden on faculty members. Twenty-six first-year residents spanning 2 academic years took the course and reported subjective improvement in their knowledge (90%) and interest (75%) in imaging physics and a high level of satisfaction with the use of senior residents as physics educators. Based on the success of this course and the minimal resources required for implementation, this work may serve as a blueprint for other radiology residency programs seeking to develop revised physics curricula.

  15. Knowledge, Attitudes and Perceptions About Routine Childhood Vaccinations Among Jewish Ultra-Orthodox Mothers Residing in Communities with Low Vaccination Coverage in the Jerusalem District.

    Science.gov (United States)

    Stein Zamir, Chen; Israeli, Avi

    2017-05-01

    Background and aims Childhood vaccinations are an important component of primary prevention. Maternal and Child Health (MCH) clinics in Israel provide routine vaccinations without charge. Several vaccine-preventable-diseases outbreaks (measles, mumps) emerged in Jerusalem in the past decade. We aimed to study attitudes and knowledge on vaccinations among mothers, in communities with low immunization coverage. Methods A qualitative study including focus groups and semi-structured interviews. Results Low immunization coverage was defined below the district's mean (age 2 years, 2013) for measles-mumps-rubella-varicella 1st dose (MMR1\\MMRV1) and diphtheria-tetanus-pertussis 4th dose (DTaP4), 96 and 89%, respectively. Five communities were included, all were Jewish ultra-orthodox. The mothers' (n = 87) median age was 30 years and median number of children 4. Most mothers (94%) rated vaccinations as the main activity in the MCH clinics with overall positive attitudes. Knowledge about vaccines and vaccination schedule was inadequate. Of vaccines scheduled at ages 0-2 years (n = 13), the mean number mentioned was 3.9 ± 2.8 (median 4, range 0-9). Vaccines mentioned more often were outbreak-related (measles, mumps, polio) and HBV (given to newborns). Concerns about vaccines were obvious, trust issues and religious beliefs were not. Vaccination delay was very common and timeliness was considered insignificant. Practical difficulties in adhering to the recommended schedule prevailed. The vaccinations visits were associated with pain and stress. Overall, there was a sense of self-responsibility accompanied by inability to influence others. Conclusion Investigating maternal knowledge and attitudes on childhood vaccinations provides insights that may assist in planning tailored intervention programs aimed to increase both vaccination coverage and timeliness.

  16. A survey on the awareness of reproductive health knowledge and skills of residents in Guangzhou%广州市居民生殖健康知识与技能知晓情况调查

    Institute of Scientific and Technical Information of China (English)

    邓剑; 周宏峰; 刘军安; 段建华; 石淑华; 卢祖洵

    2013-01-01

    Objective To learn about the awareness of reproductive health knowledge and skills of residents in Guangzhou,to provide basic information and policy reference for further promotion of reproductive health.Methods Cluster sampling was used in sampling 1247 people aged 18-50 for a questionnaire survey.Analyzed and compared the awareness of reproductive health knowledge and skills of different age groups by descriptive method and Chi-square segmentation.Results The status of awareness of family planning knowledge was better (the awareness rates in adolescent group,mature group and sturdy group were 52.9%,69.4% and 75.2% respectively).The awareness rate of prevention and treatment knowledge of reproductive tract infection and sexually transmitted diseases and maternal care skills needed to be improved.The awareness rate of reproductive health knowledge of residents in adolescent group was significantly lower than those in mature group and sturdy group(P < 0.05).Conclusions Health sector should strengthen health care education of prevention of reproductive system diseases and matemal care skills,focus on improving the level of reproductive health knowledge of adolescent,to promote reproductive health of residents.%目的 了解广州市居民生殖健康知识与技能知晓情况,为进一步促进生殖健康提供基础信息和政策依据.方法 采用整群抽样的方法对1247名18~50周岁的居民进行问卷调查.采用描述性方法、卡方分割法分析和比较不同年龄组的生殖健康知识与技能知晓情况.结果 居民计划生育知识知晓情况较好(青春期组、成熟期组和壮实期组的知晓率分别为52.9%、69.4%和75.2%),生殖道感染防治知识、性病防治知识和孕产期保健技能的知晓率有待提高,青春期居民生殖健康知识知晓率明显低于成熟期居民和壮实期居民(P<0.05).结论 卫生部门要加强生殖系统疾病防治知识和孕产期保健技能的教育,着

  17. 流动人口在现居住地获得避孕知识情况及影响因素分析%Acquisition.of contraceptive knowledge at current place of residence among migrants of Shanghai

    Institute of Scientific and Technical Information of China (English)

    李玉艳; 武俊青; 周颖; 王瑞平; 詹绍康; 余金明; 程建萍

    2012-01-01

    Objective: To explore acquisition of the contraceptive knowledge at the current place of residence, so as to provide a basis for high quality services of family planning and reproductive health among migrants in Shanghai. Methods; A cluster and stratified sampling was used to recruited 2 001 migrants and they were interviewed by the trained investigators with a questionnaire. Results; The awareness of contraceptive methods was less than 70% , and fewer migrants knew side - effects of each contraceptive method. About 42. 73% acquired contraceptive knowledge at the current place of residence last year. The average knowledge score of migrants who acquired knowledge at the current place of residence last year was 31. 39 ± 20. 72, higher than that (24. 06 ±20. 54) of those without acquisition of the knowledge (P <0. 01) . The main knowledge sources were brochures (30. 76% ) , movie, magazine and newspaper ( 16. 96% ) , and blackboard ( 16. 26% ). More respondents younger and with higher educational level acquired contraceptive knowledge. And more unmarried respondents with sexual behaviour and more married ones acquired contraceptive knowledge than those who were not married and without sexual behaviour. In addition , more respondents working in a factory acquired contraceptive knowledge than those serving for a construction site and an entertainment site. Conclusion: Fewer migrants acquire contraceptive knowledge at the current place of residence. The age, marriage status, educational level and occupational place have impacts on acquisition of contraceptive knowledge. The IEC and counseling service of family planning and reproductive health should be improved for migrants, especially for those who are younger and have no sexual behaviour, and those with lower educational level and working in building sites and service/entertainment sites.%目的:了解流动人口在现居住地获得避孕知识的情况并分析影响因素,为开展流动人口避孕节育/生殖

  18. Resident training in pathology: From resident's point of view

    Directory of Open Access Journals (Sweden)

    Kemal KÖSEMEHMETOĞLU

    2008-01-01

    Full Text Available In many recent studies in the literature have described and commented on “competency based resident training” in pathology. According to this model, competencies are subclassified in 6 main categories: Patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. Assessment of competency forms the main component of this model.Under the framework of Ankara Society of Pathology, a working group, composed of 11 residents, 6 of which representing the Training and Research Hospitals of Ministry of Health and the rest representing the university hospitals in Ankara, was established in order to participate in the think-tank about resident training in pathology. A questionnaire, composed of 12 questions, was prepared. According to this questionnaire, the number of trainers in the university hospitals is much higher than in the commercial hospitals. While the total number of cases and cases per resident do not differ between the university and commercial hospitals, microscopes used for the educational purposes are significantly less in the commercial hospitals, that is due to less number of binocular microscopes. The amount of resident training program, which consists of intra and intersectional meetings, are similar in the university and commercial hospitals, however, theoretic lectures are given only in 3 departments. Residents working in the university hospitals have obviously heavier burden than in the commercial hospitals. Lastly, residents generally exclaimed that the time dedicated to the macroscopy training is less sufficient than time used for the microscopy training.The factors affecting the training of resident in pathology are divided into two main groups: 1 Factors directly affecting training (quality of trainer, time dedicated for education, feed back, eg. and 2 Conditions which waste residents' time. For instant, workload which does need

  19. 温州某社区居民高血压知识知晓情况调查分析%Investigation and analysis on the awareness of hypertension knowledge of a community residents in Wenzhou

    Institute of Scientific and Technical Information of China (English)

    郑旭煦

    2014-01-01

    目的:调查温州某社区居民对高血压知识的知晓情况,以及高血压知晓率、治疗率、控制率情况。方法:2013年选取社区体检居民489例,进行高血压知识掌握情况调查,采用统一的调查表面对面进行问卷调查及血压测量。结果:高血压知晓率63.07%,高血压治疗率80.65%,高血压控制率45.80%。高血压人群和非高血压人群对高血压知识的掌握得分均较高,但两者之间差异无统计学意义(P>0.05)。结论:多样化的健康宣教有利于人群对高血压知识的掌握,并且改善高血压防治。%Objective:To investigate the awareness of hypertension knowledge,the awareness rate,treatment rate and control rate of hypertension of a community residents in Wenzhou.Methods:489 cases of community physical examination residents were selected in 2013.The hypertension knowledge grasp was investigated.The questionnaire survey and blood pressure were given face to face by using unified questionnaires.Results:The awareness rate of hypertension was 63.07%;the treatment rate of hypertension was 80.65%;the control rate of hypertension was 45.80%.The hypertension knowledge grasp scores of hypertension group and non hypertension group were all higher,but there was no significant difference between them(P>0.05).Conclusion:Diversified health education helps people to grasp the hypertension knowledge,and improve the prevention and treatment of hypertension.

  20. Investigation of Community Residents Know about the Knowledge of Osteo-porosis%社区居民骨质疏松症相关知识的认知调查

    Institute of Scientific and Technical Information of China (English)

    张雪梅; 刘学东; 郝佳佳

    2015-01-01

    目的:调查社区40岁以上居民对骨质疏松症( osteoporosis,OP)相关知识的认知现状,为加强健康宣教、有效防治骨质疏松提供参考依据。方法采用随机抽样方法,应用自行设计的包括一般情况、骨质疏松基本知识(症状、危险因素、治疗药物)、防治态度以及健康教育需求途径等内容的调查问卷,对回龙观多个社区40岁以上居民进行问卷调查。结果被调查者中大多数人不知道骨质疏松症的症状表现及自己是否患有骨质疏松症;对于骨质疏松症危险因素的认识仍停留在老龄和钙剂及维生素D缺乏上,对其他危险因素知晓程度较差。结论社区居民对骨质疏松症相关知识认知水平较低,防治态度积极,急需在社区内开展骨质疏松相关知识健康宣教工作,提高社区居民的骨质疏松防治意识和保健意识。%Objective To learn how much the community residents aged above 40 know about osteoporosis, providing references for effective prevention and treatment of osteoporosis. Methods Taking sampling questionnaire survey among randomly chosen res-idents aged above 40 in Huilongguan Community. The questionnaire is independently designed and consists of general information of the surveyed, their knowledge about osteoporosis (symptoms, risk factors, therapy, etc.), their attitude on osteoporosis prevention and treatment, and needs to acquire health related knowledge.Results The majority of the residents surveyed don't know the symptoms of osteoporosis or whether they have suffered from osteoporosis; people know aging and insufficiency of Ca and Vitamin D are two risk factors for osteoporosis, but barely know other factors. Conclusion The community residents' knowledge on osteo-porosis is rather limited, however, they are keen to make improvement. It's very important for us to carry out health publicity on osteoporosis as soon as possible to enhance people's awareness on

  1. Medical Residents’ and Practicing Physicians’ e-Cigarette Knowledge and Patient Screening Activities

    Directory of Open Access Journals (Sweden)

    Karen W. Geletko

    2016-11-01

    Full Text Available Purpose: The purpose of this study was to compare medical residents and practicing physicians in primary care specialties regarding their knowledge and beliefs about electronic cigarettes (e-cigarettes. We wanted to ascertain whether years removed from medical school had an effect on screening practices, recommendations given to patients, and the types of informational sources utilized. Methods: A statewide sample of Florida primary care medical residents (n = 61 and practicing physicians (n = 53 completed either an online or paper survey, measuring patient screening and physician recommendations, beliefs, and knowledge related to e-cigarettes. χ2 tests of association and linear and logistic regression models were used to assess the differences within- and between-participant groups. Results: Practicing physicians were more likely than medical residents to believe e-cigarettes lower cancer risk in patients who use them as an alternative to cigarettes (P = .0003. Medical residents were more likely to receive information about e-cigarettes from colleagues (P = .0001. No statistically significant differences were observed related to e-cigarette knowledge or patient recommendations. Conclusions: Practicing primary care physicians are accepting both the benefits and costs associated with e-cigarettes, while medical residents in primary care are more reticent. Targeted education concerning the potential health risks and benefits associated with the use of e-cigarettes needs to be included in the current medical education curriculum and medical provider training to improve provider confidence in discussing issues surrounding the use of this product.

  2. Migrant Programs in Florida.

    Science.gov (United States)

    National Migrant Information Clearinghouse, Austin, TX. Juarez-Lincoln Center.

    As the last of 3 directories, this lists services available to migrants in Florida. Migrant programs, Community Action Agencies, and labor camps in the state are identified by county. Information for each county includes total population, estimated migrant population, migrant labor demand, estimated migrant wages, crops, work periods, migrant…

  3. The Maya of Florida.

    Science.gov (United States)

    Burns, Allan F.

    1989-01-01

    Discusses the Maya people who fled Guatemala due to a civil war and illegally entered the U.S. and settled in Florida. Presents a picture of their living conditions, employment opportunities, cultural traditions, community development, and family organization. Discusses a Kanjobal Association and the CORN-MAYA program, and explains immigration…

  4. The Maya of Florida.

    Science.gov (United States)

    Burns, Allan F.

    1989-01-01

    Discusses the Maya people who fled Guatemala due to a civil war and illegally entered the U.S. and settled in Florida. Presents a picture of their living conditions, employment opportunities, cultural traditions, community development, and family organization. Discusses a Kanjobal Association and the CORN-MAYA program, and explains immigration…

  5. Conservation: saving Florida's manatees

    Science.gov (United States)

    Bonde, Robert K.

    2008-01-01

    Robert K. Bonde of the U.S. Geological Survey writes about the protected population of manatees in Crystal River, Florida, including information about the threats they face as they migrate in and out of protected waters. Photographer Carol Grant shares images of "Angel," a newborn manatee she photographed early one winter morning.

  6. 桂林七星区社区居民营养知识、态度及行为调查分析%An Analysis of Residents'Nutritional Knowledge,Attitudes and Behaviors in Qixing District of Guilin

    Institute of Scientific and Technical Information of China (English)

    杜密英

    2015-01-01

    为了解桂林七星区社区居民营养知识、态度和行为现状,也为开展营养宣教提供依据,采取填写调查问卷,随机抽取桂林七星区5个社区300名居民进行调查,结论表明桂林七星区社区居民的营养知识水平较低,营养行为不尽合理,营养态度积极.%In order to provide reference for a nutritional education campaign , this paper conducts a question-naire survey of the nutritional knowledge ,attitudes and behaviors of residents in Qixing district of Guilin .300 people in five communities of Qixing district were selected randomly for the survey .The findings reveal their low level of nutritional knowledge ,irrational behaviors and positive attitudes in this respect .

  7. 河南省农村居民健康知识知晓情况的现况调查%Status survey on health knowledge awareness among rural residents of Henan province

    Institute of Scientific and Technical Information of China (English)

    王丛丛; 张玉林; 周刚; 安伟峰

    2013-01-01

    Aim:To understand the current situation of health knowledge among rural residents of Henan province and consequently to provide evidences for health education strategies .Methods: A questionnaire survey was conducted among 8 978 rural residents who were selected by a multi -phase sampling method from 159 counties of the whole province.Both EpiData and SAS were employed for data management and analysis .Results: The rate of awareness of health knowledge a -mong rural residents was 64.98% , among which, the knowledge about health lifestyles was the highest with 75.30% ,and chronic diseases was the lowest with 59.59%.The rate of male's awareness of health knowledge was higher than female 's (χ2= 204.014,P 进行问卷调查.结果:河南省农村居民健康知识知晓率为64.98%,其中健康生活方式相关知识知晓率(75.30%)最高,慢性病相关知识知晓率(59.59%)最低.男性健康知识知晓率高于女性(χ2=204.014,P<0.001);~34岁年龄组居民健康知识知晓率最高,其他年龄组居民随着年龄的增长,知晓率逐渐降低(χ2=4 813.601,P<0.001);随着文化程度的增高,健康知识知晓率逐渐增高(χ2=4 758.084,P<0.001);丧偶和离异者健康知识知晓率低于其他婚姻状况者(χ2=903.912,P<0.001);学生健康知识知晓率高于非学生(χ2=105.835,P<0.001);医务人员健康知识知晓率高于非医务人员(χ2=838.639,P<0.001).结论:河南省农村居民健康知识知晓率较低;应该强化营养、肝炎、结核病、碘缺乏病、糖尿病、安全用药等知识教育;女性、高年龄组、低文化程度、丧偶者、非学生和非医务人员为主要弱势群体.

  8. Knowledge, attitude and practice on malaria among residents in Hainan province%海南省居民疟疾防治知识认知情况调查

    Institute of Scientific and Technical Information of China (English)

    张慧云; 高元慧; 龙儒桃; 林育重; 林军; 李文; 何韶衡

    2012-01-01

    Objective To investigate malaria prevention related knowledge, attitude and practice among the residents of Hainan province. Methods A typical sampling method was used to perform the questionnaire study among residents from and out of endemic region of malaria. Results The awareness rates of the middle school students were significantly higher than those of the residents on the following concerns such as malaria is a type of infectious disease, the typical symptoms of malaria, the effective method(s) to prevent malaria and use of mosquito net to avoid being bited by malaria carried mosquito (P<0.01). The awareness rates of the middle school students from the endemic region of malaria were significantly higher than those of the students out of the endemic region on the questions such as the route of malaria transmission, the typical symptoms of malaria and the effective method(s) to prevent malaria (P<0.01). Much more insecticide-treated mosquito nets were donated to the residents from the endemic region of malaria than those out of the endemic region of malaria (P<0.05). Significantly higher percentage of the residents from the endemic region of malaria than those out of the endemic region of malaria claimed that the lack of mosquito net was due to short of money (P<0.05). The awareness rates of the residents from the endemic region of malaria were significantly lower than those of the residents out of the endemic region on the questions such as the route of malaria transmission and use of mosquito net to avoid being bited by malaria carried mosquito(P<0.05). The awareness rate about the free-charge of treatment to patient with malaria was about 20% and only around 20% of the residents investigated claimed the presence of insecticide-treated mosquito nets in their home. Conclusion Much more improvement on the cognitive level of malaria in Hainan province is still needed.%目的 了解海南省居民和学生对疟疾防治知识的认知情况.方法 采

  9. 我国居民婴儿喂养基本知识调查及影响因素分析%Study on the basic knowledge and effect factors of infant feeding among Chinese residents

    Institute of Scientific and Technical Information of China (English)

    杜维婧; 魏南方; 陶茂萱; 田向阳; 王萍; 严丽萍; 卫薇; 安家璈

    2011-01-01

    Objective: To understand the status of residents knowledge about infant feeding, in order to further cany out health education and provide a theoretical basis for making strategies of health education . Methods: A multi - stage stratified cluster sampling method was used to investigate 79 542 residents aged 15-69 years old. Results; The awareness rates of " breast milk is more nutritious than formula milk" , " starting breastfeeding the sooner the better" , " adding complementary foods at 6 months after birth" and " cereals should be added first" were 91. 1% , 78. 9% , 60. 0% and 33. 9% , respectively. Unconditional logistic regression multivariate analysis found that urban area or rural area, region, gender, age, educational level, nationality, occupation, marital status and average income per person in family were statistically linked to the awareness rate of " cereals should be added first" . Conclusion; 'Health education of breastfeeding should be further popularized and strengthened, especially the health communication of knowledge about categories of complementary foods aimed to farmers.%目的:了解我国居民对婴幼儿喂养知识了解的现状,为进一步开展健康教育,制定健康教育策略提供理论依据.方法:采用多阶段分层整群抽样的方法调查了我国15~69岁的城乡常住居民79 542名.结果:调查对象对"母乳比配方奶更有营养"、"开始母乳喂养越早越好"、"孩子出生后6个月起添加辅食""辅食应首先添加谷物类"的知识知晓率分别为91.1%、78.9%,60.0%、33.9%.非条件Logistic回归模型多因素分析发现,城乡、地区、性别、年龄、文化程度、民族、职业、婚姻状况和家庭人均月收人与辅食应首先添加谷物类的知识知晓率具有统计学联系.结论:应进一步加强普及母乳喂养知识,尤其应加强辅食添加种类知识的健康传播,且开展健康教育的对象主要是农民.

  10. Orlando, Florida, USA

    Science.gov (United States)

    1991-01-01

    Much of central Florida, including this detailed view of Orlando (28.5N, 81.0W) can be seen in this single photo. Disney World is at the top center of the scene and the crescent shaped Lake Tohopekaliga is near the bottom. The large round lakes are believed to be sinkholes formed during glacial times when ocean levels were several hundred feet lower than the present. Linear patterns east of Orlando are thought to be ancient shoreline ridges.

  11. A SURVEY OF KNOWLEDGE AND ATTITUDE TOWARDS THALASSEMIA IN RESIDENTS IN LUOHU DISTRICT OF SHENZHEN%深圳市罗湖区居民对地中海贫血知识和态度的调查研究

    Institute of Scientific and Technical Information of China (English)

    郭昭鹏; 郭伟逢; 蔡建财; 姚丽娜; 张云珍; 熊桂荣

    2012-01-01

      Objective:To investigate the knowledge , attitude and behavior of thalassemia of urban residents in a district of Shenzhen to provide the basis for preventing the thalassemia .Methods:300 residents were investigated,randomly selected from two communities and took a questionnaire for thalassemia .Results:97.7% of the questionnaires were effective .68.6% of the residents heard of thalas -semia, with 40.8% heard from "Three Excellent Auditorium"and 26.9% from doctors in community or hosipital .There were statisti-cal differences between male and female in "Were you told of the thalassemia"and "The thalassemia was a hereditary disease "(P <0.01).Most residents made right choices for the attitudes and behavior of thalassemia .The rate of right attitudes and behavior of the married were higher than that of the unmarried .There were statistical differences between the married and the unmarried in "Did/Have you take /taken premarital and prenatal examination consciously "and "Would you take abortion or labor induction if the fetal was heavy thalassemia patient through prenatal examination "(P <0.05).Conclusion:It is important to strengthen the publication of thalassemia and establish the social assistance system .The thalassemia patients should be offered more concern from society at large .%  目的:通过调查深圳市罗湖区居民对地中海贫血的知识、态度和行为,为预防地中海贫血提供依据.方法:在该区采用随机抽样的方法抽取2个社区的300名居民进行入户问卷调查.结果:问卷的有效率为97.7%.听说过地中海贫血的占68.6%,知晓途径居首位的是“三优大讲堂”(40.8%),其次为社区/医院医生(26.9%).男女性在“听说过地中海贫血”和“地中海贫血是遗传病”的知晓率有统计学差异(P <0.01).对于地贫的态度和行为方面,大多数人都做出了正确的选择.已婚者的行为正确率高于未婚者,并在“自觉参加(做过)婚前和

  12. 睢宁县居民疟疾防治知识知晓率专项调查%Investigation on knowledge of malaria prevention and control in residents of Suining County

    Institute of Scientific and Technical Information of China (English)

    唐月娥

    2014-01-01

    目的:了解睢宁县居民对疟疾防治知识的掌握情况,为实现消除疟疾计划提供参考依据。方法随机抽取3个镇,每镇再随机抽取3个行政村,每个行政村调查15岁以上居民200人。采取统一的问卷进行疟疾防治知识知晓情况调查。结果调查对象对疟疾传播途径、疟疾主要症状、恶性疟直接威胁生命、得了疟疾怎么办、怎样预防疟疾的知晓率分别为96.27%、95.01%、81.46%、98.19%、96.27%,不同性别、不同地区居民知晓率差异均无统计学意义(P均>0.05);不同年龄组居民对各项疟疾防治知识的知晓率差异均有统计学意义(P均<0.05)。结论睢宁县居民疟疾防治知识知晓率较高,疟疾健康教育效果较好。%Objective To understand the status of knowledge of malaria prevention and control in residents of Suining Coun-ty,so as to provide the reference for improving the implementation of malaria elimination. Methods Nine villages in 3 townships (3 villages per township)were randomly selected as the study areas,and 200 residents aged above 15 years of each village were in-vestigated with questionnaire for the knowledge of malaria prevention and control. Results The awareness rates of“malaria trans-mission way”,“main symptoms of malaria”,“life-threatening of falciparum malaria”,“how to treat malaria”,and“how to pre-vent malaria”were 96.27%,95.01%,81.46%,98.19%and 96.27%,respectively. There were no significant differences between the different genders and among the different areas (all P>0.05),but there were significant differences among different age groups(all P<0.05). Conclusion The awareness of malaria prevention and control in residents of Suining County is relatively high,which means the health education is effective.

  13. Survey and analysis on mental health knowledge awareness by questionnaires Changsha residents%长沙市民精神卫生知识知晓率调查分析

    Institute of Scientific and Technical Information of China (English)

    葛小平; 周甲龙

    2013-01-01

    Objective To learn the status of understanding mental health knowledge of urban and rural residents in Changsha,in order to provide the references for propaganda and popularity,also provide a basis for a better implementation of mental health legislation.Methods Using whole cluster randomization method,3100 questionnaires were distributed in two communities of Yuhua District and two natural village of Wangchengjinggang Town,and 3020 questionnaires were valid.Results The basic awareness rate was 33%,the part awareness rate was 50%,and the less awareness rate was 17%.Most people understood the mental disorder and were willing to help them.Compared with urban and rural,age,occupation,the awareness rate of urban and rural residents showed significant difference,also there showed significant differences in age,occupation and culture (P <0.01).Conclusions Changsha residents' awareness of mental health knowledge is good,and it is possibly associated with the administration of Civil Affairs Bureau on carrying out Mental Patients' Community Drug Therapy,but the shortage of awareness on mental illness and symptoms have been showed,so the propaganda and education of mental health should still be strengthened.%目的 了解长沙市城乡居民精神卫生的知晓现状,同时为精神卫生知识的宣传和普及提供参考,也为精神卫生法更好地实施提供依据.方法 采用整群随机调查的方法,在雨花区的两个社区和望城靖港镇的两个自然村发放问卷3 100份,收回有效问卷3 020份.结果 总体基本知晓率为33%,部分知晓率为50%,较少知晓率为17%.多数市民表示理解精神疾病患者并愿意帮助他们.城乡、年龄、职业、文化程度的不同对精神卫生知识的知晓差异有统计学意义(P<0.01).结论 长沙市市民对精神卫生知识知晓情况尚可,可能与长沙市民政局牵头开展的精神病患者社区药物治疗有关,但对精神疾病及其症状认识仍显有

  14. Burnout in medical residents : a review

    NARCIS (Netherlands)

    Prins, J.T.; Gazendam-Donofrio, S.M.; Tubben, B.J.; van der Heijden, F.M.M.A.; De Wiel, H.B.M.V.; Hoekstra-Weebers, J.E.H.M.

    2007-01-01

    OBJECTIVES This study aimed to review current knowledge on burnout in medical residents, including reported prevalence rates, and to establish which risk and resistance factors contribute to or prevent burnout in medical residents. METHODS We conducted a comprehensive search of the literature publis

  15. A Sexuality Curriculum for Gynecology Residents

    Science.gov (United States)

    Levine, Stephen B.; And Others

    1978-01-01

    The summary report of an educational research program conducted with the obstetrics and gynecology residents at University Hospitals of Cleveland in 1976 is presented. The goals were to provide residents with basic knowledge about female sexual problems, assess skill and comfort in interviewing patients with sexual problems, document the effects…

  16. 我国社区高血压患者健康知识及行为方式分析%Health knowledge and health behavior of hypertensive community residents

    Institute of Scientific and Technical Information of China (English)

    陈纪春; 梁小华; 李建新; 曹杰; 朱坤; 邓颖; 周正元; 王仪; 万国生

    2013-01-01

    Objective To learn current status of health knowledge and health behavior of hypertensive patients living at urban or rural communities of China,and to explore its affecting factors.Methods A total of 8326 hypertensive patients aged 35-75 years old were sampled from 10 communities of Jiangsu,Shandong,Hebei,Gansu and Sichuan Provinces in 2010.The participants were interviewed face-toface to complete a questionnaire on their health knowledge and lifestyle.Health knowledge and daily practices were assayed by gender,region,age,educational level and occupation.Results Only 25%participants knew the criteria of normal blood pressure.The awareness rate of the risk factors of hypertension was 50.6% for high salt intake,45.8% for obesity and 42.0% for excessive alcohol drinking.58.2%participants considered hypertension as a strong risk factor for stroke.28.0% hypertensive individuals measured blood pressure at least once a week.Male participants had less healthy behaviors than females,including cigarette smoking cessation (odds ratio (OR) =0.50,95% confidence interval (CI) 0.38-0.65),no alcohol consumption (OR=0.34,95% CI 0.27-0.42) and diet control (OR=0.77,95% CI 0.70-0.85).In comparison with rural residents,urban residents were more likely to measure blood pressure at least once a week (OR=1.97,95% CI 1.70-2.29),give up cigarette smoking (OR=1.31,95% CI 1.02-1.69) and exercise moderately (OR=2.14,95% CI 1.87-2.44).Although elderly patients were lack of hypertension related knowledge,they were more likely to choose healthy lifestyles.Health knowledge and behavior (except for cigarette smoking and alcohol drinking cessation) tended to positively associated with education level.Compared with manual workers,mental workers had more health knowledge and increased frequency of blood pressure measurement; the retirees and housewives were more likely to measure blood pressure frequently,control food intake and have moderate physical exercises.Conclusions In

  17. Effect of intervention on knowledge, attitude and practice about hypertension among rural residents%农村居民高血压知信行健康教育干预效果评价

    Institute of Scientific and Technical Information of China (English)

    张高辉; 马吉祥; 郭晓雷; 陈希; 董静; 张吉玉; 苏军英; 唐俊利; 徐爱强

    2012-01-01

    Objective To estimate the effect of health education on knowledge,attitude and practice( KAP) about hypertension among rural residents. Methods Questionnaire survey and laboratory test were used in a baseline study and an evaluation survey three months after the intervention. The intervention included distributing free low-sodium salt and salt spoon monthly,training to make low-salt diet in the family,and distribution of leaflets about "salt and hypertension". Results After the intervention,there were significant increases in health awareness,attitude toward low-salt diet,and hypertension-related knowledge( P < 0. 05). Compared with the baseline, the subjects showed significantly increased rates of low salt use and low fat diet(P<0.05). Conclusion The low-salt health education can significantly improve the relevant knowledge of hypertension in rural population and promote low salt and low fat dietary pattern among rural residents.%目的 了解高血压健康教育对农村居民高血压相关知识、态度、行为的干预效果,为高血压预防提供参考依据.方法 采用随机整群抽样方法对在山东省菜芜市寨里镇抽取的2个农村社区共439名30~60岁农村常住居民进行高血压健康教育干预前后的问卷调查.结果 干预3个月后农村居民对高血压的临界值、高血压的危险因素及高血压的危害等12项相关知识的知晓率均高于干预前,差异均有统计学意义(P<0.05);干预后农村居民相信高血压能预防、相信遵医嘱服药可以控制血压和相信改善生活方式可以控制血压者的比例分别为91.0%、83.6%和90.4%,均高于干预前的74.9%、65.6%和82.1%,差异均有统计学意义(P<0.05);干预后农村居民饮酒者的比例为34.6%,低于干预前49.5%,差异有统计学意义(x2=19.3,P=0.000),干预后农村居民坚持低盐和低脂饮食者的比例分别为20.6%和24.9%,均高于干预前的7.5%和12.2%,

  18. Residency Allocation Database

    Data.gov (United States)

    Department of Veterans Affairs — The Residency Allocation Database is used to determine allocation of funds for residency programs offered by Veterans Affairs Medical Centers (VAMCs). Information...

  19. Libraries in Florida: MedlinePlus

    Science.gov (United States)

    ... Library → Libraries in Florida URL of this page: https://medlineplus.gov/libraries/florida.html Libraries in Florida ... Pancake Atlantis, FL 33462-1197 561-548-3480 http://opac.libraryworld.com/cgi-bin/opac.pl?command= ...

  20. The Florida Library History Project.

    Science.gov (United States)

    Jasper, Catherine; McCook, Kathleen de la Pena

    The Florida Library History Project (FLHP) began in January 1998. Letters requesting histories were sent to all public libraries in Florida with follow-up letters sent after an initial response was received from the libraries. E-mail messages were sent out to FL-LIB listservs encouraging participation in the project. A poster session was presented…

  1. Biotechnology's new wave in Florida

    OpenAIRE

    2005-01-01

    Marine biotechnology is a new economic sector globally, and is in its infancy in Florida. As an industry, it is still a very small part of biotechnology overall, but one where Florida has potential and real advantages over many areas for developing a robust commercial, technical and educational investment. (8pp.)

  2. Osteoporosis-related knowledge, attitudes,and behaviors of residents from a community in Shnnohai%上海市某社区居民骨质疏松健康教育效果评价

    Institute of Scientific and Technical Information of China (English)

    刘仲华; 张依群; 盛建华; 陈旭升; 董梅

    2008-01-01

    目的 了解通过健康教育提高社区居民关于骨质疏松(OP)的知识、态度和行为(KAP)水平.方法 采用问卷调查方法,整群抽样,分次进行,以长风社区的中老年居民为对象,医务人员使用统一问卷进行调查,健康教育贯穿始终,随后择时进行意见征询和二次调查.数据统计分析采用SPSS 11.0软件.结果 基线调查3524人,有效问卷3367份.男女比例为1:2.10,平均年龄(61.3±10.2)岁.居民的OP KAP水平总体不高:听说过OP名词的76.72%,对自身骨健康判断基本正确的占60.11%,知道OP发病因素的占42.26%,了解OP诊断方法的占37.75%;不同群体居民OP KAP水平存在差异;相关知识问题中,诊断方法知晓率最低;2281人参加了二次调查,OP KAP水平提高,差异具有统计学意义;1439人参加了OP防治活动意见征询,99.86%认为必要,96.92%表示满意,98.54%准备采取措施改善自己的骨健康状态.结论 人们对自身骨健康状况和OP防治知识的认识不足是OP在现代社会流行的两个重要因素,但此因素可为针对性健康教育所改变.%Objective To understand and raise the level of osteopomsis-relied knowledge, attitudes and behaviors for prevention and treatment of osteoperosis(OP)in residents of a community. Methods A survey was performed with a questionnaires method targeting at the elderly residents in Changfeng community.The survey was conducted with a specifically designed questionnaire,followed by a second survey.during which health edueafion was stressed.Data were analyzed with SPSS 11.0 software. Results In 3524 residents.3367 responded positively.The ratio of male to female was 1:2.10.The average age of the respondents was 61.34 years.They demonstrated a low level of OP KAP.76.72% of them heard the term of OP,60.11% had a correct judgment of their own bone heahh,42.26% knew the cause of OP.and 37.75% understood the diagnostic method of OP.The level of OP KAP varied in different groups of targeted

  3. 上海市居民碘缺乏病知识电话调查结果分析%An analysis of a telephone survey on knowledge of iodine deficiency disorders in Shanghai residents

    Institute of Scientific and Technical Information of China (English)

    宓铭; 宋峻; 邹淑蓉

    2013-01-01

    目的 了解上海市城市居民对碘缺乏病防治知识的知晓情况和食盐品种选择情况.方法 2010年,在上海市的18个区(县)各选取2个街道,在选中的街道按照Execl软件的Random函数产生的4位随机数作为电话号码的后4位,选择固定电话的户主,进行碘缺乏病相关问题的电话调查.结果 共计219人完成有效的调查,其中,49.3%(108/219)的居民只选择碘盐,25.6%(56/219)的居民只选择不加碘食盐;6.8%的居民(15/219)选择两种盐混合食用;18.3%(40/219)的居民不在意食盐品种.在108例选择加碘食盐的居民中,知道“食用加碘盐可防治碘缺乏病”的占25.9%(28/108),知道“对孩子智力有好处”的占6.5%(7/108);在56例选择不加碘食用盐的居民中,认为自身“不缺碘”的占35.7% (20/56),认为上海“不是碘缺乏病病区”的占17.9%(10/56).126例居民听说过碘缺乏病,认为碘缺乏病的危害可导致“不同程度的智力损害”和“地方性甲状腺肿大”的分别占7.1%(9/126)和65.1%(82/126),选择“吃碘盐”和“吃海带、紫菜”的分别占45.2%(57/126)和33.3%(42/126).不知道碘缺乏病或其危害的,共占58.0%(127/219).结论 居民掌握碘缺乏病相关知识情况不理想,需要加强居民健康教育以及食盐品种选择的指导.%Objective To find out whether Shanghai residents have mastered the knowledge related to iodine deficiency disorders (IDD),and how they choose different kind of salt.Methods Residents were selected by stratified random sampling from all 18 districts(counties) of Shanghai in 2010.Simple random sampling was used at the first level; random function was used at the second level to produce the last 4 numbers of a phone number.People who own the number were selected to be called.Results Totally 219 people completed the investigation.49.3% (108/219) of the residents only selected iodized salt,and 25.6%(56/219) choose non-iodized salt

  4. Dengue in Florida (USA

    Directory of Open Access Journals (Sweden)

    Jorge R. Rey

    2014-12-01

    Full Text Available Florida (USA, particularly the southern portion of the State, is in a precarious situation concerning arboviral diseases. The geographic location, climate, lifestyle, and the volume of travel and commerce are all conducive to arbovirus transmission. During the last decades, imported dengue cases have been regularly recorded in Florida, and the recent re-emergence of dengue as a major public health concern in the Americas has been accompanied by a steady increase in the number of imported cases. In 2009, there were 28 cases of locally transmitted dengue in Key West, and in 2010, 65 cases were reported. Local transmission was also reported in Martin County in 2013 (29 cases, and isolated locally transmitted cases were also reported from other counties in the last five years. Dengue control and prevention in the future will require close cooperation between mosquito control and public health agencies, citizens, community and government agencies, and medical professionals to reduce populations of the vectors and to condition citizens and visitors to take personal protection measures that minimize bites by infected mosquitoes.

  5. FLORIDA TOWER FOOTPRINT EXPERIMENTS

    Energy Technology Data Exchange (ETDEWEB)

    WATSON,T.B.; DIETZ, R.N.; WILKE, R.; HENDREY, G.; LEWIN, K.; NAGY, J.; LECLERC, M.

    2007-01-01

    The Florida Footprint experiments were a series of field programs in which perfluorocarbon tracers were released in different configurations centered on a flux tower to generate a data set that can be used to test transport and dispersion models. These models are used to determine the sources of the CO{sub 2} that cause the fluxes measured at eddy covariance towers. Experiments were conducted in a managed slash pine forest, 10 km northeast of Gainesville, Florida, in 2002, 2004, and 2006 and in atmospheric conditions that ranged from well mixed, to very stable, including the transition period between convective conditions at midday to stable conditions after sun set. There were a total of 15 experiments. The characteristics of the PFTs, details of sampling and analysis methods, quality control measures, and analytical statistics including confidence limits are presented. Details of the field programs including tracer release rates, tracer source configurations, and configuration of the samplers are discussed. The result of this experiment is a high quality, well documented tracer and meteorological data set that can be used to improve and validate canopy dispersion models.

  6. Qualitative survey on the knowledge, behavior and demand of oral health of residents in two urban communities%两城市社区居民口腔健康知识行为及需求定性调查

    Institute of Scientific and Technical Information of China (English)

    白玥; 江虹; 曲美霞; 王新伦; 余永明

    2012-01-01

    目的 了解三亚市和银川市社区居民口腔健康知识、基本口腔卫生习惯以及对口腔卫生保健的需求情况,为开展口腔健康教育工作提供参考.方法 以典型抽样方法选择银川市和三亚市,分别随机抽取社区并组织居民121人开展小组访谈.结果 城市社区居民均能做到每人一把牙刷、并定期更换,但口腔卫生习惯存在较大的地区差异,32位三亚市民晚上从不刷牙;开展过口腔健康教育的地区居民健康知识明显高于未开展过的地区;但对口腔健康的重视程度远远不够,预防性口腔卫生服务的利用水平很低,无一人定期进行口腔健康检查,过去一年的口腔卫生服务利用均为治疗行为.结论 应加强全民口腔健康教育,完善口腔医疗保障机制,提高公众的口腔健康水平.%Objective To realize the knowledge, behavior and demand on roal health of urban community residents , and offer reference to oral health education and promotion. Methods Select Yinchuan and Sanya cities by specific sample survey method, choose 12 urban communities by simple random sample, and survey about 10 residents in each community by group interview. Results All of the informants have own teeth brush, and renew at least every 3 months; there are great difference of the oral health behavior between regions, 32 informants from Sanya never brush their teeth on the night; the oral health knowledge of informants from the city implemented oral health education is higher than the city without oral health education; the informants have not paid more attention on oral health, and the usage of preventive oral health services is very low. There is no informants doing regular oral health check, and in the past 1 year, the usage of o-ral health service is only therapeutic behavior. Conclusion Oral health education should be enhanced, and oral health insurance system should be perfected.

  7. 曲阜市城区居民慢性非传染性疾病相关知信行状况%Knowledge, Attitude and Practice about Chronic Non-communicable Diseases in Urban Residents of Qufu City

    Institute of Scientific and Technical Information of China (English)

    孔秀梅

    2011-01-01

    [ Objective ] To investigate the situation of knowledge, attitude and practice about chronic diseases in urban residents of Qufu city, provide the scientific evidences for evaluation of intervention effect and adjustment of intervention measures. [ Methods]Inhabitants aged 15 ~ 69 years in Yihe community of Qufu city were inestigated with self-designed questionnaire in April 2010.[ Results] Among 860 people, people who have the habit of physical exercise accounted for 68.60%, people whose blood pressure has been measured in the past 6 months accounted for 62.00%, the percentages of hypertension patients who take medicine regularly and diabetes patients who are treated with diet control, physical exercise and medicine all reached 70%. People who think adults over 35 years old should measure blood pressure regularly accounted for 87.00%, and people who know high salt diet can induce the hypertension accounted for 76.90%. [ Conclusion ] The knowledge,attitude and practice about chronic diseases in target population basically reached the predetermined goal.%目的 了解曲阜市城区居民目前的慢性病相关知识、信念与行为状况,为干预效果评价及调整干预措施提供科学依据.方法 2010年4月,自行设计问卷,对曲阜市沂河小区居民社区中的15~69岁常住居民进行问卷调查.结果 调查860人,体育锻炼率为68.60%;近6个月内血压测量率为62.00%;确诊高血压患者规律服药率以及糖尿病患者控制饮食、增加体力活动、药物治疗率均达到70%以上;认为35岁以上成年人有必要定期测血压者占87.00%;知晓高盐饮食易患高血压者占76.90%.结论 目标人群慢性病相关知、信、行状况基本达到干预计划预定的阶段性目标.

  8. Survey of knowledge related to cancer prevention and needs of health education in rural residents%农村居民癌症预防知识与健康教育需求现况调查

    Institute of Scientific and Technical Information of China (English)

    何民富; 王宁; 李欣欣; 孙新; 王宝华

    2011-01-01

    Objective To understand the current level of knowledge about cancer prevention, the rutine of getting health information, as well as health education needs in rural residents, and the development of health education in rural areas. Methods A certain number of towns/sub-districts were randomly selected from 13 counties/districts in Henan, Anhui, Jiangsu and Shandong provinces. In each town/sub-district, residents from 21 to 70 years old were stratified into 5 age groups. Twenty subjects consisting of equal number of male and female were randomly selected from each group, totaling up to 100 subjects in each town/sub-district, and 23 000 in the study. A questionnaire survey on cancer risk factors, early symptoms, subjective needs, as well as the way of getting health information was conducted. Results The proportions of subjects who answered correctly the relationship between cancer and tobacco, alcohol, environment pollution, diet, occupational factors, infection, obesity as well as reproductive factors were respectively 87.4%, 73.0%,62. 0%, 45. 4%, 38. 3%, 36. 5%, 22. 2% and 13.5%. The proportions who correctly associated gradually enlarging mass or nodule, dysphagia, bleeding of undetermined origin, unexplained weight loss, long-term indigestion and hoarseness with cancer were respectively 72. 5%, 62. 0%, 60. 3%, 56. 7%, 45. 6% and 38. 8%. The old people and female had comparatively poor knowledge. The proportion of subjects who desired to get information about prevention, early symptom, diagnose, treatment and local prevalence were respectively 78. 2%, 63. 2%, 52. 5%, 37. 7% and 34. 1%. The three most popular sources of getting health information were television, broadcast and rural doctors, 81.0%, 57. 8% and 47.8% respectively. The old people preferred rural doctor and family/relative/friend to obtain health information, while young people preferred to television, intemet, hook/magazine/newspaper, as well as brochure

  9. 城市居民艾滋病相关KABP影响因素调查%Survey of HIV/AIDS-related Knowledge, Attitude and Determinants in Urban Residents

    Institute of Scientific and Technical Information of China (English)

    何群; 杨放; 林鹏; 王晔; 刘勇鹰; 付笑冰; 赵葛葛

    2003-01-01

    Objectives: To provide references for HIV/AIDS-related health education strategies through survey on HIV/AIDS-related knowledge, attitude and determinants of HIV/AIDS awareness.Methods: The study subjects were selected by random interception in a downtown street of Guangzhou city on World AIDS Day-December 1,2002. The uniform questionnaires were finished by means of selfadministration.Results: Two hundred questionnaires were distributed and 147 qualified questionnaires were collected.The results showed, the awareness rate of HIV/AIDSrelated knowledge was 63.3%, and awareness rate of transmission routes was 76.2%, whilst non-transmission route was 60.5%; the awareness rate of transmission was 59.2%; the awareness rate of prevention was 47.0 %; the positive attitude to people living with HIV/AIDS was 65.6%. Multiple variable Logistic regression analysis showed the determinants of HIV/AIDS-related knowledge were education level, age,marital status and gender, of which people with high level of education, young age and the group of male and married had better awareness of HIV/AIDS.Conclusion: Current HIV/AIDS-related knowledge of urban residents is relativly low, especially for the non-transmission route, hence further HIV/AIDS-related education should be strengthened, especially focusing on non-transmission route to eliminate discrimination over people living with HIV/AIDS.Further, education efforts also should be put on female population, unmarried population and poorly educated population.%目的 调查城市居民有关艾滋病的知识和对艾滋病的态度及其影响因素,为进一步开展艾滋病知识的宣传教育提供依据.方法 于2002年12月1日,世界艾滋病日,在广州市中心街头随机抽取过路行人进行调查,调查表采用自填方式.结果 在发出的200份问卷中,收回147份有效问卷.对艾滋病有关知识的知晓率为63.3%,知道其传播途径的占76.2%,同时知道不会传播艾滋病的途径的占60.5

  10. E-Learning and Medical Residents, a Qualitative Perspective

    Science.gov (United States)

    Segerman, Jill; Crable, Elaine; Brodzinski, James

    2016-01-01

    Medical education helps ensure doctors acquire skills and knowledge needed to care for patients. However, resident duty hour restrictions have impacted the time residents have available for medical education, leaving resident educators searching for alternate options for effective medical education. Classroom situated e-learning, a blended…

  11. 东莞地区公众脑卒中防治知识水平的相关调查%Investigation on the level of knowledge concerning the prevention and treatment of stroke among the residents in Dongguan area

    Institute of Scientific and Technical Information of China (English)

    王俊峰; 于翠香; 黄亚莉; 张中银; 谭琦; 陈豪

    2006-01-01

    务人员宣教.结论:调查期间东莞地区公众脑卒中防治知识水平较低,尤其是识别知识和处理知识;应采取适当的措施进一步开展脑卒中防治知识教育.%BACKGROUND: It is the most effective and economical method to reduce the incidence of stroke by conducting the health education concerning the etiological factors or risk factors and therapeutic knowledge of hypertension, diabetes mellitus and hyperlipidemia among the public and improving their knowledge level about the prevention and treatment of stroke.OBJECTIVE: To investigate the cognition of the knowledge concerning the prevention and treatment of stroke among the public in Dongguan area.DESIGN: A cluster sampling and simple randomized sampling survey.SETTINGS: Department of Neurology, the Fifth Affiliated Hospital of Sun Yat-sen University and the Department of Neurology, Affiliated Tungwah Hospital of Sun Yat-sen University.PARTICIPANTS: Between March and June in 2001, totally 2 500 cases were randomly selected by means of cluster sampling combined with simple randomized sampling from the residents and migrant populations no younger than 17 years old in the government organization, enterprises, factories of various forms, Dongguan University of Technology and senior middle schools of urban and rural Dongguan city and the administrative villages of the rural areas of Dongguan city in Guangdong province before March 2003.METHODS: The inventory was modified according to relevant literatures,including demographic data, general knowledge of stroke, and knowledge about the prevention, identification and treatment of stroke, and the pathway to obtain knowledge about the prevention and treatment of stroke.Each item for the knowledge about the prevention and treatment of stroke was marked as 1-4.5 points, and the total score was 60. There was no mark for the pathway to obtain knowledge about the prevention and treatment of stroke. One unit was investigated each time, and 300

  12. 北京市城区成年居民传染病相关知识行为技能调查%Survey on infectious diseases related knowledge, behaviors, skills among adult urban residents in Beijing

    Institute of Scientific and Technical Information of China (English)

    马春娜; 吴双胜; 杨鹏; 张奕; 黎新宇; 王全意

    2012-01-01

    Objective To understand the status of knowledge, behaviors, skills and the sources of information about infectious diseases among the urban young adults in Beijing, and develop effective strategies for controlling infectious diseases. Methods 5250 residents aged 18 to 59 were recruited by using multi-stage systematic sampling. The information on knowledge, behaviors and skills about infectious diseases among the young adults was collected by questionnaire. Results The awareness rates of knowledge were under 45. 7% , such as "transmission mode of hepatitis B" , "definition of fever" , "treatment with wound after bit by dog" and "transmission mode of AIDS" . The prevalence of behaviors on "taking flu vaccination" , "wearing face mask at fever clinics" , and "covering nose when sneeze or cough" were less than 34. 6%. Rates of skills relating to "understanding simple laboratory test" , "getting the desired knowledge about infectious diseases" and "understanding drugs instructions" were less than 77. 7%. We also found that awareness rates of knowledge , behaviors and skills were positively associated with education level ( P < 0. 05 ). The ways to get information related to infectious diseases were TV (4231 person, 81.6%), newspaper or magazine (3500 person, 67.5%), internet (2725 person, 52.6%), community campaign (2265 person, 43.7%), consulting with medical workers (1537 person, 29. 7% ) , talking with around people (1318 person, 25. 4% ) , leaflets or folds ( 1264 person, 24. 4% ). Ability to getting health information of young adults was positively associated with education level (P < 0. 05). Conclusion The findings suggested that urban young adults were lack of knowledge, health behaviors and necessary skills related to infectious diseases. Health education should be taken to improve their knowledge, behaviors, skills, and ability to get information. People with low education levels should be considered.%目的 了解北京市城区成年居民传染病相关知

  13. Combating the stress of residency: one school's approach.

    Science.gov (United States)

    Dabrow, Sharon; Russell, Stephen; Ackley, Karen; Anderson, Eric; Fabri, Peter Jeff

    2006-05-01

    Residency is a time of stress and turmoil for many residents. The stresses are varied and great, often involving both personal and professional issues. One institutional mechanism that has been shown to help residents cope with stress is the use of residents' wellness, or assistance, programs. The University of South Florida (USF) College of Medicine developed the USF Residency Assistance Program (RAP) in 1997, modeled after business employee assistance programs but tailored to enhance the well-being of residents. The program was developed in an organized, thoughtful manner starting with a Request for Proposals to all local employee assistance programs and the selection of one of these to run the program. The RAP is broad-based, readily available, easily accessible, totally voluntary and confidential, and not reportable to the state board of medicine. It is well integrated into all residency programs and has had excellent acceptance from the administration; information about access to the RAP is available to all residents through multiple venues. The cost is minimal, at only seven cents a day per resident. The authors present data from the eight years the RAP has been operating, including information on program use, referral rates, acceptance, and types of problems encountered. One suicide occurred during this time period, and the RAP provided a significant role in grief counseling. Assistance programs are critical to the well-being of residents. The USF program presents a model that can be used by other programs around the country.

  14. Radiology resident teaching skills improvement: impact of a resident teacher training program.

    Science.gov (United States)

    Donovan, Andrea

    2011-04-01

    Teaching is considered an essential competency for residents to achieve during their training. Instruction in teaching skills may assist radiology residents in becoming more effective teachers and increase their overall satisfaction with teaching. The purposes of this study were to survey radiology residents' teaching experiences during residency and to assess perceived benefits following participation in a teaching skills development course. Study participants were radiology residents with membership in the American Alliance of Academic Chief Residents in Radiology or the Siemens AUR Radiology Resident Academic Development Program who participated in a 1.5-hour workshop on teaching skills development at the 2010 Association of University Radiologists meeting. Participants completed a self-administered, precourse questionnaire that addressed their current teaching strategies, as well as the prevalence and structure of teaching skills training opportunities at their institutions. A second postcourse questionnaire enabled residents to evaluate the seminar and assessed new knowledge and skill acquisition. Seventy-eight residents completed the precourse and postcourse questionnaires. The vast majority of respondents indicated that they taught medical students (72 of 78 [92.3%]). Approximately 20% of residency programs (17 of 78) provided residents with formal didactic programs on teaching skills. Fewer than half (46.8%) of the resident respondents indicated that they received feedback on their teaching from attending physicians (36 of 77), and only 18% (13 of 78) routinely gave feedback to their own learners. All of the course participants agreed or strongly agreed that this workshop was helpful to them as teachers. Few residency programs had instituted resident teacher training curricula. A resident teacher training workshop was perceived as beneficial by the residents, and they reported improvement in their teaching skills. Copyright © 2011 AUR. Published by

  15. Epidemiology of Ciguatera in Florida

    OpenAIRE

    Radke, Elizabeth G.; Reich, Andrew; Morris, John Glenn

    2015-01-01

    Ciguatera is the most commonly reported marine food-borne illness worldwide. Because there is a biological plausibility that ciguatera may be impacted by long-term climate variability and Florida is on the northern border of the geographic distribution of ciguatera, it is important to update our understanding of its epidemiology in Florida. We performed an analysis of 291 reports in Florida from 2000 to 2011 and an e-mail survey of 5,352 recreational fishers to estimate incidence and underrep...

  16. 2006 Volusia County, Florida Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset is the lidar data for Volusia County, Florida, approximately 1,432 square miles, acquired in early March of 2006. A total of 143 flight lines of Lidar...

  17. Teaching CPR to Florida's Students.

    Science.gov (United States)

    Varnes, Jill W.; Crone, Ernest G.

    1980-01-01

    A program in cardiopulmonary resuscitation (CPR) instruction for Florida's school children is described. Program guidelines and support services are detailed for other schools wishing to implement such a program. (JN)

  18. Florida's Panhandle : A Quiet Appeal

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This article discusses the quiet appeal, abundant history, and untouched outdoors of Florida's Panhandle. A description of St. Vincent National Wildlife Refuge is...

  19. Backtalk: Adult Services in Florida.

    Science.gov (United States)

    Giblon, Della L.

    1979-01-01

    Initiates a new state emphasis for the column by highlighting recent public library programs and services for adults in Florida. Music, photography, and women's programs offered by the Leon County Public Library are described in more detail. (JD)

  20. Florida Panther Reintroduction Feasibility Study

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Summary and final report of a Florida Fish and Wildlife Conservation Commission study to evalaute initial stocking of mountain lion populations in northern...

  1. A multi-institutional survey of internal medicine residents' learning habits.

    Science.gov (United States)

    Edson, Randall S; Beckman, Thomas J; West, Colin P; Aronowitz, Paul B; Badgett, Robert G; Feldstein, David A; Henderson, Mark C; Kolars, Joseph C; McDonald, Furman S

    2010-01-01

    Resident physicians are expected to demonstrate medical knowledge. However, little is known about the residents' reading habits and learning preferences. To assess residents' reading habits and preferred educational resources. Residents at five internal medicine training programs were surveyed regarding their reading and learning habits and preferences. The majority (77.7%) of residents reported reading less than 7 h a week. Most residents (81.4%) read in response to patient care encounters. The preferred educational format was electronic; 94.6% of residents cited UpToDate as the most effective resource for knowledge acquisition, and 88.9% of residents reported that UpToDate was their first choice for answering clinical questions. Residents spent little time reading and sought knowledge primarily from electronic resources. Most residents read in the context of patient care. Future research should focus on strategies for helping resident physicians learn in the electronic age.

  2. Resident Characteristics Report

    Data.gov (United States)

    Department of Housing and Urban Development — The Resident Characteristics Report summarizes general information about households who reside in Public Housing, or who receive Section 8 assistance. The report...

  3. Spaceport Florida Authority: Business Plan

    Science.gov (United States)

    1996-01-01

    The Spaceport Florida Authority (SFA) was established under Florida Statute by the Governor and Legislature to assist the development of our nation's space transportation industry and to generate new space-related jobs, investment and opportunities statewide. Included in the Authorities' business plan is the statement of work and list of team members involved in creating the report, SFA's current operating concept, market analysis, assessment of accomplishments, a sample operating concept and a "roadmap to success".

  4. Demonstration of portfolios to assess competency of residents.

    Science.gov (United States)

    O'Sullivan, Patricia S; Reckase, Mark D; McClain, Tina; Savidge, Mildred A; Clardy, James A

    2004-01-01

    Residency educators are identifying approaches to measure resident competence. Portfolios are well suited since they require work already completed as part of patient care where competency must be demonstrated. This paper describes assessment of the reliability and validity of portfolios in a psychiatry residency program. This was a cross-sectional study across 4years of residency education. Using guidelines, 18 residents assembled portfolios containing five entries chosen from 13 skills. Trained raters scored the portfolios. Residents and faculty were interviewed about their perceptions. Generalizability results indicated five entries and two raters were sufficient for relative decisions. Six entries or a third rater would be sufficient for absolute decisions. Portfolio scores tended to improve with years of training and correlated with psychiatric knowledge but not clinical performance. Residents and faculty identified benefits to assembling a portfolio. Portfolios incorporate tasks embedded in the residency to provide evidence of resident competency. The results support that the score is reliable and valid.

  5. Pharmacist educators in family medicine residency programs: A qualitative analysis

    Directory of Open Access Journals (Sweden)

    Jorgenson Derek

    2012-08-01

    Full Text Available Abstract Background 25-29% of North American family medicine residency programs utilize a pharmacist to teach residents. Little is known about the impact that these pharmacist educators have on residency training. The purpose of this study was to examine the experiences of residents, residency directors and pharmacists within Canadian family medicine residency programs that employ a pharmacist educator to better understand the impact of the role. Methods Recruitment from three cohorts (residents, residency directors, pharmacists within family medicine residency programs across Canada for one-on-one semi-structured interviews followed by thematic analysis of anonymized transcript data. Results 11 residents, 6 residency directors and 17 pharmacist educators participated in interviews. Data themes were: (1 strong value of the teaching with respect to improved resident knowledge, confidence and patient care delivery; (2 lack of a formal pharmacotherapy curriculum; (3 desire for expansion of pharmacist teaching; (4 impact of teaching on collaboration; (5 impact of teaching on residency program faculty; and (6 lack of criticism of the role. Conclusions The pharmacist educator role is valued within residency programs across Canada and the role has a positive impact on several important aspects of family medicine resident training. Suggestions for improvement focused on expanding the teaching role and on implementing a formal curriculum for pharmacist educators to follow.

  6. The Ideal Resident Doctor: Á Resident's Perspective

    African Journals Online (AJOL)

    trainer relationship can only then be imagined. ... like these lend themselves to personal and cultural ... An ideal resident's clinical options .... of humanistic and professional values, the lack of .... graduate medical education should do more in mak-.

  7. Survey on knowledge,attitude and practice of the avian inlfuenza in community residents%社区居民对人感染高致病性禽流感知识、信念、行为的现状调查

    Institute of Scientific and Technical Information of China (English)

    王晓花; 陈玲玲; 马迪; 徐晓敏; 何晶晶; 张肖蓉

    2015-01-01

    目的:了解社区居民人感染高致病性禽流感的知识、信念、行为(知信行)以及相关知识的需求程度,为制定相应的社区护理措施提供一定依据。方法:采用方便抽样法选取福州市454名社区居民,采用问卷的方式调查社区居民禽流感知信行现况。结果:社区居民对禽流感知识知晓率为61.4%;信念/态度平均分为(3.91±0.50)分;健康行为平均分为(2.87±0.46)分;电视、互联网和报刊是居民希望获得禽流感相关信息的主要途径。结论:应提高社区居民禽流感相关知识知晓率,预防禽流感高危因素,消除其对禽流感的恐惧心理。%Objective:To explore the knowledge,attitude and practice(KAP) on avian inlfuenza in community residents and the degree of related knowledge requirements so as to provide references for community nursing intervention. Method:Totally 454 community residents of Fuzhou were surveyed by convenient sampling and investigated the KAP on the avian inlfuenza in community residents. Result:61.4%community residents had the relevant knowledge on avian inlfuenza;the average score of belief and attitude was 3.91±0.50;the average score of health behavior was 2.87±0.46;The channels that the community residents got the knowledge were mainly through television, radio and newspapers. Conclusion:Knowledge about avian inlfuenza should be promoted, and avian inlfuenza risk factors should be prevented, in order to eliminate the fear of avian inlfuenza.

  8. ASK Florida; a climate change education professional development program for middle school teachers in Florida

    Science.gov (United States)

    Weihs, R. R.

    2012-12-01

    A series of professional development workshops covering the fundamentals of climate change have been developed and facilitated for two groups of middle school science teachers in three Florida counties. The NASA-supported joint venture between Florida State University's Center for Ocean-Atmospheric Prediction Studies (COAPS) and the University of South Florida's (USF's) Coalition for Science Literacy, ASK Florida, focuses on expanding and deepening teachers' content knowledge of a wide range of climate change topics, connecting local and regional changes to the global picture, and supporting classroom implementation and effective teaching practices. Education experts from USF, climate scientists from COAPS, and Hillsborough county teachers and science coaches coordinated and developed the workshop content, which is based on Florida's Next Generation Sunshine State Standards in science, science curriculum guides for 6th grade, and teacher interest. Several scientists have facilitated activities during the workshop, including professors in meteorology and climatology, research scientists in the field, a NOAA program manager, the state climatologists for Florida, and others. Having these climate scientists present during the workshop provides teachers an opportunity to interact directly with the scientists and gain insight into the climatology field. Additionally, we host an open-forum discussion panel during which teachers can ask the experts about any topics of interest. Activities are designed to enhance the scientific skill level of the teachers. Introductory activities reinforce teachers' abilities to distinguish facts from opinions and to evaluate sources. Other activities provide hands-on experience using actual scientific data from NASA and other agencies. For example, teachers analyze precipitation data to create distributions of Florida rainfall, examine sea level trends at various locations, identify Atlantic hurricane frequencies during the phases of ENSO

  9. 78 FR 43197 - Duke Energy Florida, Inc.; Florida Power & Light Company; Tampa Electric Company; Orlando...

    Science.gov (United States)

    2013-07-19

    ... Company; Orlando Utilities Commission; Notice of Compliance Filings Take notice that on July 10, 2013, Duke Energy Florida, Inc., Florida Power & Light Company, Tampa Electric Company, and Orlando...

  10. Analysis of Zhuhai city residents circumcision and sexual health knowledge%珠海市居民包皮环切与性健康知识调查分析

    Institute of Scientific and Technical Information of China (English)

    龚鉴; 肖伟华; 潘杨; 李玉荣

    2014-01-01

    Objective To Understand zhuhai residents' perception of circumcision, accept intend, influence factors, as well as to the circumcision to prevent AIDS sexually transmitted disease knowledge, beliefs, and behaviors. Methods Using stratified random sampling method to extract investigation object, and using self-designed questionnaires to investigate. results Via television, radio and book, newspaper, magazines, most of respondents gaining knowledge about HiV/aids, venereal disease, 67.3% and 63.3% respectively;67.8% of respondents can complete answers to three main route of transmission, aids, 57.2%of respondents answered the spread of sexually transmitted diseases can completely correct way; only 47.8% of respondents can distinguish between "wrapping is too long" and “phimosis”, can all cognitive wrapping is too long or phimosis’ 7 kind of harm is only 15.8%;Most of the men and women are considered surgical treatment wrapping is too long or phimosis treatment should be taken, 77.8% and 82.3% respectively;in for circumcision operation, risk, prognosis and its complications, etc., of the female respondents cognitive significantly better than men. Conclusion In circumcision and sexual health education propaganda to the public, should with television, newspapers, magazines, radio and book, family planning, health education and other public institutions at the same time to strengthen health propaganda, carry out publicity through various channels, including wrapping is too long or the dangers of phimosis, circumcision operation, risk, prognosis and its complications such as all aspects of the knowledge popularization, and use the women in the family housewife role within the family of circumcision and sexual health education.%目的:了解和掌握珠海市居民对于包皮环切手术的认知、接受意愿、影响因素,以及对包皮环切预防艾滋病性病知识、信念和行为现状。方法采用分层随机抽样方法

  11. 4城市社区居民流行性感冒预防相关知识信念及行为调查%Survey on influenza prevention knowledge and behaviors among urban residents in four cities

    Institute of Scientific and Technical Information of China (English)

    靳雪征; 宋军; 李日春; 解瑞谦; 杨小宝; 肖(王乐); 黄凯

    2013-01-01

    Objective To assess knowledge,beliefs and behaviors regarding influenza prevention among urban community residents in 4 cities.Methods Shenyang,Guangzhou,Chengdu and Nanjing were selected by specific sample survey method,1 urban district was selected by simple random method in each city,and then 3 communities were selected.Group interview was carried out in each community.A total of 12 group and 95 persons were interviewed.Results Most participants could not make a distinction between the common cold and flu and they had low awareness about flu (89/95).There was few persons (7/95) who received an influenza vaccination in the past year.The non-vaccination reasons were:flu was not serious and their health status were good (77/95),the safety and effectiveness of flu vaccine (72/95),vaccination was not free (48/95),limited vaccine effect on flu (48/95),few people around them taken vaccine (40/95).Conclusion Health education should be strengthened for preventive behavior and health belief of influenza improvement.%目的 了解沈阳市、广州市、成都市和南京市社区居民流感预防相关知识、信念及行为情况.方法 以典型抽样方法选择沈阳市、广州市、成都市和南京市,每座城市随机抽取1个城区街道,每个街道随机抽取3个社区,每个社区组织1组6~8名常住居民开展小组访谈,共计访谈12组95人.结果 受访者绝大多数(89/95)分不清流感与普通感冒的区别,对流感威胁的认知普遍不高;个别人(7/95)在上一年的流感高发季节接种了流感疫苗,未接种原因包括:认为流感不严重自身抵抗力也好就不需要接种(77/95);担心疫苗安全性(72/95);疫苗自费(48/95);认为疫苗对预防流感作用有限(48/95);周围人也不接种(40/95)等.结论 应加强全民流感防控健康教育,帮助公众建立健康信念,促进公众采纳流感疫苗接种行为.

  12. Epidemiology of Ciguatera in Florida.

    Science.gov (United States)

    Radke, Elizabeth G; Reich, Andrew; Morris, John Glenn

    2015-08-01

    Ciguatera is the most commonly reported marine food-borne illness worldwide. Because there is a biological plausibility that ciguatera may be impacted by long-term climate variability and Florida is on the northern border of the geographic distribution of ciguatera, it is important to update our understanding of its epidemiology in Florida. We performed an analysis of 291 reports in Florida from 2000 to 2011 and an e-mail survey of 5,352 recreational fishers to estimate incidence and underreporting and identify high risk demographic groups, fish types, and catch locations. Incidence was 5.6 per 100,000 adjusted for underreporting. Hispanics had the highest incidence rate (relative risk [RR] = 3.4) and were more likely to eat barracuda than non-Hispanics. The most common catch locations for ciguatera-causing fish were the Bahamas and Florida Keys. Cases caused by fish from northern Florida were infrequent. These results indicate that ciguatera incidence is higher than estimated from public health reports alone. There is little evidence that incidence or geographic range has increased because of increased seawater temperatures since earlier studies.

  13. Weathering the storm: challenges to nurses providing care to nursing home residents during hurricanes.

    Science.gov (United States)

    Hyer, Kathryn; Brown, Lisa M; Christensen, Janelle J; Thomas, Kali S

    2009-11-01

    This article documents the experience of 291 Florida nursing homes during the 2004 hurricane season. Using quantitative and qualitative methods, the authors described and compared the challenges nurses encountered when evacuating residents with their experiences assisting residents of facilities that sheltered in place. The primary concerns for evacuating facilities were accessing appropriate evacuation sites for residents and having ambulance transportation contracts honored. The main issue for facilities that sheltered in place was the length of time it took for power to be restored. Barriers to maintaining resident health during disasters for those who evacuated or sheltered in place are identified.

  14. Seeking to Adopt in Florida: Lesbian and Gay Parents Navigate the Legal Process

    OpenAIRE

    Goldberg, Abbie E.; Weber, Elizabeth R; Moyer, April M.; Shapiro, Julie

    2014-01-01

    Utilizing interview data from 22 lesbian and gay parents in Florida, the current exploratory study examined participants’ experiences navigating the legal and social service systems after the repeal of the Florida ban on gay adoption. Participants reported both positive and negative experiences in seeking out lawyers (e.g., some attorneys were accommodating and knowledgeable about gay adoption; others demonstrated discomfort about working with same-sex couples), working with social service ag...

  15. [Burnout in nursing residents].

    Science.gov (United States)

    Franco, Gianfábio Pimentel; de Barros, Alba Lúcia Bottura Leite; Nogueira-Martins, Luiz Antônio; Zeitoun, Sandra Salloum

    2011-03-01

    Nursing residents may experience physical and emotional exhaustion from the daily life of attending the Program. The aim of this study was to determine the Burnout incidence among Nursing Residents. An investigative, descriptive, analytical, longitudinal-prospective study was conducted with 16 Residents over two years. The Maslach Burnout Inventory was used, translated and validated for Brazil, as well as a sociodemographic/occupational data tool. Of all residents, 17.2% showed high rates in Emotional Exhaustion and Depersonalization; 18.8% showed impaired commitment in Personal Accomplishment, 75% of which belonged to specialty areas, such as Emergency Nursing, Adult and Pediatric Intensive Care. Age and specialty area were positively correlated with Personal Accomplishment. One of the Residents was identified with changes in three subscales of the Maslach Burnout Inventory, thus characterized as a Burnout Syndrome patient. Nursing Residents have profiles of disease. Knowing these factors can minimize health risks of these workers.

  16. Residents in difficulty

    DEFF Research Database (Denmark)

    Christensen, Mette K.; O'Neill, Lotte Dyhrberg; Hansen, Dorthe H.;

    2016-01-01

    Background The majority of studies on prevalence and characteristics of residents in difficulty have been conducted in English-speaking countries and the existing literature may not reflect the prevalence and characteristics of residents in difficulty in other parts of the world such as the Scand......Background The majority of studies on prevalence and characteristics of residents in difficulty have been conducted in English-speaking countries and the existing literature may not reflect the prevalence and characteristics of residents in difficulty in other parts of the world...... of the topic. Methods We performed a mixed methods study. All regional residency program directors (N = 157) were invited to participate in an e-survey about residents in difficulty. Survey data were combined with database data on demographical characteristics of the background population (N = 2399...

  17. [Comparison of palliative care representations between pediatrician residents and oncologist residents: A qualitative study].

    Science.gov (United States)

    Toulouse, J; Leneveu, M-C; Brouard, J; Alexandre, M

    2016-06-01

    Pediatrics residents treat patients who are particularly vulnerable and they care for many patients in palliative situations. The purpose of this study was to build a typology detailing the representations of pediatrics and oncology residents on palliative care and how these transfer to their practice, and to determine their knowledge of euthanasia and end-of-life legislation. To draw up this typology, we used a semidirective interview method. The topics treated were their definition of palliative care, end of life, the emotions involved in these situations, and their daily practice. Then we asked them to speak about their opinions and knowledge of euthanasia and end-of-life legislation. Thirteen residents were interviewed: eight pediatrics residents, two oncologists, and three hemato-oncologists. Interviews lasted around 45min. Pediatrics and oncology residents had common representations based on "care giving." Nevertheless, pediatrics residents remained within the technical aspects to protect themselves from their negative emotions and stayed away from their patients. Oncology residents set their emotions aside to be able to carry on taking care of their patients. It seems necessary to disseminate a palliative culture, particularly in pediatrics, to improve management of children in palliative situations and to improve resident's feelings. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  18. Understanding Public Engagement in Water Conservation Behaviors and Knowledge of Water Policy: Promising Hints for Extension

    Science.gov (United States)

    Huang, Pei-wen; Lamm, Alexa J.

    2015-01-01

    Sustaining water resources is a primary issue facing Florida Extension. The study reported here identified how experience with water issues and familiarity with water policies affected individuals' engagement in water conservation behaviors. A public opinion survey was conducted online to capture Florida residents' responses. The findings…

  19. 78 FR 43881 - Florida Petroleum Reprocessors Site, Davie, Broward County, Florida; Notice of Settlement

    Science.gov (United States)

    2013-07-22

    ... AGENCY Florida Petroleum Reprocessors Site, Davie, Broward County, Florida; Notice of Settlement AGENCY... Protection Agency has entered into a settlement with Jap. Tech, Inc. concerning the Florida Petroleum... Ms. Paula V. Painter. Submit your comments by Site name Florida Petroleum Reprocesssors Site by one...

  20. Survey on the status and its correlation of knowledge,attitude and behaviors related to Alzheimer's disease among community residents in Tianjin%天津市社区居民对老年性痴呆疾病相关知识、态度、行为的认知现状及其相关性研究

    Institute of Scientific and Technical Information of China (English)

    杨慧锋; 杨国芳; 程梅; 从继妍

    2013-01-01

    目的 了解天津市社区居民的老年性痴呆知识、态度、行为现状,并探讨三者之间的相关性.方法 采用便利抽样方法选择天津市王顶堤社区20~75岁自愿参与本次调查研究的140名常住居民为研究对象,用自行设计的老年性痴呆知识、态度、行为问卷进行调查,并对结果进行分析.结果 调查对象的老年性痴呆知识得分为(6.436±2.170)分(0~16分),对老年性痴呆首发症状认识的正确率在不同年龄、文化程度受调查者间比较差异有统计学意义;对老年性痴呆患者持积极态度的调查对象113人,认为患者会可怜和孤独;不同性别、文化程度、家庭月收入、是否患有慢性病的调查对象之间,在是否获得过老年性痴呆健康知识方面比较差异显著.本次调查对象的行为得分与知识得分具有显著的正相关,记忆力得分与知识得分有显著的正相关,获得过健康知识得分与知识得分有显著的正相关.结论 社区居民对老年性痴呆疾病相关知识的认知程度差,未采取相应的健康行为,社区应大力开展老年性痴呆疾病相关知识的健康教育,预防老年性痴呆.%Objective To investigate the status and its correlation of knowledge,attitude,and behaviors related to Alzheimer's disease among community residents in Tianjin.Methods Convenience sampling method was used to select 140 rural residents aged 20~75 years old in Wang-ding-di community,then using a researcher-designed questionnaire to conduct knowledge,attitude,and behaviors survey.Results The knowledge score was(6.436±2.170)(0~16)points,and the correct rate of first symptom of Alzheimer's disease among people of different age,education level had statistical differences.Community residents held a positive attitude to patients with Alzheimer's disease,113 community residents felt Alzheimer's disease patients pitiful and lonely.Getting health knowledge about Alzheimer's disease among

  1. Analysis on nutrition related knowledge,dietary status and influencing factors among residents in 5 regions of Guangxi%广西五地区居民营养知识、膳食行为及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    陈玉柱; 唐振柱; 方志峰; 陆武韬; 李忠友; 周为文; 李晓鹏

    2016-01-01

    Objective To analysis the status and influencing factors of nutrition related knowledge,dietary among residents in 5 regions of Guangxi.Methods 1092 respondents were chosen by stratified random sampling method in 5 coun-ties of Guangxi.A questionnaire survey on nutrition related knowledge,dietary and others was carried out.Results There was 6.9% of respondents familiar with dietary pagoda.The awareness rates of right intake amount of salt per day was 42.8%,the benefits of iodized salt was 35.9%,damage of high salt was 49.1%,the foods that diabetes should not eat was 36.7%,and some food don’t eat was 19.0%.The differences were found statistically significant (Z =2.51,2.80,P<0.05)on fish,soy consumption habits between county town and rural residents.Logistics regression model showed that the influencing factors of nutrition knowledge were the region and education level.The nutrition knowledge awareness were higher in county town residents compared with rural residents (OR =1.44,95%CI:1.08 -1.92).The nutrition knowl-edge awareness were heigh in college or higher education level residents compared with illiterate (OR =3.06,95%CI:1.21 -7.83).Conclusion The nutritional knowledge are lack in county town and rural residents of Guangxi,it need tar-geted nutrition education.%目的:了解广西五地区居民的营养知识、膳食行为现状并探讨其影响因素。方法采用分层随机抽样的方法,抽取广西5个县或市共1092名调查对象,进行营养知识、膳食行为等问卷调查。结果调查对象对膳食宝塔熟悉的为6.9%;城镇和农村居民对每天食盐的量知晓率为42.8%、食盐加碘的好处知晓率为35.9%,高盐的危害知晓率为49.1%、糖尿病不宜吃的食物知晓率为36.7%,以及不宜食用的食物知晓率为19.0%;城镇和农村居民在水产品、豆制品摄入量,差异有统计学意义(Z 值分别为2.51、2.80,P <0.05)。Logistics 回归分析显

  2. Oral and maxillofacial surgery residents have poor understanding of biostatistics.

    Science.gov (United States)

    Best, Al M; Laskin, Daniel M

    2013-01-01

    The purpose of this study was to evaluate residents' understanding of biostatistics and interpretation of research results. A questionnaire previously used in internal medicine residents was modified to include oral and maxillofacial surgery (OMS) examples. The survey included sections to identify demographic and educational characteristics of residents, attitudes and confidence, and the primary outcome-knowledge of biostatistics. In 2009 an invitation to the Internet survey was sent to all 106 program directors in the United States, who were requested to forward it to their residents. One hundred twelve residents responded. The percentage of residents who had taken a course in epidemiology was 53%; biostatistics, 49%; and evidence-based dentistry, 65%. Conversely, 10% of OMS residents had taken none of these classes. Across the 6-item test of knowledge of statistical methods, the mean percentage of correct answers was 38% (SD, 22%). Nearly half of the residents (42%) could not correctly identify continuous, ordinal, or nominal variables. Only 21% correctly identified a case-control study, but 79% correctly identified that the purpose of blinding was to reduce bias. Only 46% correctly interpreted a clinically unimportant and statistically nonsignificant result. None of the demographic or experience factors of OMS residents were related to statistical knowledge. Overall, OMS resident knowledge was below that of internal medicine residents (Pbiostatistics and the interpretation of research and are thus unprepared to interpret the results of published clinical research. Residency programs should include effective biostatistical training in their curricula to prepare residents in evidence-based dentistry. Copyright © 2013 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  3. Hydrology of Southeast Florida and Associated Topics.

    Science.gov (United States)

    Monsour, William, Comp.; Moyer, Maureen, Comp.

    This booklet deals with the hydrology of southeastern Florida. It is designed to provide the citizen, teacher, or student with hydrological information, to promote an understanding of water resources, and to initiate conservation practices within Florida communities. The collection of articles within the booklet deal with Florida water resources…

  4. Impact of pharmaceutical company representatives on internal medicine residency programs. A survey of residency program directors.

    Science.gov (United States)

    Lichstein, P R; Turner, R C; O'Brien, K

    1992-05-01

    To survey internal medicine residency program directors regarding interactions between their residents and pharmaceutical company (PC) representatives (PCRs) a questionnaire was sent to the directors of all Accreditation Council for Graduate Medical Education-approved internal medicine residency programs. The survey included 444 program directors, of whom 272 (61.16%) responded. The majority of program directors, 228 (83.8%), allowed PCRs to meet with residents during working hours and 241 (88.6%) permitted PC sponsorship of conferences. About half of the program directors were "moderately" or "very" concerned about the potential adverse effects of PC marketing on resident attitudes and prescribing practices. Seventy percent "agreed" or "strongly agreed" that the benefits of PC sponsorship outweigh the adverse effects and 41.5% believed that refusal to allow PCRs to meet with residents would jeopardize PC funding of other departmental activities. Most program directors reported that alternate funds for conferences were available if PC support was withdrawn. "Unethical" marketing activities were observed by 14.3% of program directors and 37.5% reported that residents had participated in PC-sponsored trips during the 3 years prior to the survey. At the time of this survey, only 35.3% of programs had developed formal policies regulating PCR activities and 25.7% provided residents with formal instruction on marketing issues. Knowledge of the current extent of PCR interactions with residents may be helpful to program directors in developing policies regulating PC-marketing activities.

  5. Water-management models in Florida from ERTS-1 data. [Everglades National Park

    Science.gov (United States)

    Higer, A. L.; Coker, A. E.; Cordes, E. H.

    1974-01-01

    A prototype multiparameter data acquisition network, installed and operated by the U.S. Geological Survey is a viable approach for obtaining near real-time data needed to solve hydrologic problems confronting nearly 2.5 million residents of south Florida. Selected water quantity and quality data obtained from ground stations are transmitted for relay via ERTS-1 to NASA receiving stations in virtual real time. This data relay system has been very reliable and, by coupling the ground information with ERTS imagery, a modeling technique is available for water resource management in south Florida. An ecological model has been designed for the Shark River Slough in Everglades National Park.

  6. Use of mental health services by nursing home residents after hurricanes.

    Science.gov (United States)

    Brown, Lisa M; Hyer, Kathryn; Schinka, John A; Mando, Ahed; Frazier, Darvis; Polivka-West, Lumarie

    2010-01-01

    A growing body of research supports the value of mental health intervention to treat people affected by disasters. This study used a mixed-methods approach to evaluate pre- and posthurricane mental health service use in Florida nursing homes. A questionnaire was administered to 258 directors of nursing, administrators, and owners of nursing homes, representing two-thirds of Florida's counties, to identify residents' mental health needs and service use. In four subsequent focus group meetings with 22 nursing home administrators, underlying factors influencing residents' use of services were evaluated. Although most nursing homes provided some type of mental health care during normal operations, disaster-related mental health services were not routinely provided to residents. Receiving facilities were more likely than evacuating facilities to provide treatment to evacuated residents. Nursing home staff should be trained to deliver disaster-related mental health intervention and in procedures for making referrals for follow-up evaluation and formal intervention.

  7. U.S. medical resident familiarity with national tuberculosis guidelines

    Directory of Open Access Journals (Sweden)

    Amorosa Valerianna C

    2007-08-01

    Full Text Available Abstract Background The ability of medical residents training at U.S. urban medical centers to diagnose and manage tuberculosis cases has important public health implications. We assessed medical resident knowledge about tuberculosis diagnosis and early management based on American Thoracic Society guidelines. Methods A 20-question tuberculosis knowledge survey was administered to 131 medical residents during a single routinely scheduled teaching conference at four different urban medical centers in Baltimore and Philadelphia. Survey questions were divided into 5 different subject categories. Data was collected pertaining to institution, year of residency training, and self-reported number of patients managed for tuberculosis within the previous year. The Kruskal-Wallis test was used to detect differences in median percent of questions answered correctly based on these variables. Results The median percent of survey questions answered correctly for all participating residents was 55%. Medical resident knowledge about tuberculosis did not improve with increasing post-graduate year of training or greater number of patients managed for tuberculosis within the previous year. Common areas of knowledge deficiency included the diagnosis and management of latent tuberculosis infection (median percent correct, 40.7%, as well as the interpretation of negative acid-fast sputum smear samples. Conclusion Many medical residents lack adequate knowledge of recommended guidelines for the management of tuberculosis. Since experience during training influences future practice pattterns, education of medical residents on guidelines for detection and early management of tuberculosis may be important for future improvements in national tuberculosis control strategies.

  8. The Integration of Climate Science and Collaborative Processes in Building Regional Climate Resiliency in Southeast Florida

    Science.gov (United States)

    Jurado, J.

    2016-12-01

    Southeast Florida is widely recognized as one of the most vulnerable regions in the United States to the impacts of climate change, especially sea level rise. Dense urban populations, low land elevations, flat topography, complex shorelines and a porous geology all contribute to the region's challenges. Regional and local governments have been working collaboratively to address shared climate mitigation and adaptation concerns as part of the four-county Southeast Florida Regional Climate Change Compact (Compact). This partnership has emphasized, in part, the use of climate data and the development of advanced technical tools and visualizations to help inform decision-making, improve communications, and guide investments. Prominent work products have included regional vulnerability maps and assessments, a unified sea level rise projection for southeast Florida, the development and application of hydrologic models in scenario planning, interdisciplinary resilient redesign planning workshops, and the development of regional climate indicators. Key to the Compact's efforts has been the engagement and expertise of academic and agency partners, including a formal collaboration between the Florida Climate Institute and the Compact to improve research and project collaborations focused on southeast Florida. This presentation will focus on the collaborative processes and work products that have served to accelerate resiliency planning and investments in southeast Florida, with specific examples of how local governments are using these work products to modernize agency processes, and build support among residents and business leaders.

  9. Rain Forest Dance Residency.

    Science.gov (United States)

    Watson, Dawn

    1997-01-01

    Outlines the author's experience as a dancer and choreographer artist-in-residence with third graders at a public elementary school, providing a cultural arts experience to tie in with a theme study of the rain forest. Details the residency and the insights she gained working with students, teachers, and theme. (SR)

  10. Cross-sectional study on knowledge, attitude and practice of influenza A(H1N1)among residents in Changsha%长沙市居民甲型H1N1流感知识态度行为调查

    Institute of Scientific and Technical Information of China (English)

    陈发明; 刘如春; 谢知

    2011-01-01

    Objective To investigate the status of knowledge,attitude and practice of influenza A(H1N1) among urban and rural residents in Changsha and to provide a theoretical basis for community health education. Methods A questionnaire survey,including questions about general condition, knowledge, attitude and practice of influenza A ( H1 N1 ), vaccination and media requirement, was conducted among 1354 permanent residents aged 14 to 65 years in Changsha selected with multi-stage random sampling. Results Of all residents, 14. 1% did not know influenza epidemic and 18. 2% - 88. 6% knew the knowledge of H1N1. The rate of knowing that fever will not be necessary when infected with H1N1 was the lowest ( 18.2% ). The ratio of rural residents who knew the knowledge of H1N1 was generally lower than those of urban and town residents. During the pandemic period,36. 1% of the residents wore masks and 39.3% of the residents wore masks when went to hospital. When having fever or respiratory symptoms,47.8% of the residents bought drugs by themselves and 24. 0% of the residents covered their mouths when sneezing in public places and 24. 7% did so at home. Among the residents,80. 3% were not vaccinated against ordinary influenza and 10.4% were vaccinated against H1N1 influenza. For residents without vaccination against influenza A( H1N1 ) ,37. 1% did not want to be vaccinated. Conclusion The knowledge level and protective awareness of influenz A (H1 N1 ) among the residents in Changsha, especially in rural area, are poor. More work concerning health education and vaccination should be done.%目的 了解湖南省长沙市城乡居民关于甲型H1N1流感的知识、态度、行为现状,为开展社区健康教育提供依据.方法 运用多阶段随机抽样的方法,对长沙市城乡地区14-65岁常住居民1 294人进行人户调查,调查内容包括个人基本资料、预防甲型H1N1流感相关知识态度行为、疫苗接种及对

  11. Advanced airway management teaching in otolaryngology residency programs in Canada: A survey of residents.

    Science.gov (United States)

    Côté, Valérie; Kus, Lukas H; Zhang, Xun; Richardson, Keith; Nguyen, Lily H

    2015-01-01

    We conducted a study to assess residents' levels of comfort with advanced airway management in Canadian otolaryngology residency programs. In October 2008, an electronic questionnaire was sent to all otolaryngology residents in Canada. Responses were voluntary and anonymous. The response rate was 64.8% (94 of 145 residents). Residents were asked about the amount of teaching they received and the amount they would like to receive each year in four areas: emergency surgical airway, pediatric airway, airway trauma, and management of complications during laryngoscopy/bronchoscopy. They were also asked how comfortable they were with their current level of knowledge in these areas. Overall, residents were not comfortable with difficult airway situations, scoring a mean of 3.08 on a 5-point Likert scale. Residents were most comfortable with the emergency airway and least comfortable with the pediatric airway. Overall, residents indicated that they had not received adequate teaching on advanced airway management, and they consistently desired more. With respect to the type of instruction, most residents requested more teaching via simulations, mannequins, and cadaver or animal models. Linear regression models revealed a positive relationship between their overall comfort with airway management and the number of airway teaching hours they received. Their consensus was that formal airway training should occur during postgraduate year (PGY) 2, with refresher courses offered every 2 years. This is the first wide-scale assessment of the status of airway teaching in otolaryngology residency programs in Canada. Overall, our findings suggest that otolaryngology residents in these programs are not comfortable with advanced airway management early in their training and feel they would benefit from a significant increase in airway teaching time. Comfort levels improved with increasing levels of training such that PGY5 residents indicated they were indeed comfortable with advanced

  12. Residents in difficulty

    DEFF Research Database (Denmark)

    Christensen, Mette Krogh; O'Neill, Lotte; Hansen, Dorthe Høgh;

    2016-01-01

    Background The majority of studies on prevalence and characteristics of residents in difficulty have been conducted in English-speaking countries and the existing literature may not reflect the prevalence and characteristics of residents in difficulty in other parts of the world such as the Scand......Background The majority of studies on prevalence and characteristics of residents in difficulty have been conducted in English-speaking countries and the existing literature may not reflect the prevalence and characteristics of residents in difficulty in other parts of the world...... such as the Scandinavian countries, where healthcare systems are slightly different. The aim of this study was to examine prevalence and characteristics of residents in difficulty in one out of three postgraduate medical training regions in Denmark, and to produce both a quantifiable overview and in-depth understanding...

  13. Evaluating a novel resident role-modelling programme.

    Science.gov (United States)

    Sternszus, Robert; Steinert, Yvonne; Bhanji, Farhan; Andonian, Sero; Snell, Linda S

    2017-05-09

    Role modelling is a fundamental method by which students learn from residents. To our knowledge, however, resident-as-teacher curricula have not explicitly addressed resident role modelling. The purpose of this project was to design, implement and evaluate an innovative programme to teach residents about role modelling. The authors designed a resident role-modelling programme and incorporated it into the 2015 and 2016 McGill University resident-as-teacher curriculum. Influenced by experiential and social learning theories, the programme incorporated flipped-classroom and simulation approaches to teach residents to be aware and deliberate role models. Outcomes were assessed through a pre- and immediate post-programme questionnaire evaluating reaction and learning, a delayed post-programme questionnaire evaluating learning, and a retrospective pre-post questionnaire (1 month following the programme) evaluating self-reported behaviour changes. Thirty-three of 38 (87%) residents who participated in the programme completed the evaluation, with 25 residents (66%) completing all questionnaires. Participants rated the programme highly on a five-point Likert scale (where 1 = not helpful and 5 = very helpful; mean score, M = 4.57; standard deviation, SD = 0.50), and showed significant improvement in their perceptions of their importance as role models and their knowledge of deliberate role modelling. Residents also reported an increased use of deliberate role-modelling strategies 1 month after completing the programme. Resident-as-teacher curricula have not explicitly addressed resident role modelling DISCUSSION: The incorporation of resident role modelling into our resident-as-teacher curriculum positively influenced the participants' perceptions of their role-modelling abilities. This programme responds to a gap in resident training and has the potential to guide further programme development in this important and often overlooked area. © 2017 John Wiley & Sons

  14. Florida-focused climate change lesson demonstrations from the ASK Florida global and regional climate change professional development workshops

    Science.gov (United States)

    Weihs, R. R.

    2013-12-01

    A variety of Florida-focused climate change activities will be featured as part of the ASK Florida global and regional climate change professional development workshops. In a combined effort from Florida State University's Center for Ocean-Atmospheric Prediction Studies (COAPS) and University of South Florida's Coalition for Science Literacy (CSL), and supported by NASA's NICE initiative, the ASK Florida professional development workshops are a series of workshops designed to enhance and support climate change information and related pedagogical skills for middle school science teachers from Title-I schools in Florida. These workshops took place during a two-year period from 2011 to 2013 and consisted of two cohorts in Hillsborough and Volusia counties in Florida. Featured activities include lab-style exercises demonstrating topics such as storm surge and coastal geometry, sea level rise from thermal expansion, and the greenhouse effect. These types of labs are modified so that they allow more independent, inquiry thinking as they require teachers to design their own experiment in order to test a hypothesis. Lecture based activities are used to cover a broad range of topics including hurricanes, climate modeling, and sink holes. The more innovative activities are group activities that utilize roll-playing, technology and resources, and group discussion. For example, 'Climate Gallery Walk' is an activity that features group discussions on each of the climate literacy principles established by the United States Global Change Research Program. By observing discussions between individuals and groups, this activity helps the facilitators gather information on their previous knowledge and identify possible misconceptions that will be addressed within the workshops. Furthermore, 'Fact or Misconception' presents the challenge of identifying whether a given statement is fact or misconception based on the material covered throughout the workshops. It serves as a way to

  15. Taxonomy Icon Data: Florida lancelet (amphioxus) [Taxonomy Icon

    Lifescience Database Archive (English)

    Full Text Available Florida lancelet (amphioxus) Branchiostoma floridae Chordata/Urochordata,Cephalochorda...ta Branchiostoma_floridae_L.png Branchiostoma_floridae_NL.png Branchiostoma_floridae_S.png Branchiostoma_florida...e_NS.png http://biosciencedbc.jp/taxonomy_icon/icon.cgi?i=Branchiostoma+floridae&t=L http://bioscienc...edbc.jp/taxonomy_icon/icon.cgi?i=Branchiostoma+floridae&t=NL http://biosciencedbc....jp/taxonomy_icon/icon.cgi?i=Branchiostoma+floridae&t=S http://biosciencedbc.jp/taxonomy_icon/icon.cgi?i=Branchiostoma+florida

  16. Knowledge and attitudes about HIV infection and prevention of mother to child transmission of HIV in an urban, low income community in Durban, South Africa: Perspectives of residents and health care volunteers

    Directory of Open Access Journals (Sweden)

    Firoza Haffejee

    2016-12-01

    Conclusion: Innovative ways to impart knowledge particularly of PMTCT and updated standards of practice are essential. It is important that the community understands how transmission occurs so that prevention can follow.

  17. [Strategy for educating senior dermatological residents in mycology].

    Science.gov (United States)

    Mochizuki, Takashi; Tsuboi, Ryoji; Sei, Yoshihiro; Hiruma, Masataro; Watanabe, Shinichi; Makimura, Koichi

    2012-01-01

    To improve the ability of dermatologists to diagnose cutaneous mycoses, we have proposed a list of the minimum mycological knowledge and skills required by senior residents of dermatology. The list includes ability to select the most appropriate sampling method, knowledge of the basic method of potassium hydroxide (KOH) examination and skill in performing fungal cultures and identifying the most prevalent fungal species isolated from skin lesions. It is not possible for the Japanese Society of Medical Mycology to train every senior resident directly, and it is difficult for them to acquire sufficient expertise independently. Consequently, training and advice given by instructors in residents' home institutes is essential. A project of an advanced course for instructors, who are in charge of educating senior residents in their own institute, may be possible. Therefore, we have proposed here a list for instructors of the knowledge and skills required to educate senior residents. Employing this list should realize improved skill in dermatologists.

  18. Knowledge Map of Facilities Management

    DEFF Research Database (Denmark)

    Nenonen, Suvi; Jensen, Per Anker; Lindahl, Göran

    2014-01-01

    in creating an inventory of knowledge (i.e. the knowledge base) and developing/improving the processes of knowledge sharing in research, education and practice. Theory Knowledge mapping is discussed in terms of knowledge management. The research is connected to knowledge mapping in the facilities management......Purpose This paper aims to draft a knowledge map of the fragmented and multidisciplinary research of and relevant to FM. Facilities management knowledge map is a tool for presenting what relevant data and knowledge, a.k.a. knowledge, resides in different disciplines. Knowledge mapping is a step...... profession, research and education. The knowledge map aims to contrast perspectives on how to map interdisciplinary research. Design/methodology/approach The Knowledge map is based on classification of 83 articles, including volume 2013 of Facilities (40 articles) and of Journal of Facilities Management (21...

  19. Mentorship in physical medicine and rehabilitation residencies.

    Science.gov (United States)

    Galicia, A R; Klima, R R; Date, E S

    1997-01-01

    Mentorship is considered by many authorities as being possibly the most important developmental tool for the progression of a professional in training. In recent years, progressively increasing support of mentoring programs has been documented, especially in business, academia, and overall career development. Despite its recognized importance, there is a paucity of literature examining the needs of physicians in residency training programs in regard to mentorship. A 21-item questionnaire was sent to all physical medicine and rehabilitation (PM&R) residents in training in United States residency programs in May of 1993. The objectives of this survey were 3-fold: to assess interest in mentorship among PM&R residents, to determine the effect of preresidency mentorship on candidates choosing PM&R as a specialty, and to identify the factors that establish a successful mentorship in PM&R residency. A response rate of 36.2% (406/1123) was obtained. Analysis of the results indicated that 97.3% (390/401) of the respondents were interested in mentorship programs during PM&R residency; however, only 28.1% (114/406) had a mentor at the time of the survey. Before residency, 35.4% (143/404) of the respondents had a mentor, and of those, 75.9% (107/141) indicated that mentorship had a positive effect on their decision to choose PM&R as a specialty. Regarding the current mentorship, respondents benefited the most in the categories of increased knowledge of PM&R, 72.8% (83/114), and improved clinical skills, 65.8% (75/114). The least satisfaction was with the mentor's assistance with a research project, 46% (52/113), and with the effect of mentorship on the resident's visibility and reputation, 38.6% (44/114). Overall resident satisfaction with mentorship was significantly higher (P communication between mentor and protégé, while gender and ethnicity had no effect.

  20. Water withdrawals, use, and trends in Florida, 2010

    Science.gov (United States)

    Marella, Richard L.

    2014-01-01

    -landscape irrigation and domestic self-supplied (5 percent each), and power generation (less than 1 percent). Agricultural self-supplied accounted for 51 percent of fresh surface-water withdrawals, followed by power generation (25 percent), public supply (11 percent), recreational-landscape irrigation (9 percent), and commercial-industrial-mining self-supplied (4 percent). Power generation accounted for nearly all (99.8 percent) saline-water withdrawals. Of the 18.80 million people who resided in Florida during 2010, 41 percent (7.68 million people) resided in the South Florida Water Management District (SFWMD), 25 percent each resided in the Southwest Florida Water Management District (SWFWMD) and the St. Johns River Water Management District (SJRWMD) (4.73 and 4.70 million people, respectively), 7 percent (1.36 million people) resided in the Northwest Florida Water Management District (NWFWMD), and 2 percent (0.33 million people) resided in the Suwannee River Water Management District (SRWMD). The largest percentage of freshwater withdrawals was from the SFWMD (47 percent), followed by the SJRWMD (21 percent), SWFWMD (18 percent), NWFWMD (9 percent), and SRWMD (5 percent). Between 1950 and 2010, the population of Florida increased by 16.03 million (580 percent), and the total water withdrawals (fresh and saline) increased by 12,334 Mgal/d (465 percent). More recently, total freshwater withdrawals decreased by more than 1,792 Mgal/d (22 percent) between 2000 and 2010, while the population increased by 2.82 million (18 percent), and total freshwater withdrawals decreased by more than 474 Mgal/d (7 percent) between 2005 and 2010, while the population increased by 0.88 million (8 percent). The recent trend of decreases in freshwater withdrawals is a result of increased rainfall during this period, the development and use of alternative water sources, water conservation efforts, more conservative regulations and mandates, changes in economic conditions, and losses of irrigated lands

  1. Exploring the experience of residents during the first six months of family medicine residency training

    Science.gov (United States)

    Martin, Dawn; Nasmith, Louise; Takahashi, Susan Glover; Harvey, Bart J.

    2017-01-01

    Background The shift from undergraduate to postgraduate education signals a new phase in a doctor’s training. This study explored the resident’s perspective of how the transition from undergraduate to postgraduate (PGME) training is experienced in a Family Medicine program as they first meet the reality of feeling and having the responsibility as a doctor. Methods Qualitative methods explored resident experiences using interpretative inquiry through monthly, individual in-depth interviews with five incoming residents during the first six months of training. Focus groups were also held with residents at various stages of training to gather their reflection about their experience of the first six months. Residents were asked to describe their initial concerns, changes that occurred and the influences they attributed to those changes. Results Residents do not begin a Family Medicine PGME program knowing what it means to be a Family Physician, but learn what it means to fulfill this role. This process involves adjusting to significant shifts in responsibility in the areas of Knowledge, Practice Management, and Relationships as they become more responsible for care outcomes. Conclusion This study illuminated the resident perspective of how the transition is experienced. This will assist medical educators to better understand the early training experiences of residents, how these experiences contribute to consolidating their new professional identity, and how to better align teaching strategies with resident learning needs. PMID:28344713

  2. Nurse managers' perspectives of structural and process characteristics related to residents' advance directives in nursing homes.

    Science.gov (United States)

    Krok, Jessica; Dobbs, Debra; Hyer, Kathryn; Polivka-West, LuMarie

    2011-11-01

    This article examines associations between nursing home structural and process characteristics and presence of advance directives and trends over 5 years of advance directives in Florida nursing homes. Our results underscore the importance of nursing homes' processes in facilitating discussions of nursing home residents' end-of-life care preferences. Copyright © 2011 Elsevier Inc. All rights reserved.

  3. The Effect of Strategic Message Selection on Residents' Intent to Conserve Water in the Landscape

    Science.gov (United States)

    Warner, Laura A.; Rumble, Joy; Martin, Emmett; Lamm, Alexa J.; Cantrell, Randall

    2015-01-01

    Changing individuals' behaviors is a critical challenge for Extension professionals who encourage good irrigation practices and technologies for landscape water conservation. Multiple messages were used to influence two predictors of behavioral intent informed by the theory of planned behavior, Florida residents' (N = 1,063) attitude and perceived…

  4. The Investigation and Countermeasure Research on the Present Situation of the Knowledge and Skills of the Residents of Nanaodao%南澳岛居民常用急救知识与技能的现状调查与对策研究

    Institute of Scientific and Technical Information of China (English)

    刘连珍

    2016-01-01

    Objective To understand the knowledge and skills of the common emergency knowledge and skills of residents in Nan-aodao,and to discuss the effective training method of common first-aid knowledge and skills.Methods 200 Nanao Island community residents were commonly used first-aid knowledge and skills to grasp the situation by questionnaire survey and aiming at the weak link in the survey found that the training,training content mainly includes oral instruction and skills simulation exercises,contrast before and after the training,the South Australian island residents commonly used first -aid knowledge and skills of the master.Results Origing of three respectively for TV,books and classroom acquisition of Nanao Island residents commonly used first-aid knowledge and skills,respectively,accounting for 64.0% and 5 1.0% and 35.0%;training of residents to commonly used first-aid knowledge and skills to grasp the situation of poor,grasp the best project before three medical emergency number,fire emergency measures,pesti-cide poisoning first aid were 86.0%,78.0% and 68.0%;after training residents of commonly used first-aid knowledge and skills mastery level was significantly increased,the project survey were significantly better than those before the training,medical emergency number,fire emergency measures,sprain approach to grasp the situation is reached to 100.0%.Conclusion Nanao Island residents commonly used first-aid knowledge and skills mastery of the poor,through training to improve,verbal guidance,issuing brochures, skills simulation exercises is effective training measures.%目的:了解南澳岛居民常用急救知识与技能的掌握情况,并探讨常用急救知识与技能的有效培训方法。方法:采用问卷调查形式对200名南澳岛社区居民进行常用急救知识与技能掌握情况的调查,并针对调查中发现的薄弱环节进行培训,培训内容主要包括口头指导和技能模拟演练,对比培训前后南澳岛

  5. 邯郸市社区居民慢性病防控核心知识及获取途径分析%Research on the master level and acquisition mode of the core knowledge about chronic disease prevention and control among community residents in Handan City

    Institute of Scientific and Technical Information of China (English)

    黄春广; 刘风琴; 闫晓强; 周怡; 杨阳

    2015-01-01

    about chronic dis-ease prevention and control among community residents,and to provide basis for health education of chronic disease.Meth-ods By stratified random sampling method,300 people over the age of 18 were selected from 6 communities and 6 villa-ges.Using the form of face-to-face questionnaire survey,understand the master level and acquisition mode of the core knowl-edge about chronic disease prevention and control,such as healthy lifestyle,normal weight and blood pressure,and the dangers of overweight and hypertension among community residents.Results The core knowledge about chronic disease pre-vention and control of community residents was 48.7%,and the awareness rate of male was 46.2%,and the female was 50.6%;91.9% of respondents mastered the core of chronic disease knowledge in 35 -44 years old,under 35 were 20.8%-37.5%,and over 45 were 49.5% -50.0% (P <0.01);and the urban residents was 54.7%,and the rural residents was 42.7% (P <0.05);elementary school education or less,middle-school education and college degree or above in chronic disease knowledge rate respectively was 7.7%,50.2% and 61.0% (P <0.01);the percent of institution staff, workers,farmers,domestic workers and students with core knowledge of chronic disease were 94.3%,50.7%,31.7%, 60.7% and 15.4% (P <0.01).The percent of men who got knowledge by heard,watching TV and reading was 64.4%, 42.4%,18.9% (P <0.01),and the women was 53.0%,51.8%,20.8% (P <0.01),logistic regression showed that women got more knowledge of chronic disease than men through watching TV;there were differences in the knowledge of chronic diseases between different age groups by heard,watching TV and reading (P <0.05),and the number of people who had acquired chronic diseases knowledge by reading was reduced with age;logistic regression showed that institution staff,workers,farmers,domestic workers and students through watching TV to obtain the knowledge of chronic diseases had a reduction trend;rural residents got more

  6. Forensic Pathology Education in Pathology Residency

    Science.gov (United States)

    Ross, Wayne K.; Domen, Ronald E.

    2017-01-01

    Forensic pathology is a fundamental part of anatomic pathology training during pathology residency. However, the lack of information on forensic teaching suggests the highly variable nature of forensic education. A survey of pathology residency program directors was performed to determine key aspects of their respective forensic rotations and curriculum. A total of 38.3% of programs from across the country responded, and the survey results show 5.6% don’t require a forensic pathology rotation. In those that do, most forensic pathology rotations are 4 weeks long, are done at a medical examiner’s office, and require set prerequisites. A total of 21.1% of responding programs have residents who are not receiving documented evaluations for this rotation. While 39.6% of programs have a defined forensics curriculum, as many as 15% do not. Furthermore, nearly 43% of programs place no limit on counting forensic autopsies when applying for pathology board examinations. Our survey confirmed the inconsistent nature of forensic pathology training in resident education. Additionally, our curriculum was reorganized to create a more robust educational experience. A pre- and post-forensic lecture quiz and Resident In-Service Examination scores were analyzed to determine our curriculum’s impact and effectiveness. Analysis of our pre- and post-lecture quiz showed an improved overall average as well as an increase in Resident In-Service Examination scores, indicating improved general forensic pathology knowledge. Using this knowledge, along with changes in our curriculum, we generated a number of recommendations for improving forensic pathology education in pathology residency. PMID:28913415

  7. Phage therapy for Florida corals?

    Science.gov (United States)

    Kellogg, Christina A.

    2007-01-01

    Coral disease is a major cause of reef decline in the Florida Keys. Bacterium has been defined as the most common pathogen (disease-causing organism). Although much is being done to catalog coral diseases, map their locations, determine the causes of disease, or measure the rates of coral demise, very little research has been directed toward actually preventing or eliminating the diseases affecting coral and coral reef decline.

  8. Internal Medicine Residents' Training in Substance Use Disorders: A Survey of the Quality of Instruction and Residents' Self-Perceived Preparedness to Diagnose and Treat Addiction

    Science.gov (United States)

    Wakeman, Sarah E.; Baggett, Meridale V.; Pham-Kanter, Genevieve; Campbell, Eric G.

    2013-01-01

    Background: Resident physicians are the direct care providers for many patients with addiction. This study assesses residents' self-perceived preparedness to diagnose and treat addiction, measures residents' perceptions of the quality of addictions instruction, and evaluates basic knowledge of addictions. Methods: A survey was e-mailed to 184…

  9. Internal Medicine Residents' Training in Substance Use Disorders: A Survey of the Quality of Instruction and Residents' Self-Perceived Preparedness to Diagnose and Treat Addiction

    Science.gov (United States)

    Wakeman, Sarah E.; Baggett, Meridale V.; Pham-Kanter, Genevieve; Campbell, Eric G.

    2013-01-01

    Background: Resident physicians are the direct care providers for many patients with addiction. This study assesses residents' self-perceived preparedness to diagnose and treat addiction, measures residents' perceptions of the quality of addictions instruction, and evaluates basic knowledge of addictions. Methods: A survey was e-mailed to 184…

  10. Screening for tuberculosis in 3 940 residents of a section and the survey of its related knowledge%某小区3940名居民肺结核筛查及相关知识调查

    Institute of Scientific and Technical Information of China (English)

    龚涛

    2014-01-01

    Objective: To investigate the prevalence of tuberculosis of the residents in a section of Kangjian Community. Methods: The questionnaire survey and DR chest X-ray screening were used. Results: Two hundred and eighty-seven cases (7.28%) of 3 940 residents were found as the suspected ones and 14 were diagnosed as tuberculosis, in which four cases were active tuberculosis and 10 cases old tuberculosis. Its prevalence rate was 101/100,000. Conclusion: The survey has accumulated the valuable epidemiological basic data for tuberculosis prevention and control in Xuhui District, and tuberculosis is still the main disease for prevention and control in the future.%目的:了解康健街道某小区居民肺结核患病状况。方法:问卷调查;DR 胸片拍摄筛查。结果:3940名居民中胸片异影者287例(7.28%),确诊肺结核患者共14例,其中活动性肺结核4例,陈旧性肺结核10例。患病率为101/10万。结论:调查为徐汇区结核病防治积累了流行病学基础资料,肺结核仍是今后重点防治的疾病。

  11. Deprivation of Dignity in Nursing Home Residents

    DEFF Research Database (Denmark)

    Høy, Bente

    2012-01-01

    deepened knowledge in how to maintain and promote dignity in nursing home residents. The purpose of this paper is to present results concerning the question: How is nursing home residents’ dignity maintained or deprived from the perspective of close family caregivers? In this presentation we only focus...... on deprivation of dignity. Methodology: The overall design of this study is modified clinical application research. The study took place at six different nursing home residences in Sweden, Denmark and Norway. Data collection methods were individual research interviews. All together the sample consisted of 28...

  12. Analysis on Current Status of Influenza A(H1N1)Knowledge and Related Determinants Among 2,311 Residents in Hunan%湖南省2311名居民甲型H1N1流感知识现状及其影响因素分析

    Institute of Scientific and Technical Information of China (English)

    曹仲辉; 徐小生; 王五红; 凌建军; 张艳; 罗家有

    2011-01-01

    目的 了解湖南省居民甲型H1N1流感知识现状及其影响因素,为开展社区居民甲型H1N1流感知识健康教育提供科学依据.方法 采用问卷调查的方式,对2311名社区居民进行调查,采用Logistic回归分析方法 筛选甲型H1N1流感知识现况的影响因素.结果 被调查对象中,获取甲型H1N1流感知识的主要途径为电视86.6%、报纸53.3%和网络51.9%;公众对于甲型H1N1流感知识的总知晓率为36.4%,其中"是否知道甲型H1N1流感"的知晓率为93.3%;甲型H1N1流感的主要临床表现、潜伏期和传播途径,分别为52.9%、43.5%和38.5%;而甲型H1N1流感的治疗方式、预防主要措施、传染期和抗病毒药物分别为21.9%、20.8%、17.1%和3.6%;多因素Logistic回归分析结果 显示:性别、职业和文化程度与甲型H1N1流感知识得分有关.结论 居民甲型H1N1流感知识水平有待提高,应采取针对性健康教育干预,以提高社区居民应对甲型H1N1流感的能力.%Objective To investigate the current situation of influenza A (H1N1) knowledge end the related determinants among the residents in Hunan Province, and to provide the evidence for developing the health education about influenza A (H1N1). Methods Totally 2,311 randomly selected residents were surveyed by a standard questionnaire. Logistic regression models were used to screen the determinants on influenza A (H1N1) knowledge. Results The main channels of acquiring knowledge about influenza A (H1N1) were television (86.6%), newspapers (53.3%) and intemet (51.9%). The total awareness rate of knowledge about influenza A (H1N1) was 36.4%, of which the awareness rate of cognition about influenzaA (H1N1) was 93.3%. The clinical symptoms, latent period and transmission routes of influenza A (H1N1) were 52.9%, 43.5% and 38.5%, respectively. The therapy, preventive measures, infective period and antiviral drug were 21.9%, 20.8%, 17.1% and 3.6%, respectively. Data from

  13. Relations between well-field pumping and induced canal leakage in east-central Miami-Dade County, Florida, 2010-2011

    Science.gov (United States)

    Nemec, Katherine; Antolino, Dominick J.; Turtora, Michael; Adam Foster,

    2015-08-26

    An extensive canal and water management system exists in south Florida to prevent flooding, replenish groundwater, and impede saltwater intrusion. The unconfined Biscayne aquifer, which underlies southeast Florida and provides water for millions of residents, interacts with the canal system. The Biscayne aquifer is composed of a highly transmissive karst limestone; therefore, canal stage and flow may be affected by production well pumping, especially in locations where production wells and canals are in proximity.

  14. Tablet Computing in Clinical Training of Pediatric Residents.

    Science.gov (United States)

    Howard, David J; Coovert, Sally A; Coovert, Michael D; Nelson, Robert M

    2015-07-01

    Medical residents receive both medical education and clinical skills training. New technologies and pedagogies are being developed to address each of these phases. Our research focuses on the efficacy of an iPad(®) (Apple, Cupertino, CA) for clinical skills training. For a period of 3 years, the University of South Florida provided incoming pediatric residents (n=94) with an iPad. At the end of the 3-year program, we surveyed the residents, measuring perceptions and satisfaction of iPad use in clinical training. Sixty percent of the residents responded to the survey. Ninety-three percent reported at least some iPad usage per day on clinical activities. We classified 13 facets of clinical training into three conceptual areas and provided figures detailing iPad use for each facet relative to other facets in the same cluster. The obtaining, management, and display of information are primary uses of iPad applications in clinical training. Finally, we provide information relative to perceived obstacles in clinical training, with weight of the device being the most frequently cited. The role of graduate medical education is changing with the introduction of new technologies. These technologies can differentially impact the various aspects of residency education and training. Residents reported using an iPad extensively in their clinical training. We argue that in addition to impacting traditional educational strategies, iPads can successfully facilitate aspects of clinical training in medical education.

  15. Training Experiences of Family Medicine Residents on Behavioral Health Rotations.

    Science.gov (United States)

    Zubatsky, Max; Brieler, Jay; Jacobs, Christine

    2017-09-01

    Although accreditation guidelines for residency in family medicine include behavioral health curriculum, little is known about resident learning activities in real world training. Our study explored residents' perceptions about and exposure to specific activities during their behavioral health rotations. Family medicine residents (N=84) recruited via faculty list serves completed a survey about their experiences during behavioral health rotations. The survey included quantitative Likert scale questions, along with open-ended questions on which a qualitative content analysis was performed. Open-ended responses indicated that many residents receive constructive observation and collaboration opportunities during their training month. However, residents wanted more time to practice behavioral health skills beyond the rotation, more practice in psychotherapy skills, and additional education on medication management. Most residents (62%) received either limited or no training in couples or family therapy during their behavioral health rotation. Residents who reported more behavioral health knowledge gain during the rotation also reported higher self-perceived competency using Motivational Interviewing (M=3.82, P<.01). While family medicine as a discipline is based on the biopsychosocial model of care, residents reported deficits in education about family systems. Residents desire additional opportunities to learn psychotherapy techniques and practice counseling skills. Family medicine residency programs and faculty may consider supplementing their core behavioral curriculum to include these content areas.

  16. Training Pediatric Residents to Provide Smoking Cessation Counseling to Parents

    Directory of Open Access Journals (Sweden)

    Rebecca L. Collins

    2005-01-01

    Full Text Available The objective was to assess the effectiveness of a smoking cessation educational program on pediatric residents' counseling. Residents were randomly selected to receive the intervention. Residents who were trained were compared to untrained residents. Self-reported surveys and patient chart reviews were used. Measures included changes in self-reported knowledge, attitudes and behaviors of residents, and differences in chart documentation and caretaker-reported physician counseling behaviors. The intervention was multidimensional including a didactic presentation, a problem-solving session, clinic reminders, and provision of patient education materials. Results showed that residents who were trained were more likely to ask about tobacco use in their patients' households. They were also more likely to advise caretakers to cut down on or to quit smoking, to help set a quit date, and to follow up on the advice given at a subsequent visit. Trained residents were more likely to record a history of passive tobacco exposure in the medical record. These residents also reported improved confidence in their counseling skills and documented that they had done such counseling more often than did untrained residents. Caretakers of pediatric patients who smoke seen by intervention residents were more likely to report that they had received tobacco counseling. Following this intervention, pediatric residents significantly improved their behaviors, attitudes, and confidence in providing smoking cessation counseling to parents of their pediatric patients.

  17. Burnout Syndrome During Residency.

    Science.gov (United States)

    Turgut, Namigar; Karacalar, Serap; Polat, Cengiz; Kıran, Özlem; Gültop, Fethi; Kalyon, Seray Türkmen; Sinoğlu, Betül; Zincirci, Mehmet; Kaya, Ender

    2016-10-01

    The aim of this study is identified the degree of Burnout Syndrome (BOS) and find out its correlation with years of recidency and sociodemograpfic chareacteristics, training, sleeping habits, such as smoking and alcohol consumption. After approval from the Hospital Ethics Committee and obtaining informed consent, First, second, third, fourth and fifth year of recidency staff (n=127) working in our hospital were involved in this study. The standardized Maslach Burnout Inventory (MBI) was used in this study. Fifty six male (44.1%) and seventy one female (55.9%) residents were enroled in this study (Coranbach Alfa(α)=0.873). 57% of the first year residents smokes cigaret and 54% of them use alcohol. 2% of them gets one day off after hospital night shift, 61% of them suffers from disturbed sleep. 60% of them had been stated that they willingly selected their profession. 61% of them prefers talking to friends and 32% of them prefers shopping to overcome stress. There were statistical difference acording to years of recidency in MBI, Emotional Burnout (EB) and desensitisation scale (DS) points. EB scale points of the second year of residency group was statisticaly higher than fourth year of residency group. DS points of second year of residency group was also statisticaly higher than the third and fourth year of residency group. There was no statistical difference between any groups in Personal Success. BOS is a frequent problem during residency in anaesthesia. Appropriate definition and awareness are the first important steps to prevent this syndrome. Further administrative approaches should be evaluated with regard to their effects.

  18. Woody biomass production systems for Florida

    Energy Technology Data Exchange (ETDEWEB)

    Rockwood, D.L.; Pathak, N.N.; Satapathy, P.C. (Florida Univ., Gainesville, FL (United States). Dept. of Forestry)

    1993-01-01

    Woody biomass production research in Florida has addressed genetic improvement, coppice productivity, clonal propagation, biomass properties, and economics of Eucalyptus and other species in short rotation, intensive culture systems. Improved E. grandis seedlings could more than double productivity, but exceptional clones offer more immediate potential in southern Florida. E. tereticornis and E. camaldulensis appear to have frost-resistance and good growth in central and southern Florida. For northern Florida, E. amplifolia has good frost-resilience and coppicing ability. Eucalytpus species are suitable for fermentation processes. Other promising species include Casuarina glauca and Taxodium distichum in southern Florida, and Sapium sebiferum state-wide. Break-even costs for biomass production systems with Eucalyptus range from approximately $2.00 to $4.00 GJ[sup -1]; short rotation culture appears feasible for slash pine in northern and central Florida but cannot yet be advised for sand pine. (author)

  19. 2008 NWFWMD (Northwest Florida Water Management District) Florida LiDAR: Inland Okaloosa County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This Light Detection and Ranging (LiDAR) LAS dataset is a survey of inland Okaloosa County, Florida not covered in the 2008 Florida Department of Emergency...

  20. Analysis of Resident Case Logs in an Anesthesiology Residency Program

    DEFF Research Database (Denmark)

    Yamamoto, Satoshi; Tanaka, Pedro; Madsen, Matias Vested;

    2016-01-01

    Our goal in this study was to examine Accreditation Council for Graduate Medical Education case logs for Stanford anesthesia residents graduating in 2013 (25 residents) and 2014 (26 residents). The resident with the fewest recorded patients in 2013 had 43% the number of patients compared with the...

  1. The Impact of One Florida Initiative on Florida's Public Law Schools: A Critical Race Theory Analysis

    Science.gov (United States)

    Hilton, Adriel A.; Gasman, Marybeth; Wood, J. Luke

    2013-01-01

    The purpose of this study is to examine the impact of the One Florida Initiative (OFI) on racial diversity in Florida's public law schools and legal profession using the lens of Critical Race Theory (CRT). This study seeks to determine what, if any, impact this event has had on recruitment, admissions, and enrollment of Florida's public schools of…

  2. Knowledge and Architectural Practice

    DEFF Research Database (Denmark)

    Verbeke, Johan

    2017-01-01

    This paper focuses on the specific knowledge residing in architectural practice. It is based on the research of 35 PhD fellows in the ADAPT-r (Architecture, Design and Art Practice Training-research) project. The ADAPT-r project innovates architectural research in combining expertise from academia...... and from practice in order to highlight and extract the specific kind of knowledge which resides and is developed in architectural practice (creative practice research). The paper will discuss three ongoing and completed PhD projects and focusses on the outcomes and their contribution to the field....... Specific to these research projects is that the researcher is within academia but stays emerged in architectural practice. The projects contribute to a better understanding of architectural practice, how it develops and what kind of knowledge is crucial. Furthermore, the paper will develop a reflection...

  3. Integrated bariatric surgery residency

    Directory of Open Access Journals (Sweden)

    Eltorai AE

    2014-11-01

    Full Text Available Adam EM Eltorai Warren Alpert Medical School of Brown University, RI, USA Abstract: Obesity is a major public health concern. Given its lasting efficacy for improving obesity and obesity-related diseases, bariatric surgery is an increasingly common treatment option. As the implementation of the Affordable Care Act progresses, the impending physician shortage will become more severe. Thus there will be an even greater need for doctors specialized in the management and treatment of obese patients. The development of integrated bariatric surgery residency programs could be considered and is discussed herein. Keywords: obesity, bariatric surgery, integrated residency, surgery education

  4. [University residence halls: socialization processes and drug consumption].

    Science.gov (United States)

    Laranjo, Thais Helena Mourão; Soares, Cássia Baldini

    2006-12-01

    To investigate and analyze the discourse of students living in university residence halls regarding socialization processes and drug consumption. This was qualitative research among 20 undergraduate students living in university residence halls in the city of São Paulo, Brazil, in 2003. Residence halls were taken to be socialization spaces for young people that enable the presence of low-income students at university. The interviews covered students' knowledge of the history of the residence hall, their experience of living in student residences and their perceptions regarding drug consumption. The methodological procedure that served as the basis for collection, organization and analysis of the interview data was examination of the collective discourse of the subjects. It was shown that the students had little knowledge of the history of the residence hall; solutions for problems they faced in the residence hall were sought individually; and the two main concepts observed among the people living there for preventing drug consumption were war on drugs and damage limitation. It was seen that there was a negative view regarding student residence halls that related to the constant publication of disturbing events and lack of knowledge of the importance of residence halls for enabling poor students to remain at university. In the opinion of the people living in student residence halls, such accommodation enables access to university, despite the difficulties in living together and in administration by the university. With regard to the use of drugs in the residence hall, some of the people living there emphasized the need for less tolerance towards drug consumption, while others stressed the importance of educational work, particularly among those who are just starting to live there.

  5. Knowledge management

    OpenAIRE

    Jarošová, Milena

    2008-01-01

    Theoretical part: Basic terms of knowledge management, knowledge worker, knowledge creation and conversion process, prerequisites and benefits of knowledge management. Knowledge management and it's connection to organizational culture and structure, result measurements of knowledge management, learning organization and it's connection to knowledge management. Tacit knowledge management tools -- stories -- types, how to create, practical use, communities, coaching. Value Based Organization. Pr...

  6. Benthic Habitats of Estero Bay Area, Florida 1999 Geodatabase

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Data produced for the Florida Fish and Wildlife Conservation Commission's Florida Marine Research Institute (FMRI) in partnership with the South Florida Water...

  7. Benthic Habitats of Estero Bay Area, Florida 1999 Biotic

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Data produced for the Florida Fish and Wildlife Conservation Commission's Florida Marine Research Institute (FMRI) in partnership with the South Florida Water...

  8. Benthic Habitats of Estero Bay Area, Florida 1999 Geoform

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Data produced for the Florida Fish and Wildlife Conservation Commission's Florida Marine Research Institute (FMRI) in partnership with the South Florida Water...

  9. Benthic Habitats of Estero Bay Area, Florida 1999 Substrate

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Data produced for the Florida Fish and Wildlife Conservation Commission's Florida Marine Research Institute (FMRI) in partnership with the South Florida Water...

  10. Factors associated with interest in subspecialty training among neurology residents.

    Science.gov (United States)

    Teixeira-Poit, Stephanie M; Halpern, Michael T; Kane, Heather L; Frost, A Corey; Keating, Michael; Olmsted, Murrey

    2015-01-01

    PHENOMENON: Previous studies have not explored factors associated with decisions among neurology residents to pursue subspecialty training within neurology. Understanding career choices among neurology residents, particularly decisions regarding subspecialty training, is critical, as neurologists with specialized knowledge can help meet the needs of patients with specific disease conditions. This study addresses the knowledge gap about subspecialty training decisions by examining factors associated with neurology residents' interest in pursuing subspecialty training and the types of subspecialty training neurology residents consider. We surveyed a geographically stratified sample of neurology residents in U.S. training programs using a two-stage survey design. In Stage 1, we randomly sampled half of the accredited neurology residency programs stratified by U.S. census region; Stage 2 involved a survey of neurology residents within these programs. The majority (approximately 81%) of residents expressed interest in subspecialty training. Resident demographic characteristics and educational debt did not influence interest in pursuing subspecialty training. Residents were more likely to express interest in subspecialty training when they participated in any neurology research (odds ratio [OR] = 2.39), 95% confidence interval (CI) [1.13, 5.07], p = .02, and indicated more interest in careers involving teaching (OR = 8.33), 95% CI [1.64, 42.19], p = .01. Considering the "medical content of subspecialty" as a more important factor approached but did not reach statistical significance (OR = 3.12), 95% CI [0.97, 10.06], p = .06. Insights: Participation in any neurology research and interest in careers involving teaching are associated with interest in subspecialty training among neurology residents. Further research is needed to determine whether exposure to research and teaching stimulates interest in subspecialty training and whether residents believe that subspecialty

  11. Financial debt of orthopedic residents.

    Science.gov (United States)

    Hwang, John S; Beebe, Kathleen S; Benevenia, Joseph; Karanfilian, Briette; Berberian, Wayne S

    2012-04-01

    Many orthopedic residents accrue considerable debt by residency graduation. These debts for graduating medical students continue to increase due to the yearly increase of medical school tuition. The purpose of this study was to examine the causes of financial debt, as well the effects of debt on orthopedic residents.Orthopedic residents from postgraduate years 1 to 5 (N=27) completed an anonymous, optional financial survey. The survey asked questions regarding the characteristics of the residents' debt and their concern caused by their debt. All residents from our institute (N=27) voluntarily participated in the survey. The residents consisted of 4 (15%) women and 23 (85%) men, with 14 (56%) single residents and 12 (44%) married residents. No statistically significant difference existed in total debt >$100,000 between single and married residents or men and women. Forty-eight percent (n=13) of the residents had medical educational debt >$100,000, whereas 45% (n=12) had total debt >$200,000. Residents with total debt >$100,000 were concerned about their debt, whereas 1 of 4 residents with orthopedic residents financially and may cause stress and hinder their medical training. Appropriate measures should be taken to help residents properly manage their debt and to provide supplemental assistance with their financial struggles.

  12. Resident fatigue in otolaryngology residents: a Web based survey.

    Science.gov (United States)

    Nida, Andrew M; Googe, Benjamin J; Lewis, Andrea F; May, Warren L

    2016-01-01

    Resident fatigue has become a point of emphasis in medical education and its effects on otolaryngology residents and their patients require further study. The purpose of our study was to evaluate the prevalence and nature of fatigue in otolaryngology residents, evaluate various quality of life measures, and investigate associations of increased fatigue with resident safety. Anonymous survey. Internet based. United States allopathic otolaryngology residents. None. The survey topics included demographics, residency structure, sleep habits and perceived stress. Responses were correlated with a concurrent Epworth Sleep Scale questionnaire to evaluate effects of fatigue on resident training and quality of life. 190 residents responded to the survey with 178 completing the Epworth Sleep Scale questionnaire. Results revealed a mean Epworth Sleep Scale score of 9.9±5.1 with a median of 10.0 indicating a significant number of otolaryngology residents are excessively sleepy. Statistically significant correlations between Epworth Sleep Scale and sex, region, hours of sleep, and work hours were found. Residents taking in-house call had significantly fewer hours of sleep compared to home call (p=0.01). Residents on "head and neck" (typically consisting of a large proportion of head and neck oncologic surgery) rotations tended to have higher Epworth Sleep Scale and had significantly fewer hours of sleep (p=.003) and greater work hours (potolaryngology residents are excessively sleepy. Our data suggest that the effects of fatigue play a role in resident well-being and resident safety. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. The problem resident behavior guide: strategies for remediation.

    Science.gov (United States)

    Williamson, Kelly; Quattromani, Erin; Aldeen, Amer

    2016-04-01

    In 2012, the ACGME supplemented the core competencies with outcomes-based milestones for resident performance within the six competency domains. These milestones address the knowledge, skills, abilities, attitudes, and experiences that a resident is expected to progress through during the course of training. Even prior to the initiation of the milestones, there was a paucity of EM literature addressing the remediation of problem resident behaviors and there remain few readily accessible tools to aid in the implementation of a remediation plan. The goal of the "Problem Resident Behavior Guide" is to provide specific strategies for resident remediation based on deficiencies identified within the framework of the EM milestones. The "Problem Resident Behavior Guide" is a written instructional manual that provides concrete examples of remediation strategies to address specific milestone deficiencies. The more than 200 strategies stem from the experiences of the authors who have professional experience at three different academic hospitals and emergency medicine residency programs, supplemented by recommendations from educational leaders as well as utilization of valuable education adjuncts, such as focused simulation exercises, lecture preparation, and themed ED shifts. Most recommendations require active participation by the resident with guidance by faculty to achieve the remediation expectations. The ACGME outcomes-based milestones aid in the identification of deficiencies with regards to resident performance without providing recommendations on remediation. The Problem Resident Behavior Guide can therefore have a significant impact by filling in this gap.

  14. Global health education in general preventive medicine residencies.

    Science.gov (United States)

    Bussell, Scottie A; Kihlberg, Courtney J; Foderingham, Nia M; Dunlap, Julie A; Aliyu, Muktar H

    2015-05-01

    Opportunities for global health training during residency are steadily increasing. For example, surveys show that more than half of residency programs now offer international electives. Residency programs are increasingly recognizing that global health training improves communication skills, fosters awareness of health disparities, and inspires careers in primary care and public health. Although research has focused on global health education in other specialties, there is a paucity of research on global health training in public health and general preventive medicine (GPM). We sought to describe the extent of global health training across GPM residencies, capture the perspectives of program directors regarding competencies residents need for careers in global health, and identify program directors' perceived barriers to providing global health training. The survey was sent electronically to 42 U.S. GPM residency program directors from September to October 2013. Twenty-three completed surveys were returned. Information from residencies that did not complete the study survey was collected through a predefined search protocol. Data analysis was performed from February through July 2014. Among program directors completing the survey, the most common types of reported global health education were courses (n=17), followed by international rotations (n=10). Ten program directors indicated that resident(s) were involved in global health training, research, or service initiatives. Commonly perceived barriers included funding (87%), scheduling (56.5%), and partnership and sustainability (34.8%). Through global health coursework, research, and practicum rotations, GPM residents could acquire skills, knowledge, and attitudes contributing to careers in global health.

  15. Valued characteristics of community pharmacy residency applicants.

    Science.gov (United States)

    Scalise, Alissa A; Ležaja, Gabrielle S; Nemec, Eric C; Spooner, Joshua J; Kennedy, Daniel R

    To determine the attributes of postgraduate year 1 (PGY1) community pharmacy residency applicants and candidates that are most appealing to community residency program directors (CRPDs). A 22-question online survey, designed to collect residency demographics, desirable characteristics for consideration for interview invitation (applicants), and characteristics that should be displayed during an interview (candidates). American Society of Health-System Pharmacists (ASHP)-recognized community pharmacy residency programs (CPRPs). The CRPDs of 109 ASHP-recognized CPRPs throughout the United States. Not applicable. Minimum applicant requirements; rank order of valued characteristics at application and interview stage of hiring process. The response rate was 71/109 (65.1%). Applicant work experience in chain pharmacy (90.1%) and independent pharmacy (77.5%) was most highly valued by CRPDs, with 85.9% preferring applicants with a minimum of 1 year or more of community pharmacy experience. A large majority of CPRPs (91.4%) indicated a preference for applicants who have been an officer of a student organization. Among CPRPs that required minimum grade point averages (GPAs), a mean GPA of 2.88 ± 0.34 was reported (range 2.0 to 3.5; mode 3.0). Pharmacy work experience (68.1%) and letters of recommendation (59.4%) were most frequently cited as top factors in the decision-making process for selecting candidates to interview. At the interview stage, CRPDs rated interest and knowledge about the residency (62.3%), time management and prioritization (50.7%), and self-awareness and commitment to improvement (43.5%) as the most important skills for candidates to demonstrate. Community pharmacy work experience, organizational leadership experience, and positive letters of recommendation appear to be the most valued attributes of a community pharmacy residency applicant. Applicants should consider aligning themselves with these characteristics to successfully match to a community

  16. A Fine Arts Residency.

    Science.gov (United States)

    Riggs, Patricia L.

    1982-01-01

    A four-week writer-in-residence program designed to stimulate the creativity of K-5 students was held in the Briar Glen Library Media Center, Wheaton, Illinois, with poet Joan Colby. This description of the program includes information on planning, funding, and future plans. (CHC)

  17. Selection of Anesthesiology Residents.

    Science.gov (United States)

    Baker, J. David, III; And Others

    1993-01-01

    Selection data for all Medical University of South Carolina anesthesiology residency applicants (about 200 per year) and the 8 selected per year were compared for 4 years. Results showed standardized test scores, grades, and class ranks of those selected were not higher than of others, but interview and recommendation scores were higher.…

  18. Summer lodge residency

    OpenAIRE

    Morrad, Annie

    2015-01-01

    The summer lodge residency was based in Nottingham from June 29th to July 10th Each of the artists was given a studio space and technical facilities. There were discussion points and meals, a seminar day, open presentations and reflection time.

  19. Orthopedic Resident Anatomy Review Course: A Collaboration between Anatomists and Orthopedic Surgeons

    Science.gov (United States)

    DeFriez, Curtis B.; Morton, David A.; Horwitz, Daniel S.; Eckel, Christine M.; Foreman, K. Bo; Albertine, Kurt H.

    2011-01-01

    A challenge for new residents and senior residents preparing for board examinations is refreshing their knowledge of basic science disciplines, such as human gross anatomy. The Department of Orthopaedics at the University of Utah School of Medicine has for many years held an annual Orthopedic Resident Anatomy Review Course during the summer months…

  20. Orthopedic Resident Anatomy Review Course: A Collaboration between Anatomists and Orthopedic Surgeons

    Science.gov (United States)

    DeFriez, Curtis B.; Morton, David A.; Horwitz, Daniel S.; Eckel, Christine M.; Foreman, K. Bo; Albertine, Kurt H.

    2011-01-01

    A challenge for new residents and senior residents preparing for board examinations is refreshing their knowledge of basic science disciplines, such as human gross anatomy. The Department of Orthopaedics at the University of Utah School of Medicine has for many years held an annual Orthopedic Resident Anatomy Review Course during the summer months…

  1. Residents' Perceptions of Classroom Situated E-Learning for Medical Education

    Science.gov (United States)

    Segerman, Jill

    2013-01-01

    Medical education helps ensure doctors acquire skills and knowledge needed to care for patients. However, resident duty hour restrictions have impacted time residents have for medical education, leaving resident educators searching for innovative options for effective medical education. Classroom situated e-learning, a blended learning delivery…

  2. Pennsylvania SBIRT Medical and Residency Training: Developing, Implementing, and Evaluating an Evidenced-Based Program

    Science.gov (United States)

    Pringle, Janice L.; Melczak, Michael; Johnjulio, William; Campopiano, Melinda; Gordon, Adam J.; Costlow, Monica

    2012-01-01

    Medical residents do not receive adequate training in screening, brief intervention, and referral to treatment (SBIRT) for alcohol and other drug use disorders. The federally funded Pennsylvania SBIRT Medical and Residency Training program (SMaRT) is an evidence-based curriculum with goals of training residents in SBIRT knowledge and skills and…

  3. Florida Has Power-Library Schools

    Science.gov (United States)

    Reynolds-Mixon, Sharon

    2010-01-01

    In this article, the author talks about the Florida Power-Library School (FPLS) program. She describes the why, who, what and how of the Florida Power-Library School initiative, as well as the favorable results for schools. Schools successfully completing this process see relationships among staff and community members strengthened. Library media…

  4. Florida Has Power-Library Schools

    Science.gov (United States)

    Reynolds-Mixon, Sharon

    2010-01-01

    In this article, the author talks about the Florida Power-Library School (FPLS) program. She describes the why, who, what and how of the Florida Power-Library School initiative, as well as the favorable results for schools. Schools successfully completing this process see relationships among staff and community members strengthened. Library media…

  5. Telecommunications in Florida: Training Materials for Teachers.

    Science.gov (United States)

    Eason, Mike; And Others

    1994-01-01

    Describes the use of the Florida Information Resource Network (FIRN) in Florida public schools. Highlights include electronic mail exchanges; online conferences; remote research; classroom resources; training initiatives for teachers to learn about telecommunications; access to other systems and databases; and inservice, hands-on teacher training.…

  6. Lessons Learned from the Florida Teletraining Project.

    Science.gov (United States)

    Martin, Barbara L.; And Others

    The Florida Teletraining Project (FTP) was funded by the Department of Defense to test the feasibility of using a video teletraining network (VTT) (two-way audio/two-way compressed video) to present military instruction to reservists in Florida. The program was to be conducted by two-year community colleges in collaboration with armed forces…

  7. 广州市白云区居民疟疾知识、态度和行为及影响因素调查%Survey of knowledge, attitude, practice and influential factors of malaria among residents in Baiyun District of Guangzhou

    Institute of Scientific and Technical Information of China (English)

    叶浩风; 周勇; 叶双岚; 越朝斌; 李钊宏

    2013-01-01

    Objective To understand the status of knowledge,attitude,and practice of malaria of residents in Baiyun District,and then analyze its influential factors,so as to provide reference evidences for malaria prevention and control in the local area.Methods A total of 501 residents older than 15 years old were investigated the knowledge,attitude and practice on malaria with stratified randomization sampling method.The data were input and analyzed with the Excel and SPSS11.0 software respectively.Results The awareness rate of malaria knowledge was 61.48%.There were significant differences of awareness rate among different areas,ages and educational levels.Multivariable analysis showed that the ages and education level were the significant factors,and the ratios were 1.820,2.496 respectively.Conclusions The level of malaria knowledge needs to be improved,especially in adults of 30 ~50 years old and persons with low education level,and we should perform health education activities pointedly.%目的 了解白云区居民疟疾知识、态度和行为,并分析其影响因素,为本地疟疾防治工作提供参考依据.方法 采用分层随机抽样法抽取白云区501名>15岁居民,问卷调查居民疟疾知识、态度和行为,应用Excel和SPSS 11.0进行数据录入和统计分析.结果 调查人群疟疾知识总知晓率为61.48%,不同地区、年龄、文化程度人群知晓率差异有统计学意义(P<0.01).多因素回归分析,影响居民掌握疟疾知晓知识的因素主要为年龄和文化程度,各因素的比值比分别为1.820、2.496.结论 本地居民疟疾认知水平亟待提高,应重点加强对文化水平较低及中年人群的疟疾知识普及,针对性地开展健康教育活动.

  8. Global Health Simulation During Residency

    Directory of Open Access Journals (Sweden)

    Jane R. Rosenman MD

    2016-08-01

    Full Text Available Resident participation in international health electives (IHEs has been shown to be beneficial, yet not all residents have the opportunity to participate. We sought to determine whether participating in simulated global health cases, via the standardized Simulation Use for Global Away Rotations (SUGAR curriculum, was useful for all pediatric residents, not merely those planning to go on an IHE. Pediatric residents in our program took part in 2 SUGAR cases and provided feedback via an online survey. Thirty-six of 40 residents participated (90%; 72% responded to the survey. Three of 10 residents not previously planning to work in resource-limited settings indicated participation in SUGAR made them more likely to do so. Nearly all residents (88% felt SUGAR should be part of the residency curriculum. All felt better prepared for working cross-culturally. While designed to prepare trainees for work in resource-limited settings, SUGAR may be beneficial for all residents.

  9. An Innovative Clinical Skills “Boot Camp” for Dental Medicine Residents

    Directory of Open Access Journals (Sweden)

    Jenny Castillo

    2017-05-01

    Full Text Available During a 1-year hospital-based residency, dental residents are required to rotate through many departments including surgery, medicine, and emergency medicine. It became apparent that there was a gap between clinical skills knowledge taught in dental school curriculum and skills required for hospital-based patient care. In response, a simulation-based intensive clinical skill “boot camp” was created. The boot camp provided an intensive, interactive 3-day session for the dental residents. During the 3 days, residents were introduced to medical knowledge and skills that were necessary for their inpatient hospital rotations but were lacking in traditional dental school curriculum. Effectiveness of the boot camp was assessed in terms of knowledge base and comfort through presession and postsession surveys. According to resident feedback, this intensive introduction for the dental residents improved their readiness for their inpatient hospital-based residency.

  10. Internal Medicine Residents' Perspectives on Receiving Feedback in Milestone Format.

    Science.gov (United States)

    Angus, Steven; Moriarty, John; Nardino, Robert J; Chmielewski, Amy; Rosenblum, Michael J

    2015-06-01

    In contrast to historical feedback, which was vague or provided residents' numerical scores without clear meaning, milestone-based feedback is focused on specific knowledge, skills, and behaviors that define developmental trajectory. It was anticipated that residents would welcome the more specific and actionable feedback provided by the milestone framework, but this has not been studied. We assessed internal medicine (IM) residents' perceptions of receiving feedback in the milestone framework, particularly assessing perception of the utility of milestone-based feedback compared to non-milestone-based feedback. We surveyed a total of 510 IM residents from 7 institutions. Survey questions assessed resident perception of milestone feedback in identifying strengths, weaknesses, and trajectory of professional development. Postgraduate years 2 and 3 (PGY-2 and PGY-3) residents were asked to compare milestones with prior methods of feedback. Of 510 residents, 356 (69.8%) responded. Slightly less than half of the residents found milestone-based feedback "extremely useful" or "very useful" in identifying strengths (44%), weaknesses (43%), specific areas for improvement (45%), and appropriate education progress (48%). Few residents found such feedback "not very useful" or "not at all useful" in these domains. A total of 51% of PGY-2 and PGY-3 residents agreed that receiving milestone-based feedback was more helpful than previous forms of feedback. IM residents are aware of the concepts of milestones, and half of the residents surveyed found milestone feedback more helpful than previous forms of feedback. More work needs to be done to understand how milestone-based feedback could be delivered more effectively to enhance resident development.

  11. Leadership Training in Otolaryngology Residency.

    Science.gov (United States)

    Bent, John P; Fried, Marvin P; Smith, Richard V; Hsueh, Wayne; Choi, Karen

    2017-06-01

    Although residency training offers numerous leadership opportunities, most residents are not exposed to scripted leadership instruction. To explore one program's attitudes about leadership training, a group of otolaryngology faculty (n = 14) and residents (n = 17) was polled about their attitudes. In terms of self-perception, more faculty (10 of 14, 71.4%) than residents (9 of 17, 52.9%; P = .461) considered themselves good leaders. The majority of faculty and residents (27 of 31) thought that adults could be taught leadership ability. Given attitudes about leadership ability and the potential for improvement through instruction, consideration should be given to including such training in otolaryngology residency.

  12. Resident-to-resident violence triggers in nursing homes.

    Science.gov (United States)

    Snellgrove, Susan; Beck, Cornelia; Green, Angela; McSweeney, Jean C

    2013-11-01

    Certified nurses' assistants (CNAs) employed by a rural nursing home in Northeast Arkansas described their perceptions of resident-to-resident violence in order to provide insight on factors, including unmet needs, that may trigger the phenomenon. Semistructured interviews were conducted with 11 CNAs. Data were analyzed using content analysis and constant comparison. Two categories of triggers emerged from the data-active and passive. Active triggers involved the actions of other residents that were intrusive in nature, such as wandering into a residents' personal space, taking a resident's belongings, and so forth. Passive triggers did not involve the actions of residents but related to the internal and external environment of the residents. Examples were factors such as boredom, competition for attention and communication difficulties. Results indicate that there are factors, including unmet needs within the nursing home environment that may be identified and altered to prevent violence between residents.

  13. [Competency-based Neurosurgery Residency Programme].

    Science.gov (United States)

    Lobato, Ramiro D; Jiménez Roldan, Luis; Alen, José F; Castaño, Ana M; Munarriz, Pablo M; Cepeda, Santiago; Lagares, Alfonso

    2016-01-01

    A programme proposal for competency-based Neurosurgery training adapted to the specialization project is presented. This proposal has been developed by a group of neurosurgeons commissioned by the SENEC (Spanish Society of Neurosurgery) and could be modified to generate a final version that could come into force coinciding with the implementation of the specialization programme. This document aims to facilitate the test of the new programme included in the online version of our journal. Total training period is 6 years; initial 2 years belong to the surgery specialization and remaining 4 years belong to core specialty period. It is a competency-based programmed based on the map used by the US Accreditation Council for Graduate Medical Education (ACGME) including the following domains of clinical competency: Medical knowledge, patient care, communication skills, professionalism, practice-based learning and improvement, health systems, interprofessional collaboration and professional and personal development. Subcompetencies map in the domains of Knowledge and Patient care (including surgical competencies) was adapted to the one proposed by AANS and CNS (annex 1 of the programme). A subcompetency map was also used for the specialization rotations. Resident's training is based on personal study (self-learning) supported by efficient use of information sources and supervised clinical practice, including bioethical instruction, clinical management, research and learning techniques. Resident evaluation proposal includes, among other instruments, theoretical knowledge tests, objective and structured evaluation of the level of clinical competency with real or standardised patients, global competency scales, 360-degree evaluation, clinical record audits, milestones for residents progress and self-assessment (annex 2). Besides, residents periodically assess the teaching commitment of the department's neurosurgeons and other professors participating in rotations, and annually

  14. Understanding what residents want and what residents need: the challenge of cultural training in pediatrics.

    Science.gov (United States)

    Macdonald, Mary Ellen; Carnevale, Franco A; Razack, Saleem

    2007-06-01

    There is increasing recognition of the need for sophistication in the way culture is understood and taught in medicine. A two-phase study designed to understand how best to approach cultural training with pediatric residents was conducted. A needs assessment, consisting of resident and faculty focus groups, was carried out from which a workshop was developed for pediatric residents. The aims were to increase knowledge of local cultures and resources as well as to encourage self-reflection and awareness of cultural issues. Focus group participants were consistent in identifying needs for training in: (1) a specific knowledge base of local cultural groups; (2) skills to better negotiate cultural encounters; (3) reconciling general cultural knowledge with an understanding of individual patient/family beliefs and practices. Analysis of focus group and workshop data suggests that culture is seen as both an obstacle and challenge. Cultural training in medicine uncovers a clash of epistemologies: the promotion of culturally-centered medicine is 'strange' to learners situated within a pedagogical tradition based on a 'familiar' reductionistic view of health. Reconciling these divergent epistemologies requires a paradigm shift in how medicine understands culture and cultural training. These findings raise questions for consideration in other residency programs.

  15. Water Withdrawals, Use, and Trends in Florida, 2005

    Science.gov (United States)

    Marella, Richard L.

    2009-01-01

    generation (20.5 percent), public supply (13 percent), recreational irrigation (6 percent), and commercial-industrial self-supplied (4.5 percent). Power generation accounted for nearly all (99.9 percent) saline-water withdrawals. Of the 17.92 million people who resided in Florida during 2005, 41 percent (7.36 million people) resided in the South Florida Water Management District (SFWMD), followed by the St. Johns River Water Management District (SJRWMD) and the Southwest Florida Water Management District (SWFWMD) with 25 percent each (4.46 and 4.44 million people, respectively), the Northwest Florida Water Management District (NWFWMD) with 7.5 percent (1.34 million people), and the Suwannee River Water Management District (SRWMD) with 1.5 percent (0.32 million people). The largest amount of freshwater withdrawals was from the SFWMD, which was one-half (50 percent) of the State's total freshwater withdrawals, followed by the SJRWMD (19 percent), SWFWMD (16 percent), NWFWMD (10 percent), and SRWMD (5 percent). Between 1950 and 2005, the population of Florida increased by 15.15 million (550 percent), and the total water withdrawals (fresh and saline) increased 15,700 Mgal/d (600 percent). More recently, total withdrawals decreased 1,790 Mgal/d (9 percent) between 2000 and 2005, but the total population increased by 1.94 million (12 percent). Between 1990 and 2005, saline-water withdrawals increased 1,120 Mgal/d (11 percent), whereas between 2000 and 2005, saline-water withdrawals decreased 470 Mgal/d (4 percent). Between 1990 and 2005, freshwater withdrawals decreased 710 Mgal/d (9 percent), whereas between 2000 and 2005, freshwater withdrawals decreased 1,320 Mgal/d (16 percent). The use of highly mineralized groundwater as a source of supply, primarily for public supply, also has increased in Florida. This water, referred as nonpotable water, increased from just less than 2 Mgal/d in 1970, to 142 Mgal/d in 2005. Nonpotable water is treated to meet drin

  16. The Fundamentals of Resident Dismissal.

    Science.gov (United States)

    Schenarts, Paul J; Langenfeld, Sean

    2017-02-01

    Residents have the rights and responsibilities of both students and employees. Dismissal of a resident from a training program is traumatic and has lasting repercussions for the program director, the faculty, the dismissed resident, and the residency. A review of English language literature was performed using PUBMED and OVID databases, using the search terms, resident dismissal, resident termination, student dismissal, student and resident evaluation, legal aspects of education, and remediation. The references of each publication were also reviewed to identify additional appropriate citations. If the Just Cause threshold has been met, educators have the absolute discretion to evaluate academic and clinical performance. Legal opinion has stated that it is not necessary to wait until a patient is harmed to dismiss a resident. Evaluations should be standard and robust. Negative evaluations are not defamatory as the resident gave consent to be evaluated. Provided departmental and institutional polices have been followed, a resident can be dismissed without a formal hearing. Residencies are entitled to modify academic requirements and dismissal is not considered a breach of contract. Although there is anxiety regarding resident dismissal, the courts have uniformly supported faculty having this role. When indicated, failure to dismiss a resident also places the program director and the faculty at risk for educational malpractice.

  17. Assessing Cultural Competence among Florida's Allied Dental Faculty.

    Science.gov (United States)

    Behar-Horenstein, Linda S; Garvan, Cyndi W; Su, Yu; Feng, Xiaoying; Catalanotto, Frank A

    2016-06-01

    The Commission on Dental Accreditation requires that dental, dental hygiene and dental assisting schools offer educational experiences to ensure that prospective dental health care providers become culturally competent, socially responsible practitioners. To assert that these mandates are met requires that the faculty are knowledgeable and capable of providing this type of training. Currently, little is known about the cultural competence of the state of Florida allied dental faculty. The purpose of this study was to assess the cultural competence among the dental hygiene and dental assistant faculty in the state of Florida. One hundred ninety-three faculty were invited to take the Knowledge, Efficacy and Practices Instrument (KEPI), a validated measure of cultural competence. Respondents included 77 (74%) full-time and 27 (26%) part-time faculty. Data were analyzed descriptively and reliabilities (Cronbach's alpha) were computed. Mean scores and internal estimates of reliability on the KEPI subscales were: knowledge of diversity 3.3 (ɑ=0.88), culture-centered practice 3.6 (ɑ=0.88) and efficacy of assessment 2.9 (ɑ=0.74). The participant's score of 3.6 on the culture-centered practice exceeds scores among dental students and faculty who participated in previous studies suggesting the allied dental faculty have a greater awareness of sociocultural and linguistically diverse dental patients' oral health needs. Participants' score on knowledge of diversity subscales suggests a need for moderate training, while their score on the efficacy of assessment subscale indicates a need for more intense training. Assessing faculty beliefs, knowledge and skills about cultural competency is critically important in ensuring that accreditation standards are being met and represents one step in the process of ensuring that faculty demonstrate the type of sensitivity and responsiveness, which characterizes behaviors associated with cultural competence. Copyright © 2016 The

  18. Training Psychiatry Residents in Quality Improvement: An Integrated, Year-Long Curriculum

    Science.gov (United States)

    Arbuckle, Melissa R.; Weinberg, Michael; Cabaniss, Deborah L.; Kistler; Susan C.; Isaacs, Abby J.; Sederer, Lloyd I.; Essock, Susan M.

    2013-01-01

    Objective: The authors describe a curriculum for psychiatry residents in Quality Improvement (QI) methodology. Methods: All PGY3 residents (N=12) participated in a QI curriculum that included a year-long group project. Knowledge and attitudes were assessed before and after the curriculum, using a modified Quality Improvement Knowledge Assessment…

  19. Survey on Food Safety Knowledge, Attitude and Practice Among Community Residents and Staff in Xicheng District of Beijing City%北京市西城区社区居民及工作人员食品安全知—信—行调查

    Institute of Scientific and Technical Information of China (English)

    曹玮; 宋超; 简友平; 杨宏

    2013-01-01

    [Objective] To understand the conditions of cognition and behavior for food safety of people living and working in the center of Beijing city to provide basis for carrying out food safety propagation pertinently and choosing publicity method appropriately.[Method] A survey on food safety knowledge,attitude and practice was carried out among community residents and staff over 18 years of age in Xicheng district.The respondents were selected by cluster random sampling.[Result] Among the 864 people investigated,548 were residents and 316 were staff,and age was between 18 and 85.Of all the respondents,the average score of knowledge was 8.26,which was 55.07 according to the centesimal system.The average score of practice was 6.50,which was 50.00 according to the centesimal system.Totally 94.33% of the respondents showed intention to learn related knowledge of food safety.The biggest obstacle for people to understand the relevant knowledge was too much information with poor credibility.Compared with the stuff,the residents had a lower level but a higher interest of the food-safety-related knowledge.The food-safety-related behavior levels of the two were about the same.[Conclusion] The food-safety-related knowledge levels of the conmunity residents and staff in Xicheng district were generally low.People had many dietary habits which were go against food safety,but they held positive intention to gain related knowledge.In future propaganda and intervention,it was necessary to help people make up for the lack of related knowledge,and change the unhealthy behaviors according to the characteristic of population.%目的:了解在北京市中心城区生活、工作的人们对食品安全的认知和行为情况,为今后有针对性地开展食品安全宣教,选择适宜的教育方法提供依据.方法:采用整群随机抽样的方法对北京市西城区18岁以上的社区居民及工作人员进行有关食品安全知识、态度和

  20. Resident physicians as human information systems: sources yet seekers

    Science.gov (United States)

    Bass, Ellen J; DeVoge, Justin Michael; Waggoner-Fountain, Linda A; Borowitz, Stephen M

    2013-01-01

    Objective To characterize question types that residents received on overnight shifts and what information sources were used to answer them. Materials and Methods Across 30 overnight shifts, questions asked of on-call senior residents, question askers’ roles, and residents’ responses were documented. External sources were noted. Results 158 of 397 questions (39.8%) related to the plan of care, 53 (13.4%) to medical knowledge, 48 (12.1%) to taskwork knowledge, and 44 (11.1%) to the current condition of patients. For 351 (88.4%) questions residents provided specific, direct answers or visited the patient. For 16 of these, residents modeled or completed the task. For 216 questions, residents used previous knowledge or their own clinical judgment. Residents solicited external information sources for 118 questions and only a single source for 77 (65.3%) of them. For the 118, most questions concerned either the plan of care or the patient's current condition and were asked by interns and nurses (those with direct patient care responsibilities). Discussion Resident physicians serve as an information system and they often specifically answer the question using previous knowledge or their own clinical judgment, suggesting that askers are contacting an appropriately knowledgeable person. However, they do need to access patient information such as the plan of care. They also serve an educator role and answer many knowledge-related questions. Conclusions As synchronous verbal communications continue to be important pathways for information flow, informaticians need to consider the relationship between such communications and workflow in the development of healthcare support tools. PMID:23268485

  1. Knowledge and attitudes regarding adverse effects of tobacco and tobacco control among Chinese residents%我国居民对烟草危害及控烟问题的认知情况

    Institute of Scientific and Technical Information of China (English)

    张梅; 李镒冲; 姜勇

    2012-01-01

    Objective To know the knowledge on adverse health effects of tobacco and the attitudes towards tobacco control in China. Methods The proportional probability sampling (PPS) method was used to select 15 883 samples aged 15 to 69 years randomly to respond the standardized questionnaires about the knowledge on hazards of tobacco and attitudes towards tobacco control in Chinese Chronic Disease and Risk Factor Surveillance (2007 ). Proportions of respondents who answered correctly and who kept positive attitude were described. Differences of knowledge and attitudes between smokers and nonsmokers were evaluated by Chi-square test Results Overall, 72. 7% of respondents knew smoking would cause lung cancer and 63. 2% knew passive smoking would cause lung cancer. Proportions of respondents who knew smoking would cause stroke, cataract, abortion and low birth weight infant were 29.6% , 25.4% , 25.1% and 14. 5% , respectively. Compared with nonsmokers, fewer smokers knew those adverse effects ( P <0. 01). Only 9. 2% of respondents were opposed to the statement "The hazard of tobacco marked with ' low tar' is less than that without the label" and 53. 4% of respondents approved this statement Compared with nonsmokers, fewer smokers supported smoke-free public place and approved that government should enforce tobacco control (P <0.01). Conclusion Efforts should be strengthened to help more people be convinced of hazard of tobacco. More than half of respondents approved the statement " Low tar, less harm", which should be alerted and responded by tobacco control agencies.%目的 了解我国居民烟草危害知识以及对控烟相关问题态度的现状.方法 利用2007年中国慢性病及其危险因素监测样本人群,采用多阶段随机抽样方法抽取15 ~69岁成年人15 883人,进行问卷调查,了解我国居民对吸烟危害健康知识的正确回答率以及对控烟相关问题的正向认知率,并采用x2检验比较吸烟者与非

  2. Lawful Permanent Residents - Annual Report

    Data.gov (United States)

    Department of Homeland Security — A lawful permanent resident (LPR) or 'green card' recipient is defined by immigration law as a person who has been granted lawful permanent residence in the United...

  3. Implementation of an Integrative Medicine Curriculum for Preventive Medicine Residents.

    Science.gov (United States)

    Chiaramonte, Delia R; D'Adamo, Christopher; Amr, Sania

    2015-11-01

    The University of Maryland Department of Epidemiology and Public Health collaborated with the Center for Integrative Medicine at the same institution to develop and implement a unique integrative medicine curriculum within a preventive medicine residency program. Between October 2012 and July 2014, Center for Integrative Medicine faculty provided preventive medicine residents and faculty, and occasionally other Department of Epidemiology and Public Health faculty, with comprehensive exposure to the field of integrative medicine, including topics such as mind-body medicine, nutrition and nutritional supplements, Traditional Chinese Medicine, massage, biofield therapies, manual medicine, stress management, creative arts, and the use of integrative medicine in the inpatient setting. Preventive medicine residents, under the supervision of Department of Epidemiology and Public Health faculty, led integrative medicine-themed journal clubs. Resident assessments included a case-based knowledge evaluation, the Integrative Medicine Attitudes Questionnaire, and a qualitative evaluation of the program. Residents received more than 60 hours of integrative medicine instruction, including didactic sessions, experiential workshops, and wellness retreats in addition to clinical experiences and individual wellness mentoring. Residents rated the program positively and recommended that integrative medicine be included in preventive medicine residency curricula. The inclusion of a wellness-focused didactic, experiential, and skill-based integrative medicine program within a preventive medicine residency was feasible and well received by all six preventive medicine residents.

  4. American diagnostic radiology residency and fellowship programmes.

    Science.gov (United States)

    Rumack, Carol Masters

    2011-03-01

    American Diagnostic Radiology Residency and Fellowship programmes are Graduate Medical Education programmes in the United States (US) equivalent to the Postgraduate Medical Education programmes in Singapore. Accreditation Council for Graduate Medical Education (ACGME) accredited diagnostic radiology residency programmes require 5 years total with Post Graduate Year (PGY) 1 year internship in a clinical specialty, e.g. Internal Medicine following medical school. PGY Years 2 to 5 are the core years which must include Radiology Physics, Radiation Biology and rotations in 9 required subspecialty rotations: Abdominal, Breast, Cardiothoracic, Musculoskeletal, Neuroradiology, Nuclear and Paediatric Radiology, Obstetric & Vascular Ultrasound and Vascular Interventional Radiology. A core curriculum of lectures must be organised by the required 9 core subspecialty faculty. All residents (PGY 2 to 4) take a yearly American College of Radiology Diagnostic In-Training Examination based on national benchmarks of medical knowledge in each subspecialty. Because the American Board of Radiology (ABR) examinations are changing, until 2012, residents have to take 3 ABR examinations: (i) ABR physics examination in the PGY 2 to 3 years, (ii) a written examination at the start of the PGY 5 year and (iii) an oral exam at the end of the PGY 5 year. Beginning in 2013, there will be only 2 examinations: (i) the physics and written examinations after PGY 4 will become a combined core radiology examination. Beginning in 2015, the final certifying examination will be given 15 months after the completion of residency. After residency, ACGME fellowships in PGY 6 are all one-year optional programmes which focus on only one subspecialty discipline. There are 4 ACGME accredited fellowships which have a Board Certifi cation Examination: Neuroradiology, Nuclear, Paediatric and Vascular Interventional Radiology. Some ACGME fellowships do not have a certifying examination: Abdominal, Endovascular

  5. Experience with Emergency Ultrasound Training by Canadian Emergency Medicine Residents

    Directory of Open Access Journals (Sweden)

    Daniel J. Kim

    2014-05-01

    Full Text Available Introduction: Starting in 2008, emergency ultrasound (EUS was introduced as a core competency to the Royal College of Physicians and Surgeons of Canada (Royal College emergency medicine (EM training standards. The Royal College accredits postgraduate EM specialty training in Canada through 5-year residency programs. The objective of this study is to describe both the current experience with and the perceptions of EUS by Canadian Royal College EM senior residents. Methods: This was a web-based survey conducted from January to March 2011 of all 39 Canadian Royal College postgraduate fifth-year (PGY-5 EM residents. Main outcome measures were characteristics of EUS training and perceptions of EUS. Results: Survey response rate was 95% (37/39. EUS was part of the formal residency curriculum for 86% of respondents (32/37. Residents most commonly received training in focused assessment with sonography for trauma, intrauterine pregnancy, abdominal aortic aneurysm, cardiac, and procedural guidance. Although the most commonly provided instructional material (86% [32/37] was an ultrasound course, 73% (27/37 of residents used educational resources outside of residency training to supplement their ultrasound knowledge. Most residents (95% [35/37] made clinical decisions and patient dispositions based on their EUS interpretation without a consultative study by radiology. Residents had very favorable perceptions and opinions of EUS. Conclusion: EUS training in Royal College EM programs was prevalent and perceived favorably by residents, but there was heterogeneity in resident training and practice of EUS. This suggests variability in both the level and quality of EUS training in Canadian Royal College EM residency programs.

  6. Analysis of Resident Case Logs in an Anesthesiology Residency Program.

    Science.gov (United States)

    Yamamoto, Satoshi; Tanaka, Pedro; Madsen, Matias Vested; Macario, Alex

    2016-04-15

    Our goal in this study was to examine Accreditation Council for Graduate Medical Education case logs for Stanford anesthesia residents graduating in 2013 (25 residents) and 2014 (26 residents). The resident with the fewest recorded patients in 2013 had 43% the number of patients compared with the resident with the most patients, and in 2014, this equaled 48%. There were residents who had 75% more than the class average number of cases for several of the 12 case types and 3 procedure types required by the Accreditation Council for Graduate Medical Education. Also, there were residents with fewer than half as many for some of the required cases or procedure types. Some of the variability may have been because of the hazards of self-reporting.

  7. Understanding the challenges to facilitating active learning in the resident conferences: a qualitative study of internal medicine faculty and resident perspectives

    Directory of Open Access Journals (Sweden)

    Adam P. Sawatsky

    2015-07-01

    Full Text Available Background: In the Next Accreditation System, the Accreditation Council for Graduate Medical Education outlines milestones for medical knowledge and requires regular didactic sessions in residency training. There are many challenges to facilitating active learning in resident conferences, and we need to better understand resident learning preferences and faculty perspectives on facilitating active learning. The goal of this study was to identify challenges to facilitating active learning in resident conferences, both through identifying specific implementation barriers and identifying differences in perspective between faculty and residents on effective teaching and learning strategies. Methods: The investigators invited core residency faculty to participate in focus groups. The investigators used a semistructured guide to facilitate discussion about learning preferences and teaching perspectives in the conference setting and used an ‘editing approach’ within a grounded theory framework to qualitative analysis to code the transcripts and analyze the results. Data were compared to previously collected data from seven resident focus groups. Results: Three focus groups with 20 core faculty were conducted. We identified three domains pertaining to facilitating active learning in resident conferences: barriers to facilitating active learning formats, similarities and differences in faculty and resident learning preferences, and divergence between faculty and resident opinions about effective teaching strategies. Faculty identified several setting, faculty, and resident barriers to facilitating active learning in resident conferences. When compared to residents, faculty expressed similar learning preferences; the main differences were in motivations for conference attendance and type of content. Resident preferences and faculty perspectives differed on the amount of information appropriate for lecture and the role of active participation in

  8. Rural AIDS Diagnoses in Florida: Changing Demographics and Factors Associated With Survival

    Science.gov (United States)

    Trepka, Mary Jo; Niyonsenga, Theophile; Maddox, Lorene M.; Lieb, Spencer

    2012-01-01

    Purpose To compare demographic characteristics and predictors of survival of rural residents diagnosed with acquired immunodeficiency syndrome (AIDS) with those of urban residents. Methods Florida surveillance data for people diagnosed with AIDS during 1993–2007 were merged with 2000 Census data using ZIP code tabulation areas (ZCTA). Rural status was classified based on the ZCTA’s rural-urban commuting area classification. Survival rates were compared between rural and urban areas using survival curves and Cox proportional hazards models controlling for demographic, clinical, and area-level socioeconomic and health care access factors. Findings Of the 73,590 people diagnosed with AIDS, 1,991 (2.7%) resided in rural areas. People in the most recent rural cohorts were more likely than those in earlier cohorts to be female, non-Hispanic black, older, and have a reported transmission mode of heterosexual sex. There were no statistically significant differences in the 3-, 5-, or 10-year survival rates between rural and urban residents. Older age at the time of diagnosis, diagnosis during the 1993–1995 period, other/unknown transmission mode, and lower CD4 count/percent categories were associated with lower survival in both rural and urban areas. In urban areas only, being non-Hispanic black or Hispanic, being US born, more poverty, less community social support, and lower physician density were also associated with lower survival. Conclusions In rural Florida, the demographic characteristics of people diagnosed with AIDS have been changing, which may necessitate modifications in the delivery of AIDS-related services. Rural residents diagnosed with AIDS did not have a significant survival disadvantage relative to urban residents. PMID:23802929

  9. Accessing Remote Knowledge

    DEFF Research Database (Denmark)

    Maskell, Peter

    2014-01-01

    Work on clusters during the last few decades convincingly demonstrates enhanced opportunities for local growth and entrepreneurship, but external upstream knowledge linkages are often overlooked or taken for granted. This article is an attempt to remedy this situation by investigating why and how...... young, single-site firms search for distant sources of complementary competences. The discussion is positioned within a comprehensive framework that allows a systematic investigation of the approaches available to firms engaged in globally extended learning. By utilizing the distinction between problem...... awareness (what remote knowledge is needed?) and source awareness (where does this knowledge reside?) the article explores the relative merits and inherent limitations of pipelines, listening posts, crowdsourcing and trade fairs to acquire knowledge and solutions from geographically and relationally remote...

  10. Do tropical cyclones shape shorebird habitat patterns? Biogeoclimatology of snowy plovers in Florida.

    Directory of Open Access Journals (Sweden)

    Matteo Convertino

    Full Text Available BACKGROUND: The Gulf coastal ecosystems in Florida are foci of the highest species richness of imperiled shoreline dependent birds in the USA. However environmental processes that affect their macroecological patterns, like occupancy and abundance, are not well unraveled. In Florida the Snowy Plover (Charadrius alexandrinus nivosus is resident along northern and western white sandy estuarine/ocean beaches and is considered a state-threatened species. METHODOLOGY/PRINCIPAL FINDINGS: Here we show that favorable nesting areas along the Florida Gulf coastline are located in regions impacted relatively more frequently by tropical cyclones. The odds of Snowy Plover nesting in these areas during the spring following a tropical cyclone impact are seven times higher compared to the odds during the spring following a season without a cyclone. The only intensity of a tropical cyclone does not appear to be a significant factor affecting breeding populations. CONCLUSIONS/SIGNIFICANCE: Nevertheless a future climate scenario featuring fewer, but more extreme cyclones could result in a decrease in the breeding Snowy Plover population and its breeding range. This is because the spatio-temporal frequency of cyclone events was found to significantly affect nest abundance. Due to the similar geographic range and habitat suitability, and no decrease in nest abundance of other shorebirds in Florida after the cyclone season, our results suggest a common bioclimatic feedback between shorebird abundance and tropical cyclones in breeding areas which are affected by cyclones.

  11. Do tropical cyclones shape shorebird habitat patterns? Biogeoclimatology of snowy plovers in Florida.

    Science.gov (United States)

    Convertino, Matteo; Elsner, James B; Muñoz-Carpena, Rafael; Kiker, Gregory A; Martinez, Christopher J; Fischer, Richard A; Linkov, Igor

    2011-01-12

    The Gulf coastal ecosystems in Florida are foci of the highest species richness of imperiled shoreline dependent birds in the USA. However environmental processes that affect their macroecological patterns, like occupancy and abundance, are not well unraveled. In Florida the Snowy Plover (Charadrius alexandrinus nivosus) is resident along northern and western white sandy estuarine/ocean beaches and is considered a state-threatened species. Here we show that favorable nesting areas along the Florida Gulf coastline are located in regions impacted relatively more frequently by tropical cyclones. The odds of Snowy Plover nesting in these areas during the spring following a tropical cyclone impact are seven times higher compared to the odds during the spring following a season without a cyclone. The only intensity of a tropical cyclone does not appear to be a significant factor affecting breeding populations. Nevertheless a future climate scenario featuring fewer, but more extreme cyclones could result in a decrease in the breeding Snowy Plover population and its breeding range. This is because the spatio-temporal frequency of cyclone events was found to significantly affect nest abundance. Due to the similar geographic range and habitat suitability, and no decrease in nest abundance of other shorebirds in Florida after the cyclone season, our results suggest a common bioclimatic feedback between shorebird abundance and tropical cyclones in breeding areas which are affected by cyclones.

  12. Menopause education: needs assessment of American obstetrics and gynecology residents.

    Science.gov (United States)

    Christianson, Mindy S; Ducie, Jennifer A; Altman, Kristiina; Khafagy, Ayatallah M; Shen, Wen

    2013-11-01

    This study aims to understand the current teaching of menopause medicine in American obstetrics and gynecology residency programs. A Web-based survey was e-mailed to all American obstetrics and gynecology residency directors, with a request that they forward it to their residents. Of 258 residency program directors contacted, 79 (30.6%) confirmed forwarding the survey. In all, 1,799 people received the survey, with 510 completions, for a response rate of 28.3%. Most residents reported that they had limited knowledge and needed to learn more about these aspects of menopause medicine: pathophysiology of menopause symptoms (67.1%), hormone therapy (68.1%), nonhormone therapy (79.0%), bone health (66.1%), cardiovascular disease (71.7%), and metabolic syndrome (69.5%). Among fourth-year residents who will be entering clinical practice soon, a large proportion also reported a need to learn more in these areas: pathophysiology of menopause symptoms (45.9%), hormone therapy (54.2%), nonhormone therapy (69.4%), bone health (54.2%), cardiovascular disease (64.3%), and metabolic syndrome (63.8%). When asked to rate the most preferred modalities for learning about menopause, the top choice was supervised clinics (53.2%), followed by case presentations (22.2%), formal lectures (21.3%), small groups (14.7%), Web-based learning (7.8%), and independent reading (5.2%). Only 20.8% of residents reported that their program had a formal menopause medicine learning curriculum, and 16.3% had a defined menopause clinic as part of their residency. It seems that some American residency programs do not fulfill the educational goals of their residents in menopause medicine. A curriculum would be beneficial for increasing knowledge and clinical experience on menopause issues.

  13. [Resident foreigners in Spain].

    Science.gov (United States)

    Solana, A M; Pascual De Sans, A

    1994-01-01

    The authors review trends in the size of the resident foreign population in Spain over time since the 1940s. A continuing growth over time, with temporal fluctuations, is noted, with a rapid rise in immigration in the 1980s, leading to new legislation designed to control immigration in 1985-1986 and 1991. The authors note that Europeans, particularly from countries of the European Union, make up a large percentage of the foreign population, but that the number of immigrants from developing countries has increased significantly in the last 10 years.

  14. Investigation and analysis on influential factors of esophageal carcinoma and it's related knowledge and attitude of residents in Handan area%邯郸地区食管癌影响因素及居民相关知识态度调查分析

    Institute of Scientific and Technical Information of China (English)

    武晓薇; 李志平; 陈晓炜; 薛强; 郑聪毅; 刘四女; 马娜

    2014-01-01

    Objective To understand the influential factors of esophageal carcinoma and it's related knowledge, attitudes and behaviors of health residents in Handan area, in order to provide the scientific basis for the prevention of esophageal diseases and developing health education. Methods 60 patients with esophageal carcinoma and 60 healthy people in Handan area were investigated by using the questionnaire survey method. The special interview of the two groups were carried out by using the convenient sampling method. Results The analysis showed that the number of esophageal carcinoma patients with poor eating habits was more than that of healthy people, the number of esophageal carcinoma patients eating fresh fruits and vegetables was less than that of healthy people. 14 of esophageal carcinoma patients had the family history,while no a healthy people had the family history. More than 50% health people had poor knowledge of esophageal carcinoma,and wanted to learn more. Conclusion The occurrence of esophageal carcinoma in Handan area is influenced by varies factors, and the health residents have poor knowledge of esophagus health, so it is suggested to strengthen the health education guidance of esophageal diseases to residents.%目的:了解邯郸地区食管癌影响因素及健康居民知信行现状,为食管疾病的预防及针对性开展健康教育提供科学依据。方法采用调查问卷方法对邯郸地区60例食管癌患者和60名健康人群进行调查。采用方便抽样方法进行2组专题小组访谈。结果分析显示,食管癌患者中不良饮食习惯情况总体较健康人群重,新鲜果蔬食用情况总体较健康人群少。食管癌患者中14例有家族史,健康人群0例有家族史。50%以上健康居民对食管癌了解程度低下,希望加强相关知识学习。结论邯郸地区食管癌发生受多方面影响,健康居民食管健康知识了解程度低下。建议社会加强对居民预防食管疾病健康的教育指导。

  15. Practice management education during surgical residency.

    Science.gov (United States)

    Jones, Kory; Lebron, Ricardo A; Mangram, Alicia; Dunn, Ernest

    2008-12-01

    Surgical education has undergone radical changes in the past decade. The introductions of laparoscopic surgery and endovascular techniques have required program directors to alter surgical training. The 6 competencies are now in place. One issue that still needs to be addressed is the business aspect of surgical practice. Often residents complete their training with minimal or no knowledge on coding of charges or basic aspects on how to set up a practice. We present our program, which has been in place over the past 2 years and is designed to teach the residents practice management. The program begins with a series of 10 lectures given monthly beginning in August. Topics include an introduction to types of practices available, negotiating a contract, managed care, and marketing the practice. Both medical and surgical residents attend these conferences. In addition, the surgical residents meet monthly with the business office to discuss billing and coding issues. These are didactic sessions combined with in-house chart reviews of surgical coding. The third phase of the practice management plan has the coding team along with the program director attend the outpatient clinic to review in real time the evaluation and management coding of clinic visits. Resident evaluations were completed for each of the practice management lectures. The responses were recorded on a Likert scale. The scores ranged from 4.1 to 4.8 (average, 4.3). Highest scores were given to lectures concerning negotiating employee agreements, recruiting contracts, malpractice insurance, and risk management. The medical education department has tracked resident coding compliance over the past 2 years. Surgical coding compliance increased from 36% to 88% over a 12-month period. The program director who participated in the educational process increased his accuracy from 50% to 90% over the same time period. When residents finish their surgical training they need to be ready to enter the world of business

  16. Contaminant concentrations in Florida raptor eggs

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Inviable eggs from the nests of Florida bald eagles and ospreys were collected opportunistically from 1987 through 1989. Egg contents were analyzed for...

  17. Mammal Research: Exotic Ungulates in Florida

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — A review, of the exotic ungulate industry in Florida was made by mailing questionnaires to exotic ungulate permittees, phone interviews, interviews with exotic...

  18. Southwest Florida Shelf Ecosystems Analysis Study

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Southwest Florida Shelf Ecosystems Analysis Study produced grain size analyses in the historic 073 format for 299 sea floor samples collected from October 25,...

  19. Benthic Habitats of the Florida Keys

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The benthic habitats of the Florida Keys were mapped from a series of 450 aerial photographs. Ecologists outlined the boundaries of specific habitat types by...

  20. Peninsular Florida future scenarios integrated project

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This is a integrated scenario project to the Florida state line that incorporates updated critical land and water identification project layers with a decision...

  1. 2004 St. Johns County, Florida Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset is the bare earth lidar data for St. Johns County, Florida, acquired in early January and February of 2004. This data was collected to develop...

  2. 2006 Volusia County Florida LiDAR

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset is the lidar data for Volusia County, Florida, approximately 1,432 square miles, acquired in early March of 2006. A total of 143 flight lines of Lidar...

  3. 2004 St. Johns County, Florida Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset is the bare earth lidar data for St. Johns County, Florida, acquired in early January and February of 2004. This data was collected to develop...

  4. Permit Review - Florida Gas Transmission Company (FGT)

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Branch of Air Quality Permit Review for Florida Gas Transmission Company and their expansion of Compressor Station Number 10 in Wiggins, Mississippi. The facility is...

  5. Mercury contamination in Florida panthers [Draft

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — As a result of the death of an apparently healthy, radio-collared female Florida panther (Felis concolor qoryi) (FP#27) in Everglades National Park in July 1989, we...

  6. 广州市海珠区居民健康生活方式知信行调查分析%Investigation and analysis of knowledge,belief and behavior of residents healthy life style in Zhuhai District, Guangzhou City

    Institute of Scientific and Technical Information of China (English)

    黄佩贞; 钟微; 肖青; 张弛

    2014-01-01

    目的:了解海珠区居民健康生活方式知信行情况,为开展健康生活方式、健康教育与促进工作提供参考依据。方法:采用全国统一的全民健康生活方式行动评估调查问卷,通过随机抽样确定调查对象后进行一对一的问卷调查。结果:知识和信念方面,知道每天食盐的摄入量147例(35.00%),每天油摄入量63例(15.00%);知晓多吃盐会引起高血压291例(69.29%);行为方面,过去1年能自觉控制盐摄入296例(70.48%),每天能使用限盐勺53例(12.62%);自觉控制油摄入271例(64.52%),每天使用控油壶58例(13.81%)。结论:海珠区城区居民的健康生活方式的知信行掌握得比较好。健康生活方式有些知识点已深入人心,但油盐摄入量与疾病关系的知识还有待进一步推广。%Objective:To understand the knowledge,belief and behavior situation of residents healthy life style in Zhuhai District, to provide a reference basis for developing the healthy life style health education and promoting work.Methods:The national unified health life style action assessment questionnaire was used.After the respondents were confirmed though random sampling, one-on-one questionnaire was given.Results:In the knowledge and belief,147 cases(35.00% ) knew daily salt intake;63 cases(15%) knew daily oil intake;291 cases(69.29%) knew that eating more salt could lead to high blood pressure.In the behavior, 296 cases(70.48%) could consciously control the salt intake in the past 1 year;53 cases(12.62%) could use limit salt spoon every day.271 cases(64.52%) could consciously control the oil intake;58 cases(13.81%) could use control oil pot every day.Conclusion:The knowledge,belief and behavior of urban residents healthy life style in Zhuhai District master better.Some knowledges of healthy life style have win support among the people,but the knowledge of the relationship between oil salt intake and disease still needs further

  7. Ants of the Florida Keys: species accounts, biogeography, and conservation (Hymenoptera: Formicidae).

    Science.gov (United States)

    Moreau, Corrie S; Deyrup, Mark A; Davis, Lloyd R

    2014-01-01

    As a tropical archipelago, the Florida Keys provide an ideal environment to examine the historic and short-term processes that structure and influence biological diversity. Through a new survey of the ants of the Florida Keys, we increase our knowledge of the number of species to 94 representing 34 genera and 8 subfamilies. Through detailed collection information, we provide an in depth picture of the distribution of each species across the Keys. On the basis of these data and information on the native and known distributions of each species, we confirm the historical trend toward continued immigration of nonnative species into the Florida Keys and present these findings in the context of the proportion of native to nonnative species. We find a similar number of species introduced from the Old World and Neotropical mainland and discuss the probable immigration of mainland Florida species during the exposure of the Florida Shelf during the last glacial episode and the subsequent isolation of some populations as sea level rose following the last glaciation. Lastly, we discuss the possible threats to these populations due to rapid climate change and other human influences. © The Author 2014. Published by Oxford University Press on behalf of the Entomological Society of America.

  8. Florida, Bahamas, Cuba and Gulf Stream, USA

    Science.gov (United States)

    1992-01-01

    This unique photo offers a view of the Florida peninsula, western Bahamas, north central Cuba and the deep blue waters of the Gulf Stream, that hugs the east coast of Florida (27.0N, 82.0W). In addition to being an excellent photograph for showing the geographical relationships between the variety of landforms in this scene, the typical effect of the land-sea breeze is very much in evidence as few clouds over water, cumulus build up over landmass.

  9. Knowledge Sharing is Knowledge Creation

    DEFF Research Database (Denmark)

    Greve, Linda

    2015-01-01

    Knowledge sharing and knowledge transfer are important to knowledge communication. However when groups of knowledge workers engage in knowledge communication activities, it easily turns into mere mechanical information processing despite other ambitions. This article relates literature of knowledge...... reducing complexity and dividing knowledge into to dichotomies or hierarchies, knowledge workers should be enabled to use different strategies for knowledge sharing, -transfer and –creation depending on the task and the nature of the knowledge. However if the ambition is to have a strategy for sharing...

  10. Geology and hydrogeology of the Florida Keys

    Science.gov (United States)

    Halley, Robert B.; Vacher, H. L.; Shinn,

    1997-01-01

    This chapter discusses the geology and hydrogeology of the Florida Keys, and focuses on the islands formed of Pleistocene limestone. These islands, which are crossed when driving from Miami to Key West, are typically regarded as "the Florida Keys." The outstanding and fragile character of ecosystems on and around the Florida Keys has prompted State and Federal efforts to protect and preserve the remaining public portions of the region. The Florida Keys were largely ignored during the sixteenth, seventeenth, and eighteenth centuries, although the waters just offshore provided a major shipping thoroughfare to and from the New World. The Florida Keys are now recognized as one of the great recreational and environmental resources of the United States. The islands are outposts of a laid-back, tropical resort culture that has as its foundation warmth and clear water. A significant part of the attraction is fishing, diving, and boating around the area's coral reefs, which the islands protect. But the reefs were not always so highly valued. The Florida Keys that have protected the reefs for millennia, may now be the source of the agents that may accomplish what Agassiz thought was beyond man's power a century ago.

  11. DETERMINANTS OF SPECIALTY CHOICE OF RESIDENT DOCTORS; CASE STUDY--AMONG RESIDENT DOCTORS IN NIGERIA.

    Science.gov (United States)

    Osuoji, Roland I; Adebanji, Atinuke; Abdulsalam, Moruf A; Oludara, Mobolaji A; Abolarinwa, Abimbola A

    2015-01-01

    This study examined medical specialty selection by Nigerian resident doctors using a marketing research approach to determine the selection criteria and the role of perceptions, expected remuneration, and job placement prospects of various specialties in the selection process. Data were from the Community of residents from April 2014 to July 2014. The cohort included 200 residents, but only 171 had complete information. Data were obtained from a cross section of resident doctors in the Lagos State University Teaching Hospital and at the 2014 Ordinary General Meeting of the National Association of Resident Doctors(NARD) where representatives from over 50 Teaching hospitals in Nigeria attended. Using a client behaviour model as a framework, a tripartite questionnaire was designed and administered to residents to deduce information on their knowledge about and interests in various specialties, their opinions of sixteen specialties, and the criteria they used in specialty selection. A total of 171 (85.5%) questionnaires were returned. ln many instances, consistency between selection criteria and perceptions of a specialty were accompanied by interest in pursuing the specialty. Job security, job availability on completion of programme, duration of training and qualifying examinations were highly correlated with p value training and practice related variables loaded on it while the second component was loaded with job security and financial remuneration related variables. Using marketing research concepts for medical specialty selection (Weissmanet al 2012) stipulates that choice of speciality is influenced by criteria and perception. This study shows that job security expected financial remuneration, and examination requirements for qualification are major determinants of the choice of speciality for residents.

  12. A spatial analysis of cultural ecosystem service valuation by regional stakeholders in Florida: a coastal application of the social values for ecosystem services (SolVES) tool

    Science.gov (United States)

    Coffin, Alisa W.; Swett, Robert A.; Cole, Zachary D.

    2012-01-01

    Livelihoods and lifestyles of people throughout the world depend on essential goods and services provided by marine and coastal ecosystems. However, as societal demand increases and available ocean and coastal space diminish, better methods are needed to spatially and temporally allocate ocean and coastal activities such as shipping, energy production, tourism, and fishing. While economic valuation is an important mechanism for doing so, cultural ecosystem services often do not lend themselves to this method. Researchers from the U.S. Geological Survey are working collaboratively with the Florida Sea Grant College Program to map nonmonetary values of cultural ecosystem services for a pilot area (Sarasota Bay) in the Gulf of Mexico. The research seeks to close knowledge gaps about the attitudes and perceptions, or nonmonetary values, held by coastal residents toward cultural ecosystem services, and to adapt related, terrestrial-based research methods to a coastal setting. A critical goal is to integrate research results with coastal and marine spatial planning applications, thus making them relevant to coastal planners and managers in their daily efforts to sustainably manage coastal resources. Using information about the attitudes and preferences of people toward places and uses in the landscape, collected from value and preference surveys, the USGS SolVES 2.0 tool will provide quantitative models to relate social values, or perceived nonmonetary values, assigned to locations by survey respondents with the underlying environmental characteristics of those same locations. Project results will increase scientific and geographic knowledge of how Sarasota Bay residents value their area’s cultural ecosystem services.

  13. Can Emergency Medicine Residents Predict Cost of Diagnostic Testing?

    Science.gov (United States)

    Tainter, Christopher R.; Gentges, Joshua A.; Thomas, Stephen H.; Burns, Boyd D.

    2017-01-01

    Introduction Diagnostic testing represents a significant portion of healthcare spending, and cost should be considered when ordering such tests. Needless and excessive spending may occur without an appreciation of the impact on the larger healthcare system. Knowledge regarding the cost of diagnostic testing among emergency medicine (EM) residents has not previously been studied. Methods A survey was administered to 20 EM residents from a single ACGME-accredited three-year EM residency program, asking for an estimation of patient charges for 20 commonly ordered laboratory tests and seven radiological exams. We compared responses between residency classes to evaluate whether there was a difference based on level of training. Results The survey completion rate was 100% (20/20 residents). We noted significant discrepancies between the median resident estimates and actual charge to patient for both laboratory and radiological exams. Nearly all responses were an underestimate of the actual cost. The group median underestimation for laboratory testing was $114, for radiographs $57, and for computed tomography exams was $1,058. There was improvement in accuracy with increasing level of training. Conclusion This pilot study demonstrates that EM residents have a poor understanding of the charges burdening patients and health insurance providers. In order to make balanced decisions with regard to diagnostic testing, providers must appreciate these factors. Education regarding the cost of providing emergency care is a potential area for improvement of EM residency curricula, and warrants further attention and investigation. PMID:28116030

  14. Victim or initiator? Certified nursing assistants' perceptions of resident characteristics that contribute to resident-to-resident violence in nursing homes.

    Science.gov (United States)

    Sifford-Snellgrove, K Susan; Beck, Cornelia; Green, Angela; McSweeney, Jean C

    2012-01-01

    The purpose of this portion of a larger qualitative study was to explore certified nursing assistants' (CNAs) perceptions of the characteristics of both the victims and initiators of resident-to-resident violence (RRV) to identify resident characteristics that influence development of RRV. Findings gained from semi-structured interviews revealed that CNAs perceive initiators of RRV to be "more with it" and to have "strong personalities," a "short fuse," and "life history" that make them prone to inflict harm on other residents. CNAs described victims of RRV using phrases such as, "they don't know," "can't communicate," and "gets around good." The results also revealed that, in some situations, residents who were usually even tempered might strike out with violence if exposed to triggers over time. This study provides the first detailed description of nursing home residents who initiate violence against other residents. Knowledge gained from this study may be useful in generating models of RRV-a precursor to developing interventions for its prevention.

  15. Three Forms of the Knowledge Economy: Learning, Creativity and Openness

    Science.gov (United States)

    Peters, Michael A.

    2010-01-01

    This paper outlines and reviews three forms and associated discourses of the "knowledge economy": the "learning economy", based on the work of Bengt-Ake Lundvall; the "creative economy" based on the work of Charles Landry, John Howkins and Richard Florida; and the "open knowledge economy" based on the work of Yochai Benkler and others. Arguably,…

  16. Three Forms of the Knowledge Economy: Learning, Creativity and Openness

    Science.gov (United States)

    Peters, Michael A.

    2010-01-01

    This paper outlines and reviews three forms and associated discourses of the "knowledge economy": the "learning economy", based on the work of Bengt-Ake Lundvall; the "creative economy" based on the work of Charles Landry, John Howkins and Richard Florida; and the "open knowledge economy" based on the work of Yochai Benkler and others. Arguably,…

  17. Guidelines for resident teaching experiences.

    Science.gov (United States)

    Havrda, Dawn E; Engle, Janet P; Anderson, Keri C; Ray, Shaunta' M; Haines, Seena L; Kane-Gill, Sandra L; Ballard, Stephanie L; Crannage, Andrew J; Rochester, Charmaine D; Parman, Malinda G

    2013-07-01

    Postgraduate year one (PGY1) and postgraduate year two (PGY2) residencies serve to develop pharmacists into skillful clinicians who provide advanced patient-centered care in various general and specialized areas of pharmacy practice. Pharmacy residencies are a minimum requirement for many clinical pharmacy positions, as well as for positions in academia. The role of clinical pharmacists typically includes teaching, regardless of whether they pursue an academic appointment. Common teaching duties of pharmacist-clinicians include giving continuing education or other invited presentations, providing education to colleagues regarding clinical initiatives, precepting pharmacy students (early and advanced experiences) and residents, and educating other health care professionals. Although ASHP provides accreditation standards for PGY1 and PGY2 residencies, the standards pertaining to teaching or education training are vague. Through the years, teaching certificate programs that develop residents' teaching skills and better prepare residents for a diverse pharmacy job market have increased in popularity; moreover, teaching certificate programs serve as an attractive recruitment tool. However, the consistency of requirements for teaching certificate programs is lacking, and standardization is needed. The Task Force on Residencies developed two sets of guidelines to define teaching experiences within residencies. The first guideline defines the minimum standards for teaching experiences in any residency-training program. The second guideline is for programs offering a teaching certificate program to provide standardization, ensuring similar outcomes and quality on program completion. One of the main differences between the guidelines is the recommendation that residency programs offering a teaching certificate program be affiliated with an academic institution to provide the pedagogy and variety of teaching experiences for the resident. Residency program directors should

  18. Survey for antibodies to infectious bursal disease virus serotype 2 in wild turkeys and Sandhill Cranes of Florida, USA.

    Science.gov (United States)

    Candelora, Kristen L; Spalding, Marilyn G; Sellers, Holly S

    2010-07-01

    Captive-reared Whooping Cranes (Grus americana) released into Florida for the resident reintroduction project experienced unusually high mortality and morbidity during the 1997-98 and 2001-02 release seasons. Exposure to infectious bursal disease virus (IBDV) serotype 2 as evidenced by seroconversion was suspected to be the factor that precipitated these mortality events. Very little is known about the incidence of IBD in wild bird populations. Before this study, natural exposure had not been documented in wild birds of North America having no contact with captive-reared cranes, and the prevalence and transmission mechanisms of the virus in wild birds were unknown. Sentinel chickens (Gallus gallus) monitored on two Whooping Crane release sites in central Florida, USA, during the 2003-04 and 2004-05 release seasons seroconverted, demonstrating natural exposure to IBDV serotype 2. Blood samples collected from Wild Turkeys (Meleagris gallopavo) and Sandhill Cranes (Grus canadensis) in eight of 21 counties in Florida, USA, and one of two counties in southern Georgia, USA, were antibody-positive for IBDV serotype 2, indicating that exposure from wild birds sharing habitat with Whooping Cranes is possible. The presence of this virus in wild birds in these areas is a concern for the resident flock of Whooping Cranes because they nest and raise their chicks in Florida, USA. However, passively transferred antibodies may protect them at this otherwise vulnerable period in their lives.

  19. Spatial and Temporal Habitat Segregation of Mosquitoes in Urban Florida

    Science.gov (United States)

    Juliano, Steven A.

    2014-01-01

    Understanding mechanisms fostering coexistence between invasive and resident species is important in predicting ecological, economic, or health impacts of invasive species. The non-native mosquitoes Aedes aegypti and Culex quinquefasciatus have been resident in the southeastern United States for over a century. They coexist at some urban sites with the more recent invasive Aedes albopictus, which is usually superior in interspecific competition. We tested predictions of temporal and spatial habitat segregation that foster coexistence of these resident species with the superior invasive competitor. We measured spatial and temporal patterns of site occupancy and abundance for all three species among standard oviposition traps in metropolitan Tampa, Florida. Consistent with the condition-specific competition hypothesis, A. albopictus and A. aegypti abundances were greater and C. quinquefasciatus abundance was lower late (September) versus early (June) in the rainy season, and the proportional increase of A. albopictus abundance was greater than that of A. aegypti. These results are postulated to result from greater dry-season egg mortality and associated greater rainy-season competitive superiority of larvae of A. albopictus, followed by A. aegypti, and C. quinquefasciatus. Spatial partitioning among landscape variables was also evident among species, with A. albopictus more likely to oviposit across a range of open grass landscapes whereas A. aegypti were mostly restricted to cemeteries. Culex quinquefasciatus showed a shift in abundance from cemeteries early in the rainy season to developed areas characterized by built environments with large proportions of impervious surfaces late in the rainy season, where A. albopictus was not in its highest abundance. These results suggest that both temporal and spatial variation, and their interaction, may contribute to local coexistence between Aedes and Culex mosquito species in urban areas. PMID:24621592

  20. Survey on the knowledge and behaviors related with H7N9 virus among residents in Haidian District of Beijing City%北京市海淀区部分居民人感染H7N9禽流感防控知识、行为调查

    Institute of Scientific and Technical Information of China (English)

    曹文栋; 张钰琪; 晁玉凤; 许丽娜; 姚展; 赵静; 姚伟; 王彦; 白丽霞; 张凤英

    2013-01-01

    目的了解当前北京市海淀区居民对人感染H7N9禽流感疫情的相关知识掌握及需求、疫情发生后的态度和行为改变。方法选取海淀区老年人、中学生和中小学生的家长作为调查对象,采用自填问卷方法进行调查。结果1303例海淀区居民完成问卷调查。“我国/我市目前人感染H7N9禽流感疫情现状、感染途径、发病早期症状为发热”知晓率最高,多数人不吃或少吃禽类产品,增加洗手次数,仅有5.7%的调查对象对疫情表示很或非常紧张。多数调查对象对北京市政府疫情信息发布和防控知识普及措施比较满意,希望得到更多有关最新疫情动态、传播途径、个人预防措施的信息。结论海淀区居民对于人感染H7N9禽流感相关知识的了解有待进一步提高,应根据居民健康需求进一步加强健康教育。%Objective To investigate the knowledge and behaviors related to H7N9 virus among residents in Haidi-an District of Beijing City.Methods A questionnaire survey was conducted among 1303 residents.Results The awareness rates of“the present situation of avian influenza H7N9 in Beijing and China”,“the rout of transmission about H7N9 virus”,“the main symptom is fever in the early stage”were highest.Most of people did not or rarely eat poultry products,and the quantity of hand washing was increased.Only 5.7% of the participants showed their nervous about the epidemic.Majority of the participants were satisfied with the epidemic risk communication and the methods of popularizing the prevention and con-trol knowledge,and they were eager to achieve more news of epidemic information,routes of transmission,prevention method for individuals.Conclusion The awareness rate of H7N9 virus among the residents of Haidian District needs to be further improved,and according to their demanding,the government should make more effort on targeted health education activities.

  1. Hydrology and Ecology of Freshwater Wetlands in Central Florida - A Primer

    Science.gov (United States)

    Haag, Kim H.; Lee, Terrie M.

    2010-01-01

    Freshwater wetlands are an integral part of central Florida, where thousands are distributed across the landscape. However, their relatively small size and vast numbers challenge efforts to characterize them collectively as a statewide water resource. Wetlands are a dominant landscape feature in Florida; in 1996, an estimated 11.4 million acres of wetlands occupied 29 percent of the area of the State. Wetlands represent a greater percentage of the land surface in Florida than in any other state in the conterminous United States. Statewide, 90 percent of the total wetland area is freshwater wetlands and 10 percent is coastal wetlands. About 55 percent of the freshwater wetlands in Florida are forested, 25 percent are marshes and emergent wetlands, 18 percent are scrub-shrub wetlands, and the remaining 2 percent are freshwater ponds. Freshwater wetlands are distributed differently in central Florida than in other parts of the State. In the panhandle and in northern Florida, there are fewer isolated wetlands than in the central and southern parts of the State, and few of those wetlands are affected by activities such as groundwater withdrawals. In southern Florida, the vast wetlands of the Everglades and the Big Cypress Swamp blanket the landscape and form contiguous shallow expanses of water, which often exhibit slow but continuous flow toward the southwestern coast. In contrast, the wetlands of central Florida are relatively small, numerous, mostly isolated, and widely distributed. In many places, wetlands are flanked by uplands, generating a mosaic of contrasting environments-unique wildlife habitat often adjacent to dense human development. As the population of central Florida increases, the number of residents living near wetlands also increases. Living in close proximity to wetlands provides many Floridians with an increased awareness of nature and an opportunity to examine the relationship between people and wetlands. Specifically, these residents can observe

  2. Survey of intestinal parasitic infections and related knowledge and behavior of residents in Jiaodong area of Shandong Province%山东省胶东地区居民肠道寄生虫感染及相关认知行为状况调查

    Institute of Scientific and Technical Information of China (English)

    王用斌; 万功群; 黄炳成; 许艳; 孔祥礼; 张本光; 卜秀芹; 赵长磊; 张佃波; 缪峰; 陈锡欣

    2014-01-01

    目的:了解山东省胶东地区肠道寄生虫感染及相关认知行为现状,为制定现阶段相应的防治策略提供科学依据。方法按照分层抽样法,选择胶东地区6个县的18个村作为调查点。采用改良加藤厚涂片法(Kato-Katz)检测调查点≥3岁常住居民粪便中的常见肠道寄生虫虫卵,12岁以下儿童以透明胶纸肛拭法检查蛲虫卵。每调查点随机抽取50户家庭,采用结构式问卷调查家庭基本情况及居民寄生虫病防治知识知晓和卫生行为形成情况等。结果粪检6163人,肠道寄生虫总感染率6.91%,其中鞭虫、蛔虫、钩虫感染率分别为6.56%、0.62%、0.21%;12岁以下儿童蛲虫感染率为0.51%;未检测到华支睾吸虫、带绦虫等其他虫卵。人群寄生虫病防治知识知晓率为49.54%;饭前洗手、便后洗手、生吃瓜果蔬菜洗净、下地干农活不光脚、不喝生水等健康行为形成率分别为97.78%、91.95%、88.81%、92.42%、86.48%。结论胶东地区人群肠道寄生虫感染水平较低,但地区间差异较大;寄生虫病防治知识知晓率不高,但卫生行为形成情况较好。应加强健康教育及重点人群服药,积极推进农村改水改厕工程,尽快降低肠道寄生虫病的危害。%Objective To understand the status of intestinal parasitic infections and the related knowledge and behavior in residents of Jiaodong area of Shandong Province,so as to provide the evidence for making an appropriate preventive and control strategy. Methods A total of 18 villages from 6 counties in Jiaodong area were selected as investigation sites according to the stratified sampling method. The feces samples of the permanent residents aged above 3 years were collected and examined by Kato-Katz technique to find the intestinal parasite eggs,and the children under 12 years old were examined by the method of cellophane anal swab to detect the Enterobius vermicularis eggs. In

  3. Learning style preferences of surgical residency applicants.

    Science.gov (United States)

    Kim, Roger H; Gilbert, Timothy

    2015-09-01

    The learning style preferences of general surgery residents have been previously reported; there is evidence that residents who prefer read/write learning styles perform better on the American Board of Surgery In-Training Examination (ABSITE). However, little is known regarding the learning style preferences of applicants to general surgery residency and their impact on educational outcomes. In this study, the preferred learning styles of surgical residency applicants were determined. We hypothesized that applicant rank data are associated with specific learning style preferences. The Fleming VARK learning styles inventory was offered to all general surgery residency applicants that were interviewed at a university hospital-based program. The VARK model categorizes learners as visual (V), aural (A), read/write (R), kinesthetic (K), or multimodal (MM). Responses on the inventory were scored to determine the preferred learning style for each applicant. Applicant data, including United States Medical Licensing Examination (USMLE) scores, class rank, interview score, and overall final applicant ranking, were examined for association with preferred learning styles. Sixty-seven applicants were interviewed. Five applicants were excluded due to not completing the VARK inventory or having incomplete applicant data. The remaining 62 applicants (92%) were included for analysis. Most applicants (57%) had a multimodal preference. Sixty-nine percent of all applicants had some degree of preference for kinesthetic learning. There were statistically significant differences between applicants of different learning styles in terms of USMLE step 1 scores (P = 0.001) and USMLE step 2 clinical knowledge scores (P = 0.01), but not for class ranks (P = 0.27), interview scores (P = 0.20), or final ranks (P = 0.14). Multiple comparison analysis demonstrated that applicants with aural preferences had higher USMLE 1 scores (233.2) than those with kinesthetic (211.8, P = 0.005) or multimodal

  4. Incorporating resident research into the dermatology residency program

    Directory of Open Access Journals (Sweden)

    Wagner RF Jr

    2013-04-01

    Full Text Available Richard F Wagner Jr, Sharon S Raimer, Brent C Kelly Department of Dermatology, The University of Texas Medical Branch, Galveston, Texas, USA Abstract: Programmatic changes for the dermatology residency program at The University of Texas Medical Branch were first introduced in 2005, with the faculty goal incorporating formal dermatology research projects into the 3-year postgraduate training period. This curriculum initially developed as a recommendation for voluntary scholarly project activity by residents, but it evolved into a program requirement for all residents in 2009. Departmental support for this activity includes assignment of a faculty mentor with similar interest about the research topic, financial support from the department for needed supplies, materials, and statistical consultation with the Office of Biostatistics for study design and data analysis, a 2-week elective that provides protected time from clinical activities for the purpose of preparing research for publication and submission to a peer-reviewed medical journal, and a departmental award in recognition for the best resident scholarly project each year. Since the inception of this program, five classes have graduated a total of 16 residents. Ten residents submitted their research studies for peer review and published their scholarly projects in seven dermatology journals through the current academic year. These articles included three prospective investigations, three surveys, one article related to dermatology education, one retrospective chart review, one case series, and one article about dermatopathology. An additional article from a 2012 graduate about dermatology education has also been submitted to a journal. This new program for residents was adapted from our historically successful Dermatology Honors Research Program for medical students at The University of Texas Medical Branch. Our experience with this academic initiative to promote dermatology research by

  5. 427 knowledge, attitude and perceptions of village residents on the ...

    African Journals Online (AJOL)

    Osondu

    improperly managed waste sites are affected the most due to the ... improved waste management strategies, dumpsites are a .... to test for associations between the different independent .... Don't Know. 145. 44.9 ... the scores revealed that 53.3% of the participants had self ... prevalent among the three categories of teachers.

  6. Brevetoxin persistence in sediments and seagrass epiphytes of east Florida coastal waters.

    Science.gov (United States)

    Hitchcock, Gary L; Fourqurean, James W; Drake, Jeana L; Mead, Ralph N; Heil, Cynthia A

    2012-01-01

    A bloom of Karenia brevis Davis developed in September 2007 near Jacksonville, Florida and subsequently progressed south through east Florida coastal waters and the Atlantic Intracoastal Waterway (ICW). Maximum cell abundances exceeded 10(6) cells L(-1) through October in the northern ICW between Jacksonville and the Indian River Lagoon. The bloom progressed further south during November, and terminated in December 2007 at densities of 10(4) cells L(-1) in the ICW south of Jupiter Inlet, Florida. Brevetoxins were subsequently sampled in sediments and seagrass epiphytes in July and August 2008 in the ICW. Sediment brevetoxins occurred at concentrations of 11-15 ng PbTx-3 equivalents (g dry wt sediment)(-1) in three of five basins in the northern ICW during summer 2008. Seagrass beds occur south of the Mosquito Lagoon in the ICW. Brevetoxins were detected in six of the nine seagrass beds sampled between the Mosquito Lagoon and Jupiter Inlet at concentrations of 6-18 ng (g dry wt epiphytes)(-1). The highest brevetoxins concentrations were found in sediments near Patrick Air Force Base at 89 ng (g dry wt sediment)(-1). In general, brevetoxins occurred in either seagrass epiphytes or sediments. Blades of the resident seagrass species have a maximum life span of less than six months, so it is postulated that brevetoxins could be transferred between epibenthic communities of individual blades in seagrass beds. The occurrence of brevetoxins in east Florida coast sediments and seagrass epiphytes up to eight months after bloom termination supports observations from the Florida west coast that brevetoxins can persist in marine ecosystems in the absence of sustained blooms. Furthermore, our observations show that brevetoxins can persist in sediments where seagrass communities are absent.

  7. Applications of Ontologies in Knowledge Management Systems

    Science.gov (United States)

    Rehman, Zobia; Kifor, Claudiu V.

    2014-12-01

    Enterprises are realizing that their core asset in 21st century is knowledge. In an organization knowledge resides in databases, knowledge bases, filing cabinets and peoples' head. Organizational knowledge is distributed in nature and its poor management causes repetition of activities across the enterprise. To get true benefits from this asset, it is important for an organization to "know what they know". That's why many organizations are investing a lot in managing their knowledge. Artificial intelligence techniques have a huge contribution in organizational knowledge management. In this article we are reviewing the applications of ontologies in knowledge management realm

  8. "Tacit Knowledge" versus "Explicit Knowledge"

    DEFF Research Database (Denmark)

    Sanchez, Ron

    2004-01-01

    This paper explains two fundamental approaches to knowledge management. The tacitknowledge approach emphasizes understanding the kinds of knowledge that individualsin an organization have, moving people to transfer knowledge within an organization,and managing key individuals as knowledge creators...... and carriers. By contrast, theexplicit knowledge approach emphasizes processes for articulating knowledge held byindividuals, the design of organizational approaches for creating new knowledge, andthe development of systems (including information systems) to disseminate articulatedknowledge within...... an organization. The relative advantages and disadvantages of bothapproaches to knowledge management are summarized. A synthesis of tacit andknowledge management approaches is recommended to create a hybrid design for theknowledge management practices in a given organization....

  9. Knowledge Management

    CERN Document Server

    Gerami, Mohsen

    2010-01-01

    This paper discusses the important process of knowledge and its management, and differences between tacit and explicit knowledge and understanding the culture as a key issue for the successful implementation of knowledge management, in addition to, this paper is concerned with the four-stage model for the evolution of information technology (IT) support for knowledge management in law firms.

  10. Florida Sinkholes and Grout Injection Stabilization

    Directory of Open Access Journals (Sweden)

    Charles Hunt Griffith II

    2014-09-01

    Full Text Available Florida has a major problem when it comes to sinkholes. These sinkholes can become very hazardous to people, homes, and to the landscape as a whole. Florida sits on a carbonate platform which is highly indicative of sinkholes. There are three main types of sinkholes which occur in Florida: dissolution, cover subsidence, and cover collapse. I will compare these types of sinkholes to the underlying formation beneath Florida to see if there is a connection between the types of sinkholes that occur. I will also create a 3D model of grout injection stabilization and calculate its volume to compare to the actual volume placed under the house. This information will help inform and bring attention to the problem in Florida and in turn, may help alleviate the problem if we can understand what causes these sinkholes. The 3D model may help engineering companies become more efficient in predicting the projected amount of volume to stabilize a house that may be in danger.

  11. West Florida shelf upwelling: Origins and pathways

    Science.gov (United States)

    Weisberg, Robert H.; Zheng, Lianyuan; Liu, Yonggang

    2016-08-01

    Often described as oligotrophic, the west Florida continental shelf supports abundant fisheries, experiences blooms of the harmful alga, Karenia brevis, and exhibits subsurface chlorophyll maxima evident in shipboard and glider surveys. Renewal of inorganic nutrients by the upwelling of deeper ocean water onto the shelf may account for this, but what are the origins and pathways by which such new water may broach the shelf break and advance toward the shoreline? We address these questions via numerical model simulations of pseudo-Lagrangian, isopycnic water parcel trajectories. Focus is on 2010, when the west Florida shelf was subjected to an anomalously protracted period of upwelling caused by Gulf of Mexico Loop Current interactions with the shelf slope. Origins and pathways are determined by integrating trajectories over successive 45 day intervals, beginning from different locations along the shelf break and at various locations and depths along the shelf slope. Waters upwelling across the shelf break are found to originate from relatively shallow depths along the shelf slope. Even for the anomalous 2010 year, much of this upwelling occurs from about 150 m and above, although waters may broach the shelf break from 300 m depth, particularly in the Florida Panhandle. Such interannual renewal of west Florida shelf waters appears to have profound effects on west Florida shelf ecology.

  12. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency.

    Science.gov (United States)

    Steen, Sven; Jaeger, Cassie; Price, Lindsay; Griffen, David

    2017-01-01

    Patient safety event reporting is an important component for fostering a culture of safety. Our tertiary care hospital utilizes a computerized patient safety event reporting system that has been historically underutilized by residents and faculty, despite encouragement of its use. The objective of this quality project was to increase patient safety event reporting within our Emergency Medicine residency program. Knowledge of event reporting was evaluated with a survey. Eighteen residents and five faculty participated in a formal educational session on event reporting followed by feedback every two months on events reported and actions taken. The educational session included description of which events to report and the logistics of accessing the reporting system. Participants received a survey after the educational intervention to assess resident familiarity and comfort with using the system. The total number of events reported was obtained before and after the educational session. After the educational session, residents reported being more confident in knowing what to report as a patient safety event, knowing how to report events, how to access the reporting tool, and how to enter a patient safety event. In the 14 months preceding the educational session, an average of 0.4 events were reported per month from the residency. In the nine months following the educational session, an average of 3.7 events were reported per month by the residency. In addition, the reported events resulted in meaningful actions taken by the hospital to improve patient safety, which were shared with the residents. Improvement efforts including an educational session, feedback to the residency of events reported, and communication of improvements resulting from reported events successfully increased the frequency of safety event reporting in an Emergency Medicine residency.

  13. The residence time of water in the atmosphere revisited

    Science.gov (United States)

    van der Ent, Ruud J.; Tuinenburg, Obbe A.

    2017-02-01

    This paper revisits the knowledge on the residence time of water in the atmosphere. Based on state-of-the-art data of the hydrological cycle we derive a global average residence time of 8.9 ± 0.4 days (uncertainty given as 1 standard deviation). We use two different atmospheric moisture tracking models (WAM-2layers and 3D-T) to obtain atmospheric residence time characteristics in time and space. The tracking models estimate the global average residence time to be around 8.5 days based on ERA-Interim data. We conclude that the statement of a recent study that the global average residence time of water in the atmosphere is 4-5 days, is not correct. We derive spatial maps of residence time, attributed to evaporation and precipitation, and age of atmospheric water, showing that there are different ways of looking at temporal characteristics of atmospheric water. Longer evaporation residence times often indicate larger distances towards areas of high precipitation. From our analysis we find that the residence time over the ocean is about 2 days less than over land. It can be seen that in winter, the age of atmospheric moisture tends to be much lower than in summer. In the Northern Hemisphere, due to the contrast in ocean-to-land temperature and associated evaporation rates, the age of atmospheric moisture increases following atmospheric moisture flow inland in winter, and decreases in summer. Looking at the probability density functions of atmospheric residence time for precipitation and evaporation, we find long-tailed distributions with the median around 5 days. Overall, our research confirms the 8-10-day traditional estimate for the global mean residence time of atmospheric water, and our research contributes to a more complete view of the characteristics of the turnover of water in the atmosphere in time and space.

  14. Pediatric Palliative Care Pilot Curriculum: Impact of "Pain Cards" on Resident Education.

    Science.gov (United States)

    Barnett, Michael D; Maurer, Scott H; Wood, Gordon J

    2016-11-01

    Prior research has shown that less than 40% of pediatric program directors believe their graduating residents competent in palliative care. While many curricula have been developed to address this need, few have demonstrated improved comfort and/or knowledge with palliative care principles. The purpose of this study was to test a pocket card educational intervention regarding resident knowledge and comfort with palliative care principles. Pocket reference cards were created to deliver fundamentals of pediatric palliative care to resident learners; didactics and case studies emphasized principles on the cards. Self-reported comfort and objective knowledge were measured before and after the curriculum among residents. Of 32 post-graduate year 2 (PGY2) residents, 23 (72%) completed the pre-test survey. The post-test was completed by 14 PGY2 residents (44%) and 16 of 39 PGY3/4 residents (41%). There was improvement in comfort with communication, as well as pain and symptom management among the residents. Knowledge of palliative care principles improved in part, with only a few survey questions reaching statistical significance. 100% of respondents recommended the cards be provided to their colleagues. This longitudinal curriculum, designed specifically for pediatric residents, was built into an existing training program and proved to be popular, feasible, and effective at improving comfort with basic palliative care principles. © The Author(s) 2015.

  15. Effects on incident reporting after educating residents in patient safety: a controlled study

    Directory of Open Access Journals (Sweden)

    Jansma José D

    2011-12-01

    Full Text Available Abstract Background Medical residents are key figures in delivering health care and an important target group for patient safety education. Reporting incidents is an important patient safety domain, as awareness of vulnerabilities could be a starting point for improvements. This study examined effects of patient safety education for residents on knowledge, skills, attitudes, intentions and behavior concerning incident reporting. Methods A controlled study with follow-up measurements was conducted. In 2007 and 2008 two patient safety courses for residents were organized. Residents from a comparable hospital acted as external controls. Data were collected in three ways: 1] questionnaires distributed before, immediately after and three months after the course, 2] incident reporting cards filled out by course participants during the course, and 3] residents' reporting data gathered from hospital incident reporting systems. Results Forty-four residents attended the course and 32 were external controls. Positive changes in knowledge, skills and attitudes were found after the course. Residents' intentions to report incidents were positive at all measurements. Participants filled out 165 incident reporting cards, demonstrating the skills to notice incidents. Residents who had reported incidents before, reported more incidents after the course. However, the number of residents reporting incidents did not increase. An increase in reported incidents was registered by the reporting system of the intervention hospital. Conclusions Patient safety education can have immediate and long-term positive effects on knowledge, skills and attitudes, and modestly influence the reporting behavior of residents.

  16. Integrating science and resource management in Tampa Bay, Florida

    Science.gov (United States)

    Yates, Kimberly K.; Greening, Holly; Morrison, Gerold

    2011-01-01

    Tampa Bay is recognized internationally for its remarkable progress towards recovery since it was pronounced "dead" in the late 1970s. Due to significant efforts by local governments, industries and private citizens throughout the watershed, water clarity in Tampa Bay is now equal to what it was in 1950, when population in the watershed was less than one-quarter of what it is today. Seagrass extent has increased by more than 8,000 acres since the mid-1980s, and fish and wildlife populations are increasing. Central to this successful turn-around has been the Tampa Bay resource management community's long-term commitment to development and implementation of strong science-based management strategies. Research institutions and agencies, including Eckerd College, the Florida Wildlife Commission Fish and Wildlife Research Institute, Mote Marine Laboratory, National Oceanic and Atmospheric Administration, the Southwest Florida Water Management District, University of South Florida, U.S. Environmental Protection Agency, U.S. Geological Survey, local and State governments, and private companies contribute significantly to the scientific basis of our understanding of Tampa Bay's structure and ecological function. Resource management agencies, including the Tampa Bay Regional Planning Council's Agency on Bay Management, the Southwest Florida Water Management District's Surface Water Improvement and Management Program, and the Tampa Bay Estuary Program, depend upon this scientific basis to develop and implement regional adaptive management programs. The importance of integrating science with management has become fully recognized by scientists and managers throughout the region, State and Nation. Scientific studies conducted in Tampa Bay over the past 10–15 years are increasingly diverse and complex, and resource management programs reflect our increased knowledge of geology, hydrology and hydrodynamics, ecology and restoration techniques. However, a synthesis of this

  17. The University of Florida Department of Surgery: building a stronger tomorrow on yesterday's foundation.

    Science.gov (United States)

    Behrns, Kevin E; Copeland, Edward M; Howard, Richard J

    2012-01-01

    Established in 1957, the University of Florida Department of Surgery has a solid foundation on which current faculty are driven to build a stronger tomorrow. The department is focused on promoting patient-centered care, expanding its research portfolio to improve techniques and outcomes, and training the surgical leaders of tomorrow. It fosters an environment where faculty, residents, students, and staff challenge long-held traditions with the goal of improving the health of our patients, the quality of our care, and the vitality of our work environment.

  18. Fellows as teachers: a model to enhance pediatric resident education

    Directory of Open Access Journals (Sweden)

    Charles V. Smith

    2011-09-01

    Full Text Available Pressures on academic faculty to perform beyond their role as educators has stimulated interest in complementary approaches in resident medical education. While fellows are often believed to detract from resident learning and experience, we describe our preliminary investigations utilizing clinical fellows as a positive force in pediatric resident education. Our objectives were to implement a practical approach to engage fellows in resident education, evaluate the impact of a fellow-led education program on pediatric resident and fellow experience, and investigate if growth of a fellowship program detracts from resident procedural experience.This study was conducted in a neonatal intensive care unit (NICU where fellows designed and implemented an education program consisting of daily didactic teaching sessions before morning clinical rounds. The impact of a fellow-led education program on resident satisfaction with their NICU experience was assessed via anonymous student evaluations. The potential value of the program for participating fellows was also evaluated using an anonymous survey.The online evaluation was completed by 105 residents. Scores were markedly higher after the program was implemented in areas of teaching excellence (4.44 out of 5 versus 4.67, p<0.05 and overall resident learning (3.60 out of 5 versus 4.61, p<0.001. Fellows rated the acquisition of teaching skills and enhanced knowledge of neonatal pathophysiology as the most valuable aspects of their participation in the education program. The anonymous survey revealed that 87.5% of participating residents believed that NICU fellows were very important to their overall training and education.While fellows are often believed to be a detracting factor to residency training, we found that pediatric resident attitudes toward the fellows were generally positive. In our experience, in the specialty of neonatology a fellow-led education program can positively contribute to both

  19. Burnout among Dutch medical residents

    NARCIS (Netherlands)

    Prins, J.T.; Hoekstra-Weebers, J.E.; Van De Wiel, H.B.; Gazendam-Donofrio, S.M.; Sprangers, F.; Jaspers, F.C.; van der Heijden, F.M.

    2007-01-01

    We examined levels of burnout and relationships between burnout, gender, age, years in training, and medical specialty in 158 medical residents working at the University Medical Center Groningen, the Netherlands. Thirteen percent of the residents met the criteria for burnout, with the highest percen

  20. Burnout among Dutch medical residents

    NARCIS (Netherlands)

    Prins, J.T.; Hoekstra-Weebers, J.E.; Van De Wiel, H.B.; Gazendam-Donofrio, S.M.; Sprangers, F.; Jaspers, F.C.; van der Heijden, F.M.

    2007-01-01

    We examined levels of burnout and relationships between burnout, gender, age, years in training, and medical specialty in 158 medical residents working at the University Medical Center Groningen, the Netherlands. Thirteen percent of the residents met the criteria for burnout, with the highest percen

  1. Sexual Education for Psychiatric Residents

    Science.gov (United States)

    Levine, Stephen B.; Scott, David L.

    2010-01-01

    Objective: The authors seek to promote sexuality curriculum development in departments of psychiatry. Methods: The authors first focus on educational philosophy about what residents can be taught about sexual topics and then provide numerical and narrative resident evaluation data following a 6-month, half day per week rotation in a sexuality…

  2. Fellowship trends of pathology residents.

    Science.gov (United States)

    Lagwinski, Nikolaj; Hunt, Jennifer L

    2009-09-01

    Recent changes in pathology residency education have included a decrease in the program length (from 5 years to 4 years for combined anatomic and clinical pathology training) and a national mandate for programs to assess 6 general competencies of trainees. These have undoubtedly led to changes in program curricula and in residents' desires to seek fellowship training. This study was designed to gather information about what residents are seeking from fellowship training programs. This study used an online survey to assess attitudes of residents in training programs toward fellowship training. The survey instrument had 26 questions pertaining to fellowship choices, motivations for pursuing fellowships, expectations of the fellowships, and postresidency concerns. There were 213 respondents from a mix of program types and representing each postgraduate year. Most residents will seek at least 1 or 2 fellowships after residency training. The most popular first-choice fellowship was surgical pathology (26%), followed by cytopathology (16%), hematopathology (15%), gastrointestinal pathology (10%), dermatopathology (8%), and forensic pathology (5%). The most common reasons for pursuing fellowship training were to "increase marketability" (43%) or to "become an expert in a particular area" (33%). Most trainees got their information about fellowship training programs from Internet sources. Fellowship programs will benefit from an optimally designed Web site because residents seek information predominantly from the Internet. Residents seeking fellowships are particularly concerned with selecting programs that provide job connections, an increase in their marketability, and the opportunity to develop diagnostic expertise.

  3. Substance Abuse by Anesthesiology Residents.

    Science.gov (United States)

    Lutsky, Irving; And Others

    1991-01-01

    The analysis of 183 responses to a survey of former anesthesiology residents of the Medical College of Wisconsin found that 29 had been self-administered problematic substance abusers during their residencies, 23 had been alcohol dependent, and 6 had been drug dependent. More than 85 percent of respondents considered the drug policy information…

  4. The Artist-in-Residence

    Science.gov (United States)

    Hall, James W.

    1977-01-01

    Institutions are bringing the professional artist into their instructional and cultural environments through five approaches: concert performances, extended performances, master classes, part-time residencies, and full-time residencies. The effect of each program on the artist and the college or university is examined. (Author/LBH)

  5. Burnout among Dutch medical residents

    NARCIS (Netherlands)

    Prins, J.T.; Hoekstra-Weebers, J.E.; Van De Wiel, H.B.; Gazendam-Donofrio, S.M.; Sprangers, F.; Jaspers, F.C.; van der Heijden, F.M.

    2007-01-01

    We examined levels of burnout and relationships between burnout, gender, age, years in training, and medical specialty in 158 medical residents working at the University Medical Center Groningen, the Netherlands. Thirteen percent of the residents met the criteria for burnout, with the highest

  6. Water-use data by category, county, and water management district in Florida, 1950-90

    Science.gov (United States)

    Marella, R.L.

    1995-01-01

    The population for Florida in 1990 was estimated at 12.94 million, an increase of nearly 10.17 million (370 percent) from the population of 2.77 million in 1950. Consequently, water use (fresh and saline) in Florida increased nearly 510 percent (15,175 million gallons per day) between 1950 and 1990. The resident population of the State is projected to surpass 20 million by the year 2020. Through the cooperation of the Florida Department of Environ- mental Protection and the U.S. Geologial Survey, water-use data for the period between 1950 and 1990 has been consolidated into one publication. This report aggregates and summarizes the quantities of water withdrawn annually for all water-use categories (public supply, self-supplied domestic, self-supplied commercial-industrial, agriculture, and thermoelectric power generation), by counties, and water management districts in Florida from 1950 through 1990. Total water withdrawn in Florida increased from 2,923 million gallons per day in 1950 to 17,898 million gallons per day in 1990. Surface- water withdrawals during 1950 totaled 2,333 million gallons per day but were not differentiated between fresh and saline, therefore, comparisons between fresh and saline water were made beginning with 1955 data. Freshwater withdrawals increased 245 percent between 1955 and 1990. Saline water withdrawals increased more than 1,500 percent between 1955 and 1990. In 1955, more than 47 percent of the fresh- water used was withdrawn from ground-water sources and 53 percent was withdrawn from surface-water sources. In 1990, nearly 62 percent of the fresh- water withdrawn was from ground-water sources, while 38 percent was withdrawn from surface-water sources. The steady increase in ground-water withdrawals since the 1950's primarily is a result of the ability to drill and pump water more economically from large, deep wells and the reliability of both the quality and quantity of water from these wells. Water withdrawn for public supply in

  7. Household adjustment to flood risk: a survey of coastal residents in Texas and Florida, United States.

    Science.gov (United States)

    Brody, Samuel D; Lee, Yoonjeong; Highfield, Wesley E

    2017-07-01

    Individual households have increasingly borne responsibility for reducing the adverse impacts of flooding on their property. Little observational research has been conducted, however, at the household level to examine the major factors contributing to the selection of a particular household adjustment. This study addresses the issue by evaluating statistically the factors influencing the adoption of various household flood hazard adjustments. The results indicate that respondents with higher-value homes or longer housing tenure are more likely to adopt structural and expensive techniques. In addition, the information source and the Community Rating System (CRS) score for the jurisdiction where the household is located have a significant bearing on household adjustment. In contrast, proximity to risk zones and risk perception yield somewhat mixed results or behave counter to assumptions in the literature. The study findings provide insights that will be of value to governments and decision-makers interested in encouraging homeowners to take protective action given increasing flood risk. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.

  8. Guangdong and Florida populations of 'Candidatus Liberibacter asiaticus' distinguished by a genomic locus with short tandem repeats.

    Science.gov (United States)

    Chen, J; Deng, X; Sun, X; Jones, D; Irey, M; Civerolo, E

    2010-06-01

    Huanglongbing (HLB) (yellow shoot disease) is a highly destructive disease that threatens citrus production worldwide. The disease was first observed in Guangdong, P.R. China, over 100 years ago, and was found in Florida, United States, in 2005. 'Candidatus Liberibacter asiaticus' has been associated with HLB in many citrus-growing regions around the world, including Guangdong and Florida. The global epidemiology of HLB, as well as management of the disease, relies on knowledge of 'Ca. L. asiaticus' populations in different geographical regions around the world. In this study, we identified a genetic marker containing small tandem repeats in the genome of 'Ca. L. asiaticus' and comparatively analyzed the tandem repeat numbers (TRNs) in 'Ca. L. asiaticus' populations from Guangdong and Florida. Analyses of TRNs showed that the bacterial population in Guangdong was different from that in Florida. The Guangdong population consisted predominately of strains with a TRN of 7 (TRN(7)) at a frequency of 47.6%. The Florida population consisted predominately of strains with a TRN of 5 (TRN(5)) at a frequency of 84.4%. TRNs ranged from 3 to 16. The apparent absence of TRNs of 9, 10, 11, and 12 separated the bacterial strains into two groups: TRNs 10 (TRN(>10)). In Florida, TRN(10) strains (6/109, or 5.5%) were found in central Florida. This is the first report documenting the differentiation of 'Ca. L. asiaticus' populations between Asia and North America and the possible presence of two differentially distributed genotypes of 'Ca. L. asiaticus' in Florida.

  9. Knowledge Sharing

    DEFF Research Database (Denmark)

    Holdt Christensen, Peter

    The concept of knowledge management has, indeed, become a buzzword that every single organization is expected to practice and live by. Knowledge management is about managing the organization's knowledge for the common good of the organization -but practicing knowledge management is not as simple...... as that. This article focuses on knowledge sharing as the process seeking to reduce the resources spent on reinventing the wheel.The article introduces the concept of time sensitiveness; i.e. that knowledge is either urgently needed, or not that urgently needed. Furthermore, knowledge sharing...... is considered as either a push or pull system. Four strategies for sharing knowledge - help, post-it, manuals and meeting, and advice are introduced. Each strategy requires different channels for sharing knowledge. An empirical analysis in a production facility highlights how the strategies can be practiced....

  10. Knowledge Technologies

    CERN Document Server

    Milton, Nick

    2008-01-01

    Several technologies are emerging that provide new ways to capture, store, present and use knowledge. This book is the first to provide a comprehensive introduction to five of the most important of these technologies: Knowledge Engineering, Knowledge Based Engineering, Knowledge Webs, Ontologies and Semantic Webs. For each of these, answers are given to a number of key questions (What is it? How does it operate? How is a system developed? What can it be used for? What tools are available? What are the main issues?). The book is aimed at students, researchers and practitioners interested in Knowledge Management, Artificial Intelligence, Design Engineering and Web Technologies. During the 1990s, Nick worked at the University of Nottingham on the application of AI techniques to knowledge management and on various knowledge acquisition projects to develop expert systems for military applications. In 1999, he joined Epistemics where he worked on numerous knowledge projects and helped establish knowledge management...

  11. The Use of Technical Skill Standards in the Admissions Process for Florida Allied Dental Health Education Programs.

    Science.gov (United States)

    Hallock, Rita H.

    2001-01-01

    Among 47 respondents from 26 Florida institutions offering allied dental health education programs, 66% have no established technical skill standards for admissions; a sizeable number felt the need for uniform published standards. Although a majority had some knowledge of the Americans with Disabilities Act, 96% responded negatively regarding its…

  12. Zika Arrived in Florida At Least Four Different Ways

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_165906.html Zika Arrived in Florida at Least Four Different Ways ... WEDNESDAY, May 24, 2017 (HealthDay News) -- The 2016 Zika outbreak in Florida wasn't due to a ...

  13. 2005 Southwest Florida Water Management District (SWFWMD) Lidar: Manatee District

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Light Detection and Ranging (LiDAR) LAS dataset is a survey of select areas within Southwest Florida. These data were produced for the Southwest Florida Water...

  14. Florida Transformer Public Notice for Proposed PCB Storage Approval

    Science.gov (United States)

    Announcement of a Public Notice period for the proposed renewal of the PCB Commercial Storage Approval for Florida Transformer. Florida Transformer has requested to renew the PCB Approval. The renewal includes an additional tank storage and the acceptance

  15. Impact of immigration on health and human services: Florida's experience.

    Science.gov (United States)

    McNeece, C Aaron; Falconer, Mary Kay; Springer, David

    2002-01-01

    Florida has been the destination for large numbers of immigrants fleeing political persecution or economic hardships. Cubans and Haitians have been two of the largest immigrant groups arriving and settling in Florida. Both have received national and local attention. This article describes the immigration experience of Haitians and Cubans in Florida. The descriptions emphasize the differences between these two groups in their adjustment to life in south Florida. The article also addresses Florida's reaction to federal policies regarding immigration and highlights Florida's struggle to meet the service needs of these immigrant populations. Fiscal impacts of immigration are quantified in several service categories, including education, social services, health care, and criminal justice. Florida's action based on the documentation of the immigration fiscal impact is explained. Finally, how the state allocated the $18 million in federal funding provided as a response to Florida's documented impact is covered.

  16. 76 FR 77775 - University of Florida, et al.;

    Science.gov (United States)

    2011-12-14

    .... Docket Number: 11-065. Applicant: University of Florida, Gainesville, FL 32610-0245. Instrument: Electron.... Docket Number: 11-066. Applicant: University of Florida, Gainesville, FL 32610-0245. Instrument: Electron...

  17. Educating Pediatric Residents about Developmental and Social-Emotional Health

    Science.gov (United States)

    Bauer, Sarah C.; Smith, Peter J.; Chien, Alyna T.; Berry, Anita D.; Msall, Michael

    2009-01-01

    Enhancing Developmentally Oriented Primary Care (EDOPC) is a formal didactic curriculum based on Healthy Steps materials that is designed to improve practicing pediatricians' knowledge and confidence in developmental screening within the medical home. We modified the EDOPC program to provide a formal curriculum to pediatric residents serving…

  18. Biodiversity in a Florida Sandhill Ecosystem

    Directory of Open Access Journals (Sweden)

    Samantha Robertson

    2009-01-01

    Full Text Available This project compares two transects of land in the University of South Florida's Botanical Gardens for their biodiversity. The transects were chosen to represent a Florida sandhill ecosystem and the individual Longleaf Pine, Saw Palmetto, Turkey Oak, Laurel Oak and Live Oak specimens were counted. All other species above waist height were counted as "other"?. Once the individuals were counted, the Simpson's and Shannon-Wiener indices were calculated. Since the Shannon-Wiener index incorporates several diversity characteristics, it is typically more reliable than Simpson's. However, both biodiversity indices agreed that transect B was more diverse than transect A.

  19. Applying Expectancy Theory to residency training: proposing opportunities to understand resident motivation and enhance residency training.

    Science.gov (United States)

    Shweiki, Ehyal; Martin, Niels D; Beekley, Alec C; Jenoff, Jay S; Koenig, George J; Kaulback, Kris R; Lindenbaum, Gary A; Patel, Pankaj H; Rosen, Matthew M; Weinstein, Michael S; Zubair, Muhammad H; Cohen, Murray J

    2015-01-01

    Medical resident education in the United States has been a matter of national priority for decades, exemplified initially through the Liaison Committee for Graduate Medical Education and then superseded by the Accreditation Council for Graduate Medical Education. A recent Special Report in the New England Journal of Medicine, however, has described resident educational programs to date as prescriptive, noting an absence of innovation in education. Current aims of contemporary medical resident education are thus being directed at ensuring quality in learning as well as in patient care. Achievement and work-motivation theories attempt to explain people's choice, performance, and persistence in tasks. Expectancy Theory as one such theory was reviewed in detail, appearing particularly applicable to surgical residency training. Correlations between Expectancy Theory as a work-motivation theory and residency education were explored. Understanding achievement and work-motivation theories affords an opportunity to gain insight into resident motivation in training. The application of Expectancy Theory in particular provides an innovative perspective into residency education. Afforded are opportunities to promote the development of programmatic methods facilitating surgical resident motivation in education.

  20. Applying Expectancy Theory to residency training: proposing opportunities to understand resident motivation and enhance residency training

    Science.gov (United States)

    Shweiki, Ehyal; Martin, Niels D; Beekley, Alec C; Jenoff, Jay S; Koenig, George J; Kaulback, Kris R; Lindenbaum, Gary A; Patel, Pankaj H; Rosen, Matthew M; Weinstein, Michael S; Zubair, Muhammad H; Cohen, Murray J

    2015-01-01

    Medical resident education in the United States has been a matter of national priority for decades, exemplified initially through the Liaison Committee for Graduate Medical Education and then superseded by the Accreditation Council for Graduate Medical Education. A recent Special Report in the New England Journal of Medicine, however, has described resident educational programs to date as prescriptive, noting an absence of innovation in education. Current aims of contemporary medical resident education are thus being directed at ensuring quality in learning as well as in patient care. Achievement and work-motivation theories attempt to explain people’s choice, performance, and persistence in tasks. Expectancy Theory as one such theory was reviewed in detail, appearing particularly applicable to surgical residency training. Correlations between Expectancy Theory as a work-motivation theory and residency education were explored. Understanding achievement and work-motivation theories affords an opportunity to gain insight into resident motivation in training. The application of Expectancy Theory in particular provides an innovative perspective into residency education. Afforded are opportunities to promote the development of programmatic methods facilitating surgical resident motivation in education. PMID:25995656

  1. E-conferencing for delivery of residency didactics.

    Science.gov (United States)

    Markova, Tsveti; Roth, Linda M

    2002-07-01

    ease of use, cost-efficiency, and wide availability of equipment. Residents had the advantage of both geographic and temporal independence. Our e-conferences were interactive, and in addition to a PowerPoint presentation, faculty provided Web sites and hyperlinks for references. Initial problems included slow-speed connection, the requirement for digital materials, and the need for residents and faculty to adjust to a new learning method. There was also a need for increased coordination at the sites and reliance on electronic communication. To assess the effectiveness of the program, residents completed knowledge pre- and post-tests and a conference evaluation form. We also monitored conference attendance rates. Preliminary results indicated positive resident attitudes toward distance learning and significant increases in conference attendance. To objectively evaluate this instructional delivery method, we will compare residents' knowledge gains in the face-to-face instructor group with those of the group to which the lecture is broadcast. Ultimately, we are hoping to offer this educational opportunity to other family practice residency programs in the area, to medical students interested in family medicine, and to community family physicians for continuing medical education. We are considering the addition of streaming video to the presentations in the future, once the bandwidth of the Internet connections is sufficient.

  2. Familiarity of medical residents at Kerman Medical University with evidence based medicine databases

    Directory of Open Access Journals (Sweden)

    Masoumeh Sadeghi

    2011-01-01

    Conclusions: The results showed most of the residents lack sufficient knowledge about EBM and its databases. The reason is probably the inexistence of a systematic and comprehensive curriculum for EBM education during their residency program or undergraduate program. Thus, due to the importance of learning EBM in this group, there is a necessity to plan a comprehensive and proper education schedule for EBM and EBM database use at the beginning or further stages of residency.

  3. Artisanal knowledge

    Directory of Open Access Journals (Sweden)

    Raven, Diederick

    2013-03-01

    Full Text Available This essay is about the ensuing problem that in general it is nothelpful to talk about non-standard knowledge practices as modeled after our Western ideas of what knowledge is. It negotiates this problem by arguing that artisanal knowledge is an independent and self-contained mode of knowledge and is arranged in three parts. In the first part an outline is given of the key assumptions of the interactionist conception of knowledge that needs to be put in place as an alternative to the basically Kantian mixture of empiricist and rationalist assumptions of the folk model of Western academic thinking about knowledge. In this interactionist conception of knowledgeartisanal knowledge gets center stage. In the second part, the notion of craftknowledge is opened up as much as possible. The third and final part takes upthe question whether craft knowledge is a cultural universal.

  4. Florida commercial space initiatives and technology transfer mechanisms

    Science.gov (United States)

    Moore, Roger L.

    1989-01-01

    This paper discusses commercial space policy for the State of Florida in the context of state initiatives for general technology and economic development. The paper also compares Florida's commercial space initiatives to national space policies and describes mechanisms for transferring space related technologies and research to Florida businesses for subsequent development and commercialization.

  5. Water Use in Florida, 2005 and Trends 1950-2005

    Science.gov (United States)

    Marella, Richard L.

    2008-01-01

    Water is among Florida's most valued resources. The State has more than 1,700 streams and rivers, 7,800 freshwater lakes, 700 springs, 11 million acres of wetlands, and underlying aquifers yielding quantities of freshwater necessary for both human and environmental needs (Fernald and Purdum, 1998). Although renewable, these water resources are finite, and continued growth in population, tourism, and agriculture will place increased demands on these water supplies. The permanent population of Florida in 2005 totaled 17.9 million, ranking fourth in the Nation (University of Florida, 2006); nearly 86 million tourists visited the State (Orlando Business Journal, 2006). In 2005, Florida harvested two-thirds of the total citrus production in the United States and ranked fifth in the Nation net farm income (Florida Department of Agriculture and Consumer Services, 2006). Freshwater is vital for sustaining Florida's population, economy, and agricultural production. Accurate estimates reflecting water use and trends in Florida are compiled in 5-year intervals by the U.S. Geological Survey (USGS) in cooperation with the Florida Department of Environmental Protection (FDEP) and the Northwest Florida, St. Johns River, South Florida, Southwest Florida, and Suwannee River Water Management Districts (Marella, 2004). This coordinated effort provides the necessary data and information for planning future water needs and resource management. The purpose of this fact sheet is to present the highlights of water use in Florida for 2005 along with some significant trends in withdrawals since 1950.

  6. Florida Law Enforcement’s Role in Agroterrorism

    Science.gov (United States)

    2014-12-01

    143. Amanda Hodges and Rick Sapp , “SART Workbook: The Threat of Agroterrorism and Bioterrorism in Florida – Prevention and a Coordinated Response... Sapp . SART Workbook: The Threat of Agroterrorism and Bioterrorism in Florida – Prevention and a Coordinated Response. Tallahassee, FL: Florida State

  7. 7 CFR 915.332 - Florida avocado maturity regulation.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Florida avocado maturity regulation. 915.332 Section... SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE AVOCADOS GROWN IN SOUTH FLORIDA Container and Pack Regulations § 915.332 Florida avocado maturity regulation....

  8. 7 CFR 915.305 - Florida Avocado Container Regulation 5.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Florida Avocado Container Regulation 5. 915.305... AVOCADOS GROWN IN SOUTH FLORIDA Container and Pack Regulations § 915.305 Florida Avocado Container Regulation 5. (a) No handler shall handle any avocados for the fresh market from the production area to...

  9. Fatal Systemic Salmonellosis in a Florida Manatee ( Trichechus manatus latirostris).

    Science.gov (United States)

    Vorbach, Bryan S; Rotstein, David S; Stacy, Nicole I; Mavian, Carla; Salemi, Marco; Waltzek, Thomas B; de Wit, Martine

    2017-05-02

    A subadult male Florida manatee ( Trichechus manatus latirostris) stranded dead on Florida's Atlantic coast in January 2015. Necropsy and histopathologic findings confirmed chronic systemic bacterial infection caused by Salmonella enterica serotype IV 50:z4,z23,:- involving renal, respiratory, lymphatic, and skeletal systems. This was a unique case of systemic salmonellosis in a Florida manatee.

  10. Accessible Knowledge - Knowledge on Accessibility

    DEFF Research Database (Denmark)

    Kirkeby, Inge Mette

    2015-01-01

    Although serious efforts are made internationally and nationally, it is a slow process to make our physical environment accessible. In the actual design process, architects play a major role. But what kinds of knowledge, including research-based knowledge, do practicing architects make use of when...... designing accessible environments? The answer to the question is crucially important since it affects how knowledge is distributed and how accessibility can be ensured. In order to get first-hand knowledge about the design process and the sources from which they gain knowledge, 11 qualitative interviews...... were conducted with architects with experience of designing for accessibility. The analysis draws on two theoretical distinctions. The first is research-based knowledge versus knowledge used by architects. The second is context-independent knowledge versus context-dependent knowledge. The practitioners...

  11. Portfolios: possibilities for addressing emergency medicine resident competencies.

    Science.gov (United States)

    O'Sullivan, Patricia; Greene, Constance

    2002-11-01

    Portfolios are an innovative approach to evaluate the competency of emergency medicine residents. Three key characteristics add to their attractiveness. First, portfolios draw from the resident's actual work. Second, they require self-reflection on the part of the resident. Third, they are inherently practice-based learning since residents must review and consider their practice in order to begin the portfolio. This paper illustrates five different applications of portfolios. First, portfolios are applied to evaluating specific competencies as part of the training of emergency physicians. While evaluating specific competencies, the portfolio captures aspects of the general competencies. Second, the article illustrates using portfolios as a way to address a specific residency review committee (RRC) requirement such as follow-ups. Third is a description of how portfolios can be used to evaluate resident conferences capturing the competency of practice-based learning and possibly other competencies such as medical knowledge and patient care. Fourth, the authors of the article designed a portfolio as a way to demonstrate clinical competence. Fifth, they elaborate as to how a continuous quality improvement project could be cast within the portfolio framework. They provide some guidance concerning issues to address when designing the portfolios. Portfolios are carefully structured and not haphazard collections of materials. Following criteria is important in maintaining the validity of the portfolio as well as contributing to reliability. The portfolios can enhance the relationship between faculty and residents since faculty will suggest cases, discuss anomalies, and interact with the residents around the portfolio. The authors believe that in general portfolios can cover many of the general competencies specified by the ACGME while still focusing on issues important to emergency medicine. The authors believe that portfolios provide an approach to evaluation commensurate

  12. Opioid Prescribing Education in Surgical Residencies: A Program Director Survey.

    Science.gov (United States)

    Yorkgitis, Brian K; Bryant, Elizabeth; Raygor, Desiree; Brat, Gabriel; Smink, Douglas S; Crandall, Marie

    2017-09-04

    Opioid abuse and misuse is a public health crisis. A national effort to reduce this phenomenon is ongoing. Residents represent a large pool of opioid prescribers but, are often not the target for opioid prescribing education (OPE). We developed a survey to assess current opioid prescribing practices and education among surgical residents. An Institutional Review Board and Association of Program Directors in Surgery approved survey was electronically mailed to surgical program directors (PDs). The survey included questions regarding residency type, location, number of graduates per year, perceived value of OPE, residency policy on prescribing outpatients controlled substances, presence of OPE, and preferred method of OPE. A total of 248 PDs were e-mailed the survey with 110 complete responses (44.4%). Of all 104 (94.5%) allow residents to prescribe outpatient opioids with 24 (23.1%) limiting the opioid class prescribed. A total of 29 (27.9%) programs require residents to obtain their own Drug Enforcement Administration registration. Only 22 (20.0%) programs had in place mandatory OPE, 7 (6.4%) PDs were unsure if OPE was a mandatory educational requirement. Furthermore, 70 (79.5%) of programs currently without OPE are considering adding it. Didactic lecture (18, 81.8%) is the most common modality for OPE. The mode time dedicated to OPE was 1 hour. When PDs were asked about which method would be best to deliver OPE, the most common response was case-based scenarios (39, 35.5%). Bivariate statistics were performed and no association was found between OPE and program characteristics'. Most surgical residency programs allow residents to prescribe outpatient opioids, very few require OPE. The most common method of OPE was didactic lectures. To enhance a resident's knowledge in prescribing opioids, programs should incorporate OPE into their curriculum. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  13. Use of Team-Based Learning Pedagogy for Internal Medicine Ambulatory Resident Teaching.

    Science.gov (United States)

    Balwan, Sandy; Fornari, Alice; DiMarzio, Paola; Verbsky, Jennifer; Pekmezaris, Renee; Stein, Joanna; Chaudhry, Saima

    2015-12-01

    Team-based learning (TBL) is used in undergraduate medical education to facilitate higher-order content learning, promote learner engagement and collaboration, and foster positive learner attitudes. There is a paucity of data on the use of TBL in graduate medical education. Our aim was to assess resident engagement, learning, and faculty/resident satisfaction with TBL in internal medicine residency ambulatory education. Survey and nominal group technique methodologies were used to assess learner engagement and faculty/resident satisfaction. We assessed medical learning using individual (IRAT) and group (GRAT) readiness assurance tests. Residents (N = 111) involved in TBL sessions reported contributing to group discussions and actively discussing the subject material with other residents. Faculty echoed similar responses, and residents and faculty reported a preference for future teaching sessions to be offered using the TBL pedagogy. The average GRAT score was significantly higher than the average IRAT score by 22%. Feedback from our nominal group technique rank ordered the following TBL strengths by both residents and faculty: (1) interactive format, (2) content of sessions, and (3) competitive nature of sessions. We successfully implemented TBL pedagogy in the internal medicine ambulatory residency curriculum, with learning focused on the care of patients in the ambulatory setting. TBL resulted in active resident engagement, facilitated group learning, and increased satisfaction by residents and faculty. To our knowledge this is the first study that implemented a TBL program in an internal medicine residency curriculum.

  14. 2007 Florida Division of Emergency Management (FDEM) Lidar Project: Southwest Florida

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This Light Detection and Ranging (LiDAR) LAS dataset is a topographic survey conducted for a coalition of GIS practitioners, including the Florida Division of...

  15. 2004 - 2008 Florida Division of Emergency Management (FDEM) Lidar Project: Southwest Florida

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This Light Detection and Ranging (LiDAR) LAS dataset is a topographic survey conducted for a coalition of GIS practitioners, including the Florida Division of...

  16. Richard Florida : loovsektor on majanduskasvu mootor / Richard Florida ; interv. Argo Ideon

    Index Scriptorium Estoniae

    Florida, Richard

    2008-01-01

    USA majandus- ja ühiskonnateadlane Richard Florida loovklassi teooriast, selle osast majanduskasvu tagamisel, seosest ühiskonna tolerantsuse ja ühiskonna majandusliku edukuse vahel, sotsiaalse sidususe takistavast rollist loovuse motiveerimisel

  17. Richard Florida : loovsektor on majanduskasvu mootor / Richard Florida ; interv. Argo Ideon

    Index Scriptorium Estoniae

    Florida, Richard

    2008-01-01

    USA majandus- ja ühiskonnateadlane Richard Florida loovklassi teooriast, selle osast majanduskasvu tagamisel, seosest ühiskonna tolerantsuse ja ühiskonna majandusliku edukuse vahel, sotsiaalse sidususe takistavast rollist loovuse motiveerimisel

  18. Florida Teachers' Attitudes about Teaching Evolution

    Science.gov (United States)

    Fowler, Samantha R.; Meisels, Gerry G.

    2010-01-01

    A survey of Florida teachers reveals many differences in comfort level with teaching evolution according to the state's science teaching standards, general attitudes and beliefs about evolution, and the extent to which teachers are criticized, censured, disparaged, or reprehended for their beliefs about the teaching of evolution.

  19. 77 FR 66083 - Florida Disaster # FL-00076

    Science.gov (United States)

    2012-11-01

    ... ADMINISTRATION Florida Disaster FL-00076 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a Notice of the Presidential declaration of a major disaster for Public Assistance Only for the... Kingsport Road, Fort Worth, TX 76155. FOR FURTHER INFORMATION CONTACT: A. Escobar, Office of...

  20. Endangered Species of Florida Coloring Book.

    Science.gov (United States)

    King, Merlien W.

    This coloring book portrays endangered animal and plant species of Florida in their natural environment. Each picture is to be colored by the student. On the back of each page bearing the picture to be colored is a description of the animal or plant, its preferred habitat, and the reason the animal or plant is endangered. (RE)

  1. USGS research on Florida's isolated freshwater wetlands

    Science.gov (United States)

    Torres, Arturo E.; Haag, Kim H.; Lee, Terrie M.; Metz, Patricia A.

    2011-01-01

    The U.S. Geological Survey (USGS) has studied wetland hydrology and its effects on wetland health and ecology in Florida since the 1990s. USGS wetland studies in Florida and other parts of the Nation provide resource managers with tools to assess current conditions and regional trends in wetland resources. Wetland hydrologists in the USGS Florida Water Science Center (FLWSC) have completed a number of interdisciplinary studies assessing the hydrology, ecology, and water quality of wetlands. These studies have expanded the understanding of wetland hydrology, ecology, and related processes including: (1) the effects of cyclical changes in rainfall and the influence of evapotranspiration; (2) surface-water flow, infiltration, groundwater movement, and groundwater and surfacewater interactions; (3) the effects of water quality and soil type; (4) the unique biogeochemical components of wetlands required to maintain ecosystem functions; (5) the effects of land use and other human activities; (6) the influences of algae, plants, and invertebrates on environmental processes; and (7) the effects of seasonal variations in animal communities that inhabit or visit Florida wetlands and how wetland function responds to changes in the plant community.

  2. Sensation™ ‘Florida 127’ Strawberry

    Science.gov (United States)

    Florida127’ strawberry originated from a 2009 cross between Winterstar™ ‘FL 05-107’ (female parent) and unreleased selection FL 02-58 (male parent). It is a short-day genotype adapted to an annual plasticulture growing system. The plant is upright with open architecture, allowing air movement and e...

  3. Ask a Librarian: Florida's Virtual Reference Service

    Science.gov (United States)

    Sachs, Diana

    2004-01-01

    Florida's Ask a Librarian service (http://www.askalibrarian.org) brings virtual reference to users at their moment of need via the Internet. Ask a Librarian is a growing service with 76 participating libraries including public, school, four-year, and community college libraries. The following article describes how Ask a Librarian was developed…

  4. 77 FR 42352 - Florida Disaster #FL-00072

    Science.gov (United States)

    2012-07-18

    ... ADMINISTRATION Florida Disaster FL-00072 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY... loan applications to: U.S. Small Business Administration, Processing and Disbursement Center, 14925... Assistance, U.S. Small Business Administration, 409 3rd Street SW., Suite 6050, Washington, DC...

  5. 78 FR 48763 - Florida Disaster #FL-00090

    Science.gov (United States)

    2013-08-09

    ... ADMINISTRATION Florida Disaster FL-00090 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY... completed loan applications to: U.S. Small Business Administration, Processing and Disbursement Center... Disaster Assistance, U.S. Small Business Administration, 409 3rd Street SW., Suite 6050, Washington,...

  6. Commercial Refrigeration Technology. Florida Vocational Program Guide.

    Science.gov (United States)

    University of South Florida, Tampa. Dept. of Adult and Vocational Education.

    The program guide for commercial refrigeration technology courses in Florida identifies primary considerations for the organization, operation, and evaluation of a vocational education program. Following an occupational description for the job title for refrigeration mechanic, and its Dictionary of Occupational Titles code, are six sections…

  7. Black Frontier Settlements in Spanish Colonial Florida.

    Science.gov (United States)

    Landers, Jane

    1988-01-01

    Addresses the much neglected area of Black frontier experience in the Spanish colonies. Concentrates on the role played by Black settlers and one Black township in defending the Spanish frontier in colonial Florida against the threat of growing English settlements to the north. Provides an introduction to the 18th century Southeastern Spanish…

  8. Florida Teachers' Attitudes about Teaching Evolution

    Science.gov (United States)

    Fowler, Samantha R.; Meisels, Gerry G.

    2010-01-01

    A survey of Florida teachers reveals many differences in comfort level with teaching evolution according to the state's science teaching standards, general attitudes and beliefs about evolution, and the extent to which teachers are criticized, censured, disparaged, or reprehended for their beliefs about the teaching of evolution.

  9. AECT Convention, Orlando, Florida 2008 Report

    Science.gov (United States)

    Vega, Eddie

    2009-01-01

    This article presents several reports that highlight the events at the 2008 Association for Educational Communications and Technology (AECT) International Convention in Orlando, Florida. At the annual convention this year, the Multimedia Production Division goal was to continue to share information about the latest tools in multimedia production,…

  10. Environmental Citizenship in Florida's Middle Schools.

    Science.gov (United States)

    Florida State Dept. of Environmental Protection, Tallahassee.

    This brochure introduces Environmental Citizenship in Florida's Middle Schools, which is a school-wide exercise aimed at making middle school students more aware of the natural world around them and their effect on that world. As many school-study areas as possible are used to help students learn how the environment can affect all aspects of their…

  11. Family Skills for General Psychiatry Residents: Meeting ACGME Core Competency Requirements

    Science.gov (United States)

    Berman, Ellen M.; Heru, Alison M.; Grunebaum, Henry; Rolland, John; Wood, Beatrice; Bruty, Heidi

    2006-01-01

    Objective: The authors discuss the knowledge, attitudes, and skills needed for a resident to be competent in supporting and working with families, as mandated by the residency review committee (RRC) core competencies. Methods: The RRC core competencies, as they relate to patients and their families, are reviewed. The Group for Advancement of…

  12. Results of a Multifaceted Intimate Partner Violence Training Program for Pediatric Residents

    Science.gov (United States)

    McColgan, Maria D.; Cruz, Mario; McKee, Jessica; Dempsey, Sandra H.; Davis, Martha B.; Barry, Patricia; Yoder, Ana Lisa; Giardino, Angelo P.

    2010-01-01

    Objective: To evaluate the efficacy of a multifaceted Intimate Partner Violence (IPV) intervention on knowledge, attitudes, and screening practices of pediatric residents. Methods: The intervention included: an on-site IPV counselor, IPV training for attending physicians, residents and social workers, and screening prompts. Evaluation included…

  13. Knowledge spaces

    CERN Document Server

    Doignon, Jean-Paul

    1999-01-01

    Knowledge spaces offer a rigorous mathematical foundation for various practical systems of knowledge assessment. An example is offered by the ALEKS system (Assessment and LEarning in Knowledge Spaces), a software for the assessment of mathematical knowledge. From a mathematical standpoint, knowledge spaces generalize partially ordered sets. They are investigated both from a combinatorial and a stochastic viewpoint. The results are applied to real and simulated data. The book gives a systematic presentation of research and extends the results to new situations. It is of interest to mathematically oriented readers in education, computer science and combinatorics at research and graduate levels. The text contains numerous examples and exercises and an extensive bibliography.

  14. Knowledge Management

    Science.gov (United States)

    Shariq, Syed Z.; Kutler, Paul (Technical Monitor)

    1997-01-01

    The emergence of rapidly expanding technologies for distribution and dissemination of information and knowledge has brought to focus the opportunities for development of knowledge-based networks, knowledge dissemination and knowledge management technologies and their potential applications for enhancing productivity of knowledge work. The challenging and complex problems of the future can be best addressed by developing the knowledge management as a new discipline based on an integrative synthesis of hard and soft sciences. A knowledge management professional society can provide a framework for catalyzing the development of proposed synthesis as well as serve as a focal point for coordination of professional activities in the strategic areas of education, research and technology development. Preliminary concepts for the development of the knowledge management discipline and the professional society are explored. Within this context of knowledge management discipline and the professional society, potential opportunities for application of information technologies for more effectively delivering or transferring information and knowledge (i.e., resulting from the NASA's Mission to Planet Earth) for the development of policy options in critical areas of national and global importance (i.e., policy decisions in economic and environmental areas) can be explored, particularly for those policy areas where a global collaborative knowledge network is likely to be critical to the acceptance of the policies.

  15. 77 FR 10480 - Proposed Information Collection; Comment Request; Survey of Hawaii Resident Resource Users...

    Science.gov (United States)

    2012-02-22

    ... stewardship of reef resources. Conservation planners will gain information about the threats and status of... National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Survey of Hawaii Resident Resource Users' Knowledge, Attitudes and Perceptions of Coral Reefs in Two...

  16. Association between periodontal diseases and systemic illnesses: A survey among internal medicine residents in Nigeria

    Directory of Open Access Journals (Sweden)

    Kehinde A. Umeizudike

    2016-01-01

    Conclusions: Knowledge of periodontal disease as a risk factor for systemic illnesses among medical residents in Nigeria is inadequate. These relationships should be emphasized in continuing medical education courses.

  17. How Dutch medical specialists perceive the competencies and training needs of medical residents in healthcare management.

    Science.gov (United States)

    Berkenbosch, L; Bax, M; Scherpbier, A; Heyligers, I; Muijtjens, A M M; Busari, J O

    2013-04-01

    The Dutch postgraduate medical training has been revised to focus on seven competencies. The role as manager is one of these competencies. Recent studies show that this competency receives little attention during the residency training. In an earlier study, we discovered that residents perceived their competency as managers to be moderate. In this study, we investigated how medical specialists perceived the managerial competencies of medical residents and their need for management education. In September 2010, a 46-item questionnaire was designed which examined medical specialists' perceptions of the competency and needs of residents in the field of medical management. Two hundred ninety-eight specialists were invited via email to participate. Hundred twenty-nine specialists (43.3%) responded to our survey. They rated the residents' competencies in contract negotiating skills, knowledge of the healthcare system, and specialist department poorly. They felt that residents were competent in updating their medical knowledge. Ninety-four percent reported a need for training in management among residents. Preferred topics were time management and healthcare organization. The preferred training method was a workshop given during residency by an extramural expert. Dutch medical specialists perceive the management competencies of residents in some areas to be inadequate. They feel that training in medical management during residency is necessary.

  18. Aquatic Plant Control Research Program. A Survey of the Fauna Associated with Pistia Stratiotes L. (Waterlettuce) in Florida

    Science.gov (United States)

    1988-04-01

    Contribution to the Knowledge of Florida Odonata , Uni- versity of Florida, Gainesville, Fla. •arpenter, S. J., and LaCasse, W. J. 1955. Mosquitoes of...Sameca mzdltipiicalis (A,I,1498,78%) Syncl,:ta obliteral~is (A,I,2,3%) Odonata Aeshnidae (darner dragonflies) Aeshan sp. (1,1,2%) Coenagrionidae...120 71 128 71 (Continued) (Sheet 3 of 4) 4 4 Table 3 (Concluded) 1985 1986 Summer Autumn Winter Spring Taxa No. % No. Z No. % No. % Odonata Aeshnidae

  19. Minimum Data Set Active Resident Information Report

    Data.gov (United States)

    U.S. Department of Health & Human Services — The MDS Active Resident Report summarizes information for residents currently in nursing homes. The source of these counts is the residents MDS assessment record....

  20. Knowledge Work and Knowledge Creation

    DEFF Research Database (Denmark)

    Dau, Susanne

    2016-01-01

    The purpose of this paper is to address how instruction influences the creative knowledge work. Based on different perspectives on instructions and the actions followed, this paper reveal how educators, having different competencies of ICT-instructions, influence students’ creative knowledge work......, and students’ knowledge creation....

  1. Knowledge cycle and strategic knowledge within company

    OpenAIRE

    Ovidiu NICOLESCU

    2007-01-01

    In the knowledge-based economy, a company performs a set of activities focused on knowledge: identifying necessary knowledge, buying knowledge, learning, acquiring knowledge, creating knowledge, storing knowledge, sharing knowledge, using knowledge, protection of knowledge, capitalizing knowledge. As a result, a new function emerge: the knowledge function. In the knowledge-based companies, not every knowledge has the same impact. The analysis of the actual situations in the most developed an...

  2. Knowledge Management

    Directory of Open Access Journals (Sweden)

    Ravi Kiran

    2013-04-01

    Full Text Available The present study covers the knowledge management (KM in institutions of higher technical education (IHTEs from the perspective of thought leaders and junior academia to identify whether there is a difference of opinion regarding KM strategies, including knowledge technologies, knowledge acquisition, knowledge storage, knowledge dissemination, and KM-based framework for research and curriculum development (CD. Data have been collected through structured questionnaire from 141 respondents covering 30 higher educational institutions in India, including national- and state-level institutions—Designations of the targeted respondents in the IHTEs have been categorized into (a senior academia, that is, professors, heads, and associate professors occupying senior management positions, considered to be the institute overseers and thought leaders of KM and (b junior academia consisting of assistant professors and lecturers who are using and also contributing to the KM system. ANOVA has been used to see whether there is a significant difference of opinion among the two groups of knowledge users. The results of the study highlight a significant difference among the two groups regarding knowledge technologies, knowledge acquisition, knowledge storage, and knowledge dissemination. But, there is a consensus regarding KM-based framework for research and CD.

  3. Knowledge Sharing is Knowledge Creation

    DEFF Research Database (Denmark)

    Greve, Linda

    2015-01-01

    communication and knowledge creation to an intervention study in a large Danish food production company. For some time a specific group of employees uttered a wish for knowledge sharing, but it never really happened. The group was observed and submitted to metaphor analysis as well as analysis of co......-creation strategies. Confronted with the results, the group completely altered their approach to knowledge sharing and let it become knowledge co-creation. The conclusions are, that knowledge is and can only be a diverse and differentiated concept, and that groups are able to embrace this complexity. Thus rather than...

  4. Resident perception of volcanic hazards and evacuation procedures

    Science.gov (United States)

    Bird, D. K.; Gisladottir, G.; Dominey-Howes, D.

    2009-02-01

    Katla volcano, located beneath the Mýrdalsjökull ice cap in southern Iceland, is capable of producing catastrophic jökulhlaup. The Icelandic Civil Protection (ICP), in conjunction with scientists, local police and emergency managers, developed mitigation strategies for possible jökulhlaup produced during future Katla eruptions. These strategies were tested during a full-scale evacuation exercise in March 2006. A positive public response during a volcanic crisis not only depends upon the public's knowledge of the evacuation plan but also their knowledge and perception of the possible hazards. To improve the effectiveness of residents' compliance with warning and evacuation messages it is important that emergency management officials understand how the public interpret their situation in relation to volcanic hazards and their potential response during a crisis and apply this information to the ongoing development of risk mitigation strategies. We adopted a mixed methods approach in order to gain a broad understanding of residents' knowledge and perception of the Katla volcano in general, jökulhlaup hazards specifically and the regional emergency evacuation plan. This entailed field observations during the major evacuation exercise, interviews with key emergency management officials and questionnaire survey interviews with local residents. Our survey shows that despite living within the hazard zone, many residents do not perceive that their homes could be affected by a jökulhlaup, and many participants who perceive that their homes are safe, stated that they would not evacuate if an evacuation warning was issued. Alarmingly, most participants did not receive an evacuation message during the exercise. However, the majority of participants who took part in the exercise were positive about its implementation. This assessment of resident knowledge and perception of volcanic hazards and the evacuation plan is the first of its kind in this region. Our data can be used

  5. KNOWLEDGE CYCLE AND STRATEGIC KNOWLEDGE WITHIN COMPANY

    Directory of Open Access Journals (Sweden)

    Ovidiu NICOLESCU

    2007-01-01

    Full Text Available In the knowledge-based economy, a company performs a set of activities focused on knowledge: identifying necessary knowledge, buying knowledge, learning, acquiring knowledge, creating knowledge, storing knowledge, sharing knowledge, using knowledge, protection of knowledge, capitalizing knowledge. As a result, a new function emerge: the knowledge function. In the knowledge-based companies, not every knowledge has the same impact. The analysis of the actual situations in the most developed and highly performing companies - based in knowledge, outlines the occurrence of a new category of knowledge – strategic knowledge. Generating this category of knowledge is a new category of challenge for the scientific system.

  6. Applying Expectancy Theory to residency training: proposing opportunities to understand resident motivation and enhance residency training

    Directory of Open Access Journals (Sweden)

    Shweiki E

    2015-04-01

    Full Text Available Ehyal Shweiki,1 Niels D Martin,2 Alec C Beekley,1 Jay S Jenoff,1 George J Koenig,1 Kris R Kaulback,1 Gary A Lindenbaum,1 Pankaj H Patel,1 Matthew M Rosen,1 Michael S Weinstein,1 Muhammad H Zubair,2 Murray J Cohen1 1Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA; 2Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA Abstract: Medical resident education in the United States has been a matter of national priority for decades, exemplified initially through the Liaison Committee for Graduate Medical Education and then superseded by the Accreditation Council for Graduate Medical Education. A recent Special Report in the New England Journal of Medicine, however, has described resident educational programs to date as prescriptive, noting an absence of innovation in education. Current aims of contemporary medical resident education are thus being directed at ensuring quality in learning as well as in patient care. Achievement and work-motivation theories attempt to explain people's choice, performance, and persistence in tasks. Expectancy Theory as one such theory was reviewed in detail, appearing particularly applicable to surgical residency training. Correlations between Expectancy Theory as a work-motivation theory and residency education were explored. Understanding achievement and work-motivation theories affords an opportunity to gain insight into resident motivation in training. The application of Expectancy Theory in particular provides an innovative perspective into residency education. Afforded are opportunities to promote the development of programmatic methods facilitating surgical resident motivation in education. Keywords: learning, education, achievement

  7. Timescales for nitrate contamination of spring waters, northern Florida, USA

    Science.gov (United States)

    Katz, B.G.; Böhlke, J.K.; Hornsby, H.D.

    2001-01-01

    Residence times of groundwater, discharging from springs in the middle Suwannee River Basin, were estimated using chlorofluorocarbons (CFCs), tritium (3H), and tritium/helium-3 (3H/3He) age-dating methods to assess the chronology of nitrate contamination of spring waters in northern Florida. During base-flow conditions for the Suwannee River in 1997-1999, 17 water samples were collected from 12 first, second, and third magnitude springs discharging groundwater from the Upper Floridan aquifer. Extending age-dating techniques, using transient tracers to spring waters in complex karst systems, required an assessment of several models [piston-flow (PFM), exponential mixing (EMM), and binary-mixing (BMM)] to account for different distributions of groundwater age. Multi-tracer analyses of four springs yielded generally concordant PFM ages of around 20 ?? 2 years from CFC-12, CFC-113, 3H, and 3He, with evidence of partial CFC-11 degradation. The EMM gave a reasonable fit to CFC-113, CFC-12, and 3H data, but did not reproduce the observed 3He concentrations or 3H/3He ratios, nor did a combination PFM-EMM. The BMM could reproduce most of the multi-tracer data set only if both endmembers had 3H concentrations not much different from modern values. CFC analyses of 14 additional springs yielded apparent PFM ages from about 10 to 20 years from CFC-113, with evidence of partial CFC-11 degradation and variable CFC-12 contamination. While it is not conclusive, with respect to the age distribution within each spring, the data indicate that the average residence times were in the order of 10-20 years and were roughly proportional to spring magnitude. Applying similar models to recharge and discharge of nitrate based on historical nitrogen loading data yielded contrasting trends for Suwanee County and Lafayette County. In Suwanee County, spring nitrate trends and nitrogen isotope data were consistent with a peak in fertilizer input in the 1970s and a relatively high overall ratio of

  8. Knowledge management

    DEFF Research Database (Denmark)

    Foss, Nicolai Juul; Mahnke, Volker

    2003-01-01

    Knowledge management has emerged as a very successful organization practice and has beenextensively treated in a large body of academic work. Surprisingly, however, organizationaleconomics (i.e., transaction cost economics, agency theory, team theory and property rightstheory) has played no role...... in the development of knowledge management. We argue thatorganizational economics insights can further the theory and practice of knowledge managementin several ways. Specifically, we apply notions of contracting, team production,complementaries, hold-up, etc. to knowledge management issues (i.e., creating...

  9. Knowledge management

    DEFF Research Database (Denmark)

    Foss, Nicolai Juul; Mahnke, Volker

    2003-01-01

    in the development of knowledge management. We argue thatorganizational economics insights can further the theory and practice of knowledge managementin several ways. Specifically, we apply notions of contracting, team production,complementaries, hold-up, etc. to knowledge management issues (i.e., creating......Knowledge management has emerged as a very successful organization practice and has beenextensively treated in a large body of academic work. Surprisingly, however, organizationaleconomics (i.e., transaction cost economics, agency theory, team theory and property rightstheory) has played no role...

  10. Knowledge Economy

    OpenAIRE

    Kerr, Aphra; O'Riain, Sean

    2009-01-01

    We examine a number of key questions regarding this knowledge economy. First, we look at the origin of the concept as well as early attempts to define and map the knowledge economy empirically. Second, we examine a variety of perspectives on the socio-spatial organisation of the knowledge economy and approaches which link techno-economic change and social-spatial organisation. Building on a critique of these perspectives, we then go on to develop a view of a knowledge economy that is conteste...

  11. Changing conversations: teaching safety and quality in residency training.

    Science.gov (United States)

    Voss, John D; May, Natalie B; Schorling, John B; Lyman, Jason A; Schectman, Joel M; Wolf, Andrew M D; Nadkarni, Mohan M; Plews-Ogan, Margaret

    2008-11-01

    Improving patient safety and quality in health care is one of medicine's most pressing challenges. Residency training programs have a unique opportunity to meet this challenge by training physicians in the science and methods of patient safety and quality improvement (QI).With support from the Health Resources and Services Administration, the authors developed an innovative, longitudinal, experiential curriculum in patient safety and QI for internal medicine residents at the University of Virginia. This two-year curriculum teaches the critical concepts and skills of patient safety and QI: systems thinking and human factors analysis, root cause analysis (RCA), and process mapping. Residents apply these skills in a series of QI and patient safety projects. The constructivist educational model creates a learning environment that actively engages residents in improving the quality and safety of their medical practice.Between 2003 and 2005, 38 residents completed RCAs of adverse events. The RCAs identified causes and proposed useful interventions that have produced important care improvements. Qualitative analysis demonstrates that the curriculum shifted residents' thinking about patient safety to a systems-based approach. Residents completed 237 outcome assessments during three years. Results indicate that seminars met predefined learning objectives and were interactive and enjoyable. Residents strongly believe they gained important skills in all domains.The challenge to improve quality and safety in health care requires physicians to learn new knowledge and skills. Graduate medical education can equip new physicians with the skills necessary to lead the movement to safer and better quality of care for all patients.This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.

  12. Pathology Residents Comprise Inspection Team for a CAP Self-Inspection.

    Science.gov (United States)

    Beal, Stacy G; Kresak, Jesse L; Yachnis, Anthony T

    2017-01-01

    We report our experience at the University of Florida in which residents and fellows served as the inspection team for a College of American Pathologists (CAP) self-inspection. We aimed to determine whether the CAP self-inspection could serve as a learning opportunity for pathology residents and fellows. To prepare for the inspection, we provided a series of 4 lunchtime seminars covering numerous laboratory management topics relating to inspections and laboratory quality. Preparation for the inspection began approximately 4 months prior to the date of the inspection. The intent was to simulate a CAP peer inspection, with the exception that the date was announced. The associate residency program director served as the team leader. All residents and fellows completed inspector training provided by CAP, and the team leader completed the team leader training. A 20 question pre- and posttest was administered; additionally, an anonymous survey was given after the inspection. The residents' and fellows' posttest scores were an average of 15% higher than on the pretest (P < .01). The surveys as well as subjective comments were overwhelmingly positive. In conclusion, the resident's and fellow's experience as an inspector during a CAP self-inspection was a useful tool to learn accreditation and laboratory management.

  13. Do emergency medicine residents and faculty have similar learning styles when assessed with the Kolb learning style assessment tool?

    Science.gov (United States)

    Fredette, Jenna; O'Brien, Corinne; Poole, Christy; Nomura, Jason

    2015-04-01

    Experiential learning theory and the Kolb Learning Style Inventory (Kolb LSI) have influenced educators worldwide for decades. Knowledge of learning styles can create efficient learning environments, increase information retention, and improve learner satisfaction. Learning styles have been examined in medicine previously, but not specifically with Emergency Medicine (EM) residents and attendings. Using the Kolb LSI, the learning styles of Emergency Medicine residents and attendings were assessed. The findings showed that the majority of EM residents and attendings shared the accommodating learning style. This result was different than prior studies that found the majority of medical professionals had a converging learning style and other studies that found attendings often have different learning styles than residents. The issue of learning styles among emergency medical residents and attendings is important because learning style knowledge may have an impact on how a residency program structures curriculum and how EM residents are successfully, efficiently, and creatively educated.

  14. Anatomia foliar de Eugenia florida DC. (Myrtaceae Foliar anatomy of Eugenia florida DC. (Myrtaceae

    Directory of Open Access Journals (Sweden)

    Ana Maria Donato

    2009-09-01

    Full Text Available Foi feito o estudo anatômico da folha de Eugenia florida DC., espécie arbórea da família Myrtaceae, coletada no Campus da Fundação Oswaldo Cruz, Rio de Janeiro, RJ. A espécie apresenta importantes propriedades farmacológicas, incluindo-se atividade antiviral. O presente estudo teve como objetivo fornecer dados, revelados através da microscopia óptica e da microscopia eletrônica de varredura, que possam contribuir para o conhecimento da espécie e, conseqüentemente, para a segurança em sua identificação. Anatomicamente, a folha é hipostomática, com organização dorsiventral do mesofilo. Apresenta tricomas simples apenas sobre a nervura mediana da face adaxial. As células epidérmicas apresentam contorno sinuoso em vista frontal e cutícula estriada. O parênquima paliçádico destaca-se pela grande quantidade de cristais prismáticos de oxalato de cálcio. Em posição subepidérmica ocorrem cavidades secretoras de óleos essenciais, pouco numerosas, nas duas faces da lâmina foliar. As células epidérmicas situadas sobre as estruturas secretoras constituem característica de valor diagnóstico e são reconhecíveis pela célula de topo, que é reniforme, circundada pelas adjacentes, que apresentam disposição radiada. A comparação entre folhas de sol e de sombra revela que, nas primeiras, as estruturas secretoras são completamente diferenciadas, ao contrário das folhas de sombra, além de apresentarem maior concentração de compostos ergásticos.A study of the foliar anatomy of Eugenia florida DC., a tree of Myrtaceae family collected at Fundação Oswaldo Cruz, Rio de Janeiro, RJ, was accomplished. This species presents important pharmacological properties, including antiviral activity. The aim of this research was to furnish data, revealed by optical microscopy and scanning electronically microscopy, in order to contribute to the knowledge of the species and to its safe identification. Anatomically, the leaf is

  15. Variation in RGS2 is associated with suicidal ideation in an epidemiological study of adults exposed to the 2004 Florida hurricanes.

    Science.gov (United States)

    Amstadter, Ananda B; Koenen, Karestan C; Ruggiero, Kenneth J; Acierno, Ron; Galea, Sandro; Kilpatrick, Dean G; Gelernter, Joel

    2009-01-01

    This study examined whether rs4606, a single nucleotide polymorphism (SNP) in the translated region at the 3' end of RGS2, was related to suicidal ideation in an epidemiologic sample of adults living in areas affected by the 2004 Florida hurricanes. An epidemiologic sample of residents of Florida was recruited via random digit-dial procedures after the 2004 Florida hurricanes; participants were interviewed about suicidal ideation, hurricane exposure, and social support. Participants who returned buccal DNA samples via mail (n = 607) were included here. Rs4606 in RGS2 was associated with increased symptoms of current suicidal ideation (p < 0.01). Each "C" allele was associated with 5.59 times increased risk of having current ideation. No gene-by-environment interactions were found, perhaps due to low power. RGS2 rs4606 is related to risk of current suicidal ideation in stressor-exposed adults.

  16. Evidence-based medicine training during residency: a randomized controlled trial of efficacy

    Science.gov (United States)

    2010-01-01

    Background Evidence-based medicine (EBM) has been widely integrated into residency curricula, although results of randomized controlled trials and long term outcomes of EBM educational interventions are lacking. We sought to determine if an EBM workshop improved internal medicine residents' EBM knowledge and skills and use of secondary evidence resources. Methods This randomized controlled trial included 48 internal medicine residents at an academic medical center. Twenty-three residents were randomized to attend a 4-hour interactive workshop in their PGY-2 year. All residents completed a 25-item EBM knowledge and skills test and a self-reported survey of literature searching and resource usage in their PGY-1, PGY-2, and PGY-3 years. Results There was no difference in mean EBM test scores between the workshop and control groups at PGY-2 or PGY-3. However, mean EBM test scores significantly increased over time for both groups in PGY-2 and PGY-3. Literature searches, and resource usage also increased significantly in both groups after the PGY-1 year. Conclusions We were unable to detect a difference in EBM knowledge between residents who did and did not participate in our workshop. Significant improvement over time in EBM scores, however, suggests EBM skills were learned during residency. Future rigorous studies should determine the best methods for improving residents' EBM skills as well as their ability to apply evidence during clinical practice. PMID:20807453

  17. Freshwater aquatic plant biomass production in Florida

    Energy Technology Data Exchange (ETDEWEB)

    Reddy, K.R.; Sutton, D.L.; Bowes, G.

    1983-01-01

    About 8% (1.2 million ha) of the total surface area of Florida is occupied by freshwater. Many of these water bodies are eutrophic. Nutrients present in these water bodies can be potentially used to culture aquatic plants as a possible feedstock for methane production. This paper summarizes the results of known research findings on biomass production potential of freshwater aquatic plants in Florida and identifies key research needs to improve the quality and quantity of biomass yields. Among floating aquatic plants, biomass yield potential was in the order of water-hyacinth > water lettuce > pennywort > salvinia > duckweed > azolla. Pennywort, duckweed, and azolla appear to perform well during the cooler months compared to other aquatic plants. Among emergent plants, biomass yield potential was in the order of southern wild rice > cattails > soft rush > bulrush. Cultural techniques, nutrient management, and environmental factors influencing the biomass yields were discussed. 68 references.

  18. Orimulsion fails to come to Florida

    Energy Technology Data Exchange (ETDEWEB)

    Monahan, J.

    1998-10-01

    On 24th June the Governor of Florida and his Cabinet voted 6-1 against the use of Venezuelan-produced Orimulsion. The state`s biggest utility, Florida Power and Light (FPL), had been seeking permission for its use for almost four years in its 1,600 megawatt (MW) Manatee county power plant south of Tampa. It was a landmark decision. The use of Orimulsion - a fossil fuel made of natural bitumen, to which water and a surfactant is added to turn it into an emulsion - was being contemplated on a commercial basis in the United States for the first time. The legal, economic and environmental factors behind this decision are given with an analysis of why Orimulsion, forecast to be the 1990s major new fuel, has not succeeded as predicted.

  19. Staghorn tempestites in the Florida Keys

    Science.gov (United States)

    Shinn, E.A.; Reich, C.D.; Hickey, T.D.; Lidz, B.H.

    2003-01-01

    Thirty-one samples of transported Holocene Acropora cervicornis "sticks" sampled from carbonate sand tempestite accumulations at 19 sites along a 180-km-long stretch of the Florida reef tract were dated using the radiocarbon (14C) method. The "modern fossils" collected from just a few centimeters below the surface ranged in age from 0.5 to 6.4 ka. The majority lived between 3.5 and 5.5 ka. The time of transport and deposition is not known. There were no A. cervicornis samples centered around 4.5 ka. Acropora cervicornis is living on many Florida reefs, but the youngest tempestite sample was 500 years old. Two 500-year-long gaps in dated staghorn suggest that the documented decline in living A. cervicornis over the past 25 years may not be without precedent.

  20. Disappearing knowledge

    Directory of Open Access Journals (Sweden)

    Nišavić Ivan

    2016-01-01

    Full Text Available Following the exposition of the basic standpoints of contextualism in relation to invariantistic position, which takes the concept of knowledge in its rigorous and fixed meaning, the text continues to deal with the analysis of the concept of knowledge offered by David Lewis, with a goal to solve common epistemological problems, one of those being the lottery paradox. Accepting fallibilism as the only plausible option regarding the possibility of acquiring knowledge, Lewis claims that, with the postulated rules that allow us to properly eliminate alternative possibilities, it is possible to resolve the previously mentioned paradox. If we want to base knowledge on probability, and not on certainty, and to directly stipulate it with the context in which it is being imposed or expressed, than it is obvious that knowledge will depend on whether the requirements for knowledge are high or low. Thus, in one case it might occur that we have knowledge, and in the other that we do not, even though nothing is changed except the conversational conditions that are already ”in the game”. Such, elusive knowledge, that gets lost, De Rose labels ”now you know it, now you don’t” and considers it to be a direct consequence of Lewis’s analysis. As such, the analysis should not be accepted.

  1. Interactive instruction in otolaryngology resident education.

    Science.gov (United States)

    Schweinfurth, John M

    2007-12-01

    Today's academic faculty was typically trained under an education system based entirely on didactic lectures. However, if the aim is to teach thinking or change attitudes beyond the simple transmission of factual knowledge, then lectures alone, without active involvement of the students, are not the most effective method of teaching. If the goals of teaching are to arouse and keep students' interest, give facts and details, to make students think critically about the subject, and to prepare for independent studies by demonstration of problem solving and professional reasoning, then only two of these purposes are suited to didactic lectures. The problem then is how to organize lecture material so that individual student's learning needs are better addressed. The education literature suggests that instruction include a variety of activities designed to stimulate individual thought. These activities include small group discussion, working problems during lecture time, questions included in the lecture, and quizzes at the end of lecture, among others. The current study was undertaken to examine the feasibility of using these types of interactive learning techniques in an otolaryngology residency program. Possibilities considered in the current study include standard interactive lecturing, facilitated discussion, brainstorming, small group activities, problem solving, competitive large group exercises, and the use of illustrative cliff hanger and incident cases. The feasibility of these methodologies being effectively incorporated into a residency curriculum is discussed.

  2. Knowledge brokering

    DEFF Research Database (Denmark)

    Bergenholtz, Carsten

    2011-01-01

    Purpose – The purpose of this paper is to examine how the spanning of inter-organizational weak ties and technological boundaries influences knowledge brokering. Design/methodology/approach – The paper is based on original fieldwork and employs a case study research design, investigating a Danish...... HTSF’s inter-organizational activities. Findings – The findings show how an inter-organizational search that crosses technological boundaries and is based on a network structure of weak ties can imply a reduced risk of unwanted knowledge spill-over. Research limitations/implications – By not engaging...... in strong tie collaborations a knowledge brokering organization can reduce the risk of unwanted knowledge spill-over. The risks and opportunities of knowledge spill-over furthermore rely on the nature of the technology involved and to what extent technological boundaries are crossed. Practical implications...

  3. Regional CMS Modeling: Southwest Florida Gulf Coast

    Science.gov (United States)

    2016-05-01

    counties and over 70 miles of southwest Florida shoreline along the Gulf of Mexico . The study region is entirely within the USACE Jacksonville...2 Figure 1. Sediment budget extent and active USACE Jacksonville District (SAJ) projects in Pinellas, Manatee, and Sarasota Counties, FL. METHOD ...The CMS is a product of the Coastal Inlets Research Program (http://cirp.usace. army.mil), a USACE Navigation Research Development and Technology

  4. Mohs Surgical Reconstruction Educational Activity: a resident education tool.

    Science.gov (United States)

    Croley, Julie A; Malone, C Helen; Goodwin, Brandon P; Phillips, Linda G; Cole, Eric L; Wagner, Richard F

    2017-01-01

    Surgical reconstructive planning following Mohs surgery can be a difficult subject for dermatology residents to master. Prior research demonstrates that active learning is preferred and more effective compared to passive learning models and that dermatology residents desire greater complexity and volume in surgical training. We present a novel, active, problem-based learning tool for the education of Mohs reconstruction with the goal of improving residents' ability to plan surgical reconstructions. The Mohs Surgical Reconstruction Educational Activity is an active, problem-based learning activity in which residents designed repairs for planned Mohs defects prior to surgery on an iPad application or on a printed photograph. The attending Mohs surgeon reviewed the reconstructive designs, provided feedback, guided discussion, and facilitated insight into additional issues requiring further review. Residents performed or observed the Mohs and reconstructive surgical procedures for respective repairs. Surveys were administered to participants before and after participating in the Mohs Surgical Reconstruction Educational Activity to assess the educational value of the activity. Survey responses were recorded on a 5-point Likert scale. Mean participant-reported confidence in flap and graft knowledge, flap and graft planning, and flap and graft performance increased 1.50-2.50 Likert scale points upon completion of the Mohs surgery rotation by residents participating in the educational activity. The observed trend was larger in the dermatology resident subset, with increases of 2.00-3.50 Likert scale points reported for these questions. Mean participant-reported likelihoods of performing flaps and grafts in the future increased 0.25-0.50 Likert scale points among all residents participating in the educational activity and 0.50-1.00 Likert scale points in the dermatology resident subset. All residents participating in the educational activity somewhat or completely agreed

  5. Education Research: Neurology resident education: Trending skills, confidence, and professional preparation.

    Science.gov (United States)

    Jordan, Justin T; Mayans, David; Schneider, Logan; Adams, Nellie; Khawaja, Ayaz M; Engstrom, John

    2016-03-15

    To survey US-trained graduating neurology residents who are American Academy of Neurology members, in an effort to trend perceived quality and completeness of graduate neurology education. An electronic survey was sent to all American Academy of Neurology members graduating from US neurology residency programs in the Spring of 2014. Of 805 eligible respondents, 24% completed the survey. Ninety-three percent of adult neurology residents and 56% of child neurology residents reported plans to pursue fellowship training after residency. Respondents reported a desire for additional training in neurocritical care, neuro-oncology, neuromuscular diseases, botulinum toxin injection, and nerve blocks. There remains a clear deficit in business training of neurology residents, although there was notable improvement in knowledge of coding and office management compared to previous surveys. Although there are still areas of perceived weakness in neurology training, graduating neurology residents feel generally well prepared for their chosen careers. However, most still pursue fellowship training for reasons that are little understood. In addition to certain subspecialties and procedures, practice management remains deficient in neurology training and is a point of future insecurity for most residents. Future curriculum changes should consider resident-reported gaps in knowledge, with careful consideration of improving business training. © 2016 American Academy of Neurology.

  6. Chart Smart: A Need for Documentation and Billing Education Among Emergency Medicine Residents?

    Directory of Open Access Journals (Sweden)

    Brian Dawson, MD

    2010-05-01

    Full Text Available Objective: The healthcare chart is becoming ever more complex, serving clinicians, patients, third party payers, regulators, and even medicolegal parties. The purpose of this study was to identify our emergency medicine (EM resident and attending physicians’ current knowledge and attitudes about billing and documentation practices. We hypothesized that resident and attending physicians would identify billing and documentation as an area in which residents need further education.Methods: We gave a 15-question Likert survey to resident and attending physicians regarding charting practices, knowledge of billing and documentation, and opinions regarding need for further education.Results: We achieved a 100% response rate, with 47% (16/34 of resident physicians disagreeing or strongly disagreeing that they have adequate training in billing and documentation, while 91% (31/34 of residents and 95% (21/22 of attending physicians identified this skill as important to a resident’s future practice. Eighty-two percent (28/34 of resident physicians and 100% of attending physicians recommended further education for residents.Conclusion: Residents in this academic EM department identified a need for further education in billing and documentation practices. [West J Emerg Med. 2010;11(2: 116-119.

  7. Agkistrodon piscivorus conanti (Florida cottonmouth) Diet

    Science.gov (United States)

    Grajal-Puche, Alejandro; Josimovich, Jillian; Falk, Bryan; Reed, Robert

    2016-01-01

    Agkistrodon piscivorus is a generalist predator that feeds on a variety of prey, including snakes (Gloyd and Conant 1990. Snakes of the Agkistrodon Complex: A Monographic Review. Society for the Study of Amphibians and Reptiles, Oxford, Ohio. 614 pp.; Lillywhite et al. 2002. Herpetol. Rev. 33:259–260; Hill and Beaupre 2008. Copeia 2008:105–114). Cemophora coccinea (Scarletsnake) is not known as one of the 26 species of snakes consumed by A. piscivorus (Ernst and Ernst 2011. Venomous Reptiles of the United States, Canada, and Northern Mexico: Volume 1. Johns Hopkins University Press, Baltimore, Maryland. 193 pp.). On 16 June 2015, at 2210 h, we found a dead-on-road A. piscivorus (total length [TL] = 51.0 cm) in Everglades National Park on Main Park Road, 1.88 km S Pa-hay-okee, Miami-Dade Co., Florida, USA (25.414085°N, 80.78183146°W, WGS84; elev. 3 m). The snake had been killed by a vehicle and some internal organs were exposed. Visible stomach contents included a small (TL ca. 15 cm) C. coccinea. Photographic vouchers of the A. piscivorus (UF-Herpetology 177194) and C. coccinea (UF-Herpetology 177195) were deposited in the Division of Herpetology, Florida Museum of Natural History, University of Florida. Despite the fact that these species are sympatric over large areas of the southeastern United States, this is the first known documented predation of C. coccinea by A. piscivorus.

  8. 杭州社区中老年居民骨质疏松知识和相关行为调查%The investigation of the osteoporosis knowledge and its related behavior in middle-aged and elderly residents in Hangzhou community

    Institute of Scientific and Technical Information of China (English)

    周叶; 洪鸣鸣

    2013-01-01

    Objective To investigate the knowledge of osteoporosis and its related behavior in middle-aged and elderly people.Methods A total of 1199 residents aged≥45 years in Hangzhou community were investigated by health survey questionnaire of osteoporosis.Results There were statistically significant differences in osteoporosis symptom scores according to ages (aged 45 to 59 years,6.38±2.64; aged 60 to 74 years,5.69±2.83; aged over 75 years,4.43±2.54),and according to education background (middle school or below.4.56± 2.01; secondary school,6.07±2.45; university or higher,8.25±2.69),and according to occupation (mental labour,5.89±3.21;manual labour,4.57 ± 2.36),and residence (city,6.12 ± 3.32 ; countryside,4.34 ± 2.25) (F/t =14.59,26.94,6.29,8.35,respectively,P<0.01).There were significant differences in types ofexercise between rural and urban population (no exercise or little exercise,30.4% vs.32.9%; light burden movement,64.4% vs.53.5%; weight-bearing exercise,5.2% vs.13.6%; x2 =22.13,P<0.01).The significant food intake differences were found between rural and urban residents (milk,30.2% vs.38.3% sea-food,28.2% vs.35.7%; bean-products,48.3% vs.56.1%; fruit,52.6%vs.62.5%; coffee,3.2% vs.7.4%; x2=8.55,7.77,7.21,19.37,10.14,respectively,all P<0.01).Conclusions Health education should be individualized based on age,education level and occupation.The elderly and low education groups should be concerned.We should shift the focus of publicity and education to the countryside and enhance the awareness of osteoporosis prevention in order to build a healthy lifestyle.%目的 了解中老年居民骨质疏松(OP)健康知识掌握情况及生活习惯,研究其相关因素. 方法 对1199例杭州市45岁及以上居民进行OP知识问卷调查. 结果 OP知识得分45~岁、60~岁及75岁以上组分别为(6.38±2.64)分、(5.69±2.83)分、(4.43±2.54)分;初中以下、中学及大学以上得分分别为(4.56±2.01)

  9. Improving Otolaryngology Residency Selection Using Principles from Personnel Psychology.

    Science.gov (United States)

    Bowe, Sarah N; Laury, Adrienne M; Gray, Stacey T

    2017-03-01

    There has been a heightened focus on improving the resident selection process, particularly within highly competitive specialties. Previous research, however, has generally lacked a theoretical background, leading to inconsistent and biased results. Our recently published systematic review examining applicant characteristics and performance in residency can provide historical insight into the predictors (ie, constructs) and outcomes (ie, criteria) previously deemed pertinent by the otolaryngology community. Personnel psychology uses evidence-based practices to identify the most qualified candidates for employment using a variety of selection methods. Extensive research in this discipline has shown that integrity tests, structured interviews, work samples, and conscientiousness offer the greatest increase in validity when combined with general cognitive ability. Blending past research knowledge with the principles of personnel selection can provide the necessary foundation with which to engage in theory-driven, longitudinal studies on otolaryngology resident selection moving forward.

  10. Predictors of Success in an Anesthesiology Residency.

    Science.gov (United States)

    Warrick, Shirley S.; Crumrine, Robert S.

    1986-01-01

    Factors that contributed to successful residency performance by anesthesiology residents were examined in order to assist the program's selection committee in developing selection criteria. The best predictor of a resident's academic average in the anethesiology program was the number of years the resident had spent in other specialities.…

  11. Plagiarism in residency application essays.

    Science.gov (United States)

    Segal, Scott; Gelfand, Brian J; Hurwitz, Shelley; Berkowitz, Lori; Ashley, Stanley W; Nadel, Eric S; Katz, Joel T

    2010-07-20

    Anecdotal reports suggest that some residency application essays contain plagiarized content. To determine the prevalence of plagiarism in a large cohort of residency application essays. Retrospective cohort study. 4975 application essays submitted to residency programs at a single large academic medical center between 1 September 2005 and 22 March 2007. Specialized software was used to compare residency application essays with a database of Internet pages, published works, and previously submitted essays and the percentage of the submission matching another source was calculated. A match of more than 10% to an existing work was defined as evidence of plagiarism. Evidence of plagiarism was found in 5.2% (95% CI, 4.6% to 5.9%) of essays. The essays of non-U.S. citizens were more likely to demonstrate evidence of plagiarism. Other characteristics associated with the prevalence of plagiarism included medical school location outside the United States and Canada; previous residency or fellowship; lack of research experience, volunteer experience, or publications; a low United States Medical Licensing Examination Step 1 score; and non-membership in the Alpha Omega Alpha Honor Medical Society. The software database is probably incomplete, the 10%-match threshold for defining plagiarism has not been statistically validated, and the study was confined to applicants to 1 institution. Evidence of matching content in an essay cannot be used to infer the applicant's intent and is not sensitive to variations in the cultural context of copying in some societies. Evidence of plagiarism in residency application essays is more common in international applicants but was found in those by applicants to all specialty programs, from all medical school types, and even among applicants with significant academic honors. No external funding.

  12. Simulation Activity in Otolaryngology Residencies.

    Science.gov (United States)

    Deutsch, Ellen S; Wiet, Gregory J; Seidman, Michael; Hussey, Heather M; Malekzadeh, Sonya; Fried, Marvin P

    2015-08-01

    Simulation has become a valuable tool in medical education, and several specialties accept or require simulation as a resource for resident training or assessment as well as for board certification or maintenance of certification. This study investigates current simulation resources and activities in US otolaryngology residency programs and examines interest in advancing simulation training and assessment within the specialty. Web-based survey. US otolaryngology residency training programs. An electronic web-based survey was disseminated to all US otolaryngology program directors to determine their respective institutional and departmental simulation resources, existing simulation activities, and interest in further simulation initiatives. Descriptive results are reported. Responses were received from 43 of 104 (43%) residency programs. Simulation capabilities and resources are available in most respondents' institutions (78.6% report onsite resources; 73.8% report availability of models, manikins, and devices). Most respondents (61%) report limited simulation activity within otolaryngology. Areas of simulation are broad, addressing technical and nontechnical skills related to clinical training (94%). Simulation is infrequently used for research, credentialing, or systems improvement. The majority of respondents (83.8%) expressed interest in participating in multicenter trials of simulation initiatives. Most respondents from otolaryngology residency programs have incorporated some simulation into their curriculum. Interest among program directors to participate in future multicenter trials appears high. Future research efforts in this area should aim to determine optimal simulators and simulation activities for training and assessment as well as how to best incorporate simulation into otolaryngology residency training programs. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

  13. Enhancing Mutual Respect among Nursing Assistants, Residents, and Residents' Families.

    Science.gov (United States)

    Heiselman, Terry; Noelker, Linda S.

    1991-01-01

    Interviewed nursing assistants (n=40) and nursing facility residents (n=37) regarding ways they experienced respect, disrespect, attachment, and distancing in their relationships with each other. As a result of finding evidence of disrespect, an inservice session on gaining respect as a nursing assistant was presented. (ABL)

  14. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach.

    Science.gov (United States)

    Kim, Christopher S; Lukela, Michael P; Parekh, Vikas I; Mangrulkar, Rajesh S; Del Valle, John; Spahlinger, David A; Billi, John E

    2010-01-01

    Patient safety (PS) and quality improvement (QI) are among the highest priorities for all health systems. Resident physicians are often at the front lines of providing care for patients. In many instances, however, QI and PS initiatives exclude trainees. By aligning the goals of the health system with those of the residency program to engage residents in QI and PS projects, there is a unique opportunity to fulfill both a corporate and educational mission to improve patient care. Here, the authors briefly describe one residency program's educational curriculum to provide foundational knowledge in QI and PS to all its trainees and highlight a resident team-based project that applied principles of lean thinking to evaluate the process of responding to an in-hospital cardiopulmonary arrest. This approach provided residents with a practical experience but also presented an opportunity for trainees to align with the health system's approach to improving quality and safety.

  15. Knowledge Blogging

    DEFF Research Database (Denmark)

    Agerdal-Hjermind, Annette

    The rise of social media and web 2.0 technologies over the last few years has impacted many communication functions. One influence is organizational bloggers as knowledge mediators on government agency practices. The ways in which these organizational bloggers in their roles as experts are able...... to change, facilitate, and enable communication about a broad range of specialized knowledge areas, in a more open interactional institutional communication environment than traditional media typically offer, give rise to a set of new implications as regards the mediation of expert knowledge to the target...

  16. Length of internship influences performance on medical residency exam.

    Science.gov (United States)

    Santos, Itamar de Souza; Vieira, Joaquim Edson; Nunes, Maria do Patrocínio Tenório

    2009-01-01

    Medical education encompasses globally diverse context and conditions. The Brazilian scenario seemed a natural environment to study the influence of medical education programs and internship duration on the entrance exam for medical residency. This investigation evaluates some methods used during the entrance exam for medical residency as a means to make a distinction between candidates with longer clerkships. Candidates selected for a residency program performed a multiple-choice (MC), an open question (OQ) and OSCE-like tests, an interview and a curriculum analysis for participation in scientific meetings, papers published and voluntary activities. Groups were compared for gender, year of graduation, tests and OSCE scores. Participants were distributed into two groups based on clerkship duration: 2 years or less than 2 years. There was no difference for the MCT score among groups or any of the activities from interview and curriculum analysis. The 2 years clerkship group showed significantly higher OQ (p=0.009) and OSCE-like affective (p=0.025) and knowledge (p=0.002) scores. The OSCE test identified some aspects related to competence acquisition and assessed basic skills and attitudes essential to the supervised practice of medicine during residency. OSCE discriminated aspects not perceived by the sole use of knowledge tests.

  17. Placing knowledge

    DEFF Research Database (Denmark)

    Adriansen, Hanne Kirstine; Valentin, Karen; Nielsen, Gritt B.

    Internationalisation of higher education is premised by a seeming paradox: On the one hand, academic knowledge strives to be universal in the sense that it claims to produce generalizable, valid and reliable knowledge that can be used, critiqued, and redeveloped by academics from all over the world......; on the other hand, the rationale for strengthening mobility through internationalisation is based on an imagination of the potentials of particular locations (academic institutions). Intrigued by this tension between universality and particularity in academic knowledge production, this paper presents...... preliminary findings from a project that study internationalisation of higher education as an agent in the interrelated processes of place-making and knowledge-making. The project is based on three case-studies. In this paper, focus is on PhD students’ change of research environment. This is used as a case...

  18. Knowledge Fascism

    DEFF Research Database (Denmark)

    Hendricks, Vincent Fella

    2013-01-01

    Knowledge is not democratic, it is a regime. That is the clear message from Professor Vincent Hendricks. But do not be discouraged, through hard work and diligence everyone can achieve enlightenment and insight...

  19. Knowledge Test

    DEFF Research Database (Denmark)

    Sørensen, Ole Henning

    1998-01-01

    The knowledge test is about competing temporal and spatial expressions of the politics of technological development and national prosperity in contemporary society. The discussion is based on literature of national systems of innovation and industrial networks of various sorts. Similarities...

  20. Knowledge Test

    DEFF Research Database (Denmark)

    Sørensen, Ole Henning

    1998-01-01

    The knowledge test is about competing temporal and spatial expressions of the politics of technological development and national prosperity in contemporary society. The discussion is based on literature of national systems of innovation and industrial networks of various sorts. Similarities...

  1. Florida Red Tides, Manatee Brevetoxicosis, and Lung Models

    OpenAIRE

    Kirkpatrick, Barbara; Colbert, Debborah E.; Dalpra, Dana; Newton, Elizabeth A. C.; Gaspard, Joseph; Littlefield, Brandi; Manire, Charles

    2004-01-01

    In 1996, 149 Florida manatees, Trichechus manatus latirostris, died along the southwest coast of Florida. Necropsy pathology results of these animals indicated that brevetoxin from the Florida red tide, Karenia brevis, caused their death. A red tide bloom had been previously documented in the area where these animals stranded. The necropsy data suggested the mortality occurred from chronic inhalation and/or ingestion. Inhalation theories include high doses of brevetoxin deposited/stored in th...

  2. Knowledge Gaps

    DEFF Research Database (Denmark)

    Lyles, Marjorie; Pedersen, Torben; Petersen, Bent

    2003-01-01

    The study explores what factors influence the reduction of managers' perceivedknowledge gaps in the context of the environments of foreign markets. Potentialdeterminants are derived from traditional internationalization theory as well asorganizational learning theory, including the concept......, assimilating, and utilizing knowledge - are crucial determinants ofknowledge gap elimination. In contrast, the two factors deemed essential in traditionalinternationalization process theory - elapsed time of operations and experientiallearning - are found to have no or limited effect.Key words......: Internationalization, knowledge gap, absorptive capacity, learning box....

  3. Conventionalized knowledge

    DEFF Research Database (Denmark)

    Buus, Niels

    2006-01-01

    Mental health nurses routinely hand over clinical knowledge at intershift reports. In the present study, field descriptions from prolonged fieldwork and transcripts of audio recordings of handovers were analysed discursively drawing on ethnomethodology and conversation analysis. The analysis iden...... exact clinical situations. Handing over caused a silencing of the least powerful nurses' voices, generated uncertainty, and promoted knowledge about the patients' clinical situation that was not necessarily precise or up-to-date....

  4. Knowledge Fascism

    DEFF Research Database (Denmark)

    Hendricks, Vincent Fella

    2013-01-01

    Knowledge is not democratic, it is a regime. That is the clear message from Professor Vincent Hendricks. But do not be discouraged, through hard work and diligence everyone can achieve enlightenment and insight......Knowledge is not democratic, it is a regime. That is the clear message from Professor Vincent Hendricks. But do not be discouraged, through hard work and diligence everyone can achieve enlightenment and insight...

  5. Vocabulary knowledge

    Institute of Scientific and Technical Information of China (English)

    严爽

    2016-01-01

    Knowing a word refers to more than just a matter of knowing its form, meaning, pronunciation and spelling. It also refers to one's knowledge of the relationships the word is involved in, such as its collocations, semantic associations and so on. Words are not isolated entities. This paper focuses on vocabulary knowledge and helps us get an idea of what needs to be learned and the process of English vocabulary learning.

  6. Knowledge Management

    DEFF Research Database (Denmark)

    Hald Nielsen, Bo; Nicolajsen, Katrine

    For Økonomistyrelsen opstilles en teoretisk model over forudsætningerne for, at mmah er kan anvende knowledge management. Praksis vurderes dernæst i forhold til denne model.......For Økonomistyrelsen opstilles en teoretisk model over forudsætningerne for, at mmah er kan anvende knowledge management. Praksis vurderes dernæst i forhold til denne model....

  7. Knowledge Management

    DEFF Research Database (Denmark)

    Hald Nielsen, Bo; Nicolajsen, Katrine

    For Økonomistyrelsen opstilles en teoretisk model over forudsætningerne for, at mmah er kan anvende knowledge management. Praksis vurderes dernæst i forhold til denne model.......For Økonomistyrelsen opstilles en teoretisk model over forudsætningerne for, at mmah er kan anvende knowledge management. Praksis vurderes dernæst i forhold til denne model....

  8. [Patient safety culture in Family practice residents of Galicia].

    Science.gov (United States)

    Portela Romero, Manuel; Bugarín González, Rosendo; Rodríguez Calvo, María Sol

    To determine the views held by Family practice (FP) residents on the different dimensions of patient safety, in order to identify potential areas for improvement. A cross-sectional study. Seven FP of Galicia teaching units. 182 FP residents who completed the Medical Office Survey on Patient Safety Culture questionnaire. The Medical Office Survey on Patient Safety Culture questionnaire was chosen because it is translated, validated, and adapted to the Spanish model of Primary Care. The results were grouped into 12 composites assessed by the mentioned questionnaire. The study variables were the socio-demographic dimensions of the questionnaire, as well as occupational/professional variables: age, gender, year of residence, and teaching unit of FP of Galicia. The "Organisational learning" and "Teamwork" items were considered strong areas. However, the "Patient safety and quality issues", "Information exchange with other settings", and "Work pressure and pace" items were considered areas with significant potential for improvement. First-year residents obtained the best results and the fourth-year ones the worst. The results may indicate the need to include basic knowledge on patient safety in the teaching process of FP residents in order to increase and consolidate the fragile patient safety culture described in this study. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  9. Residents' perspectives on the final year of medical school.

    Science.gov (United States)

    O'Brien, Bridget C; Niehaus, Brian; Teherani, Arianne; Young, John Q

    2012-08-07

    To characterize junior residents' perspectives on the purpose, value, and potential improvement of the final year of medical school. Eighteen interviews were conducted with junior residents who graduated from nine different medical schools and who were in internal medicine, surgery, and psychiatry programs at one institution in the United States. Interview transcripts were coded and analyzed inductively for themes. Participants' descriptions of the purpose of their recently completed final year of medical school contained three primary themes: residency-related purposes, interest- or need-based purposes, and transitional purposes. Participants commented on the most valued aspects of the final year. Themes included opportunities to: prepare for residency; assume a higher level of responsibility in patient care; pursue experiences of interest that added breadth of knowledge, skills and perspective; develop and/or clarify career plans; and enjoy a period of respite. Suggestions for improvement included enhancing the learning value of clinical electives, augmenting specific curricular content, and making the final year more purposeful and better aligned with career goals. The final year of medical school is a critical part of medical education for most learners, but careful attention is needed to ensure that the year is developmentally robust. Medical educators can facilitate this by creating structures to help students define personal and professional goals, identify opportunities to work toward these goals, and monitor progress so that the value of the final year is optimized and not exclusively focused on residency preparation.

  10. Attitudes toward neuroscience education among psychiatry residents and fellows.

    Science.gov (United States)

    Fung, Lawrence K; Akil, Mayada; Widge, Alik; Roberts, Laura Weiss; Etkin, Amit

    2014-04-01

    The purpose of this study is to assess the attitudes of psychiatry trainees toward neuroscience education in psychiatry residency and subsequent training in order to inform neuroscience education approaches in the future. This online survey was designed to capture demographic information, self-assessed neuroscience knowledge, attitudes toward neuroscience education, preferences in learning modalities, and interest in specific neuroscience topics. Volunteers were identified through the American Psychiatric Association, which invited 2,563 psychiatry trainees among their members. Four hundred thirty-six trainees completed the survey. Nearly all agreed that there is a need for more neuroscience education in psychiatry residency training (94%) and that neuroscience education could help destigmatize mental illness (91%). Nearly all (94%) expressed interest in attending a 3-day course on neuroscience. Many neuroscience topics and modes of learning were viewed favorably by participants. Residents in their first 2 years of training expressed attitudes similar to those of more advanced residents and fellows. Some differences were found based on the level of interest in a future academic role. This web-based study demonstrates that psychiatry residents see neuroscience education as important in their training and worthy of greater attention. Our results suggest potential opportunities for advancing neuroscience education.

  11. Surgical resident learning styles have changed with work hours.

    Science.gov (United States)

    Quillin, Ralph C; Cortez, Alexander R; Pritts, Timothy A; Hanseman, Dennis J; Edwards, Michael J; Davis, Bradley R

    2016-01-01

    The Accreditation Council for Graduate Medical Education instituted the 80-h workweek for residency programs in 2003. This presented a unique challenge for surgery residents who must acquire a medical and technical knowledge base during training. Therefore, learning should be delivered in an environment congruent with an individual's learning style. In this study, we evaluated the learning styles of general surgery residents to determine how learning styles changed after the implementation to the 80-h workweek. Kolb learning style inventory was taken by general surgery residents at the University of Cincinnati's Department of Surgery, and results from 1999-2012 were analyzed. Statistical analysis was performed using the chi-squared, logistic regression and Wilcoxon rank-sum test. Significance was defined as a P value of learning styles after the institution of the 80-h workweek to converging (43.9%) and accommodating (40.4%, P learning. This change paralleled the transition to a more team-based approach to patient care with the implementation of the 80-h workweek. These findings are important for surgical educators to consider in the development of surgical resident curriculum. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Cleaner in Hall of Residence

    Science.gov (United States)

    Hotel and Catering Industry Training Board, Wembley (England).

    This syllabus is intended for the use of training personnel in drawing up training programs for cleaners in halls of residence. Its main objective is to produce fully trained cleaners, thereby maintaining and raising standards. The syllabus is divided into three sections: Introduction to Housekeeping Employees, and Tasks Performed by the Majority…

  13. Resilience Approach for Medical Residents

    NARCIS (Netherlands)

    Bezemer, R.A.; Bos, E.W.

    2014-01-01

    Medical residents are in a vulnerable position. While still in training, they are responsible for patient care. They have a dependent relation with their supervisor and low decision latitude. An intervention was developed to increase individual and system resilience, addressing burnout, patient safe

  14. Mohs Surgical Reconstruction Educational Activity: a resident education tool

    Science.gov (United States)

    Croley, Julie A; Malone, C Helen; Goodwin, Brandon P; Phillips, Linda G; Cole, Eric L; Wagner, Richard F

    2017-01-01

    Background Surgical reconstructive planning following Mohs surgery can be a difficult subject for dermatology residents to master. Prior research demonstrates that active learning is preferred and more effective compared to passive learning models and that dermatology residents desire greater complexity and volume in surgical training. We present a novel, active, problem-based learning tool for the education of Mohs reconstruction with the goal of improving residents’ ability to plan surgical reconstructions. Materials and methods The Mohs Surgical Reconstruction Educational Activity is an active, problem-based learning activity in which residents designed repairs for planned Mohs defects prior to surgery on an iPad application or on a printed photograph. The attending Mohs surgeon reviewed the reconstructive designs, provided feedback, guided discussion, and facilitated insight into additional issues requiring further review. Residents performed or observed the Mohs and reconstructive surgical procedures for respective repairs. Surveys were administered to participants before and after participating in the Mohs Surgical Reconstruction Educational Activity to assess the educational value of the activity. Survey responses were recorded on a 5-point Likert scale. Results Mean participant-reported confidence in flap and graft knowledge, flap and graft planning, and flap and graft performance increased 1.50–2.50 Likert scale points upon completion of the Mohs surgery rotation by residents participating in the educational activity. The observed trend was larger in the dermatology resident subset, with increases of 2.00–3.50 Likert scale points reported for these questions. Mean participant-reported likelihoods of performing flaps and grafts in the future increased 0.25–0.50 Likert scale points among all residents participating in the educational activity and 0.50–1.00 Likert scale points in the dermatology resident subset. All residents participating in the

  15. Hands-on Physics Education of Residents in Diagnostic Radiology.

    Science.gov (United States)

    Zhang, Jie; Hardy, Peter A; DiSantis, David J; Oates, M Elizabeth

    2017-06-01

    The American Board of Radiology Core Examination integrates assessment of physics knowledge into its overall testing of clinical radiology, with an emphasis on understanding image quality and artifacts, radiation dose, and patient safety for each modality or subspecialty organ system. Accordingly, achieving a holistic approach to physics education of radiology residents is a huge challenge. The traditional teaching of radiological physics-simply through didactic lectures-was not designed for such a holistic approach. Admittedly, time constraints and clinical demands can make incorporation of physics teaching into clinical practice problematic. We created and implemented a week-long, intensive physics rotation for fledgling radiology residents and evaluated its effectiveness. The dedicated physics rotation is held for 1 week during the first month of radiology residency. It comprises three components: introductory lectures, hands-on practical clinical physics operations, and observation of clinical image production. A brief introduction of the physics pertinent to each modality is given at the beginning of each session. Hands-on experimental demonstrations are emphasized, receiving the greatest allotment of time. The residents perform experiments such as measuring radiation dose, studying the relationship between patient dose and clinical practice (eg, fluoroscopy technique), investigating the influence of acquisition parameters (kV, mAs) on radiographs, and evaluating image quality using computed tomography, magnetic resonance imaging, ultrasound, and gamma camera/single-photon emission computed tomography/positron emission tomography phantoms. Quantitative assessment of the effectiveness of the rotation is based on an examination that tests the residents' grasp of basic medical physics concepts along with written course evaluations provided by each resident. The pre- and post-rotation tests show that after the physics rotation, the average correct score of 25

  16. 2012 Southwest Florida Water Management District (SWFWMD) Lidar: Lake Manatee

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Geographic Information System (GIS). Southwest Florida Water Management District (SWFWMD) regularly uses digital topographic information to support regulatory, land...

  17. Masticophis flagellum selects florida scrub habitat at multiple spatial scales

    Science.gov (United States)

    Halstead, B.J.; Mushinsky, H.R.; McCoy, E.D.

    2009-01-01

    The use of space by individual animals strongly influences the spatial extent, abundance, and growth rates of their populations. We analyzed the spatial ecology and habitat selection of Masticophis flagellum (the coachwhip) at three different scales to determine which habitats are most important to this species. Home ranges and mean daily displacements of M. flagellum in Florida were large compared to individuals in other populations of this species. Home ranges contained a greater proportion of Florida scrub habitat than did the study site as a whole, and individuals selected Florida scrub habitat within their home ranges. For both selection of the home range within the study site and selection of habitats within the home range, mesic cutthroat and hydric swamp habitats were avoided. Standardized selection ratios of Florida scrub patches were positively correlated with lizard abundance. Several non-mutually exclusive mechanisms, including foraging success (prey abundance, prey vulnerability, and foraging efficiency), abundance of refugia, and thermoregulatory opportunity may underlie the selection of Florida scrub by M. flagellum. Historic rarity and anthropogenic loss and fragmentation of Florida scrub habitat, coupled with the long-distance movements, large home ranges, and selection of Florida scrub by M. flagellum, indicate that large contiguous tracts of land containing Florida scrub will be essential for the persistence of M. flagellum in central Florida. ?? 2009 by The Herpetologists' League, Inc.

  18. Educating pediatric residents about breastfeeding: evaluation of 3 time-efficient teaching strategies.

    Science.gov (United States)

    Tender, Jennifer A F; Cuzzi, Sandra; Kind, Terry; Simmens, Samuel J; Blatt, Benjamin; Greenberg, Larrie

    2014-11-01

    Previously reported breastfeeding curricula for residents have combined different teaching methods, have focused on knowledge and attitudes, and have been time-intensive. This study aimed to evaluate 3 time-efficient breastfeeding curricula for effectiveness in regard to pediatric residents' knowledge, confidence, and skills in managing a simulated breastfeeding scenario. First-year pediatric residents during their 4-week community hospital newborn nursery rotation were consecutively assigned to 1 of 3 groups. Group 1 shadowed an International Board Certified Lactation Consultant (IBCLC) for 1 hour; group 2 watched a 25-minute case-based breastfeeding DVD; and group 3 observed a 3-hour prenatal parent breastfeeding class (CLS). Residents were assessed by (1) a pretest and posttest evaluating their breastfeeding knowledge and confidence, and (2) a clinical skills scenario managing a breastfeeding standardized patient (SP). Thirty-nine pediatric residents participated in the study (11 in IBCLC, 16 DVD, 12 CLS) over a 1-year period. All groups significantly improved their knowledge scores and confidence in managing breastfeeding problems, with the IBCLC group showing more improvement in knowledge than the other groups (P = .02) and a higher rating of their teaching method (P = .01). All groups performed well on the SP clinical skills scenario, with no significant difference between groups. All 3 teaching methods were time-efficient and produced important gains in knowledge and confidence, with residents in the IBCLC group demonstrating greatest improvement in knowledge and a higher rating of their teaching method. Our study provides support for 3 methods of teaching residents breastfeeding management and demonstrates that IBCLCs are well-received as interprofessional educators. © The Author(s) 2014.

  19. The Impact of Gatekeeper Training for Suicide Prevention on University Resident Assistants

    Science.gov (United States)

    Taub, Deborah J.; Servaty-Seib, Heather L.; Miles, Nathan; Lee, Ji-Yeon; Wachter Morris, Carrie A.; Prieto-Welch, Susan L.; Werden, Donald

    2013-01-01

    Resident assistants (RAs) can serve as important suicide prevention gatekeepers. The purpose of the study was to determine if training improved RAs' crisis communications skills and suicide-related knowledge and to determine if the knowledge elements predicted crisis communications skills. New RAs showed significant improvement in all areas from…

  20. Pathology Informatics Essentials for Residents: A Flexible Informatics Curriculum Linked to Accreditation Council for Graduate Medical Education Milestones.

    Science.gov (United States)

    Henricks, Walter H; Karcher, Donald S; Harrison, James H; Sinard, John H; Riben, Michael W; Boyer, Philip J; Plath, Sue; Thompson, Arlene; Pantanowitz, Liron

    2017-01-01

    -Recognition of the importance of informatics to the practice of pathology has surged. Training residents in pathology informatics has been a daunting task for most residency programs in the United States because faculty often lacks experience and training resources. Nevertheless, developing resident competence in informatics is essential for the future of pathology as a specialty. -To develop and deliver a pathology informatics curriculum and instructional framework that guides pathology residency programs in training residents in critical pathology informatics knowledge and skills, and meets Accreditation Council for Graduate Medical Education Informatics Milestones. -The College of American Pathologists, Association of Pathology Chairs, and Association for Pathology Informatics formed a partnership and expert work group to identify critical pathology informatics training outcomes and to create a highly adaptable curriculum and instructional approach, supported by a multiyear change management strategy. -Pathology Informatics Essentials for Residents (PIER) is a rigorous approach for educating all pathology residents in important pathology informatics knowledge and skills. PIER includes an instructional resource guide and toolkit for incorporating informatics training into residency programs that vary in needs, size, settings, and resources. PIER is available at http://www.apcprods.org/PIER (accessed April 6, 2016). -PIER is an important contribution to informatics training in pathology residency programs. PIER introduces pathology trainees to broadly useful informatics concepts and tools that are relevant to practice. PIER provides residency program directors with a means to implement a standardized informatics training curriculum, to adapt the approach to local program needs, and to evaluate resident performance and progress over time.