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Sample records for hughes medical institute

  1. Principles and Practices Fostering Inclusive Excellence: Lessons from the Howard Hughes Medical Institute's Capstone Institutions

    Science.gov (United States)

    DiBartolo, Patricia Marten; Gregg-Jolly, Leslie; Gross, Deborah; Manduca, Cathryn A.; Iverson, Ellen; Cooke, David B., III; Davis, Gregory K.; Davidson, Cameron; Hertz, Paul E.; Hibbard, Lisa; Ireland, Shubha K.; Mader, Catherine; Pai, Aditi; Raps, Shirley; Siwicki, Kathleen; Swartz, Jim E.

    2016-01-01

    Best-practices pedagogy in science, technology, engineering, and mathematics (STEM) aims for inclusive excellence that fosters student persistence. This paper describes principles of inclusivity across 11 primarily undergraduate institutions designated as Capstone Awardees in Howard Hughes Medical Institute's (HHMI) 2012 competition. The Capstones…

  2. Young CAS biologist gets five-year grant from Howard Hughes Medical Institute

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Dr. TANG Chun, an outstanding young biologist from the CAS Wuhan Institute of Physics and Mathematics (WIPM) was announced in January 2012 to have won the first International Early Career Award from Howard Hughes Medical Institute with a five-year grant totaling up to 650,000 US dollars. Dr. Tang is an expert in using novel nuclear magnetic resonance methods to study the behavior and function of proteins,

  3. University receives $1.4 million science education award from Howard Hughes Medical Institute to support innovate undergraduate science education

    OpenAIRE

    Owczarski, Mark

    2010-01-01

    Virginia Tech was among 50 top research universities nationwide to receive a Precollege and Undergraduate Science Education Program award from the Howard Hughes Medical Institute (HHMI) that will be used to encourage university faculty to develop new ways to teach and inspire undergraduate students about science and research.

  4. Responses to Hugh Heclo's "On Thinking Institutionally"

    Science.gov (United States)

    Fennell, Robert C.; Ascough, Richard S.; Liew, Tat-siong Benny; McLain, Michael; Westfield, Nancy Lynne

    2010-01-01

    Hugh Heclo's recent book "On Thinking Institutionally" (Paradigm Publishers, 2008) analyzes changes that have taken place in the past half century in how North Americans tend to think and act in institutions. The volume is receiving particular attention as it can be applied to higher education and to religious denominations, and so deserves…

  5. Additional Responses to Hugh Heclo's "On Thinking Institutionally"

    Science.gov (United States)

    Lincoln, Timothy D.; Fennell, Robert C.

    2011-01-01

    Issue 13:3 of this journal (July 2010) included a "Conversation" on Hugh Heclo's recent publication "On Thinking Institutionally" (Paradigm Publishers, 2008) with a book review by Robert Fennell and responses by Richard Ascough, Tat-siong Benny Liew, Michael McLain, and Lynne Westfield. Here we publish two additional responses to this same book.…

  6. 2002 Report to Congress: Evaluating the Consensus Best Practices Developed through the Howard Hughes Medical Institute’s Collaborative Hazardous Waste Management Demonstration Project

    Science.gov (United States)

    This report discusses a collaborative project initiated by the Howard Hughes Medical Institute (HHMI) to establish and evaluate a performance-based approach to management of hazardous wastes in the laboratories of academic research institutions.

  7. National Institute of General Medical Sciences

    Science.gov (United States)

    ... CareerTrac Webinar for RISE and Bridges Program Directors Biomedical Beat : Science for the Public Fall 2017 Issue of Findings ... National Institutes of Health: NIH...Turning Discovery Into Health ® USA.gov National Institute of General Medical Sciences 45 Center Drive MSC 6200 Bethesda, MD 20892- ...

  8. Necrology: Hugh Carson Cutler

    Directory of Open Access Journals (Sweden)

    David L. Browman

    1999-05-01

    Full Text Available Hugh Carson Cutler, forner curator of Economic Botany at the Missouri Botanical Gardens, was one of the first generation paleoethnobotanists in this country. A pioneer in the field, and instrumental in getting American archaeologists to begin to employ flotation techniques for recovery of botanical remains. Cutler, the son of Manuel and Mary Cutler. was born September 8. 1912 in Milwaukee. Wisconsin. and died September 22, 1998 in Topeka, Kansas.

  9. Recognition of higher medical institutions in Russia.

    Science.gov (United States)

    Severyanova, L; Lazarev, A

    2005-08-01

    The Russian Federation of higher medical institutions get State accreditation, if their activity conforms to criteria determined by the Ministry of Public Health and the Ministry of Education of the Russian Federation. Kursk State Medical University (KSMU) has a confirmed to requirement of accreditation by the Russian Federation, to conduct annually training of about 5000 students at 12 faculties. KSMU carries out pre-medical undergraduate and postgraduate training in the specialty "Doctor of medicine". For the first time in Russia KSMU was allowed to conduct a 6-year medical training with the use of English as an intermediary language by the Ministry of Public Health and the Ministry of Education. In this relation programmes of training teachers for conducting instruction with the use of an intermediary language (English) and training students Russian with the level necessary for free communication with Russian patients and staff of the clinics have been developed and realized.

  10. U.S. Army Medical Research Institute of Infectious Diseases

    Science.gov (United States)

    ... and thank you for your interest in the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID). ... This Web site provides an introduction to the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) ...

  11. Holography in the curriculum of medical institutes

    Science.gov (United States)

    Gorelik, S. Y.; Nagibina, I. M.; Baranov, S. V.; Bolshakov, Oleg P.; Petrishin, V. L.

    1995-11-01

    Holography at present is the most effective technique of obtaining 3-D images of different objects. That's why there is more and more dissemination of holography in different fields of science and engineering, for example, in medicine. So, last time the technique of synthesized holograms obtained for evaluating inner organs states of patients without surgical intervention was designed. Due to properties of the hologram such as high quality of image and relative simplicity of duplication it is clear that holography could take its place in the curriculum of medical specializations because posters, photos, and models cannot give a full notation about an object of interest. The attempt to obtain holographical complete sets to demonstrate the most frequent pathologic changes of a human's bones was undertaken by our Institutes. The aim of our research was to obtain holograms with the following properties: minimum cost and high quality of reconstructed image to identify both the presented objects and the pathologic changes of them.

  12. 77 FR 20009 - Howard Hughes Medical Institute, et al.; Notice of Consolidated Decision on Applications for Duty...

    Science.gov (United States)

    2012-04-03

    ..., February 29, 2012. Docket Number: 12-002. Applicant: National Center for Toxicological Research, Jefferson..., Jupiter, FL 33458. Instrument: Freeze Fracture/Freeze Etch device. Manufacturer: JEOL, Ltd.,...

  13. [Marketing as a tool in the medical institution management].

    Science.gov (United States)

    Petrova, N G; Balokhina, S A

    2009-01-01

    The contemporary social economic conditions dictate the necessity to change tactics and strategy of functioning of medical institutions of different property forms. Marketing, alongside with management is to become a leading concept of administration of medical institutions. It should be a framework for systematic collection, registration and analysis of data relevant to the medical services market. The issues of the implementation of marketing concept in the practical everyday activities of commercial medical organization providing cosmetology services to population of metropolis.

  14. The Many Worlds of Hugh Everett III

    CERN Document Server

    ,

    2011-01-01

    A review of Peter Byrne's biography of Hugh Everett III, "The Many Worlds of Hugh Everett III: Multiple Universes, Mutual Assured Destruction, and the Meltdown of a Nuclear Family", (Oxford University Press, 2010).

  15. A guide to Hughes' syndrome.

    Science.gov (United States)

    Sheehan, Tina Louise

    Hughes' syndrome, or antiphospholipid syndrome, is thought to be the cause of one in four strokes in people aged less than 40 years. It is an antiinflammatory autoimmune disorder in which the blood has a tendency to clot too quickly. It can affect any artery or vein in the body and the main symptoms are thrombosis, pregnancy loss and the presence of antibodies. If detected it can be treated effectively.

  16. Team learning in medical education: initial experiences at ten institutions.

    Science.gov (United States)

    Searle, Nancy S; Haidet, Paul; Kelly, P Adam; Schneider, Virginia F; Seidel, Charles L; Richards, Boyd F

    2003-10-01

    In the midst of curricular reforms that frequently call for reducing lectures and increasing small-group teaching, there is a crisis in faculty time for teaching. This paper describes the initial experiences of ten institutions with team learning (TL), a teaching method which fosters small-group learning in a large-class setting. After initial pilot studies at one institution, nine additional institutions implemented TL in one or more courses. Within 18 months, TL has been used in 40 courses (from.5% to 100% of the time) and all ten institutions will increase its use next year. We surmise that this relatively rapid spread of TL into the medical curriculum is due to the sound pedagogy and efficiency of TL as well as the modest financial resources and support we have provided to partner institutions.

  17. [Ethic review on clinical experiments of medical devices in medical institutions].

    Science.gov (United States)

    Shuai, Wanjun; Chao, Yong; Wang, Ning; Xu, Shining

    2011-07-01

    Clinical experiments are always used to evaluate the safety and validity of medical devices. The experiments have two types of clinical trying and testing. Ethic review must be done by the ethics committee of the medical department with the qualification of clinical research, and the approval must be made before the experiments. In order to ensure the safety and validity of clinical experiments of medical devices in medical institutions, the contents, process and approval criterions of the ethic review were analyzed and discussed.

  18. [The medical provision of schoolchildren in the children educational institutions].

    Science.gov (United States)

    Chernaia, N L; Ivanova, I V; Dadaeva, O B; Shtaniuk, M G

    2008-01-01

    The major issues of the medical follow-up in the children educational institutions are discussed. The data related to the need of the development and enhancement of preventive course is presented. The main possible ways to resolve the existing problems are enumerated. The necessity of implementing the new screening diagnostical technologies during the procedure of preventive examinations is proved. The using of the efficient diet and the physical education, the development of the dominant of healthy life style and the targeted preventive activities among children of medical social, medical psychological and biological risk groups is substantiated.

  19. Time-bound promotions in Indian medical institutes: a mirage?

    Science.gov (United States)

    Sukhlecha, Anupama

    2016-01-01

    Incentives, pay hikes and timely promotions enhance the job performance of an employee. In medical institutes, too, satisfied teachers would train students in a better way leading to better equipped doctors and ultimately, greater patient satisfaction. A study in Malaysia links high levels of satisfaction of employees with good salary, promotions, and incentives.

  20. ESTIMATION OF RADIOANXIETY OF MEDICAL HIGHER EDUCATIONAL INSTITUTIONS GRADUATES

    Directory of Open Access Journals (Sweden)

    T. B. Baltrukova

    2012-01-01

    Full Text Available The article is devoted to an estimation of the level of radioanxiety of graduates of medical higher educational institutions and degree of their knowledge of negative influence of ionizing irradiation on the personnel and patients is considered. As their future trade directly or indirect – through patients, is connected with ionizing irradiation sources.

  1. Individual and Institutional Components of the Medical School Educational Environment.

    Science.gov (United States)

    Gruppen, Larry D; Stansfield, R Brent

    2016-11-01

    To examine, using a systems framework, the relative influence of individual-level and institution-level factors on student perceptions of the medical school educational environment. A series of hierarchical linear models were fit to a large, 18-school longitudinal dataset of student perceptions of the educational environment, various demographics, and student empathy, tolerance of ambiguity, coping, and patient-provider orientation. Separate models were evaluated for individual-level factors alone, institution-level factors alone, and the combination of individual- and institution-level factors. The individual-level model accounted for 56.7% of the variance in student perceptions of the educational environment. However, few specific variables at the individual level had noteworthy direct effects on these perceptions. Similarly, the institution-level model accounted for 10.3% of the variance in student perceptions, but the specific characteristics of the institution explained little of this impact. The combined individual- and institution-level model attributed 45.5% of the variance in student perceptions to individual-level factors and 10.8% to institution-level factors. Again, specific variables explained little of this impact. These findings indicate that the impact of individual-level factors on perceptions of the educational environment is about four times greater than institution-level factors. This contrast reflects the fact that the educational environment is defined through a learner, not institutional lens. Nonetheless, institutions vary in learner perceptions of their environments, and these differences may provide some support for institutional initiatives to improve the educational environment. More broadly, these results evidence the complexity of the educational environment, both in defining it and in understanding its dynamics.

  2. Institutional Oversight of the Graduate Medical Education Enterprise: Development of an Annual Institutional Review

    Science.gov (United States)

    Amedee, Ronald G.; Piazza, Janice C.

    2016-01-01

    Background: The Accreditation Council for Graduate Medical Education (ACGME) fully implemented all aspects of the Next Accreditation System (NAS) on July 1, 2014. In lieu of periodic accreditation site visits of programs and institutions, the NAS requires active, ongoing oversight by the sponsoring institutions (SIs) to maintain accreditation readiness and program quality. Methods: The Ochsner Health System Graduate Medical Education Committee (GMEC) has instituted a process that provides a structured, process-driven improvement approach at the program level, using a Program Evaluation Committee to review key performance data and construct an annual program evaluation for each accredited residency. The Ochsner GMEC evaluates the aggregate program data and creates an Annual Institutional Review (AIR) document that provides direction and focus for ongoing program improvement. This descriptive article reviews the 2014 process and various metrics collected and analyzed to demonstrate the program review and institutional oversight provided by the Ochsner graduate medical education (GME) enterprise. Results: The 2014 AIR provided an overview of performance and quality of the Ochsner GME program for the 2013-2014 academic year with particular attention to program outcomes; resident supervision, responsibilities, evaluation, and compliance with duty‐hour standards; results of the ACGME survey of residents and core faculty; and resident participation in patient safety and quality activities and curriculum. The GMEC identified other relevant institutional performance indicators that are incorporated into the AIR and reflect SI engagement in and contribution to program performance at the individual program and institutional levels. Conclusion: The Ochsner GME office and its program directors are faced with the ever-increasing challenges of today's healthcare environment as well as escalating institutional and program accreditation requirements. The overall commitment of

  3. Simmel's dynamic social medicine: new questions for studying medical institutions?

    Science.gov (United States)

    Menchik, Daniel A

    2014-04-01

    Over the last half century, changes in the structure of medicine have shifted the relationship between the profession of medicine and social institutions. In this paper, I uncover ideas for retheorizing this relationship by analyzing a review by Georg Simmel that has been previously overlooked. In an analytical overview and critical appraisal of Simmel's text, I argue that he considered preventative medical knowledge more influential when this knowledge is located outside the physician-patient relationship. Simmel suggests we need to identify how such knowledge is injected into medical and non-medical settings by the mixtures of professional-, market-, and state-based institutions governing medicine, and pay attention to how these institutions shift. His goals show continuity with a social medicine movement in Germany previously thought to be stalled, and are unique too in their focus on targeting institutions over individuals. Through a close analysis of Simmel's ideas, we can see the relationship of public health with social structural studies of medicine in theoretically innovative ways.

  4. Factors affecting the depth of burns occurring in medical institutions.

    Science.gov (United States)

    Cho, Young Soon; Choi, Young Hwan; Yoon, Cheonjae; You, Je Sung

    2015-05-01

    Most cases of burns occurring in medical institutions are associated with activities involving heat. It is very difficult to detect these burns. To date, there are few reports on burns occurring in medical institutions. The purpose of this paper was to analyze the etiology of burns occurring in medical institutions and to elucidate the factors affecting burn depth. We conducted a retrospective analysis of the medical records of patients who visited our center from April 2008 to February 2013. This study enrolled all patients with burns occurring in the medical institution during or related to treatment. We excluded burn patients whose burns were not related to treatment (for example, we excluded patients with scalding burns that occurred in the hospital cafeteria and pediatric patients with hot water burns from the water purifier). However, patients with burns that occurred in the recovery room after general anesthesia were included. A total of 115 patients were enrolled in this study. The average patient age was 41.5 years, with more women than men (M:F=31:84). There were 29 cases (25.3%) of superficial burns (first-degree and superficial second-degree) and 86 cases (74.7%) of deep burns (deep second-degree and third-degree). Hot packs were the most common cause of burns (27 cases, 23.5%), followed by laser therapy, heating pads, and grounding pads, accounting for 15 cases each. There were 89 cases (77.4%) of contact burns and 26 cases (22.6%) of non-contact burns. The most common site of burns was the lower extremities (41 cases, 35.7%). The burn site and contact burns were both factors affecting burn depth. The rate of deep burns was higher in patients with contact burns than in those with non-contact burns (odds ratio 4.26) and was associated with lower body burns (odds ratio 2.85). In burns occurring in medical institutions, there is a high probability of a deep burn if it is a contact burn or occurs in the lower body. Therefore, safety guidelines are needed

  5. The Blues Poetry of Langston Hughes

    Science.gov (United States)

    Waldron, Edward E.

    1971-01-01

    The author discusses the criteria of the blues as an American art form. He then shows how Langston Hughes captures the mood, the feeling, the rhythm and the impact of the blues in his poetry. (Author/LF)

  6. The Armed Forces Research Institute of Medical Sciences: five decades of collaborative medical research.

    Science.gov (United States)

    Brown, Arthur; Nitayaphan, Sorachai

    2011-05-01

    The Armed Forces Research Institute of Medical Sciences (AFRIMS) is a 50-year-old joint institute of the US and Royal Thai Army Medical Departments located in Bangkok, Thailand. Investigators from the Institute have carried out research in Thailand and the region, in collaboration with many partners, focused on a large number of tropical infectious diseases. In celebration of the 50th anniversary, this paper summarizes highlights of this research, focusing on malaria, Japanese encephalitis, dengue, diarrhea and HIV. In addition, research done in support of the medical problems of refugees and of the health of Thai peace-keeping forces are summarized. The research carried out by AFRIMS and added to the scientific literature has contributed significantly to advancement in multiple areas of tropical infectious disease.

  7. The Development and Implementation of a New Medical Biology Major Including Physiology

    Science.gov (United States)

    Goodman, Barbara E.; Koster, Karen L.; Swanson, David L.

    2015-01-01

    In response to the Howard Hughes Medical Institute/Association of American Medical Colleges Scientific Foundations for Future Physicians (SFFP) report and a concern for better preparing undergraduates for future doctoral programs in the health professions, the deans of the College of Arts and Sciences and Division of Basic Biomedical Sciences of…

  8. THE INFORMATION CONFIDENTIALITY AND CYBER SECURITY IN MEDICAL INSTITUTIONS

    Directory of Open Access Journals (Sweden)

    SABAU-POPA CLAUDIA DIANA

    2015-07-01

    Full Text Available The information confidentiality and cyber security risk affects the right to confidentiality and privacy of the patient, as regulated in Romania by the Law 46/2002. The manifestation of the cyber security risk event affects the reputation of the healthcare institution and is becoming more and more complex and often due to the: development of network technology, the medical equipment connected to wifi and the electronic databases. The databases containing medical records were implemented due to automation. Thus, transforming data into medical knowledge contribute to a better understanding of the disease. Due to these factors, the measures taken by the hospital management for this type of risk are adapted to the cyber changes. The hospital objectives aim: the implementation of a robust information system, the early threats identifications and the incident reporting. Neglecting this type of risk can generate financial loss, inability to continue providing health care services for a certain period of time, providing an erroneous diagnosis, medical equipment errors etc. Thus, in a digital age the appropriate risk management for the information security and cyber risk represent a necessity. The main concern of hospitals worldwide is to align with international requirements and obtain credentials in terms of data security from the International Organisation for Standardization, which regulates the management of this type of risk. Romania is at the beginning in terms of concerns regarding the management, avoidance and mitigation of information security, the health system being most highly exposed to its manifestation. The present paper examines the concerns of the health system to the confidentiality of information and cyber security risk and its management arrangements. Thus, a set of key risk indicators is implemented and monitored for 2011-2013, using a user interface, a Dashboard, which acts as an early warning system of the manifestation of the

  9. Langston Hughes and his poem "Harlem"

    Institute of Scientific and Technical Information of China (English)

    郝红

    2005-01-01

    @@ James Langston Hughes was born February 1,1902, in Joplin, Missouri. His parents divorced when he was a small child, and his father moved to Mexico. He was raised by his Grandmother until he was thirteen, when he moved to Lincoln,Illinois, to live with his mother and her husband, eventually settling in Cleveland, Ohio.

  10. Hugh Maaskant : architect van de vooruitgang

    NARCIS (Netherlands)

    Provoost, M.

    2003-01-01

    Hugh Maaskant (1907–1977) is best known as the architect who made the biggest mark on the post-war reconstruction of Rotterdam with such buildings as the Groothandelsgebouw, the Hilton Hotel and the Lijnbaan flats. Beginning his career in 1937 as the partner of Willem van Tijen, Maaskant embarked on

  11. Hugh Maaskant : architect van de vooruitgang

    NARCIS (Netherlands)

    Provoost, Michelle

    2003-01-01

    Hugh Maaskant (1907–1977) is best known as the architect who made the biggest mark on the post-war reconstruction of Rotterdam with such buildings as the Groothandelsgebouw, the Hilton Hotel and the Lijnbaan flats. Beginning his career in 1937 as the partner of Willem van Tijen, Maaskant embarked on

  12. Paul Scherrer Institut annual report 1995. Annex II: PSI life sciences and institute for medical radiobiology newsletter 1995

    Energy Technology Data Exchange (ETDEWEB)

    Blaeuenstein, P.; Gschwend, B. [eds.

    1996-09-01

    The newsletter presents the 1995 progress report of PSI F2-Department and of the Institute for Medical Radiobiology in the fields of radiation medicine, radiopharmacy and radiation hygiene. figs., tabs., refs.

  13. The Institute of Medical Illustrators (IMI) Gold Awards 2016.

    Science.gov (United States)

    The IMI Awards celebrate the medical illustration profession, bringing together the disciplines of clinical photography, medical art, illustration, graphic design and video within healthcare. Here are the Gold Award winning entries for 2016.

  14. The current situation and development of medical device testing institutes in China.

    Science.gov (United States)

    Yang, Xiaofang; Mu, Ruihong; Fan, Yubo; Wang, Chunren; Li, Deyu

    2017-04-01

    This article analyses the current situation and development of Chinese medical device testing institutes from the perspectives of the two most important functions - testing functions and medical device standardization functions. Areas Covered: The objective of the Chinese government regulations for medical device industry is to ensure the safety and effectiveness of medical devices for Chinese patients. To support the regulation system, the Chinese government has established medical device testing institutes at different levels for example, the national, provincial, and municipal levels. These testing institutes also play an important role in technical support during medical device premarket registration and post market surveillance, they are also the vital practitioners of Chinese medical device standardization. Expert Commentary: Chinese medical device testing institutes are technical departments established by government, and serve the regulatory functions of government agency. In recent years, with the rapid development of medical device industry as well as constantly increasing international and domestic medical device market, the importance of medical device testing institute is more prominent, However, there are still some problems unsolved, such as their overall capacity remains to be improved, construction of standardization is to be strengthened, etc.

  15. Nature and frequency of medication errors in a geriatric ward: an Indonesian experience

    OpenAIRE

    2014-01-01

    Desak Ketut Ernawati,1,2 Ya Ping Lee,2 Jeffery David Hughes21Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia; 2School of Pharmacy and Curtin Health Innovation and Research Institute, Curtin University, Perth, WA, AustraliaPurpose: To determine the nature and frequency of medication errors during medication delivery processes in a public teaching hospital geriatric ward in Bali, Indonesia.Methods: A 20-week prospective study on medication errors occurring during the medicati...

  16. Medical student storytelling on an institutional blog: a case study analysis.

    Science.gov (United States)

    Becker, Katherine A; Freberg, Karen

    2014-05-01

    Despite the proclivity and proliferation of blogs on the Internet, the use of blogs at medical institutions is not well documented. In examining the structured stories that medical students share with the digital community, we may better understand how students use institutional blogs to discuss their medical school experiences while maintaining their role as a medical student ambassador for the program. We conducted a case study to analyze the stories within 309 medical student blogs from one medical institution in the United States. In an attempt to communicate their experiences to different benefactors, student bloggers engaged in structured and personal storytelling. Structured stories offered medical school advice to prospective students, while personal stories embodied features of a personal diary where students recounted significant milestones, talked about personal relationships and engaged in emotional reflection and disclosure. Institutional blogs may provide social marketing for medical institutions, as students strategically framed their experiences to reflect a positive attitude about the medical institution and focused on providing advice to prospective students. Although these structured stories limit complete disclosure, students may still achieve benefits by engaging in emotional disclosure and personal reflection.

  17. On the Hughes model and numerical aspects

    KAUST Repository

    Gomes, Diogo A.

    2017-01-05

    We study a crowd model proposed by R. Hughes in [11] and we describe a numerical approach to solve it. This model comprises a Fokker-Planck equation coupled with an eikonal equation with Dirichlet or Neumann data. First, we establish a priori estimates for the solutions. Second, we study radial solutions and identify a shock formation mechanism. Third, we illustrate the existence of congestion, the breakdown of the model, and the trend to the equilibrium. Finally, we propose a new numerical method and consider two examples.

  18. Hugh Maaskant: architect van de vooruitgang

    OpenAIRE

    Provoost, M.

    2003-01-01

    Hugh Maaskant (1907–1977) is best known as the architect who made the biggest mark on the post-war reconstruction of Rotterdam with such buildings as the Groothandelsgebouw, the Hilton Hotel and the Lijnbaan flats. Beginning his career in 1937 as the partner of Willem van Tijen, Maaskant embarked on his most prolific period after establishing an independent practice in 1955. He produced the lion’s share of his work in the 1950s and ’60s, the very period architectural critics generally regard ...

  19. Donald Hugh Blocher (1928-2013).

    Science.gov (United States)

    Dowd, E Thomas

    2015-01-01

    This article memorializes Donald Hugh Blocher (1928-2013). Blocher, a giant in counseling psychology, was elected a fellow of the American Psychological Association (APA) in 1973, received a Distinguished Achievement Award from Harvard University in 1968, and served as president of APA Division 17 (Society of Counseling Psychology) in 1980. He obtained a Fulbright Lectureship at the University of Keele (United Kingdom) for 1968-1969, where he helped develop a counseling psychology program according to American standards. He also published many books, book chapters, and articles over the course of his professional career.

  20. Hugh Owen Thomas (1834-1891)

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ Hugh Owen Thomas被称为英国骨科之父,他对英国乃至世界骨科作出了杰出的贡献. 早在17世纪,接骨师已经作为一个社会地位较高的职业在英国、法国兴盛起来.接骨师的技术通常是在家族内部传承而不会对外传授.

  1. Sandy ja Hugh - paar või mitte? / Hugh Grant, Sandra Bullock

    Index Scriptorium Estoniae

    Grant, Hugh, 1960-

    2003-01-01

    Romantilises komöödias "Kaks nädalat armumiseks" ("Two Weeks Notice"), režissöör Marc Lawrence, mängivad kaks kuulsat näitlejat. Staarid oma suhetest : Hugh Grant : "Sandra on geenius"; Sandra Bullock : "Oleme temaga nagu kaksikud!"

  2. Sandy ja Hugh - paar või mitte? / Hugh Grant, Sandra Bullock

    Index Scriptorium Estoniae

    Grant, Hugh, 1960-

    2003-01-01

    Romantilises komöödias "Kaks nädalat armumiseks" ("Two Weeks Notice"), režissöör Marc Lawrence, mängivad kaks kuulsat näitlejat. Staarid oma suhetest : Hugh Grant : "Sandra on geenius"; Sandra Bullock : "Oleme temaga nagu kaksikud!"

  3. Survey of preventable disaster death at medical institutions in areas affected by the Great East Japan Earthquake: a retrospective preliminary investigation of medical institutions in Miyagi Prefecture.

    Science.gov (United States)

    Yamanouchi, Satoshi; Sasaki, Hiroyuki; Tsuruwa, Miho; Ueki, Yuzuru; Kohayagawa, Yoshitaka; Kondo, Hisayoshi; Otomo, Yasuhiro; Koido, Yuichi; Kushimoto, Shigeki

    2015-04-01

    The 2011, magnitude (M) 9, Great East Japan Earthquake and massive tsunami caused widespread devastation and left approximately 18,500 people dead or missing. The incidence of preventable disaster death (PDD) during the Great East Japan Earthquake remains to be clarified; the present study investigated PDD at medical institutions in areas affected by the Great East Japan Earthquake in order to improve disaster medical systems. A total of 25 hospitals in Miyagi Prefecture (Japan) that were disaster base hospitals (DBHs), or had at least 20 patient deaths between March 11, 2011 and April 1, 2011, were selected to participate based on the results of a previous study. A database was created using the medical records of all patient deaths (n=868), and PDD was determined from discussion with 10 disaster health care professionals. A total of 102 cases of PDD were identified at the participating hospitals. The rate of PDD was higher at coastal hospitals compared to inland hospitals (62/327, 19.0% vs 40/541, 7.4%; Pcause of PDD, the PDD rate was higher at GHs compared to DBHs (24/316, 7.6% vs 21/552, 3.8%; Pcauses of PDD were: insufficient medical resources, delayed medical intervention, disrupted lifelines, deteriorated environmental conditions in homes and emergency shelters at coastal hospitals, and delayed medical intervention at inland hospitals. Meanwhile, investigation of PDD causes based on type of medical institution demonstrated that, while delayed medical intervention and deteriorated environmental conditions in homes and emergency shelters were the most common causes at DBHs, insufficient medical resources and disrupted lifelines were prevalent causes at GHs. Preventable disaster death at medical institutions in areas affected by the Great East Japan Earthquake occurred mainly at coastal hospitals. Insufficient resources (at GHs), environmental factors (at coastal hospitals), and delayed medical intervention (at all hospitals) constituted the major potential

  4. [The occupational health of medical personnel of psychiatric institutions].

    Science.gov (United States)

    Ruzhenskaia, E V

    2013-01-01

    The article considers the issues of self-assessment of occupational health by medical personnel of psychiatric service. The main issues and areas of occupation health disorders are identified. The main directions of disorders prevention are presented.

  5. Acute Charles Bonnet Syndrome following Hughes procedure.

    Science.gov (United States)

    Wilson, Michelle E; Pointdujour-Lim, Renelle; Lally, Sara; Shields, Carol L; Rabinowitz, Michael P

    2016-10-01

    A 69-year-old male experienced monocular formed visual hallucinations after occlusion of the right eye following resection of eyelid basal cell carcinoma and reconstruction with a Hughes procedure (tarsoconjunctival flap). His symptoms included recurrent, well-defined, organized, complex, formed images of small children playing in the snow. These visual phenomena occurred only in the occluded eye, began several hours after surgery, and recurred intermittently several times daily for 4 days, lasting several minutes with each occurrence. The patient retained insight into the false nature of the images throughout the duration of his symptoms, and the hallucinations resolved spontaneously while the flap was still in place. To our knowledge, this is the first reported case of Charles Bonnet Syndrome (CBS) following a Hughes procedure in a patient with normal visual acuity in the non-occluded fellow eye. Unlike other reported cases of acute onset CBS following transient monocular occlusion, hallucinations in the occluded eye remitted prior to restoration of vision in the occluded eye. Ophthalmologists should be aware of the potential for CBS following even transient monocular occlusion and should consider warning patients about its potential to occur.

  6. [The work of Moscow communities of Sisters of Charity in own medical institutions].

    Science.gov (United States)

    Zorin, K V

    2011-01-01

    The article analyses the medical activities of Moscow communities of Sisters of Charity in curative and educational institutions organized by the communities themselves. The social ministration of communities on the territory of Moscow is considered.

  7. 42 CFR 435.211 - Individuals who would be eligible for cash assistance if they were not in medical institutions.

    Science.gov (United States)

    2010-10-01

    ... assistance if they were not in medical institutions. 435.211 Section 435.211 Public Health CENTERS FOR... medical institutions. The agency may provide Medicaid to any group or groups of individuals specified in § 435.201(a) who are in title XIX reimbursable medical institutions and who: (a) Are ineligible for...

  8. [Risks and control of complete market-oriented reforms of medical institutions].

    Science.gov (United States)

    Ding, Jiannong; Tian, Yongquan

    2014-04-01

    Marketization has become the mainstream since the new public management emerges globally in second half of the 20th century. Some countries infuse private capital into medical institutions which used to be managed by the government originally, and cause the medical industry reforms to be market-oriented. Market-oriented reforms of medical institutions may have risks in the following aspects: the risk of uneven distribution of medical resources, the risk of market failure, the moral risk of government renting-seeking and corruption and the decay of social justice values. Measures of controlling these risks include defining the function orientation of the government, completing the institution-building of healthcare system, improving primary medical system and strengthening social consciousness of hospitals.

  9. 76 FR 6803 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2011-02-08

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended (5 U.S.C. App.), notice is hereby given of the following...

  10. 76 FR 10039 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2011-02-23

    ... review and evaluate grant applications. Place: National Institutes of Health, Natcher Building, 45 Center..., Scientific Review Officer, Office of Scientific Review, National Institute of General Medical Sciences... Support; 93.821, Cell Biology and Biophysics Research; 93.859, Pharmacology, Physiology, and...

  11. 76 FR 13196 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2011-03-10

    ... review and evaluate grant applications. Place: National Institutes of Health, Natcher Building, 45 Center..., Scientific Review Officer, Office of Scientific Review, National Institute of General Medical Sciences... Support; 93.821, Cell Biology and Biophysics Research; 93.859, Pharmacology, Physiology, and...

  12. Monitoring the Veterinary Medical Student Experience: An Institutional Pilot Study.

    Science.gov (United States)

    Miller, RoseAnn; Mavis, Brian E; Lloyd, James W; Grabill, Chandra M; Henry, Rebecca C; Patterson, Coretta C

    2015-01-01

    Veterinary medical school challenges students academically and personally, and some students report depression and anxiety at rates higher than the general population and other medical students. This study describes changes in veterinary medical student self-esteem (SE) over four years of professional education, attending to differences between high and low SE students and the characteristics specific to low SE veterinary medical students. The study population was students enrolled at the Michigan State University College of Veterinary Medicine from 2006 to 2012. We used data from the annual anonymous survey administered college-wide that is used to monitor the curriculum and learning environment. The survey asked respondents to rate their knowledge and skill development, learning environment, perceptions of stress, skill development, and SE. Participants also provided information on their academic performance and demographics. A contrasting groups design was used: high and low SE students were compared using logistic regression to identify factors associated with low SE. A total of 1,653 respondents met inclusion criteria: 789 low SE and 864 high SE students. The proportion of high and low SE students varied over time, with the greatest proportion of low SE students during the second-year of the program. Perceived stress was associated with low SE, whereas perceived supportive learning environment and skill development were associated with high SE. These data have provided impetus for curricular and learning environment changes to enhance student support. They also provide guidance for additional research to better understand various student academic trajectories and their implications for success.

  13. 76 FR 30370 - National Institute of General Medical Sciences; Meeting

    Science.gov (United States)

    2011-05-25

    ... General Medical Sciences Initial Review Group; Biomedical Research and Research Training Review Subcommittee A. Date: June 28, 2011. Time: 8 a.m. to 5 p.m. Agenda: To review and evaluate grant applications... disclose confidential trade secrets or commercial property such as patentable material, and personal...

  14. The function of a medical director in healthcare institutions: a master or a servant.

    Science.gov (United States)

    Kossaify, Antoine; Rasputin, Boris; Lahoud, Jean Claude

    2013-01-01

    The function of a medical director is presented along with features of efficiency and deficiencies from the perspective of healthcare system improvement. A MEDLINE/Pubmed research was performed using the terms "medical director" and "director", and 50 relevant articles were selected. Institutional healthcare quality is closely related to the medical director efficiency and deficiency, and a critical discussion of his or her function is presented along with a focus on the institutional policies, protocols, and procedures. The relationship between the medical director and the executive director is essential in order to implement a successful healthcare program, particularly in private facilities. Issues related to professionalism, fairness, medical records, quality of care, patient satisfaction, medical teaching, and malpractice are discussed from the perspective of institutional development and improvement strategies. In summary, the medical director must be a servant to the institutional constitution and to his or her job description; when his or her function is fully implemented, he or she may represent a local health governor or master, ensuring supervision and improvement of the institutional healthcare system.

  15. A "Queen of Hearts" trial of organ markets: why Scheper-Hughes's objections to markets in human organs fail.

    Science.gov (United States)

    Taylor, J S

    2007-04-01

    Nancy Scheper-Hughes is one of the most prominent critics of markets in human organs. Unfortunately, Scheper-Hughes rejects the view that markets should be used to solve the current (and chronic) shortage of transplant organs without engaging with the arguments in favour of them. Scheper-Hughes's rejection of such markets is of especial concern, given her influence over their future, for she holds, among other positions, the status of an adviser to the World Health Organization (Geneva) on issues related to global transplantation. Given her influence, it is important that Scheper-Hughes's moral condemnation of markets in human organs be subject to critical assessment. Such critical assessment, however, has not generally been forthcoming. A careful examination of Scheper-Hughes's anti-market stance shows that it is based on serious mischaracterisations of both the pro-market position and the medical and economic realities that underlie it. In this paper, the author will expose and correct these mischaracterisations and, in so doing, show that her objections to markets in human organs are unfounded.

  16. Medication administration to the diabetic clients of the Helsinki Deaconess's institute nursing homes : Medication administration

    OpenAIRE

    2014-01-01

    Diabetic clients in nursing care homes are among the most vulnerable members of the society, as they depend on their care home staff for almost all of their entire needs. A combination of complex medical conditions may result in the need to take multiple medications with some taking up to eight medications on average. Medication system in nursing home passes through many steps before it actually reaches the client. This may result in an increase in medication error. The purpose of this st...

  17. Medical Students' Perspectives on Implementing Curriculum Change at One Institution.

    Science.gov (United States)

    Yengo-Kahn, Aaron M; Baker, Courtney E; Lomis, And Kimberly D

    2017-04-01

    Training physicians to be effective practitioners throughout their careers begins in undergraduate medical education with particular focus on self-directed inquiry, professional and interprofessional development, and competency-based assessment. A select number of medical schools are restructuring their curricula by placing the student at the center of content delivery to enhance the learning experience. While this restructuring may benefit the adult learner, administrators often make assumptions about how students will perceive and respond to such innovative and unfamiliar educational concepts. This can create a disconnect between students and their curriculum. Administrative mindfulness of student experiences is needed to ensure successful implementation of curricular change, facilitate the transition from old to new modalities, and train competent physician graduates.Vanderbilt University School of Medicine (VUSM) recently completed a curriculum update, and student representatives have been essential participants in the transition, from the earliest stages in preplanning to rapid-cycle feedback as the curriculum runs. Two of the authors are members of VUSM's Student Curriculum Committee, which facilitates gathering and relaying student feedback to the administration. Drawing from their experiences, five specific considerations to address and manage when implementing student-centered curricular change are presented: (1) Communicate the rationale, (2) acknowledge anxiety, (3) adjust extracurricular leadership roles, (4) manage "The Bulge" of learners in the clinical environment, and (5) foster ongoing collaboration of students and administrators. For each consideration, examples and proposed solutions are provided.

  18. [The Mexican Institute of Social Security Institute (IMSS) in Numbers. Functional inventory of imaging medical equipment, 2003].

    Science.gov (United States)

    2005-01-01

    Medical technology is a fundamental instrument for the provision of health services in the Mexican Institute of Social Security (IMSS) and as a support for diagnostic and therapeutic interventions. The inventory of relevant medical equipment describes the needs for upgrading the technological infrastructure, organize its distribution and plan its renovation in order to guarantee the quality of health services. In this report we describe the type of equipment used in radiology and other imaging services, its geographical distribution, median age in operation and its productivity. The inventory reported 2091 pieces of equipment, ultrasonography and radiology were the most common types (31%) followed by fluoroscopic equipment (20%). Follow-up in the inventory should help in planning the acquisition and maintenance of sophisticated technology used for medical purposes.

  19. [Brief history of the main institutions in the China Academy of Chinese Medical Sciences].

    Science.gov (United States)

    Sun, Qingwei

    2015-11-01

    On 19 October, 1955, the Academy of Traditional Chinese Medicine affiliated with the Ministry of Health of the People's Republic of China was established formally. On 8 October, 1985, its name was changed to "China Academy of Traditional Chinese Medicine", which was renamed as "China Academy of Chinese Medical Sciences (CACMS)" on 15 November, 2005. During its six decades of history, the construction of the institutions in the CACMS were improved constantly. Nowadays, there are altogether 17 academic institutions, 6 clinical institutions, 1 educational institution and 6 industrial institutions in the CACMS, which has become a comprehensive research institution of traditional Chinese medicine (TCM), embodying scientific research, clinical service, education and industry as a whole, under the direct control of the State Administration of Traditional Chinese Medicine of the People's Republic of China.

  20. An analysis of the awareness and performance of radiation workers' radiation/radioactivity protection in medical institutions : Focused on Busan regional medical institutions

    Energy Technology Data Exchange (ETDEWEB)

    Park, Cheol Koo [Dept. of Radiological Science, Graduate School of Catholic University of Pusan, Busan (Korea, Republic of); Hwang, Chul Hwan [Dept. of Radiation Oncology, Pusan National University Hospital, Busan (Korea, Republic of); Kim, Dong Hyun [Dept. of Radiological Science, College of Health Sciences, Catholic University of Pusan, Busan (Korea, Republic of)

    2017-03-15

    The purpose of this study was to investigate safety management awareness and behavioral investigation of radiation/radioactivity performance defenses of radiation workers' in medical institutions. Data collection consisted of 267 radiation workers working in medical institutions using structured questionnaires. As a result, it was analyzed that radiation safety management awareness and performance were high in 40s, 50s group and higher education group. The analysis according to the radiation safety management knowledge was analyzed that the 'Know very well' group had higher scores on awareness and performance scores. The analysis according to the degree of safety management effort showed the high awareness scale and the performance scale in the group 'Receiving various education or studying the safety management contents through book'. The correlations between the sub-factors showed the highest positive correlation between perceived practician and personal perspective and perceived by patient and patient's caretaker perspective. Therefore, radiation safety management for workers, patients, and patient's caretaker should be conducted through continuous education of radiation safety management through various routes of radiation workers working at medical institutions.

  1. History of the Public Health Institute of Semmelweis Medical University, Budapest.

    Science.gov (United States)

    Tahin, E; Morava, E

    2000-05-01

    The science of public health of the XVIIIth century named politia medica together with medicina forensis became an independent obligatory subject in 1793 at the Medical Faculty of the Hungarian Royal University of Science. The independent Public Health Institute of the Medical Faculty was established in 1874. The first professor of public health was József Fodor who attained international reputation during his professorship. He organized training for school physicians and health teachers first in Europe and he organized courses for medical officers and for military doctors. He held courses for law-, engineer- and architect-students. He promoted all fields of the public health. His research on the bactericide effect of serum places him among the founders of immunology. Fodor's successors at the Chair of Public Health were Leó Liebermann whose research activities included physico-chemistry, biochemistry, microbiology and social hygiene; Gusztáv Rigler who focused on the epidemiology of communicable diseases, on the health effects of spa treatment and mineral waters. The next famous professor was Gyula Darányi. His scientific field was public health bacteriology and public health chemistry. They were followed by József Melly and László Dabis (Scheff). After the Second World War fundamental changes took place in the life of the university. The Faculty of Medicine was separated from the University of Science on February 1, 1951 and became an independent university under the control of the Ministry of Health. In 1953 the Institute of Public Health was cut into two separate institutes: Institute of Public Health and Institute for the Organization of Health Service. The Institute of Public Health was transformed to Institute of Public Health and Epidemiology in 1973. The Institute for the Organization of Health Service was transformed into Institute of Social Medicine and History of Medicine in 1985 and later into Institute of History of Medicine and Social Medicine

  2. Hugh Blairs Lectures on Rhetoric and Belles Lettres

    DEFF Research Database (Denmark)

    Schatz-Jakobsen, Claus

    1989-01-01

    Artiklen nærlæser dekonstruktivt dele af den skotske retorikprofessor Hugh Blairs Lecures on Rhetoric and Belles Lettres (1783) og påviser splittelsen mellem to vidt forskellige retorik- og liltteraturhistoriske interesser, neoklassicistiske vs. romantiske....

  3. HOW MEDICAL UNDERGRADUATES PREPARE FOR UNIVERSITY EXAMINATION: LESSON FROM A TEACHING MEDICAL INSTITUTION IN SOUTH INDIA

    OpenAIRE

    Shib Sekhar Datta; Boratne, Abhijit V; Rajkumar Patil

    2013-01-01

    Background: Medical colleges in India conventionally follow a curriculum overfed with large volume of information expecting students will imbibe such curriculum unquestionably overlooking what and how they progress. There have been many attempts to improve the learning process of medical students, neglecting the process which students adopt towards such learning and prepare for their exams aiming better performance. Objective: To explore qualitatively the way medical undergraduates prepare ...

  4. History of neurosurgery in Sher-I-Kashmir Institute of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Abrar Ahad Wani

    2015-01-01

    Full Text Available Sher-i-Kashmir Institute of Medical Sciences (SKIMS is the only tertiary care institute in the state of Jammu and Kashmir. The department of neurosurgery was established nearly three decades ago and continues to be the leader in providing high quality neurosurgical services in the region. The article provides an insight into the genesis of the department and its sustained growth over these years. It also describes the plans for its future development.

  5. Síndrome de Hughes-Stovin

    Directory of Open Access Journals (Sweden)

    Sonia Pankl

    2015-04-01

    Full Text Available El síndrome de Hughes-Stovin es una entidad infrecuente caracterizada por trombosis venosa profunda y aneurismas de la arteria pulmonar, siendo su etiología y patogenia desconocida. Algunos autores la consideran una variante de la enfermedad de Behcet. Su curso natural es generalmente fatal. Se presenta con tos, disnea, hemoptisis, dolor torácico y fiebre. El tratamiento es con esteroides y agentes citotóxicos hasta la cirugía. Presentamos el caso de un hombre de 41 años que consultó por disnea, hemoptisis y dolor torácico, llegándose al diagnóstico de trombosis venosa profunda de miembro inferior derecho, trombo-embolismo de pulmón y aneurismas de arterias pulmonares. Recibió tratamiento con corticoides en altas dosis y 6 pulsos de ciclofosfamida de 1 gramo durante 6 meses, con regresión completa de los aneurismas y de la sintomatología.

  6. 42 CFR 436.211 - Individuals who would be eligible for cash assistance if they were not in medical institutions.

    Science.gov (United States)

    2010-10-01

    ... assistance if they were not in medical institutions. 436.211 Section 436.211 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE...) who are in title XIX reimbursable medical institutions and who: (a) Are ineligible for the...

  7. Results of an Institutional LGBT Climate Survey at an Academic Medical Center.

    Science.gov (United States)

    Chester, Sean D; Ehrenfeld, Jesse M; Eckstrand, Kristen L

    2014-12-01

    The purpose of this study was to characterize the climate and culture experienced by lesbian, gay, bisexual, and transgender (LGBT) employees and students at one large academic medical center. An anonymous, online institutional climate survey was used to assess the attitudes and experiences of LGBT employees and students. There were 42 LGBT and 14 non-LGBT survey participants. Results revealed that a surprisingly large percentage of LGBT individuals experienced pressure to remain "closeted" and were harassed despite medical center policies of non-discrimination. Continuing training, inclusive policies and practices, and the development of mechanisms to address LGBT-specific harassment are necessary for improving institutional climate.

  8. Marketing aspects of development of medical waste management in health care institutions in Ukraine

    Directory of Open Access Journals (Sweden)

    Inesa Gurinа

    2015-02-01

    Full Text Available The concept of marketing approach to medical waste management in health care is suggested.The goal of research was to study the state of marketing activities of health care institutions on medical waste management and development trends of   resolution of outstanding issues.Methods. The methods, which were used in the research, are the methods of mathematical statistics, social studies and scientific knowledge.Results. Environmental marketing institutions of healthcare means perfectly safe for the environment provision of health services. The main directions of environmental marketing concept in health care institutions is the acceptance generally binding legal standards of Use Resources, strict control the formation and licensing of medical waste; economic incentives for workers, aimed at minimizing their interest in the volumes of medical waste; financing of R & D relative to the development of new waste and sound technologies; develop a system of taxes and penalties for polluting the environment and so on.Conclusions. As a result of the implementation of marketing strategies for managing medical waste of healthcare institutions are obtained strategic, social, environmental and economic benefits.

  9. Trust in the Physician and in Medical Institutions. Modalities of Comprehension and Analysis

    Directory of Open Access Journals (Sweden)

    Mihaela RĂDOI

    2014-12-01

    Full Text Available The issue of trust in the medical profession, in medical institutions, and in the healthcare system, implicitly, has been brought to the scientists’ attention lately, taking into account the erosion of trust, determined by the aggressive display in the media of medical personnel migration, of medical malpractice cases, of underfunding and bad management, of the high pressure on the system due to population ageing and to the increase in chronic disease incidence. Other explanations include the modifications in the attitudes, values, and expectations of the public concerning the healthcare system, the emergence of private health insurances and of private institutions, and the erosion of trust in State institutions because of incertitude and economic crises. This paper seeks to pinpoint, in the scientific literature, the definition of trust in the healthcare system, the determinants of trust in the patient – physician – institution – system relationship and the importance of social capital in these types of relationships, as well as the way in which the relationship between the patient and the actors within the medical system is created and influences the patient’s quality of life in the context of chronic disease. Classification-JEL: A23

  10. Boron neutron capture therapy at the Institute of Medical Radiobiology (IMR) and Paul Scherrer Institute (PSI)

    Science.gov (United States)

    Argentini, M.; Arkuszewski, J.; Crawford, John F.; Larsson, B.; Stepanek, Jiri; Teichmann, Sarah; Weinreich, R.

    1997-02-01

    Although all of the over 200 patients treated with NCT have been irradiated by reactor-produced neutrons, in the present climate of public opinion one cannot expect the routine use of nuclear reactors in hospitals or clinics to be tolerated. While there are several other methods of producing neutrons in the necessary quantities, the Paul Scherrer Institute (PSI) is very well placed to develop techniques base don spallation, in which a beam of protons hits a production target of some convenient material such as tungsten. Because spallation produces neutrons of very similar energies to reactors, the problem of moderating them to keV energies is rather similar. However, there is an additional component of high-energy neutrons, whose intensity depends on the energy of the initial beam, which has to be taken into account in any practical design. Simulations using the well-known codes LAHET, MCNP and GEANT show that a 100 (mu) A beam of 72 MeV protons, well within the capabilities of PSI, could produce enough keV neutrons for therapy.

  11. Behavioral Analysis of Visitors to a Medical Institution's Website Using Markov Chain Monte Carlo Methods.

    Science.gov (United States)

    Suzuki, Teppei; Tani, Yuji; Ogasawara, Katsuhiko

    2016-07-25

    Consistent with the "attention, interest, desire, memory, action" (AIDMA) model of consumer behavior, patients collect information about available medical institutions using the Internet to select information for their particular needs. Studies of consumer behavior may be found in areas other than medical institution websites. Such research uses Web access logs for visitor search behavior. At this time, research applying the patient searching behavior model to medical institution website visitors is lacking. We have developed a hospital website search behavior model using a Bayesian approach to clarify the behavior of medical institution website visitors and determine the probability of their visits, classified by search keyword. We used the website data access log of a clinic of internal medicine and gastroenterology in the Sapporo suburbs, collecting data from January 1 through June 31, 2011. The contents of the 6 website pages included the following: home, news, content introduction for medical examinations, mammography screening, holiday person-on-duty information, and other. The search keywords we identified as best expressing website visitor needs were listed as the top 4 headings from the access log: clinic name, clinic name + regional name, clinic name + medical examination, and mammography screening. Using the search keywords as the explaining variable, we built a binomial probit model that allows inspection of the contents of each purpose variable. Using this model, we determined a beta value and generated a posterior distribution. We performed the simulation using Markov Chain Monte Carlo methods with a noninformation prior distribution for this model and determined the visit probability classified by keyword for each category. In the case of the keyword "clinic name," the visit probability to the website, repeated visit to the website, and contents page for medical examination was positive. In the case of the keyword "clinic name and regional name," the

  12. [Occupational health of endoscope sterilization workers in medical institutions in Osaka Prefecture].

    Science.gov (United States)

    Miyajima, Keiko; Tabuchi, Takeo; Kumagai, Shinji

    2006-09-01

    To clarify the actual condition of endoscope sterilization work and the adverse health effects of disinfectants on personnel, a questionnaire was sent to 173 medical institutions in Osaka Prefecture. Glutaraldehyde (GA), ortho-phtalaldehyde (OPA), and hyperacetic acid were used as disinfectants of endoscopes by 55.5%, 32.4%, and 8.7% of the medical institutions respectively. The kind of disinfectant used had been changed in 57.8% of these institutions during the past five years, and it was confirmed that the use of substitutes for GA, such as OPA and hyperacetic acid, has increased. Personnel in 35.8% of the institutions complained about symptoms during sterilization work. The kind of disinfectant being used when they complained was GA in many cases and OPA in others. A general ventilation system has now been installed in 72.3% of the institutions; local exhaust systems have been installed in fewer, only 23.4%. Protective gloves were used at about half of the institutions, but protective masks and glasses were seldom used. This study shows that the occupational health problems of endoscope sterilization work have not been resolved. Consequently, it is necessary to promote the installation of ventilation systems and the use of protective devices in all institutions. Health education in regard to the handling of disinfectants is also necessary. Because little information is available about the toxic effects of OPA and hyperacetic acid, epidemiological studies must be conducted to clarify the human health effect of these disinfectants.

  13. Study of Sleep Habits and Sleep Problems Among Medical Students of Pravara Institute of Medical Sciences Loni, Western Maharashtra, India

    OpenAIRE

    Giri, PA; Baviskar, MP; Phalke, DB

    2013-01-01

    Background: Good quality sleep and adequate amount of sleep are important in order to have better cognitive performance and avoid health problems and psychiatric disorders. Aim: The aim of this study was to describe sleep habits and sleep problems in a population of undergraduates, interns and postgraduate students of Pravara Institute of Medical Sciences (Deemed University), Loni, Maharashtra, India. Subject and Methods: Sleep habits and problems were investigated using a convenience sample ...

  14. Associations between medical student empathy and personality: a multi-institutional study.

    Directory of Open Access Journals (Sweden)

    Patrício Costa

    Full Text Available BACKGROUND: More empathetic physicians are more likely to achieve higher patient satisfaction, adherence to treatments, and health outcomes. In the context of medical education, it is thus important to understand how personality might condition the empathetic development of medical students. Single institutional evidence shows associations between students' personality and empathy. This multi-institutional study aimed to assess such associations across institutions, looking for personality differences between students with high empathy and low empathy levels. METHODS: Participants were 472 students from three medical schools in Portugal. They completed validated adaptations to Portuguese of self-report measures of the NEO-Five Factor Inventory(NEO-FFI and the Jefferson Scale of Physician Empathy(JSPE-spv. Students were categorized into two groups: "Bottom" (low empathy, N = 165 and "Top" (high empathy, N = 169 according to their empathy JSPE-spv total score terciles. Correlation analysis, binary logistic regression analysis and ROC curve analysis were conducted. RESULTS: A regression model with gender, age and university had a predictive power (pseudo R2 for belonging to the top or bottom group of 6.4%. The addition of personality dimensions improved the predictive power to 16.8%. Openness to experience and Agreeableness were important to predict top or bottom empathy scores when gender, age and university were considered." Based on the considered predictors the model correctly classified 69.3% of all students. CONCLUSIONS: The present multi-institutional cross-sectional study in Portugal revealed across-school associations between the Big5 dimensions Agreeableness and Openness to experience and the empathy of medical students and that personality made a significant contribution to identify the more empathic students. Therefore, medical schools may need to pay attention to the personality of medical students to understand how to enhance

  15. Relationship between type of medical institutions according to the equipment list and inspection fee computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Min Cheol; Lim, Cheong Hwan; Joo, Yeong Cheol [Dept. of Dept. of Health Care, Hanseo University, Seosan (Korea, Republic of)

    2014-12-15

    This study demonstrates holding condition of CT by medical institution classification and by season, and examination fee in Korea currently to quantitatively understand frequency of examination region by change of CT equipment, domestic growing trend and change of distribution and using rate. Recent 10 years of CT holding condition by medical institution classification (Tertiary hospital, General hospital, Hospital, Clinic, Dental hospital, Dental clinic, Hospitalized health center) and by year (2003-2012), and CT examination fee of distribution of medical institution by year is surveyed. The holding ratio of Tertiary hospital level and General hospital level is 32.7% in 2003 and 33.0% in 2012. Whereas, Hospital and Clinic level is 74.2% in 2003 and 66.8% in 2012, which takes approximately 70%. Based on data in 2012, it is 82.2% of total examination fee in Tertiary hospital and General hospital, while 17.5% in hospital and clinic. CT holding rate of Hospital level is increasing, while Clinic level is decreasing. Approximately 80% of CT examination fee is claimed by Tertiary hospital and General hospital. Therefore, there is a significant correlation between CT holding condition of medical institution classification and examination fee. Particularly, correlation between CT holding number of Tertiary hospital and examination fee is significant (p< .001). The more CT holding number, the higher the amount claimed examination fee.

  16. Analysis of drug abuse data reported by medical institutions in Taiwan from 2002 to 2011

    Directory of Open Access Journals (Sweden)

    Jui Hsu

    2014-06-01

    Full Text Available Drug abuse has become a global issue of concern. It affects not only individual users, but also their families and communities. Data were retrieved from the database of the Taiwan Surveillance System of Drug Abuse and Addiction Treatment (SSDAAT from 2002 to 2011, and 147,660 cases reported by medical institutions in Taiwan were reviewed. This study showed that the top five reported abused drugs by medical institutions during the last decade were heroin, methamphetamine, benzodiazepines, ketamine, and zolpidem. Heroin and methamphetamine continued to be the first two abused drugs reported by medical institutions. Heroin abuse was significant, but has shown a downward trend. However, emerging abused drugs, such as ketamine and zolpidem, presented upward trends. 3,4-Methylenedioxy-N-methylamphetamine (MDMA abuse seems to have re-emerged and has increased gradually since 2010. Injection without needle sharing has become the most common route of administration of abused drugs since 2002. The majority of causes for these reported drug abuses were drug dependence, followed by peer influence and stress relief. Hepatitis C was the most commonly reported infectious disease, followed by hepatitis B and AIDS in the drug abusers reported by medical institutions. It should be noted that access to drugs via the Internet increased year by year, and this is clearly an area needing constant monitoring.

  17. Pre-implementation guidelines for infectious disease point-of-care testing in medical institutions

    NARCIS (Netherlands)

    A.A. Eijck (Annemiek); A. Tintu (Andrei); J.P. Hays (John)

    2017-01-01

    textabstractInfectious disease point-of-care test (ID-POCT) devices are becoming widely available, and in this respect, international quality standards and guidelines are available for consultation once ID-POCT has been implemented into medical institutions. However, specific guidelines for consulta

  18. Medical Sciences Division Oak Ridge Institute for Science and Education report for 1992

    Energy Technology Data Exchange (ETDEWEB)

    1992-12-31

    Research programs from the medical science division of the Oak Ridge Institute for Science and Education (ORISE) are briefly described in the following areas: Biochemistry, cytogenetics, microbiology, center for epidemiologic research, radiation medicine, radiation internal dose information center, center for human reliability studies, facility safety, occupational medicine, and radiation emergency assistance center/training site.

  19. 78 FR 66947 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2013-11-07

    ... of Committee: National Institute of General Medical Sciences Special Emphasis Panel; Review of P01 Grant Application. Date: November 21, 2013. Time: 12:00 p.m. to 5:00 p.m. Agenda: To review and evaluate..., Cell Biology and Biophysics Research; 93.859, Pharmacology, Physiology, and Biological...

  20. 77 FR 5816 - National Institute of General Medical Sciences Notice of Closed Meeting

    Science.gov (United States)

    2012-02-06

    ...; Review of R24 Grant Applications. Date: February 10, 2012. Time: 12 PM to 2 PM. Agenda: To review and... Review Officer, Office of Scientific Review, National Institute of General Medical Sciences, National..., Cell Biology and Biophysics Research; 93.859, Pharmacology, Physiology, and Biological...

  1. 76 FR 67199 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2011-10-31

    ... of Committee: National Institute of General Medical Sciences Initial Review Group, Biomedical Research and Research Training Review Subcommittee A. Date: November 17, 2011. Time: 8 a.m. to 5 p.m... such as patentable material, and personal information concerning individuals associated with the grant...

  2. 77 FR 35413 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2012-06-13

    ... such as patentable material, and personal information concerning individuals associated with the grant... of Committee: National Institute of General Medical Sciences Special Emphasis Panel; Review of Minority Biomedical Research Grant Applications. Date: June 28, 2012. Time: 1:00 p.m. to 4:00 p.m. Agenda...

  3. 76 FR 29773 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2011-05-23

    ... of Committee: National Institute of General Medical Sciences Initial Review Group, Biomedical Research and Research Training Review Subcommittee B. Date: June 17, 2011. Time: 8 a.m. to 5 p.m. Agenda... such as patentable material, and personal information concerning individuals associated with the grant...

  4. 76 FR 64954 - National Institute of General Medical Sciences Notice of Closed Meeting

    Science.gov (United States)

    2011-10-19

    ... of Committee: National Institute of General Medical Sciences Initial Review Group Biomedical Research and Research Training Review Subcommittee B Date: November 16-17, 2011. Time: 8 a.m. to 5 p.m. Agenda... such as patentable material, and personal information concerning individuals associated with the grant...

  5. 75 FR 7488 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2010-02-19

    ... of Committee: National Institute of General Medical Sciences Initial Review Group, Biomedical Research and Research Training Review Subcommittee A. Date: March 4, 2010. Time: 8 a.m. to 5 p.m. Agenda... such as patentable material, and personal information concerning individuals associated with the grant...

  6. 77 FR 31862 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2012-05-30

    ... of Committee: National Institute of General Medical Sciences Initial Review Group Biomedical Research and Research Training Review Subcommittee B. Date: June 21, 2012. Time: 8:30 a.m. to 5:00 p.m. Agenda... such as patentable material, and personal information concerning individuals associated with the grant...

  7. 77 FR 6809 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2012-02-09

    ... of Committee: National Institute of General Medical Sciences Initial Review Group Biomedical Research and Research Training Review Subcommittee A. Date: March 8, 2012. Time: 8 a.m. to 5 p.m. Agenda: To... such as patentable material, and personal information concerning individuals associated with the grant...

  8. 75 FR 42759 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2010-07-22

    ... such as patentable material, and personal information concerning individuals associated with the grant... of Committee: National Institute of General Medical Sciences Special Emphasis Panel, Review of Minority Biomedical Research Support Chemistry Applications. Date: July 26, 2010. Time: 12 p.m. to 6 p.m...

  9. 75 FR 30408 - National Institute of General Medical Sciences; Notice of Closed Meeting

    Science.gov (United States)

    2010-06-01

    ... Committee: National Institute of General Medical Sciences Review Group; ] Biomedical Research and Research Training Review Subcommittee B. Date: June 18, 2010. Time: 8 a.m. to 5 p.m. Agenda: To review and evaluate... patentable materials, and personal information concerning individuals associated with the grant applications...

  10. Self-medication practices among female students of higher educational institutions in Selangor, Malaysia: A quantitative insight

    National Research Council Canada - National Science Library

    Jamshed, Shazia Qasim; Wong, Pei Se; Yi, Heng Chin; Yun, Gan Siaw; Khan, Muhammad Umair; Ahmad, Akram

    2016-01-01

    .... The prevalence of self-medication is reported to be higher among female students. To investigate the awareness and self-medication practices among female students of higher education institutions in Malaysia...

  11. [Modern approaches to the formation of antidote stocks at medical institutions in Russia and foreign countries].

    Science.gov (United States)

    Simonenko, V E; Sarmanaev, S Kh; Kovalev, E V; Sarmanaeva, R R; Kukhanov, A V

    2014-11-01

    This article analyses the approaches to the formation of specific treatment of acute poisoning in the various countries. The authors present a systematic review of scientific publications about the formation of reserves of antidote agents at medical institutions of the Russian Federation, the US, Canada, France, Spain, Greece, Norway, Czech Republic, Taiwan and Poland. A search for a variety of databases, as well as by reviewing reference lists of publications on the subject of "stockpiling antidote means". It is concluded that the antidote provision at health care institutions in different countries is insufficient. State of affairs with the formation of antidote stocks is better at hospitals of Czech Republic, France and Spain. To determine the range and volume of the stock of fixed assets necessary antidote coordination and approval of the list and the number of mandatory for every medical institution antidotes.

  12. HOW MEDICAL UNDERGRADUATES PREPARE FOR UNIVERSITY EXAMINATION: LESSON FROM A TEACHING MEDICAL INSTITUTION IN SOUTH INDIA

    Directory of Open Access Journals (Sweden)

    Shib Sekhar Datta

    2013-01-01

    Full Text Available Background: Medical colleges in India conventionally follow a curriculum overfed with large volume of information expecting students will imbibe such curriculum unquestionably overlooking what and how they progress. There have been many attempts to improve the learning process of medical students, neglecting the process which students adopt towards such learning and prepare for their exams aiming better performance. Objective: To explore qualitatively the way medical undergraduates prepare for their university examination. Methods: Present qualitative research was undertaken among medical interns during Nov-2011 to March-2012. FGDs were conducted by trained moderator using semi-structured guidelines and note taker recorded each FGD. Content analysis of FGDs was primarily oriented towards behaviour of medical undergraduates during preparatory phase before their university examinations like study pattern, study material, eating behaviour, level of stress, addiction etc. Qualitative content analysis of textual level of data was undertaken using Atlas.ti.5.0 software package. Results: Students are serious about studies just before examinations and refer to notes prepared by seniors, small books with important topics, and self-made notes. Girls depend predominantly on self-made notes. Students primarily focus on important topics in each subject. Time-in-hand decides what they study and try to remember before exams. They become casual about their diet, clothing and self-care. Stress, fear and high academic expectation often drive them towards addictive substances. They often suffer from loneliness and seek empathy from opposite sex batch mates, seniors, teachers and family members and start believing in their fortune and examiners' will rather than actual preparation. Conclusion: Students' psychology and culture should be addressed in harmony with curriculum reform for better learning by medical undergraduates.

  13. A comparison of outpatient healthcare expenditures between public and private medical institutions in urban China: an instrumental variable approach.

    Science.gov (United States)

    Xu, Judy; Liu, Gordon; Deng, Guoying; Li, Lin; Xiong, Xianjun; Basu, Kisalaya

    2015-03-01

    The growth of healthcare expenditure provokes constant comments and discussions, as countries battle the issues on cost containment and cost effectiveness. Prior to 1978, medical institutions in China were either state-owned or were collective public hospitals. Since 1978, China has been trying to rebuild its healthcare system, which was destroyed during the 'cultural revolution', allowing private medical institutions to deliver healthcare services. As a result, private medical institutions have grown from 0% to 28.57% between 1978 and 2010. In this context, we compare outpatient healthcare expenditures between public and private medical institutions. The central problem of this comparison is that the choice of medical institution is endogenous. So we apply an instrumental variable (IV) framework utilizing geographic information (whether the closest medical institution is private) as the instrument while controlling for severity of health and other relevant confounding factors. Using China's Urban Resident Basic Medical Insurance Survey 2008-2010, we found that there is no difference in expenditure between public and private medical institutions when IV framework is used. Our econometric tests suggest that our IV model is specified appropriately. However, the ordinary least square model, which is inconsistent in the presence of endogenous regressor(s), reveals that public medical institutions are more expensive. Copyright © 2013 John Wiley & Sons, Ltd.

  14. What do Islamic institutional fatwas say about medical and research confidentiality and breach of confidentiality?

    Science.gov (United States)

    Alahmad, Ghiath; Dierickx, Kris

    2012-08-01

    Protecting confidentiality is an essential value in all human relationships, no less in medical practice and research.(1) Doctor-patient and researcher-participant relationships are built on trust and on the understanding those patients' secrets will not be disclosed.(2) However, this confidentiality can be breached in some situations where it is necessary to meet a strong conflicting duty.(3) Confidentiality, in a general sense, has received much interest in Islamic resources including the Qur'an, Sunnah and juristic writings. However, medical and research confidentiality have not been explored deeply. There are few fatwas about the issue, despite an increased effort by both individuals and Islamic medical organizations to use these institutional fatwas in their research. Infringements on confidentiality make up a significant portion of institutional fatwas, yet they have never been thoroughly investigated. Moreover, the efforts of organizations and authors in this regard still require further exploration, especially on the issue of research confidentiality. In this article, we explore medical and research confidentiality and potential conflicts with this practice as a result of fatwas released by international, regional, and national Islamic Sunni juristic councils. We discuss how these fatwas affect research and publication by Muslim doctors, researchers, and Islamic medical organizations. We argue that more specialized fatwas are needed to clarify Islamic juristic views about medical and research confidentiality, especially the circumstances in which infringements on this confidentiality are justified. © 2012 Blackwell Publishing Ltd.

  15. Research monitoring by US medical institutions to protect human subjects: compliance or quality improvement?

    Science.gov (United States)

    de Jong, Jean Philippe; van Zwieten, Myra C B; Willems, Dick L

    2013-04-01

    In recent years, to protect the rights and welfare of human subjects, institutions in the USA have begun to set up programmes to monitor ongoing medical research. These programmes provide routine, onsite oversight, and thus go beyond existing oversight such as investigating suspected misconduct or reviewing paperwork provided by investigators. However, because of a lack of guidelines and evidence, institutions have had little guidance in setting up their programmes. To help institutions make the right choices, we used interviews and document analysis to study how and why 11 US institutions have set up their monitoring programmes. Although these programmes varied considerably, we were able to distinguish two general types. 'Compliance' programmes on the one hand were part of the institutional review board office and set up to ensure compliance with regulations. Investigators' participation was mandatory. Monitors focused on documentation. Investigators could be disciplined, and could be obliged to take corrective actions. 'Quality-improvement' programmes on the other hand were part of a separate office. Investigators requested to be monitored. Monitors focused more on actual research conduct. Investigators and other parties received feedback on how to improve the research process. Although both types of programmes have their drawbacks and advantages, we argue that if institutions want to set up monitoring programmes, quality improvement is the better choice: it can help foster an atmosphere of trust between investigators and the institutional review board, and can help raise the standards for the protection of human subjects.

  16. Clinical integration and new options for academic medical institutions in network development.

    Science.gov (United States)

    Taylor, P L

    1999-03-01

    The author outlines two options, made possible by developments in antitrust law, that can create a favored role for academic health science centers as well as for stand-alone medical schools and teaching hospitals, using the unique strengths of these institutions that are often considered weaknesses by the marketplace. The first option is the development of clinically integrated collaborations that need not be either system-wide or necessarily governed by total quality management processes, or involve the characteristics of ownership typical of the usual integrated delivery systems. The second option is the development of new clinical "products." Each option encourages creative financing, legal, medical, and governance approaches and makes it possible for centers, medical schools, and teaching hospitals to build multi-provider collaborations that are in harmony with their missions and different from the less-compatible integrated delivery systems that they often seek to build. The author provides an extensive background on antitrust law to explain the two options and the criteria for crafting them within antitrust law. He then describes how antitrust law applies to multi-provider networks and in particular to academic health science centers and free-standing medical schools and teaching hospitals, and gives examples of the kinds of fruitful collaborations these institutions could engage in. He urges those institutions to realize that if they keep faith with their best characteristics in creative new ways (such as those suggested by his article), they will thrive in the years ahead.

  17. SCREENING OF DEPRESSION AMONG POST GRADUATE MEDICAL STUDENTS OF A TEACHING INSTITUTE IN MAHARASHTRA

    Directory of Open Access Journals (Sweden)

    Swapnil R.

    2014-12-01

    Full Text Available BACKGROUND : According to World Health Organization, depressive disorders are the fourth leading health problem in the world. Medical school is recognized as a stressful environment that often exerts a negative effect on the academic performance, physical health and p sychological well - being of the student One - fourth to one - third of the post graduate medical trainees and residents develop clinical depression at some point in their training period. As minimal literature is there documenting prevalence of depression among post graduate medical students, this study was undertaken with the objective of screening of depression among post graduate medical students of a teaching institute of Maharashtra. SETTING AND DESIGN : Cross - sectional study conducted in a tertiary care hos pital of a teaching institute in a district of Maharashtra from July 2013 till September 2013 targeting all post graduates students of the institute. METHODS AND MATERIALS : A pre - tested structured questionnaire with details regarding socio demographic cha racteristics and factors influencing mental health status was used to collect the information from post graduate medical students. Patient Health Questionnaire (PHQ - 9, based on PRIME MD Today (Primary Care Evaluation of Mental Disorders, was used to prov isionally diagnose depression. STATISTICAL ANALYSIS : Statistical software Open Epi Version 2.3 for proportions and chi square test. RESULTS : Out of 81 respondents, 40 had depressive symptoms based on the PHQ - 9 scores of 5 or more than 5, giving a prevalenc e of 49.4% among postgraduate students in this study. Prevalence of mild, moderate, moderately severe and severe depression was 25(30.9%, 9(11.1%, 4(4.9% and 2(2.5% respectively. CONCLUSION : Depression among post - graduate medical students is common. It is unrecognized, under - estimated and not properly addressed. This issue should be properly addressed because of its possible impact on quality of health

  18. The ethics of insurance limiting institutional medical care: It's all about the money.

    Science.gov (United States)

    Jones, James W; McCullough, Laurence B

    2016-04-01

    Dr F. Inest practices surgery at a renowned medical center but is concerned because increasing numbers of medical insurers are excluding his institution from coverage. Many of his former referring physicians are beginning to send their patients elsewhere for this reason. The marketing people have been busy increasing their advertising buys and exploring new business models. There is even talk about reducing expensive clinical trials. However, regardless of his affiliation, he has little control over these and other organizational decisions that directly impact his practice clinically and fiscally. What should he do?

  19. Radiologic diagnosis of Fitz-Hugh-Curtis syndrome

    Institute of Scientific and Technical Information of China (English)

    WANG Cheng-lin; GUO Xue-jun; YUAN Zhi-dong; SHI Qiao; HU Xiao-hong; FANG Lin

    2009-01-01

    @@ Litz-Hugh-Curtis syndrome (FHCS) was reported by Curtis after he found a fibrous adhesion between the surface of the liver and peritoneum in patients with gonococcal pelvic inflammation during laparoscopy in 1930, and the first report by Fitz-Hugh as acute gonococcal peritonitis in the right upper quadrant abdomen was published in 1934.1,2 The so-called FHCS is believed to originate from an inflammation in the pelvis which may ascend toward the diaphragmatic surface of the liver along the right paracolic gutters to cause the inflammation of the liver caosule with right upper abdominal pain.3-7

  20. A Model for Protective Behavior against the Harmful Effects of Radiation based on Medical Institution Classifications

    Energy Technology Data Exchange (ETDEWEB)

    Han, Eun Ok; Kwon, Deok Mun [Daegu Health College, Daegu (Korea, Republic of); Dong, Kyung Rae [Gwangju Health College University, Gwangju (Korea, Republic of); Han, Seung Moo [Kyung Hee University, Seoul (Korea, Republic of)

    2010-12-15

    This study surveyed a total of 1,322 radiation technologist in health care institutions throughout Korea. This is a comparative study conducted on the levels of protective behavior against the harmful effects of radiation in heath care institutions which indicated that university hospitals and general hospitals showed higher level of protective behavior than for medical practitioners. This study found university hospitals have the following 7 characteristics to manage protective behavior against the harmful effects of radiation, protective environment, self-efficacy by distinction of task , self-efficacy, expectation of the protective behavior, the number of patients, level of the education related to the protection of the harmful effects of radiation and protective attitude. While general hospitals have the following 3 characteristics protective environment, expectation of the protective behavior and protective attitude. Hospitals have the following 4 characteristics protective environment, expectation of the protective behavior, protective attitude and self-efficacy and medical clinics have characteristics protective environment.

  1. The development of chemistry at the National Medical Institute, 1888-1915

    OpenAIRE

    Schifter, Liliana; Head Professor, Department of Biological Systems, Universidad Autónoma Metropolitana Xochimilco; Aceves Pastrana, Patricia; Head Professor, Department of Biological Systems, Universidad Autónoma Metropolitana Xochimilco

    2015-01-01

    In the present paper we analyze the contributions of the National Medical Institute (NMI) to the development of chemistry in Mexico at the end of the 19th century and beginning of the 20th century mainly through the work carried out in two of its sections: Analytical chemistry and Department of Industrial Chemistry. NMI had the most modern laboratories of the time for the advancement of analytical chemistry, where leading scientists carried out research with the common goal of investigating t...

  2. Research on psychoactive plants at Mexico’s National Medical Institute, 1888-1915

    OpenAIRE

    Sarabia, Angélica Morales; Centro de Estudios Interdisciplinarios en Ciencias y Humanidades, Universidad Nacional Autónoma de México; Reynoso, Mariana Ortiz; Universidad Autónoma del Estado de México

    2015-01-01

    The aim of the present essay is to analyze the work performed at the National Medical Institute (NMI) with a group of plants remarkable for containing significant psychoactive principles. The studies on the NMI conducted up to the present time did not analyze in depth the place those substances had in the Institute’s research agenda. For that reason we sought to identify the medicinal plants studied at NMI together with their active principles, the diseases to which they were experimentally a...

  3. Management of Postoperative Pain in Medical Institutions in Shandong Province in China.

    Science.gov (United States)

    Liu, Donghua; Ma, Jianzhong; Zhang, Zongwang; Yu, Ailan; Chen, Xueli; Feng, Cuicui; Lei, Weifu

    2016-02-01

    The aim of the study was to investigate current situation of postoperative pain management in medical institutions in Shandong Province.A questionnaire was developed on the basis of guidelines of acute pain and pain quality assessment scale. The questionnaire was used to obtain information regarding the nature and scale of the medical institution, structure of pain management organization, implementation of pain assessment, and analgesic techniques and processes used in clinical practice. A multistage stratified and cluster sampling method was employed to investigate the current situation of postoperative pain management in 168 medical institutions in Shandong Province.For acute pain service (APS), 32% of the hospitals established postoperative pain management organizations similar to APS. For pain evaluation, 57.1% of the hospitals evaluated pain as the fifth vital sign, and 47.0% of the hospitals evaluated pain at rest and during activity. Furthermore, 43.0% of the surveyed hospitals employed patient-controlled analgesia mode, of which hospitals employing brachial plexus block, lumbar plexus block, and femoral nerve block analgesia accounted for 5.0%, 1.0%, and 4.0%, respectively. The survey revealed that 51.0% of the hospitals educated patients about pain and pain management, of which patients were postoperatively educated by ward nurses in 5.0% and patients were educated by APS during ward rounds in 2.0%.There is a lack of standardized postoperative pain management, the involvement of nurses in pain management is scarce, and the pain assessment and education and application of advanced analgesic management techniques were found to be inadequate in medical institutions in Shandong Province.

  4. Web Implementation of Quality Assurance (QA) for X-ray Units in Balkanic Medical Institutions.

    Science.gov (United States)

    Urošević, Vlade; Ristić, Olga; Milošević, Danijela; Košutić, Duško

    2015-08-01

    Diagnostic radiology is the major contributor to the total dose of the population from all artificial sources. In order to reduce radiation exposure and optimize diagnostic x-ray image quality, it is necessary to increase the quality and efficiency of quality assurance (QA) and audit programs. This work presents a web application providing completely new QA solutions for x-ray modalities and facilities. The software gives complete online information (using European standards) with which the corresponding institutions and individuals can evaluate and control a facility's Radiation Safety and QA program. The software enables storage of all data in one place and sharing the same information (data), regardless of whether the measured data is used by an individual user or by an authorized institution. The software overcomes the distance and time separation of institutions and individuals who take part in QA. Upgrading the software will enable assessment of the medical exposure level to ionizing radiation.

  5. Analysis of medical institutions with various organizational forms of rehabilitation treatment and outpatient departments

    Directory of Open Access Journals (Sweden)

    Shapovalenko T.V.

    2013-12-01

    Full Text Available The study aimed organization of the analysis of activity of two medical institutions rendering services in rehabilitation and recovery treatment to adult population, having various organizational forms. Material and Methods. For five years there had been studied practical experience of rendering medical care on recovery treatment and rehabilitation to adult population on the basis of medico-statistical processing of reporting documentation of the Medicine Recovery Center and the rehabilitation, Ministry of Health of Russia functioning on the basis of the "Medical and Rehabilitation Center" — large versatile medical center and the interdistrict center of recovery treatment on the basis of city policlinic of St. Petersburg. Results. As a result it had been established an advisability of rendering this type of specialized medical care by medical institutions with different organizational forms. Conclusion. The interdistrict centers of rehabilitation functioning as a part of city policlinics, are undoubtedly necessary, as the closest medical setting for patients' homes, however such functions as diagnostics of a functional condition of an organism and an objective assessment of a state of health of patients with use of screening techniques; inspection of the organized collectives and groups of the population for the purpose of identification of groups of risk, establishment of extent of influence of environmental factors on a state of health, active supervision over persons with factors of the increased risk of diseases and correction of the revealed functional violations, etc. can be performed only in the centers organized on the basis of modern versatile treatment-and-prophylactic establishments, equipped with the modern diagnostic devices, allowing to supplement traditional methods of drug therapy with new effective techniques of treatment.

  6. Institutions and non-linear change in governance. Reforming the governance of medical performance in Europe.

    Science.gov (United States)

    Burau, Viola; Vrangbaek, Karsten

    2008-01-01

    The paper aims to account for the substance of non-linear governance change by analysing the importance of sector-specific institutions and the pathways of governing they create. The analysis uses recent reforms of the governance of medical performance in four European countries as a case, adopting an inductively oriented approach to comparison. The governance of medical performance is a good case as it is both, closely related to redistributive policies, where the influence of institutions tends to be pertinent, and is subject to considerable policy pressures. The overall thrust of reforms is similar across countries, while there are important differences in relation to how individual forms of governance and the balance between different forms of governance are changing. More specifically, sector-specific institutions can account for the specific ways in which reforms redefine hierarchy and professional self-regulation and for the extent to which reforms strengthen hierarchy and affect the balance with other forms of governance. The recent literature on governance mainly focuses on mapping out the substance of non-linear change, whereas the development of explanations of the substance of governance change is less systematic. In the present paper, therefore, it is suggested coupling the notion of non-linear change with an analysis of sector specific institutions inspired by the historical institutionalist tradition to better account for the substance of non-linear governance change. Further, the analysis offers interesting insights into the complexity of redrawing boundaries between the public and the private in health care.

  7. Francesca Hughes: Architecture of Error: Matter, Measure and the Misadventure of Precision

    DEFF Research Database (Denmark)

    Foote, Jonathan

    2016-01-01

    Review of "Architecture of Error: Matter, Measure and the Misadventure of Precision" by Francesca Hughes (MIT Press, 2014)......Review of "Architecture of Error: Matter, Measure and the Misadventure of Precision" by Francesca Hughes (MIT Press, 2014)...

  8. Faculty promotions in medical institutions in India: Can we improve the criteria?

    Science.gov (United States)

    Dhulkhed, Vithal Krishna; Kurdi, Madhuri S; Dhulkhed, Pavan V; Ramaswamy, Ashwini H

    2016-11-01

    Research publications are desirable for academic promotion in medical colleges as per the current rules of the Medical Council of India (MCI). These rules reflect an endeavour to improve the academic standards. We strongly believe that every medical college teacher should conduct true research and contribute to good peer-reviewed publications. However, it is felt that the MCI rule has the potential to lead to undesirable consequences, and the quality of teaching and learning could take a back-seat. There is an urgent need to adopt more objective criteria and better guidelines as followed by well-known global institutes. In our own country, the University Grants Commission has formulated specific guidelines for this purpose in the form of Academic Performance Indicators which, it appears, are not taken into consideration by the MCI. This article discusses the adverse impact of the rule and suggests ways for the adoption of a more scientific assessment system for faculty appointment and promotion.

  9. The Invention of a Medical Institution? A Discussion of Hospitals Around 1800

    Directory of Open Access Journals (Sweden)

    Dross, Fritz

    2006-11-01

    Full Text Available The article considers the position of the hospital in the discussion on health care between self-help and formal poor relief. This is done for the late 18th and early 19th centuries when besides the famous hospital foundations e.g. in Vienna and Würzburg, a lot of hospital foundations failed. Although hospitals had been considered to be quite useful for the state by influential publicists, in the German territories neither public opinion nor doctors favoured central hospital care for the poor around 1800. A policinical model with an essential portion of curing the sick in their homes had been the modernist model of medical help in terms of late 18th / early 19th century discourse. The process of inventing the hospital as a new medical institution was based on the acceptance of family and kinship networks as requisite parts of medical help.

  10. [HYGIENIC ASSESSMENT OF NUTRITION IN STUDENTS OF INSTITUTIONS OF MEDICAL PROFILE].

    Science.gov (United States)

    Platunin, A V; Morkovina, D A; Studenikina, E M

    2015-01-01

    In the article there are presented the results of the evaluation of nutrition rations of students of educational institutions of medical profile. There was performed the method of questionnaire survey. The questionnaire was responded by 199 medical college students and 399 students of medical university. It was found that the nutrition rations were established to fail to meet the requirements of sound nutrition. In particular, 30% of observed respondents fail to keep up three four meals daily. There is no hot dish in the daily ration. There is revealed a deficit of consumption of protein foods: meat, fish, dairy products, eggs with an excess of digestible carbohydrate. Unbalanced nutrition is a risk factor for alimentary-related diseases.

  11. Hugh Grant's Image Restoration Discourse: An Actor Apologizes.

    Science.gov (United States)

    Benoit, William L.

    1997-01-01

    Examines the strategies used by actor Hugh Grant (in his appearances on talk shows) to help restore his reputation after he was arrested for lewd behavior with a prostitute. Uses this case as a springboard to contrast entertainment image repair with political and corporate image repair, arguing that important situational differences can be…

  12. Vernon Hughes and the Quest for the Proton's Spin

    Science.gov (United States)

    Jaffe, Robert L.

    2004-12-01

    Vernon Hughes dedicated much of the latter part of his career to the question "What carries the spin of the proton?" The question remains unanswered and near the top of the list of fascinating questions in QCD. I present a perspective on the question and Vernon's pursuit of an answer.

  13. Dr. Vernon W. Hughes, 81, authority on the subatomic

    CERN Multimedia

    Lavietes, S

    2002-01-01

    "Dr. Vernon W. Hughes, a Yale physicist whose investigation of particles called muons poked holes in standard subatomic theory and provided evidence for the existence of previously undetected matter, died at Yale-New Haven Hospital last Tuesday" (1/2 page).

  14. Hugh Hefner - maailma esi-playboy / Neeme Raud

    Index Scriptorium Estoniae

    Raud, Neeme, 1969-

    2004-01-01

    Ajakirja Playboy asutajast Hugh Hefner'ist, tema elufilosoofiast ja põhimõtetest erootikaväljaande sisu kujundamisel. Ärijuhi Christie Hefner'i sõnul on rahvusvahelise multimeedia-meelelahutusfirma praeguseks eesmärgiks brändi sobitamine erinevatesse meediavormidesse. Lisa: Mis on Playboy?

  15. Differential Response: What to Make of the Existing Research? A Response to Hughes et al.

    Science.gov (United States)

    Drake, Brett

    2013-01-01

    This article is a response to "Issues in Differential Response", a review of the current evidence pertaining to differential response (DR) programs in child protective services (CPS). In my view, the Hughes, Rycus, Saunders-Adams, Hughes, and Hughes article suffers from several weaknesses. First, DR programs are critiqued as if they were…

  16. Obituary: Lawrence Hugh Aller, 1913-2003

    Science.gov (United States)

    Kaler, James B.

    2003-12-01

    Michigan, he taught a two-semester course in advanced general astronomy that covered nearly everything, in addition to a remarkable four-semester sequence in astrophysics (general, stellar atmospheres, nebular astrophysics, and stellar interiors). These were backed up by an extraordinary set of books. In 1943, Goldberg and he turned out the seminal toms, Stars, and Nebulae. (A solo third edition was published in 1991.) Then in 1953 arrived "The Atmospheres of the Sun and Stars" (revised a decade later), a tour de force on the physics of stellar plasmas and radiative transfer that became the bible of a generation of astronomers. "Nuclear Transformations, Stellar Interiors, and Nebulae" appeared a year later, and "Gaseous Nebulae" two years after that (rewritten in 1984 as "Physics of Thermal Gaseous Nebulae"). Not having a computer available in the early years, he used his students, creating mammoth "Aller Problems" that solved the equations for results that went into the books. Never formally published were two massive tomes of advanced general astronomy. To those of us lucky enough to have them, they serve as references to this day. His students, both undergraduate and graduate, are everywhere, their own students in turn carrying on Lawrence's ideas and work. In 1941, Lawrence married Rosalind Duncan Hall (who survives), and together they raised three children: Hugh, Gwen, and Raymond. Not only did one son become an astronomer, but so has one granddaughter (a dynasty established). Lawrence was absorbed by news and politics. He hated injustice of any kind, and let you know about it. He could entertain for hours with stories of his youth and of other astronomers, never realizing that he would also be the source of affectionate stories that would be told and retold by his own students. Of beautiful heart, he was a good father, both to his own children and to those he adopted as his students, none of whom, having been taught by him, will ever forget. Incredibly prolific, his

  17. Postgraduate pharmacology curriculum in medical institutions in India: time for need-based appraisal and modifications.

    Science.gov (United States)

    Badyal, Dinesh K; Desai, Chetna; Tripathi, Santanu K; Dhaneria, S P; Chandy, Sujith J; Bezbaruah, B K

    2014-01-01

    The need to revise the curriculum for the postgraduate course (M.D.) in Pharmacology has been perceived by the academicians in India since quite some time. The changing professional requirements of the graduating students, the current scenario vis a vis animal experimentation and the emphasis of the Medical Council of India on a competency based curriculum has triggered this felt need. In spite of the fact that most medical institutions and universities in India offer postgraduate courses in pharmacology, the curriculum lacks uniformity with extreme variations observed at some places. This article attempts to analyze the existing curricula in pharmacology in India and suggest modifications that could be recommended to the suitable regulatory bodies for implementation. A revision of objectives in the three domains of learning, development of skills that help develop suitable competencies, adoption of teaching learning methods in addition to the conventional methods, and a rethink on the assessment methods have been recommended. Development and validation of alternatives skill-based modules in lieu of animal experiments are recommended. Additional skills like medical writing and communication skills, professionalism and ethics, multi and inter-disciplinary integration and collaboration and a wider exposure of students to the pharmaceutical, academic, regulatory and research institutions for onsite learning were also recommended to fulfill their future career requirements.

  18. [Present situation and development strategies of Chinese medicine preparation in medical institutions].

    Science.gov (United States)

    Wang, Jie; Qiao, Xi-Yao; Lin, Fei

    2015-11-01

    As the actual clinical reflecting of transform Chinese medicine special curative effect, Chinese medicine preparation not only satisfies the need of hospital clinic, scientific research and teaching, but also plays an important role in deepening medical and health system reform, improving people's health level and contributing to the economic growth. However, some problems about administration and approval (tending to western medicine), contraction of the scale, lack of synchronization for clinic and scientific research, and the imbalance of regional development make Chinese medicine preparation move forwards slowly in contradiction. It has not only reduced the effectiveness of the Chinese medicine preparation in hospital clinic, but also brought bad effect on modernized development of Chinese medicine preparation. Research shows that main influencing factors of status quo of Chinese medicine preparation in medical institution include imperfect laws and regulations, high cost than income, and shortage of talents in preparation research. The analysis indicated that the necessary measures to break the contradiction, improve clinical effect of Chinese medicine, and promote the modernization development of Chinese drugs preparation were as follows: government and related departments should strengthen the supporting force in policy by adjusting the examination and approval policy, speeding up dispensing use, reforming pricing system, including into medicare reimbursement, integrating advantage resources and so on; medical institution should actively carry out research and development of traditional Chinese Medicine through drawing the traditional and modern essence, reserving professional talents, and developing characteristic preparation; companies cooperate with hospitals for complementary advantages, which can rapidly transform Chinese medicine preparation into clinical practice.

  19. [Development of sanitary microbiology researches at the A. N. Marzeyev Institute for Hygiene and Medical Ecology, Academy of Medical Sciences of Ukraine (Kiev)].

    Science.gov (United States)

    Serdiuk, A M; Surmasheva, E V; Korchak, G I

    2011-01-01

    The paper describes the main stages of development of sanitary bacteriological studies at the leading hygiene research institute of Ukraine--the A. N Marzeyev Institute for Hygiene and Medical Ecology. These researches have made a substantial contribution to the formation and development of hygiene science in the former Soviet Union. The current and promising areas in sanitary microbiology in Ukraine are considered.

  20. [The quantitative estimates of identification of diseases in medical institutions of different form of property and departmental belonging].

    Science.gov (United States)

    Maksimova, T M; Belov, V B; Lushkina, N P; Nikitina, S Yu; Redina, M A

    2013-01-01

    The results of analysis of actual situation in the field of medical care provision to population by medical institutions of different form of property and departmental belonging demonstrated that the percentage of additionally identified cases of pathology of blood circulation system comes up to 20% and more in certain territories. This occurrence mainly depends on organization of medical care of population in the field and development of medical institutions network outside the system of Minzdrav of Russia. It is needed to further elaborate the process of getting the data specifying the statistics of pathology propagation.

  1. [Actual sanitary, epidemiological and hygienic aspects of a dietitian's activities in stationary medical institutions].

    Science.gov (United States)

    Sukhanov, B P; Kerimoval, M G; Elizarova, E V; Petrenko, A S

    2015-01-01

    The article shows the relevance of the main areas of dietitians' training to sanitary and epidemiological and hygienic issues of organization of clinical nutrition in stationary medical institutions (MIs) at training and refresher courses on dietetics. The attention is focused on the new legislative, policy and regulatory instruments, sanitary and epidemiological and hygienic requirements, providing high quality, safety and efficacy of nutritional therapy in MIs. The role of dietitian in the organization of clinical nutrition is highlighted. There were set out rights and responsibilities of a dietitian as a representative of MI under inspections by Rospotrebnadzor bodies; the demands, put forward by these bodies to the tested object, and actions, taken by them.

  2. Risk mitigation of shared electronic records system in campus institutions: medical social work practice in singapore.

    Science.gov (United States)

    Ow Yong, Lai Meng; Tan, Amanda Wei Li; Loo, Cecilia Lay Keng; Lim, Esther Li Ping

    2014-10-01

    In 2013, the Singapore General Hospital (SGH) Campus initiated a shared electronic system where patient records and documentations were standardized and shared across institutions within the Campus. The project was initiated to enhance quality of health care, improve accessibility, and ensure integrated (as opposed to fragmented) care for best outcomes in our patients. In mitigating the risks of ICT, it was found that familiarity with guiding ethical principles, and ensuring adherence to regulatory and technical competencies in medical social work were important. The need to negotiate and maneuver in a large environment within the Campus to ensure proactive integrative process helped.

  3. 42 CFR 435.225 - Individuals under age 19 who would be eligible for Medicaid if they were in a medical institution.

    Science.gov (United States)

    2010-10-01

    ... Medicaid if they were in a medical institution. 435.225 Section 435.225 Public Health CENTERS FOR MEDICARE... age 19 who would be eligible for Medicaid if they were in a medical institution. (a) The agency may... would be eligible for Medicaid if they were in a medical institution, and who are receiving,...

  4. Langston Hughes and his poem “Harlem”

    Institute of Scientific and Technical Information of China (English)

    郝红

    2005-01-01

    James Langston Hughes was born February 1. 1902, in Joplin, Missouri. His parents divorced when he was a small child, and his father moved to Mexico. He was raised by his Grandmother until he was thirteen, when he moved to Lincoln,Illinois, to live with his mother and her husband, eventually settling in Cleveland, Ohio. It was in I,incoln, Illinois, that Hughes began writing poetry. Following graduation, he spent a year in Mexico and a year at Columbia University. During these years, he held old jobs as an assistant cook, launderer, and a busboy, and traveled to Africa and Europe working as a seaman. In November 1924, he moved to Washington,

  5. How to introduce diagnostic ultrasound in medical institutions of limited resources.

    Science.gov (United States)

    Chaves, O E

    1983-01-01

    It is now generally accepted that diagnostic ultrasound may have a role in Medicine, independently of the technological level of a society, as well as of the geographical factors of influence on its pathology. This means that many countries require ultrasound equipment of low cost and a decision must be made as to what kind of ultrasound facilities to set up and how: a central ultrasound unit for general application or different specialized services in several hospital departments. Alternatively, it is suggested a combined action of the World Federation for Ultrasound in Medicine and Biology, the ultrasound departments of highly developed countries, dealers and medical institutions of limited resources for the setting up of an ultrasound unit. This should be preceded by previous scientific training of medical staff of those institutions on the main diagnostic ultrasound applications, a survey of the potential users, a selection of the staff for the new service and continuous information. An outline of a proposal for that program is presented.

  6. Perspective: medical education research and the institutional review board: reexamining the process.

    Science.gov (United States)

    Johansson, Anna C; Durning, Steven J; Gruppen, Larry D; Olson, Marianne E; Schwartzstein, Richard M; Higgins, Patricia A

    2011-07-01

    Medical school and residency training curricula across the country have undergone extensive revisions and, much like clinical quality improvement (QI) initiatives, require assessments of new programs. Because sharing knowledge is a hallmark of academic medicine, program evaluation may come under the purview of the institutional review board (IRB); however, the distinction between QI and research is often unclear. And yet a medical education (ME) inquiry can be designed according to either paradigm. The purpose of this article is to bring IRBs and ME researchers closer to a shared understanding of key concepts underlying human participation in research and QI activities, and to consensus on the application of these concepts. The current QI discourse provides a useful framework for making this distinction; the authors identify key theoretical principles and practical considerations derived from this work that are relevant to ME and training, such as the application of the regulatory definition of human subject research to ME inquiries. For ME inquiries defined as human subject research, and therefore subject to IRB review, this article explores the application of the human research regulations to ME research. It concludes with practical suggestions for institutions, IRBs, and ME researchers, which range from formal procedures for making the QI versus research distinction, to instruction in study design and development and the human subject regulatory implications. The intent is to promote a discussion that will result in greater consensus and a more consistent application of the regulatory framework.

  7. Node status algorithm for load balancing in distributed service architectures at paperless medical institutions.

    Science.gov (United States)

    Logeswaran, Rajasvaran; Chen, Li-Choo

    2008-12-01

    Service architectures are necessary for providing value-added services in telecommunications networks, including those in medical institutions. Separation of service logic and control from the actual call switching is the main idea of these service architectures, examples include Intelligent Network (IN), Telecommunications Information Network Architectures (TINA), and Open Service Access (OSA). In the Distributed Service Architectures (DSA), instances of the same object type can be placed on different physical nodes. Hence, the network performance can be enhanced by introducing load balancing algorithms to efficiently distribute the traffic between object instances, such that the overall throughput and network performance can be optimised. In this paper, we propose a new load balancing algorithm called "Node Status Algorithm" for DSA infrastructure applicable to electronic-based medical institutions. The simulation results illustrate that this proposed algorithm is able to outperform the benchmark load balancing algorithms-Random Algorithm and Shortest Queue Algorithm, especially under medium and heavily loaded network conditions, which are typical of the increasing bandwidth utilization and processing requirements at paperless hospitals and in the telemedicine environment.

  8. Fitz-Hugh-Curtis综合征7例

    Institute of Scientific and Technical Information of China (English)

    焦浦生

    2000-01-01

    @@ FHC综合征Fitz-Hugh-Curtis Syntrome)是继发于盆腔感染的肝包膜炎症反应性疾病.该综合征典型临床表现是右上腹痛,发热伴有盆腔炎.现将我院近年来诊治FHC综合征7例总结中下.

  9. Bifurcaciones del Sistema de FitzHugh-Nagumo (FHN

    Directory of Open Access Journals (Sweden)

    Fernando Ongay Larios

    2011-01-01

    Full Text Available La familia paramétrica de los sistemas de FitzHugh-Nagumo es rica en bifurcaciones (Rocsoreanu et al., 2000. En este artículo estudiamos las bifurcaciones silla-nodo y de Hopf desde el punto de vista matemático de esta familia y se describen completamente los conjuntos de bifurcación en el espacio de parámetros.

  10. The Spin Structure of the Nucleon:. a Hughes Legacy

    Science.gov (United States)

    Cates, Gordon D.

    2004-12-01

    More than any other individual, Vernon Hughes can be pointed to as the father of the experimental investigation of nucleon spin structure. Even theoretical development in this area was spurred on by Vernon's pioneering efforts to make the control of spin degrees of freedom an experimental reality. This talk traces some of Vernon's work in this area, as well as examining, briefly and not in a complete fashion, some of the other work that can be looked upon as Vernon's legacy.

  11. Remembrance of Hugh E. Huxley, a founder of our field.

    Science.gov (United States)

    Pollard, Thomas D; Goldman, Yale E

    2013-09-01

    Hugh E. Huxley (1924-2013) carried out structural studies by X-ray fiber diffraction and electron microscopy that established how muscle contracts. Huxley's sliding filament mechanism with an ATPase motor protein taking steps along an actin filament, established the paradigm not only for muscle contraction but also for other motile systems using actin and unconventional myosins, microtubules and dynein and microtubules and kinesin.

  12. SOME ASPECTS OF ORGANIZATION OF HIGH TECHNOLOGY MEDICAL AID RENDERING AT SARATOV SCIENTIFIC RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS

    Directory of Open Access Journals (Sweden)

    T.A. Shulgina

    2009-03-01

    Full Text Available The article is devoted to the peculiarities of organization of high technology medical aid rendering at Saratov Scientific Research Institute of Traumatology and Orthopedics. Profiles and volumes of high technology medical aid and its order during 2006-2007 are presented.

  13. [Analysis of regulatory basis for organization of clinical nutrition in medical institutions of the Russian Federation].

    Science.gov (United States)

    Tutel'ian, V A; Sharafetdinov, Kh Kh; Pogozheva, A V; Plotnikova, O A

    2013-01-01

    The article analyzes regulatory basis for organization of clinical nutrition in medical institutions of Russia. It is shown that the strategy of therapeutic measures in acute and chronic diseases a central place to take dietary therapy with adequate provision of energy and plastic body's needs, correction of metabolic disorders and risk factors for comorbidity. Prior to the confirmation of the order of Ministry of Health of Russia from 05.08.2003, No 330 "On measures to improve nutritional care in health care institutions in the Russian Federation" clinical nutrition in medical institutions was based on the nosological principle, in the form of daily diet--a diet designed for each concrete Diseases which are identified by a number from 1 to 15. According to the order of Ministry of Health of Russia from 05.08.2003, No 330 in the health care practice has introduced a new range of diets (system standard diets), which is based on the principle of adapting the chemical composition and energy value of the diet to the individual clinical and pathogenic features of the disease and combines previously used diet numbering system. It is shown that the organization of clinical nutrition should be based on common requirements imposed on the federal level and at the level of the subject of the Russian Federation. In order to optimize clinical nutrition is necessary to determine the methodological approaches to personalization through the introduction of diet in health care practice of modern innovative technologies health food, performing preventive and treatment of the problem (implementation of Article 39 of the Federal Law of 21.11.2011 No 323--FZ "On the basis of health protection in the Russian Federation", the Order of the Government of the Russian Federation of 25.10.2010 No 1873-r "On the basis of the state policy in the field of nutrition to 2020 year").

  14. Career satisfaction among medical and dental graduates in a private institution in Indore city, Madhya Pradesh

    Directory of Open Access Journals (Sweden)

    Sandeep Kumar

    2014-01-01

    Full Text Available Introduction: Career is the progress and actions taken by a person throughout lifetime, especially those related to that person′s occupation and are often composed of the jobs held, titles earned and work accomplished over a long period of time. It plays a very important role in the success of once life. Aim: The aim was to compare the career satisfaction among medical and dental graduates in a private institution in Indore city, Madhya Pradesh. Materials and Methods: The study included a total of 100 medical graduates and 100 dental graduates and was carried out using a self-administered questionnaire. Chi-square test was performed for statistical analysis. Results: In medical profession, it was found that majority (87% of the graduates were satisfied with their career. Majority (88% of the graduates believed that their profession had a bright future 10 years from now and majority (74% recommended joining medical profession as a safe and bright career alternative. On the contrary, in dental profession, it was found that more than half (53% of the graduates were unsatisfied with their career. More than 50% of graduates believed that dental profession did not have a bright future 10 years from now and majority (66% of the graduates recommended not to join dental profession. The differences were found to be significantly associated between the two groups (P < 0.05. Conclusion: The dental graduates were found to be dissatisfied with their career compared with medical graduates. Better job perspectives and better placements needs to be created. Endorsement of effective policies is required.

  15. Confronting conflict: addressing institutional conflicts of interest in academic medical centers.

    Science.gov (United States)

    Liang, Bryan A; Mackey, Tim

    2010-01-01

    Individual conflicts of interest are rife in healthcare, and substantial attention has been given to address them. Yet a more substantive concern-institutional conflicts of interest ("ICOIs") in academic medical centers ("AMCs") engaged in research and clinical care-have yet to garner sufficient attention, despite their higher stakes for patient safety and welfare. ICOIs are standard in AMCs, are virtually unregulated, and have led to patient deaths. Upon review of ICOIs, we find a clear absence of substantive efforts to confront these conflicts. We also assess the Jesse Gelsinger case, which resulted in the death of a study participant exemplifying a deep-seated culture of institutional indifference and complicity in unmanaged conflicts. Federal policy, particularly the Bayh-Dole Act, also creates and promotes ICOIs. Efforts to address ICOIs are narrow or abstract, and do not provide for a systemic infrastructure with effective enforcement mechanisms. Hence, in this paper, we provide a comprehensive proposal to address ICOIs utilizing a "Centralized System" model that would proactively review, manage, approve, and conduct assessments of conflicts, and would have independent power to evaluate and enforce any violations via sanctions. It would also manage any industry funds and pharmaceutical samples and be a condition of participation in public healthcare reimbursement and federal grant funding. The ICOI policy itself would provide for disclosure requirements, separate management of commercial enterprise units from academic units, voluntary remediation of conflicts, and education on ICOIs. Finally, we propose a new model of medical education-academic detailing-in place of current marketing-focused "education." Using such a system, AMCs can wean themselves from industry reliance and promote a culture of accountability and independence from industry influence. By doing so, clinical research and treatment can return to a focus on patient care, not profits.

  16. Self-medication practices among female students of higher educational institutions in Selangor, Malaysia: A quantitative insight

    Directory of Open Access Journals (Sweden)

    Shazia Qasim Jamshed

    2016-01-01

    Full Text Available Background: World Health Organization has defined self-medication as the selection and use of medications (including herbal and traditional product by individuals to treat self-recognized illnesses or symptoms. The prevalence of self-medication is reported to be higher among female students. Objective: To investigate the awareness and self-medication practices among female students of higher education institutions in Malaysia. Method: A descriptive, cross-sectional study was conducted in four higher education institutes of Selangor, Malaysia. Convenience sampling approach was used to collect data from a sample 475 students. A “pretested” questionnaire was used as a study instrument. Results: A total of 461 questionnaires were returned (response rate 97.05%. The prevalence of self-medication among female students in higher educational institutions was 57.2% (n = 262. The most common source of self-prescribed medicine was a pharmacy or clinics (n = 206; 45%. It was found that antipyretics were the most common medications used without doctor's consultation (n = 212; 89.1%. Analgesics and antipyretics (n = 79; 62.7% were highly recommended by students to their family and friends. The common reason for self-medication was prior successful experience (n = 102, 81.0%. The majority of respondents (n = 280; 61.1% reported that they believed over-the-counter medications were as effective as medications prescribed by a doctor. Conclusion: The prevalence of self-medication practice among female students in the sample of the four higher education institutions was moderate. More studies are required to generalize these findings across Malaysia.

  17. Self-medication practices among female students of higher educational institutions in Selangor, Malaysia: A quantitative insight.

    Science.gov (United States)

    Jamshed, Shazia Qasim; Wong, Pei Se; Yi, Heng Chin; Yun, Gan Siaw; Khan, Muhammad Umair; Ahmad, Akram

    2016-01-01

    World Health Organization has defined self-medication as the selection and use of medications (including herbal and traditional product) by individuals to treat self-recognized illnesses or symptoms. The prevalence of self-medication is reported to be higher among female students. To investigate the awareness and self-medication practices among female students of higher education institutions in Malaysia. A descriptive, cross-sectional study was conducted in four higher education institutes of Selangor, Malaysia. Convenience sampling approach was used to collect data from a sample 475 students. A "pretested" questionnaire was used as a study instrument. A total of 461 questionnaires were returned (response rate 97.05%). The prevalence of self-medication among female students in higher educational institutions was 57.2% (n = 262). The most common source of self-prescribed medicine was a pharmacy or clinics (n = 206; 45%). It was found that antipyretics were the most common medications used without doctor's consultation (n = 212; 89.1%). Analgesics and antipyretics (n = 79; 62.7%) were highly recommended by students to their family and friends. The common reason for self-medication was prior successful experience (n = 102, 81.0%). The majority of respondents (n = 280; 61.1%) reported that they believed over-the-counter medications were as effective as medications prescribed by a doctor. The prevalence of self-medication practice among female students in the sample of the four higher education institutions was moderate. More studies are required to generalize these findings across Malaysia.

  18. Self-medication practices among female students of higher educational institutions in Selangor, Malaysia: A quantitative insight

    Science.gov (United States)

    Jamshed, Shazia Qasim; Wong, Pei Se; Yi, Heng Chin; Yun, Gan Siaw; Khan, Muhammad Umair; Ahmad, Akram

    2016-01-01

    Background: World Health Organization has defined self-medication as the selection and use of medications (including herbal and traditional product) by individuals to treat self-recognized illnesses or symptoms. The prevalence of self-medication is reported to be higher among female students. Objective: To investigate the awareness and self-medication practices among female students of higher education institutions in Malaysia. Method: A descriptive, cross-sectional study was conducted in four higher education institutes of Selangor, Malaysia. Convenience sampling approach was used to collect data from a sample 475 students. A “pretested” questionnaire was used as a study instrument. Results: A total of 461 questionnaires were returned (response rate 97.05%). The prevalence of self-medication among female students in higher educational institutions was 57.2% (n = 262). The most common source of self-prescribed medicine was a pharmacy or clinics (n = 206; 45%). It was found that antipyretics were the most common medications used without doctor's consultation (n = 212; 89.1%). Analgesics and antipyretics (n = 79; 62.7%) were highly recommended by students to their family and friends. The common reason for self-medication was prior successful experience (n = 102, 81.0%). The majority of respondents (n = 280; 61.1%) reported that they believed over-the-counter medications were as effective as medications prescribed by a doctor. Conclusion: The prevalence of self-medication practice among female students in the sample of the four higher education institutions was moderate. More studies are required to generalize these findings across Malaysia. PMID:27413350

  19. [Investigations on leishmaniases at the E.I. Martsinovsky Institute of Medical Parasitology and Tropical Medicine].

    Science.gov (United States)

    Kellina, O I; Strelkova, M V

    2010-01-01

    The paper assesses the investigations on leishmaniases at the E.I. Martsinovsky Institute of Medical Parasitology and Tropical Medicine in 1920 to 2009. The analysis includes papers on biology, ecology, taxonomy, and experimental transmission of the agents of leishmaniases via the bites of sand flies, the principle in the control of zoonotic cutaneous leishmaniasis (ZCL) during the agricultural development of extensive territories in the Karshin steppe, on quantitative approaches in the epidemiology of ZCL, a search for Russian effective medicaments to treat patients with this disease and the development of criteria for selecting L. major strains for individual and mass vaccinations against ZCL, the revision of Leishmania circulating in great gerbil populations, and the description of the new species L. turanica, an important parasite for L. major persistence from one transmission season to the next. The first investigations on leishmaniasis were made by Prof. E.I. Martsinovsky, the founder and the first director of the Institute in the early 20th century.

  20. Clinical and translational research capacity building needs in minority medical and health science Hispanic institutions.

    Science.gov (United States)

    Estapé-Garrastazu, Estela S; Noboa-Ramos, Carlamarie; De Jesús-Ojeda, Lizbelle; De Pedro-Serbiá, Zulmarie; Acosta-Pérez, Edna; Camacho-Feliciano, Delia M

    2014-10-01

    A preliminary needs assessment was conducted among faculty and students of three minority medical and health science institutions comprising the Puerto Rico Clinical and Translational Research Consortium (PRCTRC). The Web-based survey was focused on evaluating the training interests in the clinical and translational research core areas and competencies developed by the National Institutes of Health-Clinical and Translational Sciences Award. The survey was the result of a team effort of three PRCTRC key function's leaderships: Multidisciplinary Training and Career Development, Tracking and Evaluation and Community Research and Engagement. The questionnaire included 45 items distributed across five content areas including demographics, research training needs, training activities coordination and knowledge about the services offered by the PRCTRC. Analysis of research needs includes a sample distribution according to professor, assistant/associate professor and graduate students. The thematic area with highest response rate among the three groups was: "Identify major clinical/public health problems and relevant translational research questions," with the competency "Identify basic and preclinical studies that are potential testable clinical research hypothesis." These preliminary results will guide the training and professional development of the new generation of clinical and translational researchers needed to eliminate health disparities.

  1. Radiation Oncology Medical Student Clerkship: Implementation and Evaluation of a Bi-institutional Pilot Curriculum

    Energy Technology Data Exchange (ETDEWEB)

    Golden, Daniel W., E-mail: dgolden@radonc.uchicago.edu [Department of Radiation and Cellular Oncology, University of Chicago Pritzker School of Medicine, Chicago, Illinois (United States); Spektor, Alexander [Department of Radiation Oncology, Brigham and Women' s Hospital and Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts (United States); Rudra, Sonali; Ranck, Mark C. [Department of Radiation and Cellular Oncology, University of Chicago Pritzker School of Medicine, Chicago, Illinois (United States); Krishnan, Monica S.; Jimenez, Rachel B.; Viswanathan, Akila N. [Department of Radiation Oncology, Brigham and Women' s Hospital and Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts (United States); Koshy, Matthew; Howard, Andrew R.; Chmura, Steven J. [Department of Radiation and Cellular Oncology, University of Chicago Pritzker School of Medicine, Chicago, Illinois (United States)

    2014-01-01

    Purpose: To develop and evaluate a structured didactic curriculum to complement clinical experiences during radiation oncology clerkships at 2 academic medical centers. Methods and Materials: A structured didactic curriculum was developed to teach fundamentals of radiation oncology and improve confidence in clinical competence. Curriculum lectures included: (1) an overview of radiation oncology (history, types of treatments, and basic clinic flow); (2) fundamentals of radiation biology and physics; and (3) practical aspects of radiation treatment simulation and planning. In addition, a hands-on dosimetry session taught students fundamentals of treatment planning. The curriculum was implemented at 2 academic departments in 2012. Students completed anonymous evaluations using a Likert scale to rate the usefulness of curriculum components (1 = not at all, 5 = extremely). Likert scores are reported as (median [interquartile range]). Results: Eighteen students completed the curriculum during their 4-week rotation (University of Chicago n=13, Harvard Longwood Campus n=5). All curriculum components were rated as extremely useful: introduction to radiation oncology (5 [4-5]); radiation biology and physics (5 [5-5]); practical aspects of radiation oncology (5 [4-5]); and the treatment planning session (5 [5-5]). Students rated the curriculum as “quite useful” to “extremely useful” (1) to help students understand radiation oncology as a specialty; (2) to increase student comfort with their specialty decision; and (3) to help students with their future transition to a radiation oncology residency. Conclusions: A standardized curriculum for medical students completing a 4-week radiation oncology clerkship was successfully implemented at 2 institutions. The curriculum was favorably reviewed. As a result of completing the curriculum, medical students felt more comfortable with their specialty decision and better prepared to begin radiation oncology residency.

  2. Hugh de Wardener - the Man and the Scientist.

    Science.gov (United States)

    Phillips, M E; de Wardener, S

    2016-02-01

    Hugh de Wardener died on 29th September 2013, ten days before his 98th birthday. He had a diverse upbringing and qualified in Medicine in 1939. He joined the army but was captured in 1942 and imprisoned in Singapore and Thailand until 1945. His clinical care of fellow prisoners was highly regarded. He preserved their clinical records and used them, post-war, to write two Lancet papers. One showed, for the first time, that Wernickes encephalopathy could be caused by severe malnutrition and cured by small doses of vitamin B1. His later academic interests were based on the emphasis he placed on renal physiology. This applied to the topic most associated with his name-Natriuretic Hormone. Whilst de Wardener never isolated this hormone, his early experiments, demonstrating that a third factor other than GFR and aldosterone affected renal sodium transport, were substantiated by others. Hugh had many research interests: pyelonephritis, renal histology, maintenance dialysis and metabolic/renal bone disease. In his later years he researched intensively into the role of sodium and salt in the aetiology of essential hypertension. Hugh was president of the International Society of Nephrology (1969-72) and the UK Renal Association (1975-78). He received many awards and recognitions from across the world, many of them after his (so-called) retirement. Throughout his career he never neglected the care of his patients. As Bob Schrier wrote in his obituary of de Wardener in Kidney International he was a caring physicianwhose dedication to his patients welfare was exemplary.

  3. National Institutes of Health Funding to Departments of Orthopaedic Surgery at U.S. Medical Schools.

    Science.gov (United States)

    Silvestre, Jason; Ahn, Jaimo; Levin, L Scott

    2017-01-18

    The National Institutes of Health (NIH) is the largest supporter of biomedical research in the U.S., yet its contribution to orthopaedic research is poorly understood. In this study, we analyzed the portfolio of NIH funding to departments of orthopaedic surgery at U.S. medical schools. The NIH RePORT (Research Portfolio Online Reporting Tools) database was queried for NIH grants awarded to departments of orthopaedic surgery in 2014. Funding totals were determined for award mechanisms and NIH institutes. Trends in NIH funding were determined for 2005 to 2014 and compared with total NIH extramural research funding. Funding awarded to orthopaedic surgery departments was compared with that awarded to departments of other surgical specialties in 2014. Characteristics of NIH-funded principal investigators were obtained from department web sites. In 2014, 183 grants were awarded to 132 investigators at 44 departments of orthopaedic surgery. From 2005 to 2014, NIH funding increased 24.3%, to $54,608,264 (p = 0.030), but the rates of increase seen did not differ significantly from those of NIH extramural research funding as a whole (p = 0.141). Most (72.6%) of the NIH funding was awarded through the R01 mechanism, with a median annual award of $343,980 (interquartile range [IQR], $38,372). The majority (51.1%) of the total funds supported basic science research, followed by translational (33.0%), clinical (10.0%), and educational (5.9%) research. NIH-funded orthopaedic principal investigators were predominately scientists whose degree was a PhD (71.1%) and who were male (79.5%). Eleven NIH institutes were represented, with the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) providing the preponderance (74.2%) of the funding. In 2014, orthopaedic surgery ranked below the surgical departments of general surgery, ophthalmology, obstetrics and gynecology, otolaryngology, and urology in terms of NIH funding received. The percentage increase of NIH

  4. Bidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice.

    Science.gov (United States)

    Rohrbaugh, Robert; Kellett, Anne; Peluso, Michael J

    One-third of US medical students participate in global health (GH) education, and approximately one-quarter of US medical schools have structured programs that offer special recognition in GH. GH clinical electives (GHCEs) are opportunities for students to experience a medical system and culture different from their own. GHCEs are administered through institutional affiliation agreements, often between an institution in a high-income country (HIC) and one in a low- or middle-income country (LMIC). Although these agreements suggest the exchange of students in both directions, GHCEs are traditionally characterized by students from HICs traveling to LMICs. The goal of this study was to investigate the availability of opportunities for students from LMICs participating in GHCEs at partner institutions in HICs and to describe the costs of these opportunities for students from LMICs. We conducted a web-based search of 30 US institutions previously identified as having structured programs in GH. We determined which of these schools have programs that accept medical students from international schools for GHCEs, as well as the administrative requirements, types of fees, and other costs to the international student based on information available on the web. Descriptive statistics were employed for the quantitative analysis of costs. We found that, although the majority of US institutions with structured GH programs sending students to sites abroad accept international students at their sites in the United States, nearly one-fifth of programs do not offer such opportunities for bidirectional exchange. We also characterized the substantial costs of such experiences, because this can represent a significant barrier for students from LMICs. Access to GHCEs in US partner institutions should be an important underlying ethical principle in the establishment of institutional partnerships. The opportunities available to and experiences of students from LMIC partner institutions are

  5. Some Numerical Aspects on Crowd Motion - The Hughes Model

    KAUST Repository

    Gomes, Diogo A.

    2016-01-06

    Here, we study a crowd model proposed by R. Hughes in [5] and we describe a numerical approach to solve it. This model comprises a Fokker-Planck equation coupled with an Eikonal equation with Dirichlet or Neumann data. First, we establish a priori estimates for the solution. Second, we study radial solutions and identify a shock formation mechanism. Third, we illustrate the existence of congestion, the breakdown of the model, and the trend to the equilibrium. Finally, we propose a new numerical method and consider two numerical examples.

  6. Effect of medical institution change on gestational duration after the Great East Japan Earthquake: The Fukushima Health Management Survey.

    Science.gov (United States)

    Suzuki, Kohta; Goto, Aya; Fujimori, Keiya

    2016-12-01

    The aim of this study was to examine the association between medical institution change for perinatal care and gestational duration after the Great East Japan Earthquake using data from the Fukushima Health Management Survey. The data of pregnant women who experienced the earthquake in Fukushima prefecture and participated in the Pregnancy and Birth Survey as part of the Fukushima Health Management Survey were analyzed. The primary and secondary outcomes of this study were gestational duration and preterm birth, respectively. The main study factor was prenatal checkup institution (only one institution, changed institution due to self-referral, changed institution due to medical indication, and went to parents' home for childbirth). Self-referral was considered as indicative of relocation after the disaster. Multiple linear and logistic regression analyses were conducted to examine the effect of earthquake on each outcome. A total of 5593 (60.2%) participants experienced the earthquake between the 4th and 37th weeks of their gestational period. After controlling for variables, pregnant women who changed their perinatal checkup institution due to medical indication were significantly associated with shorter gestational duration (β = -10.6, P Earthquake and the subsequent Fukushima Daiichi nuclear disaster was not significant. © 2016 Japan Society of Obstetrics and Gynecology.

  7. Stages in the Making of the Competence Approach and Its Significance to Teaching Medical Disciplines at Institutions of Higher Medical Learning

    Science.gov (United States)

    Mayev, Igor V.; Dautova, Olga B.; Dicheva, Diana T.; Andreyev, Dmitry N.; Goncharenko, Aleksandra Yu.; Kucheryavy, Yury A.; Aleksandrova, Kseniya O.

    2014-01-01

    This article examines the preconditions and origins of the competence approach and various approaches to apprehending the essence of competencies: personal, functional, and cognitive. The authors cover the major stages in the making of the competence approach at institutions of higher medical learning.

  8. Paul Scherrer Institut annual report 1994. Annex II: PSI life sciences and institute for medical radiobiology newsletter 1994

    Energy Technology Data Exchange (ETDEWEB)

    Reist, H.W. [ed.] [Paul Scherrer Inst. (PSI), Villigen (Switzerland)

    1995-10-01

    This annex reports on the PSI life science division`s progress achieved during 1994 in the fields of radiation medicine, radiopharmacy, magnetic resonance imaging, radiation hygiene, positron emission tomography (PET) and medical radiology. A bibliography of the department`s publications is included. figs., tabs., refs.

  9. The Themes, Institutions, and People of Medical Education Research 1988-2010: Content Analysis of Abstracts from Six Journals

    Science.gov (United States)

    Rotgans, Jerome I.

    2012-01-01

    The present study aimed at providing an overview of the most common themes of research into medical education. Changes in frequency of occurrence of these themes over time and differences between US and European journals were studied. The most productive institutions and researchers in the field were examined. A content analysis was carried out on…

  10. Walking the Tightrope: Directing a Student Health Center at a Research Institution with an Academic Medical Center

    Science.gov (United States)

    Christmas, William A.

    2008-01-01

    Reporting lines for directors of student health centers (SHCs) at colleges and universities are a matter of continuing interest for those of us who must follow them. SHC directors at institutions with academic medical centers face a greater number of reporting choices that also have the potential of being more politically charged. The author…

  11. SATISFACTION LEVEL OF MEDICAL EDUCATORS WORKING IN TEACHING INSTITUTIONS : A QUESTIONNAIRE BASED CROSS-SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Sudeshna Chatterjee

    2016-12-01

    Full Text Available In a resource-limited and high-burden disease setting, satisfied health professional is an asset in terms of maximized productivity, efficiency and quality health care. Job Satisfaction Index is a validated measure to identify the components that influence those issues. A multi-faceted structured questionnaire study was conducted upon a cross-section of medical educators (n=160 serving two tertiary care teaching institutions under different management set-up. Multiple demographic features were independent variables whereas three (3 critical areas of satisfaction index (SI were outcome variables. All participants were interviewed using 15 item Likert response-based, modified job satisfaction scale. It was observed that total SI scores among doctors representing the private group remained marginally higher (P<0.05 while compared to the other group. The comparative analysis of SI scores in critical areas like availability of academic supports and job security remained higher among the private doctors than that of the government ones though not significant. However the private doctors remained marginally satisfied in terms of working environment. The study outcome necessitates appropriate intervention measures at the organizational levels.

  12. STUDY OF ORGANOPHOSPHOROUS POISONING CASES AT MAHARAJAH INSTITUTE OF MEDICAL SCIENCES, A.P.

    Directory of Open Access Journals (Sweden)

    Aswini Kumar

    2014-08-01

    Full Text Available BACKGROUND & OBJECTIVES: Organophosphorus pesticide self-poisoning is a major clinical and public-health problem across much of rural Asia. The aim of this study was to analyze the patterns, the social factors and the clinical outcomes of OP poisoning at the Maharajah Institute Of Medical Sciences, Vizianagaram. MATERIALS AND METHODS: Fifty organophosphorous poisoning cases who were admitted to the MIMS, during the period of 1year (May 2013to June 2014, were studied. RESULTS: Fifty cases of OP poisoning were studied. In the present study, 56% cases were males, with the highest number of cases in the age group of 21 to 30 years (44%. Sixty four % belonged to married category. Sixty % of organophosphorous poisoning victims belonged to the farming community. Chlorpyrifos was consumed by 58% of the victims. 64 % of the OP poisoning victims were having family problems. Muscarinic and nicotinic symptoms were prevalent in majority of victims. 64 % people had recovery and Intermediate syndrome was observed in 36% cases of organophosphorous poisoning. CONCLUSION: There was a high incidence of OP poisoning related mortality in this region. The OP compounds were readily available at low costs in the market. A time of stress and frustration can lead to their use as a common poison to commit suicide with.

  13. Surviving To Write and Writing To Survive: The Complex Case of Langston Hughes.

    Science.gov (United States)

    Ostrom, Hans

    Studying the life of Langston Hughes in the context of how to teach freshman composition can shed light on two sometimes conflicting pedagogies, the expressivist and the social-constructionist. A discouraging period of fierce criticism, illness, depression, and financial woes coincided with Hughes' 39th birthday, which his biographer Arnold…

  14. The Progression About Fitz-Hugh-Curtis Syndrome Study%Fitz-Hugh-Curtis综合征研究进展

    Institute of Scientific and Technical Information of China (English)

    靳翠平; 尚玉敏

    2009-01-01

    Fitz-Hugh-Curtis综合征是盆腔感染合并肝周围炎,主要涉及肝包膜而无肝实质损害,在慢性盆腔炎患者中较为常见.病原菌主要是淋病奈瑟菌及衣原体,主要临床表现为右下腹痛,并可导致慢性腹痛、不孕、异位妊娠等多种并发症.可结合腹腔CT、相关实验室检验及腹腔镜检查对其进行诊断及鉴别诊断,并通过敏感抗生素及腹腔镜手术进行有效治疗.就Fitz-Hugh-Curtis综合征病因与发病机制、临床特征、并发症、诊断、治疗及相关意义进行综述.

  15. Applying the institutional review board data repository approach to manage ethical considerations in evaluating and studying medical education

    Directory of Open Access Journals (Sweden)

    Erin K. Thayer

    2016-07-01

    Full Text Available Issue: Medical educators and educational researchers continue to improve their processes for managing medical student and program evaluation data using sound ethical principles. This is becoming even more important as curricular innovations are occurring across undergraduate and graduate medical education. Dissemination of findings from this work is critical, and peer-reviewed journals often require an institutional review board (IRB determination. Approach: IRB data repositories, originally designed for the longitudinal study of biological specimens, can be applied to medical education research. The benefits of such an approach include obtaining expedited review for multiple related studies within a single IRB application and allowing for more flexibility when conducting complex longitudinal studies involving large datasets from multiple data sources and/or institutions. In this paper, we inform educators and educational researchers on our analysis of the use of the IRB data repository approach to manage ethical considerations as part of best practices for amassing, pooling, and sharing data for educational research, evaluation, and improvement purposes. Implications: Fostering multi-institutional studies while following sound ethical principles in the study of medical education is needed, and the IRB data repository approach has many benefits, especially for longitudinal assessment of complex multi-site data.

  16. The direct, indirect, and intangible benefits of graduate medical education programs to their sponsoring institutions and communities.

    Science.gov (United States)

    Pugno, Perry A; Gillanders, William Ross; Kozakowski, Stanley M

    2010-06-01

    Declining reimbursement for graduate medical education (GME) as well as increasing hospital competition has placed the cost of GME in the spotlight of institutional administrators. Traditional hospital-generated cost center profit and loss statements fail to accurately reflect the full economic impact of training programs on the institution as well as the larger community. A more complete analysis would take into consideration the direct, indirect, and "intangible" benefits of GME programs. The GME programs usually have a favorable impact on the trainees themselves, the sponsoring institution, the local community, university sponsors and affiliates, and the greater community, and all of these areas need to be considered in the economic analysis. Complete analyses of programs often demonstrate very positive benefits to their sponsoring institutions that would not be recognized on simple cost center profit and loss reports. Studies in the literature that quantify the net economic benefits of GME programs are consistent in their favorable findings.

  17. Controlling scabies in institutional settings: a review of medications, treatment models, and implementation.

    Science.gov (United States)

    Scheinfeld, Noah

    2004-01-01

    Scabies is a global problem and a significant source of morbidity in nursing home residents and workers because of its highly contagious nature. It is also a problem in hospitals that care for the elderly, the debilitated, and the immunocompromised. New outbreaks continue to occur, despite controlling the recurrent epidemics. Scabies manifests as papules, pustules, burrows, nodules, and occasionally urticarial papules and plaques. Most of the patients with scabies experience severe pruritus. A subset of patients have crusted or Norwegian scabies. These patients, who are usually debilitated or immunocompromised, do not experience the urge to scratch, and therefore do not scratch their own skin. Diagnosis of scabies is based on patient history, physical examination, and demonstration of mites, eggs, or scybala (black or brown football-shaped masses of feces of scabies) on microscopic examination. Scabies can be treated with topical or oral therapies. Topical treatments include 5% permethrin cream, 1% lindane (gamma benzene hexachloride) lotion, 6% precipitated sulfur in petrolatum, crotamiton, malathion, allethrin spray, and benzyl benzoate. Ivermectin, the only oral treatment, is not approved for scabies in the US. Most authorities advocate using a scabicide several times, specifically once a week over a period of 2-3 weeks. In an outbreak of scabies in a nursing home, residents, staff, and frequent visitors should all be treated even if they are not symptomatic. Ivermectin is useful in treating patients with Norwegian or crusted scabies, or who are debilitated. Ivermectin has no serious reported adverse effects. Model treatment plans to stop scabies epidemics have been developed. These plans coordinate treatment of all persons exposed (including ivermectin for debilitated patients), isolation of infected patients, disinfection of objects that patients have come into contact with, and education and reassurance of the medical staff. Failure to coordinate notification

  18. 医疗机构用药差错原因及防范措施%Exploration of Reasons for Medication Errors and Preventive Measures in Medical Institutions

    Institute of Scientific and Technical Information of China (English)

    洪佳妮; 何定峰

    2012-01-01

    目的:减少医疗机构用药差错发生率,提高合理用药水平.方法:从客观和主观因素两方面分析用药差错的原因,并提出相应的防范措施.结果与结论:医疗机构管理的缺陷、药品管理方式落后等是导致用药差错的客观因素;而医师、药师、护理人员执行上的错误,以及患者自身因素等是导致用药差错的主观因素.应采取借鉴并完善用药差错报告系统、建立“非惩罚性”的上报制度、重视药学部门建设等防范措施,以最大程度地减少用药差错发生.%OBJECTIVE: To reduce the incidence of medication error in medical institutions, and to improve rational drug use. METHODS: From both objective and subjective factors, the reasons for medication errors were analyzed, and the corresponding preventive measures were put forward. RESULTS & CONCLUSIONS: The objective factors of medication errors are defects of the administration of medical institutions and backward mode of pharmaceutical management; implementation errors of physicians, pharmacists and nurse, and the patient's own factors are subjective reasons of medication errors. We should learn from and improve medication error reporting system, establish a non-punitive reporting system and pay attention to the construction of pharmaceutical sector to farthest reduce the occurrence of medication errors.

  19. A Powerful Friendship: Theodore von Karman and Hugh L. Dryden

    Science.gov (United States)

    Gorn, Michael

    2003-01-01

    During their long personal friendship and professional association, Theodore von Karman (1882-1963) and Hugh L. Dryden (1898-1965) exercised a pivotal if somewhat elusive influence over American aeronautics and spaceflight. Both decisive figures in organizing scientists and engineers at home and abroad, both men of undisputed eminence in their technical fields, their range of contacts in government, academia, the armed forces, industry, and professional societies spanned the globe to an extent unparalleled then as now. Moreover, because they coordinated their activities closely, their combined influence far exceeded the sum of each one s individual contributions. This paper illustrates their personal origins as well as the foundations of their friendship, how their relationship became a professional alliance, and their joint impact on the world of aeronautics and astronautics during the twentieth century.

  20. Realistic model of compact VLSI FitzHugh-Nagumo oscillators

    Science.gov (United States)

    Cosp, Jordi; Binczak, Stéphane; Madrenas, Jordi; Fernández, Daniel

    2014-02-01

    In this article, we present a compact analogue VLSI implementation of the FitzHugh-Nagumo neuron model, intended to model large-scale, biologically plausible, oscillator networks. As the model requires a series resistor and a parallel capacitor with the inductor, which is the most complex part of the design, it is possible to greatly simplify the active inductor implementation compared to other implementations of this device as typically found in filters by allowing appreciable, but well modelled, nonidealities. We model and obtain the parameters of the inductor nonideal model as an inductance in series with a parasitic resistor and a second order low-pass filter with a large cut-off frequency. Post-layout simulations for a CMOS 0.35 μm double-poly technology using the MOSFET Spice BSIM3v3 model confirm the proper behaviour of the design.

  1. Right Pleural Effusion in Fitz-Hugh-Curtis Syndrome

    Directory of Open Access Journals (Sweden)

    Tajiri,Takuma

    2006-10-01

    Full Text Available Right pleural effusion was diagnosed in a 36-year-old woman with right upper quadrant pain and fever. Enhanced pelvic computed tomography performed because of irregular genital bleeding revealed the pelvic inflammatory disease. Upon further questioning, the patient confirmed that she had recently undergone therapy for Chlamydia trachomatis infection. Therefore she was given an injection of tetracycline because we suspected Fitz-Hugh-Curtis syndrome (FHCS, a pelvic inflammatory disease characterized by perihepatitis associated with chlamydial infection. A remarkable clinical response to antibiotics was noted. The right upper quadrant pain was due to perihepatitis, and the final diagnosis was FHCS. Right pleural effusion may be caused by inflammation of the diaphragm associated with perihepatitis. Once chlamydial infection reaches the subphrenic liver, conditions in the closed space between the liver and diaphragm due to inflammatory adhesion may be conductive to chlamydial proliferation. The possibility of FHCS should be considered in patients and carefully distinguished from other abdominal diseases.

  2. Report of chronic myeloid leukemia from Indira Gandhi Institute of Medical Sciences, Regional Cancer Center, 2002-2009.

    Science.gov (United States)

    Prasad, Rajiv Ranjan; Singh, Pritanjali

    2013-07-01

    Indira Gandhi Institute of Medical Sciences, Regional Cancer Center was established in 1993. It's one of the main Health-Care Institution in the state of Bihar. The data of 205 patients was presented in the ICON meeting and 98% of patients were diagnosed in chronic phase. Complete hematological response was seen in 91% of patients in 3 months. A total of 197 (96%) patients were alive at the time of analysis of which 179 (87%) were still in chronic phase with hematological remission.

  3. Accreditation of medical laboratories in Croatia--experiences of the Institute of Clinical Chemistry, University Hospital "Merkur", Zagreb.

    Science.gov (United States)

    Flegar-Mestrić, Zlata; Nazor, Aida; Perkov, Sonja; Surina, Branka; Kardum-Paro, Mirjana Mariana; Siftar, Zoran; Sikirica, Mirjana; Sokolić, Ivica; Ozvald, Ivan; Vidas, Zeljko

    2010-03-01

    Since 2003 when the international norm for implementation of quality management in medical laboratories (EN ISO 15189, Medical laboratories--Particular requirements for quality and competence) was established and accepted, accreditation has become practical, generally accepted method of quality management and confirmation of technical competence of medical laboratories in the whole world. This norm has been translated into Croatian and accepted by the Croatian Institute for Norms as Croatian norm. Accreditation is carried out on voluntary basis by the Croatian Accreditation Agency that has up to now accredited two clinical medical biochemical laboratories in the Republic of Croatia. Advantages of accredited laboratory lie in its documented management system, constant improvement and training, reliability of test results, establishing users' trust in laboratory services, test results comparability and interlaboratory (international) test results acceptance by adopting the concept of metrological traceability in laboratory medicine.

  4. 77 FR 47857 - National Institute of General Medical Sciences; Notice of Meeting

    Science.gov (United States)

    2012-08-10

    ... review and evaluate grant applications. Place: National Institutes of Health, Natcher Building... available. (Catalogue of Federal Domestic Assistance Program Nos. 93.859, Pharmacology, Physiology,...

  5. Substance Use and Attitudes on Professional Conduct among Medical Students: A Single-Institution Study

    Science.gov (United States)

    Choi, Daisi; Tolova, Vera; Socha, Edward; Samenow, Charles P.

    2013-01-01

    Objective: This study sought to examine how specific substance-use behavior, including nonmedical prescription stimulant (NPS) use, among U.S. medical students correlates with their attitudes and beliefs toward professionalism. Method: An anonymous survey was distributed to all medical students at a private medical university (46% response rate).…

  6. Human heredity and politics: A comparative institutional study of the Eugenics Record Office at Cold Spring Harbor (United States), the Kaiser Wilhelm Institute for Anthropology, Human Heredity, and Eugenics (Germany), and the Maxim Gorky Medical Genetics Institute (USSR).

    Science.gov (United States)

    Adams, Mark B; Allen, Garland E; Weiss, Sheila Faith

    2005-01-01

    Despite the fact that much has been written in recent years about the science of heredity under the Third Reich, there is as yet no satisfying analysis of two central questions: What, if anything, was peculiarly "Nazi" about human genetics under National Socialism? How, under whatever set of causes, did at least some of Germany's most well-known and leading biomedical practioners become engaged in entgrenzte Wissenschaft (science without moral boundaries)? This paper attempts to provide some answers to these two questions comparing three institutes that studied eugenics and human heredity in the 1920s and 1930s: the Eugenics Record Office at Cold Spring Harbor, New York, directed by Charles B. Davenport; the Kaiser Wilhelm Institute for Anthropology, Human Heredity and Eugenics, in Berlin, directed by Eugen Fischer; and the Maxim Gorky Medical Genetics Institute in Moscow, directed by Solomon G. Levit. The institutes are compared on the basis of the kind and quality of their research in eugenics and medical genetics, organizational structure, leadership, patronage (private or state), and the economic-social-political context in which they functioned.

  7. 医学生赴基层医疗机构就业意愿探究%Medical students' willingness to employment in grass-root medical institutions

    Institute of Scientific and Technical Information of China (English)

    王红漫; 包鹤龄

    2011-01-01

    目的 了解北京某高等医学院校医学生对医学教育、职业规划以及基层医疗机构就业的认识,探究影响医学生赴基层就业意愿的主要因素.方法 对380名医学生进行问卷调查,采用描述性与多因素统计分析方法进行分析.结果 医学生择业首选东部发达地区,仅有16.3%的医学生愿意在基层医疗机构就业,但有93.0%的医学生希望有基层医疗机构工作的经历;在校教育满意度、职业晋升空间认知与起点年薪期望值是影响基层就业意愿的主要因素.结论 医学生对职业认知不理性;学校应当通过通识教育与职业规划引导医学生面向基层就业.%Objective To investigate the students' attitude towards medical education, career plan and employment in grass-roots medical institutions, and to explore the influential factors that affect the medical students' willingness.Methods 380 medical students were investigated by questionnaire and the database was analyzed by descriptive and multivariate statistical methods.Results Most responders prefer the careers in the eastern developed region.Only 16.3% of the students are willing to employment in grassroot medical institutions.But 93.0% of the students want to have the experiences; the willingness is related to the satisfaction in the medical education, attitudes towards the space of career promotion and the expected annual salary in the beginning.Conclusions Medical students are lack of the humanistic education and rational career cognition.It is necessary for medical colleges to bring university graduates' initiative into employment in grass-root institutions by general education and the career planning.

  8. Human rights from the Nuremberg Doctors Trial to the Geneva Declaration. Persons and institutions in medical ethics and history.

    Science.gov (United States)

    Frewer, Andreas

    2010-08-01

    The "Universal Declaration of Human Rights" and the "Geneva Declaration" by the World Medical Association, both in 1948, were preceded by the foundation of the United Nations in New York (1945), the World Medical Association in London (1946) and the World Health Organization in Geneva (1948). After the end of World War II the community of nations strove to achieve and sustain their primary goals of peace and security, as well as their basic premise, namely the health of human beings. All these associations were well aware of the crimes by medicine, in particular by the accused Nazi physicians at the Nuremberg Doctors Trial (1946/47, sentence: August 1947). During the first conference of the World Medical Association (September 1947) issues of medical ethics played a major role: and a new document was drafted concerning the values of the medical profession. After the catastrophe of the War and the criminal activities of scientists, the late 1940s saw increased scrutiny paid to fundamental questions of human rights and medical ethics, which are still highly relevant for today's medicine and morality. The article focuses on the development of medical ethics and human rights reflected in the statement of important persons, codes and institutions in the field.

  9. Process Documentation of Community Diagnosis Posting in a Teaching Medical Institution: Learning the Process of Community Based Learning of Medical Undergraduates

    Directory of Open Access Journals (Sweden)

    Nishanthini Natarajan, Shib Sekhar Datta, Hema priya S., Nitesh Mangal

    2015-01-01

    Full Text Available "Introduction: Sensitizing medical undergraduates about rural health through village health survey during their posting in Community Medicine has the potential to trigger active learning by medical students. The students are more exposed to real scenario in the community, which is rare in hospital based learning. Objectives: To document the community diagnosis posting of medical undergraduates in a teaching medical institution and understand the process of learning of medical undergraduates. Methodology: Present series of community diagnosis postings were organized in nearby villages of a tertiary care teaching hospital in Pondicherry during Jan-June 2014. The students performed village transect walk, village health survey with pre-decided themes, focus group discussion followed by organization of a health camp with prior permission from the institution and village authorities. They were asked to submit a well drafted report highlighting glimpses of the posting to trigger their documentation skills. Results: Students participated actively during the village health survey. Students experienced learning being and within the community. They were inclined towards self-directed learning which in turn triggered their critical thinking and innovative culture. Students were able to appreciate importance of demography in epidemiological research and felt rural health needs. They also learnt the local language. Students learned about different research methodology through hands-on experience and were exposed to various computer and statistical softwares. Their attendance also increased in subsequent classes. The students understood importance of communication skills by maintaining good rapport with villagers. Their organizing skills, leadership qualities and documentations skills improved drastically followed the postings. Conclusion: It is possible to sensitize medical students to rural health through community diagnosis postings. Involving students to

  10. The hemorrhagic fevers of Southern Africa with special reference to studies in the South African Institute for Medical Research.

    OpenAIRE

    1982-01-01

    In this review of studies on the hemorrhagic fevers of Southern Africa carried out in the South African Institute for Medical Research, attention has been called to occurrence of meningococcal septicemia in recruits to the mining industry and South African Army, to cases of staphylococcal and streptococcal septicemia with hemorrhagic manifestations, and to the occurrence of plague which, in its septicemic form, may cause a hemorrhagic state. "Onyalai," a bleeding disease in tropical Africa, o...

  11. Prevention of Adenovirus Infection with Recombinant Interferon 2b Medication in Preschool Institutions

    Directory of Open Access Journals (Sweden)

    L. V. Osidak

    2016-01-01

    Full Text Available This article presents the results of experimental (on cell cultures and clinical (in children’s groups studies of recombinant interferon alpha-2b medication (Grippferon. Our aim was to examine the virus-inhibitory activity of this medication (against adenovirus and its preventive effect (on causative agents of ARVI, which allows us to use this medication as a preventive measure against adenovirus (as well as any other infection in children’s groups.

  12. ACTUALITY OF DIGITAL LIBRARIES CREATION IN THE HIGHER MEDICAL EDUCATIONAL INSTITUTIONS OF UKRAINE

    Directory of Open Access Journals (Sweden)

    Kateryna O. Zhuravska

    2015-06-01

    Full Text Available This article deals with an access to methodical materials from the sites of higher medical educational establishments of Ukraine. The tools that provide the process are analyzed. Particular attention is paid to the use of digital libraries in medical universities, the problem of open access to methodological information is considered. The prospects of the use of the latest information technologies in the medical education industry are highlighted. It is noted, that the use of digital libraries will allow medical students to acquire better knowledge and to be competitive specialists, as well as higher establishments will improve their rating.

  13. Radiation Protection in Medical Physics : Proceedings of the NATO Advanced Study Institute on Radiation Protection in Medical Physics Activities

    CERN Document Server

    Lemoigne, Yves

    2011-01-01

    This book introduces the fundamental aspects of Radiation Protection in Medical Physics and covers three main themes: General Radiation Protection Principles; Radiobiology Principles; Radiation Protection in Hospital Medical Physics. Each of these topics is developed by analysing the underlying physics principles and their implementation, quality and safety aspects, clinical performance and recent advances in the field. Some issues specific to the individual techniques are also treated, e.g. calculation of patient dose as well as that of workers in hospital, optimisation of equipment used, shielding design of radiation facilities, radiation in oncology such as use of brachytherapy in gynecology or interventional procedures. All topics are presented with didactical language and style, making this book an appropriate reference for students and professionals seeking a comprehensive introduction to the field as well as a reliable overview of the most recent developments.

  14. St. Edward Mercy Medical Center, Fort Smith, AR. Human resource planning identifies institutional need, available personnel.

    Science.gov (United States)

    Keith, J M

    1981-04-01

    Human resource planning, which allows health care facilities to identify future staffing needs and to project staffing availability, will increase as institutions seek to balance quality, costs, employees' needs.

  15. A STUDY ON AWARENESS ABOUT HIV/AIDS AMO NG FIRST YEAR MEDICAL STUDENTS OF BANGALORE MEDICAL COLLEGE AND RESEARCH INSTITUTE

    Directory of Open Access Journals (Sweden)

    Shivaraj

    2015-07-01

    Full Text Available INTRODUCTION: HIV/AIDS epidemic is one of the challenges in public health in India. Young people are more vulnerable for getting in contact with the disease. Medical students during their tenure of student life can play a pivotal role in knowledge transmission about th e disease to the general public. This study was conducted at Bangalore Medical College and Research Institute to find out the awareness of HIV/AIDS among first year medical students. METHODOLOGY: A Cross sectional study was done among 250 MBBS students of Bangalore Medical College and Research Institute during the academic year of 2012 - 2013 . The information was collected from them within 2 - 3 weeks of admission to the course using pre - tested semi structured questionnaire. RESULTS: The mean age of the study population was 18 ( + 1 years. Males comprised 64% and females comprised 36% of respondents. 29% of them were from rural background and 67% from Urban. 97% of the participants know that HIV causative agent is virus. 49% of them said it is contagious , 42% of them said non - contagious and 8.9% say they don’t know. They had adequate knowledge about modes of transmission of HIV/AIDS was through blood transfusion , unsterilized instrument , and mother to child transmission. But regarding sexual transmission among tw o HIV infected person , 40% of them said it is safe . 92% of them felt HIV can be prevented by taking proper precautions. 94% of them got the information from mass media especially from TV. 55% of them received formal sex education in Schools and Colleges. CONCLUSION: Young medical students can be used as a resource persons for educating the youth at the community level.

  16. Hughes, Twain, Child, and Sanger: Four Who Locked Horns with the Censors

    Science.gov (United States)

    Meltzer, Milton

    1969-01-01

    A look at the lives and conflicts of four writers--Langston Hughes, Mark Twain, Lydia Maria Child, and Margaret Sanger--who faced public criticism and censorship because oftheir views on controversial issues. (RM)

  17. Investidura com a doctor honoris causa de l'Excm. Sr. Hugh Scott Fogler

    OpenAIRE

    Diversos autors

    2016-01-01

    Investidura com a doctor honoris causa del senyor Hugh Scott Fogler. Sessió acadèmica extraordinària, 15 d'abril de 2016. Elogi del candidat a càrrec del doctor Azael Fabregat Llagostera. Discurs d’investidura pronunciat pel senyor Hugh Scott Fogler. Paraules de benvinguda pronunciades pel doctor Josep Anton Ferré Vidal, Rector Magfc. de la Universitat.

  18. STS-40 Payload Specialist Millie Hughes-Fulford trains in JSC's SLS mockup

    Science.gov (United States)

    1987-01-01

    STS-40 Payload Specialist Millie Hughes-Fulford conducts Spacelab Life Sciences 1 (SLS-1) Experiment No. 198, Pulmonary Function During Weightlessness, in JSC's Life Sciences Project Division (LSPD) SLS mockup located in the Bioengineering and Test Support Facility Bldg 36. Hughes-Fulford monitors instruments and settings on Rack 8's panels. Behind her in the center aisle are the body mass measurement device (foreground) and the stowed bicycle ergometer.

  19. [Bioethics in medical institutions--new custom or help? The example of clinical ethics consultation at a University Medical Center].

    Science.gov (United States)

    Richter, G

    2014-08-01

    Although ethics committees are well established in the medical sciences for human clinical trials, animal research and scientific integrity, the development of clinical ethics in German hospitals started much later during the first decade of the twenty-first century. Clinical ethics consultation should be pragmatic and problem-centered and can be defined as an ethically qualified and informed conflict management within a given legal framework to deal with and resolve value-driven, normative problems in the care of patients. Clinical ethics consultations enable shared clinical decision-making of all parties (e.g. clinicians, patients, family and surrogates) involved in a particular patient's care. The clinical ethicist does not act as an ethics expert by making independent recommendations or decisions; therefore, the focus is different from other medical consultants. Ethics consultation was first established by healthcare ethics committees (HEC) or clinical ethics consultation (CEC) groups which were called in to respond to an ethically problematic situation. To avoid ethical dilemmas or crises and to act preventively with regard to ethical issues in individual patients, an ethics liaison service is an additional option to ethics case consultations which take place on a regular basis by scheduled ethics rounds during the normal ward rounds. The presence of the ethicist offers some unique advantages: it allows early recognition of even minor ethical problems and accommodates the dynamics of ethical and clinical goal-setting in the course of patient care. Most importantly, regular and non-authoritative participation of the ethicist in normal ward rounds allows continuous ethical education of the staff within the everyday clinical routine. By facilitating clinical ethical decision-making, the ethicist seeks to empower physicians and medical staff to deal appropriately with ethical problems by themselves. Because of this proactive approach, the ethics liaison service

  20. Flexor tendon injuries of hand: experience at Pakistan Institute of Medical Sciences, Islamabad, Pakistan.

    Science.gov (United States)

    Ahmad, Muhammad; Hussain, Syed Shahid; Tariq, Farhan; Rafiq, Zulqarnain; Khan, M Ibrahim; Malik, Saleem A

    2007-01-01

    Flexor tendon injury is one of the most common hand injuries. This initial treatment is of the utmost importance because it often determines the final outcome; inadequate primary treatment is likely to give poor long tem results. Various suture techniques have been devised for tendon repair but the modified Kessler's technique is the most commonly used. This study was conducted in order to know the cause, mechanism and the effects of early controlled mobilization after flexor tendon repair and to assess the range of active motion after flexor tendon repair in hand. This study was conducted at the department of Plastic Surgery, Pakistan Institute of Medical Sciences, Islamabad from 1st March 2002 to 31st August 2003. Only adult patients of either sex with an acute injury were included in whom primary or delayed primary tendon repair was undertaken. In all the patients, modified Kessler's technique was used for the repair using non-absorbable monofilament (Prolene 4-0). The wound was closed with interrupted non-absorbable, polyfilament (Silk 4-0) suture. A dorsal splint extending beyond the finger tip to proximal forearm was used with wrist in 20-30 degrees palmer flexion, metacarpophalangeal (MP) joint flexed at 60 degrees. Passive movements of fingers were started from the first post operative day, and for controlled, active movements, a dynamic splint was applied. During this study, 33 patients with 39 digits were studies. 94% of the patients had right dominated hand involvement. 51% had the complete flexor digitorum superficialis (FDS) and flexor digitorum profundus (FDP) injuries. Middle and ring fingers were most commonly involved. Thumb was involved in 9% of the patients. Zone III(46%) was the commonest to be involved followed by zone II (28%). Laceration with sharp object was the most frequent cause of injury. Finger tip to distal palmer crease distance (TPD) was < 2.0 cm in 71% cases (average 2.4cm) at the end of 2nd postoperative week. Total number of

  1. The temporal decline of idealism in two cohorts of medical students at one institution.

    Science.gov (United States)

    Mader, Emily M; Roseamelia, Carrie; Morley, Christopher P

    2014-03-24

    A number of studies have indicated that students lose idealistic motivations over the course of medical education, with some identifying the initiation of this decline as occurring as early as the second year of the traditional US curricula. This study builds on prior work testing the hypothesis that a decline in medical student idealism is detectable in the first two years of medical school. The original study sought to identify differences in survey responses between first-year (MS1) and second-year (MS2) medical students at the beginning and end of academic year 2010, on three proxies for idealism. The current study extends that work by administering the same survey items to the same student cohorts at the end of their third and fourth years (MS3 and MS4), respectively. Survey topics included questions on: (a) motivations for pursuing a medical career; (b) specialty choice; and (c) attitudes toward primary care. Principle component analysis was used to extract linear composite variables (LCVs) from responses to each group of questions. Linear regression was then used to test the effect of the six cohort/time-points on each composite variable, controlling for demographic characteristics. Idealism in medicine decreased (β = -.113, p idealism may occur as early as the second year of medical education. Additionally, as students make choices in their medical careers, such as specialty choice or consideration of primary care, the influences of job security, student debt and social status increasingly outweigh idealistic motivations.

  2. Longitudinal research databases in medical education: facilitating the study of educational outcomes over time and across institutions.

    Science.gov (United States)

    Cook, David A; Andriole, Dorothy A; Durning, Steven J; Roberts, Nicole K; Triola, Marc M

    2010-08-01

    Many education research questions cannot be answered using participants from one institution or short periods of follow-up. In response to societal demands for accountability and evidence of effectiveness, new models of research must be developed to study the outcomes of educational activities. Following the 2007 Millennium Conference on Medical Education Research, organizers assigned a task force to explore the use of longitudinal databases in education research. This article summarizes the task force's findings. Similar to the Framingham studies in clinical medicine, longitudinal databases assemble prospectively collected information to retrospectively answer questions of interest. Many studies using such databases have been published. The task force identified three general approaches to database-type research. First, institutions can obtain identified information from existing sources, link it with school-specific information and other identified information, deidentify it, and merge it with similar information from other collaborating schools. Second, researchers can obtain from existing sources deidentified information on large samples and explore associations within this dataset. Third, investigators can design and implement databases to prospectively collect trainee information over time and across multiple institutions for the purpose of education research. Although costly, such comprehensive, purpose-built databases would ensure the availability of information needed to answer a variety of medical education research questions. Millennium Conference participants believed that stakeholders should explore the funding and development of such prospective databases. In the meantime, education researchers should use existing sources of individualized learner data to better understand how to develop competent, compassionate clinicians.

  3. Ethical dilemma of mandated contraception in pharmaceutical research at catholic medical institutions.

    Science.gov (United States)

    Casey, Murray Joseph; O'Brien, Richard; Rendell, Marc; Salzman, Todd

    2012-01-01

    The Catholic Church proscribes methods of birth control other than sexual abstinence. Although the U.S. Food and Drug Administration (FDA) recognizes abstinence as an acceptable method of birth control in research studies, some pharmaceutical companies mandate the use of artificial contraceptive techniques to avoid pregnancy as a condition for participation in their studies. These requirements are unacceptable at Catholic health care institutions, leading to conflicts among institutional review boards, clinical investigators, and sponsors. Subjects may feel coerced by such mandates to adopt contraceptive techniques inconsistent with their personal situation and beliefs; women committed to celibacy or who engage exclusively in non-heterosexual activities are negatively impacted. We propose principles to insure informed consent to safeguard the rights of research subjects at Catholic institutions while mitigating this ethical conflict. At the same time, our proposal respects the interests of pharmaceutical research agencies and Catholic moral precepts, and fully abides by regulatory guidance.

  4. Graduate Medical Education as a Lever for Collaborative Change: One Institution's Experience with a Campuswide Patient Safety Initiative.

    Science.gov (United States)

    Vath, Richard J; Musso, Mandi W; Rabalais, Lauren S; Dunbar, Alston; Hosea, Stephen; Johnson, Angela C; Bolton, Michael; Rhynes, Vernon K; Caffery, Terrell S; Tynes, L Lee; Mantzor, Savarra; Miller, Bahnsen; Calongne, Laurinda L

    2016-01-01

    The 2013 closure of a public hospital in Baton Rouge, LA transformed graduate medical education (GME) at Our Lady of the Lake Regional Medical Center (OLOL). Administrators were tasked with incorporating residents into patient safety and quality improvement initiatives to fulfill regulatory obligations. This report outlines our experiences as we built these patient safety and quality improvement initiatives in a rapidly expanding independent academic medical center. We joined the Alliance of Independent Academic Medical Centers (AIAMC) to meet and learn from national peers. To fulfill the scholarly activity requirement of the AIAMC's National Initiative IV, we formed a multidisciplinary team to develop a patient safety education project. Prioritized monthly team meetings allowed for project successes to be celebrated and circulated within the organization. The public-private partnership that more than quadrupled the historic size of GME at OLOL has, in the past 2 years, led to the development of an interdisciplinary team. This team has expanded to accommodate residency program leadership from across the campus. Our National Initiative IV project won a national award and inspired several follow-up initiatives. In addition, this work led to the formation of a Patient Safety and Clinical Quality Improvement fellowship that matched its first fellow in 2015. Through the commitment and support of hospital and medical education leaders, as well as a focus on promoting cultural change through scholarly activity, we were able to greatly expand patient safety and quality improvement efforts in our institution.

  5. Synthesis Laboratory for the U.S. Army Medical Research Institute of Infectious Diseases Selection Panel

    Science.gov (United States)

    1988-01-19

    061 S. MONITORING ORGANIZATION REPORT NUMBER(S) 6a. NAME OF PERFORMING ORGANIZATION Southern Research Institute 6b. OFFICE SYMBOL (if appfrceb/e...7a. NAME OF MONITORING ORGANIZATION 6c ADDRESS (City, SUM. end ZIP Cod*) 2000 Ninth Avenue South P. O. Box 55305 Birmingham, AL 35255-5305...COEt OH HO 50 POCI , NaOH HO Cl ^N: AcO AcO OAc AcO AcO OAc SOUTHERN RESEARCH INSTITUTE ^„Vi U«V»UlV

  6. Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education.

    Science.gov (United States)

    Allen, Sarah; Caton, Cathryn; Cluver, Jeffery; Mainous, Arch G; Clyburn, Benjamin

    2014-10-01

    Handoffs are an integral component of patient care, and the number of handoffs has increased as a result of duty hours restrictions for resident physicians. A structured handoff curriculum improves accuracy and has been shown to decrease medical errors. A standardized approach across all specialties is lacking in the published literature. The authors discuss the development and implementation of an institution-wide handoff curriculum for incoming first-year residents. An Innovation in Graduate Medical Education committee, including faculty from multiple specialties, identified an educational deficiency in handoffs and selected this as the target for the educational innovation. Meetings were held to develop and implement an extensive handoff curriculum for incoming first-year residents. The designed curriculum included large- and small-group sessions, and a specialty-specific observed simulated handoff experience. The authors analyzed participants' pre- and postsurveys using descriptive statistics. One hundred and twenty-four participants attended the formalized handoff training day. Following training, residents recognized that dedicated time for verbal exchange, templates for accessing and recording information, interactive handoffs giving priority to ill patients, and highlighting action items were most important for effective handoff. Both undergraduate and graduate medical education curricula need to develop formalized training and methods to assess competencies in handoffs. Training incoming residents is a logical starting place, but programs should be systematically disseminated across all specialties, from residents to faculty, in order to be effectively integrated into the culture of an institution.

  7. Seroprevalence of hepatitis B and C viruses among medical waste handlers at Gondar town Health institutions, Northwest Ethiopia

    Directory of Open Access Journals (Sweden)

    Anagaw Belay

    2012-01-01

    Full Text Available Abstract Background Viral hepatitis is an inflammation of the liver due to viral infections and there are groups of viruses that affects the liver of which hepatitis B and C viruses are the causative agents of sever form of liver disease with high rate of mortality. Medical waste handlers who undergo collection, transportation, and disposal of medical wastes in the health institutions are at risk of exposure to acquire those infections which transmit mainly as a result of contaminated blood and other body fluids including injury with sharp instruments, splash to the eye or mucous membrane. This study aimed to determine the prevalence of hepatitis B and/or C viruses and associated risk factors among medical waste handlers. Results A cross-sectional study was conducted from April, 2011 to June, 2011 in government health institutions at Gondar town. Socio-demographic and possible risk factors data from medical waste handlers were collected using pre-tested and well structured questionnaires. Venous bloods were collected and the serums were tested for hepatitis B surface antigen and anti-hepatitis C antibody using rapid Immunochromatography assay. Data was entered and analyzed using SPSS software package (version16. Chi-square and Fisher exact tests were used to assess risk of association. A p-value of A total of 100 medical waste handlers and 100 non-clinical waste handlers were examined for HBV and HCV viruses. HBV was detected in 6 (6.0% and 1 (1.0% and HCV in 1 (1.0% and 0 (0.0% of medical waste handlers and non-clinical waste handlers, respectively. Significant differences were observed in the detection rates of HBV (OR = 6.3; X2 = 4.1; P = 0.04 and overall infection rate (HBV + HCV (OR = 7.5; X2 = 5.2; P: 0.02 in medical waste handlers when compared with non-clinical waste handlers. It was found that none of the observed risk factors significantly associated with rate of hepatitis infection compared to others. Conclusions Prevalence of HBV and

  8. The Fifth-Year Institutional Clinical Pharmacy Program at the Medical University of South Carolina

    Science.gov (United States)

    Putney, Blake F.; Ray, Max D.

    1976-01-01

    Students spend approximately 240 clock-hours in various areas of the university hospital in fulfillment of the institutional component requirement of the clinical pharmacy program. The major strength of this program is the utilization of hospital pharmacy supervisory personnel as instructors in clinical pharmacy. (LBH)

  9. 75 FR 49499 - National Institute of General Medical Sciences; Notice of Meeting

    Science.gov (United States)

    2010-08-13

    ... affiliation of the interested person. In the interest of security, NIH has instituted stringent procedures for... Research Support; 93.821, Cell Biology and Biophysics Research; 93.859, Pharmacology, Physiology, and Biological Chemistry Research; 93.862, Genetics and Developmental Biology Research; 93.88, Minority Access...

  10. 75 FR 79386 - National Institute of General Medical Sciences; Notice of Meeting

    Science.gov (United States)

    2010-12-20

    ... affiliation of the interested person. In the interest of security, NIH has instituted stringent procedures for... Research Support; 93.821, Cell Biology and Biophysics Research; 93.859, Pharmacology, Physiology, and Biological Chemistry Research; 93.862, Genetics and Developmental Biology Research; 93.88, Minority Access...

  11. 76 FR 44597 - National Institute of General Medical Sciences; Notice of Meeting

    Science.gov (United States)

    2011-07-26

    ... of the interested person. In the interest of security, NIH has instituted stringent procedures for... Support; 93.821, Cell Biology and Biophysics Research; 93.859, Pharmacology, Physiology, and Biological Chemistry Research; 93.862, Genetics and Developmental Biology Research; 93.88, Minority Access to...

  12. Reusable Learning Objects for Medical Education: Evolving a Multi-institutional Collaboration

    NARCIS (Netherlands)

    D. Leeder; T. Davies; A. Hall

    2004-01-01

    textabstractIn early 2002 a number of UK HE institutions founded a collaborative project to produce a bank of high quality e-learning resources to support and enhance teaching in the traditionally difficult area of statistics, epidemiology and research skills. Creation of these resources is very cos

  13. "Burnout in Medical Oncology Fellows: a Prospective Multicenter Cohort Study in Brazilian Institutions".

    Science.gov (United States)

    Cubero, Daniel I G; Fumis, Renata Rego Lins; de Sá, Thiago Hérick; Dettino, Aldo; Costa, Felipe Osório; Van Eyll, Brigitte M R H Adam; Beato, Carlos; Peria, Fernanda Maris; Mota, Augusto; Altino, José; Azevedo, Sérgio Jobim; da Rocha Filho, Duílio Reis; Moura, Melba; Lessa, Álvaro Edson Ramos; Del Giglio, Auro

    2016-09-01

    Burnout syndrome is a common occurrence among oncologists. Doctors enrolled in residency programs in clinical oncology are exposed to similar risk factors; however, few data are available in this population. This study assessed the occurrence of burnout and associated factors among first-year residents at Brazilian institutions. The present prospective, multicenter, cohort study was conducted with doctors enrolled in residency programs in clinical oncology at Brazilian institutions affiliated with the public health system. The participants answered a sociodemographic questionnaire, the Maslach Burnout Inventory (MBI), Lipp's Stress Inventory, and the Beck Depression Inventory (BDI), upon admission to the program and 6 and 12 months later. Of 37 eligible residency programs in 2009, 11 (30.6 %) agreed to participate in the study. Fifty-four residents, representing 100 % of new admissions to the participating institutions, were included. Most of the participants met the criteria for severe burnout upon admission to the residency programs (emotional exhaustion in 49.0 % and depersonalization in 64.7 %). The scores on MBI domains emotional exhaustion and depersonalization increased significantly (p burnout increased to 88 % at the end of that first year. The present study found a high prevalence of burnout among doctors enrolled in residency programs in clinical oncology at Brazilian institutions. A large fraction of the participants met the criteria for burnout syndrome upon admission to the program, which suggests that the problem began during the course of the previous residency program in internal medicine.

  14. Reusable Learning Objects for Medical Education: Evolving a Multi-institutional Collaboration

    NARCIS (Netherlands)

    D. Leeder; T. Davies; A. Hall

    2004-01-01

    textabstractIn early 2002 a number of UK HE institutions founded a collaborative project to produce a bank of high quality e-learning resources to support and enhance teaching in the traditionally difficult area of statistics, epidemiology and research skills. Creation of these resources is very

  15. Pulmonary cytotoxicity of secondary metabolites of Stachybotrys chartarum (Ehrenb.) Hughes.

    Science.gov (United States)

    Pieckova, Elena; Hurbankova, Marta; Cerna, Silvia; Pivovarova, Zuzana; Kovacikova, Zuzana

    2006-01-01

    Damp dwellings represent suitable conditions for extended indoor moulds. A cellulolytic micromycete Stachybotrys chartarum (Ehrenb.) Hughes is considered to be a tertiary colonizer of surfaces in affected buildings. Known adverse health effects of S. chartarum result from its toxins--trichothecenes or atranones, as well as spirolactams. Mechanism of their potential pathological effects on the respiratory tract has not yet been sufficiently clarified. The cytotoxic effects of complex chloroform-extractable endo- (in biomass) and exometabolites (in cultivation medium) of an indoor S. chartarum isolate of an atranone chemotype, grown on a liquid medium with yeast extract and sucrose at 25 degrees C for 14 d, on lung tissue were evaluated in the 3-day experiment. For the purpose, 4 mg of toxicants were intratracheally instilled in 200 g Wistar male rats. A trichothecene mycotoxin diacetoxyscirpenol was used as the positive control. Bronchoalveolar lavage (BAL) parameters--viability and phagocytic activity of alveolar macrophages (AM), activity of lactate dehydrogenase, acid phosphatase and cathepsin D in cell-free BAL fluid (BALF), as well as in BAL cells, were measured. Acute exposure to the metabolites caused statistically significant changes, indicating lung tissue injury in the experimental animals. Decreased AM viability and increased activity of lysosomal enzyme cathepsin D in BAL cells after fungal exometabolite exposure were the most impressive. As toxic principles were found predominantly in the growth medium, toxins were more likely responsible for lung cell damage than e.g. fungal cell wall components. S. chartarum toxic metabolites can contribute to the ill health of occupants of mouldy building after inhalation of contaminated aerosol.

  16. Correlates of emotional intelligence: results from a multi-institutional study among undergraduate medical students.

    Science.gov (United States)

    Naeem, Naghma; van der Vleuten, Cees; Muijtjens, Arno M M; Violato, Claudio; Ali, Syed Moin; Al-Faris, Eiad Abdelmohsen; Hoogenboom, Ron; Naeem, Nadia

    2014-04-01

    Emotional Intelligence (EI) is the ability to deal with your own and others emotions. Medical students are inducted into medical schools on the basis of their academic achievement. Professionally, however, their success rate is variable and may depend on their interpersonal relationships. EI is thought to be significant in achieving good interpersonal relationships and success in life and career. Therefore, it is important to measure EI and understand its correlates in an undergraduate medical student population. The objective of study was to investigate the relationship between the EI of medical students and their academic achievement (based on cumulative grade point average [CGPA]), age, gender and year of study. A cross-sectional survey design was used. The SSREIS and demographic survey were administered in the three medical schools in Saudi Arabia from April to May 2012. The response rate was 30%. For the Optimism subscale, the mean score was M = 3.79, SD ± 0.54 (α = 0.82), for Awareness-of-emotion subscale M = 3.94, SD ± 0.57 (α = 0.72) and for Use-of-emotion subscale M = 3.92, SD ± 0.54 (α = 0.63). Multiple regression showed a significant positive correlation between CGPA and the EI of medical students (r = 0.246, p = 0.000) on the Optimism subscale. No correlation was seen between CGPA and Awareness of Emotions and Use of Emotions subscales. No relationship was seen for the other independent variables. The current study demonstrates that CGPA is the only significant predictor, indicating that Optimism tends to be higher for students with a higher CPGA. None of the other independent variables (age, year of study, gender) showed a significant relationship.

  17. Etiquette for medical students' email communication with faculty members: a single-institution study.

    Science.gov (United States)

    Kim, Do-Hwan; Yoon, Hyun Bae; Yoo, Dong-Mi; Lee, Sang-Min; Jung, Hee-Yeon; Kim, Seog Ju; Shin, Jwa-Seop; Lee, Seunghee; Yim, Jae-Joon

    2016-04-27

    Email is widely used as a means of communication between faculty members and students in medical education because of its practical and educational advantages. However, because of the distinctive nature of medical education, students' inappropriate email etiquette may adversely affect their learning as well as faculty members' perception of them. Little data on medical students' competency in professional email writing is available; therefore, this study explored the strengths and weaknesses of medical students' email etiquette and factors that contribute to professional email writing. A total of 210 emails from four faculty members at Seoul National University College of Medicine were collected. An evaluation criteria and a scoring rubric were developed based on the various email-writing guidelines. The rubric comprised 10 items, including nine items for evaluation related to the email components and one item for the assessment of global impression of politeness. Three evaluators independently assessed all emails according to the criteria. Students were identified as being 61.0% male and 52.8% were in the undergraduate-entry program. The sum of each component score was 62.21 out of 100 and the mean value for global impression was 2.6 out of 4. The results demonstrated that students' email etiquettes remained low-to-mediocre for most criteria, except for readability and honorifics. Three criteria, salutation (r=0.668), closing (r=0.653), and sign-off (r=0.646), showed a strong positive correlation with the global impression of politeness. Whether a student entered a graduate-entry program or an undergraduate-entry program significantly contributed to professional email writing after other variables were controlled. Although students in the graduate-entry program demonstrated a relatively superior level of email etiquette, the majority of medical students did not write emails professionally. Educating all medical students in email etiquette may well contribute to

  18. Medical diplomacy and global mental health: from community and national institutions to regional centers of excellence.

    Science.gov (United States)

    Aggarwal, Neil Krishan; Kohrt, Brandon A

    2013-12-01

    We explore how regional medical diplomacy can increase funding for global mental health initiatives. Interventions for infectious diseases have dominated medical diplomacy by focusing on security concerns. The global mental health movement has adopted similar strategies, but unsuccessfully since mental illnesses do not cause international epidemics. Instead, realpolitik arguments may increase funding by prioritizing economic productivity and regional diplomacy based on cultural ties to advance mental health services and research at the community level. In South Asia, initiatives to train personnel and provide refugee services offer a foundation for regional centers of excellence. This model can be expanded elsewhere.

  19. Learning methods and strategies of anatomy among medical students in two different Institutions in Riyadh, Saudi Arabia.

    Science.gov (United States)

    Al-Mohrej, Omar A; Al-Ayedh, Noura K; Masuadi, Emad M; Al-Kenani, Nader S

    2017-04-01

    Anatomy instructors adopt individual teaching methods and strategies to convey anatomical information to medical students for learning. Students also exhibit their own individual learning preferences. Instructional methods preferences vary between both instructors and students across different institutions. In attempt to bridge the gap between teaching methods and the students' learning preferences, this study aimed to identify students' learning methods and different strategies of studying anatomy in two different Saudi medical schools in Riyadh. A cross-sectional study, conducted in Saudi Arabia in April 2015, utilized a three-section questionnaire, which was distributed to a consecutive sample of 883 medical students to explore their methods and strategies in learning and teaching anatomy in two separate institutions in Riyadh, Saudi Arabia. Medical students' learning styles and preferences were found to be predominantly affected by different cultural backgrounds, gender, and level of study. Many students found it easier to understand and remember anatomy components using study aids. In addition, almost half of the students felt confident to ask their teachers questions after class. The study also showed that more than half of the students found it easier to study by concentrating on a particular part of the body rather than systems. Students' methods of learning were distributed equally between memorizing facts and learning by hands-on dissection. In addition, the study showed that two thirds of the students felt satisfied with their learning method and believed it was well suited for anatomy. There is no single teaching method which proves beneficial; instructors should be flexible in their teaching in order to optimize students' academic achievements.

  20. Decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution.

    Science.gov (United States)

    Morley, Christopher P; Roseamelia, Carrie; Smith, Jordan A; Villarreal, Ana L

    2013-08-21

    Idealism declines in medical students over the course of training, with some studies identifying the beginning of the decline in year 3 of US curricula. This study tested the hypothesis that a decline in medical student idealism is detectable in the first two years of medical school. We sought to identify differences in survey responses between first-year (MS1) and second-year (MS2) medical students at the beginning (T1) and end (T2) of academic year 2010 on three proxies for idealism, including items asking about: (a) motivations for pursuing a medical career; (b) specialty choice; and (c) attitudes toward primary care. Principle component analysis was used to extract linear composite variables (LCVs) from responses to each group of questions; linear regression was then used to test the effect of on each LCV, controlling for race, ethnicity, rural or urban origins, gender, and marital status. MS2s placed more emphasis on status/income concerns (β=0.153, pidealism as a motivator (β=-0.081, p=0.054), in pursuing a medical career; more likely to consider lifestyle and family considerations (β=0.098, p=0.023), and less likely to consider idealistic motivations (β=-0.066, p=NS); and were more likely to endorse both negative/antagonistic (β=0.122, p=0.004) and negative/sympathetic (β=0.126, p=0.004) attitudes toward primary care. The results are suggestive that idealism decline begins earlier than noted in other studies, implying a need for curricular interventions in the first two years of medical school.

  1. Diary of an endocrine resident: Recollections from Post Graduate Institute of Medical Education and Research, Chandigarh

    OpenAIRE

    2015-01-01

    Endocrinology is a relatively newer field in medicine but it has gained tremendous progress in the recent past and is currently one of the most cherished and sought after superspecialty subject. The journey is long and an average of 12 years is spent to complete a superspecialty training starting from Bachelor of Medicine, Bachelor of Surgery career. To get a seat in endocrinology in institutes like PGIMER, Chandigarh is difficult, the training is grueling and the final exit is tough but the ...

  2. Integrating Sonography Training Into Undergraduate Medical Education: A Study of the Previous Exposure of One Institution's Incoming Residents.

    Science.gov (United States)

    Day, James; Davis, Joshua; Riesenberg, Lee Ann; Heil, Daniel; Berg, Katherine; Davis, Robyn; Berg, Dale

    2015-07-01

    Sonography is a crucial and versatile tool within the field of medicine. Recent advancements in technology have led to increased use of point-of-care sonography. We designed a survey to assess prior point-of-care sonography training among incoming interns at an academic teaching hospital. In 2012 and 2013, we surveyed incoming interns (n = 154 and 145, respectively) regarding point-of-care sonography training received during medical school. The survey questions included formal didactic sessions, bedside instruction, and the use of simulation technology. One-fourth (26.3% in 2012 and 23.4% in 2013) of responding interns reported having never done an ultrasound scan at the bedside. In 2012 and 2013, 55.0% and 55.6% of respondents reported never having done an ultrasound scan in a simulation center, respectively. Interns agreed that sonography education should be provided during medical school. On average, interns disagreed with the statement that sonography should be taught in residency only. There was no significant difference in the sex or general previous experience with sonography across both intern classes. Point-of-care sonography is inconsistently taught in medical school. The interns in our study also thought that sonography education should begin in medical school, and sonography should be taught by using simulation and at the bedside. © 2015 by the American Institute of Ultrasound in Medicine.

  3. Attributes of an Ideal Continuing Medical Education Institution Identified through Nominal Group Technique

    Science.gov (United States)

    Kristofco, Robert; Shewchuk, Richard; Casebeer, Linda; Bellande, Bruce; Bennett, Nancy

    2005-01-01

    Introduction: Continuing medical education (CME) is an important resource physicians use to maintain their clinical competence. While many options for CME programs are available, there are few measures of their impact and few measures for physicians to use to systematically gauge their efforts in maintaining competence. This study initiates a…

  4. Chinese integrative medicine:inclusion of a Chinese medicine programme in a conventional medical institute

    Institute of Scientific and Technical Information of China (English)

    Hai-Yong Chen; Yibin Feng; Lixing Lao

    2014-01-01

    To meet community demands with optimal Chinese and conventional medical treatment, the University of Hong Kong is promoting integrative medicine by developing Chinese medicine programmes that train students of both Western and Chinese medicine. The programmes emphasize multi-disciplinary training and interaction between the two therapeutic approaches, enabling students to establish reliable, consistent, and respectful mutual cooperation in their future careers.

  5. [Two research projects on infectious diseases conducted in Noguchi Memorial Institute for Medical Research, University of Ghana by Tokyo Medical and Dental University].

    Science.gov (United States)

    Ido, Eiji; Yamaoka, Shoji

    2013-01-01

    Ghana-Tokyo Medical and Dental University Research Collaboration Center has been established since 2008 when our Program was chosen together with the Program in the Philippines proposed by Tohoku University as an additional small-scale research center of the Overseas Research Program on Emerging and Reemerging Diseases that is funded by the Ministry of Education, Culture, Sports, Science and Technology of the Japanese Government and started in 2005. This 5-year government-supported Program has changed its name to develop into a more active world-level program called Japan Initiative for Global Research Network on Infectious Diseases (J-GRID) and entered the second 5-year phase in 2010, and our Program is playing an important role among other research centers located in Asia and Africa. Currently, two research projects are carried out in parallel in Noguchi Memorial Institute for Medical Research by Tokyo Medical and Dental University: one is a J-GRID project and the other is the one of Science and Technology Research Partnership for Sustainable Development (SATREPS) which is a joint project between Japan International Cooperation Agency (JICA) and Japan Science and Technology Agency (JST). This special article is describing what these two projects are all about.

  6. 涉及多家医疗机构的医疗事故定责定级认定%Grading Appraisal on Medical Malpractice Involving Medical Institutions

    Institute of Scientific and Technical Information of China (English)

    薛晓芳; 司徒薇薇

    2013-01-01

    The case involves a number of medical institutions of medical malpractice and how the allocation of responsibilities, how to draw personal injury grade, are the existing Medical Malpractice difficulty. There is currently no established uniform identification standards, led to the i-dentification of the conclusions are differences, identification of science, fairness is not conducive to embody. Typical Case, classified, the proposed uniform identification standards recommendations, to enhance the identification of scientific and credibility.%对一案涉及多家医疗机构的医疗事故如何责任分配、如何划定人身损害等级,是现有医疗事故技术鉴定工作的难点.目前尚没有建立统一的鉴定标准,导致鉴定结论往往存在差异,不利于体现鉴定的科学性、公正性.通过对典型案例的解析、归类,提出统一鉴定标准的建议,增强鉴定的科学性和公信力.

  7. Medical Services: Armed Forces Institute of Pathology and Armed Forces Histopathology Centers

    Science.gov (United States)

    2007-11-02

    request additional material and data of special inter- est and importance for forwarding from the contributor on any patient. Legal medicine, forensic ...display: a. Gross specimens in the fields of medicine, dentistry , and veter- inary medicine. b. Exhibits on specific health topics or specific medical...Education for residency training in forensic pa- thology, neuropathology, and dermatopathology. (2) The AFIP has a residency program in veterinary

  8. The Effect of an Intervention Aimed at Reducing Errors when Administering Medication through Enteral Feeding Tubes in an Institution for Individuals with Intellectual Disability

    Science.gov (United States)

    Idzinga, J. C.; de Jong, A. L.; van den Bemt, P. M. L. A.

    2009-01-01

    Background: Previous studies, both in hospitals and in institutions for clients with an intellectual disability (ID), have shown that medication errors at the administration stage are frequent, especially when medication has to be administered through an enteral feeding tube. In hospitals a specially designed intervention programme has proven to…

  9. Clinical outcome of Fitz-Hugh-Curtis syndrome mimicking acute biliary disease

    Institute of Scientific and Technical Information of China (English)

    Seong Yong Woo; Jin Il Kim; Dae Young Cheung; Se Hyun Cho; Soo-Heon Park; Joon-Yeol Han; Jae Kwang Kim

    2008-01-01

    AIM: To analyze the clinical characteristics of patients diagnosed with Fitz-Hugh-Curtis syndrome.METHODS: The clinical courses of patients that visited St. Mary's Hospital with abdominal pain from January 2005 to December 2006 and were diagnosed with Fitz-Hugh-Curtis syndrome were examined.RESULTS: Fitz-Hugh-Curtis syndrome was identified in 22 female patients of childbearing age; their mean age was 31.0 + 8.1 years. Fourteen of these cases presented with pain in the upper right abdomen alone or together with pain in the lower abdomen,and six patients presented with pain only in the lower abdomen. The first impression at the time of visit was acute cholecystitis or cholangitis in 10 patients and acute appendicitis or pelvic inflammatory disease in eight patients. Twenty-one patients were diagnosed by abdominal computer tomograghy (CT), and the results of abdominal sonography were normal for 10 of these patients. Ch/amydia trichomatis was isolated from 18 patients. Two patients underwent laparoscopic adhesiotomy and 20 patients were completely cured by antibiotic treatment.CONCLUSION: For women of childbearing age with acute pain in the upper right abdomen alone or together with pain in the lower abdomen, Fitz-HughCurtis syndrome should be considered during differential diagnosis. Moreover, in cases suspected to be Fitz-HughCurtis syndrome, abdominal c-r, rather than abdominal sonography, assists in the diagnosis.

  10. Formative exploration of students’ perception about Community Medicine teaching at Mahatma Gandhi Institute of Medical Sciences, Sewagram, India

    Directory of Open Access Journals (Sweden)

    AR Dongre

    2008-11-01

    Full Text Available Objective: The objectives of the present formative research were to explore the medical undergraduates’ study problems and their perceptions about various teaching approaches in currently practiced teaching curriculum of Community Medicine. Material and Methods: The present formative research was undertaken at Dr. Sushila Nayar School of Public Health incorporating Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sewagram. The respondents were 17 (26.5% conveniently selected final year exam appearing medical undergraduates from 2004 regular batch of 64 students. A triangulation of qualitative research methods like free listing, pile sort exercise and a Focus Group Discussion (FGD were used. A two dimensional scaling and hierarchical cluster analysis was completed with the pile sort data. The data was analyzed by using software Anthropac 4.98.1/X software. Results: The medical undergraduates could understand the topics like Integrated Management of Neonatal and Childhood (IMNCI, Primary Health Care (PHC, cold chain system for vaccines, immunization and health education, dietary survey and cluster survey method taught in the community based camp approaches. Students found it difficult to comprehend the core of subject from the scattered lecture series over a long teaching period, especially using lengthy over head projector/liquid crystal display presentations. The major problems encountered in studying the subject of Community Medicine were difficulty in understanding the concepts of biostatistics, confusions due to apparently similar text in National Health Programs and difficulty to recall disease statistics due to vast syllabus. Conclusions: Students perceived the community based camp approach of teaching as a best method to understand the subject, which is an integration of task oriented assignments, integration of social sciences within medical domain and active community involvement. Hence, the community

  11. [Institutional violence, medical authority, and power relations in maternity hospitals from the perspective of health workers].

    Science.gov (United States)

    Aguiar, Janaina Marques de; d'Oliveira, Ana Flávia Pires Lucas; Schraiber, Lilia Blima

    2013-11-01

    The current article discusses institutional violence in maternity hospitals from the health workers' perspective, based on data from a study in the city of São Paulo, Brazil. Eighteen health workers from the public and private sectors were interviewed, including obstetricians, nurses, and nurse technicians. A semi-structured interview was used with questions on professional experience and the definition of violence. The analysis revealed that these health workers acknowledged the existence of discriminatory and disrespectful practices against women during prenatal care, childbirth, and the postpartum. Examples of such practices cited by interviewees included the use of pejorative slang as a form of "humor", threats, reprimands, and negligence in the management of pain. Such practices are not generally viewed by health workers as violent, but rather as the exercise of professional authority in what is considered a "difficult" context. The institutional violence is thus trivialized, disguised as purportedly good practice (i.e., "for the patient's own good"), and rendered invisible in the daily routine of care provided by maternity services.

  12. Institutional and technological barriers to the use of open educational resources (OERs) in physiology and medical education.

    Science.gov (United States)

    Hassall, Christopher; Lewis, David I

    2017-03-01

    Open educational resources (OERs) are becoming increasingly common as a tool in education, particularly in medical and biomedical education. However, three key barriers have been identified to their use: 1) lack of awareness of OERs, 2) lack of motivation to use OERs, and 3) lack of training in the use of OERs. Here, we explore these three barriers with teachers of medical and biomedical science to establish how best to enhance the use of OERs to improve pedagogical outcomes. An online survey was completed by 209 educators, many of whom (68.4%) reported using OERs in their teaching and almost all (99.5%) showing awareness of at least one OER. The results suggest that key problems that prevent educators from adopting OERs in their teaching include suitability for particular classes, time, and copyright. Most (81.8%) educators were somewhat, very, or extremely comfortable with OERs so there is no innate motivational barrier to adoption. A lack of training was reported by 13.9% of respondents, and 40% of respondents stated that there was little or no support from their institutions. OER users were no more comfortable with technology or better supported by departments but tended to be aware of a greater number of sources of OERs. Our study illustrates key opportunities for the expansion of OER use in physiology and medical teaching: increased breadth of awareness, increased institutional support (including time, training, and copyright support), and greater sharing of diverse OERs to suit the range of teaching challenges faced by staff in different subdisciplines.

  13. Effect of External Quality Assurance Evaluation for Chest Radiography: 3-Year Follow-Up in the Medical Institution for Pneumoconiosis

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Won Jeong; Choi, Soon Byung [Clinical Research Team, Occupational Lung Diseases Institute, Korea Worker' s Compensation and Welfare Service, Ansan (Korea, Republic of)

    2012-04-15

    The aim of this study was to determine the effect of external quality assurance (QA) evaluation for chest radiography in the medical institution for pneumoconiosis (MIP). The chest radiography of the MIPs were evaluated for a radiological technique (RT), image quality (IQ), and reading environment (RE), during a 3-year follow up according to the Korean guidelines. Same methods were implemented each year to ensure that the results are reliable. RT, IQ, and RE were compared between examination and medical care (EMP), and only medical care (MCP) for pneumoconiosis, film-screen (FSR) and digital (DR) radiography. Uneducated and educated for QA during a 3-year follow up referencing with 2008 were realized. RT and IQ of the MIPs showed a significantly higher score in 2009 and 2010 compared with 2008 (p < 0.01). However, RE was not significantly improved. The score of RT, IQ, and RE of the EMPs were higher than those of MCPs every year, and FSR showed a lower score in all evaluations, although, more improvement was seen than the DR. The chest radiography of the MIPs showed a significant effect as a result of a repeated external QA evaluation. However, the MIPs need to transfer from FSR to DR, and maintain a continuous QA evaluation for the MCPs.

  14. Hugh E. Huxley: cambiando el paradigma de la contracción muscular, desde dentro. [Hugh E. Huxley: changing from inside the paradigm of muscle contraction].

    Directory of Open Access Journals (Sweden)

    Adolfo Araci

    2014-04-01

    Full Text Available Desde un punto de vista físico se puede entender la fibra muscular como un motor, es decir, un sistema capaz de transformar la energía química en energía mecánica, que se utiliza para realizar un trabajo. Por lo tanto, para entender cómo ocurre dicho proceso de transformación es necesario conocer la ultraestructura de la fibra muscular. Esta es, sin duda, la principal aportación al acervo científico del recientemente fallecido Hugh Emor Huxley (1924-2013. Huxley se graduó en Física en el Christ’s College de Cambdrige, tras ver interrumpidos temporalmente sus estudios por su dedicación como operario de radar de la Royal Air Force entre 1943 y 1947, durante la Segunda Guerra Mundial (Pollard y Goldman, 2013; Spudich, 2013. Tras su graduación se incorporó como el primer estudiante de doctorado a una unidad de nueva creación del Medical Research Council, el “Laboratorio de Biología Molecular”, dirigida por Max Perutz y John Kendrew, siendo este último el director de sus tesis doctoral, que fue defendida en 1952 (Spudich, 2013. El uso de la técnicas de difracción de rayos X, que permitían el estudio en niveles de resolución inalcanzables con las técnicas microscópicas del momento, y su aplicación a la descripción de la ultraestructura muscular, fueron el objeto de su tesis doctoral, para el desarrollo de la cual diseñó y construyó sus propios instrumentos. El esclarecimiento de los aspectos estructurales implicados en la contracción muscular se convirtió desde entonces en la pregunta central de su biografía científica.

  15. Case of Fitz-Hugh-Curtis syndrome in male without presentation of sexually transmitted disease.

    Science.gov (United States)

    Yi, Haram; Shim, Chan Sup; Kim, Gyu Won; Kim, Jung Seok; Choi, In Zoo

    2015-11-16

    Fitz-Hugh-Curtis syndrome is a type of perihepatitis that causes liver capsular infection without infecting the hepatic parenchyma or pelvis. Fitz-Hugh-Curtis syndrome is known to occur commonly in women of childbearing age who do not use oral contraceptives and have sexual partners older than 25 years of age. However, the syndrome has been reported to occur rarely in males. The clinical symptoms are right upper quadrant pain and tenderness, and pleuritic right sided chest pain. The clinical presentation is similar in male and female. We experienced a case of Fitz-Hugh-Curtis syndrome in a 60-year-old man with the chief complaint of right upper quadrant abdominal pain. Despite a previous history of gonorrhea, we have also described our experiences of improved symptoms and recovery with allopathic medicines and have thereby reported the present case with a literature review.

  16. Real time optical edge enhancement using a Hughes liquid crystal light valve

    Science.gov (United States)

    Chao, Tien-Hsin

    1989-01-01

    The discovery of an edge enhancement effect in using a Hughes CdS liquid crystal light valve (LCLV) is reported. An edge-enhanced version of the input writing image can be directly obtained by operating the LCLV at a lower bias frequency and bias voltage. Experimental conditions in which this edge enhancement effect can be optimized are described. Experimental results show that the SNR of the readout image using this technique is superior to that obtained using high-pass filtering. The repeatability of this effect is confirmed by obtaining an edge enhancement result using two different Hughes LCLVs. The applicability of this effect to improve discrimination capability in optical pattern recognition is addressed. The results show that the Hughes LCLV can be used in both continuous tone and edge-enhancing modes by simply adjusting its bias conditions.

  17. On the Hughes' model for pedestrian flow: The one-dimensional case

    KAUST Repository

    Di Francesco, Marco

    2011-02-01

    In this paper we investigate the mathematical theory of Hughes\\' model for the flow of pedestrians (cf. Hughes (2002) [17]), consisting of a non-linear conservation law for the density of pedestrians coupled with an eikonal equation for a potential modelling the common sense of the task. For such an approximated system we prove existence and uniqueness of entropy solutions (in one space dimension) in the sense of Kružkov (1970) [22], in which the boundary conditions are posed following the approach of Bardos et al. (1979) [7]. We use BV estimates on the density ρ and stability estimates on the potential Π in order to prove uniqueness. Furthermore, we analyze the evolution of characteristics for the original Hughes\\' model in one space dimension and study the behavior of simple solutions, in order to reproduce interesting phenomena related to the formation of shocks and rarefaction waves. The characteristic calculus is supported by numerical simulations. © 2010 Elsevier Inc.

  18. Real time optical edge enhancement using a Hughes liquid crystal light valve

    Science.gov (United States)

    Chao, Tien-Hsin

    1989-01-01

    The discovery of an edge enhancement effect in using a Hughes CdS liquid crystal light valve (LCLV) is reported. An edge-enhanced version of the input writing image can be directly obtained by operating the LCLV at a lower bias frequency and bias voltage. Experimental conditions in which this edge enhancement effect can be optimized are described. Experimental results show that the SNR of the readout image using this technique is superior to that obtained using high-pass filtering. The repeatability of this effect is confirmed by obtaining an edge enhancement result using two different Hughes LCLVs. The applicability of this effect to improve discrimination capability in optical pattern recognition is addressed. The results show that the Hughes LCLV can be used in both continuous tone and edge-enhancing modes by simply adjusting its bias conditions.

  19. Oak Ridge Institute for Science and Education, Medical Sciences Division report for 1994

    Energy Technology Data Exchange (ETDEWEB)

    Snyder, F.; Poston, S.; Engle, J. [eds.

    1995-08-01

    The primary mission of the Medical Sciences Division is (1) to conduct basic and applied biomedical research on human health related to energy systems, (2) to provide technical assistance and training in occupational and environmental medicine, and (3) to make related biomedical applications available to others through technology transfer. As can be gleaned from this report, the strengths and capabilities of their staff in carrying out this mission are closely aligned with the four core competencies of ORISE: (1) occupational and environmental health, (2) environmental and safety evaluation and analysis, (3) education and training, and (4) enabling research. Brief descriptions of the various scientific and technical programs and their progress, as well as the staff responsible for the accomplishments made during 1994, are presented in this report. Research programs include the following: biochemistry; cytogenetics; Center for Epidemiologic Research; Center for Human Reliability Studies; occupational medicine; Radiation Emergency Assistance Center/Training Site; and Radiation Internal Dose Information Center.

  20. Symposium Festschrift Hughes (Vernon W) to Celebrate his 70th birthday

    CERN Document Server

    1992-01-01

    The contents of this book are derived from a celebration of the 70th birthday of Vernon W Hughes. Professor Hughes' career has touched on several areas in modern physics ranging from precision measurements of the fundamental properties of atoms to measurements of spin structure functions of the proton via deep inelastic muon scattering at the world's highest energy fixed target machines. This observance of his 70th birthday brings together experimental and theoretical physicists who are leaders of the many fields in which he has made contributions.

  1. [Studies of cellular immunity in medical workers with occupational asthma and obstructive bronchitis in health care institutions of Primorsky Krai].

    Science.gov (United States)

    Bektasova, M V; Kaptsov, V A; Sheparev, A A

    2013-01-01

    Research was carried out on the basis of voluntary consent to the study of the characteristics of cellular immunity from the blood samples of the medical staff of health institutions of Primorsky Krai suffered from occupational bronchial asthma and obstructive bronchitis. For this purpose, 23 female patients with a diagnosis of occupational asthma, 100 female cases with obstructive bronchitis were examined. Mean age was 47.9 +/- 3.5 years. The control group was consisted of 30 healthy women, average age of 46.7 +/- 3.7years. The aim of our study was to investigate the changes of cellular immunity in health care workers with occupational asthma and obstructive bronchitis. There is an urgent need to study the dynamics of immunogram for proper interpretation and to take measures to prevent complications timely.

  2. Socio-epidemiological factors of medical termination of pregnancy:an overview in a tertiary care institute

    Directory of Open Access Journals (Sweden)

    Rajshree Dayanand Katke

    2016-04-01

    Conclusions: The awareness of MTP Act and impact of legalizing the abortion is increasing the society and the increasing number of service rendered through the government establishment underlines the increasing faith in the system. The incidence rate of MTP is 27.93/1000 live births in the institute. The primary reason of MTP is failure of contraception. This fact highlights the huge unmet need of contraception and counselling. The maternal age group of 21-30 yrs is availing MTP services the most. Though there is changing trends for medical method of termination of pregnancy but the surgical method is still favoured. The permanent method of contraception in the form of Tubal ligation is increasing as a choice of contraception after MTP. Still the religious differences are evident in availing the MTP services and needs to be addressed tactfully. [Int J Reprod Contracept Obstet Gynecol 2016; 5(4.000: 1061-1064

  3. 77 FR 1975 - Union Pacific Railroad Company-Discontinuance of Service Exemption-in Pittsburg, Hughes, and...

    Science.gov (United States)

    2012-01-12

    ..., Hughes, and Seminole Counties, Okla. (the line). The line traverses United States Postal Service Zip... discontinue service over a portion of a line of railroad known as the Shawnee Branch Line, between milepost... in Hughes County, which makes the line 0.19 miles longer than the terminal mileposts would...

  4. Rivers and Hughes's Construction of Black Culture in White America——Textual Analysis of "The Negro Speaks of RAvers"

    Institute of Scientific and Technical Information of China (English)

    曾慧

    2009-01-01

    Langston Hughes's central purpose in writing is "to explain and illuminate the Negro condition in America". By means of textual analysis, this thesis is to discover how the images of rivers in "The Negro Speaks of Rivers" construct the black culture, to find Hughes's identity in America.

  5. The making of an endocrinologist in India: Life and times at Institute of Post Graduate Medical Education and Research Calcutta.

    Science.gov (United States)

    Dutta, Deep

    2015-01-01

    Endocrinology is relatively one of the newer super-specialties of internal medicine. Following higher secondary schooling, it takes anywhere between 13 and 18 years to become a super-specialist in India, which holds true for endocrinology also. This article intends to highlight the life and the journey of making an endocrinologist in India, through personal experiences, focusing on Institute of Post Graduate Medical Education and Research (IPGMER) Calcutta, the largest super-specialty teaching hospital and research institute of Eastern India. In general, there is lack of adequate exposure to endocrinology during the Bachelor of Medicine, Bachelor of Surgery and MD Internal Medicine Training in India. Pre-Doctorate of Medicine (DM) senior residency goes a long way in developing an orientation for endocrinology. Endocrinology DM entrance examinations are usually a rigorous intimidating affair. Endocrinology training at IPGMER was a heady mix of managing huge number of patients with diverse endocrinopathies, laboratory work, academic presentations, and clinical research. The support and back up provided by the entire faculty enhanced the learning process. As I look back, the 3 years of DM residency flew by like the wink of the eye. The journey of endocrinology is the journey of a lifetime.

  6. STUDY OF NASAL INDEX AMONG STUDENTS OF TERTIARY MEDICAL CARE INSTITUTE IN SOUTHERN INDIA

    Directory of Open Access Journals (Sweden)

    Asharani S K

    2015-12-01

    Full Text Available Background: India is an ancient country having a diverse population group of various races, ethnic groups and tribes living in different climatic conditions. Nasal index is an ethnic sensitive anthropometric index which is used to classify race and sex of an individual. Aim: To study the Nasal index by using nasal parameters like Nasal height and Nasal width among students of South India and North India. Materials and Method: The study was done on medical students (male and female aged between 18-23yrs of age after obtaining the necessary consent. Nasal height and nasal width were measured with the aid of sliding caliper. On the basis of nasal height and nasal width, nasal index was calculated and the data was analyzed statistically. Results: The present study revealed that majority of the Indian population (both South India and North India belong to mesorrhinae type of nasal form followed by platyrrhinae and leptorrhinae. Conclusion: The majority of the Indian population belongs to mesorrhinae type of nasal form. The particular data will be of importance in forensic science, anthropology and rhinoplasty.

  7. Cutting Close to the Bone: Student Trauma, Free Speech, and Institutional Responsibility in Medical Education.

    Science.gov (United States)

    Kumagai, Arno K; Jackson, Brittani; Razack, Saleem

    2017-03-01

    Learning the societal roles and responsibilities of the physician may involve difficult, contentious conversations about topics such as race, gender, sexual orientation, and class, as well as violence, inequities, sexual assault, and child abuse. If not done well, these discussions may be deeply traumatizing to learners for whom these subjects "cut close to the bone." Equally traumatizing is exposure to injustice and mistreatment, as well as to the sights, sounds, and smells of suffering and pain in the clinical years. This potential for iatrogenic educational trauma remains unaddressed, and medical educators must take responsibility for attending to it. Possible solutions include trigger warnings or statements given to students before an educational activity that may cause personal discomfort. The authors of this Perspective assert, however, both that this concept does not distinguish between psychological trauma and discomfort and that well-intentioned trigger warnings target the wrong goal-the avoidance of distress. Exposure to discomfort not only is unavoidable in the practice of medicine but may be crucial to personal and professional moral development. The authors argue that a more appropriate solution is to create safe spaces for dialogues about difficult topics and jarring experiences. This approach places even the notion of free speech under a critical lens-it is not an end in itself but a means to create a professional ethic dedicated to treating all individuals with excellence and justice. Ultimately, this approach aspires to create an inclusive curriculum sensitive to the realities of teaching and learning in increasingly diverse societies.

  8. Simulation Training at a Medical Institute: An integral Part of the Educational Process

    Directory of Open Access Journals (Sweden)

    P. V. Ligatyuk

    2015-01-01

    Full Text Available Objective: to master and practically execute cardiopulmonary resuscitation (CPR procedural techniques, to acquire skills to use state-of-art equipment, and to teach work in the team. Subjects and methods. Forty-six interns and residents took a simulation course of training in basic CPR and automatic external defibrillation. Three-four days before the course, its participants received the certified translation of the European Resuscitation Council (ERC information material and studied it. The course education program encompasses lectures, lessons on a medical care algorithm in sudden cardiac arrest, and practical works using models, including chest compression, ventilation, and automatic external defibrillator (AED training. The duration of the course is 6—7 hours. Results. All the interns and residents were motivated to learn: to acquire first aid skills to manage sudden cardiac arrest. The ERC algorithm and a 4-stepped model to have practical skills were used. The taken course met expectations in 100% of the participants; all the interns and residents adequately acquired practical CPR skills and successfully completed their training. A questionnaire survey at the end of the course showed the high efficiency of the course. The training enhanced motivation in 29 interns and residents; they obtained an ERC provider degree; 10 interns and residents continue to take a course of training as an ERC instructor. 

  9. THE OCCUPATIONAL STRESS ON HEALTH’S PROFESSIONALS TO LEGAL MEDICAL INSTITUTE LEONIDIO RIBEIRO, FEDERAL DISTRICT - BRAZIL

    Directory of Open Access Journals (Sweden)

    P. C. Quaresma

    2016-02-01

    Full Text Available Occupational stress is defined as a psychological syndrome resulting in chronic interpersonal stressors at work and characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. It is observed that the pressures generated by continuous social and economic changes have made the individual more vulnerable to psychosomatic and organic pathologies. As a condition with high incidence rate you have, the stress has a negative impact on occupational life of the individual. This study was conducted on health-care workers of the LMI (Legal Medical Institute of the Federal District, Brazil; who work in the areas of anatomy, nursing, laboratory, radiology and medicine and is justified by the development of professional activities. The methodology used in this article was a descriptive study with a qualitative and quantitative approach as a tool for data collection was used a structured questionnaire with closed questions about the activities that will evoke stress on work activities. Fourty-nine per cent have more than 10 years of service time and 54.7 % (n = 53, rank among medium and high load stress suffering. The answers on the elements that are evocative of stress, 75 % think that 'deal with the pain of the family', with 51 % and 'removal of corpses in hard-to access/dangerous', with 24%, the most important stressors. We can consider that the occupational stress experienced by professionals in DF, Brazil, LMI should not be ignored by the institution , since its employees are subject to a great physical and mental load, which, if ignored even for short periods, may, at some point, lead to depletion of capacity for work, causing losses in the professional quality of life and, consequently, reduced the productivity of the institution as a result of increased absence professional.

  10. The Basic Thought of Developing Social Capital Held in Medical Institutions from the Perspective of Medical Reform%医改视角下社会办医发展的基本思路

    Institute of Scientific and Technical Information of China (English)

    周小园; 尹爱田

    2014-01-01

    Non-profit medical institutions are the main body, for-profit medical institutions are the complement, the public medical institutions are the leading and non-public medical institutions develop together are the principles of developing the health service system in China. Since deepening medical reform, social capital held in medical institutions has been actively encouraged and supported. Medical institutions held by social capital should adhere to the public nature of the medical and health, choose reasonable mode of development, improve the level of service, innovate management system, build a team and its own brand and achieve sustainable development.%非营利性医疗机构为主体、营利性医疗机构为补充,公立医疗机构为主导、非公立医疗机构共同发展是我国建设健全医疗服务体系所坚持的原则。深化医改以来,国家提出要积极鼓励和支持社会资本举办医疗机构,社会办医疗机构要坚持医疗卫生的公益性质,合理选择发展模式、提高服务水平、创新管理制度、打造人才团队和自己品牌,实现可持续发展。

  11. Restructuring the organizational culture of medical institutions: a study on a community hospital in the I-Lan area.

    Science.gov (United States)

    Chen, Yu-Chih

    2008-09-01

    Launched in 1995, the National Health Insurance Program has imposed tremendous pressure on hospitals across Taiwan. As a result, most hospitals, especially those of small and medium scale, have gone to great lengths to restructure their organizations in order to continue operating under the new medical setting. Using a community hospital in I-Lan area as its focus, this study attempts to identify the process of organizational culture restructuring in medical institutions. This process includes the two phases of (1) analyzing difficulties faced, with particular emphasis on three problems associated with the existing organizational culture and (2) restructuring the organizational culture and evaluating the restructuring process, with emphasis on four strategies geared to modify the organizational culture and a pre-and-post quasi-experimental study to evaluate outcomes. This study uses a triangulated data collection approach comprising four qualitative data collection techniques that include semi-structured interviews, focus groups, reflective participant observation, and critical review of relevant organizational materials. The evaluation reveals a significant level of difference between employee perspectives on organizational culture before and after restructuring. In short, employees expressed that, after the restructuring, they feel more respected and recognized than before. Research results, based on an organization's cultural restructuring process, show the process by which a hospital successfully restructured its organizational culture. Empirical data derived from the restructuring process may serve as reference for other hospitals contemplating restructuring.

  12. Relationship between knowledge, attitude, behavior, and self-efficacy on the radiation safety management of radiation workers in medical institutions

    Energy Technology Data Exchange (ETDEWEB)

    Han, Eun Ok [Daegu Health College, Daegu (Korea, Republic of)

    2007-06-15

    Radiation safety managements in medical institutions are needed to protect certain radiation damages as a part of National Coalition. This study investigates the characteristics of self-efficacy that become the major factor on the knowledge, attitude, and behavior on the radiation safety management of radiation workers as an approach of educational aspects and analyzes the relationship between such factors to provide basic materials for improving the activity level of radiation safety managements. In order to implement the goal of this study, a survey was performed for 1,200 workers who were engaged in radiation treatments in medical centers, such as general hospital, university hospital, private hospital, and public health center for 42 days from July 23, 2006. Then, the results of the analysis can be summarized as follows: 1. Average scores on knowledge, attitude, and behavior in the radiation safety management were presented as 75.76{+-}11.20, 90.55{+-}8.59, 80.58{+-}11.70, respectively. Also, the average score of self-efficacy was recorded as 73.55{+-}9.82. 2. Knowledge levels in the radiation safety management showed significant differences according to the sex, age, marriage, education, and experience. Also, males of married, older, highly educated, and largely experienced represented high knowledge levels. Attitude levels in the radiation safety management showed certain significant differences according to the type of medical centers in which private hospitals showed a relatively low level compared to that of high levels in university hospitals. Behavior levels in the radiation safety management also represented significant differences according to the age, marriage, education, experience, and types of medical centers. Factors in married, general hospital, older, highly educated, and largely experienced showed high behavior levels. In addition, the self-efficacy showed certain differences according to the marriage and types of medical centers. Factors in

  13. THE CURRENT PRACTICES FOR TESTING FOR HYPERGLYCAEMIA IN PREGNANCY (HIP IN THE MEDICAL COLLEGE INSTITUTIONS IN INDIA

    Directory of Open Access Journals (Sweden)

    Hema Divakar

    2017-04-01

    Full Text Available BACKGROUND The aim of the study is to determine the current practices in the medical college institutions pan India for testing for Hyperglycaemia in Pregnancy (HIP to detect gestational diabetes and highlight areas that need additional attention in order to ensure adherence to current national guidelines. MATERIALS AND METHODS Questionnaires were used to obtain information regarding the testing strategy for hyperglycaemia in pregnancy. The questionnaires were filled out by the teaching faculty of the OB/GYN departments of 47 medical college institutions in India. The perceptions regarding the prevalence of diabetes in pregnancy in India and the needs for capacity building were assessed. RESULTS Forty seven respondents answered the questionnaires. The majority of respondents (95.83% reported that all pregnant women were offered (universal testing for hyperglycaemia in pregnancy and 37.5% reported that women were screened both in early and midtrimester of pregnancy. Most reported that testing for HIP took place once at booking, irrespective of the gestational age (39.58%. Thirty three (70.21% respondents reported using the single-step nonfasting method to diagnose hyperglycaemia. Furthermore, 21.28% of respondents reported using a glucometer to determine the concentration of blood glucose in plasma, while 68.08% reported using a lab analyser. The instructions for the testing were offered by consultants and postgraduates in a vast majority of cases (87.5%. The staff communicated with the women in a significantly less number of cases (12.5%. 65.96% of respondents felt that all women readily agreed to follow this advice. The majority of respondents (89.35% reported having noticed an increase in the number of women with hyperglycaemia. Furthermore, 91% of all the respondents felt there was a need to train medical personnel to test and manage hyperglycaemia. CONCLUSION Our study confirms the continued wide variability in testing for HIP in India with

  14. IN MEMORIAM: Hugh P Kelly, 3 September 1931 - 29 June 1992

    Science.gov (United States)

    Hansen, Jørgen E.

    1993-01-01

    It is said that Racah was one of the few physicists who was able not only to read Hermann Weyl's book "The Theory of Groups and Quantum Mechanics" but also to understand enough to use it himself. Something similar applies to Hugh Kelly, who introduced the methods of Many-Body Perturbation Theory (MBPT), which was being developed by nuclear physicists like Keith Brueckner whom Hugh worked with as a post-doc, into atomic physics. Since atomic physics with its "known" forces is a perfect area in which to apply the methods of MBPT, it is clear that this would have happened sooner or later. Hugh Kelly's achievement is that it happened very early. Hugh's death this summer after a long battle with cancer is a great loss to atomic physics and to his many friends in the community. Hugh P Kelly got his PhD from the University of California at Berkeley in 1963 under the supervision of Kenneth Watson and in 1965 he was hired as assistant Professor at the University of Virginia. His appointment was to a large extent due to the support of M E Rose, also a nuclear physicist with interest in atoms as is clear from his book "Elementary Theory of Angular Momentum". Hugh remained at the University of Virginia for the rest of his life, over the years serving as Department Chairman, Faculty Dean and, during the last years, as University Provost, but throughout Hugh pursued his real passion which was Physics. It is a clear sign of his dedication that he is sole author on a large number of papers particularly of course in the early years when he alone was Atomic Theory in Charlottesville. Hugh contributed to many areas of atomic physics although early on photoionization became his favourite subject and the one where he made his main contribution: first for closed shell atoms, but later extending his techniques to open shell systems for which the normal MBPT techniques did not apply. Hugh had a good nose for finding projects that were of topical interest and many of his papers are

  15. 75 FR 24973 - United States v. Baker Hughes Inc., et al.

    Science.gov (United States)

    2010-05-06

    .... IV. Trade and Commerce A. Background 1. Overview of Drilling and Completion Process 11. Offshore... impose on each other's pricing. Post merger, Baker Hughes will likely find it profitable to raise the... transaction may present a profitable opportunity to remove one or two vessels from the Gulf, an opportunity...

  16. The Political Economy of Rhetorical Style: Hugh Blair's Response to the Civic-Commercial Dilemma

    Science.gov (United States)

    Longaker, Mark Garrett

    2008-01-01

    Recent scholarship treats Hugh Blair's "Lectures" on Rhetoric and Belles Lettres (1783) as an effort to endorse either the liberal or the civic political traditions in eighteenth-century Scotland. This essay questions this orthodoxy by reading the "Lectures", and in particular Blair's attention to considerations of rhetorical…

  17. Markov chain Monte Carlo approach to parameter estimation in the FitzHugh-Nagumo model

    DEFF Research Database (Denmark)

    Jensen, Anders Christian; Ditlevsen, Susanne; Kessler, Mathieu

    2012-01-01

    Excitability is observed in a variety of natural systems, such as neuronal dynamics, cardiovascular tissues, or climate dynamics. The stochastic FitzHugh-Nagumo model is a prominent example representing an excitable system. To validate the practical use of a model, the first step is to estimate m...

  18. The Political Economy of Rhetorical Style: Hugh Blair's Response to the Civic-Commercial Dilemma

    Science.gov (United States)

    Longaker, Mark Garrett

    2008-01-01

    Recent scholarship treats Hugh Blair's "Lectures" on Rhetoric and Belles Lettres (1783) as an effort to endorse either the liberal or the civic political traditions in eighteenth-century Scotland. This essay questions this orthodoxy by reading the "Lectures", and in particular Blair's attention to considerations of rhetorical style, against their…

  19. "Comments on Greenhow, Robelia, and Hughes": Expanding the New Literacies Conversation

    Science.gov (United States)

    Leu, Donald J.; O'Byrne, W. Ian; Zawilinski, Lisa; McVerry, J. Greg; Everett-Cacopardo, Heidi

    2009-01-01

    Using a popularized notion such as Web 2.0 limits research efforts by employing a binary construct, one initially prompted by commercial concerns. Instead, the authors of this article, commenting on Greenhow, Robelia, and Hughes (2009), suggest that continuous, not dichotomous, change in the technologies of literacy and learning defines the…

  20. Policy statements and practice guidelines for medical end-of-life decisions in Dutch health care institutions: Developments in the past decade

    NARCIS (Netherlands)

    Pasman, H.R.W.; Wolf, de JT; Hesselink, B.A.M.; Heide, van der A.; Wal, van der G.; Maas, van der P.J.; Philipsen, B.D.

    2009-01-01

    OBJECTIVES: To describe the existence of policy statements on euthanasia and physician-assisted suicide (EAS) and practice guidelines for all medical end-of-life decisions in Dutch health care institutions in 2005, whether the existence of practice guidelines is related to characteristics of institu

  1. Student-centred learning in Community Medicine: An experience from Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry.

    Science.gov (United States)

    Kar, S S; Premarajan, K C; L, Subitha; Archana, R; Iswarya, S; A, Sujiv

    2014-01-01

    Student-centred learning (SCL) places the student at the centre of policies, practices and decision-making in the teaching-learning process. SCL methodology also advocates active involvement of students in the curriculum planning, selection of teaching-learning methods and assessment process. We planned an education innovation project to assess the perception of fifth semester undergraduate medical students towards implementation of an SCL methodology. The study was done among 87 fifth semester undergraduate medical students (batch of 2010-11) in the noncommunicable disease epidemiology section of Community Medicine at the Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry. The students divided themselves into seven groups and developed the learning objectives, selected teaching-learning methods and assessment process for each session. The facilitators had 3-5 rounds of interaction with each group before the session. Qualitative analysis of feedback collected from students and external faculty after each session was done. The effect of implementing the SCL methodology was assessed by the reaction level of Kirkpatrick's training evaluation model by using a rating scale Results. Of the 87 eligible students, 73 (83.9%) returned the forms for evaluation. All seven groups were able to formulate the learning objectives. Most of the groups had used PowerPoint slides and videos as a teaching-learning tool. Innovative assessment methods such as crosswords and 'chocopati' were used by some groups. In general, the perception of students was favourable towards SCL compared to conventional methods and they felt that this methodology should be adopted more often. Time management and organization of sessions were the main problems encountered by the students. The mean (SD) score for the items 'sessions were useful', 'sessions were enjoyable' and 'sessions improved my knowledge' were 6.2 (1.8), 7.1 (1.8) and 6.3 (1.9), respectively. The

  2. [Surgery for respiratory tuberculosis at the Research Institute of Phthisiopulmonology, I. M. Sechenov Moscow Medical Academy: history and current trends].

    Science.gov (United States)

    Sinitsyn, M V; Semenov, G I; Latyshev, A N; Agkatsev, T V; Kessel', M M

    2009-01-01

    The authors present concise data on the history of surgical treatment for pulmonary tuberculosis at the Research Institute of Phthisiopulmonology, I. M. Sechenov Moscow Medical Academy (1918-2008). They analyze the results of surgical treatment in 1007 patients with different forms of pulmonary tuberculosis in the past 10 years. The most common indications for surgical treatment are tuberculoma (44.2%), fibrocavernous and cirrhotic tuberculosis (37.8%), chronic pleuritis and pleural empyema (7.3%). There are prevalent resection-type operations (77.7%), with fatal cases after pneumonectomy (3.9%), lobectomy (0.6), and minor resections (0%). The proportion of thorocoplastic operations was 4.1% without fatal cases. Mini-invasive surgery using video-assisted technologies have received wide recognition in the diagnosis and surgical treatment of pulmonary tuberculosis. The results of treatment depend on the extent and presence of complications of a tuberculous process, comorbidity, suppressed immunity, and the scope of a surgical intervention. Overall, the efficiency of surgical treatment of patients with pulmonary tuberculosis is 90% or more.

  3. Unawareness of a Prolonged Retained Capsule Endoscopy: The Importance of Careful Follow-Up and Cooperation between Medical Institutions

    Directory of Open Access Journals (Sweden)

    Susumu Saigusa

    2014-01-01

    Full Text Available A 50-year-old man with anemia was referred to our hospital to undergo capsule endoscopy (CE, which revealed small intestinal ulcers. After 5 months of CE, he returned because of recurrent anemia without abdominal symptoms. Abdominal X-ray and computed tomography showed capsule retention in the small intestine at the pelvic cavity. The capsule remained at the same place for 7 days. We performed capsule retrieval by laparoscopy-assisted surgery with resection of the involved small intestine, including an ileal stricture. Resected specimen showed double ulcers with different morphologies, an ulcer scar with stricture, and a wide ulcer at the proximal side of the others. Each ulcer had different histopathological findings such as the degree of fibrosis and monocyte infiltration. These differences led us to consider that the proximal ulcer may have been secondarily induced by capsule retention. Our experience indicated that careful follow-up and the cooperation between medical institutions after CE examination should be undertaken for patients with incomplete examination, unknown excretion of the capsule, and/or ulcerative lesions despite the lack of abdominal symptoms. Additionally, a retained CE remaining over long periods and at the same place in the small intestine may lead to secondary ulceration.

  4. Intersectoral collaboration between the medical and veterinary professions in low-resource societies: The role of research and training institutions.

    Science.gov (United States)

    Marcotty, Tanguy; Thys, Eric; Conrad, Patricia; Godfroid, Jacques; Craig, Philip; Zinsstag, Jakob; Meheus, Filip; Boukary, Abdou Razac; Badé, Mallam Abdou; Sahibi, Hamid; Filali, Hind; Hendrickx, Saskia; Pissang, Cyrille; Van Herp, Michel; van der Roost, Dirk; Thys, Séverine; Hendrickx, David; Claes, Marleen; Demeulenaere, Tine; van Mierlo, Joep; Dehoux, Jean-Paul; Boelaert, Marleen

    2013-05-01

    Neglected zoonoses continue to significantly affect human health in low-resource countries. A symposium was organised in Antwerp, Belgium, on 5 November 2010 to evaluate how intersectoral collaboration among educational and research institutions could improve the situation. Brucellosis and echinococcosis were presented as models for intersectoral collaboration. Low-resource societies face evident knowledge gaps on disease distribution, transmission within and across species and impact on human and animal health, precluding the development of integrated control strategies. While veterinarians have been the main driver of the One Health initiative, the medical profession does not seem to be fully aware of how veterinary science can contribute to human public health. It was postulated that transdisciplinarity could help fill knowledge gaps and that encouraging such transdisciplinarity should start with undergraduate students. Furthermore, intersectoral collaboration on zoonoses should not ignore the social sciences (e.g. assessment of indigenous knowledge and perception; participatory surveillance), which can contribute to a better understanding of the transmission of diseases and improve communities' participation in disease control activities. Copyright © 2012 Elsevier Ltd. All rights reserved.

  5. Hugh E. Huxley: cambiando el paradigma de la contracción muscular, desde dentro. [Hugh E. Huxley: changing from inside the paradigm of muscle contraction].

    OpenAIRE

    Adolfo Araci

    2014-01-01

    Desde un punto de vista físico se puede entender la fibra muscular como un motor, es decir, un sistema capaz de transformar la energía química en energía mecánica, que se utiliza para realizar un trabajo. Por lo tanto, para entender cómo ocurre dicho proceso de transformación es necesario conocer la ultraestructura de la fibra muscular. Esta es, sin duda, la principal aportación al acervo científico del recientemente fallecido Hugh Emor Huxley (1924-2013). Huxley se graduó en Física en el Chr...

  6. Hugh E. Huxley: cambiando el paradigma de la contracción muscular, desde dentro. [Hugh E. Huxley: changing from inside the paradigm of muscle contraction].

    OpenAIRE

    Adolfo Araci

    2014-01-01

    Desde un punto de vista físico se puede entender la fibra muscular como un motor, es decir, un sistema capaz de transformar la energía química en energía mecánica, que se utiliza para realizar un trabajo. Por lo tanto, para entender cómo ocurre dicho proceso de transformación es necesario conocer la ultraestructura de la fibra muscular. Esta es, sin duda, la principal aportación al acervo científico del recientemente fallecido Hugh Emor Huxley (1924-2013). Huxley se graduó en Física en el Chr...

  7. The Projected Responses of Residency-Sponsoring Institutions to a Reduction in Medicare Support for Graduate Medical Education: A National Survey.

    Science.gov (United States)

    Riaz, Mahrukh; Palermo, Tia; Yen, Michael; Edelman, Norman H

    2015-10-01

    To assess the projected responses of residency-sponsoring institutions to the proposed reduction in Medicare's indirect medical education (IME) payments. In 2012, the authors surveyed directors of graduate medical education (GME) programs, examining (1) overall responses to a reduction in IME reimbursement and (2) the value of individual residencies to the institution from the economic/operational and educational/public service points of view, to determine which programs may be at risk for downsizing. Responses from 192 of 555 institutions (35% response rate) varied by the size of the institution's GME program. Of large programs (six or more residencies), 33 (33%) would downsize at a 10% reduction in IME reimbursement, focusing cuts on specific programs. Small programs (five or fewer residencies) were more likely to retain their existing residencies with modest IME payment reductions and to make across-the-board cuts. The economic/operational value of specialties varied widely, with hospital-intensive residencies valued highest. Family medicine was valued highly from an economic/operational point of view only by small programs. Educational/public service value scores varied less and were higher for all specialties. Preventive medicine was not highly valued in either category. Even a modest decrease in IME reimbursement could trigger institutions to downsize their GME programs. Programs at the greatest risk for cuts may be those with modest economic/operational value but high societal value, like family medicine. The retention or expansion of training in family medicine may be most easily accomplished then at smaller institutions.

  8. [Perinatal mortality at the Medical Care Units of the IMSS (Mexico Social Security Institute), National Medical Center of Torreón].

    Science.gov (United States)

    Rodríguez y Enríquez de Rivera, F C; Velázquez Trejo, M L; Roís Hernández, J

    1998-07-01

    To describe the situation of perinatal mortality during 1994 year in General Hospitals with Family Medicine number 16 and 18 of IMSS (Social Security Mexican Institut) National Medical Center in Torreón Coah. It was realized a retrospective study, were included 199 files of perinatal deaths occurred from January 1st to December 31 of 1994. The variables obtained were number of death for step, period, age, sex, weight and the cause of the cause of the death. Were eliminated the files without data of interest. For the analysis our utilized descriptive statistics. The rate of perinatal mortality was 20.17 per 1000 live birth, fetal death rate 9.58 by 1000 and the rate of neonatal death 12.97 per 1,000 live birth, fetal death rate 8.68 and neonatal death rate 12.30. The majority were in the perinatal period one with a rate of 16.71 by 1,000 live birth. Were most common in a male sex (53%) in pregnancies from 28 to 32 weeks (33.91%) and in babies with less of 1000 gr of weight (33.86%). The causes more frequents of deaths were the respiratory difficult syndrome (41.77%), the anomalies (19.62%) and hypoxia (9.49%). The perinatal mortality in our study was similar that in the rest of the country and is acorde with the literature. The perinatal mortality were in the perinatal period one. Is important to conduce a prospective studies.

  9. The effect of an intervention aimed at reducing errors when administering medication through enteral feeding tubes in an institution for individuals with intellectual disability.

    Science.gov (United States)

    Idzinga, J C; de Jong, A L; van den Bemt, P M L A

    2009-11-01

    Previous studies, both in hospitals and in institutions for clients with an intellectual disability (ID), have shown that medication errors at the administration stage are frequent, especially when medication has to be administered through an enteral feeding tube. In hospitals a specially designed intervention programme has proven to be effective in reducing these feeding tube-related medication errors, but the effect of such a programme within an institution for clients with an ID is unknown. Therefore, a study was designed to measure the influence of such an intervention programme on the number of medication administration errors in clients with an ID who also have enteral feeding tubes. A before-after study design with disguised observation to document administration errors was used. The study was conducted from February to June 2008 within an institution for individuals with an ID in the Western part of The Netherlands. Included were clients with enteral feeding tubes. The intervention consisted of advice on medication administration through enteral feeding tubes by the pharmacist, a training programme and introduction of a 'medication through tube' box containing proper materials for crushing and suspending tablets. The outcome measure was the frequency of medication administration errors, comparing the pre-intervention period with the post-intervention period. A total of 245 medication administrations in six clients (by 23 nurse attendants) have been observed in the pre-intervention measurement period and 229 medication administrations in five clients (by 20 nurse attendants) have been observed in the post-intervention period. Before the intervention, 158 (64.5%) medication administration errors were observed, and after the intervention, this decreased to 69 (30.1%). Of all potential confounders and effect modifiers, only 'medication dispensed in automated dispensing system ("robot") packaging' contributed to the multivariate model; effect modification was

  10. The Enlightenment and Thoughts of the Regulations of Medical Records in Medical Institutions (2013 Edition)%《医疗机构病历管理规定(2013年版)》带来的启示和思考

    Institute of Scientific and Technical Information of China (English)

    王琪; 张启华

    2015-01-01

    通过分析《医疗机构病历管理规定(2013年版)》,将其与2002版相比较,新规定更加明确了医疗机构的职责、对医护人员和病历管理人员的要求、增加了电子病历和封存病历的相关规定,并通过对医疗机构、医护人员、病历管理人员,病历无纸化、电子病历、大数据时代六个方面的思考,发现了各方面的相关问题,提出了相应的对策和建议,为推动医疗机构病历管理、推进电子病历的安全应用建设、在大数据时代下合理有效运用病历信息献计献策。%This article, based on“The Regulations of Medical Records in Medical Institutions (2013 Edition)”, describes the changes compared with 2002 edition and provides the enlightenment and reflection in six aspects as medical institutions, medical personnel, medical-record keepers,paperless records,electronic records and big-data era, finds some problems and put forward the corresponding countermeasures and suggestions. The purpose of the article is to offer some ideas for improving the management of medical records in medical institutions, to promote the construction of safe application of electronic medical record and to make effective use of medical record information in the age of big data.

  11. [Conceptual foundations of creation of branch database of technology and intellectual property rights owned by scientific institutions, organizations, higher medical educational institutions and enterprises of healthcare sphere of Ukraine].

    Science.gov (United States)

    Horban', A Ie

    2013-09-01

    The question of implementation of the state policy in the field of technology transfer in the medical branch to implement the law of Ukraine of 02.10.2012 No 5407-VI "On Amendments to the law of Ukraine" "On state regulation of activity in the field of technology transfers", namely to ensure the formation of branch database on technology and intellectual property rights owned by scientific institutions, organizations, higher medical education institutions and enterprises of healthcare sphere of Ukraine and established by budget are considered. Analysis of international and domestic experience in the processing of information about intellectual property rights and systems implementation support transfer of new technologies are made. The main conceptual principles of creation of this branch database of technology transfer and branch technology transfer network are defined.

  12. Fitz-Hugh-Curtis syndrome: abdominal pain in women of 26 years old Síndrome de Fitz-Hugh-Curtis: dolor abdominal en mujer de 26 años

    OpenAIRE

    Liseth Rivero-Sánchez; Elsa María López-Soriano; Luisa Guarner-Aguilar

    2011-01-01

    Fitz-Hugh-Curtis syndrome is an inflammation of the liver capsule as a complication of pelvic inflammatory disease, whose most common etiologic agent is the C. trachomatis. The acute phase of the Fitz-Hugh-Curtis syndrome may present itself with pain in right upper abdomen, commonly confused with other hepatobiliary and gastrointestinal tract diseases. Definitive diagnosis is now possible with non-invasive techniques such as ultrasound, computed tomography, as well as techniques to isolate th...

  13. Incidence, histopathology, and surgical outcome of tumors of spinal cord, nerve roots, meninges, and vertebral column - Data based on single institutional (Sher-i-Kashmir Institute of Medical Sciences) experience

    OpenAIRE

    2016-01-01

    Context: In the absence of a community-based study on the spinal tumors in the Valley, medical records of the only Regional Neurosurgical Center are available. Aim: The aim of this study is to establish a hospital-based regional epidemiology of spinal tumors in the Valley since the data are derived from a single institution. Materials and Methods: A retrospective analysis of 531 malignant and nonmalignant tumors of spinal cord, its coverings and vertebrae, which were managed in a Regional Neu...

  14. Numerical bifurcation analysis of two coupled FitzHugh-Nagumo oscillators

    CERN Document Server

    Hoff, Anderson; Manchein, Cesar; Albuquerque, Holokx A

    2015-01-01

    The behavior of neurons can be modeled by the FitzHugh-Nagumo oscillator model, consisting of two nonlinear differential equations, which simulates the behavior of nerve impulse conduction through the neuronal membrane. In this work, we numerically study the dynamical behavior of two coupled FitzHugh-Nagumo oscillators. We consider unidirectional and bidirectional couplings, for which Lyapunov and isoperiodic diagrams were constructed calculating the Lyapunov exponents and the number of the local maxima of a variable in one period interval of the time-series, respectively. By numerical continuation method the bifurcation curves are also obtained for both couplings. The dynamics of the networks here investigated are presented in terms of the variation between the coupling strength of the oscillators and other parameters of the system. For the network of two oscillators unidirectionally coupled, the results show the existence of Arnold tongues, self-organized sequentially in a branch of a Stern-Brocot tree and ...

  15. The fusion of the imagination and the material universe: Hugh Hood, Flying a red kite (1962

    Directory of Open Access Journals (Sweden)

    Aleksander Kustec

    1999-12-01

    Full Text Available In the first weeks of January 1957 Hugh (John Blagdon Hood moved to Hartford, Connecticut, U. S. A, where he became Professor at Saint Joseph College. At the time Hood did not know that he was going to become one of Canada's greatest stylists and contemporary short story writers. Between January 1957 and March 1962, when he was going through a final selection o short stories for his first book, Flying a Red Kite (FRK, Hugh Hood wrote thirty-eight short stories and two novels (God Rest You Merry and Hungry Generations. The numbers show that Hood was an extremely productive writer in that period. From the thirty-eight stories he chose eleven for FRK, fourteen of them were published in subsequent collections, in various journals and short story anthologies, while thirteen of them have not been published yet.

  16. The 2016 Hughes Lecture: What's new in maternal morbidity and mortality?

    Science.gov (United States)

    Arendt, K W

    2016-05-01

    Each year, the Board of Directors of the Society for Obstetric Anesthesia and Perinatology selects an individual to review a given year's published obstetric anesthesiology literature. This individual then produces a syllabus of the year's most influential publications, delivers the Ostheimer Lecture at the Society's annual meeting, the Hughes Lecture at the following year's Sol Shnider meeting, and writes corresponding review articles. This 2016 Hughes Lecture review article focuses specifically on the 2014 publications that relate to maternal morbidity and mortality. It begins by discussing the 2014 research that was published on severe maternal morbidity and maternal mortality in developed countries. This is followed by a discussion of specific coexisting diseases and specific causes of severe maternal mortality. The review ends with a discussion of worldwide maternal mortality and the 2014 publications that examined the successes and the shortfalls in the work to make childbirth safe for women throughout the entire world.

  17. [Hygiene and Infection Prevention in Medical Institutions, Kindergartens and Schools - Statutory Basis, Infection Control Practice and Experiences of the Public Health Services].

    Science.gov (United States)

    Heudorf, U

    2015-07-01

    Infection prevention is one of the main tasks of the public health services. The "Protection against infection act" places all medical institutions and facilities for children (kindergartens and schools) under the obligation to assume responsibility and to cooperate. Duties of the institutions are described, and public health services are obliged to perform hygiene control visits.Regarding medical institutions, the guidelines of the German Commission on Hospital Hygiene and Infection Control have to be observed, and the counties were obliged to publish hygiene enactments. Subsequently, good improvements in hygiene management in medical institutions were achieved. In schools, however, severe hygienic problems (i.e. sanitary hygiene, indoor air hygiene) are detected, without any improvement - obviously due to a missing sense of responsibility in the school community. Causes for poor behaviour prevention (hand hygiene, ventilation) and missing situational prevention (i.e. cleaning) are discussed. Without reversion to the obviously needed but nearly forgotten subject school hygiene, obligatory guidelines and the assuming of responsibility, permanent improvements cannot be achieved. © Georg Thieme Verlag KG Stuttgart · New York.

  18. Two-frequency self-oscillations in a FitzHugh-Nagumo neural network

    Science.gov (United States)

    Glyzin, S. D.; Kolesov, A. Yu.; Rozov, N. Kh.

    2017-01-01

    A new mathematical model of a one-dimensional array of FitzHugh-Nagumo neurons with resistive-inductive coupling between neighboring elements is proposed. The model relies on a chain of diffusively coupled three-dimensional systems of ordinary differential equations. It is shown that any finite number of coexisting stable invariant two-dimensional tori can be obtained in this chain by suitably increasing the number of its elements.

  19. Selected results from LLNL-Hughes RAR for West Coast Scotland Experiment 1991

    Energy Technology Data Exchange (ETDEWEB)

    Lehman, S K; Johnston, B; Twogood, R; Wieting, M; Yorkey, T; Robey, H [Lawrence Livermore National Lab., CA (United States); Whelan, D; Nagele, R [Hughes Aircraft Co., Los Angeles, CA (United States)

    1993-01-05

    The joint US -- UK 1991 West Coast Scotland Experiment (WCSEX) was held in two locations. From July 5 to 12, 1991, in Upper Loch Linnhe, and from July 18 to July 26, 1991, in the Sound of Sleat. The LLNL-Hughes team fielded a fully polarimetric X-band hill-side real aperture radar to collect internal wave wake data. We present here a sample data set of the best radar runs.

  20. Symmetric bursting behaviors in the generalized FitzHugh-Nagumo model.

    Science.gov (United States)

    Abbasian, A H; Fallah, H; Razvan, M R

    2013-08-01

    In the current paper, we have investigated the generalized FitzHugh-Nagumo model. We have shown that symmetric bursting behaviors of different types could be observed in this model with an appropriate recovery term. A modified version of this system is used to construct bursting activities. Furthermore, we have shown some numerical examples of delayed Hopf bifurcation and canard phenomenon in the symmetric bursting of super-Hopf/homoclinic type near its super-Hopf and homoclinic bifurcations, respectively.

  1. 耦合的Fitz-Hugh-Nagumo模型的初边值问题

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    首先研究了具有耦合的 Fitz-Hugh-Nagumo 模型初值问题的渐近性. 其次,所对应的平衡态方程解的基本性态也将被讨论. 最后, 该模型的初边值问题古典解的最大吸引子的存在性将首次被证明.

  2. The Hughes Court and Radical Dissent: The Case of Dirk De Jonge and Angelo Herndon

    OpenAIRE

    Tushnet, Mark V.

    2012-01-01

    Scattered Supreme Court decisions in the early twentieth century dealt with the Constitution’s protection of freedom of speech. Radical dissent over United States participation in World War I and the nation’s intervention against the Bolshevik revolution in Russia led the Court to its first sustained engagement with free speech cases. By the time Chief Justice Hughes took the center chair, the national government largely had abandoned its pursuit of radical dissenters, some of whom played la...

  3. Percutaneous transhepatic venous embolization of pulmonary artery aneurysm in Hughes-Stovin syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kyung Ah; Kim, Man Deuk; Oh, Do Yun; Park, Pil Won [Bundang CHA General Hospital, Pochon CHA University, Seongnam (Korea, Republic of)

    2007-08-15

    Hughes-Stovin syndrome is an extremely rare entity. We present a case of a 42-year-old man, who developed deep vein and inferior vena cava (IVC) thrombosis, repeated internal bleeding and pulmonary artery aneurysms (PAAs). The patient presented with massive hemoptysis and with PAAs of a 2.5 cm maximum diameter. We describe the successful percutaneous transhepatic venous embolization of the PAAs due to occluded common vascular pathways to the pulmonary artery.

  4. A política de Hugh Dalton e o Bloqueio Económico (1940-1942)

    OpenAIRE

    Mariana Castro

    2015-01-01

    The World War II was a scenery of conflict and protagonists. Hugh Dalton was Minister of Economics of War between 1940 and 1942 in England. Highlighted by the measure in economic blockade the belligerents and neutral countries, proposing the control of smuggling through the prohibition of exports and imports with the German enemy, in other words ‘dry internally and externally “to weaken. This essay focuses on Hugh Dalton policy, leaving few clues and suggestions for further study ...

  5. Characteristics and determinants of knowledge transfer policies at universities and public institutions in medical research--protocol for a systematic review of the qualitative research literature.

    Science.gov (United States)

    Jahn, Rosa; Müller, Olaf; Bozorgmehr, Kayvan

    2015-08-19

    Universities, public institutions, and the transfer of knowledge to the private sector play a major role in the development of medical technologies. The decisions of universities and public institutions regarding the transfer of knowledge impact the accessibility of the final product, making it easier or more difficult for consumers to access these products. In the case of medical research, these products are pharmaceuticals, diagnostics, or medical procedures. The ethical dimension of access to these potentially lifesaving products is apparent and distinguishes the transfer of medical knowledge from the transfer of knowledge in other areas. While the general field of technology transfer from academic and public to private actors is attracting an increasing amount of scholarly attention, the specifications of knowledge transfer in the medical field are not as well explored. This review seeks to provide a systematic overview and analysis of the qualitative literature on the characteristics and determinants of knowledge transfer in medical research and development. The review systematically searches the literature for qualitative studies that focus on knowledge transfer characteristics and determinants at medical academic and public research institutions. It aims at identifying and analyzing the literature on the content and context of knowledge transfer policies, decision-making processes, and actors at academic and public institutions. The search strategy includes the databases PubMed, Web of Science, ProQuest, and DiVa. These databases will be searched based on pre-specified search terms. The studies selected for inclusion in the review will be critically assessed for their quality utilizing the Qualitative Research Checklist developed by the Clinical Appraisal Skills Programme. Data extraction and synthesis will be based on the meta-ethnographic approach. This review seeks to further the understanding of the kinds of transfer pathways that exist in medical

  6. 医疗机构战略群组划分及其战略选择%Strategic Group Classification and Strategic Choice of Medical Institution

    Institute of Scientific and Technical Information of China (English)

    全晓明; 熊慧琴; 王馀祥; 骆芳; 熊巨洋; 张亮

    2011-01-01

    After the new healtb care reform launched the market competition among medical institutions has become increasingly fierce.Advisable strategic planning will play a critical role in the future for the medical insititutions which are in different level.The paper uses the clustering model to analyse the prospective of medical organization then the theory of strategy group is explored to classify medical institutions into A.B.C and D strategic group.Based on this theory, different development tactics are given for the different strategic group,thus it put forward some useful suggestion for the medical institurions to select appropriate strategy.%随着新一轮医药卫生体制改革的进一步深入,医疗行业的市场竞争日趋激烈.处于不同境况的医疗机构,适宜的发展战略将决定其未来命运.本文提出医疗机构战略群组概念,运用战略聚类模型,从医疗机构的竞争力和发展速度两个维度,把医疗机构分成A、B、C、D4个战略群组,并对每一种战略群组提出适宜的发展策略,为医疗机构合理选择战略提供参考.

  7. 中美两所医学高校机构知识库的对比分析%Comparison of institutional repositories in University of Massachusetts Medical School and Peking University Medical School

    Institute of Scientific and Technical Information of China (English)

    王聪; 刘春丽

    2016-01-01

    The necessity to use altmetrics in developing institutional repository and related problems were pointed out based on an analysis of the developing institutions, opening levels, used software, content types, metrical indications and tools of institutional repositories in University of Massachusetts Medical School and Peking University Medical School, with certain measures put forward in order to provide the theoretical basis for domestic medical colleges and universities to develop their institutional repositories.%运用文献分析、对比分析等方法,分析了马萨诸塞大学医学院机构知识库和北京大学医学部机构知识库的建立单位、开放程度、使用软件、内容类型、计量学指标与工具,提出了建立机构知识库时应用补充计量学的必要性,指出了应用补充计量学工具中存在的问题及应对策略,为我国医学高校机构知识库的建设提供理论依据。

  8. SCIENTIFIC EVENTS OF THE TURNER SCIENTIFIC AND RESEARCH INSTITUTE FOR CHILDREN’S ORTHOPEDICS AS A FORM OF CONTINUOUS MEDICAL EDUCATION FOR PEDIATRIC TRAUMATOLOGISTS

    Directory of Open Access Journals (Sweden)

    Karina S. Solovyova

    2017-03-01

    Full Text Available The experience of the Turner Scientific and Research Institute for Children's Orthopedics in educational activities for improvement of the professional knowledge of pediatric physicians was represented. The target audience of the continuous medical education include traumatologists, pediatric surgeons, and doctors of related specialties of Russia that are involved in diagnosis, treatment, and rehabilitation of children with injuries, congenital and acquired diseases of the musculoskeletal system. Since 1986, the Institute has organized 28 all-Russian scientific and practical conferences on topical issues of traumatology and orthopedics of pediatric age in 22 different cities across the country. In the interest of the institute, the school of pediatric orthopedists is constantly working for district orthopedists of children's polyclinics of St. Petersburg, and regular monothematic seminars are performed with the participation of leading Russian experts and visiting lecturers from abroad. These scientific and practical activities improve the professional skills of doctors and help them improve the provision of specialized care to children.

  9. Risk of internet addiction among undergraduate medical, nursing, and lab technology students of a health institution from Delhi, India

    Directory of Open Access Journals (Sweden)

    Anika Sulania

    2015-01-01

    Full Text Available Objective: To assess prevalence, usage pattern, and risk of internet addiction (IA among undergraduate students of a health institution from Delhi. Materials and Methods: A cross-sectional descriptive study was carried out during March-April 2015 using 20-item Young′s IA test, a Likert scale-based interview schedule with scores ranging from 0 to 100 points with a higher score indicating greater internet dependency. Background variables included sociodemographic details, general health practices, self-assessment of mental health status, inter-personal relation (family/friends, personality type, and global satisfaction in life. The scoring pattern was analyzed in the form of low risk (score ≤49 points and high risk (score ≥50 points for IA. The proportion, Chi-square test, adjusted, and un-adjusted odds ratio (OR (95% confidence interval were computed using regression analysis. Results: Out of 202, 40.6% were MBBS students, followed by 35.6% from nursing, and 23.8% from medical lab technology stream; 68.3% were females; the mean age was 20.3 ± 1.4 years; and 61.9% were residing in hostels. It was observed that 44 (21.8% and 22 (10.9% students had ever consumed alcohol and smoked, respectively, while only 42 (20.8% were engaged in physical activity (≥30 min during most (≥5 of the days of the week. Based on self-assessment, 33 (16.3% were globally dissatisfied and 88 (43.6% reported themselves to be introverts. The majority of students were using internet for educational purpose (98%, entertainment (95.0%, accessing social sites (92.5%, checking E-mails (76.2%, and pornographic websites (45%. With regard to IA, 171 (84.7% were at low risk (score ≤49 and 31 (15.4% were at high risk (score ≥50. Male students (P = 0.001, ever consumed alcohol (P = 0.003, ever smoker (P = 0.02, and regular physical activity (P = 0.04 were found to be significantly associated with a high risk of IA based on Chi-square test, but none were found significant

  10. The vicious circle of patient-physician mistrust in China: health professionals' perspectives, institutional conflict of interest, and building trust through medical professionalism.

    Science.gov (United States)

    Nie, Jing-Bao; Cheng, Yu; Zou, Xiang; Gong, Ni; Tucker, Joseph D; Wong, Bonnie; Kleinman, Arthur

    2017-09-18

    To investigate the phenomenon of patient-physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi-structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient-physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust (particularly physicians' distrust of patients and their relatives) leads to increased levels of fear and self-protection by doctors which exacerbate difficulties in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization. These factors produce poorer healthcare outcomes and increasingly discontented and angry patients, escalate conflicts and disputes, and result in negative media coverage, all these ultimately contributing to even greater levels of mistrust. The vicious circle indicates not only the crisis of patient-physician relationship but the crisis of medicine as a profession and institution. Underlying the circle is the inherent conflict of interest in the healthcare system by which health professionals and hospitals have become profit-driven. This institutional conflict of interest seriously compromises the fundamental principle of medical professionalism-the primacy of patient welfare-as well as the traditional Chinese ideal of "medicine as the art of humanity". Patient trust can be restored through rectifying this institutional conflict of interest and promoting medical professionalism via a series of recommended practical measures. © 2017 John Wiley & Sons Ltd.

  11. A 360-degree Data Governance Strategy for Medical Institutions%面向医疗机构的360°数据管控策略研究

    Institute of Scientific and Technical Information of China (English)

    王斌; 李忠

    2012-01-01

    Objective To provide a 360-degree data governance strategy for medical institutions in order to further improve the medical information quality and access efficiency. Methods With the enterprise medical data warehouse as the basis platform, the accountability recognition mechanism of medical institutions internal data was perfected, and the active data governance was exerted with a 360-degree all-round view under data stewardship in the following areas: data quality, data integration, data security and privacy, metadata management, and master data management. Results Through this kind of full -spectrum data governance, medical institutions could greatly improve their information access efficiency and data quality, and finally step into a new elaborately-managed operational mode. Conclnsion In virtue of clear data monitoring, standardized workflow, and definitive data stewardship, this 360-degree data governance can help effectively and efficiently solve the data integration and data quality problems massively confronting medical institutions. [Chinese Medical Equipment Journal,2012,33(6) :45-48]%目的:为了进一步提高医疗数据质量和信息获取效率,提出一种面向医疗机构的360°全方位数据管控机制.方法:以企业级数据仓库为基础平台,完善医疗机构内部数据认责机制,并通过对数据质量、数据集成、数据安全与隐私、元数据管理、数据标准等细分层面的主动管控,以360°全方位视角完成整个医疗机构的数据管控.结果:通过这种全方位数据管控,医疗机构可以有效提升数据准确率和利用率,通过有效反馈,不断完善,最终步入精细化运营阶段.结论:360°全方位医疗数据管控平台通过监控数据流向、规范工作流程、明确数据职责,可以有效地解决异构系统集成问题,大幅度提升数据质量和数据访问效率.

  12. An economic analysis of inadequate prescription of antiulcer medications for in-hospital patients at a third level institution in Colombia

    Directory of Open Access Journals (Sweden)

    Jorge Enrique Machado-Alba

    2014-02-01

    Full Text Available Introduction: The prescription and costs of antiulcer medications for in-hospital use have increased during recent years with reported inadequate use and underused. Aim: To determine the patterns of prescription-indication and also perform an economic analysis of the overcost caused by the non-justified use of antiulcer medications in a third level hospital in Colombia. Materials and methods: Cross-sectional study of prescription-indication of antiulcer medications for patients hospitalized in "Hospital Universitario San Jorge" of Pereira during July of 2012. Adequate or inadequate prescription of the first antiulcer medication prescribed was determined as well as for others prescribed during the hospital stay, supported by clinical practice guidelines from the Zaragoza I sector workgroup, clinical guidelines from the Australian Health Department, and finally the American College of Gastroenterology Criteria for stress ulcer prophylaxis. Daily defined dose per bed/day was used, as well as the cost for 100 beds/day and the cost of each bed/drug. A multivariate analysis was carried out using SPSS 21.0. Results: 778 patients were analyzed, 435 men (55.9% and 343 women, mean age 56.6 ± 20.1 years. The number of patients without justification for the prescription of the first antiulcer medication was 377 (48.5%, and during the whole in-hospital time it was 336 (43.2%. Ranitidine was the most used medication, in 438 patients (56.3%. The cost/month for poorly justified antiulcer medications was € 3,335.6. The annual estimated cost for inadequate prescriptions of antiulcer medications was € 16,770.0 per 100 beds. Conclusion: A lower inadequate prescription rate of antiulcer medications was identified compared with other studies; however it was still high and is troubling because of the major costs that these inadequate prescriptions generates for the institution.

  13. [The order of coding road traffic injuries in accordance with ICD-10 at government forensic medical expertise institutions of the Russian Federation].

    Science.gov (United States)

    Aleksandrova, G A; Kovalev, A V; Vaĭsman, D Sh

    2013-01-01

    The authors describe the order of coding road traffic injuries in accordance with the 10th edition of the International Classification of the Disease (ICD-10) at government forensic medical expertise institutions of the Russian Federation. In addition, they analyse the application of the coding rules and the identification of the primary causes of death with a view to obtaining reliable road traffic accident mortality statistics compatible with the respective internationally available data. Special attention is given to the consideration and recommendation of the rules for making forensic medical diagnosis in accordance with the requirements of ICD-10 and its inclusion in the road traffic death certificates. The authors emphasize the importance of compliance with the rules for formulation of medical death certificates and identification of the cause of the fatal outcome for the reliable calculation of such demographically significant characteristic as road traffic accident mortality.

  14. 在新形势下医疗机构如何做好内部医保管理工作%Reformation of Internal Management Work of Medical Insurance in Medical Institutions

    Institute of Scientific and Technical Information of China (English)

    李万华; 张艳芳

    2012-01-01

    医疗保险制度改革是国家医药卫生体制“三项改革”的重要内容之一,它关系到社会和谐、发展与稳定,人民的安居乐业;随着国家医改的不断深入,医疗保险制度也将逐渐完善,医疗保险市场不断扩大,各种医保新政也将相继出台,这些给医保定点医疗机构医保管理带来了新的挑战和问题,医疗机构如何在医保改革的过程中应对新的矛盾和问题,不断提高内部医保管理水平,更好地顺应医保改革,是本文所要探讨的主要问题.%The medical insurance system reform is one important part of the "three reforms" on national health system. It touches on the social harmony,development and stability,and people' s life and work. With the deepening of the national health care reform, the formation system will be perfected gradually, the medical services market will expand constantly, and lots of new medical insurance policies will be published. Therefore, medical institutions should face more problems and challenges from the reformation. Every medical service institution should improve their internal management level of medical insurance, so as to solve the various problems faced in the medical insurance system reform.

  15. HARP model rotor test at the DNW. [Hughes Advanced Rotor Program

    Science.gov (United States)

    Dawson, Seth; Jordan, David; Smith, Charles; Ekins, James; Silverthorn, Lou

    1989-01-01

    Data from a test of a dynamically scaled model of the Hughes Advanced Rotor Program (HARP) bearingless model main rotor and 369K tail rotor are reported. The history of the HARP program and its goals are reviewed, and the main and tail rotor models are described. The test facilities and instrumentation are described, and wind tunnel test data are presented on hover, forward flight performance, and blade-vortex interaction. Performance data, acoustic data, and dynamic data from near field/far field and shear layer studies are presented.

  16. The spike timing precision of FitzHugh-Nagumo neuron network coupled by gap junctions

    Institute of Scientific and Technical Information of China (English)

    Zhang Su-Hua; Zhan Yong; Yu Hui; An Hai-Long; Zhao Tong-Jun

    2006-01-01

    It has been proved recently that the spike timing can play an important role in information transmission, so in this paper we develop a network with N-unit FitzHugh-Nagumo neurons coupled by gap junctions and discuss the dependence of the spike timing precision on synaptic coupling strength, the noise intensity and the size of the neuron ensemble. The calculated results show that the spike timing precision decreases as the noise intensity increases; and the ensemble spike timing precision increases with coupling strength increasing. The electric synapse coupling has a more important effect on the spike timing precision than the chemical synapse coupling.

  17. Markov chain Monte Carlo approach to parameter estimation in the FitzHugh-Nagumo model.

    Science.gov (United States)

    Jensen, Anders Chr; Ditlevsen, Susanne; Kessler, Mathieu; Papaspiliopoulos, Omiros

    2012-10-01

    Excitability is observed in a variety of natural systems, such as neuronal dynamics, cardiovascular tissues, or climate dynamics. The stochastic FitzHugh-Nagumo model is a prominent example representing an excitable system. To validate the practical use of a model, the first step is to estimate model parameters from experimental data. This is not an easy task because of the inherent nonlinearity necessary to produce the excitable dynamics, and because the two coordinates of the model are moving on different time scales. Here we propose a Bayesian framework for parameter estimation, which can handle multidimensional nonlinear diffusions with large time scale separation. The estimation method is illustrated on simulated data.

  18. Synchronization in heterogeneous FitzHugh-Nagumo networks with hierarchical architecture

    Science.gov (United States)

    Plotnikov, S. A.; Lehnert, J.; Fradkov, A. L.; Schöll, E.

    2016-07-01

    We study synchronization in heterogeneous FitzHugh-Nagumo networks. It is well known that heterogeneities in the nodes hinder synchronization when becoming too large. Here we develop a controller to counteract the impact of these heterogeneities. We first analyze the stability of the equilibrium point in a ring network of heterogeneous nodes. We then derive a sufficient condition for synchronization in the absence of control. Based on these results we derive the controller providing synchronization for parameter values where synchronization without control is absent. We demonstrate our results in networks with different topologies. Particular attention is given to hierarchical (fractal) topologies, which are relevant for the architecture of the brain.

  19. Hub-enhanced noise-sustained synchronization of an externally forced FitzHugh-Nagumo ring

    Science.gov (United States)

    Sánchez, Alejandro D.; Izús, Gonzalo G.; dell'Erba, Matías G.; Deza, Roberto R.

    2017-02-01

    A ring of FitzHugh-Nagumo units with antiphase coupling between their activator fields and submitted to a adiabatic harmonic subthreshold signal, is in turn globally coupled in electrical mode with the activator field of a hub. Noise sustained synchronization of neural activity with the signal is numerically observed, and theoretically characterized. The different dynamical regimes are elucidated using the concept of nonequilibrium potential, and the hub is found to promote network synchronization. The minimum noise intensities triggering the activation and synchronization processes are estimated in the framework of a three-neuron model.

  20. Synchronization and associative memory of FitzHugh-Nagumo neuronal networks with randomly distributed time delays

    Energy Technology Data Exchange (ETDEWEB)

    Peng, J H; Wu, Y J [School of Information Science and Engineering, East China University of Science and Technology, Shanghai 200237 (China); Yu, H J [Department of Mechanics, Shanghai Jiao Tong University, Shanghai 200240 (China)], E-mail: jhpeng@ecust.edu.cn

    2008-02-15

    Synchronization and associative memory in a neural network composed of the widely discussed FitzHugh-Nagumo neurons is investigated in this paper. Based on the reality of the microscopic biological structure in the neural system, the couplings among those neurons are accompanied with randomly distributed time delays which models the times needed for pulses propagating on the axons from the presynaptic neurons to the postsynaptic neurons. The memory is represented in the spatiotemporal firing pattern of the neurons, and the memory retrieval is accomplished with the fluctuations of the noise in the system.

  1. 空间离散Fitz-Hugh-Nagumo方程和双稳反应扩散方程组的渐近行为%Asymptotic Behavioui of Spatial Discretized Fitz-Hugh-Nagumo Equations and Bistable Reaction Diffusion Equations

    Institute of Scientific and Technical Information of China (English)

    黄建华; 路钢

    2000-01-01

    In this paper, we discuss the asymptotic behaviour of spatial disretization of Fitz-Hugh-Nagumo equations and bistable reaction diffusion equations with Neumamn boundary conditions, and the invariant regions, absorbing sets and global attractors are obtained and the estimation of Hausdorff dimension is given.%本文利用扰动方法,研究了Fitz-Hugh-Nagumo方程和双稳反应扩散方程在Neuman边值条件下空间离散后的渐近行为,证明了两个格微分方程组的不变区域、吸引集和整体吸引子的存在性,并给出了离散Fitz-Hugh-Nagumo方程的整体吸引子的Hausdorff维数估计.

  2. [Experiences and recommendations of the German Federal Institute for Drugs and Medical Devices (BfArM) concerning clinical investigation of medical devices and the evaluation of serious adverse events (SAE)].

    Science.gov (United States)

    Renisch, B; Lauer, W

    2014-12-01

    An integral part of the conformity assessment process for medical devices is a clinical evaluation based on clinical data. Particularly in the case of implantable devices and products of risk class III clinical trials must be performed. Since March 2010 applications for the authorization of clinical trials as well as for the waiver of the authorization requirement must be submitted centrally in Germany to the appropriate federal authority, the Federal Institute for Drugs and Medical Devices (BfArM) or the Paul Ehrlich Institute (PEI). In addition to authorization, approval by the responsible ethics committee is also required under law in order to begin clinical testing of medical devices in Germany. In this paper, the legal framework for the clinical testing of medical devices as well as those involved and possible procedures including evaluation criteria for the initial application of a trial and subsequent amendments are presented in detail. In addition, the reporting requirements for serious adverse events (SAEs) are explained and possible consequences of the evaluation are presented. Finally, a summary of application and registration numbers for all areas of extensive experience of the BfArM as well as requests and guidance for applicants are presented.

  3. WORK EXPERIENCE OF THE OPERA TIVE INFORMATION SUPPORT SERVICE FOR SCIENTIFIC RESEARCH A T THE MEDICAL RADIOLOGICAL RESEARCH CENTER NAMED AFTER A.F . TSYB – BRANCH OF THE FEDERAL STATE BUDGET INSTITUTION "NATIONAL MEDICAL RESEARCH RADIOLOGICAL CENTER” OF T

    Directory of Open Access Journals (Sweden)

    N. P. Savina

    2015-01-01

    Full Text Available Abstract:The Operative Information Support Service for Scientific Research of the Medical Radiological Research Center named after A. F. Tsyb — Branch of the FSBI «National Medical Research Radiological Center” of the RF Health Ministry presented a report on providing off-budget support for scientific activities over the period from 1993 to 2014 using domestic and foreign information resources. The dynamics of employee activities in institutional sectors with aim to receive financial support for fundamental and applied scientific research on a competitive and non-competitive basis was given. The analysis of the obtained data indicated that a multi-channeling in off-budget funding was formed. It also showed to some extent a situation at the open market of grants in the field of medical radiology, radiobiology, and radiation epidemiology among leading investors in intellectual products.

  4. A perspective on 10-years HTS experience at the Walter and Eliza Hall Institute of Medical Research - eighteen million assays and counting.

    Science.gov (United States)

    Lackovic, Kurt; Lessene, Guillaume; Falk, Hendrik; Leuchowius, Karl-Johan; Baell, Jonathan; Street, Ian

    2014-03-01

    The Walter and Eliza Hall Institute of Medical Research (WEHI) is Australia's longest serving medical research institute. WEHI's High Throughput Screening (HTS) Facility was established in 2003 with $5 million of infrastructure funds invested by WEHI, and the Victorian State Government's Strategic Technology Initiative through Bio21 Australia Ltd. The Facility was Australia's first truly academic HTS facility and was one of only a handful operating in publicly funded institutions worldwide at that time. The objectives were to provide access to enabling HTS technologies, such as assay design, liquid handling automation, compound libraries and expertise to promote translation of basic research in a national setting that has a relatively young biotech sector and does not have a big Pharma research presence. Ten years on and the WEHI HTS Facility has participated in over 92 collaborative projects, generated over 18 million data points, and most importantly, projects that began in the Facility have been commercialized successfully (due to strong ties with Business Development and emphasis on intellectual property management) and now have molecules progressing in clinical trials.

  5. Federal state educational standards of higher professional education. Discipline «Law»: perspectives of introduction in medical institutes

    Directory of Open Access Journals (Sweden)

    Erugina М.V.

    2012-03-01

    Full Text Available The article discusses the positive and negative impact of the new Federal state educational standards of higher professional education on the quality of studying the discipline «Law» in medical schools

  6. Awareness about Biomedical Waste Management in Undergraduate Medical and Nursing Students at a Teaching Institute in Vizianagaram, Andhra Pradesh

    Directory of Open Access Journals (Sweden)

    Ukey Ujwala U, Kambatla Ramasankaram, Dash Satyanarayan, Naidu NR Appajirao, Kulkarni Ved P

    2012-09-01

    Full Text Available Background: Bio-medical waste collection and proper disposal is a concern for both medical and general community. Medical and Nursing students during and after completing their studies are at potential risk for hazards due to biomedical waste. Thorough knowledge about the subject will decide their practices. Hence the study was limited only to awareness assessment. Objective: To assess awareness in undergraduate medical and nursing students about biomedical waste, its hazards and management. Methods: Data collection was done by a predesigned self administered questionnaire. Results: MBBS students had a fairly better awareness regarding the subject than nursing students. Almost all study participants were aware about colour coding in segregation of biomedical waste. But when asked about which waste is to be put in which bag, correct response was given by almost half amongst them. Conclusions: Practical implications related to the matter should be covered so that hazards of biomedical waste are avoided.

  7. [Costs of medical care attributable to tobacco consumption at the Mexican Institute of Social Security (IMSS), Morelos].

    Science.gov (United States)

    Reynales-Shigematsu, Luz Myriam; Juárez-Márquez, Sergio Arturo; Valdés-Salgado, Raydel

    2005-01-01

    To estimate the cost of medical care for the major diseases attributable to tobacco consumption at the IMSS, Morelos. A cost of illness (COI) analysis was carried out from the perspective of the health provider. An expert panel characterized medical care in primary and secondary care levels according to severity of disease. The smoking attributable fraction (SAF) by disease was used to derive costs attributable to tobacco consumption. The unitary cost was valuated in 2001 Mexican pesos (MP). The estimated annual average cost of medical care (diagnosis and first year of treatment) was 79,530 MP for acute myocardial infarction (AMI); 73,303 MP for chronic obstructive pulmonary disease (COPD); and 102,215 MP for lung cancer (LC). The annual total cost of medical care for IMSS was 147,390 688 MP. The total annual cost of medical care attributable to tobacco consumption corresponds to dollars 124 million MP, which is equivalent to 7.3% of the annual budget of the Morelos Delegation. These results confirm the high medical costs associated with smoking. A repetition of this study at the national level is recommended in order to support decision-makers in strengthening public policies to control tobacco use in Mexico.

  8. "A good career choice for women": female medical students' mentoring experiences: a multi-institutional qualitative study.

    Science.gov (United States)

    Levine, Rachel B; Mechaber, Hilit F; Reddy, Shalini T; Cayea, Danelle; Harrison, Rebecca A

    2013-04-01

    The career decisions, practice patterns, and approach to patient care of current female students, who make up close to 50% of medical school classes, will have a profound impact on the profession. This study explores the role gender plays in the mentoring experiences of female medical students. In 2011, the authors conducted focus groups with 48 third- and fourth-year female medical students at four U.S. medical schools. Using a template organizing style, they derived themes in an iterative process to explore female medical students' mentoring relationships and the impact of gender on those relationships. The authors identified four major themes: (1) Optimal mentoring relationships are highly relational. Students emphasized shared values, trust, and a personal connection in describing ideal mentoring relationships. (2) Relational mentoring is more important than gender concordance. Students identified a desire for access to female mentors but stated that when a mentor and mentee developed a personal connection, the gender of the mentor was less important. (3) Gender-based assumptions and stereotypes affect mentoring relationships. Students described gender-based assumptions and expectations for themselves and their mentors. (4) Gender-based power dynamics influence students' thinking about mentoring. Students stated that they were concerned about how their mentors might perceive their professional decisions because of their gender, which influenced what they disclosed to male mentors and mentors in positions of power. Gender appears to play a role in female medical students' expectations and experience with mentoring relationships and may influence their decision making around career planning.

  9. Montage of a Queering Deferred: Memory, Ownership, and Archival Silencing in the Rhetorical Biography of Langston Hughes.

    Science.gov (United States)

    Summers, Ian

    2016-01-01

    This article explores the intersection of archival privilege and heteronormative bias in the queering of Langston Hughes. Although it has been a common belief in LGBTQ communities that Hughes was gay, the battle over how his sexuality is defined in various biographical texts involves broader issues of dominant representations of sexuality and who gets to speak for those no longer able to speak for themselves. As such, the article examines the texts Looking for Langston and The Life of Langston Hughes as well as the discourses that surrounded both. Through this case study, it is apparent that there are still numerous cultural challenges posed to historical queering and that scholars must take an inventive approach to overcome them.

  10. 云南省无烟医疗卫生机构创建进展%The implementation of tabocco free institution establishment in medical and health care institutions in Yunnan Province

    Institute of Scientific and Technical Information of China (English)

    赵白帆; 石瑜; 罗欣萍

    2015-01-01

    Objective We aim to provide reference to the whole province in smoke control by comparing the re-sults of two stealth investigations and evaluating the effectiveness of the smoke-free environment implementation among medi-cal and health institutions in Yunnan Province.Methods National appraisal standards designed by Chinese Ministry of Health were applied to the stealth investigations in 2011 and 2013.These stealth investigations were targeted at the health ad-ministrative department,public health institutions and medical institutions in 16 prefectures in Yunnan Province.Results The overall score was 57 in 2011,and 68.3 in 2013 (The full score is 100).In 2013,all institutions scored noticeably higher in posting and placing no-smoking logos outdoor smoking zone and indoor smoking signs compared to that in 2011.In 2013,17.7% to 39.7% of the institutions didn’t post no-smoking logos in key venues;22.9% didn’t have any tobacco control pamphlets;39.1% scored 0 in separating outdoor smoking zone.Conclusion Yunnan’s medical and health insti-tutions have been progressing in implementing smoke-free environment,and the gap of smoke control effort among the insti-tutions was narrowing.However,to achieve 100% smoke-free requires that we endeavor to implement policies and supervise smoking behaviors.%目的:比较两轮暗访结果了解云南省无烟医疗卫生系统创建情况,为推进全省医疗卫生系统全面禁烟提供参考依据。方法2011年、2013年使用国家级方案评分标准暗访全省16州市行政部门、公共卫生机构、医疗机构3类机构。结果2011年全省暗访综合评分为57分,2013年为68.3分(满分100分)。2013年各类医疗卫生机构禁烟标识设置、室外吸烟区设置、吸烟状况得分均较2011年明显增加。2013年17.7%~39.7%的机构在重点场所未设置禁烟标识,在22.9%的机构内未发现任何控烟宣传材料,39.1%的机构室外吸烟区得分为0分。结论

  11. Berta and Adelaide: the policy of consolidation of the royal power of Hugh of Arles

    Directory of Open Access Journals (Sweden)

    Giacomo Vignodelli

    2012-10-01

    Full Text Available Both twins dowers made up by Hugh of Provence, king of Italic Kingdom, for his betrothal with Berta and that of his son Lothair with Adelaide, have to be understood within the policy of strengthening the royal power led by the king in the Thirties of the Tenth century: the dowers are in fact the crown of that policy. The double dower constitution supplies the king of Italy the opportunity to reserve for himself (and for the new formed young royal couple a strong control of the center of the Po valley around Pavia and dismantles (for the benefit of the royal domain ducal bases of power in Tuscia. The analysis of the work of Hugh allows us to understand its policy towards the aristocracy and the mechanisms for the promotion of new families (Aleramici, Obertenghi, Canossa. The original documents of dower were kept in the monastery of St. Salvatore of Pavia, founded by Adelaide; this locations isn’t due to the goods endowment of the monastery but to their importance as instrument of political legitimacy of the new Ottonian royal family.

  12. Frequency Effect of Harmonic Noise on the FitzHugh-Nagumo Neuron Model

    Institute of Scientific and Technical Information of China (English)

    宋艳丽

    2011-01-01

    Using harmonic noise,the frequency effect of noise on the FitzHugh-Nagumo neuron model is investigated.The results show that the neuron has a resonance characteristic and responds strongly to the noise with a certain frequency at fixed power.Driven by the noise with this frequency,the train is most regular and the coefficient of variation R has a minimum.The imperfect synchronization takes place,which,however,is optimal only for noise with an appropriate frequency.It is shown that there exists coherence resonance related to frequency.%Using harmonic noise, the frequency effect of noise on the FitzHugh-Nagumo neuron model is investigated. The results show that the neuron has a resonance characteristic and responds strongly to the noise with a certain frequency at fixed power. Driven by the noise with this frequency, the train is most regular and the coefficient of variation R has a minimum. The imperfect synchronization takes place, which, however, is optimal only for noise with an appropriate frequency. It is shown that there exists coherence resonance related to frequency.

  13. Aligning institutional priorities: engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements.

    Science.gov (United States)

    Flanagan, Meghan R; Foster, Carolyn C; Schleyer, Anneliese; Peterson, Gene N; Mandell, Samuel P; Rudd, Kristina E; Joyner, Byron D; Payne, Thomas H

    2016-02-01

    House staff quality improvement projects are often not aligned with training institution priorities. House staff are the primary users of inpatient problem lists in academic medical centers, and list maintenance has significant patient safety and financial implications. Improvement of the problem list is an important objective for hospitals with electronic health records under the Meaningful Use program. House staff surveys were used to create an electronic problem list manager (PLM) tool enabling efficient problem list updating. Number of new problems added and house staff perceptions of the problem list were compared before and after PLM intervention. The PLM was used by 654 house staff after release. Surveys demonstrated increased problem list updating (P = .002; response rate 47%). Mean new problems added per day increased from 64 pre-PLM to 125 post-PLM (P quality and safety initiatives with tangible institutional benefits. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Competencies in premedical and medical education: the AAMC-HHMI report.

    Science.gov (United States)

    Alpern, Robert J; Belitsky, Richard; Long, Sharon

    2011-01-01

    One hundred years ago, Flexner emphasized the importance of science in medicine and medical education. Over the subsequent years, science education in the premedical and medical curricula has changed little, in spite of the vast changes in the biomedical sciences. The National Research Council, in their report Bio 2010, noted that the premedical curriculum caused many students to lose interest in medicine and in the biological sciences in general. Many medical students and physicians have come to view the premedical curriculum as of limited relevance to medicine and designed more as a screening mechanism for medical school admission. To address this, the Association of American Medical Colleges and the Howard Hughes Medical Institute formed a committee to evaluate the premedical and medical school science curricula. The committee made a number of recommendations that are summarized in this essay. Most important were that competencies replace course requirements and that the physical sciences and mathematics be better integrated with the biological sciences and medicine. The goal is that all physicians possess a strong scientific knowledge base and come to appreciate the importance of this to the practice of medicine. While science education needs to evolve, Flexner's vision is as relevant today as it was 100 years ago.

  15. SÍNDROME DE FITZ-HUGH-CURTIS COMO HALLAZGO DURANTE CIRUGÍA GINECOLÓGICA

    OpenAIRE

    Ricci A,Paolo; Solà D,Vicente; Pardo S,Jack

    2009-01-01

    El síndrome de Fitz-Hugh-Curtis es una perihepatitis producida por una peritonitis secundaria al ascenso de bacterias, como resultado de una enfermedad inflamatoria pélvica. En la etapa crónica se pueden observar adherencias entre la pared abdominal y la superficie hepática, caracterizadas por la semejanza a "cuerdas de violín". Esta imagen es considerada criterio diagnóstico. Se presenta un caso de hallazgo de síndrome de Fitz-Hugh-Curtis, pesquisado durante la inspección rutinaria de la cav...

  16. SÍNDROME DE FITZ-HUGH-CURTIS COMO HALLAZGO DURANTE CIRUGÍA GINECOLÓGICA

    OpenAIRE

    Ricci A,Paolo; Solà D,Vicente; Pardo S,Jack

    2009-01-01

    El síndrome de Fitz-Hugh-Curtis es una perihepatitis producida por una peritonitis secundaria al ascenso de bacterias, como resultado de una enfermedad inflamatoria pélvica. En la etapa crónica se pueden observar adherencias entre la pared abdominal y la superficie hepática, caracterizadas por la semejanza a "cuerdas de violín". Esta imagen es considerada criterio diagnóstico. Se presenta un caso de hallazgo de síndrome de Fitz-Hugh-Curtis, pesquisado durante la inspección rutinaria de la cav...

  17. [Optimization of educational activity of departments of educational creativity in the Extension Course Institute for Medical Practitioners MUNKTs n. a. P.V.Mandryka].

    Science.gov (United States)

    Balakhovskiĭ, A A; Koshelev, V P; Anufriev, A A; Vlasenko, T N

    2013-09-01

    Educational creativity is the key component of educational activity. The article is devoted to logical structure of educational creativity, difficulties and problems of formation and development of educational creativity in lecturers participating in educative process with participants of the Extension Course Institute for Medical Practitioners MUNKTs n. a. P.V. Mandryka. Heuristic activity and methods that are a huge part of educational creativity are emphasized. Specific features of heuristic activity are shown; classification of heuristic methods is presented. For the first time authors gave characteristic of qualitative levels of educational creativity.

  18. SWOT analysis on pediatric construction in Shandong grass-root medical institutions%山东省基层医疗机构儿科建设SWOT分析

    Institute of Scientific and Technical Information of China (English)

    李静丽; 甄天民; 韩志琰; 赵芳; 谷景亮; 温楠; 窦伟洁; 马霞

    2015-01-01

    The article uses the SWOT analysis of application management theory, dissecting the strengths, weaknesses, opportunities and challenges of pediatric construction in Shandong grass-root medical institutions. Builds SWOT matrix, and puts forward recommendations on the development of pediatric construction.%采用应用管理理论中的SWOT分析法,对山东省基层医疗机构儿科建设中的优势、劣势,以及面临的机遇和挑战进行剖析,构建SWOT矩阵,并对儿科建设的发展提出建议。

  19. Effect of educational interventions and medical school policies on medical students' attitudes toward pharmaceutical marketing practices: a multi-institutional study.

    Science.gov (United States)

    Kao, Audiey C; Braddock, Clarence; Clay, Maria; Elliott, Donna; Epstein, Scott K; Filstead, William; Hotze, Tim; May, Win; Reenan, Jennifer

    2011-11-01

    To determine the effect of educational interventions on medical students' attitudes toward pharmaceutical industry marketing practices and whether restrictive medical school policies governing medicine-industry interactions are associated with student support for banning such interactions. Prospective cohort study involving the graduating classes of 2009 (intervention, n=474) and 2010 (control, n=459) at four U.S. medical schools. Intervention students experienced a former pharmaceutical representative's presentation, faculty debate, and a Web-based course. Both groups completed baseline and follow-up attitude surveys about pharmaceutical marketing. A total of 482 students (51.6%) completed both surveys. In regression analyses, intervention students were more likely than control students to think that physicians are strongly or moderately influenced by pharmaceutical marketing (OR, 2.29; 95% CI, 1.46-3.59) and believed they would be more likely to prescribe a company's drug if they accepted that company's gifts and food (OR, 1.68; 95% CI, 1.12-2.52). Intervention students were more likely to support banning interactions between pharmaceutical representatives and students (OR, 4.82; 95% CI, 3.02-7.68) and with physicians (OR, 6.88; 95% CI, 4.04-11.70). Students from schools with more restrictive policies were more likely to support banning interactions between pharmaceutical representatives and students (OR, 1.99; 95% CI, 1.26-3.16) and with physicians (OR, 3.44; 95% CI, 2.05-5.79). Education about pharmaceutical marketing practices and more restrictive policies governing medicine-industry interactions seem to increase medical students' skepticism about the appropriateness of such marketing practices and disapproval of pharmaceutical representatives in the learning environment.

  20. Recruitment of Young Medical Apprentices (RYOMA) project: a comprehensive surgical education program at a local academic institute in Japan.

    Science.gov (United States)

    Nanashima, Atsushi; Hidaka, Shigekazu; Nonaka, Takashi; Yamasaki, Naoya; Tsuchiya, Tomoshi; Matsumoto, Keitaro; Miyazaki, Takuro; Hatachi, Go; Sumida, Yorihisa; Sawai, Terumitsu; Yasutake, Toru; Nagayasu, Takeshi

    2014-01-01

    The number of young surgeons in Japan has significantly decreased in recent years, which may lead to future problems in the medical field. Therefore, comprehensive training programs for young surgeons are needed. Retrospective study We developed a specific education program called the "Recruitment of Young Medical Apprentices" (RYOMA) project. We performed this project between January 2008 and August 2013 on fourth- to sixth-year medical students and internship doctors. The RYOMA project included step-by-step surgical education programs on open and scopic procedures as dry, wet, and animal laboratory training. Our goal was to increase the number of young and specialist surgeons. Based on an interview questionnaire answered by 90 medical students, most young students were interested in surgical training and several chose to become surgeons in the future. The most positive opinions regarding the field of surgery were the impressive results achieved with surgery, whereas negative opinions included the difficulty of the surgical skill, physical concerns related to difficult work environments, and the severity of surgical procedures. The present program has begun to resolve negative opinions through adequate training or simulations. Of the 19 medical students and internship doctors who attended the RYOMA project in 2008, 17 trainees (90%) were satisfied with this special surgical program and 16 (88%) showed interest in becoming surgeons. The number of participants considering the field of surgery increased between 2008 and 2013. Of 23 participants, 19 (83%) had a positive opinion of the program after the training. Gaining experience in surgical training from an early stage in medical school and step-by-step authorized education by teaching staff are important for recruiting students and increasing the number of young surgeons. Copyright © 2014 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  1. 医疗机构不应就患者的医疗意外伤害投保责任险%Medical Institutions should not Insure Patients for His or Her Medical Accidental Injuries

    Institute of Scientific and Technical Information of China (English)

    王启辉; 汤建平; 王晓东

    2012-01-01

    近年部分地区尝试进行了医疗意外责任险,从经济效果看,因保费计算不合理、责任期间设定不公平,医疗意外责任险无法达到预期经济效果;从法律效果看,因医疗机构对保险标的无保险利益,医疗意外责任险合同无效;而从社会效果看,医疗意外责任险的实施可能使医患关系恶化.因此,应当停止实施医疗意外责任险.%In recent years medical accidental liability insurance was carried out in some regions. But because of unreasonable premium and unfair liability enactment in terms of economic aspects, medical accidental liability insurance can not achieve the expected economic effect. A medical institution dose not has insurable interests in the subject matter of the insurance, so in terms of legal effect, the contract of insurance shall be invalid. Furthermore in terms of the perspective of social effect, medical accidental liability insurance may further worsen the doctor-patient relationship. Therefore medical accidental liability insurance should not be implemented.

  2. [Family psychotherapy in medical institutions of the Instituto del Servicio de Seguridad Social de los Trabajadores del Estado].

    Science.gov (United States)

    Serrano, H

    1977-01-01

    The evolution of family therapy in Mexico is briefly reviewed. It is considered that the reach of this method is limited in institutions due to the lack of qualified psychotherapists with the different orientations of this speciality. The illness, as a sign of family imbalance within the humanistic concept, acquires an even if the treatment is given to the marital couple, the adolescent or the child. Family therapy helps in marital disagreements, behavior problems, anorexia, reactive depression, drug addictions, alcoholism and many other problems. The ISSSTE population has a stable location and is more or less homogeneous; in it family therapy is stimulating and possible; even though the institution imposes certain limitations to family therapy, the enthusiasm for this therapeutic method prevails.

  3. REQUIREMENTS FOR STORAGE AND TRANSPORT OF BIOTECHNOLOGICAL MEDICAL PRODUCTS IN ACCORDANCE WITH THE REGULATORY FRAMEWORK OF MINISTRY OF PUBLIC HEALTH OF UKRAINE AND DETECTION OF VIOLATIONS IN THE MEDICAL AND PHARMACEUTICAL INSTITUTIONS

    Directory of Open Access Journals (Sweden)

    Shukaeva O.

    2015-05-01

    Full Text Available Introduction. The rapid development of the pharmaceutical industry and the expansion of the range of biotech drugs require special conditions to ensure the quality, storage and transport through out the entire chain: manufacturer - distributor - pharmacy - hospital - the patient.We analyzed the current legislative frame work of Ministry of Public Health of Ukraine and conducted a study to identify and analyze of typical violations in the medical and pharmaceutical institutions. The aim of the investigation was to investigate and analyze inspection acts under storage and transport of biological medical products and identify major violations during the performance requirements for storage and transportation of drugs, level of awareness about medical products which are requiring special storage requirement. Methods: systemic, logistical, structural, marketing, regulatory. Results & discussion. According to the data presented in the report «Assessing biosimilar uptake and competition in European markets» of «IMS Health», sales of medical products with biological nature - biological medicinal products and biosymilyars is about 27% of total sales of drugs in the EU. This segment of the pharmaceutical market is characterized by faster growth compared to the pharmaceutical marketas a whole. Thus, in 2012-2013 years sales of biological medical products in the EU countries increased by 5.5% compared to 1.5% increase in total sales of drugs. It is important that in Europe, according to the 2013 preparations, the market share in value terms, with eight to prepare biological products, the term of patent protection that are either already expired or will expireby 2020, and therefore they can be competitors with biosymilars. In creasing the number of medications on the market requires a careful approach of storing and preserving the quality of distribution during throughout the life of the medical products in the chain: manufacturer - distributor

  4. 成都市某医疗机构医务人员吸烟及影响因素调查%Smoking Behavior and its Influencial Factors of the Medical Personnel in a Medical Institution in Chengdu

    Institute of Scientific and Technical Information of China (English)

    马振伟; 陈玉翠; 赵立强

    2012-01-01

    Objective To investigate the smoking behavior and influential factors among the medical personnel in a medical institution in Chengdu and discover the major influential factors, so as to provide scientific basis for intervention strategies. Method One medical institution is sampled and all of the personnel are investigated with a questionnaire, of which the smoking behavior and influential factors are the main items. Results The smoking rate of medical personnel in the hospital is 11. 6%. The main influential factors of the smoking behavior are gender, career and income. The smoking behavior rate of the male medical personnel is higher than the female, and the logistic personnel group smoke more heavily than other career groups. The higher the income medical personnel receive, the higher of a smoking behavior rate they have. Conclusion The smoking rate of the medical personnel is high so measures should be taken to control.smoking, especially towards the male medical personnel, the higher income group and the logistic group. There is also need to enforce the promotion and smoking control education, so as to improve the environment of the hospital.%目的 对成都市某医疗机构医务人员吸烟行为及影响因素进行调查,发现吸烟行为的主要影响因素,为制定吸烟的干预策略提供依据.方法 采取整群抽样的方法抽取成都市某医院,对该医院所有员工进行问卷调查.结果 该医院医务人员的吸烟率为11.6%,影响医务人员吸烟行为的主要因素有性别、职业、收入.男性的医务人员吸烟率较高,担任后勤职务的医务人员吸烟率较高,收入越高,医务人员的吸烟行为概率越高.结论 医务人员的吸烟率较高,应对医院医务人员的吸烟进行控制,特别是男性、高收入和后勤医务人员,并加强控烟的宣传教育,以进一步提高医院就医的健康环境.

  5. An Application Architecture of Clinical Data Warehouse for Medical Institutions%一种面向医疗机构的数据仓库应用架构

    Institute of Scientific and Technical Information of China (English)

    王斌

    2012-01-01

    As medical informatics evolved over time, many medical IT systems were built up, accordingly with a plenty of data. At present time, these isolated systems cannot be well compatible with each other, data sharing and data standard problems emerge a lot. The paper introduces an application architecture of data warehouse for medical institutions, which can provide a single truth of store, and help medics make data analysis, knowledge discovery, and strategic or tactic decisions on top of it.%随着医疗信息化建设的不断深入,许多医疗信息系统被创建出来,产生了大量的数据.目前,这些系统之间相对孤立,兼容性较差,数据共享困难,采用的数据标准不一致,不利于分析决策.文章着重介绍了一种面向医疗机构的数据仓库应用架构,数据仓库可以提供唯一的事实版本,方便医护人员利用仓库中的数据执行数据分析、知识发现和战略战术数据决策.

  6. From traditional to patient-centered learning: curriculum change as an intervention for changing institutional culture and promoting professionalism in undergraduate medical education.

    Science.gov (United States)

    Christianson, Charles E; McBride, Rosanne B; Vari, Richard C; Olson, Linda; Wilson, H David

    2007-11-01

    The authors reframe a curriculum change from a traditional lecture-based to an integrated patient-centered approach as an intervention for changing the culture and hidden curriculum of an institution in ways that promote professionalism. Within this context, the authors articulate some of the inherent process and relational factors brought about by these curricular changes that are essential elements of this intervention process. In 1998 the University of North Dakota School of Medicine and Health Sciences (UNDSMHS) introduced a new preclinical patient-centered learning (PCL) curriculum for first- and second-year medical students. Case-based, small-group learning forms the critical foundation of the PCL process, and an integrated basic and clinical science didactic component supports this process. At the student level, the case-based PCL process generates innovative opportunities for professionalism education from the explicitly articulated formal content that arises naturally from the cases, but more importantly from the implicit values inherent to the PCL small-group process itself--humanism, accountability, pursuit of excellence, and altruism. Further, the organizational changes necessary for the transformation to the PCL curriculum required process changes at student, faculty, and administrative levels that have resulted in a cultural shift toward relationship centeredness within the institution. The authors describe the evolution and structure of the PCL curriculum at UNDSMHS and how this curricular transformation has served as an intervention that promotes professionalism and institutional culture change through (1) processes at the student level that present new opportunities for professionalism education, and (2) processes at student, faculty, administrative, and institutional levels that have created an institutional culture that supports, models, and promotes relationship-centered professional values.

  7. Another prisoner dies of HIV in a CSC institution--medical parole not considered until too late.

    Science.gov (United States)

    Betteridge, Glenn

    2006-12-01

    In a 20 July 2006 report, a Québec Coroner criticized Correctional Service Canada's (CSC) handling of a prisoner who died of HIV-related complication while imprisoned. The Coroner recommended that CSC change the way it handles cases of medical parole.

  8. Fitz-Hugh-Curtis syndrome: abdominal pain in women of 26 years old Síndrome de Fitz-Hugh-Curtis: dolor abdominal en mujer de 26 años

    Directory of Open Access Journals (Sweden)

    Liseth Rivero-Sánchez

    2011-10-01

    Full Text Available Fitz-Hugh-Curtis syndrome is an inflammation of the liver capsule as a complication of pelvic inflammatory disease, whose most common etiologic agent is the C. trachomatis. The acute phase of the Fitz-Hugh-Curtis syndrome may present itself with pain in right upper abdomen, commonly confused with other hepatobiliary and gastrointestinal tract diseases. Definitive diagnosis is now possible with non-invasive techniques such as ultrasound, computed tomography, as well as techniques to isolate the responsible germ, available in most centers.El síndrome de Fitz-Hugh-Curtis es una inflamación de la cápsula hepática, como complicación de una enfermedad inflamatoria pélvica, cuyo agente etiológico más frecuente es la C. trachomatis. La fase aguda del síndrome de Fitz-Hugh-Curtis puede presentarse con dolor en cuadrante superior derecho del abdomen, confundiéndose comúnmente con otras enfermedades hepatobiliares y del tracto gastrointestinal. El diagnóstico definitivo es posible hoy en día por técnicas no invasivas como ecografía, tomografía computarizada, además de técnicas para el aislamiento del germen responsable disponibles en la mayoría de los centros.

  9. 温州市口腔医疗废物管理现状调查%SURVEY ON MANAGEMENT STATUS OF MEDICAL WASTE IN DENTAL INSTITUTIONS IN WENZHOU

    Institute of Scientific and Technical Information of China (English)

    刘劲松; 潘乙怀; 赵一荣; 何钢风

    2012-01-01

    Objective To know the management status of medical waste in dental institutions in Wenzhou, to identify the problems and to provide a way to deal with the situation. Methods Field investigation and questionnaires were used to investigate and analysis the medical waste collection, storage and disposal in 181 dental institutions. Results The qualified rate of waste collection and storage in stomatology hospitals was 100% , while it was very low among dental departments in general hospitals, dental clinics and dental out - patient departments. Some practitioners knew little about the management of medical waste. The daily waste disposal procedure used as a substitute for medical waste disposal procedure was popular among dental clinics and dental out - patient departments. Conclusion The measurement to improve the management of medical waste should be focus on strengthen management, training of dental practitioners, and construction of medical waste collection network.%目的 了解温州地区口腔医疗机构医疗废物的管理状况,找出存在的问题,提出对策.方法 通过现场查看和问卷调查方式,对温州地区181家口腔医疗机构医疗废物收集、存储和处理情况进行调查与分析.结果 口腔专科医院对医疗废物收集储存方法合格率为100%,医院口腔科、口腔门诊、口腔诊所合格率比较低.部分从业人员医疗废物相关知识匮乏,医疗废物按普通生活垃圾处置现象突出.结论 加强培训、强化管理和医疗废物收集的网络建设是温州地区口腔医疗废物管理的着力点.

  10. 风险投资进入民营医疗机构的探讨%Discussions on introducing venture capital into private medical institutions

    Institute of Scientific and Technical Information of China (English)

    雒敏

    2012-01-01

    The paper presented the motivation,progress and roadblocks for venture capital to play a role in private medical institutions during the ongoing health reform.The author raised policy suggestions to introduce venture capital into private medical institutions,from such points as laws and regulations,establishment of state-owned venture capital firms,building of exit channels,establishment of managed healthcare market,and development of VC talents for healthcare industry.%阐述了在新医改背景下风险投资进入民营医疗机构的动因、应用情况及所面临的主要问题,从法律法规的完善、国有风险投资公司的建立、退出渠道的构筑、有管理的医疗市场的确定以及医疗行业风险投资人才培养等角度,提出了现阶段进一步发挥风险投资支持民营医疗机构发展的政策建议.

  11. Work Practice and Problem Discussion on Transferring High Quality Medical Resources to Grass-roots Medical Institutions%优质医疗资源下沉工作实践与问题探讨

    Institute of Scientific and Technical Information of China (English)

    陈扬波

    2015-01-01

    Objective To review the achievements and shortcomings of transferring high quality medical resources to grass-roots medical institutions for one year in Zhejiang Province and explore promotion methods.Methods Management and technical team from tertiary hospitals at the provincial and municipal level was regularly dispatched to county hospitals to execute administrative duties and provided support in terms of hospital management, medical quality, medical technology for six months or one year, which gives an all-round guidance by combining medical network service platform construction and information construction etc..Results Transferring high quality medical resources to grass-roots medical institutions has achieved remarkable economic and social benefits after one year's practice, but it also appeared some problems like difficulty in transferring funds and materials, passive attitude of mandated hospitals, employees' worry about interests and medical resource allocation imbalance etc..Conclusion Transferring high quality medical resources to grass-roots medical institutions is a bold innovation and the beneficial attempt for targeted aid work between urban and rural hospitals. To further promote the work, we must deepen the health care reform and accelerate the comprehensive reform of public hospitals.%目的回顾浙江省优质医疗资源下沉一年的成效和不足,探讨推进方法。方法由省市三级医院定期派遣管理技术团队并担任县级医院的行政职务,从医院管理、医疗质量、医疗技术等进行半年至一年的连续扶持,结合医疗网络服务平台构建、信息化建设等给予全方位的帮扶指导。结果优质医疗资源下沉工作一年,取得了显著的经济和社会效益,但也出现了财物下沉困难、被托管医院的被动性、职工对利益的担心、医疗资源配置新的不平衡等问题。结论优质医疗资源下沉是城乡医院对口支援工作的大胆创新和

  12. 河南省医疗卫生机构病床工作效率分析%Hospital bed efficiency analysis of medical institutions in Henan province

    Institute of Scientific and Technical Information of China (English)

    邢丹; 田庆丰

    2015-01-01

    Objective Different methods were used for the analysis of different medical and health institutions in Henan Province in 2012 of hospital bed utilization,to find bed utilization problems,and provide reference for the rational allocation of resources.Methods Static beds utilization model method (SBMA)and the method of rank sum ratio(RSR)were used for planning of data in“2012 health statistics yearbook of Henan province”,for comprehensive analysis of bed utilization efficiency.Results Among the medical and health institutions in Henan province in 2012,general hospitals,maternal and children hospitals(centers)are found with higher utilization of hospital beds,while other institutions (nursing homes),community health service centers(stations)are found lower.Conclusion Henan Province in 2012 was found on the whole with efficient utilization of hospital beds,yet with rooms of improvement for different medical institutions,especially those at the primary level.%目的:运用不同方法分析河南省2012年不同医疗卫生机构病床利用效率,发现当前病床利用上的问题,为合理配置资源提供参考。方法采用静态床位利用模型法(SBMA)和秩和比法(RSR)对《2012年河南省卫生统计年鉴》中的数据进行规化,综合分析病床利用效率。结果河南省2012年不同医疗卫生机构中,综合医院、妇幼保健院(所、站)2类医疗卫生机构病床利用率较高。其他机构(疗养院)、社区卫生服务中心(站)2类医疗卫生机构病床利用率较低。结论河南省2012年病床利用总体上较为高效,但不同医疗机构差异显著,基层医疗机构有待加强。

  13. [Business, politics, science, and visa versa: an institutional history of Brazilian medical journalism between 1827 and 1843].

    Science.gov (United States)

    Ferreira, Luiz Otávio

    2004-01-01

    This analysis of Brazil's first medical newspapers - Propagador das Ciências Médicas (1827-28); Semanário de Saúde Pública (1831-33); Diário de Saúde (1835-36); Revista Médica Fluminense (1835-41); Revista Médica Brasileira (1841-43) - shows how Rio de Janeiro's socio-cultural context made it possible for this type of publication to emerge within the city's dynamic, troubled environment of the 1820s and 30s. I argue that the distinguishing feature of Brazil's early medical journalism was a symbiosis between business (local publishing houses' commercial interests), politics (struggles for political hegemony during the consolidation of the Imperial State), and science (the movement to institutionalize medicine and affirm it as a science).

  14. 12家医疗机构体温计使用现状调查%The current status of thermometers usage of medical institutions in 12 hospitals

    Institute of Scientific and Technical Information of China (English)

    张莉萍; 龚月香; 金学勤

    2014-01-01

    目的:了解本地区医疗机构体温计使用现状及存在问题。方法:自行设计问卷对本地区12家医疗机构252名临床护士进行调查,内容包括主要测温工具、体温计使用管理、护士对各种体温计使用方法的认知、护士对汞污染危害的认知等。结果:水银体温计、无汞体温计在医疗机构的使用率分别是100%、48.39%;90.08%的被调查护士有打破水银体温计经历,其中仅有48.63%的护士认为自己能正确处理泄露在环境中的汞;护士对无汞体温计使用方法、注意事项等的认知率均<30%,与水银体温计比较有统计学差异;医疗机构对无汞体温计的使用管理不规范。结论:本地区医疗机构体温测量呈多元化趋势;医疗机构存在汞污染风险;护士无汞体温计使用知识缺乏;无汞体温计临床使用管理存在空白,希望得到管理层的重视和护理相关规范的支持。%Objectives: To investigate the current status of thermometers usage and existing problems. Methods: Totally 252 clinical nurses were recruited from 12 medical institutions in Kunshan and investigated by a self-designed questionnaire including major temperature measurement devices, thermometer usage management, nurses' cognitions of various kinds of thermometers usage and mercury pollution hazard. Results: The usage rates of mercury thermometer and mercury free thermometers in medical institutions were 100% and 48.39%, respectively. About 90.08% nurses had the experience of breaking mercury thermometer and only 48.63% of them considered they could properly handle the leakage of mercury in the environment. The cognition rates of the mercury free thermometers usage method and usage matters needing attention were <30%, which was statistically signiifcant with those of mercury-thermometers. The usage and management of mercury free thermometer in medical institutions were not normative. Conclusion: Temperature

  15. [The medical, social and institutional challenges resulting from poliomyelitis: comprehensive rehabilitation in Argentina in the mid-twentieth century].

    Science.gov (United States)

    Alvarez, Adriana

    2015-01-01

    Poliomyelitis on an epidemic scale gave rise to several challenges, one of which was the rehabilitation from the after-effects on many of the people who suffered from the disease. Paralysis and the ways it transformed the concept of physical rehabilitation (where the objective was only to restore the mobility of the affected muscles) and comprehensive rehabilitation that included social, educational and professional aspects in Argentina in the mid-twentieth century are the themes addressed in this article. It uses the methodology of institutional history that interacts in an ongoing manner with the history of health and disease.

  16. Central Nervous System Functional Condition In Interns With Different Progress Levels At Military Medical Institution Of Higher Education

    Directory of Open Access Journals (Sweden)

    N.A. Bochkarjova

    2009-06-01

    Full Text Available The characteristics of CNS functional condition and cognitive functions of interns with different progress levels at Military Medical School have been analyzed. According to the research results, the rate of excitement, noiseroof feature, functional mobility of nervous processes, development of verbal and logical thinking, verbal and operative memory as well as distribution and shifting of attention are the most important suppositions for successful military-professional training.

  17. Standardized patient assessment of medical student empathy: ethnicity and gender effects in a multi-institutional study.

    Science.gov (United States)

    Berg, Katherine; Blatt, Benjamin; Lopreiato, Joseph; Jung, Julianna; Schaeffer, Arielle; Heil, Daniel; Owens, Tamara; Carter-Nolan, Pamela L; Berg, Dale; Veloski, Jon; Darby, Elizabeth; Hojat, Mohammadreza

    2015-01-01

    To examine, primarily, the effects of ethnicity and gender, which could introduce bias into scoring, on standardized patient (SP) assessments of medical students and, secondarily, to examine medical students' self-reported empathy for ethnicity and gender effects so as to compare self-perception with the perceptions of SPs. Participants were 577 students from four medical schools in 2012: 373 (65%) were white, 79 (14%) black/African American, and 125 (22%) Asian/Pacific Islander. These students were assessed by 84 SPs: 62 (74%) were white and 22 (26%) were black/African American. SPs completed the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE) and the Global Ratings of Empathy tool. Students completed the Jefferson Scale of Empathy and two Interpersonal Reactivity Index subscales. The investigators used 2,882 student-SP encounters in their analyses. Analyses of SPs' assessments of students' empathy indicated significant interaction effects of gender and ethnicity. Female students, regardless of ethnicity, obtained significantly higher mean JSPPPE scores than men. Female black/African American, female white, and female Asian/Pacific Islander students scored significantly higher on the JSPPPE than their respective male counterparts. Male black/African American students obtained the lowest SP assessment scores of empathy regardless of SP ethnicity. Black/African American students obtained the highest mean scores on self-reported empathy. The significant interaction effects of ethnicity and gender in clinical encounters, plus the inconsistencies observed between SPs' assessments of students' empathy and students' self-reported empathy, raise questions about possible ethnicity and gender biases in the SPs' assessments of medical students' clinical skills.

  18. 6Associate Professor, Department of ENT, Amrita Institute of Medical Sciences, Kochi, Kerala, India. Amrita Vishwa Vidyapeetham University

    Directory of Open Access Journals (Sweden)

    Alexander John

    2016-09-01

    Full Text Available Background: Teacher education curricula should enable teachers to facilitate learners’ acquiring knowledge, attitudes, behavior and skills that they will need in their profession. Though there are faculty development programmes that are being conducted in India, there are only a few published reports of the same.  Aims & Objectives: To assess the “Effectiveness of a Short training in Teaching Methodology for entry level Medical Teachers.” Settings and Design: A quasi-experimental study with pre-test post-test design and an educational intervention was carried out on 30 consenting Senior Residents at a Medical College in Kochi. Material & Methods: The intervention was eight-hour training in teaching methodology using a curriculum designed by the researcher in consultation with experts. Data analysis was done using SPSS software to compare the pre and post - test scores of the residents. Results: Overall feedback was positive. The participants reported that “they had learned a lot” and were of the view that “the course would help them to put forward better performances” when assigned teaching-learning tasks. The pre-test and post-test scores were compared and significant improvement was found with regard to knowledge, motivation to teach (reflecting attitude change and practice. Conclusion: A short training in teaching methodology has helped entry level medical teachers to become more effective in their teaching.

  19. 医学科研院所的形象识别系统研究%Study of corporation identity system in Medical Scientific Research Institutions

    Institute of Scientific and Technical Information of China (English)

    车艳春; 何春艳; 王晓辉; 邵聪文

    2009-01-01

    企业形象识别系统战略的独特管理理论及主要方法已在许多企业中得以成功运用,自然也成为当前新形势下医学科研院所进行现代化管理值得借鉴的模式之一.根据企业形象识别系统的理论,对新形势下中国医学科学院、北京协和医学院医学牛物学研究所的形象识别系统进行了研究和设计,并在实际工作中逐步导入.通过埘企业形象识别系统导入过程的具体实践分析,探讨了其在医学科研院所管理工作中的重要作用及其导入过程中值得关注的问题.%The characteristic theory and main methods of the Corporation Identity System(CIS)have Successfully been applied in many corporations,resulting in simultaneous use by some medical scientif ic research institutions in their modern management under current new situations.In this paper,the new CIS system of the Institute was studied and designed based upon the CIS system theory followed by gradual introduction in the practical works.Via the demiled analysis of this CIS introduction in practice,the significance of this CIS system in management of medical scientific research institutions was investigated and some critical points needed to take care in the CIS intreduction process were concluded.

  20. Pretext, Context, Subtext: Textual Power in the Writing of Langston Hughes, Richard Wright, and Martin Luther King, Jr.

    Science.gov (United States)

    Bogumil, Mary L.; Molino, Michael R.

    1990-01-01

    Studies verbal pretexts, social subtexts, and interpretive contexts of works by Langston Hughes, Richard Wright, and Martin Luther King, Jr. Notes that cultural repression is propagated (and dispelled) in part through the power of language. Notes that these texts are relevant for teaching textual power in hopes of affecting social change. (RS)

  1. Ethic Review on Clinical Experiments of Medical Devices in Medical Institutions%医疗机构中医疗器械临床试验的伦理审查

    Institute of Scientific and Technical Information of China (English)

    帅万钧; 晁勇; 王宁; 徐世宁

    2011-01-01

    医疗器械临床试验是对医疗器械的安全性和有效性按照规定进行试用或验证的过程,该过程需由具有医疗器械临床试验资格的医疗机构审核,经其医学伦理委员会评审通过后,方可进行.对医疗机构中医疗器械临床试验伦理审查的内容、流程和批准标准分别进行了分析和评述,为医疗机构保证临床试验的安全有效提供依据.%Clinical experiments are always used to evaluate the safety and validity of medical devices.The experiments have two types of clinical trying and testing.Ethic review must be done by the ethics committee of the medical department with the qualification of clinical research, and the approval must be made before the experiments.In order to ensure the safety and validity of clinical experiments of medical devices in medical institutions, the contents, process and approval criterions of the ethic review were analyzed and discussed.

  2. Theoretical analysis and control results for the FitzHugh-Nagumo equation

    Directory of Open Access Journals (Sweden)

    Marko Antonio Rojas-Medar

    2008-12-01

    Full Text Available In this paper we are concerned with some theoretical questions for the FitzHugh-Nagumo equation. First, we recall the system, we briefly explain the meaning of the variables and we present a simple proof of the existence and uniqueness of strong solution. We also consider an optimal control problem for this system. In this context, the goal is to determine how can we act on the system in order to get good properties. We prove the existence of optimal state-control pairs and, as an application of the Dubovitski-Milyoutin formalism, we deduce the corresponding optimality system. We also connect the optimal control problem with a controllability question and we construct a sequence of controls that produce solutions that converge strongly to desired states. This provides a strategy to make the system behave as desired. Finally, we present some open questions related to the control of this equation.

  3. The synchronization of FitzHugh-Nagumo neuron network coupled by gap junction

    Institute of Scientific and Technical Information of China (English)

    Zhan Yong; Zhang Su-Hua; Zhao Tong-Jun; An Hai-Long; Zhang Zhen-Dong; Han Ying-Rong; Liu Hui; Zhang Yu-Hong

    2008-01-01

    It is well known that the strong coupling can synchronize a network of nonlinear oscillators. Synchronization provides the basis of the remarkable computational performance of the brain. In this paper the FitzHugh-Nagumo neuron network is constructed. The dependence of the synchronization on the coupling strength, the noise intensity and the size of the neuron network has been discussed. The results indicate that the coupling among neurons works to improve the synchronization, and noise increases the neuron random dynamics and the local fluctuations; the larger the size of network, the worse the synchronization. The dependence of the synchronization on the strength of the electric synapse coupling and chemical synapse coupling has also been discussed, which proves that electric synapse coupling can enhance the synchronization of the neuron network largely.

  4. A correspondence between the models of Hodgkin-Huxley and FitzHugh-Nagumo revisited

    Science.gov (United States)

    Postnikov, Eugene B.; Titkova, Olga V.

    2016-11-01

    We present the discussion on the possibility to scale the classical dimensionless FitzHugh-Nagumo model of neuronal self-sustained oscillations to the range of variables corresponding to the results, which are provided by the biophysically relevant reduced two-dimensional Hodgkin-Huxley equations (the Rinzel model). It is shown that there exists a relatively simple choice of affine transformation, which results in time-dependent solutions, which reproduce with a high accuracy the time course of the recovery variable and the sharp onsets (intervals of fast motions on a phase trajectories) of the voltage spikes. As for the latter, the reasons for unavoidable difference are discussed as well as a necessity of taking into account applied current values during such a scaling procedure.

  5. Stochastic bifurcation in FitzHugh Nagumo ensembles subjected to additive and/or multiplicative noises

    Science.gov (United States)

    Hasegawa, Hideo

    2008-02-01

    We have studied the dynamical properties of finite N-unit FitzHugh-Nagumo (FN) ensembles subjected to additive and/or multiplicative noises, reformulating the augmented moment method (AMM) with the Fokker-Planck equation (FPE) method [H. Hasegawa, J. Phys. Soc. Japan 75 (2006) 033001]. In the AMM, original 2N-dimensional stochastic equations are transformed to eight-dimensional deterministic ones, and the dynamics is described in terms of averages and fluctuations of local and global variables. The stochastic bifurcation is discussed by a linear stability analysis of the deterministic AMM equations. The bifurcation transition diagram of multiplicative noise is rather different from that of additive noise: the former has the wider oscillating region than the latter. The synchronization in globally-coupled FN ensembles is also investigated. Results of the AMM are in good agreement with those of direct simulations (DSs).

  6. Phase Propagations in a Coupled Oscillator-Excitor System of FitzHugh-Nagumo Models

    Institute of Scientific and Technical Information of China (English)

    ZHOU Lu-Qun; OUYANG Qi

    2006-01-01

    @@ A one-dimensional array of 2N + 1 automata with FitzHugh-Nagumo dynamics, in which one is set to be oscillatory and the others are excitable, is investigated with bi-directional interactions. We find that 1 : 1 rhythm propagation in the array depends on the appropriate couple strength and the excitability of the system. On the two sides of the 1: 1 rhythm area in parameter space, two different kinds of dynamical behaviour of the pacemaker, i.e. phase-locking phenomena and canard-like phenomena, are shown. The latter is found in company with chaotic pattern and period doubling bifurcation. When the coupling strength is larger than a critical value,the whole system ends to a steady state.

  7. Fitz-Hugh-Curtis syndrome lacking typical characteristics of pelvic inflammatory disease.

    Science.gov (United States)

    Mitaka, Hayato; Kitazono, Hidetaka; Deshpande, Gautam A; Hiraoka, Eiji

    2016-06-22

    A 23-year-old Japanese woman, previously a commercial sex worker, presented with a 2-day history of right upper quadrant (RUQ) abdominal pain, worse on deep inspiration. She had noticed increased vaginal discharge 2 months earlier and had developed dull, lower abdominal pain 3 weeks prior to presentation. Although pelvic examination and transvaginal ultrasonography revealed neither a tubal nor ovarian pathology, abdominal CT scan with contrast demonstrated early enhancement of the hepatic capsule, a finding pathognomonic for Fitz-Hugh-Curtis syndrome (FHCS). Cervical discharge PCR assay confirmed Chlamydia trachomatis infection. This case highlights that normal gynaecological evaluation may be insufficient to rule out FHCS, for which physicians should have a high index of suspicion when seeing any woman of reproductive age with RUQ pain. 2016 BMJ Publishing Group Ltd.

  8. Identification of the FitzHugh-Nagumo Model Dynamics via Deterministic Learning

    Science.gov (United States)

    Dong, Xunde; Wang, Cong

    In this paper, a new method is proposed for the identification of the FitzHugh-Nagumo (FHN) model dynamics via deterministic learning. The FHN model is a classic and simple model for studying spiral waves in excitable media, such as the cardiac tissue, biological neural networks. Firstly, the FHN model described by partial differential equations (PDEs) is transformed into a set of ordinary differential equations (ODEs) by using finite difference method. Secondly, the dynamics of the ODEs is identified using the deterministic learning theory. It is shown that, for the spiral waves generated by the FHN model, the dynamics underlying the recurrent trajectory corresponding to any spatial point can be accurately identified by using the proposed approach. Numerical experiments are included to demonstrate the effectiveness of the proposed method.

  9. The African-American grandmother in autobiographical works by Frederick Douglass, Langston Hughes, and Maya Angelou.

    Science.gov (United States)

    Hill-Lubin, M A

    1991-01-01

    Using the autobiographies of Frederick Douglass, Langston Hughes, and Maya Angelou, this article demonstrates that the portrait of the African-American grandmother is one of action, involvement, hope, and dignity. In examining the works, we observe her functioning in three areas: as the preserver and most tenacious survivor of the African extended family; second, as repository and distributor of the family history, wisdom, and black lore; this role places her at the foundation of the Black, oral and written, literary and creative traditions; and third, as the retainer and transmitter of values and ideals that support and enhance her humanity, her family, and her community. This function emphasizes her spirituality. It is suggested that the grandmother, having played an important role in the growth, development, and artistic flowering of the autobiographer, can become a model and source of empowerment for future generations.

  10. 医学科研院所的文化创新与实践探索%Culture innovation and practical proposal in medical scientific research institutions

    Institute of Scientific and Technical Information of China (English)

    车艳春; 何春艳; 戴青

    2010-01-01

    随着我国市场经济体制改革和卫生事业体制改革的不断深化,医学科研院所更加重视对管理模式的创新.作为思想和理论层次上的文化建设,正在越来越多的医学科研院所中发挥着重要作用.本文论述了医学科研院所文化产生的背景、内涵及创新的内容,并结合中国医学科学院、北京协和医学院医学生物学研究所的实践活动,分析了新形势下医学科研院所文化创新的思路及做法.%With the continuous development of the reform of the state marketing economic system and the health care service system, the medical scientific research institutions have paid much more attention to the innovation of operating managerial patterns in practice. As an important and advanced managerial patter in thought and theoretical aspects, the construction of enterprise culture has played a major role in many institutions. In this paper, the general background, culture deposits and innovation in institutions were discussed;the ideas and actions in practice of culture innovation in new situation were proposed via practical activities taken place at the Institute.

  11. Mammographic Screening Provided by the National Health Insurance Corporation: A 1 year Audit in a Secondary Medical Institution

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Na Mi; Lee, A Lum; Lee, Hae Kyung; Yi, Beom Ha; Cha, Jang Gyu [Soonchunhyang University Bucheon Hospital, Bucheon (Korea, Republic of)

    2009-01-15

    We performed a medical audit of the mammograms performed as part of the existing public cancer screening program to propose a plan for improving the program. We analyzed the results of 3,317 mammograms performed between March 2006 and February 2007. The American College of Radiology Breast Imaging Reporting and Data System (ACR BI{sub R}ADS) guidelines were used for follow-up and outcome monitoring. Cases in categories 0, 4, and 5 were followed up by a review of the patient's medical records and a phone call survey to determine the reasons for not continuing with follow-up examinations. The mean age of the women enrolled in this study was 51 years. The rate of recall was approximately 6.4% and the cancer detection rate was 2.1 out of every 1000 women examined. Positive predictive values (PPV) of 1, 2 and 3 were observed in 3.3%, 33.3% and 70.0%, respectively. The sensitivity and specificity were 100% and 93.8%, respectively. As a result of the phone-call survey to determine the reasons for not following up with additional examinations, 53.8% of cases were 'belittled since there was no subjective symptom,' and 16.3%, 'didn't check the cancer examination notice thoroughly or did not fully understand it'. The result of medical audit indicates that reading and follow-up examinations were conducted in a relatively proper manner. Taking into consideration the characteristics of the objects for public examination, it is thought that active follow-up management as well as a written notice of the results, is necessary for patients who were found to be abnormal.

  12. ROLE OF SPIRITUALITY AS A WAY OF COPING FROM BURNOUT IN MEDICAL STUDENTS OF A TERTIARY CARE INSTITUTE IN INDIA

    Directory of Open Access Journals (Sweden)

    Sagar Shrikant

    2016-03-01

    Full Text Available BACKGROUND Medical students are exposed to various stressful conditions in their journey towards becoming a successful doctor leading to burnout. Adoption of faulty coping mechanisms increases the risk further. Spirituality as a way of coping can help to reduce burnout in these students. MATERIALS & METHODS We decided to conduct a study with aims to assess the prevalence of burnout in medical students, to study their socio-demographic profile and to understand the role of spirituality as a way of coping from burnout. Ethics Committee approval was obtained. It was a cross-sectional study wherein random 100 medical students studying in MBBS were selected. A semi-structured questionnaire to obtain details about socio- demographic profile, Burnout Measure-Short Version Scale and Spiritual attitude inventory were administered. RESULTS The present study shows prevalence of burnout as 64%. According to socio-demographic profile, there was no association of burnout with age. Burnout was significantly more in females (n=48; 75%, hostellers (n=51; 79.69% and students studying in final year (n=22; 34.37% or in internship (n=28; 43.75%. There was no significant difference in burnout and non-burnout Group with respect to rural or urban background and socioeconomic class. On comparing spirituality, it was found that students without burnout were more spiritual when compared to students with burnout, also severity of burnout was negatively correlated with spirituality in all four domains i.e religious spiritual practice, negative religious coping, sense of purpose/connection and sense of hope/control. Thus spirituality as a way of coping acts as a buffer and prevents from burnout.

  13. How prepared are your interns to take calls? Results of a multi-institutional study of simulated pages to prepare medical students for surgery internship.

    Science.gov (United States)

    Frischknecht, Adam C; Boehler, Margaret L; Schwind, Cathy J; Brunsvold, Melissa E; Gruppen, Larry D; Brenner, Michael J; Hauge, Linnea S

    2014-08-01

    This study evaluated a simulated pages curriculum that was developed to assess communication and clinical decision making in medical students and interns. A curriculum consisting of 14 simulated pages was administered across 5 institutions to 150 senior medical students. A 3-case subset was administered to interns who did not participate in the curriculum. Six expert surgeons identified critical fails and set passing scores for case-specific assessments using the Graphical Hofstee Method. Participants in the curriculum demonstrated superior clinical decision making compared with non-participants across all cases scenarios (P < .01). Average medical student scores for clinical decision making were 46.9%. Global ratings averaged 6.0 for communication and 5.2 for patient care. Passing rates averaged 46%. Participation in a mock page curriculum improved performance. The performance of participants based on expert standards set for simulated page performance highlight the need for innovative approaches to improve interns' preparedness to take calls. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. Report of the CIRRPC Executive Committee regarding EPA NESHAP regulations on radionuclides for medical research institutions and radiopharmaceutical manufacturers

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1990-06-01

    There appears to be no compelling public health protection reason for EPA`s promulgation of NESHAP regulations to control air emissions of radioactive materials from NRC-licensed facilities engaged in activities associated with the practice and development of nuclear medicine. The NRC`s existing regulations provide the necessary controls for protection and EPA`s regulations would only add burdensome reporting requirements at substantial cost to medical treatment and diagnosis. Availability of nuclear medicine practice could be impacted and advancements through research delayed.

  15. A RELATIONSHIP BETWEEN BMI AND BLOOD PRESSURE AMONG FIRST YEAR MBBS STUDENTS OF MYSORE MEDICAL COLLEGE AND RESEARCH INSTITUTE

    Directory of Open Access Journals (Sweden)

    Lohith Rao

    2015-03-01

    Full Text Available AIMS & OBJECTIVE: To evaluate relationship between BMI and Blood Pressure among 1ST Year M.B.B . S . students of Mysore medical college. METHODOLOGY: A total of 126 students, 79 males and 47 females participated in the study conducted between June and July 2014 at Mysore Medical College . All students were divided into underweight, normal, over weight according to Western Pacific Regional Or ganization 2000 (WPRO BMI classification. Hypertension was determined from the measurement of Blood pressure (BP. Comparison of blood pressure among different groups was made by ANOVA. RESULTS: Their mean age was calculated to be 18.6 years. Among studen ts 23.8% were overweight and 22.2% were underweight while rest had normal BMI.A consistent increase was seen in the prevalence of hypertension in Underweight, Normal, Overweight Mean values of systolic BP (110.9, 114.3, 124.0 mmHg and diastolic BP (76.2, 74.0, 78.4 mmhg also increased with increasing BMI. CONCLUSION: The present study tested the hypothesis that there is a significant correlation between BMI with SBP , MBP & RRP

  16. An online spaced-education game to teach and assess medical students: a multi-institutional prospective trial.

    Science.gov (United States)

    Kerfoot, B Price; Baker, Harley; Pangaro, Louis; Agarwal, Kathryn; Taffet, George; Mechaber, Alex J; Armstrong, Elizabeth G

    2012-10-01

    To investigate whether a spaced-education (SE) game can be an effective means of teaching core content to medical students and a reliable and valid method of assessing their knowledge. This nine-month trial (2008-2009) enrolled students from three U.S. medical schools. The SE game consisted of 100 validated multiple-choice questions-explanations in preclinical/clinical domains. Students were e-mailed two questions daily. Adaptive game mechanics re-sent questions in three or six weeks if answered, respectively, incorrectly or correctly. Questions expired if not answered on time (appointment dynamic). Students retired questions by answering each correctly twice consecutively (progression dynamic). Posting of relative performance fostered competition. Main outcome measures were baseline and completion scores. Seven-hundred thirty-one students enrolled. Median baseline score was 53% (interquartile range [IQR] 16) and varied significantly by year (Pgames. An SE game is an effective and well-accepted means of teaching core content and a reliable and valid method to assess student knowledge. SE games may be valuable tools to identify and remediate students who could benefit from additional educational support.

  17. Nature and frequency of medication errors in a geriatric ward: an Indonesian experience

    Directory of Open Access Journals (Sweden)

    Ernawati DK

    2014-06-01

    Full Text Available Desak Ketut Ernawati,1,2 Ya Ping Lee,2 Jeffery David Hughes21Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia; 2School of Pharmacy and Curtin Health Innovation and Research Institute, Curtin University, Perth, WA, AustraliaPurpose: To determine the nature and frequency of medication errors during medication delivery processes in a public teaching hospital geriatric ward in Bali, Indonesia.Methods: A 20-week prospective study on medication errors occurring during the medication delivery process was conducted in a geriatric ward in a public teaching hospital in Bali, Indonesia. Participants selected were inpatients aged more than 60 years. Patients were excluded if they had a malignancy, were undergoing surgery, or receiving chemotherapy treatment. The occurrence of medication errors in prescribing, transcribing, dispensing, and administration were detected by the investigator providing in-hospital clinical pharmacy services.Results: Seven hundred and seventy drug orders and 7,662 drug doses were reviewed as part of the study. There were 1,563 medication errors detected among the 7,662 drug doses reviewed, representing an error rate of 20.4%. Administration errors were the most frequent medication errors identified (59%, followed by transcription errors (15%, dispensing errors (14%, and prescribing errors (7%. Errors in documentation were the most common form of administration errors. Of these errors, 2.4% were classified as potentially serious and 10.3% as potentially significant.Conclusion: Medication errors occurred in every stage of the medication delivery process, with administration errors being the most frequent. The majority of errors identified in the administration stage were related to documentation. Provision of in-hospital clinical pharmacy services could potentially play a significant role in detecting and preventing medication errors.Keywords: geriatric, medication errors, inpatients, medication delivery process

  18. 论医疗机构的食品安全风险监测工作%Study on Risk Monitoring of Food Safety of Medical Institutions

    Institute of Scientific and Technical Information of China (English)

    范正轩; 范晖

    2011-01-01

    目的 通过对医疗机构食品安全风险监测工作的讨论,明确食源性疾病监测是医疗机构在食品安全风险监测中的工作内容,为医疗机构开展食源性疾病监测提供工作借鉴.方法 通过文献资料搜集、整理,归纳出医疗机构在食品安全风险监测中的详细工作内容,结合具体工作实际,摸索出医疗机构今后的工作思路.结果 食源性疾病监测包括异常病例或者异常健康事件监测、食源性疾病暴发监测、食源性疾病主动监测3方面.结论 医疗机构应该建立长效的食品安全风险监测机制,在卫生行政部门的领导下,与疾控中心实现工作互动,信息共享,切实履行食源性疾病监测的工作任务.%[ Objective ] To clarify the food-borne diseases surveillance is an important sector of food safety risk monitoring by discussing the risk monitoring of food safety of medical institutions, and provide the reference for food-borne diseases surveillance. [ Methods ] By collecting and finishing data of literatures, and the detailed content of food safety risk monitoring was summed up. Combined with practical experience, further working idea of medical institutions was discussed. [ Results] The food-borne diseases surveillance included monitoring of abnormal cases and health events, monitoring of food-borne diseases outbreaks and active surveillance of foodborne diseases. [ Conclusion ] Medical institutions should establish long-term food safety risk monitoring system, implement working interaction and sharing information with local CDC under the leadership of health administrative departments, so as to perform the duty of the food-borne diseases surveillance.

  19. Goal-oriented incentive payment in CUDAM institution and variation in medical visit indicators in children under one and pregnant women

    Directory of Open Access Journals (Sweden)

    Marcelo Morales

    2011-11-01

    Full Text Available ntroduction: The establishment of National Integrated Health System in Uruguay from 2007 led to changes in the financing of the Collective Health Care Institutions (IAMC. They charge the National Health Fund (FONASA for their partners from social security (SS a health fee consists of: a A risk-adjusted capita (94%b A component for compliance with performance (6%, depending on the fulfillment of three goals of care. Goal 1 is a component of the child under 1 year and a component of the pregnant woman. For both components were established institutional baseline (July 2007-September 2008 in the control patients in both age groups. This motif COMPLIANCE quarterly reports with a fee of $48/user FONASA/month for average baseline compliment. Las for children and pregnant women were monitored for IAMC CUDAM 64% and 59% respectively.This institution has 42,000 users, 95% derived from SS, featuring 45 births, 585 children <1 year and 405 pregnant women tested monthly.Objectives: Evaluate two years (July-September 2010:a The mean percentages of compliance for children and pregnant CUDAM with medical controlb Relationship between income through the FONASA insitucional for goal 1 and children and pregnant women in medical management during the quarter.Methods: a retrospective study of children and pregnant women with medical control CUDAM. In turn, each target has 6 indicators (N: children, F: females. Child: N1 and N2: derivation and acquisition of the newborn, N3: controls as a guideline, N4: current vaccination, N5: ultrasound hip and pregnant, N6: accreditation in good feeding practices for infants and young children and pregnant women. Pregnant woman: M1 controls as a guideline, M2: leaf perinatal information system, M3: HIV and VDRL performed, M4: uptake in 1 st quarter, M5 and M6: dental checkup during pregnancy and postpartum.Results: The mean percentages of compliance for children and pregnant women increased to 92% (164 additional children and 88

  20. Study on Customer Plastic Medical Searching Behavior of Different Plastic Medical Institutions%不同类型整形医疗机构顾客寻医行为现状探讨

    Institute of Scientific and Technical Information of China (English)

    张鹤明; 杜俊峰; 聂祝锋

    2011-01-01

    目的:调查不同类型整形医疗机构顾客特征、寻医行为特征及相关影响因素,提出顾客管理建议.方法:对公立三甲医院整形顾客74例、民营整形门诊顾客108例进行寻医行为现状调查,并于1个月后对其满意度进行追踪随访;利用t检验和卡方分析进行描述性分析和比较.结果:与民营整形机构相比,公立医院整形顾客年龄明显偏大,而经济水平等其他人口学特征差异不大;两组对象整形信息的获得渠道都以网络、电视、刊物等外围媒介为主,但在具体渠道构成上有差异.两组顾客事先都有咨询公立医疗机构的经历,但本次整形决策动因和选择机构的原因有差异.顾客术后满意度分别为81%和85%,1个月后随访满意度略有提高,两组间2次满意度差异不大,但公立医院顾客更满意医院技术水平,而民营整形机构顾客更满意的是民营机构的服务态度.结论:合理引导整形顾客的整形寻医行为,公立医疗机构须加大咨询的力度,两类医疗机构都须加强顾客管理,提高顾客满意度.%Objective: Investigate the customer plastic medical searching behavior, to explore customer' s characteristics, decision factors and customer management stategy of different plastic medicalinstitutions. Methods: A questionnaire survey was used in the study. 74 customers of public medical institution and 108 customers of private hospital underwent an investigation, and then follow-up survey was used. T-test and chisquare analysis was applied to comparison and descriptive. Results: Except age, there is no significant demographic difference between two groups; Plastic information acquirements of two groups are Internet, television and publication Customers have prior consultation in public medical institution, but the motive and the cause of selecting mechanisms on two groups have differences. Satisfaction of two groups is no difference, but public hospital plastic customers

  1. 中美医疗过失诉讼制度的比较及法律启示%Sino-American Medical Malpractice Litigation Institutions and Their Legal Implications

    Institute of Scientific and Technical Information of China (English)

    李勇

    2015-01-01

    医疗过失诉讼制度有化解医疗纠纷、构建和谐医疗秩序、提高医疗质量、规范医学创新、追求司法正义和维护社会公平的独特地位和作用。分析了中美两国医疗过失诉讼制度在适用法律、医疗技术损害责任归责原则、专家鉴定制度、医疗损害赔偿标准、医疗过失诉讼制度的改革五个方面差异,主张重视对无过错责任的适用、深化替代性纠纷解决机制以及衔接、加强医疗过失诉讼制度与医疗责任保险的关系以及推进医疗损害赔偿。%Medical malpractice litigation institution has its special status and function in terms of resolving medical dispute , constructing harmonious medical order ,improving medical quality ,regulating medical innovation ,pursuing judicial justice and safeguarding social equity .By analyzing the law of application ,principles of liability fixation of medical technology liability damages , expert testimony institution , standard of indemnity of medical damages and reforms in medical malpractice litigation institution between China and the United States ,the author drew conclusions that we should attach importance to the research of non‐fault liability application , deepen the research of alternative dispute resolution , strengthen the research of relations between medical malpractice litigation institutions and medical liability insurance ,and boost the research of indemnity of medical damages .

  2. State Institution "National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine" - research activities and scientific advance in 2013.

    Science.gov (United States)

    Bazyka, D; Sushko, V; Chumak, A; Buzunov, V; Talko, V; Yanovych, L

    2014-09-01

    Research activities and scientific advance achieved in 2013 at the State Institution "National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine" (NRCRM) concerning medical problems of the Chornobyl disaster, radiation medicine, radiobiology, radiation hygiene and epidemiology in collaboration with the WHO network of medical preparedness and assistance in radiation accidents are outlined in the annual report. Key points include the research results of XRCC1 and XPD gene polymorphism in thyroid cancer patients, CD38 gene GG genotype as a risk factor for chronic lymphocytic leukemia, frequency of 185delAG and 5382insC mutations in BRCA1 gene in women with breast cancer, cognitive function and TERF1, TERF2, TERT gene expression both with telomere length in human under the low dose radiation exposure. The "source-scattering/shielding structures- man" models for calculation of partial dose values to the eye lens and new methods for radiation risk assessment were developed and adapted. Radiation risks of leukemia including chronic lymphocytic leukemia in the cohort of liquidators were published according to the "case-control" study results after 20 years of survey. Increase of non-tumor morbidity in liquidators during the 1988-2011 with the maximum level 12-21 years upon irradiation was found. Incidence in evacuees appeared being of two-peak pattern i.e. in the first years after the accident and 12 years later. Experimental studies have concerned the impact of radio-modifiers on cellular systems, reproductive function in the population, features of the child nutrition in radiation contamination area were studied. Report also shows the results of scientific and organizational, medical and preventive work, staff training, and implementation of innovations. The NRCRM Annual Report was approved at the Scientific Council meeting of NAMS on March 3, 2014.

  3. INVESTIGATION ON DISINFECTION QUALITY OF BAOJI MEDICAL INSTITUTION%宝鸡市医疗机构消毒质量调查

    Institute of Scientific and Technical Information of China (English)

    王军浩; 贾敏; 李旭龙; 薛福堂

    2011-01-01

    Objective To know all levels of medical institutions disinfection quality condition in Baoji, in order to strengthen the hospital disinfection management. Methods Sampling and testing methods were used to monitor the disinfection effecacy and the sanitary quality in 20 different rank of hospital of Baoji. Results From 1999 ~ 2008, 1 747 samples were gathered in the hospital, the average disinfection eligible rate was 86.7%. In different monitor object, the lowest eligible rate was indoor air and the medical care personnel’s hand, that were 60.3% and 76.8% respectively. The eligible rate of object surface and using disinfectant were 97.1% and 92.9% respectively. Conclusions The Baoji medical institution disinfection quality was low. The disinfection efficacy of the indoor air and the medical care personnel’s hand was unsatisfactory. It should to strengthen the management of supervision, and to improve disinfection management level.%目的 了解宝鸡市各级医疗机构消毒质量状况,以便加强医院消毒管理.方法 采用现场采样和检测方法,对宝鸡市20所不同级别医院的消毒效果及卫生质量进行了监测.结果 自1999-2008年连续10年,共采集医院内不同样品1747份,消毒质量总平均合格率为86.7%.不同监测对象中,以室内空气和医护人员手消毒质量合格率最低,仅为60.3%和76.8%;物体表面和使用中的消毒剂合格率分别为97.1%和92.9%.结论 宝鸡市医疗机构消毒质量总体合格率较低,室内空气和医护人员手消毒效果均不尽人意,需要加强监督管理,改进和提高消毒管理水平.

  4. Quality Control Review of the Dixon Hughes Goodman LLP FY 2014 Single Audit of Logistics Management Institute

    Science.gov (United States)

    2016-09-29

    2012 by the Council of the Inspectors General on Integrity and Efficiency (CIGIE). We considered management comments on a draft of this report when...Suspension, and Debarment; Cash Management; and Reporting Compliance Requirements DHG auditors did not adequately perform audit procedures for...cash management and reporting requirements. The audit procedures were not adequate because the DHG auditors did not perform internal control and

  5. Prevalence of Depression among Elderly Diabetes Mellitus Patients Attending Diabetes Clinic at Bangalore Medical College and Research Institute

    Directory of Open Access Journals (Sweden)

    Shivaraj B Mallappa

    2016-03-01

    Full Text Available "Introduction: Depression is the most common psychiatric disorder among the elderly. Diabetes will add additional burden on occurrence of depression. The study was conducted to study the prevalence of the depression among elderly diabetics who are seeking care at a tertiary care centre. Methods: A cross sectional study held at a diabetes clinic of a tertiary care institute with the purposive sample of 100 subjects during the month of March 2013. The diabetic patients who were above the age of 60 years are surveyed.. WHO Geriatric Depression Scale (GDS short form was used to collect the data. Results: Prevalence of Depression among studied population 41%. Mean age of the study population 67.8 (+6.2 years with females constituting 72%. 39 % of the study population was illiterate and 33 % of them did primary schooling. There were significant association of depression with female gender, widows, illiterates, financially dependent and persons with multiple co-morbid conditions. Conclusion: This study has shown that geriatric depression is highly prevalent. The results of this study emphasize the need of intervention studies which can promote the physical, mental and social health of the patient attending the diabetes clinic." [Natl J Community Med 2016; 7(3.000: 198-200

  6. Management Enviroment in the Designated Medical Institution of the New Rural Cooperative Medical%新农合定点医疗机构管理环境分析

    Institute of Scientific and Technical Information of China (English)

    樊光辉; 王方; 雷坤; 王琳

    2011-01-01

    With the deepening development of medical system reform, Chinas new rural cooperative medi-cal system security role is shown with each passing day. In the implementation process, there are some drawbacks in management controls. The author analyzed the internal and external environment of designated medical institu-tions and put forward some improving measures, which included establishing the contactor system, strengthening business triage, perfecting feedback mechanism, executing couplet, etc.%随着我国医疗体制改革的进一步深化,新型农村合作医疗保障制度的作用日渐显现.新型农村合作医疗制度在执行过程中,出现一些管理控制不到位的现象,分析定点医疗机构的内部和外部环境因素,通过制度监管、建立联系人制度、加强业务分流完善反馈机制、实行联网工作等措施加强新农合定点医疗机构的管理.

  7. Recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, Computer-based Patient Record Institute, Medical Library Association, Association of Academic Health Science Libraries, American Health Information Management Association, American Nurses Association.

    Science.gov (United States)

    Miller, R A; Gardner, R M

    1997-01-01

    In mid-1996, the FDA called for discussions on regulation of clinical software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology has developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. Organizations assisting in development of recommendations, or endorsing the consortium position include the American Medical Informatics Association, the Computer-based Patient Record Institute, the Medical Library Association, the Association of Academic Health Sciences Libraries, the American Health Information Management Association, the American Nurses Association, the Center for Healthcare Information Management, and the American College of Physicians. The consortium proposes four categories of clinical system risks and four classes of measured monitoring and regulatory actions that can be applied strategically based on the level of risk in a given setting. The consortium recommends local oversight of clinical software systems, and adoption by healthcare information system developers of a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively. FDA regulation should exempt most clinical software systems and focus on those systems posing highest clinical risk, with limited opportunities for competent human intervention.

  8. THE MUTIFACTORIAL PATTERN OF OSTEOPOROSIS: A REVIEW OF THE RESEARCHES OF THE DEPARTMENT OF THERAPY, INSTITUTE OF POSTGRADUATE EDUCATION, YAROSLAVL STATE MEDICAL UNIVERSITY

    Directory of Open Access Journals (Sweden)

    O. B. Ershova

    2016-01-01

    Full Text Available Osteoporosis (OP is one of the most common diseases and is characterized by serious clinical manifestations such as low-energy bone fractures that cause severe social consequences. In this connection, OP is now receiving much attention worldwide. In Yaroslavl, the Department of Therapy (Head, Professor N.I. Korshunov, MD, Institute of Postgraduate Education, Yaroslavl State Medical University (Chancellor, Prof. A.V. Pavlov, MD, has been intensively conducting researches into different aspects of OP for more than 20 years. The main areas of the investigations performed are the issues of the epidemiology and outcomes of osteoporotic fractures, the relationship of OP to different diseases (rheumatoid arthritis, cardiovascular diseases, as well as the specific features of the development of OP in fertile men and women and the problem of calcium and vitamin D deficiency in pregnant women. 

  9. Brief Discussion on Financial Management of Primary Medical Institution%浅谈基层医疗机构财务管理

    Institute of Scientific and Technical Information of China (English)

    刘丽娟

    2011-01-01

    Financial management has become important constituent part in management of primary medical institution. Aiming at existent problems of contempt, unscientific, weak of controlling financial and analysis system, the author put forward suggestions of building financial management system and strengthening construction of information network.%当前,基层医疗机构财务管理已成为基层医疗机构管理活动中的重要组成部分。针对现阶段基层医疗机构财务管理运作中存在的重视不够、预算方法不够科学、单位财务控制与分析体系相对薄弱等问题,提出了建立健全财务管理制度、加强信息网络建设等若干建议。

  10. The Medical Education Partnership Initiative (MEPI), a collaborative paradigm for institutional and human resources capacity building between high- and low- and middle-income countries: the Mozambique experience

    Science.gov (United States)

    Virgínia Noormahomed, Emília; Carrilho, Carla; Ismail, Mamudo; Noormahomed, Sérgio; Nguenha, Alcido; Benson, Constance A.; Mocumbi, Ana Olga; Schooley, Robert T.

    2017-01-01

    ABSTRACT Background: Collaborations among researchers based in lower and middle income countries (LMICs) and high income countries (HICs) have made major discoveries related to diseases disproportionately affecting LMICs and have been vital to the development of research communities in LMICs. Such collaborations have generally been scientifically and structurally driven by HICs. Objectives: In this report we outline a paradigm shift in collaboration, exemplified by the Medical Education Partnership Initiative (MEPI), in which the formulation of priorities and administrative infrastructure reside in the LMIC. Methods: This descriptive report outlines the critical features of the MEPI partnership. Results: In the MEPI, LMIC program partners translate broad program goals and define metrics into priorities that are tailored to local conditions. Program funds flow to a LMIC-based leadership group that contracts with peers from HICs to provide technical and scientific advice and consultation in a 'reverse funds flow' model. Emphasis is also placed on strengthening administrative capacity within LMIC institutions. A rigorous monitoring and evaluation process modifies program priorities on the basis of evolving opportunities to maximize program impact. Conclusions: Vesting LMIC partners with the responsibility for program leadership, and building administrative and fiscal capacity in LMIC institutions substantially enhances program relevance, impact and sustainability.

  11. Incidence, histopathology, and surgical outcome of tumors of spinal cord, nerve roots, meninges, and vertebral column - Data based on single institutional (Sher-i-Kashmir Institute of Medical Sciences) experience

    Science.gov (United States)

    Bhat, Abdul Rashid; Kirmani, Altaf Rehman; Wani, Muhammed Afzal; Bhat, Mohammed Haneef

    2016-01-01

    Context: In the absence of a community-based study on the spinal tumors in the Valley, medical records of the only Regional Neurosurgical Center are available. Aim: The aim of this study is to establish a hospital-based regional epidemiology of spinal tumors in the Valley since the data are derived from a single institution. Materials and Methods: A retrospective analysis of 531 malignant and nonmalignant tumors of spinal cord, its coverings and vertebrae, which were managed in a Regional Neurosurgical Center under a standard and uniform medical-protocol over 30-year period from 1983 to 2014. Results: The hospital-based incidence for all spinal tumors was 0.24/100,000 persons per year. The malignant spinal cord and vertebral tumors comprised 32.58% (173/531) of all tumors, and benign spinal cord and vertebral tumors comprised 67.42% (358/531). The extradural–intradural tumors such as metastatic lesions and primary malignant vertebral tumors were on rise with 16.38% (87/531) cases. The children below 18 years were 5.46% (29/531), of which 55.17% (16/29) were below 9 years. The most common primary bone malignancy was multiple myeloma (54.54% =12/22). Histopathologically, the most common metastatic deposit in the spinal canal was non-Hodgkin's lymphoma (24.61% =16/65). A mortality of 3.20% (17/531) was noted. Recurrences were noted in 4.90% (26/531), and adjuvant therapies were given to 16.38% (87/531) patients. Conclusion: The malignant spinal cord and vertebral tumors, especially metastatic deposits, are on rise in elderly population. The surgical outcome, in terms of recovery and spinal stability, of benign tumors, is comparatively better than malignant ones. The study reveals a low regional incidence (hospital-based) of spinal tumors. PMID:27365955

  12. Incidence, histopathology, and surgical outcome of tumors of spinal cord, nerve roots, meninges, and vertebral column - Data based on single institutional (Sher-i-Kashmir Institute of Medical Sciences experience

    Directory of Open Access Journals (Sweden)

    Abdul Rashid Bhat

    2016-01-01

    Full Text Available Context: In the absence of a community-based study on the spinal tumors in the Valley, medical records of the only Regional Neurosurgical Center are available. Aim: The aim of this study is to establish a hospital-based regional epidemiology of spinal tumors in the Valley since the data are derived from a single institution. Materials and Methods: A retrospective analysis of 531 malignant and nonmalignant tumors of spinal cord, its coverings and vertebrae, which were managed in a Regional Neurosurgical Center under a standard and uniform medical-protocol over 30-year period from 1983 to 2014. Results: The hospital-based incidence for all spinal tumors was 0.24/100,000 persons per year. The malignant spinal cord and vertebral tumors comprised 32.58% (173/531 of all tumors, and benign spinal cord and vertebral tumors comprised 67.42% (358/531. The extradural–intradural tumors such as metastatic lesions and primary malignant vertebral tumors were on rise with 16.38% (87/531 cases. The children below 18 years were 5.46% (29/531, of which 55.17% (16/29 were below 9 years. The most common primary bone malignancy was multiple myeloma (54.54% =12/22. Histopathologically, the most common metastatic deposit in the spinal canal was non-Hodgkin's lymphoma (24.61% =16/65. A mortality of 3.20% (17/531 was noted. Recurrences were noted in 4.90% (26/531, and adjuvant therapies were given to 16.38% (87/531 patients. Conclusion: The malignant spinal cord and vertebral tumors, especially metastatic deposits, are on rise in elderly population. The surgical outcome, in terms of recovery and spinal stability, of benign tumors, is comparatively better than malignant ones. The study reveals a low regional incidence (hospital-based of spinal tumors.

  13. Instituciones de asistencia médica colectiva en el Uruguay: impacto de la regulación Collective medical care institutions in Uruguay: Impact of the regulation

    Directory of Open Access Journals (Sweden)

    M. Buglioli

    2002-02-01

    Full Text Available Con más de un siglo de historia en el país y brindando cobertura médica a más de la mitad de los uruguayos a través de una modalidad que integra las funciones de seguro y prestador de servicios, las instituciones de asistencia médica colectiva (IAMC han presentado en la última década un déficit persistente: el 52% de los beneficiarios están adscritos a instituciones con un déficit mayor al 4% sobre ingresos. Se trata de analizar cuál ha sido el impacto de la regulación en algunos aspectos relacionados con el comportamiento de la oferta ­concentración y cuotas del mercado, selección de riesgos, fijación de los precios­ y de la demanda ­selección adversa y el efecto de los copagos en la utilización de servicios­. El mensaje desde la regulación no parece haber promovido los incentivos adecuados para un comportamiento eficiente y de calidad por parte de las IAMC, siendo uno de los temas clave a abordar en un contexto de reforma sectorial.Collective medical care institutions have been in existence for more than a century and have provided medical care to more than half of Uruguayans through a modality that integrates insurance and provision of services. In the last decade, these institutions have presented a persistent deficit: 52% of the beneficiaries are members of institutions with a deficit of more than 4%. We analyze the impact of the regulation of certain aspects related to the behavior of supply (market concentration and quotas, risk selection, price fixing and demand (adverse selection and the effect of the co-payments in services utilization. The regulation seems not to have promoted the necessary incentives to efficiency and quality by the IAMC, one of the key aspects to be approached in the context of sectorial reform.

  14. 寓传统医德于医学院校的中医教学%Instilling traditional medical ethics into traditional Chinese medicine education of medicine institutions

    Institute of Scientific and Technical Information of China (English)

    梁晓春

    2011-01-01

    The ethics of Traditional Chinese Medicine are an important component of Chinese excellent traditional culture,which reflect the interests and expectations of working people.Because it justice but depreciating benefit',it has become the code of conduct for doctors to regulate,restrain,and spur themselves for thousands of years.Under the impacts of market economy,the traditional ethics is hard for young medical students to avoid money worship and other unhealthy thoughts.Therefore,it is essential to instill the merits of traditional medical ethits into the education of Traditional Chinese Medicine in western institutions.in older to lay a good foundation for the country to cultivate medical talents with excellent medical skills and gracious medical ethics.It Can be convinced that if the ethics of traditional Chinese medicine of long standing integrated with modem think well,it will recreate the enormous times value to the traditional ethics.%中医传统医德是中华优秀传统文化的重要组成部分.她反映了广大劳动人民的利益和愿望,崇尚"生命至重"的信念,倡导"医乃仁术"的思想,强调"医贵乎精"的理念,恪守"贵义贱利"的准则,是数千年来医生规范自我、独善其身、鞭策奋进的行为规范.在当今市场经济的冲击下,青年医学生难免受到拜金主义等不健康思想的影响.因此,有必要把传统医德的内容贯穿于医学院校的中医教学之中,为国家培养医德高尚、医术高超的医学人才打下良好的基础.

  15. The Long-Time Behavior of Legendre Spectral Approximation to Fitz-Hugh-Nagumo Equation%Fitz-Hugh-Nagumo方程Legendre谱逼近的长时间性态

    Institute of Scientific and Technical Information of China (English)

    张伟斌

    2005-01-01

    利用Legendre谱方法对Fitz-Hugh-Nagumo方程在空间方向半离散,得到了其近似解的误差估计,并且证明了近似整体吸引子的存在性和上半连续性,从而为研究该方程的长时间行为提供了一个有效的算法.

  16. 静脉输液实际消耗成本核算研究%Actual cost consumption accounting of venous transfusion in public medical institutions

    Institute of Scientific and Technical Information of China (English)

    苏全志; 韩修英; 崔立敏; 于兰贞

    2012-01-01

    Objectives:To calculate the actual cost consumption of venous transfusion accurately in public medical institutions in Binzhou and to provide data evidence for formulating reasonable charging standard of nursing projects. Methods:Three public medical institutions in Binzhou,each one from First-Grade, Second-Grade and Third-Grade public medical institutions respectively, were selected by representative sampling.We collected the related data in 2010 of each institution, calculated the actual cost consumption of different infusion methods using the project cost accounting, method, analyzed cost construction, and compared the difference between actual cost and current valorization. Results: The actual cost consumption of normal steel needle method, indwelling needle method, P1CC method, and Central Venous Catheter(CVC) method of venous transfusion in Third-Grade public medical institution were 25.46, 24.54, 36.87, and 35.88 yuan respectively. The actual cost consumption of normal steel needle method and indwelling needle method in Second-Grade institution were 19.80 and 19.39 yuan respectively.. The actual cost consumption of normal steel needle method in First-Grade institution was 15.55 yuan. The price gaps between actual cost consumption and valorization were 12.60-30.87 yuan and the cost compensation rates were only 11.78~30.94%. The highest proportion of total venous transfusion cost was the nursing human costs which ranged from 39.05% to 53.25%. Conclusion: There are enormous gaps between actual cost consumption of venous transfusion and current valorization. The government should adjust current charging standard based on scientific project cost accounting of venous transfusion.%目的:准确核算滨州市公立医疗机构静脉输液实际消耗成本,为制定合理的护理项目收费标准提供数据支持.方法:采用便利抽样方法,分别选取滨州市一、二、三级公立医疗机构各一家,收集其2010年的相关资料;运用项目成

  17. Research Progress on Allocation of Clinical Engineering Stafifng in Medical Institutes%医疗机构临床工程人员配置研究进展

    Institute of Scientific and Technical Information of China (English)

    裴智军; 高关心

    2015-01-01

    The concept of clinical engineering staff and the necessity of reasonable allocation of clinical engineering staffing were given firstly. Then this paper reviewed the methods of allocating clinical engineering staff at home and abroad, including staff allocation based on the number of health technicians, operating beds and medical device, the total acquisition cost of medical devices and workload calculation. Several suggestions for allocation of clinical engineering staff were put forward based on the summarization of all the methods, which provided references for formulation of accurate, reliable and feasible methods to allocate clinical engineering staff in medical institutes.%本文介绍了临床工程人员的概念与合理配置临床工程人员的必要性,综述了国内外临床工程人员配置方法,包括以卫生技术人员数量按比例配置、以开放床位数量按比例配置、以医疗设备数量或总值金额按比例配置、以临床工程部门工作量测算配置,并在各类方法总结比较的基础上,提出对临床工程人员现状和配置标准进行系统和深入研究的相关建议,以期为医疗机构制定科学、合理、可操作性强的临床工程人员编配办法提供参考。

  18. THE MOST COMMON REASONS FOR MEDICAL REFERRALS TO THE REHABILITATION OF THE MOTION ORGAN WITHIN THE PREVENTION OF DISABILITY PENSION OF SOCIAL INSURANCE INSTITUTION

    Directory of Open Access Journals (Sweden)

    Łukasz Polit

    2013-11-01

    Full Text Available Introduction: In the second half of the twentieth century, there was a significant increase in the incidence of civilisation diseases caused by the increasing pace of life, and a greater degree of industrialization and the ubiquitous stress. This phenomena was accompanied by the problem of unemployment and an aging of a population. An annual increasing number of people staying at long-term sick leave and people who completely lose their ability to work was the reason for the introduction by Social Insurance Institution a system of rehabilitation within the prevention of disability pension which mission is to help people to return to active work. Thanks to the rehabilitation system insured people gain not only the health improvement and functioning of the body but are given a chance to recover or improve ability to work which they lost as a result of the disease. Aim of the study : Finding the most common reasons for medical referrals to rehabilitation of the organ motion within the prevention of disability pension by Social Insurance Institution comparing gender, age, occupation, co-existing illnesses and disease entity which is the basis for referral to rehabilitation. Methodology: There was analysed information about finished rehabilitation among 1529 patients who were rehabilitated to be more efficient within the prevention of disability pension of Social Insurance Institution in Non-Public Health Establishment “Medicus” in Kielce. Results : In the period 2005–2011 there was a group of 1529 patients who were rehabilitated within the prevention of disability pension of Social Insurance Institution, including 549 women (37%, and 980 men (63%. In all age groups both among women and men the basic disease entity was the disorder of roots of the nerves (G54. Overcharging of the spinal structures occurred often within men whose main forms of activity were connected with physical effort and women whose occupation was mainly a clerical work

  19. Research on the Effective Setting and Implementing Strategy of the Performance Evaluation Index of Medical Institutions%探究医疗机构绩效考核指标的有效设定及实施策略

    Institute of Scientific and Technical Information of China (English)

    秦敏春

    2015-01-01

    Performance assessment is an important part of human resource management in medical institutions, and effective performance assessment can be achieved successfully. At present, our country most of the medical institutions have been carried out performance appraisal, but because of the local medical institutions of assessment standards, most medical institutions by the traditional administrative appraisal and management personnel without the existence of a clear assessment goals, so medical institutions no form a unified and scientific performance appraisal system. In this paper, the author through the analysis of the common problems of medical institutions, to explore the setting of performance evaluation indicators, and how to effectively implement the performance assessment strategy.%绩效考核是医疗机构人力资源管理的重要环节,有效的绩效考核可以顺利实现管理目标。目前,我国大部分的医疗机构已经进行绩效考核,但因为各地方医疗机构的考核标准不一,大多数医疗机构采用传统的行政考核方法,管理人员没有明确考核目标等问题的存在,所以医疗机构没有形成统一科学的绩效考核体系。本文中,笔者通过分析医疗机构存在的普遍问题,探究绩效考核指标的设定,以及如何有效实施绩效考核的策略。

  20. Delcam立足中国再创辉煌--访Delcam公司总经理Hugh Humphreys

    Institute of Scientific and Technical Information of China (English)

    王崇民; 朱旭

    2004-01-01

    @@ 进入2004年以来,Delcam(中国)公司表现得非常活跃,在进行一系列人事调整之后,西安办事处正式挂牌,紧接着又将北京迪勒克斯科技发展有限公司纳入旗下,使其成为Delcam(中国)华北地区增值经销商,在签约仪式上,记者见到了专程从英国前来祝贺的Delcam PLC集团公司总经理HughHumphreys先生,开朗、风趣的HughHumphreys先生非常愉快地接受了本刊记者的采访.

  1. New type of chimera structures in a ring of bistable FitzHugh-Nagumo oscillators with nonlocal interaction

    Science.gov (United States)

    Shepelev, I. A.; Vadivasova, T. E.; Bukh, A. V.; Strelkova, G. I.; Anishchenko, V. S.

    2017-04-01

    We study the spatiotemporal dynamics of a ring of nonlocally coupled FitzHugh-Nagumo oscillators in the bistable regime. A new type of chimera patterns has been found in the noise-free network and when isolated elements do not oscillate. The region of existence of these structures has been explored when the coupling range and the coupling strength between the network elements are varied.

  2. 结合医学信息学发展 做好省情报研究所工作%Combining with the Development of Medical Informatics and Doing Well in Provincial Intelligence Institutes Work

    Institute of Scientific and Technical Information of China (English)

    魏津平; 丁会峰

    2012-01-01

    The paper introduces the development background of medical inforrnatics, combing with the experiences of Hebei Institute of Medical Information, the paper puts forward the key development directions in provincial intelligence institutes, including medical intelligence research and service, health informatization construction as well as medical journals editing.%介绍医学信息学发展的背景,结合河北省医学情报研究所工作实际,提出省情报研究所工作重点发展方向,包括医学情报研究与服务、卫生信息化建设及医学科技期刊工作。

  3. Lian-Sheng Ma, Editor-in-Chief of WJG, warmly meets Professor Hugh J Freeman from the University of British Columbia

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Lian-Sheng Ma, Editor-in-Chief of World Journal of Gastroenterology (WJG), warmly met Professor Hugh J Freeman from the University of British Columbia at Peninsula Hotel in Beijing on August 28, 2007. Professor Hugh J Freeman gave much helpful advice toward the further development of WJG. He will serve as series editor for a new column called OBSERVER which will start in WJG in 2008.

  4. Dynamical System Approach for Edge Detection Using Coupled FitzHugh-Nagumo Neurons.

    Science.gov (United States)

    Li, Shaobai; Dasmahapatra, Srinandan; Maharatna, Koushik

    2015-12-01

    The prospect of emulating the impressive computational capabilities of biological systems has led to considerable interest in the design of analog circuits that are potentially implementable in very large scale integration CMOS technology and are guided by biologically motivated models. For example, simple image processing tasks, such as the detection of edges in binary and grayscale images, have been performed by networks of FitzHugh-Nagumo-type neurons using the reaction-diffusion models. However, in these studies, the one-to-one mapping of image pixels to component neurons makes the size of the network a critical factor in any such implementation. In this paper, we develop a simplified version of the employed reaction-diffusion model in three steps. In the first step, we perform a detailed study to locate this threshold using continuous Lyapunov exponents from dynamical system theory. Furthermore, we render the diffusion in the system to be anisotropic, with the degree of anisotropy being set by the gradients of grayscale values in each image. The final step involves a simplification of the model that is achieved by eliminating the terms that couple the membrane potentials of adjacent neurons. We apply our technique to detect edges in data sets of artificially generated and real images, and we demonstrate that the performance is as good if not better than that of the previous methods without increasing the size of the network.

  5. The relaxation time of processes in a FitzHugh-Nagumo neural system with time delay

    Energy Technology Data Exchange (ETDEWEB)

    Gong Ailing; Zeng Chunhua [Faculty of Science, Kunming University of Science and Technology, Kunming 650093 (China); Wang Hua, E-mail: zchh2009@126.com [Province Engineering Research Center of Industrial Energy Conservation and New Technology, Kunming University of Science and Technology, Kunming, Yunnan 650093 (China)

    2011-08-01

    In this paper, we study the relaxation time (RT) of the steady-state correlation function in a FitzHugh-Nagumo neural system under the presence of multiplicative and additive white noises and time delay. The noise correlation parameter {lambda} can produce a critical behavior in the RT as functions of the multiplicative noise intensity D, the additive noise intensity Q and the time delay {tau}. That is, the RT decreases as the noise intensities D and Q increase, and increases as the time delay {tau} increases below the critical value of {lambda}. However, above the critical value, the RT first increases, reaches a maximum, and then decreases as D, Q and {tau} increase, i.e. a noise intensity D or Q and a time delay {tau} exist, at which the time scales of the relaxation process are at their largest. In addition, the additive noise intensity Q can also produce a critical behavior in the RT as a function of {lambda}. The noise correlation parameter {lambda} first increases the RT of processes, then decreases it below the critical value of Q. Above the critical value, {lambda} increases it.

  6. Robust Synchronization of Delayed Chaotic FitzHugh-Nagumo Neurons under External Electrical Stimulation

    Directory of Open Access Journals (Sweden)

    Muhammad Rehan

    2012-01-01

    Full Text Available Synchronization of chaotic neurons under external electrical stimulation (EES is studied in order to understand information processing in the brain and to improve the methodologies employed in the treatment of cognitive diseases. This paper investigates the dynamics of uncertain coupled chaotic delayed FitzHugh-Nagumo (FHN neurons under EES for incorporated parametric variations. A global nonlinear control law for synchronization of delayed neurons with known parameters is developed. Based on local and global Lipschitz conditions, knowledge of the bounds on the neuronal states, the Lyapunov-Krasovskii functional, and the L2 gain reduction, a less conservative local robust nonlinear control law is formulated to address the problem of robust asymptotic synchronization of delayed FHN neurons under parametric uncertainties. The proposed local control law guarantees both robust stability and robust performance and provides the L2 bound for uncertainty rejection in the synchronization error dynamics. Separate conditions for single-input and multiple-input control schemes for synchronization of a wide class of FHN systems are provided. The results of the proposed techniques are verified through numerical simulations.

  7. THE ONE-DIMENSIONAL HUGHES MODEL FOR PEDESTRIAN FLOW: RIEMANN-TYPE SOLUTIONS

    Institute of Scientific and Technical Information of China (English)

    Debora Amadori; M. Di Francesco

    2012-01-01

    This paper deals with a coupled system consisting of a scalar conservation law and an eikonal equation,called the Hughes model.Introduced in [24],this model attempts to describe the motion of pedestrians in a densely crowded region,in which they are seen as a 'thinking' (continuum) fluid.The main mathematical difficulty is the discontinuous gradient of the solution to the eikonal equation appearing in the flux of the conservation law.On a one dimensional interval with zero Dirichlet conditions (the two edges of the interval are interpreted as 'targets'),the model can be decoupled in a way to consider two classical conservation laws on two sub-domains separated by a turning point at which the pedestrians change their direction.We shall consider solutions with a possible jump discontinuity around the turning point.For simplicity,we shall assume they are locally constant on both sides of the discontinuity.We provide a detailed description of the localin-time behavior of the solution in terms of a 'global' qualitative property of the pedestrian density (that we call 'relative evacuation rate'),which can be interpreted as the attitude of the pedestrians to direct towards the left or the right target.We complement our result with explicitly computable examples.

  8. Noise-sustained synchronization between electrically coupled FitzHugh-Nagumo networks

    Science.gov (United States)

    Cascallares, Guadalupe; Sánchez, Alejandro D.; dell'Erba, Matías G.; Izús, Gonzalo G.

    2015-09-01

    We investigate the capability of electrical synapses to transmit the noise-sustained network activity from one network to another. The particular setup we consider is two identical rings with excitable FitzHugh-Nagumo cell dynamics and nearest-neighbor antiphase intra-ring coupling, electrically coupled between corresponding nodes. The whole system is submitted to independent local additive Gaussian white noises with common intensity η, but only one ring is externally forced by a global adiabatic subthreshold harmonic signal. We then seek conditions for a particular noise level to promote synchronized stable firing patterns. By running numerical integrations with increasing η, we observe the excitation activity to become spatiotemporally self-organized, until η is so strong that spoils sync between networks for a given value of the electric coupling strength. By means of a four-cell model and calculating the stationary probability distribution, we obtain a (signal-dependent) non-equilibrium potential landscape which explains qualitatively the observed regimes, and whose barrier heights give a good estimate of the optimal noise intensity for the sync between networks.

  9. Subthreshold and suprathreshold vibrational resonance in the FitzHugh-Nagumo neuron model

    Science.gov (United States)

    Zhu, Jinjie; Kong, Chen; Liu, Xianbin

    2016-09-01

    We study the subthreshold and suprathreshold vibrational resonance in the FitzHugh-Nagumo neuron model. For the subthreshold situation, two cases where the stationary states are equilibrium point and limit cycle are considered, where different natures of vibrational resonance are observed via theoretical and numerical methods. Especially when the frequency of the high-frequency driving force is near the so-called canard-resonance frequency, the firing rate can be significantly enhanced at the presence of noise. For the suprathreshold situation, we show that the local maxima of the response amplitude are located at the transition boundaries of different phase-locking patterns. The minimal required forcing amplitudes of high-frequency signal of the firing onset are just multiples of the spiking frequency. Furthermore, phase portraits and time series show that the presence of the global maxima of the response results from not only the suprathreshold but also the subthreshold phase-locking modes. In spite of the distinct characteristics for two stationary states on subthreshold oscillation, the suprathreshold vibrational resonance showed no qualitative difference between the two cases.

  10. Adaptable Analytical Vistas Illumine a Touchstone: Langston Hughes as Minor Author/Poet

    Directory of Open Access Journals (Sweden)

    Mzenga A. Wanyama

    2013-12-01

    Full Text Available The authentic association of spontaneity, as a spur or basis for artistic expression, with the vaunted notion of autonomy in literary creationis nowhere more clearly established than in the work of theorists Gilles Deleuze and Felix Guattari as they, inter-alia, explicate the unique literary repertoire bestowed upon the world by Franz Kafka. In their acclaimed works: Kafka: Toward a Minor Literature and Anti-Oedipus: Capitalism and Schizophrenia,they offered to literary theory the fascinating and analytically productive constructs of deterritorialization and anti-Oedipus in the context of a compelling portraiture of the ways in which various institutionalized relationships subtly prescribe and reinforce inequity in society’s power mechanics that tendentiously impact, among other realities, the nature and quality of literary products. They offered, in the process, a refreshing definition of minor literature that unequivocally restores to literature its distinctive place and role in the amalgamated adjudications of society’s intergroup dissensions. In this regard, the present paper subscribes to the idea that spontaneity equaled the intrinsic and immutable desire of the gifted literary mind of African-American author/poet Langston Hughes to reach expressivity in accordance, strictly, with his unalloyed literary vision and thus made autonomy the inevitable upshot of his inspiration and practice.

  11. Product Failures in Respirators and Consumables: Analysis of Field Safety Notices of 2005-2013 Publicized by the Federal Institute for Drugs and Medical Devices in Germany.

    Science.gov (United States)

    Hannig, Jürgen; Siekmeier, Rüdiger

    2015-01-01

    The current European system governed by the three EC directives 93/42/EEC (Medical Device Directive), 98/79/EC (In-Vitro Diagnostic Directive) and 90/385/EEC (Active Implantable Medical Device Directive) regulates marketing and post-market surveillance of medical devices in the European Economic Area (EEA). In cases of incidents raising the field safety corrective actions (FSCA), manufacturers have to inform the responsible Competent Authority (CA; in Germany this is the Federal Institute for Drugs and Medical Devices, BfArM) and the public by field safety notices (FSN). In this study we analyzed FSN of respirators and consumables directly required for their function, whereas devices for anesthesia and gas delivery were excluded. FSCA and FSN of 2005-2013 publicized by BfArM for the included products were analyzed with respect to the MEDDEV 2.12-1 rev. 8. In total, 60 FSCA were publicized. German and English FSN were found in 59/53 cases, respectively. FSN were clearly characterized as FSN in 44/38 cases and declaration of the type of action in 45/44 cases, respectively. Product names were provided in all cases. Lot numbers or other information for product characterization were available in 7/7 and 43/40 cases, respectively. Detailed information regarding FSCA and product malfunction was found in all cases. Information on product related risks with previous use of affected devices was provided in 42/38 cases. In 53/53 cases manufacturers provided information to mitigate product related risks. Requests to pass FSN to persons needing awareness in the organization were found in 27/24 cases. Contact data were provided in 53/48 cases, respectively. Confirmation that a CA was informed was found in 28/26 cases and in 19/15 cases a customer confirmation was included. The identified risks were: total loss of function (19/16), short circuit (1/1) and burn (3/3), and inhalation of foreign particles (1/1) which might cause severe risk to patients and users. The most frequent

  12. Investigation on medical waste management in medical institutions in Hu-bei Province%湖北省医疗机构医疗废物管理现状调查

    Institute of Scientific and Technical Information of China (English)

    韩颖; 赖晓全; 熊薇; 徐敏; 魏诗晴; 谢红艳

    2016-01-01

    目的:调查湖北省医疗机构医疗废物的管理现状,并提出改进对策。方法依据相关规范自行设计调查问卷,采用随机分层抽样方法于2015年4月实地调查湖北省75所医院医疗废物管理情况,获得有效问卷73份。结果73所医院的医疗废物管理软硬件建设基本符合规范要求,组织与制度管理、科室分类处置情况各项合格率均在90%以上;83.56%(61/73)的医院开展了医疗废物最佳环境实践相关宣传;减少使用一次性医疗器械、用品品种达40余种;76.71%(56/73)的医院输液软袋都交由签约公司回收利用;医院病理科的化学性废液交危险废物处置中心处理的仅占21.54%(14/65);骨科钢板处置方法不一,56.16%(41/73)的医院将其作为医疗废物,仅35.62%(26/73)的医院告知患者处置方式,与患者签署知情同意书。结论湖北省医疗机构医疗废物管理已逐步得到重视,但对于特殊类别的医疗废物处置,如输液袋(瓶)、骨科钢板、病理科化学性废液处置均存在不同程度的问题,仍需加大培训,进一步规范医疗废物分类处置。%Objective To investigate the situation of medical waste management in medical institutions of Hubei Prov-ince,and put forward the improvement strategies.Methods The questionnaires were designed according to the relevant standards,situation of medical waste management in 75 hospitals in Hubei Province was investigated by stratified sampling, 73 available questionnaires were got.Results The construction of medical waste management software and hardware in 73 hospitals were basically met the requirements of the standards,the qualified rates in organization and system management, classification and disposal of medical waste in departments were all >90%;83.56% (61/73)of the hospitals carried out the best environmental practice(BEP)for medical waste;application of

  13. Measuring research impact in Australia's medical research institutes: a scoping literature review of the objectives for and an assessment of the capabilities of research impact assessment frameworks.

    Science.gov (United States)

    Deeming, Simon; Searles, Andrew; Reeves, Penny; Nilsson, Michael

    2017-03-21

    Realising the economic potential of research institutions, including medical research institutes, represents a policy imperative for many Organisation for Economic Co-operation and Development nations. The assessment of research impact has consequently drawn increasing attention. Research impact assessment frameworks (RIAFs) provide a structure to assess research translation, but minimal research has examined whether alternative RIAFs realise the intended policy outcomes. This paper examines the objectives presented for RIAFs in light of economic imperatives to justify ongoing support for health and medical research investment, leverage productivity via commercialisation and outcome-efficiency gains in health systems, and ensure that translation and impact considerations are embedded into the research process. This paper sought to list the stated objectives for RIAFs, to identify existing frameworks and to evaluate whether the identified frameworks possessed the capabilities necessary to address the specified objectives. A scoping review of the literature to identify objectives specified for RIAFs, inform upon descriptive criteria for each objective and identify existing RIAFs. Criteria were derived for each objective. The capability for the existing RIAFs to realise the alternative objectives was evaluated based upon these criteria. The collated objectives for RIAFs included accountability (top-down), transparency/accountability (bottom-up), advocacy, steering, value for money, management/learning and feedback/allocation, prospective orientation, and speed of translation. Of the 25 RIAFs identified, most satisfied objectives such as accountability and advocacy, which are largely sufficient for the first economic imperative to justify research investment. The frameworks primarily designed to optimise the speed of translation or enable the prospective orientation of research possessed qualities most likely to optimise the productive outcomes from research. However

  14. Workplace interpersonal conflicts among the healthcare workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center

    Science.gov (United States)

    Huang, Szu-Fen; Liang, Huey-Wen; Chen, Li-Chin; Lin, Chia-Kuei; Huang, Hsiao-Fang; Hsieh, Ming-Yuan; Sun, Jui-Sheng

    2017-01-01

    Objective There have been concerns about the workplace interpersonal conflict (WIC) among healthcare workers. As healthcare organizations have applied the incident reporting system (IRS) widely for safety-related incidents, we proposed that this system might provide a channel to explore the WICs. Methods We retrospectively reviewed the reports to the IRS from July 2010 to June 2013 in a medical center. We identified the WICs and typed these conflicts according to the two foci (task content/process and interpersonal relationship) and the three properties (disagreement, interference, and negative emotion), and analyzed relevant data. Results Of the 147 incidents with WIC, the most common related processes were patient transfer (20%), laboratory tests (17%), surgery (16%) and medical imaging (16%). All of the 147 incidents with WIC focused on task content or task process, but 41 (27.9%) also focused on the interpersonal relationship. We found disagreement, interference, and negative emotion in 91.2%, 88.4%, and 55.8% of the cases, respectively. Nurses (57%) were most often the reporting workers, while the most common encounter was the nurse-doctor interaction (33%), and the majority (67%) of the conflicts were experienced concurrently with the incidents. There was a significant difference in the distribution of worker job types between cases focused on the interpersonal relationship and those without (p = 0.0064). The doctors were more frequently as the reporter when the conflicts focused on the interpersonal relationship (34.1%) than not on it (17.0%). The distributions of worker job types were similar between those with and without negative emotion (p = 0.125). Conclusions The institutional IRS is a useful place to report the workplace interpersonal conflicts actively. The healthcare systems need to improve the channels to communicate, manage and resolve these conflicts. PMID:28166260

  15. Phase II - Procurement of State of the Art Research Equipment to Support Faculty Members with the RNA Therapeutics Institute, a component of the Advanced Therapeutics Cluster at the University of Massachusetts Medical School

    Energy Technology Data Exchange (ETDEWEB)

    Moore, Melissa

    2011-10-14

    This project supported the continued development of the RNA Therapeutics Institute at the UMass Medical School. This funding allows for the purchase of critical equipment that will enable faculty members to develop RNA technology in order to better understand the complexity that separates genome sequence from biological function, as well as to reduce the hyperactivity of harmful genes.

  16. Misguided presumptions: British Medical Association (BMA) and National Institute for Health and Clinical Excellence (NICE) guidance on organ retrieval and 'opt out' or 'presumed consent'.

    Science.gov (United States)

    Randall, Fiona; Downie, Robin

    2012-12-01

    Three documents have been produced in an attempt to increase the number of organs available for transplant: a National Institute for Health and Clinical Excellence (NICE) clinical guideline, a British Medical Association (BMA) report and a Welsh Government white paper. All three are ethically flawed: NICE and the BMA recommend that whenever there is intention to withdraw life-sustaining treatment and death is expected, patients should instead be stabilised to assess for donation. This is contrary to patients' best interests, the principles of mental capacity legislation and current criteria for accessing intensive care units. Regarding consent, the BMA and Welsh Government recommend an 'opt-out' policy, but consent in law requires information and cannot be 'presumed' or 'deemed' on the basis of failure to express or register 'opting out'. The language of all three proposals is manipulative, and patient trust may be undermined because the doctor's attention must move from the interests of the patient to those of the unknown organ recipients.

  17. The P50 Research Center in Perioperative Sciences: How the investment by the National Institute of General Medical Sciences in team science has reduced postburn mortality.

    Science.gov (United States)

    Finnerty, Celeste C; Capek, Karel D; Voigt, Charles; Hundeshagen, Gabriel; Cambiaso-Daniel, Janos; Porter, Craig; Sousse, Linda E; El Ayadi, Amina; Zapata-Sirvent, Ramon; Guillory, Ashley N; Suman, Oscar E; Herndon, David N

    2017-09-01

    Since the inception of the P50 Research Center in Injury and Peri-operative Sciences (RCIPS) funding mechanism, the National Institute of General Medical Sciences has supported a team approach to science. Many advances in critical care, particularly burns, have been driven by RCIPS teams. In fact, burns that were fatal in the early 1970s, prior to the inception of the P50 RCIPS program, are now routinely survived as a result of the P50-funded research. The advances in clinical care that led to the reduction in postburn death were made by optimizing resuscitation, incorporating early excision and grafting, bolstering acute care including support for inhalation injury, modulating the hypermetabolic response, augmenting the immune response, incorporating aerobic exercise, and developing antiscarring strategies. The work of the Burn RCIPS programs advanced our understanding of the pathophysiologic response to burn injury. As a result, the effects of a large burn on all organ systems have been studied, leading to the discovery of persistent dysfunction, elucidation of the underlying molecular mechanisms, and identification of potential therapeutic targets. Survival and subsequent patient satisfaction with quality of life have increased. In this review article, we describe the contributions of the Galveston P50 RCIPS that have changed postburn care and have considerably reduced postburn mortality.

  18. Conditional probability analysis of multidrug resistance in Gram-negative bacilli isolated from tertiary medical institutions in South Korea during 1999-2009.

    Science.gov (United States)

    Kim, Yong-Hak

    2016-01-01

    Multidrug resistance of Gram-negative bacilli is a major problem globally. However, little is known about the combined probability of resistance to various antibiotics. In this study, minimum inhibitory concentrations of widely used antibiotics were determined using clinical isolates of Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae, and Acinetobacter baumannii, randomly chosen from strain collections created during 1999-2009 in tertiary medical institutions in Seoul, South Korea. To analyze combined efficacy of antibiotics against a subgroup of isolates, conditional probabilities were determined based on arbitrary, non-independent patterns of antimicrobial susceptibility and resistance. Multidrug resistance, defined as resistance to three or more classes of antibiotics, was observed in the following order: A. baumannii (96%), P. aeruginosa (65%), E. coli (52%), and K. pneumoniae (7%). A. baumannii strains resistant to gentamicin were found to be resistant to a number of antibiotics, except for colistin and polymyxin B. Resistance to gentamicin following exposure to this antibiotic was highly likely to lead to multidrug resistance in all four microbes. This study shows a causal relationship between gentamicin resistance and the prevalence of multidrug resistance in clinical isolates of Gramnegative bacilli in South Korea during 1999-2009 and suggests the importance of prudent use of gentamicin in hospitals.

  19. OBITUARY: Eur.Ing. Professor David Dew-Hughes in memoriam

    Science.gov (United States)

    Campbell, Archie; Dew-Hughes, Denise; Donaldson, Gordon; Palmer, Richard

    2007-06-01

    We regret to announce the death of David Dew-Hughes, the second Honorary Editor of Superconductor Science and Technology, in Autumn 2006. He was born in Manchester, the eldest of three children, attended Manchester Grammar School and took his first degree in metallurgy at Birmingham, before undertaking a Doctorate of Engineering at Yale University. After initial work for IBM on semiconductors, he returned to England as a lecturer in metallurgy at Cambridge University. There he devoted his career to superconductivity long before it became fashionable, starting a group on the properties of what we now know as type II materials, with his students Jan Evetts, Archie Campbell and Anant Narlikar. Between them they paved the way to our understanding of the magnetic vortex properties of these materials, and thus to the development of modern practical materials for superconducting magnets. Eur.Ing. Professor David Dew-Hughes 1932-2006 In 1965 he became a founding Senior Lecturer in physics at Lancaster University, moving to Brookhaven National Laboratory in 1974. His final academic post was in engineering science at Oxford University where he also held a University College Tutorial Fellowship. As long ago as 1971 David wrote an authoritative review for Reports on Progress in Physics on 'The metallurgical enhancement of type II superconductors'. Following the discovery of high-Tc superconductivity, IOP Publishing launched Superconductor Science and Technology in 1988 and he was a founder member of its Editorial Board. When Jan Evetts retired as Honorary Editor in 1992, David was the natural choice as his successor. He served a five year term and remained on the Board as Deputy Editor until the end of 2000. To mark the 10th anniversary of high-temperature superconductivity in 1997, David edited a special issue of Superconductor Science and Technology in which past and present members of the Editorial Board contributed reviews of their specialities. He noted that at that time

  20. CT Diagnosis of Fitz-Hugh and Curtis Syndrome: Value of the Arterial Phase Scan

    Energy Technology Data Exchange (ETDEWEB)

    Joo, Seung Ho; Kim, Myeong Jin; Lim, Joon Seok; Kim, Joo Hee; Kim, Ki Whang [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    2007-02-15

    We wanted to evaluate the role of the arterial phase (AP) together with the portal venous phase (PP) scans in the diagnosis of Fitz-Hugh-Curtis syndrome (FHCS) with using computed tomography (CT). Twenty-five patients with FHCS and 25 women presenting with non-specifically diagnosed acute abdominal pain and who underwent biphasic CT examinations were evaluated. The AP scan included the upper abdomen, and the PP scan included the whole abdomen. Two radiologists blindly and retrospectively reviewed the PP scans first and then they reviewed the AP plus PP scans. The diagnostic accuracy of FHCS on each image set was compared for each reader by analyzing the area under the receiver operating characteristic curve (Az). Weighted kappa (wk) statistics were used to measure the interobserver agreement for the presence of CT signs of the pelvic inflammatory disease (PID) on the PP images and FHCS as the diagnosis based on the increased perihepatic enhancement on both sets of images. The individual diagnostic accuracy of FHCS was higher on the biphasic images (Az = 0.905 and 0.942 for reader 1 and 2, respectively) than on the PP images alone (Az = 0.806 and 0.706, respectively). The interobserver agreement for the presence of PID on the PP images was moderate (wk = 0.530). The interobserver agreement for FHCS as the diagnosis was moderate on only the PP images (wk = 0.413), but it was substantial on the biphasic images (wk 0.719). Inclusion of the AP scan is helpful to depict the increased perihepatic enhancement, and it improves the diagnostic accuracy of FHCS on CT.

  1. 如皋市口腔医疗机构消毒质量监测报告%Monitoring on disinfection quality of oral cavity medical institution in Rugao

    Institute of Scientific and Technical Information of China (English)

    王磊; 鞠海

    2013-01-01

    目的:了解如皋市口腔医疗机构的消毒工作现状,为规范管理和指导口腔医疗机构消毒工作提供科学依据.方法:现场采样监测,对全市口腔医疗机构消毒情况进行调查.结果:全市32家口腔医疗机构采样81份,合格率为93.83%.其中,医疗用品合格率为97.06%;医护人员手合格率88.89%;使用中消毒剂合格率100%.结论:如皋市口腔医疗机构消毒管理基本情况良好,消毒效果合格率较高,然而消毒灭菌工作仍存在差距,应进一步加强改进.%Objective:To understand the current disinfection status of dental institutions in Rugao,in order to provide scientific basis for the disinfection management and guidance of the dental institutions.Methods:Sampling examination method was used to investigate the disinfection status of oral cavity medical institutions.Results:The average eligible rate of 81 samples from 32 dental institutions was 93.83%.The disinfection qualified rate of medical devices,medical staff hands,disinfectants in use and disposable medical supplies were 97.06%,88.89%,100% respectively.Conclusion:The situation of disinfection management in mos dental institutions was roughly satisfactory in Rugao.The efficacy of disinfection for dental institutions is optimistic.However,there is insufficiency in disinfection and sterilization.So improvement of disinfection is necessary.

  2. Role of "Enterprise Quality" in Management of Medical Institutions%论“企业品质”于医疗机构管理中的实践发轫

    Institute of Scientific and Technical Information of China (English)

    金鑫; 李敏

    2012-01-01

    企业品质并非利他行为,而是在利他的考量下,追求自利的表现,从自利的过程中达到利他的效果.企业品质于医疗机构管理中的实践表明,影响医疗机构品质的因素主要有四个面向,即高层主管行为、员工价值观、员工不伦理行为、员工工作满意度与组织承诺的关系.通过有效耕犁四个面向的内在机制,贞定出医疗机构品质的实践运用在于追求自身与社会的互利,此为确立竞争优势的基石.借此为发轫契机,研究建议从医疗机构的伦理气候、医疗机构的伦理观、医疗机构的伦理规范与善尽社会责任这四条枢轴来关怀员工、注重沟通、建立互信,以期为医疗机构的和谐发展提供可借鉴的路径指引.%Enterprise quality is not altruistic behavior, but consider the altruism, the pursuit of self-interest performance, from the process of self-interest to altruism effect. Enterprise quality in the management of medical institutions practice shows that influence the quality of medical institutions are the major factors to four dimensions, namely the top executive behavior, employees values, staff are not ethical behaviour, staff job satisfaction and organizational commitment of the relationship. The plough through effective four dimensions intrinsic mechanism, determine the quality of medical institutions cheer practice by itself and society lies in the pursuit of mutual benefit, to establish the competitive advantage of the foundation. Take this opportunity for firstly, research suggests from medical establishment ethical climate and medical institutions of ethics and medical institutions code of ethics and to fulfill the social responsibility that four pivot to our employees, and paying attention to the communication, mutual trust, so as to the harmonious development of the medical institutions provide guidance for the path.

  3. National Weather Service, Emergency Medical Services, Scripps Institution of Oceanography/UCSD and California EPA Collaboration on Heat Health Impact and Public Notification for San Diego County

    Science.gov (United States)

    Tardy, A. O.; Corcus, I.; Guirguis, K.

    2015-12-01

    The National Weather Service (NWS) has issued official heat alerts in the form of either a heat advisory or excessive heat warning product to the public and core partners for many years. This information has traditionally been developed through the use of triggers for heat indices which combine humidity and temperature. The criteria typically used numeric thresholds and did not consider impact from a particular heat episode, nor did it factor seasonality or population acclimation. In 2013, the Scripps Institution of Oceanography, University of California, San Diego in collaboration with the Office of Environmental Health Hazard Assessment, of the California Environmental Protection Agency and the NWS completed a study of heat health impact in California, while the NWS San Diego office began modifying their criteria towards departure from climatological normal with much less dependence on humidity or heat index. The NWS changes were based on initial findings from the California Department of Public Health, EpiCenter California Injury Data Online system which documents heat health impacts. Results from the UCSD study were finalized and published in 2014; they supported the need for significant modification of the traditional criteria. In order to better understand the impacts of heat on community health, medical outcome data were provided by the County of San Diego Emergency Medical Services Branch, which is charged by the County's Public Health Officer to monitor heat-related illness and injury daily from June through September. The data were combined with UCSD research to inform the modification of local NWS heat criteria and establish trigger points to pilot new procedures for the issuance of heat alerts. Finally, practices and procedures were customized for each of the county health departments in the NWS area of responsibility across extreme southwest California counties in collaboration with their Office of Emergency Services. The end result of the

  4. 医疗机构药品短缺原因分析与防范%Cause analysis and prevention of drug shortage in medical institutions

    Institute of Scientific and Technical Information of China (English)

    李培芳; 方焱; 张善堂; 周宝柱

    2015-01-01

    目的:分析医疗机构药品短缺原因,采取相应的防范措施,保障药品供应。方法对2012年药品出库单进行回顾性分析,追溯短缺药品采购计划时间、供应商交货时间,并结合供应商无法供货的情况说明,利用Excel对短缺药品信息进行分类、统计,总结医疗机构药品短缺的外因与内因。结果2012年调剂部门请领计划共46862条,短缺药品1423条,药品短缺率为3.0%,外因导致的药品短缺共计643次,占45.2%;内因导致的药品短缺780次,占54.8%。在导致药品短缺的外因中,价格倒挂占40.7%,居药品短缺外因之首,低价小品种及普药占外因导致的药品短缺的71.2%;药品短缺的内因中,控制库存占45.0%,排首位。结论如果药品定价合理,完善招标政策及药品供应链,加强短缺药品的预警与管理,可减少药品短缺状况。%Objective To analyze the reason of drug shortages in medical institutions and take corresponding prevention measures to ensure drug supply .Methods The drug outbound orders in 2012 were retrospectively analyzed to trace the pro‐curement plan of badly‐needed drugs and the delivery time of supplier .Excel was used to carry out classification and statistics for the information of drug shortages combined with the explanations that the supplier failed to supply to summarize the exter‐nal cause and internal cause of drug shortages in medical institutions .Results In 2012 ,the dispensing department received a to‐tal of 46862 plans ,and 1423 items were badly‐needed drugs .The drug shortage rate was 3 .0% .643 times of drug shortages were caused by external causes which accountedfor 45 .2% of all the shortages ;780 times of the drug shortages were caused by internal causes which accounted for 54 .8% .Price inversion accounted for 40 .7% in the external causes that lead to the drug shortages ,and it was the top of the external

  5. How Hugh Hampton Young's treatment of President Woodrow Wilson's urinary retention and urosepsis affected the resolution of World War I.

    Science.gov (United States)

    Fogg, Ryan; Kutikov, Alexander; Uzzo, Robert G; Canter, Daniel

    2011-09-01

    President Woodrow Wilson was never able to gain ratification of the Treaty of Versailles, the peace accord to end World War I. Before he could convince the American people of the importance of ratification, Wilson suffered a stroke followed by life threatening urinary sepsis due to urinary retention, and was treated by the father of modern urology, Hugh Hampton Young. The effects of these health problems are examined in the context of their implications on international affairs. Biographical sources and primary documentation of Wilson's physicians were reviewed to determine the effect of Wilson's stroke on his voiding habits. Hugh Hampton Young's evaluation and decision making is examined in depth. In the fall of 1919 President Wilson was recovering from a stroke. Shortly after the stroke his preexisting voiding dysfunction progressed to urinary retention from which urinary sepsis developed. Hugh Hampton Young advised on Wilson's case and counseled patience over surgery. The President began voiding spontaneously and recovered from sepsis. The illness left him severely weakened and unable to mount an aggressive campaign to persuade the U.S. Senate of the importance of ratifying the Treaty of Versailles. His personal physician, Admiral Cary T. Grayson, stated that the President was mentally never the same after the sepsis. Wilson's voiding dysfunction contributed to his inability to win approval for the Treaty of Versailles and the League of Nations. As a result, the United States returned to a policy of isolationism and Europe plunged into 2 decades of upheaval, leading to World War II. Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  6. Development and Implementation of a School-Wide Institute for Excellence in Education to Enable Educational Scholarship by Medical School Faculty.

    Science.gov (United States)

    Cofrancesco, Joseph; Barone, Michael A; Serwint, Janet R; Goldstein, Mitchell; Westman, Michael; Lipsett, Pamela A

    2017-07-28

    Educational scholarship is an important component for faculty at Academic Medical Centers, especially those with single-track promotion systems. Yet, faculty may lack the skills and mentorship needed to successfully complete projects. In addition, many educators feel undervalued. To reinvigorate our school's educational mission, the Institute for Excellence in Education (IEE) was created. Here we focus on one of the IEE's strategic goals, that of inspiring and supporting educational research, scholarship, and innovation. Using the 6-step curriculum development process as a framework, we describe the development and outcomes of IEE programs aimed at enabling educational scholarship at the Johns Hopkins University School of Medicine. Four significant programs that focused on educational scholarship were developed and implemented: (a) an annual conference, (b) a Faculty Education Scholars' Program, (c) "Shark Tank" small-grant program, and (d) Residency Redesign Challenge grants. A diverse group of primarily junior faculty engaged in these programs with strong mentorship, successfully completing and disseminating projects. Faculty members have been able to clarify their personal goals and develop a greater sense of self-efficacy for their desired paths in teaching and educational research. Faculty require programs and resources for educational scholarship and career development, focused on skills building in methodology, assessment, and statistical analysis. Mentoring and the time to work on projects are critical. Key to the IEE's success in maintaining and building programs has been ongoing needs assessment of faculty and learners and a strong partnership with our school's fund-raising staff. The IEE will next try to expand opportunities by adding additional mentoring capacity and further devilment of our small-grants programs.

  7. The Francis Crick Institute.

    Science.gov (United States)

    Peters, Keith; Smith, Jim

    2017-04-01

    The Francis Crick Institute Laboratory, opened in 2016, is supported by the Medical Research Council, Cancer Research UK, the Wellcome Trust, and University College London, King's College London and Imperial College London. The emphasis on research training and early independence of gifted scientists in a multidisciplinary environment provides unique opportunities for UK medical science, including clinical and translational research.

  8. The ingenious Mr Hughes: Combining forced, flat, and reverse perspective all in one art piece to pit objects against surfaces

    Science.gov (United States)

    Papathomas, Thomas V; Baker, Nicholas; Yeshua, Arielle S; Zhuang, Xiaohua; Ng, Andrew

    2012-01-01

    The artist Patrick Hughes has ingeniously painted rows of stacked Brillo boxes in Forced into Reverse Perspective. The geometry is in reverse perspective, predicting only one type of illusory motion for each planar surface for moving viewers. He “broke” these surfaces into objects by painting the boxes in three types of perspective (planar, forced, and reverse). Our experiments confirmed that he succeeded in eliciting different types of illusory motion, including “differential motion” between boxes for most viewers. In some sense, this illustrates the superiority of secondary (painted) over primary (physical) cues. PMID:23145280

  9. The Ingenious Mr Hughes: Combining Forced, Fat, and Reverse Perspective All in One Art Piece to Pit Objects against Surfaces

    Directory of Open Access Journals (Sweden)

    Thomas V Papathomas

    2012-04-01

    Full Text Available The artist Patrick Hughes has ingeniously painted rows of stacked Brillo boxes in Forced into Reverse Perspective. The geometry is in reverse perspective, predicting only one type of illusory motion for each planar surface for moving viewers. He “broke” these surfaces into objects by painting the boxes in three types of perspective (planar, forced, and reverse. Our experiments confirmed that he succeeded in eliciting different types of illusory motion, including “differential motion” between boxes for most viewers. In some sense, this illustrates the superiority of secondary (painted over primary (physical cues.

  10. Maurice Hugh Frederick Wilkins CBE: 15 December 1916 - 5 October 2004.

    Science.gov (United States)

    Arnott, Struther; Kibble, T W B; Shallice, Tim

    2006-01-01

    Maurice Hugh Frederick Wilkins was the 'Third man of the double helix; according to the publishers who were allowed to foist this title on his late-written autobiography. Certainly it is for his role in the discover of the duplex secondary structure of DNA that he will be remembered. It might be argued that he was the first man, rather than the third, for it was his successful revival of X-ray diffraction studies of DNA and his earliest result in 1950, a pattern of a well-oriented and polycrystalline DNA of unprecedented quality, that allowed him to conclude almost immediately that the basic framework of the genetical material was simple and symmetrical, and that the symmetrical structure took the form of a helix. This same pattern, displayed at a conference in Naples six months later, was the major inspiration for the involvement of J. D. Watson (ForMemRS 1981) in modelling DNA structure in collaboration with F. H. C. Crick (FRS 1959). Crick was a personal friend of Maurice's and was more involved with studies of proteins until the progress of Maurice's research programme and Watson's enthusiastic presence in Cambridge convinced him to put nucleic acids first. The carefully crafted citation for the 1960 Lasker Award, which these three men shared in 1960, put Maurice's name first and accurately referred to '...the painstaking x-ray diffraction studies of Wilkins that provided a most important clue that was pursued in a ingenious fashion and to a logical conclusion by Crick and Watson...'. Maurice's diffraction studies of DNA were not only the alpha but also the omega of the double helix because it left to him to remedy a major flaw in the original (1953) Watson-Crick conjecture. Maurice Wilkin's early acceptance of DNA as the genetic material and his recognition that it had structures that could and should be tackled by X-ray diffraction analyses, not necessarily under his exclusive control, was important in ensuring that the essence of DNA's structure was

  11. Institutions and Organizations: Exploring the Interdependencies of Legitimacy Theory and Strategic Communication in Afghanistan

    Science.gov (United States)

    2010-04-12

    proposed that social reality is the material world as we see it. Emile Durkheim asserted that one must look from a historical viewpoint in order to...Everett C. Hughes, "The Impact of War on American Institutions," The American Journal of Sociology 48, no. 3 (Nov., 1942), 398. 22 Emile Durkheim as...reflects the routine way in which people do what they are supposed to do.ඁ Early sociologists such as Durkheim , Parsons, and Selznick embraced the

  12. 论医患无因管理关系中医方的民事责任%On Medical Institutions' Civil Liability in the Doctor-Patient Negotiorum Gestio Relationship

    Institute of Scientific and Technical Information of China (English)

    梁九业

    2015-01-01

    "Medical negotiorum gestio" means the medical institutions provide medical treatment or medical services to the patients voluntarily in order to avoid the patients' personal, property, or mental rights and inter-ests suffering damage while they have no such legal and agreed obligation. The affirmation of medical negotiorum gestio certainly helps to protect the interests of the patients and improve the social ethics. There exists difference between medical negotiorum gestio and forced contracting. In order to form a legal medical negotiorum gestio re-lationship, medical institutions' rescue action must meet the corresponding constitutive requirements. In medical negotiorum gestio relationship, medical institutions should take the obligation of appropriate relief, continual as-sistance, notice, report and calculation;and may take civil liability for inappropriate relief because of intentional and gross negligence,and bear civil liability for infringement of rights due to the fault.%“医患无因管理”是指医方无法定及约定义务,为避免患者的人身、财产权益或精神利益遭受损害而自愿为其提供医疗诊治或医疗服务的行为。肯定医患无因管理有助于保护患者利益、提高社会伦理观。医患无因管理和强制缔约存在区别。医方的救助行为要形成适法的医患无因管理关系,必须满足相应的构成要件。医方在医患无因管理中应承担适当救助、继续救助、通知和报告及计算义务;并会因为故意和重大过失而承担未适当救助的民事责任,以及因过错而承担侵权的民事责任。

  13. The Swedish radiation protection institute's regulations on general obligations in medical and dental practices using ionising radiation; issued on April 28, 2000

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-04-01

    These regulations are applicable to medical and dental practices with ionising radiation used for medical exposures. The regulations are also applicable to exposures of persons who knowingly and willingly, other than as part of their occupation, support and comfort patients undergoing medical exposure.

  14. Mode stability analysis in the beam-wave interaction process for a three-gap Hughes-type coupled cavity chain

    Institute of Scientific and Technical Information of China (English)

    Luo Ji-Run; Cui Jian; Zhu Min; Guo Wei

    2013-01-01

    Based on space-charge wave theory,the formulae of the beam-wave coupling coefficient and the beam-loaded conductance are given for the beam-wave interaction in an N-gap Hughes-type coupled cavity chain.The ratio of the nonbeam-loaded quality factor of the coupled cavity chain to the beam quality factor is used to determine the stability of the beam-wave interaction.As an example,the stabilities of the beam-wave interaction in a three-gap Hughes-type coupled cavity chain are discussed with the formulae and the CST code for the operations of the 2π,π,and π/2 modes,respectively.The results show that stable operation of the 2π,π,and π/2 modes may all be realized in an extended-interaction klystron with the three-gap Hughes-type coupled cavity chain.

  15. CRF AND RULES-BASED RECOGNITION OF MEDICAL INSTITUTIONS NAME IN CHINESE%基于CRF和规则的中文医疗机构名称识别

    Institute of Scientific and Technical Information of China (English)

    张金龙; 王石; 钱存发

    2014-01-01

    中文机构名称识别是中文自然语言处理的一项重要的研究课题。以中文医疗机构名识别为目标,从因特网上抓取了30余万条机构名和1500篇包含医疗机构名的文本语料,对医疗机构名的组成特点和上下文信息进行详细的分析,总结出若干模式、规则和特征,最后结合条件随机场模型,建立了一个统计和规则相结合的中文医疗机构名识别模型。实验结果表明,该模型的识别效果很好。%The recognition of organisations name in Chinese is an important research topic in Chinese natural language processing.In this paper,we focus on the recognition of medical institutions name in Chinese,by crawling over 0.3 million agency names and 1 500 corpus containing the name of the medical institution from the Internet,we elaborately analyse the composition characteristics of the medical institutions name and the context information,sum up some modalities,rules and features.At last,combining the conditional random field model,we build a recognition model of medical institutions name in Chinese which contains both the statistics and the rules.Experimental results show that the recognition effect of the model is very good.

  16. The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: a cross-sectional study.

    Science.gov (United States)

    Zhang, Yimin; Feng, Xueshan

    2011-09-24

    Throughout China, a growing number of physicians are leaving or intending to depart from their organizations owing to job dissatisfaction. Little information is available about the role of occupational burnout in this association. We set out to analyze the relationship between job satisfaction, burnout, and turnover intention, and further to determine whether occupational burnout can serve as a mediator among Chinese physicians from urban state-owned medical institutions. A cross-sectional survey was carried out in March 2010 in Hubei Province, central China. The questionnaires assessed sociodemographic characteristics, job satisfaction, burnout, and turnover intention. The job satisfaction and occupational burnout instruments were obtained by modifying the Chinese Physicians' Job Satisfaction Questionnaire (CPJSQ) and the Chinese Maslach Burnout Inventory (CMBI), respectively. Such statistical methods as one-way ANOVA, Pearson correlation, GLM-univariate and structural equation modeling were used. Of the 1600 physicians surveyed, 1451 provided valid responses. The respondents had medium scores (3.18 +/-0.73) on turnover intention, in which there was significant difference among the groups from three urban areas with different development levels. Turnover intention, which significantly and negatively related to all job-satisfaction subscales, positively related to each subscale of burnout syndrome. Work environment satisfaction (b = -0.074, p turnover intention of physicians, with 41.2% of the variance explained unitedly, under the control of sociodemographic variables, among which gender, age, and years of service were always significant. However, job-itself satisfaction no longer became significant, with the estimated parameter on job rewards satisfaction smaller after burnout syndrome variables were included. As congregated latent concepts, job satisfaction had both significant direct effects (gamma21 = -0.32, p turnover intention (47% explained). Our study

  17. The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Zhang Yimin

    2011-09-01

    Full Text Available Abstract Background Throughout China, a growing number of physicians are leaving or intending to depart from their organizations owing to job dissatisfaction. Little information is available about the role of occupational burnout in this association. We set out to analyze the relationship between job satisfaction, burnout, and turnover intention, and further to determine whether occupational burnout can serve as a mediator among Chinese physicians from urban state-owned medical institutions. Methods A cross-sectional survey was carried out in March 2010 in Hubei Province, central China. The questionnaires assessed sociodemographic characteristics, job satisfaction, burnout, and turnover intention. The job satisfaction and occupational burnout instruments were obtained by modifying the Chinese Physicians' Job Satisfaction Questionnaire (CPJSQ and the Chinese Maslach Burnout Inventory (CMBI, respectively. Such statistical methods as one-way ANOVA, Pearson correlation, GLM-univariate and structural equation modeling were used. Results Of the 1600 physicians surveyed, 1451 provided valid responses. The respondents had medium scores (3.18 +/-0.73 on turnover intention, in which there was significant difference among the groups from three urban areas with different development levels. Turnover intention, which significantly and negatively related to all job-satisfaction subscales, positively related to each subscale of burnout syndrome. Work environment satisfaction (b = -0.074, p , job rewards satisfaction (b = -0.073, p , organizational management satisfaction (b = -0.146, p , and emotional exhaustion (b = 0.135, p were identified as significant direct predictors of the turnover intention of physicians, with 41.2% of the variance explained unitedly, under the control of sociodemographic variables, among which gender, age, and years of service were always significant. However, job-itself satisfaction no longer became significant, with the estimated

  18. 2015年遂宁市城区个体医疗机构手卫生状况调查分析%Investigation and Analysis of Hand Hygiene Condition of Individual Medical Institutions in Suining City in 2015

    Institute of Scientific and Technical Information of China (English)

    王讯; 谭超

    2016-01-01

    目的:通过监测发现医疗机构手卫生执行情况及效果。方法在开展消毒效果监测过程中对现有手卫生设施及手卫生执行情况及效果进行评价。结果国有医疗机构手卫生执行情况及效果优于民营医疗机构及个体诊所。结论手卫生是最经济、最简便、最有效控制和降低医院感染方法之一。%Objective To find the medical institutions to monitor the implementation and effectiveness of hand hygiene. Methods In the process of monitoring carried out disinfection of existing hand hygiene facilities and hand hygiene to evaluate the implementation and effectiveness. Results State-owned medical hand hygiene implementation and effects of institutions than private medical institutions and private clinics. Conclusion Hand hygiene is the most economical, easiest and most effective method of controlling and reducing hospital infections one.

  19. Analysis of health resource allocation and service utilization at grass-roots medical institutions in Sichuan Province%四川省基层医疗机构卫生资源配置与服务利用分析

    Institute of Scientific and Technical Information of China (English)

    何思长; 刘志会; 赵大仁; 孙渤星; 张瑞华; 李娇月

    2016-01-01

    目的:探索2009年新一轮医药卫生体制改革以来四川省基层医疗机构发展情况及存在问题,为进一步优化卫生资源配置和提高基层卫生资源利用效率提供参考依据。方法通过构成比和年均增长率等指标分析2009年~2014年四川省基层医疗机构卫生资源配置和利用效率变化情况。结果2009年~2014年,四川省基层医疗机构数量、床位数、医护人员数、总资产等卫生资源不断增加;资产负债率、基层医疗机构诊疗人次在全省的占比逐年下降,病床使用率较低。结论应继续加大对基层医疗机构的政策倾斜及财政投入,以提升基层诊疗服务能力,增强居民的信任度,引导基层首诊,实现分级诊疗。%ObjectiveThe paper aims to explore into the development of grass-roots medical institutions in Sichuan Province and existing problems since the new round of medical and health reform in 2009 so as to provide reference basis for further optimization of health resources and improvement of the utilization of grass-roots health resources.MethodThe changes of allocation and utilization of health resources at grass-roots medical institutions in Sichuan Province in 2009-2014 are analyzed by comparing the constitution ratio and the average annual growth rate.ResultIn the period from 2009 to 2014, the grass-roots medical institutions in Sichuan Province gain an increase in terms of health resources including the numbers of institutions, beds, medical staff, total assets, etc.; the proportion of the asset-liability ratio and the number of persons coming to grass-roots medical institutions for diagnostic and treatment to the total number in Sichuan Province comes down every year, leading to rather low utilization of the beds.Conclusion More efforts should be paid to both policy support and financial input for grass-roots medical institutions in order to improve the capacity of grass-roots diagnostic and treatment

  20. Fitz-Hugh-Curtis综合征在输卵管妊娠和不孕中的发生率及其意义%EXPLORATION ON INCIDENCE OF FITZ-HUGH-CURTIS SYNDROME IN TUBAL PREGNANCY AND TUBAL INFERTILITY

    Institute of Scientific and Technical Information of China (English)

    左绪磊

    2003-01-01

    目的:了解Fitz-Hugh-Curtis综合征在输卵管妊娠和输卵管不孕中的发生率,探讨它们在输卵管妊娠和输卵管不孕发生中的作用.方法:在腹腔镜检查和治疗妇科疾病时,确诊Fitz-Hugh-Curtis综合征遗留的典型病理改变和输卵管周围炎性病变.肿瘤、多囊卵巢综合征、子宫肌瘤等非输卵管炎性疾病患者作为对照组.结果:在109例输卵管妊娠患者中,发现慢性肝周围炎15例(13.8%),升结肠-腹壁粘连10例(9.2%),单纯输卵管周围炎性粘连24例(20.2%).而在112例对照组患者中,发现慢性肝周围炎患者2例(1.8%),升结肠-腹壁粘连患者2例(1.8%),输卵管周围炎性粘连患者2例(1.8%).与对照组相比,输卵管妊娠中肝周围炎发生率明显高于对照组(P<0.01),升结肠-腹壁粘连发生率也高于对照组(P<0.05).在20例经腹腔镜检查诊断为输卵管不孕的患者中,发现肝周围炎5例(25%),未发现升结肠-腹壁粘连.与对照组相比,输卵管性不孕患者中肝周围炎发生率明显高于对照组,差别有极显著意义P<0.001).结论:Fitz-Hugh-Curtis综合征在输卵管妊娠和不孕患者中的发生率与国外接近.肝周围炎、升结肠-腹壁粘连从侧面反映了盆腔炎性疾病在输卵管妊娠和输卵管不孕中起着重要作用.

  1. Hypothesis and Testing on the Regulation Strategy of Certified Medical Institution of New Rural Cooperative Medical Scheme%新型农村合作医疗定点医疗机构监管策略的假设与检验

    Institute of Scientific and Technical Information of China (English)

    张乐; 徐凌忠

    2012-01-01

    Objective: To explore the optimal regulation strategy of certified medical institution of New Rural Cooperative Medical Scheme. Methods: Testing a hypothetical proposition based on the game analysis method. Results: In the condition of information asymmetry, increasing the punishment of regulatory bodies is the most optimal strategy, rewarding the regulatory behavior is the second best strategy, and increasing the violation cost of certified medical institutions is inferior strategy. Conclusion: The regulation strategy of certified medical institution of New Rural Cooperative Medical Scheme has defects, and needs to be further optimized.%目的:探讨对新型农村合作医疗定点医疗机构监管的最优策略.方法:采用博弈分析的方法,对一个假设命题进行检验.结果:在信息不对称的情况下,加大对监管机构的惩罚是最优策略,对监管行为奖励是次优策略,而加大定点医疗机构的违规成本是劣等策略.结论:对定点医疗机构采取的监管策略存在缺陷,有待进一步优化.

  2. 基层医疗机构常见护理缺陷发生原因分析及防范对策%Grassroots Medical Institutions Common Nursing Defects Cause Analysis and Prevention Counter Measures

    Institute of Scientific and Technical Information of China (English)

    刘和平

    2015-01-01

    In the medical dispute, is the most common nursing disputes. Nursing defects is refers to the medical care per-sonnel in medical care, no steps according to the regulation of medical care, resulting in the behaviors of nursing errors. In recent years, China's rapid economic development, the medical security has been widely recognized, medical disputes are on the rise. Is the main reason, nursing defects is dispute, so the medical institutions should adopt effective measures to avoid the occurrence of nursing defects. Arrange for nursing defects effective countermeasures, as far as possible to reduce the possibility of nursing defects, guarantee the safety of medical care, improve the satisfactory medical care for the patient.%在医疗纠纷中,最为常见的就是护理纠纷.护理缺陷是指医疗护理人员在医疗护理时,没有按照规定步骤进行的医疗护理,从而造成了护理失误的行为.近年来,我国的经济快速发展,医疗安全已经得到人们的普遍认可,医疗纠纷也在增多.护理缺陷是护理纠纷是主要原因,所以医疗机构要采用有效措施,尽量避免护理缺陷的发生.针对于护理缺陷安排有效的对策,尽量减少护理缺陷的可能性,保证医疗护理的安全性,为病人提高令人满意的医疗护理.

  3. Pre-Medical Education in the Physical Sciences for Tomorrow's Physicians

    Science.gov (United States)

    Long, Sharon

    2009-05-01

    Medical knowledge is being transformed by instrumentation advances and by research results including genomic and population level studies; at the same time, though, the premedical curriculum is constrained by a relatively unchanging overall content in the MCAT examination, which inhibits innovation on undergraduate science education. A committee convened jointly by the Association of American Medical Colleges and the Howard Hughes Medical Institute has examined the science and mathematics competencies that the graduating physician will need, and has asked which of these should be achieved during undergraduate study. The recommendations emphasize competency -- what the learner should be able to ``do'' at the end of the learning experience -- rather than dictating specific courses. Because the scientific content of modern medical practice is evolving, new science competencies are desirable for the entering medical student. An example is statistics, an increasingly prominent foundation for database and genomic analysis but which is not yet uniformly recommended as preparation for medical school. On the other hand, the committee believes that the value of a broad liberal arts education is enduring, and science coursework should not totally consume a premedical student's time. Thus if we recommend new areas of science and mathematics competency for pre-meds, we must find other areas that can be trimmed or combined. Indeed, at present there are some science topics mandated for premedical study, which may not be essential. For these reasons, the committee aims to state premedical recommendations in ways that can be met either through traditional disciplinary courses, or through innovative and/or interdisciplinary courses. Finally, we acknowledge that practice of medicine requires grounding in scientific principles and knowledge and in the practice of critical inquiry. These principles may be learned and practiced in undergraduate study through work in the physical

  4. Comparison Study on Evaluation of Pharmacist Services Quality in 5 Medical Institutions%5家医疗机构药师服务质量评价比较研究

    Institute of Scientific and Technical Information of China (English)

    常育

    2013-01-01

    目的:评价与比较5家医药机构的药师服务质量,为医疗机构实行员工绩效考核提供参考.方法:基于“结构-过程-结果”质量评价理论,构建医疗机构药师服务质量评价指标体系,采用层次分析法对指标体系进行赋权,运用层次-灰色关联法评价与比较5家(甲、乙、丙、丁、戊)医疗机构的药师服务质量水平.结果与结论:药学服务项目、患者治愈情况和药学服务费用明细等指标权重较大,是药师服务质量评价的决定因素.5家医疗机构药师服务质量排序为乙>戊>丙>丁>甲.大型综合性或专科性医疗机构的药师服务质量加权关联度更高.%OBJECTIVE: To evaluate and compare pharmacist services quality in 5 medical institutions, the staff appraisal for medical institutions to provide reference. METHODS: Based on the theory of "structure-process-result" quality evaluation, evaluation index system of pharmacist services had been established. Weightings of indicator system had been determined by analytic hierarchy process, and the qualities of pharmacist services were evaluated and compared among 5 medical institutions (A, B, C, D, E) by hierarchy-gray correlation analysis. RESULTS & CONCLUSIONS: As pharmaceutical care item, health of patient and details of pharmaceutical care cost have large weight, they are the determinant factors of pharmacist services evaluation. The order of pharmacist services quality among 5 medical institutions is B>E>C>D>A. Large comprehensive and specialized medical institutions have a higher weighted correlation degree of pharmacist services quality.

  5. Study onCurrent Status of Registration Management of Pharmaceutical Preparations inMedical Institutions in China%全国医疗机构制剂注册管理现状研究

    Institute of Scientific and Technical Information of China (English)

    战嘉怡; 刘春; 丁建华; 李灿; 李蜀平; 张体灯; 王海南

    2015-01-01

    目的:了解医疗机构制剂注册管理现状和存在问题,为药品监管部门制定相关政策提供参考。方法:采取问卷调查、实地调研、文献分析、会议座谈、深度访谈等多种形式进行调查。结果:通过调研获得了全国医疗机构制剂注册信息,了解了各省、自治区、直辖市制剂管理的具体方式,征求了省级药品监管部门、医疗机构以及部分名老中医专家对现行制剂管理模式的意见和建议。结论:现行管理模式基本适合我国医疗机构制剂现状,《医疗机构制剂注册管理办法(试行)》的实施有效遏制了制剂批准文号的盲目增加,推动了制剂注册管理水平的提高,但尚有需要完善改进之处。%Objective:To understand the current situation of registration management of pharmaceutical preparations in medical institutions and the existing problems so as to provide references for the drug supervision and administration department to draft relevant policies.Methods:A variety of investigation forms were adopted, such as questionnaire survey, ifeld investigation, literature analysis, meeting and depth interviews. Results:The information of pharmaceutical preparations registration of medical institutions in China was obtained. The speciifc management methods in each province, autonomous region and municipality of China were surveyed. The opinions and suggestions on current management mode were collected from the provincial drug supervision and administration departments, medical institutions and famous traditional Chinese medicine doctors.Conclusion:The current management mode is suitable for the current conditions of pharmaceutical preparations in medical institutions in China. The implementation of Provisions for the Registration of Pharmaceutical Preparations in Medical Institutions (interim) effectively slowed down the growth rate of the new approval number, and improved the level of registration

  6. [Spermiologic parameters in Czech men from 1950 to 1984 (analysis of data from the archives of the Sexology Institute of the First Medical School of Charles University and the General Medical School Hospital in Prague].

    Science.gov (United States)

    Zvĕrina, J; Urbánek, V; Cirýn, J

    2002-01-01

    Reports maintaining that sperm concentration in male ejaculates had decreased markedly over the past decades captured mind-share all over the world. However, literary data diverge about such a lasting trend. Our objective has been to contribute to the ongoing debate by presenting results of our own research. We have studied semen analyses of 5,363 men who had been tested at an outpatient care unit of the Prague Institute of Sexology between 1950 and 1984. These semen analyses measured volume of the ejaculate, sperm concentration, sperm motility, and a share of sperms with morphological abnormalities. None of these values showed statistically significant deterioration among seven groups of patients, each spanning five years. Therefore, our data did not confirm the above-mentioned lasting trend in semen analysis values. Research teams from all over the world have recently attracted a lot of attention by reporting a no-table decrease over the past decades in sperm concentration in the male ejaculates. However, literary data diverge about such a lasting trend. Our objective has been to contribute to the ongoing debate by presenting results of our own research. We have analysed semen tests filed in the archives of the Institute of Sexology at the 1st Faculty of Medicine of Charles University. We have studied a set of 5,363 men who had undergone their first sperm analysis between 1950 and 1984. We have gathered our data from medical records, using a uniform pattern of investigation. The set was divided into seven five-year groups based on the year of the first analysis. Volume of the ejaculate: The groups showed the following average volume of the ejaculate: 3.9-3.8-3.8-3.8-3.8-3.7-3.7 (ml). Neither the distribution nor the mean value of this variable has changed much over time. Sperm concentration: The groups showed the following mean sperm concentration: 32.9-42.3-56.2-57.9-72.2-70.8-72.3 (million per ml). It is obvious from these results that the mean sperm

  7. Survey on the infection rate of tuberculosis among medical staffs of the institutions for province tuberculosis prevention and control%1486名结防机构医务人员结核病感染现状调查

    Institute of Scientific and Technical Information of China (English)

    郝宝林; 刘占峰; 邢进; 马丽萍

    2014-01-01

    Objective To study the infection rate of tuberculosis among medical staffs of the institutions for tuberculosis prevention and control. Methods Cross-sectional study was adopted, Randomly selected 40 counties from 109 counties and all municipal TB control institutions (18), all medical staffs in these institutions received PPD skin test examination. Results 1 486 medical staffs received PPD skin test, the positive rate was 66.1%. Of which resident physicians、outpa-tient physicians、hospital cares、radiation workers、supervisors were 75.9%、75.3%、74.6%、72.3%、71.8%,respec-tively. Using Chi-square test, the medical staffs of the PPD skin test positive rate and strong positive rate were signifi-cantly higher than the non-medical staffs. Conclustions Infection control in this Province TB control institutions was weak, the medical staffs had a high vocational TB exposure risk.%目的:了解河南省结核病防治机构不同岗位医务人员结核病感染现状。方法于2005年1月从该省18个地市和109个县中随机抽取40个县,对抽取的58个结核病防治机构的所有在职医务人员作为调查对象;进行PPD皮试检查。结果1486名医务人员接受了PPD皮试检查,阳性率为66.1%,其中住院医生(75.9%)、门诊医生(75.3%)、住院护理(74.6%)、放射人员(72.3%)、督导医生(71.8%)。经x2检验,PPD皮试阳性率与强阳性率医务人员均明显高于非医务人员。结论该省结防工作人员结核病感染率较高,应加强医务人员的感染控制工作。

  8. Investigation and analysis of dental comprehensive counter water contamination of Urumqi medical institutions%乌鲁木齐市医疗机构口腔综合台用水污染调查分析

    Institute of Scientific and Technical Information of China (English)

    刘本来; 陈敏; 李国庆; 沙日吐亚; 徐晓琴; 卢耀勤

    2016-01-01

    Objective Learn medical dental unit waterline pollution situation different treatment.Methods Choose some medical institutions collect water samples of different dental unit, the total number of colonies culture testing.Results Water samples were collected from 218 parts, a pass rate of 50.5%; secondary and higher medical institutions, medical institutions and clinics a passing rate of water samples statistically significant (= 6.604,P<0.05).Conclusion Dentistry treatment units treated with water pollution, water samples should be strengthened and pipeline disinfection, disinfection urgent introduction of relevant standards and norms, and improve the quality of dental treatment water.%目的:了解医疗机构口腔综合治疗台不同治疗用水污染状况。方法选择部分医疗机构采集不同口腔综合治疗台的不同水样,进行菌落总数培养检测。结果共采集检测水样218份,合格率为50.5%;二级及以上医疗机构、一级医疗机构和诊所水样合格率有统计学差异(χ2=6.604,P<0.05)。结论口腔科综合治疗台治疗用水污染严重,应加强水样检测和管路消毒,亟需出台相关标准和消毒规范,切实改善口腔治疗用水质量。

  9. Positive Intervention for Serious Behavior Problems: Best Practices in Implementing the Hughes Bill (A.B. 2586) and the Positive Behavioral Intervention Regulations.

    Science.gov (United States)

    Wright, Diana Browning; Gurman, Harvey B.

    This manual provides guidelines to educators attempting to comply with California's Hughes Bill, which is intended to ensure the rights of special education students to have positive behavioral intervention plans designed to bring lasting behavioral changes without interventions that cause pain or trauma. An introductory chapter summarizes the…

  10. A CLINICAL STUDY ON INCIDENCE, PATHOLOGICAL PATTERN AND MANAGEMENT OF GASTRIC CARCINOMA IN RURAL SETUP (ADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCES, MANDYA

    Directory of Open Access Journals (Sweden)

    Abinash

    2016-05-01

    Full Text Available BACKGROUND Stomach cancer or gastric cancer is when cancer develops from the lining of stomach. Early symptoms may include heartburn, upper abdominal pain, nausea and loss of appetite. Later symptoms may include weight loss, yellow skin, vomiting, difficulty swallowing and blood in the stool among others. The cancer may spread from the stomach to other parts of the body, particularly the liver, lungs, bones, lining of the abdomen and lymph nodes. The most common cause is infection by the bacteria Helicobacter pylori, which accounts for more than 60% of cases. About 10% of cases run in families and between 1% and 3% of cases are due to genetic syndromes inherited from a person’s parents such as hereditary diffuse gastric cancer. AIMS AND OBJECTIVES 1 To study the prevalence of carcinoma stomach as occurring in Adichunchanagiri Institute of Medical Sciences and Research Centre, Mandya. 2 To study the clinical presentation including the anatomic site of occurrence and histological type. 3 To study the association of risk factors. 4 To study the surgical modalities of treatment. METHODS The tissue for diagnosis was obtained by endoscopy or following surgical resection. Patients presenting to Adichunchanagiri Hospital, Mandya, during the study period and those found eligible were included in the study. Sample Size Minimum of 50 cases meeting criteria of the present study. RESULTS Gastric carcinoma is more common in males with 56% of the cases being males in this study. The prevalence is more among the low socio-economic group, which is 80% of the population. Smoked foods is a risk factor in 15 (30% of the patients and 40 (80% in high spicy diet in everyday food. Tobacco smoking (44%, alcohol consumption (44% are also risk factors. Blood Group A is associated with gastric cancer, 23 (46% patients. Anorexia was the most common symptoms reported in 42 (84% of the patients. Anaemia was the most common sign in 35 (70% of the cases. The most common

  11. 深圳经济特区基层医疗卫生机构监管面面观%Shenzhen Special Economic Zone on the Supervision and Control of the Basic Medical and Health Institutions

    Institute of Scientific and Technical Information of China (English)

    张小聪

    2016-01-01

    Shenzhen special economic zone is a densely populated city. In the economic development, we should pay attention to the primary health care service. However, there are some problems in the primary health care and supervision in the city, There are more medical and health institutions, Unlicensed medical personnel account for a large proportion,to a certain extent, it increases the incidence of medical disputes. The relevant regulatory authorities can not carry out regular supervision and inspection, increase the occurrence of medical accidents. Therefore, in order to protect people’s health, improve the quality of medical and health institutions, reduce medical malpractice and medical disputes, Government departments and health administrative departments to increase financial investment, strengthen the construction of law enforcement teams, with the necessary supervision and monitoring equipment, increase supervision and supervision and inspection frequency, As far as possible to the medical malpractice and medical disputes in the bud.%深圳经济特区作为一个人口密集的一线城市,在经济发展的同时应注重基层医疗卫生服务。然而该市的基层医疗卫生情况及监管均存在一定的问题,医疗卫生机构较多,且无证医疗人员占有较大的比例,这在一定程度上增加了医患纠纷的发生率。相关的监管部门不能及时开展正规的监督检查,增加了医疗事故的发生。因此,为保障百姓身体健康,提高医疗卫生机构服务质量,减少医疗事故和医患纠纷,政府部门和卫生行政主管部门要加大钱财物的投入,加强执法队伍的建设,配备必要的监督监测器材,加大监督力度和监督检查频次,尽量把医疗事故和医患纠纷消灭于萌芽状态中。

  12. Influence of spatially modified tissue on atrial fibrillation patterns: Insight from solutions of the FitzHugh-Nagumo equations

    CERN Document Server

    Lenk, Claudia; Maass, Philipp

    2010-01-01

    We study the interplay between traveling action potentials and spatial inhomogeneities in the FitzHugh-Nagumo model to investigate possible mechanisms for the occurrence of fibrillatory states in the atria of the heart. Different dynamical patterns such as ectopic foci, localized and meandering spiral waves are found depending on the characteristics of the inhomogeneities. Their appearance in dependence of the size and strength of the inhomogeneities is quantified by phase diagrams. Furthermore it is shown that regularly paced waves in a region R, that is connected by a small bridge connection to another region L with perturbing waves emanating from an additional pacemaker, can be strongly disturbed, so that a fibrillatory state emerges in region R after a transient time interval. This finding supports conjectures that fibrillatory states in the right atrium can be induced by self-excitatory pacemakers in the left atrium.

  13. Frédéric Sylvanise. Langston Hughes, poète jazz, poète blues

    Directory of Open Access Journals (Sweden)

    Hélène CHRISTOL

    2011-03-01

    Full Text Available La Renaissance de Harlem a été redécouverte en France au début du XXIe siècle, grâce à l’organisation de manifestations publiques et universitaires ainsi que la publication de nombreuses études qui « revisitent » la période et les œuvres de ses écrivains et de ses artistes.  L’ouvrage de Frédéric Sylvanise, Langston Hughes, poète jazz, poète blues, publié par les éditions de l’ENS en 2009, apporte sa pierre à cet édifice critique puisqu’il se penche sur certains recueils de poésie de cet écri...

  14. Stability Switches and Hopf Bifurcation in a Coupled FitzHugh-Nagumo Neural System with Multiple Delays

    Directory of Open Access Journals (Sweden)

    Shengwei Yao

    2014-01-01

    Full Text Available A FitzHugh-Nagumo (FHN neural system with multiple delays has been proposed. The number of equilibrium point is analyzed. It implies that the neural system exhibits a unique equilibrium and three ones for the different values of coupling weight by employing the saddle-node bifurcation of nontrivial equilibrium point and transcritical bifurcation of trivial one. Further, the stability of equilibrium point is studied by analyzing the corresponding characteristic equation. Some stability criteria involving the multiple delays and coupling weight are obtained. The results show that the neural system exhibits the delay-independence and delay-dependence stability. Increasing delay induces the stability switching between resting state and periodic activity in some parameter regions of coupling weight. Finally, numerical simulations are taken to support the theoretical results.

  15. 建立公立医疗机构公益性评价工具的必要性和理论思考%Necessary and Theoretical Ideas of Developing the Public Benefit Evaluation Instrument for Public Medical Institutions

    Institute of Scientific and Technical Information of China (English)

    陈英耀; 赵列宾; 钱序; 应晓华; 倪明

    2011-01-01

    Through focusing on public medical institution's social responsibility, reviewing relevant literatures and analyzing the Chinese health care reform progress, significance and necessary of developing the social responsibility evaluation instrument for public medical institutions are clarified.Based on the theory of governance and stewardship,the external context for institutions' social responsibility, multi-dimension and intrinsic incentives of social responsibility, and consumers' subjective feelings are explored initially.%围绕公立医疗机构公益性评价,通过对相关文献的评阅以及对当前改革进展的分析.明确建立公立医疗机构公益性评价工具的理论意义及必要性.在结合治理相关理论的基础上,就公立医疗机构公益性的外部环境、公益性的多维特征、主观能动性和服务对象的主观感受进行了初步探讨.

  16. Analysis on monitoring results of disinfection quality in medical institutions in Bincheng District of Binzhou City%滨州市滨城区医疗卫生机构消毒质量监测结果

    Institute of Scientific and Technical Information of China (English)

    权永芬

    2012-01-01

    [ Objective]To know the quality of disinfection and sterilization in medical institutions, improve the disinfection management and infection control. [ Methods ] The monitoring results of disinfection quality in medical institutions at various levels in Bincheng District of Binzhou City during 2009-2011 were analyzed to understand the main problems of disinfection in medical institutions. [ Results] A total of 2 076 samples were collected during 2009-2011, and the total qualified rate was 92.44%. From 2009 to 2011, the annual qualified rate was 90.88% , 92. 17% and 93.91% , respectively. The qualified rate of different items in descending order was in-use disinfectants (100% ) , sterilized articles (97.96% ) , hands of medical staff (92.35% ) , object surface (91.81% ) and indoor air (88. 47% ). [Conclusion]There are some problems of disinfection quality in medical institutions in Bincheng district. It is essential to carry out related measures, as well as strengthen the monitoring and management.%目的 了解医疗卫生机构消毒灭菌工作质量,加强医疗消毒与感染控制管理工作.方法 通过对滨州市滨城区各级医疗卫生机构2009-2011年消毒质量监测结果的分析,了解掌握医疗卫生机构在消毒工作中存在的问题.结果 2009-2011年共采集样品2 076份,总合格率为92.44%:2009-2011年合格率分别为90.88%、92.17%、93.91%.不同项目检测合格率由高到低依次为使用中消毒剂(100%)、灭菌物品(97.96%)、医护人员手(92.35%)、物体表面(91.81%)、室内空气(88.47%).结论 滨城区医疗卫生机构消毒工作质量还存在一些问题,需要采取进一步措施,加强监督和管理.

  17. Current trends in use of intracanal medications in dental care facilities: questionnaire-based survey on training dental hygienists at educational institutions.

    Science.gov (United States)

    Furusawa, Masahiro; Yoshida, Takashi; Hosokawa, Souhei; Ariizumi, Yuugo

    2013-01-01

    The success of root canal therapy is dependent not only on removal of infected pulp (pulpectomy) followed by root canal enlargement, but also on the pharmacological effects of intracanal medications. Various intracanal medications are used. Formaldehyde preparations such as formocresol were common in the past, but these are no longer used in Europe or the US due to the biological toxicity of formaldehyde. In this study, a questionnaire was used to determine current trends in the use of intracanal medications at dental care facilities where dental hygiene students undergo practical training. The questionnaire comprised questions regarding the types of frequently used intracanal medications and their methods of application at dental care facilities in Saitama and Shizuoka prefectures. The results indicated that calcium hydroxide preparations were more commonly used in Europe or the US. However, these results also revealed that formaldehyde preparations were frequently used, which slightly differs from the scenario in Europe and the US. This study revealed that multiple intracanal medications were used for root canal therapy. Furthermore, it was also observed that cotton plugs were generally used as applicator tips for intracanal medications, whereas the use of absorbent paper points was relatively uncommon. The results suggest that the cost of absorbent paper points needs to be reduced.

  18. Problems and Countermeasures of Safety Management of Chinese Medical Institutions%我国医疗机构安全管理存在的问题及对策

    Institute of Scientific and Technical Information of China (English)

    王锐; 申俊龙

    2016-01-01

    Medical institution is an important part of our health care system. It is closely related to the safety of the treatment and health of the masses. At present, the medical institutions still have a series of problems in the safety management in China. The problems are mainly in:the safety awareness of medical staff is weak;legal concept is weak and there is lack of communication skills;technical level of the medical staff is low and the training is insufficient;medical safety management system is not perfect;medical devices have security risks;the number of medi⁃cal disputes increases. Therefore, we propose some countermeasures to improve medical safety management, including improving medical safety management system;strengthening the warning and monitoring mechanism of medical security hidden risks; carrying out medical safety rounds, excluding medical security hidden risks;strengthening safety education, establishing the awareness of medical risk prevention;improving the over⁃all quality of medical personnel, strengthening the legal awareness of medical personnel; strengthening the doctor-patient communication, stri⁃ving to build a harmonious doctor-patient relationship.%医疗机构是我国卫生保健体系的重要组成部分,其诊疗安全和群众的健康状况密切相关。目前我国医疗机构在安全管理方面仍存在一系列问题,主要体现在医务人员安全意识不强;医务人员法律观念薄弱,缺乏沟通技巧;医务人员技术水平不高,缺乏培训;医疗安全管理制度不健全;医疗器械存在安全隐患;医疗纠纷数量增多。因此,提出了完善医疗安全管理的对策,包括完善医疗安全管理制度,建立医疗安全管理体系;建立医疗安全隐患的预警和监控机制;开展医疗安全查房,排除医疗安全隐患;加强安全教育,树立医疗风险防范意识;提高医务人员的综合素质,强化医务人员的法律意识;加强医

  19. Survey on the Satisfaction of the Elderly Living in Medical-nursing Combined Care Institution%“医养结合”养老机构入住老年人满意度调查研究

    Institute of Scientific and Technical Information of China (English)

    邱大石; 张倩; 陈群

    2016-01-01

    目的:了解潍坊市“医养结合”养老机构入住老年人对机构服务的满意度状况,力求为相关部门完善“医养结合”养老服务模式提出建议。方法采用方便抽样方法,选取潍坊市2家“医养结合”养老机构的157名入住老年人进行问卷调查。结果“医养结合”养老机构入住老年人机构服务总需求满意度得分为(4.14±0.33)分,为中上等水平。各维度满意度得分从高到低依次为:日常生活需求、医疗护理需求、休闲娱乐需求、精神心理需求。结论“医养结合”模式养老服务基本能够满足入住老年人的服务需求,但服务内容仍有待拓展,需养老机构充分调动多方社会资源,以实现“医养结合”的可持续发展。%Objective:To investigate the satisfaction of the elderly who lived in medical-nursing combined in-stitutions in Weifang and to provide advice to the relevant department for optimizing the medical-nursing combined care mode. Methods:Using the convenience sampling method, 157 subjects from 2 medical-nursing combined institutions in Weifang were selected for the questionnaire survey. Results:The satisfaction score of the elderly was (4. 14 ± 0. 33), which was in the medium to high level. The satisfaction score of each dimension from high to low was listed as the daily life demands, the medical care needs, the recreational demands and psychological demands. Conclusions:The medical-nursing combined pension mode can mostly meet the basic needs of the elderly, but the service content needs to be expanded. It is needed for pension institutions to fully mobilize social resources to a-chieve the sustainable development of medical-nursing combined care mode.

  20. 佳木斯市医疗机构全面禁烟政策的实施状况调查%Implementation survey of comprehensive smoke-free policy in Jiamusi medical institutions

    Institute of Scientific and Technical Information of China (English)

    胡大伟; 万霞

    2011-01-01

    To study the implementation of smoke-free policy in Jiamusi medical institutions. Methods A multi-stage sampling method was used to select 14 medical institutions in Jiamusi. Personal interview, field observation and intercept survey were used to collect information of tobacco control activities, the smoke-free regulations and secondhand smoke exposure in Jiamusi medical institutions. Results Although there is no municipal level smoke-free regulation in Jiamusi, the health institutions launched a series of tobacco control activities. Most schools supported for tobacco control through policy development and relase. In 204 specific observation points, the percentage of people smoking was 9. 80% , the percentage of finding cigarette butts was 23. 04% , the percentage of finding non-smoking signs in the institutions was 28.43%. According to the intercept survey, the percentage of smokers smoking indoor reached 28. 30% , the percentage of seeing other people smoking indoor reached 15. 23% , the percentage of knowing the comprehensive smoke-free policy was 63. 79%. Conclusions Jiamusi medical institutions launched a series of tobacco control activities for the enforcement of smoke-free medical institutions by the end of 2011 and showed positive effects, but failed to meet the requirements of comprehensive smoke-free environment.%目的 研究佳木斯市医疗机构全面禁止吸烟政策的落实情况.方法 通过多阶段抽样的方法,抽取佳木斯市14个医疗机构.采用个人访谈、现场观察和拦截调查三者相结合的方法,收集佳木斯市医疗机构内全面禁烟的活动和禁烟规定、机构内人群的吸烟和二手烟暴露等相关信息.结果 佳木斯市虽然没有出台市级禁烟条例,但是针对佳木斯市医疗卫生机构内部开展了一系列的控烟活动.通过个人访谈发现,绝大多数机构的领导公开表示过对控烟的支持并制定了了全面无烟的政策.在204个现场观

  1. Centralized Purchasing Process for Medical Supplies and Inspection Reagent in Medical Institutions of Xinjiang Uygur Autonomous Region%新疆维吾尔自治区医疗卫生机构医用耗材和检验试剂集中采购工作进展

    Institute of Scientific and Technical Information of China (English)

    陈蕾; 苏雅莉; 付丽红; 徐建国

    2012-01-01

    OBJECTIVE: To provide the basis for carrying out centralized purchasing in Medical Institutions for medical Supplies and Inspection Reagent. METHODS: Combined with the actual situation of Xinjiang Uygur Autonomous Region, we actively explored and carried out centralized purchasing of medical supplies and inspection reagent in medical institution of Xinjiang Uygur Autonomous Region with government as dominant factor and autonomous region as unit. RESULTS & CONCLUSION: Through the task survey, we absorb the experience of online centralized purchasing for medical supplies and inspection reagent. Gradually, we expand the purchase range of low value medical supplies and inspection reagent, explore the way to centralized purchasing of high value medical supplies actively and standard purchasing behavior of medical institution to guarantee the quality of medical supplies and inspection reagent, reduce medical cost and benefit the masses.%目的:为完善我国医疗卫生机构医用耗材和检验试剂集中采购工作提供参考.方法:结合我区实际情况,积极进行实地调研,开展以政府为主导、自治区为单位的医疗卫生机构医用耗材和检验试剂集中采购工作,并进行分析总结.结果与结论:通过课题调研,在汲取医疗卫生机构医用耗材和检验试剂网上集中采购工作经验的基础上,应逐步扩大医疗卫生机构检验试剂、低值医用耗材采购范围,积极探索高值医用耗材集中采购办法,规范医疗卫生机构医用耗材和检验试剂采购行为,保证医用耗材和检验试剂质量,降低医疗成本,使群众得到实惠.

  2. Institutional advantage

    NARCIS (Netherlands)

    Martin, Xavier

    Is there such a thing as institutional advantage—and what does it mean for the study of corporate competitive advantage? In this article, I develop the concept of institutional competitive advantage, as distinct from plain competitive advantage and from comparative institutional advantage. I first

  3. Institutional advantage

    NARCIS (Netherlands)

    Martin, Xavier

    2014-01-01

    Is there such a thing as institutional advantage—and what does it mean for the study of corporate competitive advantage? In this article, I develop the concept of institutional competitive advantage, as distinct from plain competitive advantage and from comparative institutional advantage. I first i

  4. Confucius Institute

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ Confucius Institute(simplified Chinese:孔子学院;traditional Chinese:孔子學院;pinyin:kǒngzǐ xuéyuàn)is a non-profit public institute which aims at promoting Chinese language and culture and supporting local Chinese teaching internationally through affiliated Confucius Institutes.

  5. Institutional advantage

    NARCIS (Netherlands)

    Martin, Xavier

    2014-01-01

    Is there such a thing as institutional advantage—and what does it mean for the study of corporate competitive advantage? In this article, I develop the concept of institutional competitive advantage, as distinct from plain competitive advantage and from comparative institutional advantage. I first i

  6. 基层医疗卫生机构基本药物制度实施现况调查分析%Investigation of Essential Medicine System Implementation in Basic Medical and Health Institutions

    Institute of Scientific and Technical Information of China (English)

    许永建; 任建萍; 高启胜; 陈晖; 李静; 颜丹丹; 卫萍

    2012-01-01

    目的 对某县基层医疗卫生机构基本药物制度实施现况进行调查研究,为基本药物制度的推进提供借鉴.方法 对某县19家基层医疗卫生机构进行问卷调查,并对相关负责人进行非结构式访谈.结果 基本药物制度实施后药品销售额下降、门急诊人次增加,次均门诊费、次均住院费等下降,政府对机构的补偿逐渐加大.结论 基本药物制度实施后,基层医疗卫生机构要加大对国家基本药物的配备和使用,医生要转变用药观念,政府要制定出一套对机构合理补偿的措施.%Objective To provide references for the implementation of essential medicines system through investigating the implementation of essential medicines system of the basic medical and health institutions. Methods Investigating 19 basic medical and health institutions by questionnaire, and making unstructured interview to persons in charge. Results After the implementation of essential medicines system, the sales of medicines have declined, outpatient visits and e-mergency patients have increased, the average cost of outpatient and hospitalization have declined, and the compensation from government have increased. Conclusion More essential medicines should be equipped by the basic medical and health institutions, conception of using medicines be changed, and appropriate compensation measures be established by the government.

  7. 云南省医疗机构制剂注册申报现状浅析%Analysis on Status Quo of Registration and Declaration of Pharmaceutical Preparations in Medical Institutions of Yunnan Province

    Institute of Scientific and Technical Information of China (English)

    万玫; 杨继红

    2013-01-01

    OBJECTIVE: To provide reference for the registration and declaration for pharmaceutical preparations in medical institutions. METHODS: The status quo of the registration and declaration for pharmaceutical preparations were analyzed in medical institutions of Yunnan province during 2005 -2011. The common problems of registration dossier were summarized. RESULTS & CONCLUSIONS: The basic test data is not standardized in the declaration for pharmaceutical preparations in medical institutions, such as insufficient prescription and technology research, quality risk of preparation, neglected stability test, deficiency of pharma-codynamics study, toxicity and safety evaluation, etc. It is suggested to develop the registration and declaration for new pharmaceutical preparations by strengthening research collaboration and abiding by technical guidelines.%目的:为医疗机构制剂新品种注册申报提供参考.方法:对2005年至2011年云南省医疗机构制剂申报情况及注册审评工作现状进行分析,总结申报资料中普遍存在的问题.结果与结论:目前医院制剂申报中普遍存在基础性试验资料不规范如处方及工艺研究不足,制剂质量控制存在隐患,不重视稳定性试验考察,缺乏药效学研究、毒性和安全性评价等情况.建议申报人通过加强科研协作、并按相关技术指导原则进行新品种注册申报工作.

  8. 基层医疗卫生机构用药信息公开制度分析%System Analysis on the Open Access to the Medication Use Information in Basic Health Institutions

    Institute of Scientific and Technical Information of China (English)

    熊玉琦; 张新平

    2012-01-01

    目的:收集我国与用药有关的政策与法规,检索3省、市相关网站中与用药有关的信息,从政策法规与地方实践两方面比较分析基层医疗机构用药信息公开制度现状.方法:文献法.结果:3省、市基层医疗卫生机构用药信息公开法律体系不健全,信息公开主体、公开对象和公开方式不完善,缺乏处方点评等信息的公布.结论:应建立更明确的基层医疗卫生机构用药信息公开制度,明确信息公开主体和对象,加强对信息公开方式的研究.%Objective:To analyze the knowledge about the open access to the medication use information in basic health institutions of the three provinces(Shanghai,Jiangxi ,Shanxi )based on collected policies and regulations and local practice research method. Methods;The method of historical documents. Results; There are problems in legal systems of the open access to the medication use information in basic health institutions in the three provinces such as subjects, objects, ways and the comment of prescription information. Conclusion:It's necessary to improve legal systems about using medication in basic heath institutions and make clear the open subjects, objects, and ways.

  9. [How the patients on sick leave assess the Medical Inspector: The Institut Català d'Avaluacions Mèdiques (ICAM) experience in Catalonia].

    Science.gov (United States)

    Gálvez Hernando, G; Mira Solves, J J; Jardí Lliberia, J; Guilabert Mora, M; Manzanera López, R

    2012-01-01

    To analyse the patient perception of the medical inspector, and to examine whether this perception is related with the outcome of the medical report. A cross-sectional study based on telephone interviews with a random sample of patients visited in Catalonia in 2010 for temporary (TSL) or permanent (PSL) sick leave. The study was conducted in November 2011. A stratified sample considering the time from the consultation and province where patients were visited was used. The scale was assessed by Intraclass Correlation coefficient (0.93, 95% CI; 0.92-0.94) and testing with the Spearman-Brown split-half coefficient (0.93). A total of 609 patients were surveyed. A majority of them (400; 65.7%) had a positive opinion of the medical inspector. When PSL was denied, the assessment was worse (P=.002), this was different when TSL was cancelled. Patients who did not continue in PSL stated that doctor's decisions were determined by non-medical interests, and not oriented to the defence of the patient's rights (odds ratio 2.8, 95% CI; 1.7 to 4.8). When the perceptions were negative, patients focus their criticism on the role of medical inspector (Pindependence of the physician. This is not so in the case of TSL. Copyright © 2011 SECA. Published by Elsevier Espana. All rights reserved.

  10. Research on vertical integration characteristics and problems of rural three-level medical institutions%农村三级医疗机构纵向整合特征与问题研究

    Institute of Scientific and Technical Information of China (English)

    魏来

    2015-01-01

    [目的]了解农村医疗服务网络纵向整合现状和存在的问题,为深化医疗服务纵向整合提供参考依据。[方法]采用实地调查法和半结构访谈法,收取黔江区农村医疗机构纵向合作资料和数据,并进行统计分析。[结果]农村医疗机构纵向整合模式多样化,以行政推动为主,近年来合作步伐加快,合作内容逐渐丰富,合作效果正在显现,但组织整合关系不够紧密,业务技术合作仍停留在较低层次,机构间利益没有交汇。[结论]应该转变思路,从组织联合转向技术业务协作,改革支付方式,促进纵向机构间的利益关联,同时加强基层能力建设,开发临床路径和服务规范,优化纵向服务流程,真正建立起农村纵向整合的医疗服务网络。%Objective To understand the situation and problems of rural medical care vertical integration, so as to provide reference for deepening vertical integration. Methods Collected and statistically analyzed rural medical institutions vertical cooperation information and data by field survey and semi-structured interview method in Qianjiang district. Results The medical institutions vertical integration mode was diversification in rural area. Administrative pushing was main power. The pace of institutions cooperation was speeding up in recent years, cooperation content gradually got rich, cooperation effect was emerging. But the organization integration relationship was not quite close, business and technical cooperation was still at a lower level, the cooperation mechanism between institutions had little common interest intersection.Conclusions Government should change ideas, turn to technical cooperation from organization cooperation. Reform payment mode. Promote the interests linkage between vertical institutions, and reinforce the construction of grassroots institutions’ ability at the same time. Develop clinical pathway and service specification

  11. Investigation on allocation of nursing manpower resource in dental medical institutions in Liaoning Province%辽宁省口腔护理人力资源配置研究

    Institute of Scientific and Technical Information of China (English)

    刘璐; 常淼; 曲智; 程睿波; 徐艳梅; 路振富; 张颖

    2014-01-01

    目的:对2011年辽宁省口腔医疗机构进行普查,分析了解辽宁省口腔护理人力资源配置状况。方法由各级卫生行政管理部门对所有注册口腔医疗机构逐级下发问卷表格,对辽宁省口腔护理人力资源进行普查。调查内容包括辽宁省口腔护理人力资源的数量、结构、分布。利用 EpiData 3.0软件建立数据库。采用 SPSS13.0软件包对资料进行统计分析,采用频数分布和χ2检验进行口腔护理人力资源状况资料的分析。结果辽宁省口腔护理人力资源共2038人。其中城市1967人,农村71人;就职于公立机构773人,非公立机构1265人。全省口腔护理人力资源结构以26~45岁中青年(59.32%)、“护士”职称(42.74%)、中专及以下学历(50.25%)、口腔综合专业(81.80%)为主。全省医护比为2.76∶1;护椅比为1∶2.81。结论辽宁省口腔护理人力资源数量相对不足,分布不均衡,结构不合理。应从学历、职称、专业等方面优化口腔护理人力资源结构,进而加强我省口腔护理人力资源的合理配置和有效利用。%Objective To investigate the dental medical institutions in Liaoning Province in 201 1 ,and to analyze the allocation of nursing manpower resource in dental medical institutions in Liaoning Province.Methods A mass survey on nursing manpower re-source was conducted in dental medical institutions in Liaoning Province in 201 1 by means of questionnaire investigation,which includ-ed the number,structure,distribution of nursing manpower resource in dental medical institutions in Liaoning Province.Database was created with EpiData 3.0 and analyzed with SPSS 1 3.0.Frequency distribution and univariate analysis(chi square test)were conducted for the allocation of nursing manpower resource.Results The population for dental care in dental medical institutions in Liaoning Province was 2038,with 1 967 in urban areas

  12. [Carl Gustav Carus, the first director of the newly established maternity institute of the Dresden Royal Surgical-Medical Academy 1814-1827].

    Science.gov (United States)

    Sarembe, B

    1989-01-01

    Carl Gustav Carus was born in 1789 in Leipzig. He studied at the University of Leipzig. His specialization in Gynecology and Obstetrics took place at the Triersches Maternity Hospital. In 1814 he was named Professor for Obstetrics in Dresden at the Royal-Surgical-Medical-Academy. He was the head of the Maternity Hospital till 1827. Under his direction many midwives, students and physicians were educated. He published numerous articles and books on medical and philosophical-psychological topics. He was a talented artist of the Romantic especially in painting landscapes. He was a friend of Caspar David Friedrich and Johann Wolfgang von Goethe. After 1827 he was the physician in ordinary to 3 saxonian kings. He died in 1869. The Medical Academy in Dresden bears his name "Carl Gustav Carus" since its foundation.

  13. 澄迈县2010~2011年医疗机构消毒效果监测%Result of inspection of sterilization in medical institutions at Chengmai County in 2010-2011

    Institute of Scientific and Technical Information of China (English)

    刘锐

    2012-01-01

    Objective To evaluate the disinfection quality of medical establishment at Chengmai County in 2010 to 2011 for prevention of nosocomial infection and the iatrogenic infection. Method Object surface, medical staff hand and skin mucosa, the use of disinfectants samples were collected and analyzed according to Technical Standard of Disinfection (2002 edition[1]) and Disinfectant Standards of Hospital Sanitation (GB15982-1995)[2].Result The qualified rate was 82.28% (1486/ 1806) and pathogenic bacteria wasn't found. The qualified rate of immediate county medical institutions in 2010 and 2011 was 96.63% and 97.01%, respectively, whereas those of personal medical institution were 82.40% and 83.99%, respectively. Conclusion The overall situation of sterilization at immediate county medical institutions were good, but object surface, air and medical staff hands was relatively poor. Whereas sterilization at the personal medical institutions was not optimistic, which be attached more importance. The training of disinfection related knowledge for medical staff needs to be strengthened.%目的 为加强澄迈县医疗机构消毒管理工作,有效防止医院感染和医源性感染的发生,2010~2011年对澄迈县辖区内医院进行了消毒灭菌效果监测.方法 对澄迈县辖区内医疗机构消毒灭菌的物体表面、手和皮肤粘膜消毒效果、使用中消毒剂等项目进行随机抽样检测.结果 共抽检1 806份,致病菌未检出,全部合格份数为1 486份.合格率分别为86.27%.其中2010~2011年县直属医疗机构合格率分别为96.63%和97.01%;个体医疗机构合格率为82.40%和83.99%.结论 县直属医疗机构消毒灭菌效果总体情况良好,但个别项目如物体表面、空气、医护人员手合格率相对较差,个体医疗机构消毒灭菌效果不容乐观,需要加强对医务工作人员进行相关消毒灭菌知识的培训.

  14. Monitoring and analysis of disinfection and sterilization of medical institutions at the grassroots%基层医疗机构消毒灭菌效果监测与分析

    Institute of Scientific and Technical Information of China (English)

    吕琼芳

    2015-01-01

    目的:评价基层医疗机构消毒灭菌效果,有效防控和降低医院感染。方法对2014年长阳县426家医疗机构的空气、医护人员的手、物体表面及使用的消毒液、灭菌物品及高压蒸汽灭菌效果进行监测与调查。结果基层医院消毒灭菌效果各不相同,县级医院、个体诊所、村卫生室及乡镇医院分别91.96%、91.00%、84.62%及91.67%,医护人员手病原菌的监测合格率分别为89.47%、85.83%、78.95%及87.14%;灭菌物品及高压蒸汽灭菌消毒效果较佳。结论基层医疗机构应重视消毒灭菌工作管理,促进消毒工作制度化、完善化,以预防医院感染。%Objective To evaluate the effect of disinfection and sterilization in medical institutions at the grassroots, effective control and reduce hospital infection. Monitoring and investigation method of air, medical staff in 426 medical institutions in Changyang County in 2014, the hand of the object surface and the use of disinfection, sterilization items and high-pressure steam sterilization. The results of disinfection and sterilization effect in primary hospital each are not identical, county hospital, private clinics, village clinics and township hospitals are respectively 91.96%, 91%, 84.62%and 91.67%, monitoring of pathogens bacteria hand medical personnel qualified rate respectively is 89.47%, 85.83%, 78.95%and 87.14%;sterilization items and effect of high-pressure steam sterilization and disinfection is better. Conclusion the basic medical and health institutions should attach great importance to the management of disinfection and sterilization, disinfection work of promoting system, perfect, in order to prevent hospital infection.

  15. An Analysis on Changes of Market Share in Medical Institutions in Wanzhou District of Chongqing in 2010%2010年重庆市万州区医疗机构市场份额变动简析

    Institute of Scientific and Technical Information of China (English)

    吴朝红

    2011-01-01

    Objective To know constituen tratio and changes of work load in medical institutions' clinics and hospitalization and its influence on market share occupation rate in medical institutions in Wanzhou district of Chongqing (immigrant of area of 3 gorge library ) in 2010. Methods Collecting materials in 2009 and 2010, we comparatively analyzed constituent ratio and changes of amount of outpatient and inpatient and other aspects . Results In the amount of out patient of medical institutions in the region in 2010, hospitals account for 34.83% , and health centers, clinics and village clinics make up 65.17% , but the ratio of increase amount is 57.57% and 42.43% respectively; in the amount of inpatient, hospitals account for nearly 70% , and health centers make up about 30% , but the rate of increase amount is 75% and 25% separately. Conclusions T he consum ption structure growth of medical market in Wanzhou district tends rational, the pattern of medical market is diversified and patients have better choices.%目的 了解2010年重庆市万州区(三峡移民库区)医疗机构门诊、住院工作量构成比及变化对其医疗市场份额占有率的影响.方法 收集2009年、2010年资料,从门诊量、住院量构成比及其变化等几方面进行对比简析.结果 2010年全区医疗机构门诊量中,医院占34.83%,卫生院、诊所卫生所医务室及村卫生室占65.17%;住院工作量中医院占近70%,卫生院约占30%.门诊增加量构成比中,医院占57.57%,卫生院、诊所卫生所医务室及村卫生室占42.43%.住院增加量构成比中,医院约占75%,卫生院约占25%.结论 万州区医疗市场消费结构趋于理性增长,医疗市场格局多元化,病人有更多看病就医的选择.

  16. A epistemologia de Hugh Lacey em diálogo com a Economia Feminista: neutralidade, objetividade e pluralismo Hugh Lacey's epistemology dialogs with feminist economy: neutrality, objectivity and pluralism

    Directory of Open Access Journals (Sweden)

    Brena Paula Magno Fernandez

    2008-08-01

    Full Text Available A Economia Feminista é um dos mais recentes programas de pesquisa em ciência econômica. Desde a publicação de Beyond Economic Man, organizado por Marianne Ferber e Julie Nelson,¹ ele vem se desenvolvendo com crescente força, sobretudo nos Estados Unidos. Entretanto, a pesquisa feminista, em geral, e a economia feminista, em particular, são freqüentemente consideradas como menos objetivas do que as pesquisas tradicionais, e isso porque estas últimas seriam livres de valores, enquanto as primeiras não. Após traçar algumas definições centrais da Economia Feminista, propomos, a partir do modelo crítico de Hugh Lacey,² que: i almejar a objetividade não significa defender uma metodologia isenta de influências valorativas, ii a neutralidade é (e deve ser defensável para o conjunto da prática científica e, finalmente, iii a defesa da pluralidade de abordagens científicas é o meio através do qual a neutralidade da ciência como uma prática social pode ser salvaguardada.Feminist Economics is one of the most recent research programs in economic science. Since the publication of Beyond Economic Man, edited by Ferber and Nelson (1993, it has been developed with increasing strength, especially in the United States. However, feminist researches in general and feminist economics in particular are often perceived to be less objective than conventional research, on the grounds that the latter would be value-neutral and the former would not. After drawing up some central definitions of Feminist Economics, we follow Hugh Lacey's critical model (1998, 1999 and propose that: i to aim for objectivity does not mean to defend a methodology that is free from axiological influences, ii neutrality is (and ought to be defensible for scientific practice as a whole, and finally, iii the defense of a plurality of scientific approaches is the way through which the neutrality of science as a social practice can be safeguarded.

  17. How the Distinctive Cultures of Osteopathic and Allopathic Medical Schools Affect the Careers, Perceptions, and Institutional Efforts of Their Anatomy Faculties: A Qualitative Case Study of Two Schools

    Science.gov (United States)

    Brokaw, James J.; Byram, Jessica N.; Traser, Courtney J.; Arbor, Tafline C.

    2016-01-01

    Anatomy faculties are integral to basic science instruction in medical schools, particularly given the preponderance of anatomic instruction in the preclinical curriculum. Recent years have witnessed major curricular restructuring and other emerging national trends that pose significant challenges to anatomists. An examination of anatomy faculty…

  18. A History of Medicine and the Establishment of Medical Institutions in Middlesex County, New Jersey that Transformed Doctor and Patient Relationships during the Early Twentieth Century

    Science.gov (United States)

    Whitfield-Spinner, Linda

    2011-01-01

    The early twentieth century was a period of tremendous advancements in medicine and technology and as a result experienced a revolutionary change in the delivery of healthcare in America. Modern medicine which encompassed specialized knowledge, technical procedures, and rules of behavior, changed the way medical care was provided in the United…

  19. A History of Medicine and the Establishment of Medical Institutions in Middlesex County, New Jersey that Transformed Doctor and Patient Relationships during the Early Twentieth Century

    Science.gov (United States)

    Whitfield-Spinner, Linda

    2011-01-01

    The early twentieth century was a period of tremendous advancements in medicine and technology and as a result experienced a revolutionary change in the delivery of healthcare in America. Modern medicine which encompassed specialized knowledge, technical procedures, and rules of behavior, changed the way medical care was provided in the United…

  20. Different kinds of medical cosmetology institutions in Zhengzhou City disinfection quality analysis%郑州市不同类别医疗美容机构消毒质量分析

    Institute of Scientific and Technical Information of China (English)

    王志刚; 袁中良; 王广州; 吕明洁

    2013-01-01

    目的为指导和管理医疗美容机构消毒工作提供依据。方法按《消毒技术规范》(2002年)对35家医疗美容机构的消毒质量进行了监测。结果医疗美容店与医院医疗美容科平均消毒合格率分别为69.9%和89.6%。其中物体表面71.1%和92.5%,医护人员手63.8%和80%,使用中消毒液77.2%和93.3%,室内空气40.9%和73.3%,高压灭菌器81.2%和100%,紫外线灯63.6%和93.3%,灭菌器械90.9%和100%。结论医疗美容店消毒工作存在问题较多,需加强人员培训、健全消毒制度、增添消毒设施,提高消毒质量。%objective to provide guidance and management of medical cosmetology institutions provide basis for disinfection. Methods according to the" technical standard for disinfection." (2002) to 35 medical cosmetology institutions disinfection quality monitoring. Results Medical beauty shop and hospital medical cosmetology average disinfection qualified rate respectively is 69.9% and 89.6%. The object surfaces 71.1% and 92.5%, hands of medical staff in 63.8% and 80%, the use of disinfectant in 77.2% and 93.3%, the indoor air in 40.9% and 73.3%, 81.2% and 100% high pressure sterilizer, UV lamp 63.6% and 93.3%, 90.9% and 100% of sterilization equipment.. Conclusion medical beauty shop disinfection work existence question is more, need to strengthen personnel training, improve the disinfection system, adding disinfection facilities, improve the quality of disinfection.

  1. Exploration on Innovative Management Mode of National Drugs in Medical Institution%医疗机构制剂民族药创新管理模式初探

    Institute of Scientific and Technical Information of China (English)

    吕艳; 袁建平

    2016-01-01

    依据当前国家相关法律法规及医药学研究领域的新动态结合民族药研究创新机制,提出医疗机构制剂发展的新模式。探讨当前医疗机构制剂生存与发展的思路,构建三大管理体系,获取政府及第三方机构支持,建立民族药研究平台,打造特色民族药制剂精品。%According to the current national laws and regulations and new developments in the field of pharmaceutical research with national innovation mechanism,proposed the development of new formulations of medical institutions model.To seek the current medical institutions to survive and development,build three management system,access to government and third-party support,the establishment of national drug research platform to create specialty products.

  2. Donation of surplus frozen embryos for stem cell research or fertility treatment-should medical professionals and healthcare institutions be allowed to exercise undue influence on the informed decision of their former patients?

    Science.gov (United States)

    Heng, Boon Chin

    2006-01-01

    The increasing availability of clinical assisted reproduction has led to an accumulated surplus of frozen embryos within fertility clinics worldwide. Couples that have attained success in clinical assisted reproduction, and have no further desire to reproduce; are often faced with an agonizing dilemma on what to do with their surplus frozen embryos-whether to simply discard them, or donate either for scientific research or to other infertile couples. There is a risk that persons or institutions directly involved in procuring donated embryos will prioritize their own interests over the informed choice of the patient to donate either for scientific research or to other infertile couples. Very often, formerly infertile couples who have attained reproductive success feel an overwhelming sense of gratitude to the fertility doctor handling their treatment. Hence, there is a risk of medical professionals exercising undue influence on their former patients, to sway the final decision to their preferred outcome. In the private practice setting, the preferred outcome would likely be donation for the treatment of other infertile couples; whilst in the case of medical professionals affiliated with research or academic institutions, the preferred outcome would likely be donation for stem cell research.

  3. Pondering over the scientific management of personnel archives in a medical scientific institute%医学科研院所人事档案管理工作的思考

    Institute of Scientific and Technical Information of China (English)

    王艳辉

    2013-01-01

    Personnel archives work is the talent construction event, related to the personnel training, using, introducing and shunting, actually related to the development of medicine and public health. In order to strengthen the personnel archives scientific management of a medical research institution, provide a shortcut service with high quality for it's human resources. Followed the practice in the field of personnel file management recent years, the author put forward some of the recommendations to optimize the personnel archives management work for medical research institute.%人事档案工作是人才建设的大事,关系到人才培养、使用、引进和分流,实际上关系到医药卫生事业的发展.为了加强医学科研院所人事档案的科学管理,为选人、用人提供优质、快捷的服务,作者结合近年来人事档案管理工作中的实践经验,提出了优化医学科研院所人事档案管理工作的一些建议.

  4. Vibrational and Stochastic Resonance in the FitzHugh-Nagumo Neural Model with Multiplicative and Additive Noise

    Institute of Scientific and Technical Information of China (English)

    HE Zheng-You; ZHOU Yu-Rong

    2011-01-01

    The vibrational resonance and stochastic resonance phenomena in the FitzHugh-Nagumo (FHN) neural model,driven by a high-frequency (HF) signal and a low-frequency (LF) signal and by coupled multiplicative and additive noises,is investigated.For the case that the frequency of the HF signal is much higher than that of the LF signal,under the adiabatic approximation condition,the expression of the signal-to-noise ratio (SNR) with respect to the LF signal is obtained.It is shown that the SNR is a non-monotonous function of the amplitude and frequency of the HF signal In addition,the SNR varies non-monotonically with the increasing intensities of the multiplicative and additive noise as well as with the increasing system parameters of the FHN model The influence of the coupling strength between the multiplicative and additive noises on the SNR is discussed.Stochastic resonance (SR) describes the phenomenon where an appropriate amount of noise is of constructive use in the sense that a weak signal becomes amplified upon harvesting the ambient noise in nonlinear systems.[1] Since its first discovery in the early eighties,SR has been observed in a great variety of systems pertaining to different disciplines such as physics,chemistry,engineering,biology and biomedical sciences.[1-4] The phenomenon vibrational resonance (VR) was named by Landa and McClintock.[5]%The vibrational resonance and stochastic resonance phenomena in the FitzHugh-Nagumo (FHN) neural model, driven by a high-frequency (HF) signal and a low-frequency (LF) signal and by coupled multiplicative and additive noises, is investigated. For the case that the frequency of the HF signal is much higher than that of the LF signal, under the adiabatic approximation condition, the expression of the signal-to-noise ratio (SNR) with respect to the LF signal is obtained. It is shown that the SNR is a non-monotonous function of the amplitude and frequency of the HF signal. In addition, the SNR varies non

  5. Status quo investigation on biological safety of laboratory in medical institutions of a certain area in Chongqing%重庆市某地医疗机构实验室生物安全现况调查

    Institute of Scientific and Technical Information of China (English)

    许巍; 苏瑛; 冯垚; 邓清华; 何俊琳

    2013-01-01

    目的 了解重庆市某地区医疗机构已备案二级生物实验室生物安全现状,为卫生部门生物安全管理提供决策依据.方法 对该地区内所有申报二级生物安全实验室的22家医疗机构进行调查,通过形式和实质性审查、现场调查等方法进行普查.结果 医疗机构生物安全管理薄弱,基本设施和管理水平普遍达不到二级防护生物安全实验室的要求,与备案出入较大.生物安全柜配置率仅22.7%,54.5%的机构制定了生物安全标准操作规程,而建立生物安全责任制的机构仅40.9%.结论 应加大实验室生物安全硬件投入,制订完善的生物安全管理规范,对从业人员加强生物安全的培训,提高其安全意识.政府部门应加强监管,提出合理化建议.%Objective To understand the current situation of biological security in the biological second level laboratories(BSL 2) on records of the medical institutions in a certain area of Chongqing city and to provide the basis of decision making for the bio logical safety management in the health administrative departments. Methods 22 medical institutions applying for BSL 2 in this ar ea were investigated by the way of form and substantial examination,and field survey. Results The management of biological secur lty in the medical institutions were weak,the basic hardware facility and management level generally could not reach the essential re quirements for the second level prevention biological security laboratory. Compared with those in records, the difference was rela tively large. The collocation rate of the biological safety cabinet reached only 22. 7%. 54. 5% of the medical institutions formulated the standard operating procedure of biological safety. The institutions establishing the biological safety responsibility system ac counted for only 40. 9%. Conclusion We should increase the hardware investment in laboratory biological security,formulate the perfecting management standard of

  6. Radiation Therapy Improves Survival Outcome in Pancreatic Adenocarcinoma: Comparison of a 15-Year Institutional Experience at the University of Nebraska Medical Center with SEER Data

    OpenAIRE

    Baine, Michael J.; Chi Lin

    2014-01-01

    Objectives. We examined the role of radiation therapy (RT) in pancreatic adenocarcinoma (PA) treatment through a 15-year retrospective analysis of patients treated at University of Nebraska Medical Center (UNMC) as well as those from the SEER database. Methods. A total of 561 patients diagnosed with PA at UNMC between 1995 and 2011 and 60,587 patients diagnosed between 1995 and 2009 from the SEER were included. Examined prognostic factors for overall survival (OS) were age, gender, race, stag...

  7. A Framework for an Institutional High Level Security Policy for the Processing of Medical Data and their Transmission through the Internet

    OpenAIRE

    Ilioudis, Christos; Pangalos, George

    2001-01-01

    Background The Internet provides many advantages when used for interaction and data sharing among health care providers, patients, and researchers. However, the advantages provided by the Internet come with a significantly greater element of risk to the confidentiality, integrity, and availability of information. It is therefore essential that Health Care Establishments processing and exchanging medical data use an appropriate security policy. Objective To develop a High Level Security Policy...

  8. SURVAILENCE REPORT ON DISINFECTION AND STERILIZATION EFFICACY OF MEDICAL INSTITUTIONS IN A DISTRICT OF CHENGDU%成都市某区医疗机构消毒灭菌质量监测报告

    Institute of Scientific and Technical Information of China (English)

    周丽宇; 毛丹梅; 周蓓欣

    2012-01-01

    目的 了解成都市医疗机构消毒灭菌质量现状,为改进医院消毒管理工作提供依据.方法 采用现场调查和采样检验方法,对成都市某城区医疗机构消毒灭菌质量进行了监测.结果 2008至2010年共采样6 530份,消毒质量总平均合格率为92%.区属医院、社区卫生服务中心、门诊部及个体诊所消毒灭菌质量合格率分别为96%、91%和92%.室内空气、医护人员手、诊疗器械和物体表面消毒灭菌质量依次分别为79%、83%、91%和95%.结论 该城区医疗机构消毒灭菌管理工作存在薄弱环节,部分监测对象合格率偏低,应加强重点环节消毒管理.%Objective To know the status of disinfection and sterilization so as to provide the basis for improving the dis-infection management of medical institutions. Methods On - the - spot investigation and sampling inspection were used to monitor the disinfection and sterilization quality of medical institutions in a district of Chengdu. Results 6 530 samples were tested from 2008 to 2010, and the qualified rate was 92%. The qualified rate of county hospital, CHSC and private clinical was 96% , 91% and 92% respectively. The qualified rates of various monitoring samples were as followed; indoor air 79% , medical personnel's hands 83% , surgical instruments 91% , object surface 95%. Conclusion There're some weak point in the management of medical institutions disinfection and sterilization in this district, especially the qualified rate of some samples are low. It' s necessary to strengthen management in the key point of disinfection.

  9. [The medical profile of children for whom a medico-social institution is recommended by the Departmental Commission of Special Education in Var].

    Science.gov (United States)

    Bourdais-Mannone, C; Audrin, I; Creisson, M

    2003-03-01

    Since September 1999, the Commission of Special Education (CDES) in the French department of Var implemented a computer system to electronically handle medical records and information in conformance with the circular of November 5, 1998. The study presented here is based upon the first 247 orientation requests entered in the academic year 1998-1999. Six groups of children were categorised according to the main diagnostic clusters: psychosis, non-psychotic personality disorders and behavioural disorders, mental deficiency and chromosomal anomalies, instrumental malfunctioning and learning problems, central neurological problems, and motor and sensory difficulties. This study describes the medical diseases and handicaps of children for whom a medico-social assistance has been requested for the first time at the CDES based upon the recommended orientations. The revision of database management system foreseen by the implementation of the OPALES programme (Guide to Management and Administration of local Special Education) will integrate the medical, social and administrative parameters, and it will allow for the provision of a more streamlined analysis of and response to the problems and issues of handicapped children which are addressed to the CDES. The system will constitute a sustainable database on the handicaps of the children throughout the entire department.

  10. 医学科研院所工作人员绩效评价体系的建立%Build Staff Performance Evaluation System of Medical Research Institutes

    Institute of Scientific and Technical Information of China (English)

    何有琴; 谷景亮; 甄天民

    2016-01-01

    Objective To establish staff performance evaluation system of academy of medical sciences.Methods The Delphi method was employed.Results The main indicators of staff performance evaluation were selected by two-round of the Delphi method,and the evaluation system was established.Evaluation indicators covered different types of jobs of science research,medical services,disease prevention,medical education,science and technology support.Conclusions After two-round of consultation,there were more consistencies among experts regarding to selection of evaluation indicators.It will be tested and justified by further theoretical and empirical research.%目的 构建医学科研院所工作人员绩效评价体系.方法 采用Delphi法.结果 经过两轮专家咨询,筛选了工作人员绩效评价的主要评价指标,构建了评价体系.指标涵盖科学研究、医疗服务、疾病防治、医学教育和科技支撑等不同工作岗位类型的评价指标.结论 两轮专家咨询后,评价指标选择方面意见逐步趋同,需要通过进一步的理论和实证研究加以检验.

  11. Forensic medical examinations conducted on complainants of sexual assault in the Forensic Medicine Institute, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, between 2006 and 2013.

    Science.gov (United States)

    Engelgardt, P; Cychowska, M; Bloch-Bogusławska, E

    2014-01-01

    A total of 46 cases of alleged sexual assault were analysed from the years 2006-2013 where forensic medical examinations were conducted. The material was compared with data from literature. All the victims were female. In 9 cases (20%) a sexual assault by sexual touching was alleged, 67% of complainants (31 cases) had alleged non-consensual sexual intercourse, 6 complainants (13%) had no recollection of events. Genital area injuries were reported in 26% of sexual assault victims. Injuries of other parts of the body were found in 73% of victims. None of the subjects were positive for severe injuries such as fractures, wounds, and head trauma with loss of consciousness. The majority of complainants (29 cases, 63%) were examined within 24 hours after the incident and 6 examinees (13%) were assessed between 24 and 48 hours after the alleged sexual assault. Eleven forensic medical examinations (24%) were conducted after the lapse of more than 48 hours since the alleged incident. Twenty nine complainants admitted that they had washed their genital area after the sexual assault. Forensic swabs were taken during all forensic medical examinations.

  12. Empirical Study of Financial Lease about the Affect in the Investment of Medical Institutions Equipment%融资租赁对医疗机构设备投入影响的实证研究

    Institute of Scientific and Technical Information of China (English)

    周杰

    2011-01-01

    Financing lease, as a new financial service, receives more and more attention for adapting to the need of economic development. This paper uses the provincial Panel Data from 2003 to 2009, and comprehensively utilizes the OLS and Panel Data Fixed effect model to practically study the relationship between financial lease and the investment of medical institutions equipment. Measurement test results show that the financing lease has positive effect in the investment of health institutions medical equipment and has become an important way to overcome financial bottlenecks. These conclusions are essential to make the policy of speeding up the business development by financing lease and enhancing the comprehensive strength of health institutions.%融资租赁作为一种新兴的金融服务业务,由于适应经济发展的时代要求而受到越来越多的关注。本文采用我国2003—2009年的省际面板数据,综合运用OLS、PanelData固定效应模型对融资租赁与卫生机构医疗设备投入的关系进行了实证研究。计量检验结果表明:融资租赁对卫生机构医疗设备投入具有积极的正向效应,已成为卫生机构克服资金瓶颈的重要途径。以上结论对制定促进融资租赁医疗设备业务发展、提升卫生机构综合竞争力的政策至关重要。

  13. Medical intellectuals: resisting medical orientalism.

    Science.gov (United States)

    Aull, Felice; Lewis, Bradley

    2004-01-01

    In this paper, we propose analogies between medical discourse and Edward Said's "Orientalism." Medical discourse, like Orientalism, tends to favor institutional interests and can be similarly dehumanizing in its reductionism, textual representations, and construction of its subjects. To resist Orientalism, Said recommends that critics--"intellectuals"--adopt the perspective of exile. We apply Said's paradigm of intellectual-as-exile to better understand the work of key physician-authors who cross personal and professional boundaries, who engage with patients in mutually therapeutic relationships, and who take on the public responsibility of representation and advocacy. We call these physician-authors "medical intellectuals" and encourage others to follow in their path.

  14. Isolamento e caracterização de Pseudomonas maltophilia (Hugh & Ryschenkow, 1960 de material clínico humano, na cidade do Rio de Janeiro Isolating and characterization of Pseudomonas maltophilia (Hugh & Ryschenkow, 1960 from human clinical specimens, in Rio de Janeiro, Guanabara, Brazil

    Directory of Open Access Journals (Sweden)

    Altair A. Zebral

    1973-01-01

    Full Text Available Os autores estudaram as propriedades morfo-bioquímicas e a sensibilidade às substâncias antimicrobianas, de uma nova e rara espécie de Pseudomonas, a Pseudomonas maltophilia (Hugh & Ryschenkow, 1960, isolada de secração vaginal. Como características marcantes, dentre mais de 65 testadas, as amostras estudadas mostraram ser: oxidase negativa e lisina descarboxilase positiva; produziram desoxiribonuclease e um pigmento escuro que se difunde no meio; atacaram oxidativamente a maltose tanto em meio complexo nitrogenado como em meio de Hugh & Leifson e hidrolisaram a esculina. As amostras foram sensíveis ao cloranfenicol, gentamicina, kanamicina, colistin e gabromicina.The authors have studied the morpho-biochemical properties and the sensibility at antimicrobial drugs, of specie of Pseudomonas, the Pseudomonas maltophilia, (Hugh & Ryschenkow, 1960, isolated from vaginal secretion. Since important characteristics among more of sixty-five tested, the strains studied show to be: oxidase negative and lysine decarboxylase positive; to present deoxyrononuclease activity and produced a diffusible brown pigment: acid was produced by oxidation of maltose as much in nitrogenous complex medium as in Hugh & Leifson medium and they hydrolise the esculin. the strains was sensible, for the colistin chloranfenicol, gabromycin, gentamycin and nalidix acid.

  15. Institutional ethnography

    DEFF Research Database (Denmark)

    Lund, Rebecca; Tienari, Janne

    2016-01-01

    . In institutional ethnography the notion of objectification is applied to describe research processes like those that have been found to dominate in scholarly work on M&As. In this chapter, we offer an outline of Smiths critique of objectification, elucidate how institutional ethnography seeks to address it...

  16. Colonial Institutions

    DEFF Research Database (Denmark)

    McAtackney, Laura; Palmer, Russell

    2016-01-01

    and the USA which reveal that the study of colonial institutions should not be limited to the functional life of these institutions—or solely those that take the form of monumental architecture—but should include the long shadow of “imperial debris” (Stoler 2008) and immaterial institutions....

  17. Fitz-Hugh-Curtis综合征的腹腔镜诊断及病原菌研究

    Institute of Scientific and Technical Information of China (English)

    姜海燕; 于宏艳; 殷丽华; 姚常晖

    2006-01-01

    Fitz-Hugh-Curtis综合征(FHCS)是盆腔炎合并肝周围炎,诊断需依据直视下观察肝表面和盆腔脏器的炎症表现,和(或)直接从肝表面、盆腔脏器表面检出病原菌,因此受条件限制有许多困难。我们充分利用腹腔镜的探查功能使本病的诊断变得容易。以往报道FHCS病原菌为淋球菌,随着沙眼衣原体感染的急剧增加,本病的报道亦日见增多,由此对其病原菌也提出了质疑。所以本研究拟用腹腔镜协助诊断FHCS及其病原菌,以指导临床诊断与治疗。

  18. Synchronization of coupled different chaotic FitzHugh-Nagumo neurons with unknown parameters under communication-direction-dependent coupling.

    Science.gov (United States)

    Iqbal, Muhammad; Rehan, Muhammad; Khaliq, Abdul; Saeed-ur-Rehman; Hong, Keum-Shik

    2014-01-01

    This paper investigates the chaotic behavior and synchronization of two different coupled chaotic FitzHugh-Nagumo (FHN) neurons with unknown parameters under external electrical stimulation (EES). The coupled FHN neurons of different parameters admit unidirectional and bidirectional gap junctions in the medium between them. Dynamical properties, such as the increase in synchronization error as a consequence of the deviation of neuronal parameters for unlike neurons, the effect of difference in coupling strengths caused by the unidirectional gap junctions, and the impact of large time-delay due to separation of neurons, are studied in exploring the behavior of the coupled system. A novel integral-based nonlinear adaptive control scheme, to cope with the infeasibility of the recovery variable, for synchronization of two coupled delayed chaotic FHN neurons of different and unknown parameters under uncertain EES is derived. Further, to guarantee robust synchronization of different neurons against disturbances, the proposed control methodology is modified to achieve the uniformly ultimately bounded synchronization. The parametric estimation errors can be reduced by selecting suitable control parameters. The effectiveness of the proposed control scheme is illustrated via numerical simulations.

  19. Synchronization of Coupled Different Chaotic FitzHugh-Nagumo Neurons with Unknown Parameters under Communication-Direction-Dependent Coupling

    Directory of Open Access Journals (Sweden)

    Muhammad Iqbal

    2014-01-01

    Full Text Available This paper investigates the chaotic behavior and synchronization of two different coupled chaotic FitzHugh-Nagumo (FHN neurons with unknown parameters under external electrical stimulation (EES. The coupled FHN neurons of different parameters admit unidirectional and bidirectional gap junctions in the medium between them. Dynamical properties, such as the increase in synchronization error as a consequence of the deviation of neuronal parameters for unlike neurons, the effect of difference in coupling strengths caused by the unidirectional gap junctions, and the impact of large time-delay due to separation of neurons, are studied in exploring the behavior of the coupled system. A novel integral-based nonlinear adaptive control scheme, to cope with the infeasibility of the recovery variable, for synchronization of two coupled delayed chaotic FHN neurons of different and unknown parameters under uncertain EES is derived. Further, to guarantee robust synchronization of different neurons against disturbances, the proposed control methodology is modified to achieve the uniformly ultimately bounded synchronization. The parametric estimation errors can be reduced by selecting suitable control parameters. The effectiveness of the proposed control scheme is illustrated via numerical simulations.

  20. Effect of spatially correlated noise on stochastic synchronization in globally coupled FitzHugh-Nagumo neuron systems

    Directory of Open Access Journals (Sweden)

    Yange Shao

    2014-01-01

    Full Text Available The phenomenon of stochastic synchronization in globally coupled FitzHugh-Nagumo (FHN neuron system subjected to spatially correlated Gaussian noise is investigated based on dynamical mean-field approximation (DMA and direct simulation (DS. Results from DMA are in good quantitative or qualitative agreement with those from DS for weak noise intensity and larger system size. Whether the consisting single FHN neuron is staying at the resting state, subthreshold oscillatory regime, or the spiking state, our investigation shows that the synchronization ratio of the globally coupled system becomes higher as the noise correlation coefficient increases, and thus we conclude that spatial correlation has an active effect on stochastic synchronization, and the neurons can achieve complete synchronization in the sense of statistics when the noise correlation coefficient tends to one. Our investigation also discloses that the noise spatial correlation plays the same beneficial role as the global coupling strength in enhancing stochastic synchronization in the ensemble. The result might be useful in understanding the information coding mechanism in neural systems.

  1. Pulse propagation and failure in the discrete FitzHugh-Nagumo model subject to high-frequency stimulation.

    Science.gov (United States)

    Ratas, Irmantas; Pyragas, Kestutis

    2012-10-01

    We investigate the effect of a homogeneous high-frequency stimulation (HFS) on a one-dimensional chain of coupled excitable elements governed by the FitzHugh-Nagumo equations. We eliminate the high-frequency term by the method of averaging and show that the averaged dynamics depends on the parameter A=a/ω equal to the ratio of the amplitude a to the frequency ω of the stimulating signal, so that for large frequencies an appreciable effect from the HFS is attained only at sufficiently large amplitudes. The averaged equations are analyzed by an asymptotic theory based on the different time scales of the recovery and excitable variables. As a result, we obtain the main characteristics of a propagating pulse as functions of the parameter A and derive an analytical criterion for the propagation failure. We show that depending on the parameter A, the HFS can either enhance or suppress pulse propagation and reveal the mechanism underlying these effects. The theoretical results are confirmed by numerical simulations of the original system with and without noise.

  2. Institutional actorhood

    DEFF Research Database (Denmark)

    Madsen, Christian Uhrenholdt

    In this paper I describe the changing role of intra-organizational experts in the face of institutional complexity of their field. I do this through a qualitative investigation of the institutional and organizational roles of actors in Danish organizations who are responsible for the efforts to c...... to comply with the Danish work environment regulation. And by doing so I also describe how institutional complexity and organizational responses to this complexity are particular important for the changing modes of governance that characterizes contemporary welfare states.......In this paper I describe the changing role of intra-organizational experts in the face of institutional complexity of their field. I do this through a qualitative investigation of the institutional and organizational roles of actors in Danish organizations who are responsible for the efforts...

  3. Institutional upbringing

    DEFF Research Database (Denmark)

    Gulløv, Eva

    2008-01-01

    In the chapter, I discuss the role day care institutions play in the construction of the idea of proper childhood in Denmark. Drawing on findings from research on ethnic minority children in two Danish day care institutions, I begin with a discussion of how childcare institutions act as civilising...... agents, empowered with the legitimate right to define and control normality and proper ways of behaving oneself. I aim to show how institutions come to define the normal child and proper childhood in accordance with current efforts toward reinventing national culture, exemplified by legislation requiring...... current testing of Danish language fluency levels among pre-school minority children. Testing language skills marks and defines distinctions that reinforce images of deviance that, in turn, legitimize initiatives to enrol children, specifically minority children, in child care institutions....

  4. Progress on Technology of the Air Disinfection and Purification in Medical Institutions%医疗机构空气消毒净化处理技术进展

    Institute of Scientific and Technical Information of China (English)

    米丽娟

    2011-01-01

    In view of the airborne disease has become the top transmitting disease in the world, the air disinfection and purification is more important and urgent.The indoor air disinfection and purification is an effective and important measure for interruption of spread of respiratory infectious diseases.In order to guide the daily work, this article summarizes the technology and methods of indoor air disinfection and purification from domestic and foreign medical institutions in recent years.The technology and methods are illustrated in two conditions, including circumstance with or without people.In circumstance with people, the medical institution could adopt the following methods: high-efficiency particulate air filtering sterilization, high-voltage electrostatic adsorption sterilization, plasma technology, dynamic air disinfecting machines, air purification by nano-photocatalyst materials, air purification by artificial anion and construction laminar flow cleaning sterilization, etc.In circumstance without people, the medical institution could adopt the methods of ultraviolet irradiation and ozone disinfector.%鉴于经空气传播的疾病已占世界传播疾病的首位,凸显出空气消毒净化处理的重要性和紧迫性,而室内空气消毒净化处理是有效阻断呼吸道传染病传播的重要措施.作者重点归纳了近年来国内外有关医疗机构室内空气消毒净化处理的技术方法,意义在于更好地指导日常工作,技术方法主要对有人状态和无人状态2种情况分别进行了阐述.在有人状态下,可采用高效颗粒空气过滤净化除菌、高压静电吸附除菌、等离子体技术、动态空气消毒机、纳米光催化材料的空气净化、人工负离子空气净化和建筑型层流洁净除菌等技术方法处理.在无人状态下,可采用紫外线照射法和臭氧消毒机等技术方法处理.

  5. SURVEY ON THE STATUS OF NOSOCOMIAL INFECTION IN THE MEDICAL INSTITUTIONS OF LANZHOU CITY%兰州市医疗机构医院感染现状调查

    Institute of Scientific and Technical Information of China (English)

    陆润兰; 王芸; 田丰; 李笙铭

    2013-01-01

    Objective To understand the characteristics of nosocomial infection in the medical institutions of Lanzhou city providing a scientific basis to strengthen the prevention and control work of nosocomial infection. Methods A retrospective survey was used to study the status of nosocomial infection in Lanzhou City. Results From 2007 to 2011, the average rate of nosocomial infection in medical institutions of Lanzhou City was 1. 37% , and the omission rate of that was 0. 15% on average. The infection rate of municipal hospitals was 1. 94% ; that in hospitals of factories and mines was 1. 15% ; the infection rate of county hospitals was 0.92% ; that of private hospitals was 0.22% . Respiratory infections accounted for 64. 24% of all infections, which were followed by gastrointestinal infections, urinary tract infections and surgical wound infection. Conclusion In the medical institutions of Lanzhou City , the nosocomial infection rates are low and the omission of infection cases exists, so the management of nosocomial infection should be improved.%目的 了解兰州市医疗机构医院感染特点,为加强医院感染防控工作提供科学依据.方法 采用回顾性调查方法,对兰州市医疗机构医院感染现状进行了调查.结果 2007-2011年兰州市医疗机构医院感染率平均为1.37%,漏报率平均为0.15%.市级医院感染率为1.94%,厂矿医院为1.15%,县区级医院为0.92%,民营医院为0.22%.呼吸道感染占全部感染病例的64.24%,其次是胃肠道感染、泌尿道感染和手术切口感染.结论 兰州市医疗机构医院感染率较低,存在漏报现象,应提高医院感染管理工作水平.

  6. Study on Clinical Genetic Trials and Practice in Medical Institutions in Shanghai%上海市医疗机构基因临床研究与应用的现状分析

    Institute of Scientific and Technical Information of China (English)

    范竹萍; 白洁; 周萍; 达庆东; 薛迪; 纪洁

    2013-01-01

    目的 分析上海市基因临床研究与应用中存在或可能存在的伦理问题.方法 对上海市22所医疗机构进行问卷调查,并对相关人员进行关键知情者访谈.结果 被调查的上海市医疗机构中有7所开展基因工作,2011年公立医院基因检测平均服务量比2009年增长1.75倍:31%的公立医院从事基因工作的人员在近1年内参加过伦理培训,体检机构未向员工提供伦理培训:3所开展基因检测的机构未要求签署知情同意书.结论 上海市基因临床研究与应用发展较快但应用不广,应进一步促进基因检测技术的临床应用,完善基因临床应用的伦理规范.%Objective To analyze existing or potential ethical issues in clinical genetic trials and practice. Method A questionnaire survey of 22 medical institutions in Shanghai and key informant interviews were conducted. Results 7 medical institutions had clinical genetic trials or services; the average number of genetic tests provided by public hospitals in 2011 was 1.75 times as high as that in 2009; 31% persons who worked on clinical genetic trials and/or services in the public hospitals had ethics training in the past year and no health examination institutions provided ethics training to their employees; and 3 institutions conducting clinical genetic testing did not require informed consent before providing them. Conclusion Clinical genetic trials and practice have developed rapidly in recent years but are still not widely used in Shanghai. Genetic testing should be promoted to apply in clinics, and their application should be regulated according to ethical norms and criteria.

  7. Prolactin May Not Play a Role in Primary Antiphospholipid (Hughes' Syndrome

    Directory of Open Access Journals (Sweden)

    Manoel Tavares Neves Junior

    2011-01-01

    Full Text Available The relationship between prolactin (PRL and the immune system has been demonstrated in the last two decades and has opened new windows in the field of immunoendocrinology. However, there are scarce reports about PRL in primary antiphospholipid syndrome (pAPS. The objective of this study was to evaluate PRL levels in patients with pAPS compared to healthy controls and to investigate their possible clinical associations. Fifty-five pAPS patients according to Sapporo criteria were age- and sex-matched with 41 healthy subjects. Individuals with secondary causes of hyperprolactinemia (HPRL were excluded; demographic, biometric, and clinical data, PRL levels, antiphospholipid antibodies, inflammatory markers, and other routine laboratory findings were analyzed. PRL levels were similar between pAPS and healthy controls (8.94±7.02 versus 8.71±6.73 ng/mL, P=.876. Nine percent of the pAPS patients and 12.1% of the control subjects presented HPRL (P=.740. Comparison between the pAPS patients with hyper- and normoprolactinemia revealed no significant differences related to anthropometrics, clinical manifestations, medications, smoking, and antiphospholipid antibodies (P>.05. This study showed that HPRL does not seem to play a role in clinical manifestations of the pAPS, differently from other autoimmune rheumatic diseases.

  8. Transparent Institutions

    Directory of Open Access Journals (Sweden)

    Javier Fombona

    2011-04-01

    Full Text Available The objective of this project is to create sets of media-based imagery that illustrate the internal workings of public institutions to the common citizen. This is an important need in countries that are seeking to open up their public and private institutions and bring them closer to their users. Method: There is a clear need to carry out proposals that tackle organizational lack of transparency; to this end, through an interdisciplinary approach, we propose the creation of a freeaccess Web-based portal that shows the interior of the institutions at hand, learning institutions to start with, this scope will be broadened later to institutions of health and public safety. The project chooses and shows a core selection of features capable of becoming international models for each kind of institutions, elementary schools in this phase. These features are shown in short videos, depicting every core element found: installations, governing bodies, documentation, samples of learning and teaching methodologies in use, etc. Results: the propossed project succeeds in getting institutions closer to their users. It has been developed in Spain, and translated to other Latin-American countries and the United States.

  9. Transparent Institutions

    Directory of Open Access Journals (Sweden)

    Javier Fombona

    2011-04-01

    Full Text Available The objective of this project is to create sets of media-based imagery that illustrate the internal workings of public institutions to the common citizen. This is an important need in countries that are seeking to open up their public and private institutions and bring them closer to their users. Method: There is a clear need to carry out proposals that tackle organizational lack of transparency; to this end, through an interdisciplinary approach, we propose the creation of a freeaccess Web-based portal that shows the interior of the institutions at hand, learning institutions to start with, this scope will be broadened later to institutions of health and public safety. The project chooses and shows a core selection of features capable of becoming international models for each kind of institutions, elementary schools in this phase. These features are shown in short videos, depicting every core element found: installations, governing bodies, documentation, samples of learning and teaching methodologies in use, etc. Results: the propossed project succeeds in getting institutions closer to their users. It has been developed in Spain, and translated to other Latin-American countries and the United States.

  10. Training future doctors to be patient-centred: efficacy of a communication skills training (CST) programme in a Malaysian medical institution.

    Science.gov (United States)

    Lukman, H; Beevi, Z; Yeap, R

    2009-03-01

    This study evaluates the efficacy of the preclinical communication skills training (CST) programme at the International Medical University in Malaysia. Efficacy indicators include students' (1) perceived competency (2) attitude (3) conceptual knowledge, and (4) performance with regard to patient-centred communication. A longitudinal study with a before-after design tracked a preclinical cohort's progress on the aforementioned indicators as they advance through the training. Results indicate that following the CST, students perceived themselves to be more competent in interpersonal communication, had more positive attitude towards patient-centred communication, and developed a better conceptual knowledge of doctor-patient communication. In addition, those with good conceptual knowledge tend to demonstrate better communication skills performance at the Objective Structure Clinical Examination 12 months following the initial CST.

  11. [Prevalence and characteristics of the "burnout syndrome" of the medical staff of cancer and TB institutions of Primorskiĭ Kraĭ].

    Science.gov (United States)

    Bektasova, M V; Kaptsov, V A; Sheparev, A A

    2012-01-01

    As 50 doctors and 70 nurses in oncologic dispensaries as well 90 doctors and 110 nurses in tuberculosis dispensaries in Primorye have been studied on the basis of voluntary testing methods supposed by C. Maslach and V.V. Boiko. The aim of this study was to estimate the relative prevalence and psychological features of the "burnout syndrome" among doctors and nurses of oncologic and tuberculosis dispensaries in Primorye Territory. "Emotional burnout" in various stages of its development is much more common among nurses (75% of respondents), compared with physicians (less than 50% tested). In nursing professional burnout syndrome developed significantly more frequently in the more severe form, and with less seniority of professional activity. The dependence of burning on the age and professional experience is more common for physicians. There is an urgent need to study the epidemiology of the "burnout syndrome" and identify ways to prevent the formation of social syndrome in medical personnel.

  12. 面对医保发展新形势不断完善定点管理%Facing the Development Situation of Medical Insurance to Improve the Management of Designated Institutions Constantly

    Institute of Scientific and Technical Information of China (English)

    唐霁松

    2014-01-01

    According to the guidelines of the Third Plenary Session of its eighteenth Central Committee to improve the universal medical insurance and to deepen Health Reform, the social Insurance agencies at all levels should establish a systematical concept, straighten out management ideas and innovate work methods. The management of designated institutions should be improved constantly at the following important aspects: controlling medical insurance budget, promoting imbursement methods reform, monitoring medical services, intensifying anti-insurance-fraud, improving agreement administration and extending the management of medical insurance physicians and so on. The following signifi cant points need be emphasized: positioning accurately, sticking to the bottom line, improving the ability of law enforcement, adapting to the situation and promoting prospective studies.%根据十八届三中全会健全全民医保体系和进一步深化医改的新形势和新要求,各级社保经办机构要树立系统观念、理清管理思路、创新工作方法,从实施总额控制、推进付费方式改革、开展医疗服务监控、加强医保反欺诈、完善协议管理、推广医保医师管理等重点工作入手,不断完善医疗保险定点管理。其中主要把握以下方面:明确定位、坚守底线;推进依法行政、提高依法经办能力;顺应形势发展、加强前瞻性研究。

  13. The Effect of Mobile Tablet Computer (iPad) Implementation on Graduate Medical Education at a Multi-specialty Residency Institution.

    Science.gov (United States)

    Dupaix, John; Chen, John J; Chun, Maria Bj; Belcher, Gary F; Cheng, Yongjun; Atkinson, Robert

    2016-07-01

    Use of mobile tablet computers (MTCs) in residency education has grown. The objective of this study was to investigate the impact of MTCs on multiple specialties' residency training and identify MTC adoption impediments. To our knowledge, this current project is one of the first multispecialty studies of MTC implementation. A prospective cohort study was formulated. In June 2012 iPad2s were issued to all residents after completion of privacy/confidentiality agreements and a mandatory hard-copy pre-survey regarding four domains of usage (general, self-directed learning, clinical duties, and patient education). Residents who received iPads previously were excluded. A voluntary post-survey was conducted online in June 2013. One-hundred eighty-five subjects completed pre-survey and 107 completed post-survey (58% overall response rate). Eighty-six pre- and post-surveys were linked (response rate of 46%). There was a significant increase in residents accessing patient information/records and charting electronically (26.9% to 79.1%; Pmaterial (97.0% to 82.1%; P=.0039). There was a significant increase in MTC use as a primary means of charting when conducting rounds (4.9% to 39.5%; P<.001) and a significant decrease in using paper charts (30.1% to 15.7%; P=.0073). There was also a significant increase in MTC use as a primary means for explaining a diagnosis (7.7% to 57.7%; P<.001). The use of MTC has an impact on how residents approach medical education, clinical practice, and patient education. The survey tool may be useful in collecting data on MTC use by other graduate medical education programs.

  14. Extending professional education to health workers at grass root level: An experience from All India Institute of Medical Sciences, New Delhi

    Directory of Open Access Journals (Sweden)

    K K Deepak

    2014-01-01

    Full Text Available Background: In India, the opportunities for professional education of the grass root level health workers are grossly inadequate. Capacity building of all categories of health workers is needed for enhancing health outcomes. Objectives: To plan and implement a professional development training program for all categories of allied health workers and to assess its outcomes in terms of knowledge and skills Materials and Method: We planned and organized a ′one week′(15 h training program for 10 categories of allied health workers (1260 working in our hospital. The program included nine generic skills/topics: the prestige of AIIMS, sterilization & infection control, universal precaution, biomedical waste management, public health, life style & healthy nutrition, fire safety, communication skills and office procedure besides subject specific skills. Trainers were drawn from 12 departments. Training methodology included interactive lectures, narratives, demonstrations, videos, PPT slides, and informal discussions with participants. The effectiveness of the program was judged on the basis of participants′ feedback, feedback from the supervisors, and our own observations post training. Results: Feedback from the participants and their supervisors after training was encouraging. The participants described training as a "life time experience". The supervisors reported improvement in confidence, communication skills, and awareness of workers. Conclusion: The success of the program was due to the use of interactive methods, involvement of multidisciplinary team, and commitment from leadership. We recommend that professional education should be linked with career advancement. Academic institutions can play a key role in taking such initiatives.

  15. Burn Institute

    Science.gov (United States)

    ... Now Help keep local seniors safe from fire! Burn Survivor Support If you are reading this, chances ... year – a burn injury. Learn more Fire and Burn Prevention Each year, the Burn Institute provides fire ...

  16. CSCAPES Institute

    Energy Technology Data Exchange (ETDEWEB)

    Alex Pothen

    2008-10-26

    We report on the progress made by researchers of the CSCAPES Institute at Old Dominion University for the years 2007 and 2008 in the areas of research, software creation, education and training, and outreach activities.

  17. Institutional Controls

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset consists of institutional control data from multiple Superfund sites in U.S. EPA Region 8. These data were acquired from multiple sources at different...

  18. 78 FR 15878 - Taxable Medical Devices; Correction

    Science.gov (United States)

    2013-03-13

    ... is not primarily intended for use in a medical institution or office or by a medical professional... lancets to medical institutions and offices, medical professionals, and retail businesses. The FDA... Internal Revenue Service 26 CFR Part 48 RIN 1545-BJ44 Taxable Medical Devices; Correction AGENCY:...

  19. 上海市长宁区医疗机构口腔牙模卫生状况调查%Investigation on dental model sanitation status in medical institutions in Changning District of Shanghai

    Institute of Scientific and Technical Information of China (English)

    赵雪峰; 丁诚; 高玲

    2016-01-01

    Objective To investigate the sanitation status of dental model in medical institutions in Changning District of Shanghai, and to provide evidence for strengthening the disinfection management. Methods 40 medical institutions in Changning District of Shanghai were investigated by field sampling and detection. Results 92.5% of the investigated medical institutions disinfected dental models.In 168 dental model samples, the qualification rate of sanitary quality was 88.1%, while exceeded number of bacteria was the major reason for the unqualified.Among all dental model disinfection methods including ultraviolet irradiation, disinfectant soaking, disinfectant spraying and ozone, ultraviolet irradiation was the most widely used and disinfectant soaking was with the best effect.The storage sites of disinfected dental models including filling room, pollution area of sterilization room and other locations.Dental models stored in the filling room were with the highest qualification rate. Conclusion The current dental model sanitation status in medical institutions in Changning District of Shanghai is relatively unsatisfactory;supervision and inspection administration need to be strengthened by health and family planning administrative departments.%目的:了解上海市长宁区医疗机构口腔牙模的卫生现况,为加强消毒管理提供依据。方法通过现场抽样和检测方法,对上海市长宁区40家医疗机构口腔牙模卫生状况进行调查与检测。结果所调查的医疗机构中,对牙模进行消毒的占92.5%。抽样检测168件牙模,卫生质量合格率为88.1%,不合格的原因均为细菌总数超标。口腔牙模消毒方法包括紫外线照射法、消毒液浸泡、消毒液喷雾及臭氧;其中紫外线照射法使用最广泛,消毒液浸泡的消毒效果最佳。口腔牙模消毒后的存放地点包括灌模室、消毒室污染区及其他位置,其中存放在灌模室的牙模检

  20. A comparative study of patient safety culture assessment tools in medical institutions%国内外医疗机构患者安全文化测评工具的研究进展

    Institute of Scientific and Technical Information of China (English)

    李亚琴; 石永乐; 王凌颖; 胡秀英

    2016-01-01

    对国外常用、国内自制医疗机构的患者安全文化测评工具及测评结果进行综述,分析比较国内外测评工具的性能特点,以期为医疗机构患者安全文化测评工具的选择和应用提供参考。%The aim of the article is to review on the commonly used patient safety culture assessment tools in foreign medical institutions and domestic homemade tools, and on the evaluation results, and to compare the performance characteristics of the tools, so as to provide the reference for seleting the tools.

  1. 石河子市医院口腔科及口腔诊所消毒效果现状调查%Current situation investigation on effect of disinfections in dental medical institutions in Shihezi

    Institute of Scientific and Technical Information of China (English)

    徐江; 郑军; 梁玉霞; 于丽红; 曹丽婷; 侯玉帛

    2014-01-01

    OBJECTIVE To understand the current situation of disinfection monitoring results in dental medical institutions of our city ,so as to provide some effective measures for controlling the nosocomial infection in oral clinics .METHODS A total of 48 dental medical institutions or dental cunics clinics were collected ,among which 22 were outpatient dental in Chinese medicine hospital ,26 were individual household dental clinics .The ambient air , the oral comprehensive treatment chair ,the hands of doctors and nurses and clinics water pollution were monito-ring .The 4 items of monitoring results collected from Jun .2012 to Sept .2012 were analyzed .Excell2003 was used for creating database and SPSS11 .0 software was used for statistical analysis .RESULTS The qualified rate of dental medical institutions of our city was low in 17 .49% ,the qualified rate of outpatient dental department in hospitals was 13 .64% ,private dental clinics was 3 .85% .The percent of passing ambient air ,in dental depart-ment of hospitals ,was 77 .78% .And the private dental clinics was 22 .22% ,and the difference was significant (P<0 .05) .CONCLUSION Disinfection monitoring and staff training of outpatient stomatology department in hospi-tals and private dental clinics should be further strengthened ,standardize the disinfection system ,to improve disinfection qualified rate and to prevent the occurrence of the nosocomial infection in dental medical institutions of our city .%目的:了解石河子市医院口腔科及个体口腔诊所消毒监测结果现状,提出预防和控制口腔科医院感染的有效措施,为临床资料提供参考依据。方法选取2012年6月-2012年9月48所医院门诊口腔科和个体口腔诊所消毒效果监测结果进行分析,其中医院门诊口腔科22所、个体口腔诊所26所;对其环境空气、综合治疗椅、医护人员手及诊疗用水污染等4项进行现场实地监测,采用 Excel 2003建库,SPSS11.0软件进行

  2. 连云港市医疗机构放射诊疗防护现状调查与分析%Investigation and analysis of current situations of radiological protection in medical institutions of Liangyungang City

    Institute of Scientific and Technical Information of China (English)

    罗贤标; 孙芹; 靳光付; 高蓉

    2016-01-01

    目的 对连云港市医疗机构的放射诊疗防护工作情况进行断面调查和研究,探索防护重点和影响因素.方法 通过问卷调查的方式对2014年全市医疗机构进行普查,通过整群抽样的方式对放射诊疗患者进行问卷调查.数据经逻辑检错、清理后,采用Epidata 3.0进行数据录入,调查数据采用SPSS 13.0软件进行统计学分析.结果 一级、二级、三级医疗机构放射诊疗设备检测率分别为87.7%、98.0%、100%,配套的防护设备配备率分别为80.2%、96.1%、100%,放射诊疗工作人员上岗前培训率分别为87.6%、96.9%、100%,个人剂量监测率分别为67.4%、93.8%、98.4%,健康档案建档率分别为62.8%、90.7%、100%.结论 基层医疗机构放射诊疗防护有待加强,患者放射诊疗自我保护意识不强.%Objective To explore the protective focus and influencing factors through a cross-sectional investigating radiological diagnosis and treatment protection of medical institutions in Lianyungang. Methods A cluster sampling questionnaire survey was conducted in patients with radiation therapy in all medical institutions of the city.Results detection rates of radiological diagnosis and treatment equipment in Primary,secondary,tertiary medical institutions were 87.7%、98.0% and 100% respectively,The rate matched with protective equipment set were 80.2%、96.1% and 100% respectively.Training rates of radiological diagnosis staff before taking up the work were 87.6%、96.9% and 100% respectively.Personal dose monitoring rates were 67.4%、93.8% and 98.4% respectively,Health records'rates were 62.8%, 90.7% and 100% respectively.Conclusions Radiological diagnosis and protection in primary medical institutions need to be strengthened,and self-protective consciousness to radiological diagnosis and treatment in patients is weak too.

  3. Advanced data visualization and sensor fusion: Conversion of techniques from medical imaging to Earth science

    Science.gov (United States)

    Savage, Richard C.; Chen, Chin-Tu; Pelizzari, Charles; Ramanathan, Veerabhadran

    1993-01-01

    Hughes Aircraft Company and the University of Chicago propose to transfer existing medical imaging registration algorithms to the area of multi-sensor data fusion. The University of Chicago's algorithms have been successfully demonstrated to provide pixel by pixel comparison capability for medical sensors with different characteristics. The research will attempt to fuse GOES (Geostationary Operational Environmental Satellite), AVHRR (Advanced Very High Resolution Radiometer), and SSM/I (Special Sensor Microwave Imager) sensor data which will benefit a wide range of researchers. The algorithms will utilize data visualization and algorithm development tools created by Hughes in its EOSDIS (Earth Observation SystemData/Information System) prototyping. This will maximize the work on the fusion algorithms since support software (e.g. input/output routines) will already exist. The research will produce a portable software library with documentation for use by other researchers.

  4. ANALYSIS OF DISINFECTION OF RURAL MEDICAL INSTITUTIONS IN PINGLUO COUNTY FROM 2007 TO 2009%平罗县2007~2009年乡村医疗机构消毒效果调查

    Institute of Scientific and Technical Information of China (English)

    赵建军; 王晓东; 杨永才

    2011-01-01

    [ Objectivel To understand the sterilization situation of Pingluo County Hospital, find out disinfection and management problems, so as to provide science basis for stenriization in rural medical institutions, and provide information for prevent and control infection. [Methods ] We monitored the sterilization of rural medical institutions from 2007 to 2009 according to the methods and requirement of Ministry of health in the disinfection methods, the health standard for medical sterilization and disinfection and sterilization methods and criteria. [ Results] We monitored 1979 copies, including medical personnel of the hand, ultraviolet, surface and sterilization. A total of 1581 copies were qualified with the average rate of 79.9%. From 2007 to 2009, we respectively monitored 650, 648 and 681 copies, with the rates of 72.8% , 79. 5%and 87.1%, respectively.There was signivant difference in the three groupe (P < 0.01). The average qualified rate of county and village medical centers were 89.1% and 76.5%, respectively (P < 0.01). The qualified rate of sterilization instruments and hands of medical staff was high, but the pass rate of objective' s surface and ultraviolet lamp showed to be low. Especially for UV in rural medical units was low, and was only 69.9%. [Conclusion ] The sterilization work was slightly changed through three years' supervision and management, disinfection and supervision work is yet to be further strengthened.%[目的]了解平罗县乡村医序机构消毒效果情况,找出消毒管理工作存在的问题,为科学指导基层医疗机构消毒工作、预防和控制感染提供科学依据.[方法]按卫生部、和的方法和要求,我所于2007-2009年对乡村两级医疗卫生单位消毒效果进行了监测.[结果]共监测医务人员的手、紫外线灯、物体表面、灭菌物品等各类样品共计1979份,合格1581份,平均合格率79.9%.2007-2009年3年间监测各类样品数分别为650、648和681

  5. Surveillance on Disinfection Effects of Medical Institutions in Changsha County from 2009 to 2010%长沙县2009-2010年医疗机构消毒效果监测结果分析

    Institute of Scientific and Technical Information of China (English)

    罗卫红

    2011-01-01

    目的 了解长沙县医疗机构消毒灭菌质量状况,分析存在的问题,以提高医源性感染控制水平.方法 按照卫生部《消毒技术规范》、《医院消毒J生标准》GB15982-1995、《消毒与灭菌效果的评价方法与标准》GB15981-1995,在2009-2010年对全县各级医疗机构的消毒质量进行检测.结果 2009-2010年样品总合格率分别为83.3%、91.6%;使用中消毒液和无菌器械保存液的合格率最高为100%,其次是压力蒸汽灭菌效果为91.7%,物体表面、空气、灭菌医疗用品、医护人员手的合格率依次为89.5%、85.9%、84.6%、80.9%;县级医疗机构总合格率为95.4%、乡镇医院为81.3%、个体诊所和村卫生室为71.7%、私立医院为94.2%.结论 长沙县医疗机构消毒效果呈上升趋势,今后仍需加强对物体表面、空气、灭菌医疗用品、医护人员手的消毒监测工作,重点是乡镇卫生院,特别是个体诊所和村卫生室的消毒质量更应加强监督管理、技术知识培训,医院自身要健全消毒工作制度,加强消毒措施的硬件建设和人员培训,共同提高医院感染的控制能力.%Objective To investigate the quality status of sterilization and disinfection in medical institutions of Chang-sha County, to analyze the existing problems so as to improve the level of iatrogenic infection control. Methods According to "Disinfection Technology Standard" issued by the Ministry of Health, "Hospital Disinfection Sanitary Standard" (GB15982 -1995), and "Assessment Method and Standard of Disinfection and Antiseptic Effects" (GB15981 - 1995), the disinfection quality of all levels of medical institutions in Changsha County during the period of 2009-2010 was detected. Results The qualified rates of the detected samples in 2009 and 2010 were 83.3% and 91.6%, respectively. The highest qualified rates of disinfectant in use and preserving fluid of sterile medical devices both reached 100

  6. 五峰县少数民族基层医疗机构消毒效果监测现状%Current situation of disinfection effect and monitoring in Wufeng minority basic medical institutions

    Institute of Scientific and Technical Information of China (English)

    王芳

    2014-01-01

    Objective To understand the current status of disinfection work in Wufeng County minorities grassroots medical institutions. Methods According to the"disinfection technical specifications"by ministry of health for 2009 and 2013 sterilization effect of medical and health institutions was monitored. Results 6668 samples were seized in 5-year, the average pass rate was 86.25 percent, the pass rates from 2009 to 2013 were 67.55%, 81.10%, 87.03%, 92.18%, 94.34%, statistically, the difference was significant (x2=82.88,P < 0.05); pass rate of rural county were 96.46%, 87.93%, 80.51%. Disinfection monitoring results of various samples as: pass rate of indoor air was 79.49%;pass rate of disinfectant already used was 99.02%; pass rate of object surface was 76.60%; pass rate of medical personnel hands 76.18%;pass rate of medical equipment sterilization quality was 98.08%;pass rate of pressure steam was 97.84%; pass rate of radiation intensity UV lamp was 77.56%. Conclusion The results showed that minority areas of primary health care overall level of disinfection quality has improved year by year, a lower pass rate of village medical institutions.%目的:为了解五峰县少数民族基层医疗机构消毒工作现状。方法根据卫生部《消毒技术规范》对2009~2013年全县医疗卫生机构消毒灭菌效果进行监测。结果5年共检样品6668份,平均合格率为86.25%,2009~2013年合格率依次为67.55%,81.10%,87.03%,92.18%,94.34%,经统计学处理,差异有统计学意义(x2=82.88,P<0.05);县乡村合格率依次为96.46%,87.93%,80.51%。各类样品消毒效果监测结果为:室内空气合格率为79.49%;已经使用的消毒液合格率为99.02%;物体表面合格率为76.60%;医务人员的手合格率为76.18%;医疗器材灭菌质量合格率为98.08%;压力蒸汽合格率为97.84%;紫外线灯管辐射强度合格率为77.56%。结论结果表明少数民族地区基层医疗机构消毒质

  7. Dosimetry in occupational exposure workers of the medical institutes of the University San Francisco Xavier de Chuquisaca; Dosimetria en TOEs de los institutos medicos de la Universidad San Francisco Xavier de Chuquisaca

    Energy Technology Data Exchange (ETDEWEB)

    Zambrana Z, A. J.; Castro S, O.; Huanca S, E.; Torrez C, M. [Universidad Mayor, Real y Pontificia de San Francisco Xavier de Chuquisaca, Instituto de Medicina Nuclear de Sucre, Plaza Libertad No. 1, Sucre (Bolivia, Plurinational State of); Villca Q, I., E-mail: nuclear_sre@entelnet.bo [Universidad Mayor, Real y Pontificia de San Francisco Xavier de Chuquisaca, Instituto Nacional de Cancerologia Dr. Jose Cupertino Arteaga, Plaza Libertad No. 1, Sucre (Bolivia, Plurinational State of)

    2014-08-15

    In this work is made a retrospective analysis of the record, of the dosimetric control readings processed by the Dosimetry Laboratory of the Instituto Boliviano de Ciencia y Tecnologia Nuclear, as regulator entity at national level for Occupational Exposed Workers (OEWs) to ionizing radiations, of the Medical Institutes of the Universidad Mayor, Real y Pontificia de San Francisco Xavier de Chuquisaca, by a period of 10 and 15 years. The results showed that in the Nuclear Medicine Institute of Sucre, the Accumulated Occupational Exposure of a total of 393 readings of 15 OEWs was of 20.4 mSv, identifying as maximum value 10.2 mSv, in the official that develops the Radio-pharmacy activities (elution, fractionation, preparation and management). In the Instituto Nacional de Cancerologia Dr. Jose Cupertino Arteaga the dosimetric background registered an Accumulated Occupational Exposure of a total of 1319 readings of 50 OEWs of 309.69 mSv, with a maximum value of 62.30 mSv, corresponding to the worker of the technical area (maintenance, adjustment and calibration). Comparison that allows to infer that the difference is due mainly to the radio-active source type {sup 99m}Tc Vs {sup 60}Co utilized in these health centers. (Author)

  8. Radiation Therapy Improves Survival Outcome in Pancreatic Adenocarcinoma: Comparison of a 15-Year Institutional Experience at the University of Nebraska Medical Center with SEER Data

    Directory of Open Access Journals (Sweden)

    Michael J. Baine

    2014-01-01

    Full Text Available Objectives. We examined the role of radiation therapy (RT in pancreatic adenocarcinoma (PA treatment through a 15-year retrospective analysis of patients treated at University of Nebraska Medical Center (UNMC as well as those from the SEER database. Methods. A total of 561 patients diagnosed with PA at UNMC between 1995 and 2011 and 60,587 patients diagnosed between 1995 and 2009 from the SEER were included. Examined prognostic factors for overall survival (OS were age, gender, race, stage, year of diagnosis, and treatment with surgery, chemotherapy (CT, or RT. Time to death was plotted by Kaplan-Meier method. A Cox proportional hazards model was used to evaluate prognostic factors for OS. Results. The median OS was 7.3 and 5 months for patients from UNMC and the SEER database, respectively. A Cox model of patients from UNMC showed that RT was associated with improved OS (HR 0.77, P=0.018 after adjusting for factors including age, race, gender, stage, year of diagnosis, having surgery, or having CT. Cox analysis of patients from the SEER showed similar results (HR 0.65, P<0.0001. Conclusions. RT confers an independent survival advantage in patients being treated for PA which is apparent both at UNMC and through SEER data.

  9. TO STUDY THE KNOWLEDGE ATTITUDE AND PRACTICE OF THE PHARMACOVIGILANCE AMONG THE SECOND PROFESSIONAL MBBS STUDENTS OF THE J. N . INSTITUTE OF MEDICAL SCIENCES, IMPHAL

    Directory of Open Access Journals (Sweden)

    Oinam Joychandra

    2015-07-01

    Full Text Available OBJECTIVE: The aim and object of the present study is to assess the knowledge, attitude and practice of ADRs among the 2 nd professional MBBS students and also to find out the ways for implementation of Pharmacovigilance Programme of India (PvPi. MATERIAL AND METHOD : The material is the pretested questionnaire on knowledge, attitude , and practice on Pharmacovigila nce. The design of the study is cross sectional study. Percentage, proportions and means are used for descriptive statistics while the associations are calc ulated using corresponding tests for the associations . RESULTS: The knowledge of the students on Pharmacovig ilence in connection with Over t he Counter/self - medication (52%; minimum need of surveillance on marketing (74%; present surveillance on marketing as low as 60%; need of CME on ADRs along with Pharmacovigil a nce among student at least (64% as the ADRs on elderly (57%, children(58%, Pregnancy (64%. Similarly out of 24 questions on Attitude, only 7 questions on Reporting, Multi National Company, Dr ug Controller of India, Disability and Compensation are selected for statistical analysis. The percentage of the students who has heard and seen ADRs 64.5. CONCLUSION: Most of the ADRs are avoidable if there is good communication and reports which plays a pivotal role in minimizing the ADRs. Drugs must be prescribed rationally and polypharmacy should be avoided as much as possible. To avoid the iatrogenic diseases, Pharm acovigilance is a matter of great concern for the health care providers and for the general mass too.

  10. Innovation of teaching supervision in higher medical institutions%医学院校教学督导工作的创新

    Institute of Scientific and Technical Information of China (English)

    孙雨霞; 魏屹晗; 李晓霞

    2013-01-01

    构建学校内部的质量监控体系是提高教学质量的重要措施,教学督导是完善教学质量体系的重要环节.结合天津医科大学教学督导制度的实践经验,介绍校、院、室三级联动机制,督导工作的过程管理,督导内容创新以及督导工作的效果和意义.%Constructing internal quality control system is an important measure to improve teaching quality in the universities.Teaching supervision plays an important role in the teaching quality guaranteeing system.This article introduced and summarized the practice of teaching supervision in Tianjin Medical University including the establishment of three-leveled teaching supervision,emphasis of process management,innovation,significance and achievements of teaching supervision.

  11. [Shared web-based data center for multi-institutional clinical trials: evaluation of UMIN-INDICE (university hospital medical information network-internet data and information center for medical research)in clinical trials of JIVROSG (Japan interventional radiology in oncology study group)].

    Science.gov (United States)

    Sone, Miyuki; Arai, Yasuaki; Kiuchi, Takahiro; Ishikawa, Hirono; Aoki, Noriaki; Inaba, Yoshitaka; Yoshioka, Tetsuya; Aramaki, Takeshi; Kobayashi, Takeshi; Matsuoka, Toshiyuki; Anai, Hiroshi; Tanigawa, Noboru; Osuga, Keigo; Takeuchi, Yoshito; Okusaka, Takushi; Kanazawa, Susumu; Matsui, Osamu; Endo, Keigo

    2012-04-01

    A patient registration system is mandatory for establishing the scientific credibility of the multi-center clinical trials. The Japan Interventional Radiology in Oncology Study Group (JIVROSG) was organized in 2002 to establish evidence supporting the procedures used in interventional radiology. The Internet Data and Information Center for Medical Research (INDICE), provided by the University Hospital Medical Information Network(UMIN), has been utilized for patient registration in the clinical trials of JIVROSG. In this study, the safety and efficacy of UMIN-INDICE were evaluated. From 2002 to 2010, 18 clinical trials, including one international trial, were conducted. A total of 736 patients were enrolled from 51 institutions. No significant trouble was encountered during this period. A questionnaire survey demonstrated that 90% of participating researchers could use this system without difficulties. UMIN-INDICE may contribute to promoting clinical trials as an infrastructure of multicenter studies.

  12. Medical Assisting Program Guide.

    Science.gov (United States)

    Georgia Univ., Athens. Dept. of Vocational Education.

    This guide presents the standard curriculum for technical institutes in Georgia. The curriculum addresses the minimum competencies for a medical assisting program. The program guide is designed to relate primarily to the development of those skills needed by individuals in the medical assisting field, such as medical law and ethics, typing,…

  13. Hypolipidemic and Antioxidant Effects of Malus toringoides (Rehd.) Hughes Leaves in High-Fat-Diet-Induced Hyperlipidemic Rats.

    Science.gov (United States)

    Huang, Shan; Liu, Haifeng; Meng, Ning; Li, Bin; Wang, Jule

    2017-03-01

    Malus toringoides (Rehd.) Hughes (MT) leaves are traditionally used as a medicine for treating or preventing cardiovascular disease in Tibet. In addition to the effect of this medicinal plant on thrombosis, we tested its effect on dyslipidemia in a hypolipidemic rat model. A total of 60 healthy Sprague-Dawley rats were randomly divided into six groups, as follows: normal control, model control, simvastatin groups, and MT low-, medium-, and high-dose groups. The normal controls were fed with a normal diet, whereas all other groups were fed with a high-fat diet. After 6 weeks, the high-fat diet had induced hyperlipidemia in the rats, which were then orally administered with different doses of MT leaf extract (50, 100, and 200 mg/kg) for an additional 6 weeks. Serum levels of total cholesterol (TC), triglycerides (TG), low- and high-density lipoprotein cholesterol (LDL-c and HDL-c, respectively), as well as the antioxidant capacity of glutathione peroxidase (GSHP-x), superoxide dismutase (SOD), and malondialdehyde (MDA) were measured at the end of the study. MT significantly reduced serum TC, TG, and LDL-c and increased the HDL-c content in MT-treated rats compared with the model group. These changes were dose dependent. MT treatment also significantly elevated the activity of SOD and GSHP-x, and decreased the serum levels of MDA compared with untreated hyperlipidemic rats, thereby increasing serum antioxidant capacity. In addition, MT reduced liver steatosis in hyperlipidemic rats. Overall, MT exerts considerable hypolipidemic and antioxidant properties.

  14. Mean-field description and propagation of chaos in networks of Hodgkin-Huxley and FitzHugh-Nagumo neurons.

    Science.gov (United States)

    Baladron, Javier; Fasoli, Diego; Faugeras, Olivier; Touboul, Jonathan

    2012-05-31

    We derive the mean-field equations arising as the limit of a network of interacting spiking neurons, as the number of neurons goes to infinity. The neurons belong to a fixed number of populations and are represented either by the Hodgkin-Huxley model or by one of its simplified version, the FitzHugh-Nagumo model. The synapses between neurons are either electrical or chemical. The network is assumed to be fully connected. The maximum conductances vary randomly. Under the condition that all neurons' initial conditions are drawn independently from the same law that depends only on the population they belong to, we prove that a propagation of chaos phenomenon takes place, namely that in the mean-field limit, any finite number of neurons become independent and, within each population, have the same probability distribution. This probability distribution is a solution of a set of implicit equations, either nonlinear stochastic differential equations resembling the McKean-Vlasov equations or non-local partial differential equations resembling the McKean-Vlasov-Fokker-Planck equations. We prove the well-posedness of the McKean-Vlasov equations, i.e. the existence and uniqueness of a solution. We also show the results of some numerical experiments that indicate that the mean-field equations are a good representation of the mean activity of a finite size network, even for modest sizes. These experiments also indicate that the McKean-Vlasov-Fokker-Planck equations may be a good way to understand the mean-field dynamics through, e.g. a bifurcation analysis.Mathematics Subject Classification (2000): 60F99, 60B10, 92B20, 82C32, 82C80, 35Q80.

  15. 45 CFR 233.60 - Institutional status.

    Science.gov (United States)

    2010-10-01

    ...), ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES COVERAGE AND CONDITIONS OF... institution means an institution which: (i) Is organized to provide medical care, including nursing and... medical, nursing, and other health needs of patients on a continuing basis in accordance with accepted...

  16. Introduction of Institute of Medicinal Plant Development

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Institute of Medicinal Plant Development (IMPLAD), affiliated with the Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), was established in August 1983. IMPLAD, headquartered in the Zhongguancun Scientific and Technical Zone, Beijing, China, owns three branch institutes with total over 333 hectares of land in the subtropical regions of southern China, located in

  17. The Optimizing Patient Transfers, Impacting Medical Quality, andImproving Symptoms:Transforming Institutional Care approach: preliminary data from the implementation of a Centers for Medicare and Medicaid Services nursing facility demonstration project.

    Science.gov (United States)

    Unroe, Kathleen T; Nazir, Arif; Holtz, Laura R; Maurer, Helen; Miller, Ellen; Hickman, Susan E; La Mantia, Michael A; Bennett, Merih; Arling, Greg; Sachs, Greg A

    2015-01-01

    The Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project aims to reduce avoidable hospitalizations of long-stay residents enrolled in 19 central Indiana nursing facilities. This clinical demonstration project, funded by the Centers for Medicare and Medicaid Services Innovations Center, places a registered nurse in each nursing facility to implement an evidence-based quality improvement program with clinical support from nurse practitioners. A description of the model is presented, and early implementation experiences during the first year of the project are reported. Important elements include better medical care through implementation of Interventions to Reduce Acute Care Transfers tools and chronic care management, enhanced transitional care, and better palliative care with a focus on systematic advance care planning. There were 4,035 long-stay residents in 19 facilities enrolled in OPTIMISTIC between February 2013 and January 2014. Root-cause analyses were performed for all 910 acute transfers of these long stay residents. Of these transfers, the project RN evaluated 29% as avoidable (57% were not avoidable and 15% were missing), and opportunities for quality improvement were identified in 54% of transfers. Lessons learned in early implementation included defining new clinical roles, integrating into nursing facility culture, managing competing facility priorities, communicating with multiple stakeholders, and developing a system for collecting and managing data. The success of the overall initiative will be measured primarily according to reduction in avoidable hospitalizations of long-stay nursing facility residents.

  18. Assessment of Assistance in Smoking Cessation Therapy by Pharmacies in Collaboration with Medical Institutions- Implementation of a Collaborative Drug Therapy Management Protocol Based on a Written Agreement between Physicians and Pharmacists.

    Science.gov (United States)

    Watanabe, Fumiyuki; Shinohara, Kuniko; Dobashi, Akira; Amagai, Kenji; Hara, Kazuo; Kurata, Kaori; Iizima, Hideo; Shimakawa, Kiyoshi; Shimada, Masahiko; Abe, Sakurako; Takei, Keiji; Kamei, Miwako

    2016-01-01

    This study built a protocol for drug therapy management (hereinafter "the protocol") that would enable continuous support from the decision making of smoking cessation therapy to the completion of therapy through the collaboration of physicians and community pharmacists, after which we evaluated whether the use of this protocol would be helpful to smoking cessation therapy. This study utilized the "On the Promotion of Team-Based Medical Care", a Notification by the Health Policy Bureau as one of the resources for judgment, and referred to collaborative drug therapy management (CDTM) in the United States. After the implementation of this protocol, the success rate of smoking cessation at the participating medical institutions rose to approximately 70%, approximately 28-point improvement compared to the rate before the implementation. In addition to the benefits of the standard smoking cessation program, this result may have been affected by the intervention of pharmacists, who assisted in continuing cessation by advising to reduce drug dosage as necessary approximately one week after the smoking cessation, when side effects and the urge to smoke tend to occur. Additionally, the awareness survey for the intervention group revealed that all respondents, including patients who failed to quit smoking, answered that they were satisfied to the question on general satisfaction. The question about the reason for successful cessation revealed that the support by pharmacists was as important as, or more important than, that by physicians and nurses. This infers that the pharmacists' active engagement in drug therapy for individual patients was favorably acknowledged.

  19. Patient questionnaire compilation for the public benefit nature of medical institutions as seen by patients%公立医疗机构公益性的患者调查问卷编制

    Institute of Scientific and Technical Information of China (English)

    刘文彬; 陈英耀; 梁斐; 胡献之; 谷茜; 赵列宾; 董斌; 施李正; 邓伟

    2012-01-01

    目的 探索建立公立医疗机构公益性的患者调查问卷,并对其信度、效度进行评价.方法 对医疗机构的就诊患者进行现场调查,通过计算问卷的Cronbach's α系数进行信度评价,采用因子分析法、相关分析法进行效度评价,并通过人口统计学因素研究、不同医院的比较对问卷的效度进行验证.结果 调查问卷的总Cronbach's α系数为0.853,3个条目的Cronbach's α系数分别是服务质量0.845、服务适宜性0.845、职业道德0.752;因子分析结果提取出3个公因子,基本与预设条目服务质量、服务适宜性和职业道德相吻合.问卷测试结果不易受一般人口统计因素的影响.结论 调查问卷具有较好信度,对患者公益性评价各条目的划分较为合理、结构效度较好,在公益性评价方面有其推广应用的价值.%Objective An attempt to develop a patient survey questionnaire on the public benefit nature of medical institutions as seen by patients,along with an evaluation of its reliability and validity.Methods A field survey was conducted among the patients visiting these institutions.The Cronbach's α coefficient was calculated to test the reliability.Factor analysis and spearman correlation analysis were applied to test the validity.The validity was also tested by analyzing the demographic factors and comparing the results between different kinds of medical institutions.Results The Cronbach's α coefficient of the questionnaire was 0.853,meanwhile the Cronbach's α coefficient of the three items was 0.845(quality of care),0.845 (suitability of services) and 0.752 (professional ethics).Three common factors were extracted,which coincided with the three items-quality of care,suitability of services and professional ethics.And the results are hardly affected by common demographic characteristics.Condusion The reliability of the questionnaire was acceptable,and the items were reasonably divided in the questionnaire with

  20. 2007-2009年青岛市八家医疗机构消毒质量监测与评价%Surveillance and evaluation on the disinfection quality of 8 medical institutions in Qingdao from 2007 to 2009

    Institute of Scientific and Technical Information of China (English)

    马小芳; 姜洪荣

    2011-01-01

    目的为了解青岛市8家医疗机构消毒质量情况,对监测中存在的问题进行分析,为防止医源性感染提供依据。方法按照《消毒技术规范》、《医院消毒卫生标准》 GB15682-1995和《全国医疗机构消毒与感染控制监测方案》,对青岛市8家医疗机构2007年7月-2009年12月份消毒后空气、物体表面、口腔用水、卫生手、外科手、污水、内镜等进行监测。结果合格率分别为:外科手90%,卫生手75%,物体表面93%,内镜86%,口腔科手机喷水18%,冲洗水22%,污水生物监测74%。结论医疗机构消毒质量有待提高,尤其是口腔用水卫生,应加强消毒管理工作,增强广大医务人员医院感染意识,减少医院感染事件的发生。%Objective To find out the disinfection quality of 8 medical institutions hospital in Qingdao, and analyze the problems during the surveillance, in order to provide basis for prevention iatrogenic infection. Method According to Technical Standard for Disinfection, Disinfection Sanitary Standard in Hospital and Surveillance Scheme for Disinfection and Infection Control in China, we monitoring the disinfected air, objects surface, oral cavity water, sanitation hands, surgery hands, sewage, and endoscope of 8 medical institutions during July 2007 to December 2009. Results The pass rates were that surgery hands was 90% , sanitation hands was 75% , objects surface was 93% , endoscope was 86% , oral cavity water was 18% , sparge water was 22% , sewage biomonitoring was 74%. Conclusions The disinfection quality of hospital should be improved, especially the oral cavity water, and we should strengthen the disinfection management, reinforce nosocomial infection consciousness of medical staff and reduced the hospital infections cases.