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1

An evaluation of the 'short form' course experience questionnaire with medical students.  

PubMed

In this study we have validated the Course Evaluation Questionnaire (CEQ) as an instrument for use with undergraduate medical students. We have demonstrated satisfactory construct validity and reliability for the inventory. The CEQ is an appropriate instrument for course evaluation in medical education. PMID:9743797

Broomfield, D; Bligh, J

1998-07-01

2

Teaching and evaluation methods of medical ethics in the Saudi public medical colleges: cross-sectional questionnaire study  

PubMed Central

Background Saudi Arabia is considered one of the most influential Muslim countries being as the host of the two most holy places for Muslims, namely Makkah and Madina. This was reflected in the emphasis on teaching medical ethics in a lecture-based format as a part of the subject of Islamic culture taught to medical students. Over the last few years, both teaching and evaluation of medical ethics have been changing as more Saudi academics received specialized training and qualifications in bioethics from western universities. Methods This study aims at studying the current teaching methods and evaluation tools used by the Saudi public medical schools. It is done using a self-administered online questionnaire. Results Out of the 14 medical schools that responded, the majority of the responding schools (6; 42.8%), had no ethics departments; but all schools had a curriculum dedicated to medical ethics. These curricula were mostly developed by the faculty staff (12; 85.7%). The most popular teaching method was lecturing (13; 92.8%). The most popular form of student assessment was a paper-based final examination (6; 42.8%) at the end of the course that was allocated 40% or more of the total grade of the ethics course. Six schools (42.8%) allocated 15-30% of the total grade to research. Conclusion Although there is a growing interest and commitment in teaching ethics to medical students in Saudi schools; there is lack of standardization in teaching and evaluation methods. There is a need for a national body to provide guidance for the medical schools to harmonize the teaching methods, particularly introducing more interactive and students-engaging methods on the account of passive lecturing. PMID:24020917

2013-01-01

3

Questionnaire for Evaluation Skills.  

ERIC Educational Resources Information Center

This is a 20-item, three part questionnaire designed to measure knowledge of decision-making and evaluation on the part of participants in a training program on planning and evaluation. Part of TM 001 078. (DLG)

Radcliffe, Vickey W.; Colgan, Francis E.

4

Improvement in medical students' communication and interpersonal skills as evaluated by patient satisfaction questionnaire after curriculum reform  

PubMed Central

Fifteen years of undergraduate medical education curriculum reform at Saga Medical School was evaluated by measuring medical students’ communication and interpersonal skills with a patient satisfaction questionnaire developed by the American Board of Internal Medicine. A multiphase cross-sectional study was conducted at the General Medicine Clinic of Saga Medical School Hospital in phase I (1998–1999), phase II (2001–2002), and phase III (2009–2010). A total of 1,963 patient ratings for 437 medical students’ performance was analyzed. The average scores of phases II and III were significantly higher than for phase I. The average score of female students showed a significant difference between phases I and II, but no difference between phases II and III. The average score of male students showed no difference between phases I and II, but significant difference between phases II and III. The phase II curriculum introduced basic clinical skills and examination and improved female students’ performance. The phase III curriculum was effective for male students because it emphasized the clinical skill program more and introduced problem-based learning. Curriculum reform at Saga Medical School is considered to have made good progress in improving students’ clinical competence and patient-centered attitudes. PMID:25120283

Oda, Yasutomo; Onishi, Hirotaka; Sakemi, Takanobu; Fujimoto, Kazuma; Koizumi, Shunzo

2014-01-01

5

Improvement in medical students' communication and interpersonal skills as evaluated by patient satisfaction questionnaire after curriculum reform.  

PubMed

Fifteen years of undergraduate medical education curriculum reform at Saga Medical School was evaluated by measuring medical students' communication and interpersonal skills with a patient satisfaction questionnaire developed by the American Board of Internal Medicine. A multiphase cross-sectional study was conducted at the General Medicine Clinic of Saga Medical School Hospital in phase I (1998-1999), phase II (2001-2002), and phase III (2009-2010). A total of 1,963 patient ratings for 437 medical students' performance was analyzed. The average scores of phases II and III were significantly higher than for phase I. The average score of female students showed a significant difference between phases I and II, but no difference between phases II and III. The average score of male students showed no difference between phases I and II, but significant difference between phases II and III. The phase II curriculum introduced basic clinical skills and examination and improved female students' performance. The phase III curriculum was effective for male students because it emphasized the clinical skill program more and introduced problem-based learning. Curriculum reform at Saga Medical School is considered to have made good progress in improving students' clinical competence and patient-centered attitudes. PMID:25120283

Oda, Yasutomo; Onishi, Hirotaka; Sakemi, Takanobu; Fujimoto, Kazuma; Koizumi, Shunzo

2014-07-01

6

JOB EVALUATION QUESTIONNAIRE ANSWER SHEET  

E-print Network

JOB EVALUATION QUESTIONNAIRE ANSWER SHEET DO NOT WRITE IN THIS SPACE N.C. Date Received Reclass New Starting Date in Class Yes No NA (NA if Temporary Job) Notice # Effective Date If Reclassified IS TO BE USED WITH THE JOB EVALUATION QUESTIONNAIRE (BA 802) ONLY FOR POSITIONS COVERED BY CIVIL SERVICE

Amin, S. Massoud

7

A questionnaire on medical acupuncture practice  

Microsoft Academic Search

SummaryMembers of a medical acupuncture society were circulated by postal questionnaire to enquire into their acupuncture practice. Over half the replies were from general practitioners, with one third from anaesthetists. Most were using acupuncture for musculo-skeletal and general pain, but a large variety of conditions were reported as responding well by small numbers of practitioners, while others regarded these same

Simon Hayhoe; Hillary Box

1997-01-01

8

[A continuous 4-year evaluation of medical informatics education in a graduate school of health sciences using a questionnaire survey].  

PubMed

The purpose of this study was to identify the level of awareness among undergraduate students regarding medical informatics and to ascertain whether educational training has progressed with time in the Department of Health Sciences at Hirosaki University, Japan, which is a co-medical staff training institution that conducts a 4-year university course in medical informatics. The university accepts students who have completed the 3rd grade of medical licensing tests and who have attended the medical informatics lectures for 4 years (2007-2010). The ratio of first sight terminology percentage in any given fiscal year in all the 30 terminology categories varied widely from 0% to 80%, but the trend in various categories did not vary between fiscal years. The terminology of informatics under medical technology students obtained high scores of 52.5-77.3% after attending courses, which was higher compared with students from other classes. On the other hand, student nurses and occupational therapy students obtained 0-44.2%. Each class scored a high percentage of correct answers in the medical information-related terminology. Among the radiology students who attended the classes, the percentage of correct answers in categories of "digital imaging and communication in medicine" and "picture archiving and communication system" were lower than other medical terminology categories. These results reflect the gaps in educational curriculum of 1st and 2nd grades of medical licensing tests. PMID:23358336

Monzen, Satoru; Matsutani, Hideya; Kashiwakura, Ikuo

2013-01-01

9

Double Shift Evaluation: Student Questionnaire.  

ERIC Educational Resources Information Center

This 15-item student questionnaire is part of a study conducted in the Springfield, Illinois high schools to evaluate the double shift scheduling program instituted there. Students' reactions and opinions concerning the new scheduling technique are elicited by the forced-choice and open-ended items. See also TM 000 881-882, 884 for information on…

Springfield School District 186, IL.

10

Double Shift Evaluation: Parent Questionnaire.  

ERIC Educational Resources Information Center

This 13-item parent questionnaire is part of a study conducted in the Springfield, Illinois high schools to evaluate the double shift scheduling program instituted there. Parents' reactions and opinions concerning the new scheduling technique are determined by a combination of forced-choice and open-ended questions. See also TM 000 881, 883-884…

Springfield School District 186, IL.

11

Double Shift Evaluation: Faculty Questionnaire.  

ERIC Educational Resources Information Center

This 32-item faculty questionnaire is part of a study conducted in the Springfield, Illinois high schools to evaluate the double shift scheduling program instituted there. Teachers' reactions and opinions on the new scheduling technique are determined by the forced-choice and open-ended items. See also TM 000 881-883 for information on the study,…

Springfield School District 186, IL.

12

Attitude, perception and feedback of second year medical students on teaching-learning methodology and evaluation methods in pharmacology: A questionnaire-based study  

PubMed Central

Background: To assess the student's attitude, perception and feedback on teaching–learning methodology and evaluation methods in pharmacology. Materials and Methods: One hundred and forty second year medical students studying at Smt. Kashibai Navale Medical College, Pune, were selected. They were administered a pre-validated questionnaire containing 22 questions. Suggestions were also asked regarding the qualities of good pharmacology teachers and modification in pharmacology teaching methods. Descriptive statistics were used and results were expressed as percentage. Results: Majority of the students found cardiovascular system (49.25%) as the most interesting topic in pharmacology, whereas most of the students opined that cardiovascular system (60.10%), chemotherapy (54.06%) and central nervous system (44.15%) are going to be the most useful topics in internship. 48.53% students preferred clinical/patient-related pharmacology and 39.13% suggested use of audiovisual-aided lectures. Prescription writing and criticism of prescription were amongst the most useful and interesting in practical pharmacology. Students expressed interest in microteaching and problem-based learning, whereas seminars, demonstrations on manikin and museum studies were mentioned as good adjuvants to routine teaching. Multiple Choice Question (MCQ) practice tests and theory viva at the end of a particular system and periodical written tests were mentioned as effective evaluation methods. Students were found to have lot of interest in gathering information on recent advances in pharmacology and suggested to include new drug information along with prototype drugs in a comparative manner. Conclusion: There is a need of conducting few microteaching sessions and more of clinical-oriented problem-based learning with MCQ-based revisions at the end of each class in the pharmacology teaching at undergraduate level. PMID:23661897

Bhosale, Uma A.; Yegnanarayan, Radha; Yadav, Gauri E.

2013-01-01

13

Validation of a questionnaire on medical drug use during pregnancy.  

PubMed

The validity of a questionnaire on medical drug use during pregnancy was tested against information collected 7 years previously (in 1983-1984) at the University Hospital of Nijmegen, the Netherlands. The study population consisted of women with high-risk pregnancies. The sensitivity for drug categories varied between 0% and 80%. The sensitivity was highest for drugs used during labor (77%) and was extremely low (0%) for some drug categories. Personal characteristics thought to influence the sensitivity, such as parity of the mother and method of data collection (postal questionnaire or personal interview), showed no statistically significant effect. The newly developed questionnaire needs further improvement. PMID:1951298

de Jong, P C; Huijsmans, A A; Nienhuis, H E; Nijdam, W S; Zielhuis, G A; Eskes, T K

1991-11-01

14

Kee Dental Care Medical History -Confidential Patient Questionnaire  

E-print Network

Kee Dental Care Medical History - Confidential Patient Questionnaire This provides the Dentist with important information required for your dental treatment and oral health care. Registration with the Kee Dental Care will not affect your registration with any other Dental Practice Title: Surname: First Name

Harman, Neal.A.

15

Learning about medical student mistreatment from responses to the medical school graduation questionnaire.  

PubMed

Although evidence of medical student mistreatment has accumulated for more than 20 years, only recently have professional organizations like the Association of American Medical Colleges (AAMC) and the American Medical Association truly acknowledged it as an issue. Since 1991, the AAMC's annual Medical School Graduation Questionnaire (GQ) has included questions about mistreatment. Responses to the GQ have become the major source of evidence of the prevalence and types of mistreatment. This article reviews national mistreatment data, using responses to the GQ from 2000 through 2012; examines how students' experiences have changed over time; and highlights the implications of this information for the broader medical education system. The authors discuss what mistreatment is, including the changing definitions from the GQ; the prevalence, types, and sources of mistreatment; and evidence of students reporting incidents. In addition, they discuss next steps, including better defining mistreatment, specifically public humiliation and belittling, taking into account students' subjective evaluations; understanding and addressing the influence of institutional culture and what institutions can learn from current approaches at other institutions; and developing better systems to report and respond to reports of mistreatment. They conclude with a discussion of how mistreatment currently is conceptualized within the medical education system and the implications of that conceptualization for eradicating mistreatment in the future. PMID:24667505

Mavis, Brian; Sousa, Aron; Lipscomb, Wanda; Rappley, Marsha D

2014-05-01

16

Gentle Logging System Evaluation (PARTICIPANTS' QUESTIONNAIRE REPORT)  

E-print Network

Raymond O. Miller and William E. Cook 1 Abstract Five, new, cut-to-length harvesting systems wereGentle Logging System Evaluation (PARTICIPANTS' QUESTIONNAIRE REPORT) November 26, 2001 Raymond O. Miller William E. Cook Published by Michigan State University Upper Peninsula Tree Improvement Center

17

Factor structure and validity of the Medication Adherence Questionnaire (MAQ) with cigarette smokers trying to quit  

PubMed Central

The Medication Adherence Questionnaire (MAQ) is a scale used to evaluate adherence to medications. The present study assessed the factor structure and validity of the MAQ with cigarette smokers. A principal components analysis was conducted on MAQ scores from a sample of smokers presenting for treatment in a clinical trial of naltrexone and nicotine patch for smoking cessation (N=385). Indices of convergent and predictive validity were tested using electronic medication caps for naltrexone, nicotine patch counts, plasma drug levels of naltrexone, and treatment outcomes. The principal components analysis revealed two factors. Factor 1, labeled “unintentional nonadherence,” measured the extent to which individuals were nonadherent because they were careless or forgot to take their medications. Factor 2, labeled “purposeful nonadherence,” assessed nonadherence related to purposefully stopping medication use after feeling better or worse. Only the second factor was shown to have good convergent and predictive validity. Specifically, this factor was related to pill-taking behavior measured with electronic medication caps and drug plasma levels and nicotine patch use based on nicotine patch count data, and it was associated with smoking cessation outcome. Thus the purposeful nonadherence factor of the MAQ may be used as a brief screening tool for medication adherence with cigarette smokers seeking treatment. Information obtained with this questionnaire could be used to counsel patients regarding the importance of medication adherence. PMID:17454716

Toll, Benjamin A.; McKee, Sherry A.; Martin, Daniel J.; Jatlow, Peter; O'Malley, Stephanie S.

2008-01-01

18

Agreement between questionnaire and medical records on some health and socioeconomic problems among poisoning cases  

PubMed Central

Background The main objective of the present study was to evaluate the agreement between questionnaire and medical records on some health and socioeconomic problems among poisoning cases. Methods Cross-sectional sample of 100 poisoning cases consecutively admitted to the Hospital Pulau Pinang, Malaysia during the period from September 2003 to February 2004 were studied. Data on health and socioeconomic problems were collected both by self-administered questionnaire and from medical records. Agreement between the two sets of data was assessed by calculating the concordance rate, Kappa (k) and PABAK. McNemar statistic was used to test differences between categories. Results Data collected by questionnaire and medical records showed excellent agreement on the "marital status"; good agreements on "chronic illness", "psychiatric illness", and "previous history of poisoning"; and fair agreements on "at least one health problem", and "boy-girl friends problem". PABAK values suggest better agreements' measures. Conclusion There were excellent to good agreements between questionnaire and medical records on the marital status and most of the health problems and fair to poor agreements on the majority of socioeconomic problems. The implications of those findings were discussed. PMID:19751526

Fathelrahman, Ahmed I

2009-01-01

19

[A questionnaire survey of medical cooperation by the Iwaki Medical Association].  

PubMed

It has been pointed out that currently, Iwaki City faces an insufficiency of doctors working at hospitals, compared with before. Such an insufficiency became more remarkable after the 2011 Tohoku Earthquake and Fukushima Nuclear Disaster, as about 30,000 people relocated to Iwaki City from the evacuation areas. In this regard, the Iwaki Medical Association conducted a questionnaire survey to investigate the problems of medical cooperation and utilize the data to improve medical cooperation within hospitals and clinics. A total of 159 doctors answered the questionnaires: 64% were community physicians, 36% were doctors working at hospitals, and 42% were physicians. About 60% of the doctors were satisfied with the present medical cooperation. Home health care was performed by 25% of the doctors working at hospitals and 45% of the community physicians. Approximately 80% of the doctors felt the need for additional physicians to perform home health care, although more than half of the doctors answered that they do not perform it. Various problems exist in the context of medical cooperation, but many doctors still hope for its improvement, according to the answers in the questionnaires. Efforts have to be exerted further in order to enhance medical cooperation among the health care team. PMID:24712146

Midorikawa, Yasuhiko

2013-12-01

20

Development and validation of a generic questionnaire for the implementation of complex medical interventions  

PubMed Central

Introduction: The implementation of complex medical interventions in daily practice is often fraught with difficulties. According to the iterative phase model proposed by the British Medical Research Council (MRC), the development, implementation and evaluation of complex interventions should be theory-driven. A conceptual model that seems to be a promising framework is the Theory of planned behaviour (TPB). In our study we aimed to develop and validate a generic and multifaceted questionnaire based on the TPB to detect physicians’ willingness to implement complex medical interventions and the factors influencing this willingness. Methods: The questionnaire was developed according to the literature and was informed by previous qualitative research of our department. It was validated on the example of an electronic library of decision aids, arriba-lib. The sample consisted of 181 General Practitioners (GPs) who received a training regarding arriba-lib and subsequently filled in the questionnaire, assessing the TPB variables attitude, subjective norm, perceived behaviour control and intention. Follow-up assessments were conducted after two (assessing retest reliability) and eight weeks (assessing target behaviour). We performed a confirmatory factor analysis investigating the factorial structure of our questionnaire according to the TPB. Beside the calculation of the questionnaire’s psychometric properties we conducted a structural equation model and an ordinal regression to predict actual behaviour regarding the installation and application of arriba-lib. Results: The postulated three factorial model (attitude, subjective norm, perceived behaviour control) of our questionnaire based on the TPB was rejected. A two factorial model with a combined factor subjective norm/perceived behaviour control was accepted. The explained variance in the ordinal regression was low (Nagelkerke’s R2=.12). Neither attitude nor intention were able to predict the use or non-use of arriba-lib (attitude: p=.68, intention: p=.44). For the combined factor subjective norm/perceived behaviour control a significant, but small effect (p=.03) was shown. Conclusions: The TPB is not an adequate theoretical framework to guide the development of a generic questionnaire in the context of the implementation of complex interventions. To enable the successful implementation of complex medical interventions evaluators have to go through the whole development and evaluation process according to the MRC-model, without short cuts. Further, it has to be discussed if a generic instrument can be valid and useful. Regarding the TPB a publication bias regarding the theory’s applicability might have to be considered. PMID:24696674

Kramer, Lena; Hirsch, Oliver; Becker, Annette; Donner-Banzhoff, Norbert

2014-01-01

21

A review of self-report medication side effect questionnaires for mental health patients.  

PubMed

Side effects of psychotropic medications are important determinants of adherence to treatment. Discussion between the patient and clinician facilitated through the use of a side effect self-report questionnaire (SRQ) could lead to improved communications and treatment adherence. The aim of this review was to 1) identify all currently available side effect SRQs used in the assessment of mental health patients' subjective experiences, 2) evaluate the characteristics of the studies and 3) assess the psychometric properties of each of the questionnaires. Eight electronic databases were searched for peer-reviewed published articles. Six side effect SRQs were identified. Two independent reviewers assessed the quality of the study designs and psychometric properties of the identified SRQs. All questionnaires consisted of closed questions relating to antipsychotic side effects and completion times ranged from 5 to 20 min. Five questionnaires had undergone some form of psychometric testing, ranging from basic to comprehensive. There is a need in everyday clinical practice for a side effect communication tool applicable to all psychotropic medications, which allows the patient to express their subjective beliefs about their medications. This could provide an important contribution to the working relationship between patients and clinicians leading to informed decision-making and improved adherence. PMID:25034414

Ashoorian, Deena; Davidson, Rowan; Rock, Daniel; Gudka, Sajni; Clifford, Rhonda

2014-11-30

22

Psychometric Evaluation of the Chinese Virtues Questionnaire  

ERIC Educational Resources Information Center

Objectives: The present study examined the psychometric properties of the Chinese Virtues Questionnaire (CVQ). The reliability, factor structure, construct validity, and temporal stability of the inventory were examined. Method: A university student sample ("n" = 878) and a working adult sample ("n" = 153) were recruited.…

Duan, Wenjie; Ho, Samuel M. Y.; Bai, Yu; Tang, Xiaoqing

2013-01-01

23

The Effects of Continuing Medical Education Credits on Physician Response Rates to a Mailed Questionnaire  

Microsoft Academic Search

This study investigated whether the opportunity to obtain Continuing Medical Education (CME) credit together with a five-dollar bill increased response rates and questionnaire completion rates in a physician survey involving mailed questionnaires. One thousand, three hundred and fourteen cardiologists, family practitioners, general internists (non-surgeons) and 264 vascular surgeons randomly identified from the American Medical Association database participated. After two, of

Mary McGrae McDermott; Michael H. Criqui; Philip Greenland; Alan Hirsch; Elizabeth A. Hahn; Martin Lipsky; Donna Brogan; Linda Odom; David Cella; Kendra Hanley; Judith Ockene; Shaheen Khan; William H. Pearce

2004-01-01

24

Evaluation of medical audit.  

PubMed Central

OBJECTIVE--To review current knowledge of the effectiveness of medical audit programmes as a whole and of specific interventions within these programmes, as a means of changing clinical behaviour. CRITERIA FOR INCLUSION AND EXCLUSION OF PUBLISHED REPORTS--Articles listed on Medline from 1985-92 with key words "quality assurance" or "medical audit", and "evaluation" and relevant references from these articles, and from recently published reviews and reports on medical audit, were included. Excluded were simple descriptions of audit activity, replications of previous work, and publication in a language other than English. RESULTS--Evaluation of entire programmes of medical audit is unusual. Most reports concern specific interventions and focus particularly on the scientific and technical aspects of quality. These interventions may be classified by the means through which they attempt to achieve desired changes: patient characteristics; physician characteristics; administrative and organisational structures; and financial incentives. CONCLUSIONS--Knowledge about effective methods of bringing about specific changes in clinical behaviour is rudimentary. Impact is highly dependent on local factors, so generalisation of results to other settings is difficult. More qualitative research is needed to define the local factors which influence results. PMID:7964351

Robinson, M B

1994-01-01

25

Course Evaluation Questionnaire Screens: Tutor Views Once the course evaluation questionnaire (CEQ) has been released for department it can  

E-print Network

Course Evaluation Questionnaire Screens: Tutor Views Once the course by course tutors. CEQ information can be seen from the Course Evaluation option on the Teaching tab. All your courses will be listed by year. The status column

Sussex, University of

26

Emergency Medical Questionnaire & College Medical Registration Form This information is retained at your Residence for use by Residence staff in the event of a medical emergency  

E-print Network

Emergency Medical Questionnaire & College Medical Registration Form This information is retained at your Residence for use by Residence staff in the event of a medical emergency and will be treated's details in case of an emergency and is also aware of any existing medical conditions. Residents

Applebaum, David

27

Course Evaluation in Medical Education  

ERIC Educational Resources Information Center

Course evaluation is integral to medical education. We discuss (1) distinctive features of medical education that impact on course evaluation, (2) a framework for course evaluations, (3) details that shape the evaluation process, (4) key measurement issues important to data gathering and interpretation, and (5) opportunities for expanding the…

Kogan, Jennifer R.; Shea, Judy A.

2007-01-01

28

The Application of a Primary Science Delivery Evaluation Questionnaire  

Microsoft Academic Search

The purpose of this investigation was to apply a validated curriculum evaluation instrument, the Science Curriculum Implementation Questionnaire (SCIQ), in an educational context in which a science curriculum review had recently been completed and, by so doing, ascertain the accuracy and potential value of the instrument as a curriculum delivery evaluative tool. The study begins by exploring the themes generated

Brian Lewthwaite; Darrell Fisher

2004-01-01

29

Can the painDETECT Questionnaire score and MRI help predict treatment outcome in rheumatoid arthritis: protocol for the Frederiksberg hospital's Rheumatoid Arthritis, pain assessment and Medical Evaluation (FRAME-cohort) study  

PubMed Central

Introduction Pain in rheumatoid arthritis (RA) is traditionally considered to be of inflammatory origin. Despite better control of inflammation, some patients still report pain as a significant concern, even when being in clinical remission. This suggests that RA may prompt central sensitisation—one aspect of chronic pain. In contrast, other patients report good treatment response, although imaging shows signs of inflammation, which could indicate a possible enhancement of descending pain inhibitory mechanisms. When assessing disease activity in patients with central sensitisation, the commonly used disease activity scores (eg, DAS28-CRP (C reactive protein)) will yield constant high total scores due to high tender joint count and global health assessments, whereas MRI provides an isolated estimate of inflammation. The objective of this study is, in patients with RA initiating anti-inflammatory treatment, to explore the prognostic value of a screening questionnaire for central sensitisation, hand inflammation assessed by conventional MRI, and the interaction between them regarding treatment outcome evaluated by clinical status (DAS28-CRP). For the purpose of further exploratory analyses, dynamic contrast-enhanced MRI (DCE-MRI) is performed. Method and analysis The painDETECT Questionnaire (PDQ), originally developed to screen for a neuropathic pain component, is applied to indicate the presence of central sensitisation. Adults diagnosed with RA are included when either (A) initiating disease-modifying antirheumatic drug treatment, or (B) initiating or switching to biological therapy. We anticipate that 100 patients will be enrolled, tested and reassessed after 4?months of treatment. Data collection includes Clinical data, conventional MRI, DCE-MRI, blood samples and patient-reported outcomes. Ethics and dissemination This study aims at supporting rheumatologists to define strategies to reach optimal treatment outcomes in patients with RA based on chronic pain prognostics. The study has been approved by The Capital region of Denmark's Ethics Committee; identification number H-3-2013-049. The results will be published in international peer-reviewed journals. PMID:25394817

Rifbjerg-Madsen, Signe; Christensen, Anton Wulf; Boesen, Mikael; Christensen, Robin; Danneskiold-Samsøe, Bente; Bliddal, Henning; Bartels, Else Marie; Locht, Henning; Amris, Kirstine

2014-01-01

30

[Development of a questionnaire to evaluate sugar abuse and dependence].  

PubMed

This study describes the development of a questionnaire to evaluate the potential abuse of (and dependence on) non-milk extrinsic sugar (NMES). Recent studies have shown that excessive NMES consumption can cause alterations in the central nervous system due to the influence of these substances in the neurochemical reward system. The questionnaire was originally developed from a summary of reports from four focus groups utilizing the "L" module of the MINI-Plus questionnaire. Addiction specialists subsequently evaluated the draft of the questionnaire and altered the original instrument's content, substituting terms in order to better fit the substance used in this study. However, the original structure of 20 questions on abuse and dependence was maintained. It is hoped that an instrument to evaluate NMES abuse and dependence will help health professionals prevent and treat problems related to over-consumption of sugars. However, the diagnosis of sugar abuse and dependence and the instrument's potential psychometric properties require further study by the scientific community. PMID:18709227

Rosa, Marco Aurélio Camargo da; Slavutzky, Sonia Maria Blauth de; Pechansky, Flávio; Kessler, Félix

2008-08-01

31

Concordance of Adherence Measurement Using Self-Reported Adherence Questionnaires and Medication Monitoring Devices  

Microsoft Academic Search

The primary objective of this review was to identify and examine the literature on the association between medication adherence self-reported questionnaires (SRQs) and medication monitoring devices. The primary literature search was performed for 1980-2009 using PubMed, PubMed In Process and Non-Indexed, Ovid MEDLINE, Ovid MEDLINE In-Process, PsycINFO (EBSCO), CINAHL (EBSCO), Ovid HealthStar, EMBASE (Elsevier) and Cochrane Databases and using the

Lizheng Shi; Jinan Liu; Yordanka Koleva; Vivian Fonseca; Anupama Kalsekar; Manjiri Pawaskar

2010-01-01

32

Use of the long and short forms of the depression in the medically ill questionnaire in a Spanish population.  

PubMed

This study sought to translate, using a back-translation procedure, and evaluate the psychometric characteristics of Depression in the Medically Ill questionnaire (DMI-18) and its short version (DMI-10) in a Spanish population. Patients with somatic disorders (N = 366) completed the translated DMI-18 and another depression questionnaire. Among these, 167 were also assessed by a mental health professional (gold standard) to test criterion validity. Furthermore, coefficient alpha for both the versions were high (>.90), and convergent validity assessed against the Beck Depression Inventory for Primary Care, the Hospital Anxiety and Depression Scale, and the Patient Health Questionnaire-9 was satisfactory (r > .74). Confirmatory factor analysis results supported the one-factor model. When compared with the gold standard, sensitivity and specificity were 93% and 73% for DMI-18 and 87% and 74% for DMI-10, respectively. Thus, both the versions are acceptable measures that can be used by nonpsychiatric professionals to detect affective comorbidities in their patients. PMID:21245050

Orive, Miren; Padierna, Jesús A; Las Hayas, Carlota; Vrotsou, Kalliopi; Quintana, Jose M

2013-08-01

33

Medically unexplained physical symptoms in primary care: A comparison of selfreport screening questionnaires and clinical opinion  

Microsoft Academic Search

This study was undertaken to assess recognition of medically unexplained physical symptoms by general practitioners (GPs), and the feasibility of using a screening procedure based on validated self-report questionnaires. GPs identified unexplained physical symptoms as the main clinical problem for 19% of attending patients. Screening instruments identified 35% of patients as having multiple unexplained physical symptoms, of whom 5% were

Robert Peveler; Lesley Kilkenny; Anne-Louise Kinmonth

1997-01-01

34

A questionnaire for patients’ evaluations of their physicians’ humanistic behaviors  

Microsoft Academic Search

Objectives: To determine what behaviors patients perceive as reflecting a physician’s humanistic qualities, to develop an instrument\\u000a for patients to use to assess the humanistic behaviors of their own physicians, and to compare patient assessment of residents’\\u000a humanistic behaviors with patient satisfaction and the assessment of attending physicians.\\u000a \\u000a \\u000a Design: Cross-sectional descriptive study, using patient interviews and questionnaires, and evaluations of

Michael J. Weaver; Cathy L. Ow; Debra J. Walker; Ernest F. Degenhardt

1993-01-01

35

Evaluating a questionnaire to measure improvement initiatives in Swedish healthcare  

PubMed Central

Background Quality improvement initiatives have expanded recently within the healthcare sector. Studies have shown that less than 40% of these initiatives are successful, indicating the need for an instrument that can measure the progress and results of quality improvement initiatives and answer questions about how quality initiatives are conducted. The aim of the present study was to develop and test an instrument to measure improvement process and outcome in Swedish healthcare. Methods A questionnaire, founded on the Minnesota Innovation Survey (MIS), was developed in several steps. Items were merged and answer alternatives were revised. Employees participating in a county council improvement program received the web-based questionnaire. Data was analysed by descriptive statistics and correlation analysis. The questionnaire psychometric properties were investigated and an exploratory factor analysis was conducted. Results The Swedish Improvement Measurement Questionnaire consists of 27 items. The Improvement Effectiveness Outcome dimension consists of three items and has a Cronbach’s alpha coefficient of 0.67. The Internal Improvement Processes dimension consists of eight sub-dimensions with a total of 24 items. Cronbach’s alpha coefficient for the complete dimension was 0.72. Three significant item correlations were found. A large involvement in the improvement initiative was shown and the majority of the respondents were satisfied with their work. Conclusions The psychometric property tests suggest initial support for the questionnaire to study and evaluate quality improvement initiatives in Swedish healthcare settings. The overall satisfaction with the quality improvement initiative correlates positively to the awareness of individual responsibilities. PMID:23391160

2013-01-01

36

Preanesthesia Questionnaire  

MedlinePLUS

... this questionnaire accurately and completely. Patient Name ___________________________________________________ Age _________ Weight _______ Height _________ Date _____________ Allergies _______________________________________________________ _______________________________________________________________ Current Medications (Prescription and Non-Prescription -- ...

37

Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study  

Microsoft Academic Search

BACKGROUND: Mental distress among medical students is often reported. Burnout has not been studied frequently and studies using interviewer-rated diagnoses as outcomes are rarely employed. The objective of this prospective study of medical students was to examine clinically significant psychiatric morbidity and burnout at 3rd year of medical school, considering personality and study conditions measured at 1st year. METHODS: Questionnaires

Marie E Dahlin; Bo Runeson

2007-01-01

38

Evaluating ethics competence in medical education.  

PubMed Central

We critically evaluate the ways in which competence in medical ethics has been evaluated. We report the initial stage in the development of a relevant, reliable and valid instrument to evaluate core critical thinking skills in medical ethics. This instrument can be used to evaluate the impact of medical ethics education programmes and to assess whether medical students have achieved a satisfactory level of performance of core skills and knowledge in medical ethics, within and across institutions. PMID:10536759

Savulescu, J; Crisp, R; Fulford, K W; Hope, T

1999-01-01

39

Residences Emergency Medical Questionnaire This information is retained at your Residence for use by Residence staff in the event of a medical emergency and will be  

E-print Network

Residences Emergency Medical Questionnaire This information is retained at your Residence for use by Residence staff in the event of a medical emergency and will be treated in confidence. The College requires in case of an emergency and is also aware of any existing medical conditions. Residents are encouraged

Applebaum, David

40

Factors influencing Saudi medical students and interns' choice of future specialty: a self-administered questionnaire  

PubMed Central

Background This study explores the most influential factors affecting Saudi medical students and interns’ choice of specialty at the University of Dammam, Kingdom of Saudi Arabia. Methods A self-administered questionnaire was distributed during the period from June 1 to June 14, 2013. Chi-square test and logistic regression were used to test the association between participants’ choices and the motivational factors that led to their choice of specialty. Results One-hundred sixty-eight (44.7%) participants chose lifestyle as their most influential factor for the choice of their specialty. Significantly more medical interns considered lifestyle as an important factor compared to medical students (P=0.020). Internal medicine was the preferred specialty for 56 participants (14.77%) followed by family medicine for 35 participants (9.2%). Thirty-four participants (8.97%) chose general surgery, and 27 participants (7.1%) chose both pediatrics and emergency medicine. Sex influences indicated that men preferred pediatrics and emergency medicine (P=0.033 and P=0.0006, respectively), while women preferred family medicine practice (P=0.034). Conclusion Saudi medical students and interns at the University of Dammam were influenced mostly by lifestyle when they considered their future specialty. Internal medicine, family medicine, general surgery, pediatrics, and emergency medicine were the preferred specialties. PMID:25368542

Alshahrani, Mohammed; Dhafery, Bander; Al Mulhim, Mohammed; Alkhadra, Faisal; Al Bagshi, Doaa; Bukhamsin, Noor

2014-01-01

41

Analysis of Questionnaires Applied in the Evaluation Process of Academicians in Higher Education Institutes  

ERIC Educational Resources Information Center

The aim of this study is to examine the questionnaires used to evaluate teaching performance in higher education institutes and called "Instructor and Course Evaluation Questionnaires (ICEQ)" in terms of questionnaire preparation techniques and components of curriculum. Obtaining at least one ICEQ belonging to any state and private universities in…

Kalayci, Nurdan; Cimen, Orhan

2012-01-01

42

Understanding the Military Medical Evaluation Process  

MedlinePLUS

... how!. Apply Now Home » Casualty Assistance Understanding the Military Medical Evaluation Process The military’s medical evaluation process ... WEBINAR All Webinars Dec. 10, 2014 Medicaid and Military Families: An Introduction Learn more and register for ...

43

The Essential Skills Series in Evaluation: Assessing the Validity of the ESS Participant Workshop Evaluation Questionnaire  

ERIC Educational Resources Information Center

Since 2003, the Essential Skills Series training program developed by the Canadian Evaluation Society has been offered to more than 15 groups in the province of Quebec. The evaluations of these workshops were based on the participants' reactions collected by a Participant Feedback Questionnaire. This article describes the process used to assess…

Dagenais, Christian; Dargis-Damphousse, Luc; Dutil, Julie

2011-01-01

44

Assessing Religious Faith in Medical Patients: Cross-Validation of the Santa Clara Strength of Religious Faith Questionnaire  

Microsoft Academic Search

Growing attention has focused on the relationship between religiosity and health outcomes. However, research has been constrained by the limited availability of measures suitable for use with medical patients. This study examined the psychometric properties of the Santa Clara Strength of Religious Faith Questionnaire (SCSORF) in two well-defined samples of medical patients, representing a range of illness severity: 1) 175

Allen C. Sherman; Thomas G. Plante; Stephanie Simonton; Dawn C. Adams; S. Kaay Burris; Casey Harbison

1999-01-01

45

Questionnaires for eliciting evaluation data from users of interactive question answering  

SciTech Connect

Evaluating interactive question answering (QA) systems with real users can be challenging because traditional evaluation measures based on the relevance of items returned are difficult to employ since relevance judgments can be unstable in multi-user evaluations. The work reported in this paper evaluates, in distinguishing among a set of interactive QA systems, the effectiveness of three questionnaires: a Cognitive Workload Questionnaire (NASA TLX), and Task and System Questionnaires customized to a specific interactive QA application. These Questionnaires were evaluated with four systems, seven analysts, and eight scenarios during a 2-week workshop. Overall, results demonstrate that all three Questionnaires are effective at distinguishing among systems, with the Task Questionnaire being the most sensitive. Results also provide initial support for the validity and reliability of the Questionnaires.

Kelly, Diane; Kantor, Paul B.; Morse, Emile; Scholtz, Jean; Sun, Y.

2009-01-01

46

A survey on rate of media literacy among Isfahan University of Medical Sciences’ students using Iranian media literacy questionnaire  

PubMed Central

Introduction: Media literacy is a 21st century approach to education. It provides a framework to access, analyze, evaluate, and create messages in a variety of forms - from print to video to the Internet. Also, it builds an understanding of the role of media in society as well as essential skills of inquiry and self-expression necessary for citizens of a democracy. The purpose of this research was to determine the rate of media literacy among Isfahan University of Medical Sciences’ students using Iranian Media Literacy Questionnaire (IMLQ). Materials and Methods: This is a survey research in which the data were collected by a researcher-made questionnaire. Its validity and reliability were confirmed by Library and Information Sciences specialists and Chronbach's alpha (r = 0.89), respectively. Statistical population consisted of all students in Isfahan University of Medical Sciences (7000 cases) and the samples were 364. Sampling method was random stratified sampling. Data were analyzed by descriptive (frequency distribution, mean) and inferential (T-test, ANOVA, and one-sample t-test) statistics through SPSS16 software. Results: The findings showed that the mean level of media literacy among Isfahan University of Medical Sciences’ students was 3.20 ± 0.558 (higher than average). The highest mean was skill in avoiding confusion and focus on activates such as watching television, listening to radio, reading newspaper, and using internet; and the lowest mean was skill in membership and subscription in useful society networks. The mean of evaluation of media messages dimension was more than others. The lowest mean of dimensions was for selective and purposeful use of media with 2.99 ± 0.761. Comparison between gender, married status, educational degree, and college type and the rate of media literacy among Isfahan University of Medical Sciences’ students showed no significant difference. Conclusion: The results showed that the rate of media literacy among Isfahan University of Medical Sciences’ students was higher than average. But students didn't have enough skill in membership and subscription in useful society networks and Skill in tracking news about your favorite artists and musicians. Generally, all students and education practitioners should pay special attention to factors affecting in improving media literacy as a basic capability in using media. PMID:25013842

Ashrafi-rizi, Hasan; Khorasgani, Zahra Ghazavi; Zarmehr, Fateme; Kazempour, Zahra

2014-01-01

47

Harvard University Respiratory Protection Program Medical Evaluation Questionnaire  

E-print Network

to use any type of respirator (please circle "yes" or "no"). 1. Do you currently smoke tobacco, or have you smoked tobacco in the last month: Yes No 2. Have you ever had any of the following conditions No Have to stop for breath when walking at your own pace on level ground: Yes No Shortness of breath when

Heller, Eric

48

An overiew of non medical prescribing across one strategic health authority: a questionnaire survey  

PubMed Central

Background Over 50,000 non-medical healthcare professionals across the United Kingdom now have prescribing capabilities. However, there is no evidence available with regards to the extent to which non-medical prescribing (NMP) has been implemented within organisations across a strategic health authority (SHA). The aim of the study was to provide an overview of NMP across one SHA. Methods NMP leads across one SHA were asked to supply the email addresses of NMPs within their organisation. One thousand five hundred and eighty five NMPs were contacted and invited to complete an on-line descriptive questionnaire survey, 883 (55.7%) participants responded. Data was collected between November 2010 and February 2011. Results The majority of NMPs were based in primary care and worked in a team of 2 or more. Nurse independent supplementary prescribers were the largest group (590 or 68.6%) compared to community practitioner prescribers (198 or 22.4%), pharmacist independent supplementary prescribers (35 or 4%), and allied health professionals and optometrist independent and/or supplementary prescribers (8 or 0.9%). Nearly all (over 90%) of nurse independent supplementary prescribers prescribed medicines. Approximately a third of pharmacist independent supplementary prescribers, allied health professionals, and community practitioner prescribers did not prescribe. Clinical governance procedures were largely in place, although fewer procedures were reported by community practitioner prescribers. General practice nurses prescribed the most items. Factors affecting prescribing practice were: employer, the level of experience prior to becoming a non-medical prescriber, existence of governance procedures and support for the prescribing role (p?medical prescribers were nurses based in primary care, with fewer pharmacist and allied health professional prescribers. This workforce is contributing to medicines management activities in a range of care settings. If non-medical prescibers are to maximise their contribution, robust governance and support from healthcare organisations is essential. The continued use of supplementary prescribing is questionable if maximum efficiency is sought. These are important points that need to be considered by those responsible for developing non-medical prescribing in the United Kingdom and other countries around the world. PMID:22657272

2012-01-01

49

Vendor questionnaire to evaluate product quality, service, and support.  

PubMed

A questionnaire was developed to obtain verifiable data on the quality of a manufacturer's product, availability and quality of service, qualifications of service personnel, availability of spare parts, availability of inservice training programs for users and clinical engineering staff, history and future support of product, and technical requirements for preventive maintenance and repair. The questionnaire was constructed on the premise that product quality, service, and support throughout the life of the instrument are of equal importance to the function and price in purchase decisions. They play an important role in determining the true cost of patient monitoring equipment and contribute to the quality, safety, and efficiency of patient care. PMID:6855654

Kafer, E R; Pendergrass, H

1983-01-01

50

The Development and Evaluation of the Academic Entitlement Questionnaire  

ERIC Educational Resources Information Center

Validity evidence was gathered for the Academic Entitlement Questionnaire (AEQ). After reviewing entitlement literature, items were written to cover the breadth of academic entitlement. Results provide evidence for the substantive, structural, and external aspects of validity of the AEQ. Implications for research and use of the AEQ are discussed.…

Kopp, Jason P.; Zinn, Tracy E.; Finney, Sara J.; Jurich, Daniel P.

2011-01-01

51

Evaluation of questionnaires by means of formal concept analysis  

E-print Network

(International Physical Activity Questionnaire). The structured view on data provided by the method suggests, research plan MSM 6198959214, and by grant No. 6198959221 'Physical activity and inactivity of in of the Palacky University, Olomouc, who are involved in a world-wide project of monitoring physical activities

Belohlavek, Radim

52

A British evaluation of the Course Experience Questionnaire  

Microsoft Academic Search

The Course Experience Questionnaire (CEQ) has been developed in Australia as a performance indicator for measuring the quality of teaching on particular degree programmes. Students' responses to the CEQ have been shown to vary systematically (a) across different institutions, (b) with students' rated satisfaction with their degree programme as a whole, and (c) with their approaches to studying in higher

John T. E. Richardson

1994-01-01

53

Urological and Medical Evaluation of Men with Erectile Dysfunction  

PubMed Central

As the medical understanding of erectile dysfunction has evolved, the approach to its evaluation must also change. A good doctor/patient rapport is crucial to making patients more comfortable talking about their sexual function. Questionnaires help elicit specific information on which to base the diagnosis and find the etiology, along with examination of the genitals and hormone and other assays. If oral therapy is unsuccessful, other studies may find underlying conditions, leading to appropriate treatment. PMID:16986011

Carson, Culley C

2002-01-01

54

Continuing Medical Education in Clinical Pharmacology and Therapeutics: report of a questionnaire survey  

PubMed Central

Aims To seek the views of medically qualified members of the Clinical Section of the British Pharmacological Society (BPS) on their perceived needs for Continuing Medical Education (CME); on how and by whom these needs should be addressed; and on how the outcome of any educational intervention might best be assessed. Methods A structured questionnaire. Results Of 233 recipients, 140 (60%) responded, but only 123 of these fulfilled the criteria for analysis. A large majority of respondents were clinicians, most of whom devoted at least 25% of their working week to their NHS commitment. There was widespread reliance on textbooks and journals as sources of CME, supplemented by discussions with specialist peers at national and international meetings. Many felt that fulfilling even this agenda was stretching their commitment to the limit, and their greatest need was for protected time in which to learn. There was a desire among 49% of all respondents for the BPS Clinical Section to take some responsibilty for addressing the future needs of its members, and 75% took the view that academic departments should contribute to the development and updating of materials. There was no clear agreement about what these should comprise, but around half of all respondents favoured web-based, journal-based or computer-assisted educational material offering self-assessment opportunities; and CME symposia or workshops at BPS meetings. Almost half (46%) felt that assessment of CME should be integrated with a well-organized appraisal system and the use of portfolios. Six out of 10 respondents were already, or were about to be, regularly appraised at their place of work. Conclusions The questionnaire survey revealed a broad canvas of views and little evidence of consensus except for a general plea for more time in which to learn. The aim of the Clinical Section should be to facilitate and help its members to organize their learning, in a way that is consistent with national trends in Continuing Professional Development. The Clinical Section should co-ordinate the setting up of an electronic library of appropriate published material, compiled by academic and industrial sources, that would guide members seeking up-to-date knowledge of Clinical Pharmacology and Therapeutics. The British Journal of Clinical Pharmacology (BJCP) should commission review articles on recent developments where no suitable published material exists. Academic departments should also be invited to identify or develop self-assessment material that members could use to reinforce their learning, and demonstrate their knowledge to relevant professional bodies. The Clinical Section should organize Symposia and Workshops at which contentious issues in Clinical Pharmacology and Therapeutics can be discussed and resolved. PMID:11453885

Mucklow, J C

2001-01-01

55

Estimates of Reliability Coefficients for Items and Subscales of the Illinois Course Evaluation Questionnaire. Report #341.  

ERIC Educational Resources Information Center

The major focus of this paper is on the reliability of the individual items, the subscales, and the total score of Form 66 of the Illinois Course Evaluation Questionnaire (CEQ). The CEQ is a Likert-type attitude questionnaire designed to elicit evaluative information from students about courses in which they are enrolled. Form 66 contains 50 items…

Gillmore, Gerald M.

56

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

PubMed Central

Purpose The aim of this study is to determine the perceived familiarity of medical residents with statistical concepts, assess their ability to integrate these concepts in clinical scenarios, and investigate their susceptibility to the gambler’s fallacy and the conjunction fallacy. Methods A multi-institutional, cross-sectional survey of Greek medical residents was performed. Participants were asked to indicate their familiarity with basic statistical concepts and answer clinically oriented questions designed to assess their biostatistics knowledge and cognitive biases. Univariate, bivariate, and multivariate statistical models were used for the evaluation of data. Results Out of 153 respondents (76.5% response rate), only two participants (1.3%) were able to answer all seven biostatistics knowledge questions correctly while 29 residents (19%) gave incorrect answers to all questions. The proportion of correct answers to each biostatistics knowledge question ranged from 15 to 51.6%. Residents with greater self-reported familiarity were more likely to perform better on the respective knowledge question (all p<0.01). Multivariate analysis of the effect of individual resident characteristics on questionnaire performance showed that previous education outside Greece, primarily during medical school, was associated with lower biostatistics knowledge scores (p<0.001). A little more than half of the respondents (54.2%) answered the gambler’s fallacy quiz correctly. Residents with higher performance on the biostatistics knowledge questions were less prone to the gambler’s fallacy (odds ratio 1.38, 95% confidence intervals 1.12–1.70, p=0.003). Only 48 residents (31.4%) did not violate the conjunction rule. Conclusions A large number of medical residents are unable to correctly interpret crucial statistical concepts that are commonly found in the medical literature. They are also especially prone to the gambler’s fallacy bias, which may undermine clinical judgment and medical decision making. Formalized systematic teaching of biostatistics during residency will be required to de-bias residents and ensure that they are proficient in understanding and communicating statistical information. PMID:24646439

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

2014-01-01

57

Revealing Relations between Open and Closed Answers in Questionnaires through Text Clustering Evaluation  

Microsoft Academic Search

Open answers in questionnaires contain valuable information that is very time-consuming to analyze manually. We present a method for hypothesis generation from questionnaires based on text clustering. Text clustering is used interactively on the open answers, and the user can explore the cluster contents. The exploration is guided by automatic evaluation of the clusters against a closed answer regarded as

Magnus Rosell; Sumithra Velupillai

2008-01-01

58

[Evaluation of magnetostimulation effectiveness in physiotherapy--questionnaire research].  

PubMed

The anonymous questionnaires which had been filled in by patients were analysed after the end of the magnetostimulation applied with Viofor JPS. The applicator in form of a mattress with maximum induction 45 microT was used. In the analysed group of 1742 patients, 5% of patients suffered from rheumatoid arthritis, 16% from central nervous system illnesses, 9% from injuries, 1.5% from allergies, 2% from infections, 5.4% from vessel illnesses, 1% from skin illnesses. 0.5% of the patients used monotherapy. 8% suffered from radicular symptoms, 30.7% from pseudoradicular symptoms, 17.4% from arthrosis, and 3.4% patients suffered from migraines and headaches. The complete abatement of complaints or the improvement was noted in 95.5% of patients, no improvement in 4.3% and 0.2% of patients became worse--82% of deteriorated patients were the ones that suffered from infections. The strongest analgesic action and the most frequent abatement were noted in patients after injuries and patients with headaches. PMID:15181749

Wolda?ska-Oko?ska, Marta; Czernicki, Jan

2004-01-01

59

Performance criteria for evaluation of medical teachers.  

PubMed

Evaluation of medical teachers must be related systematically to individualized objectives that are derived from a specific statement of the goals of the medical school. This paper describes the application of management-by-objectives to the problem of assessment of performance of medical teachers. The approach provides for the identification of significant objectives and rates performance in relation to achievement of outcomes rather than of activites. PMID:853962

Robins, A J

1977-01-01

60

The Illinois Course Evaluation Questionnaire: Description of its Development and a Report of Some of its Results. A History of the Illinois Course Evaluation Questionnaire.  

ERIC Educational Resources Information Center

This document consists of two reports. The first report discusses the purpose in developing the Illinois Course Evaluation Questionnaire (CEQ), which was to devise an instrument that could elicit student opinions about a standardized set of statements relative to certain standardized aspects of an instructional program, and to develop norms which…

Spencer, Richard E.; Aleamoni, Lawrence M.

61

Clinical Awareness of Do's and Don'ts of Cardiopulmonary Resuscitation (CPR) Among University Medical Students-A Questionnaire Study  

PubMed Central

Background: Medical students today are tomorrow’s future doctors. One of the key skills that students should develop during their graduation training is to be prepared for emergency life saving measures like cardiopulmonary resuscitation (CPR) anytime, anywhere. The students play integral role in learning, mastering and inculcating the most pragmatic clinical skill of CPR. Objectives: a) To evaluate the CPR awareness among undergraduate medical students. b) To screen the knowledge regarding accurate, effective CPR procedural techniques and various barriers of CPR failure in clinical practice from student perspective. c) To ascertain interest in CPR training programs and also inculcating CPR as an active part of clinical practice in future. Materials and Methods: The questionnaire comprised of three parts, first one dealing with general questions to know the importance of CPR in clinical practice, second one comprised of the main goal and accuracy of CPR intervention and the last segment consisted of questions targeting the indications, methods and effectiveness of CPR. Statistical Analysis: Descriptive statistics and multiple response analyses were done by using SPSS 17. Results: The students had good knowledge about the importance of CPR in clinical practice and stand average in knowing its indications and effectiveness. Whereas, only 1.2% of them were completely aware about the universal compression ventilation ratio, and 20.4% were aware of the current order of CPR being compression, airway and breathing. Conclusion: Though, CPR awareness is good among the students but skills of CPR have to be mastered by proper certified training programs at regular intervals and knowledge has to be updated with the changing trends in CPR. PMID:25177588

Amberkar, Mohan babu; Alur S, Suhas; Bhat, Pavan Madhukar; Bansal, Siddharth

2014-01-01

62

Automated Assessment of Medical Training Evaluation Text  

PubMed Central

Medical post-graduate residency training and medical student training increasingly utilize electronic systems to evaluate trainee performance based on defined training competencies with quantitative and qualitative data, the later of which typically consists of text comments. Medical education is concomitantly becoming a growing area of clinical research. While electronic systems have proliferated in number, little work has been done to help manage and analyze qualitative data from these evaluations. We explored the use of text-mining techniques to assist medical education researchers in sentiment analysis and topic analysis of residency evaluations with a sample of 812 evaluation statements. While comments were predominantly positive, sentiment analysis improved the ability to discriminate statements with 93% accuracy. Similar to other domains, Latent Dirichlet Analysis and Information Gain revealed groups of core subjects and appear to be useful for identifying topics from this data. PMID:23304426

Zhang, Rui; Pakhomov, Serguei; Gladding, Sophia; Aylward, Michael; Borman-Shoap, Emily; Melton, Genevieve B.

2012-01-01

63

28 CFR 549.63 - Initial medical evaluation and management.  

Code of Federal Regulations, 2010 CFR

...evaluation and management. (a) Medical staff shall ordinarily...evaluation; (5) General medical evaluation; (6) Radiographs...indicated; (7) Laboratory studies as clinically indicated. (b) Medical staff shall take and...

2010-07-01

64

28 CFR 549.63 - Initial medical evaluation and management.  

Code of Federal Regulations, 2011 CFR

...evaluation and management. (a) Medical staff shall ordinarily...evaluation; (5) General medical evaluation; (6) Radiographs...indicated; (7) Laboratory studies as clinically indicated. (b) Medical staff shall take and...

2011-07-01

65

28 CFR 549.63 - Initial medical evaluation and management.  

Code of Federal Regulations, 2012 CFR

...evaluation and management. (a) Medical staff shall ordinarily...evaluation; (5) General medical evaluation; (6) Radiographs...indicated; (7) Laboratory studies as clinically indicated. (b) Medical staff shall take and...

2012-07-01

66

28 CFR 549.63 - Initial medical evaluation and management.  

Code of Federal Regulations, 2013 CFR

...evaluation and management. (a) Medical staff shall ordinarily...evaluation; (5) General medical evaluation; (6) Radiographs...indicated; (7) Laboratory studies as clinically indicated. (b) Medical staff shall take and...

2013-07-01

67

42 CFR 456.482 - Medical, psychiatric, and social evaluations.  

Code of Federal Regulations, 2010 CFR

... Medical, psychiatric, and social evaluations. 456.482 ...Age 21: Admission and Plan of Care Requirements § 456.482 Medical, psychiatric, and social evaluations. If a facility...medical, psychiatric, and social evaluations required...

2010-10-01

68

42 CFR 456.482 - Medical, psychiatric, and social evaluations.  

Code of Federal Regulations, 2013 CFR

... Medical, psychiatric, and social evaluations. 456.482 ...Age 21: Admission and Plan of Care Requirements § 456.482 Medical, psychiatric, and social evaluations. If a facility...medical, psychiatric, and social evaluations required...

2013-10-01

69

42 CFR 456.370 - Medical, psychological, and social evaluations.  

Code of Federal Regulations, 2010 CFR

...Medical, psychological, and social evaluations. 456...Control: Intermediate Care Facilities Medical, Psychological, and Social Evaluations and Admission...comprehensive medical and social evaluation and, where...recipient's need for care in the ICF....

2010-10-01

70

42 CFR 456.370 - Medical, psychological, and social evaluations.  

Code of Federal Regulations, 2012 CFR

...Medical, psychological, and social evaluations. 456...Control: Intermediate Care Facilities Medical, Psychological, and Social Evaluations and Admission...comprehensive medical and social evaluation and, where...beneficiary's need for care in the ICF....

2012-10-01

71

42 CFR 456.482 - Medical, psychiatric, and social evaluations.  

Code of Federal Regulations, 2012 CFR

... Medical, psychiatric, and social evaluations. 456.482 ...Age 21: Admission and Plan of Care Requirements § 456.482 Medical, psychiatric, and social evaluations. If a facility...medical, psychiatric, and social evaluations required...

2012-10-01

72

42 CFR 456.370 - Medical, psychological, and social evaluations.  

Code of Federal Regulations, 2011 CFR

...Medical, psychological, and social evaluations. 456...Control: Intermediate Care Facilities Medical, Psychological, and Social Evaluations and Admission...comprehensive medical and social evaluation and, where...recipient's need for care in the ICF....

2011-10-01

73

42 CFR 456.482 - Medical, psychiatric, and social evaluations.  

Code of Federal Regulations, 2011 CFR

... Medical, psychiatric, and social evaluations. 456.482 ...Age 21: Admission and Plan of Care Requirements § 456.482 Medical, psychiatric, and social evaluations. If a facility...medical, psychiatric, and social evaluations required...

2011-10-01

74

42 CFR 456.370 - Medical, psychological, and social evaluations.  

Code of Federal Regulations, 2013 CFR

...Medical, psychological, and social evaluations. 456...Control: Intermediate Care Facilities Medical, Psychological, and Social Evaluations and Admission...comprehensive medical and social evaluation and, where...beneficiary's need for care in the ICF....

2013-10-01

75

Knowledge and attitude of final - year medical students in Germany towards palliative care - an interinstitutional questionnaire-based study  

PubMed Central

Background To care for terminally ill and dying patients requires a thorough medical education, encompassing skills, knowledge, and attitudes in the field of palliative care. Undergraduate medical students in Germany will receive mandatory teaching in palliative care in the near future driven by recent changes in the Medical Licensure Act. Before new curricula can be implemented, the knowledge of medical students with respect to palliative care, their confidence to handle palliative care situations correctly, their therapeutic attitude, and their subjective assessment about previous teaching practices have to be better understood. Method We designed a composite, three-step questionnaire (self estimation of confidence, knowledge questions, and opinion on the actual and future medical curriculum) conducted online of final - year medical students at two universities in Germany. Results From a total of 318 enrolled students, 101 responded and described limited confidence in dealing with specific palliative care issues, except for pain therapy. With regard to questions examining their knowledge base in palliative care, only one third of the students (33%) answered more than half of the questions correctly. Only a small percentage of students stated they had gained sufficient knowledge and experience in palliative care during their studies, and the vast majority supported the introduction of palliative care as a mandatory part of the undergraduate curriculum. Conclusion This study identifies medical students' limited confidence and knowledge base in palliative care in 2 German universities, and underlines the importance of providing a mandatory palliative care curriculum. PMID:22112146

2011-01-01

76

Why medical students choose not to carry out an intercalated BSc: a questionnaire study  

Microsoft Academic Search

BACKGROUND: At some medical schools, students can opt to undertake a 1 year intercalated degree, usually a BSc, in addition to their medical course. Over the last few years the numbers of students who have opted to undertake an intercalated degree have been steadily decreasing despite the advantages in securing foundation posts. The aim of this study was to find

Jamie A Nicholson; Jennifer Cleland; John Lemon; Helen F Galley

2010-01-01

77

Arizona Course/Instructor Evaluation Questionnaire (CIEQ). Results Interpretation Manual. Form 76.  

ERIC Educational Resources Information Center

The Arizona Course Instructor Evaluation Questionnaire (CIEQ) was designed to assist individual instructors in improving teaching methods and courses. Secondary uses include faculty evaluation, research, and course and instructor selection by students. Successive refinements of the original pool of 1,000 items by factor analysis and subjective…

Aleamoni, Lawrence M.

78

Illinois Course Evaluation Questionnaire (CEQ) Results Interpretation Manual Form 66 and Form 32.  

ERIC Educational Resources Information Center

The Illinois Course Evaluation Questionnaire (CEQ) is an instrument used to collect student attitudes towards a course. Its purpose is to enable faculty members to collect evaluative information about their traching. The data are collected and processed by section but may also be processed by course, department, college, etc. The student responses…

Aleamoni, Lawrence M.

79

Evaluation: salvation or nemesis of medical informatics?  

Microsoft Academic Search

The currently prevailing paradigms of evaluation in medical\\/health informatics are reviewed. Some problems with application of the objectivist approach to the evaluation of real—rather than simulated—(health) information systems are identified. The rigorous application of the objectivist approach, which was developed for laboratory experiments, is difficult to adapt to the evaluation of information systems in a practical real-world environment because such

Jochen R. Moehr

2002-01-01

80

Gastro-intestinal problems and concomitant medication in NSAID users: additional findings from a questionnaire-based survey in Italy  

Microsoft Academic Search

Background  In a previous questionnaire-based survey, we found extensive use of nonsteroidal anti-inflammatory drugs (NSAIDs) in subjects\\u000a with risk factors for serious gastrointestinal complications.\\u000a \\u000a \\u000a \\u000a Aim  This study focused on the use of NSAIDs in subjects who reported either (a) pre-existing disorders which would have required\\u000a caution in using NSAIDs (e.g. dyspepsia\\/heartburn or peptic ulcer) or (b) co-medication with drugs having a high

Maria Chiara Silvani; Domenico Motola; Elisabetta Poluzzi; Ambrogio Bottoni; Fabrizio De Ponti; Alberto Vaccheri; Nicola Montanaro

2006-01-01

81

Psychometric Evaluation of the Persian Version of the 'Aging Male Scales' Questionnaire  

PubMed Central

Background: Men, much like women, are faced with age-related menopause-like symptoms as they age. In recent years, increasing attention has been drawn to clinical research into elderly men and their health-related quality of life. The Aging Male Scales (AMS) questionnaire is an international tool for assessing the health-related quality of life in elderly men. Hence far this questionnaire has not been subjected to psychometric assessment in Iran. This study aims to evaluate the validity and reliability of the Persian version of the AMS questionnaire specific to the health of elderly men in Iran. Methods: To validate this instrument, a cross-sectional study was conducted on 521 healthy Iranian men aged 40-65 years old, who attended the blood transfusion center clinic between February 2011 and June 2012. The English version of the AMS questionnaire was translated to Persian and then back-translated. To determine the reliability of the AMS questionnaire, internal consistency was evaluated and test-retest was done. The questionnaire was validated using convergent and structural validity methods. To assess the factor structure of the questionnaire, a correlation matrix of questions and domains was used. Results: Cronbach's alpha was higher than 0.7 (0.73-0.88) in all domains. A Pearson's correlation coefficient of 0.87 between pretest and posttest indicated a high correlation and an acceptable reliability. The convergent validity of the questionnaire was found acceptable by calculating the correlation between the domains and items-total correlation ranging 0.40-0.85, except for question 14 that had a 0.28 correlation with the whole test. The criterion-related validity of the questionnaire in the psychological domain was confirmed with the “two-item Patient Health Questionnaire” (r = 0.63, P < 0.001). Conclusions: According to the results, the Persian version of the AMS questionnaire has high validity and reliability and may be used to assess the health-related quality of life of men between 40 and 65 years old. PMID:25317302

Ardebili, Hasan Eftekhar; Khosravi, Shahla; Larijani, Bagher; Nedjat, Saharnaze; Nasrabadi, Alireza Nikbakht

2014-01-01

82

Evaluation of Sleep Disorders in the Primary Care Setting: History Taking Compared to Questionnaires  

PubMed Central

Study Objectives: The objective of this study was to determine if primary care providers (PCPs) screen for sleep disorders during clinical evaluation of new patients, and to compare this to likely sleep diagnoses as assessed by validated questionnaires. Methods: Adult patients evaluated as new patients in a primary care clinic at a tertiary care center were included in a prospective study. Following their appointment, patients completed the Cleveland Sleep Habits questionnaire (CSHQ), Berlin questionnaire, Epworth Sleepiness Scale (ESS), and STOP questionnaire. The encounters were subsequently reviewed for elements of a sleep history, sleep review of systems, and/or sleep workup. Results: 101 patients participated in the study. Demographics: 58 (52%) females, mean age 38 ± 12.9 years, body mass index (BMI) 29.5 ± 8.3 kg/m2 (BMI > 30 kg/m2 in 44%), 46% Caucasian, 38% African American, 11% Hispanic, and 5% other. House staff evaluated 57.4%; faculty evaluated the remainder. The ESS was > 10 in 28% of subjects. High risk for obstructive sleep apnea (OSA) risk was found in 33% (Berlin) and 34% (STOP) (24.8% by both). The CSHQ suggested possible diagnoses of insomnia in 30% and restless legs syndrome in 22%. In the clinic encounters, a limited sleep history was found in 24.8%, documentation of a sleep disorder in 8.9%, referral to sleep clinic in 2%, and referral to psychiatry clinic in 6.9%. Conclusion: Symptoms suggestive of sleep disorders are common but are not routinely screened for in the primary care setting. Validated questionnaires can efficiently identify patients at risk for common sleep disorders in this setting. Citation: Senthilvel E; Auckley D; Dasarathy J. Evaluation of sleep disorders in the primary care setting: history taking compared to questionnaires. J Clin Sleep Med 2011;7(1):41-48. PMID:21344054

Senthilvel, Egambaram; Auckley, Dennis; Dasarathy, Jaividhya

2011-01-01

83

Description versus evaluation of medical interviews  

Microsoft Academic Search

In many areas of medicine, an intervention can be evaluated using the same measures and terms as are used to describe it. What is good - that is, what is effective in producing medical benefit -can be characterized as specifiable amounts of particular actions or substances delivered under specifiable conditions. Research that develops a more precise description of the intervention

WILLIAM B. STILES

84

Organizational Leader Sensemaking in Healthcare Process Changes: The Development of the Electronic Medical Records Expectation Questionnaire  

ERIC Educational Resources Information Center

Physicians play a unique role in the adoption of electronic medical records (EMR) within the healthcare organization. As leaders, they are responsible for setting the standards for this new technology within their sphere of influence while concurrently being required to learn and integrate EMR into their own workflow and process as the recipients…

Riesenmy, Kelly Rouse

2011-01-01

85

Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument  

PubMed Central

Background Negative experiences of first childbirth increase risks for maternal postpartum depression and may negatively affect mothers' attitudes toward future pregnancies and choice of delivery method. Postpartum questionnaires assessing mothers' childbirth experiences are needed to aid in identifying mothers in need of support and counselling and in isolating areas of labour and birth management and care potentially in need of improvement. The aim of this study was to develop and evaluate a questionnaire for assessing different aspects of first-time mothers' childbirth experiences. Methods Childbirth domains were derived from literature searches, discussions with experienced midwives and interviews with first-time mothers. A draft version of the Childbirth Experience Questionnaire (CEQ) was pilot tested for face validity among 25 primiparous women. The revised questionnaire was mailed one month postpartum to 1177 primiparous women with a normal pregnancy and spontaneous onset of active labor and 920 returned evaluable questionnaires. Exploratory factor analysis using principal components analysis and promax rotation was performed to identify dimensions of the childbirth experience. Multitrait scaling analysis was performed to test scaling assumptions and reliability of scales. Discriminant validity was assessed by comparing scores from subgroups known to differ in childbirth experiences. Results Factor analysis of the 22 item questionnaire yielded four factors accounting for 54% of the variance. The dimensions were labelled Own capacity, Professional support, Perceived safety, and Participation. Multitrait scaling analysis confirmed the fit of the four-dimensional model and scaling success was achieved in all four sub-scales. The questionnaire showed good sensitivity with dimensions discriminating well between groups hypothesized to differ in experience of childbirth. Conclusion The CEQ measures important dimensions of the first childbirth experience and may be used to measure different aspects of maternal satisfaction with labour and birth. PMID:21143961

2010-01-01

86

[A questionnaire study among 171 medical candidates enrolled in a PhD program. Three elements in the PhD education: supervision, research courses and international relations].  

PubMed

One hundred and seventy-one medical doctors (median age 34 years) registered as Ph.D.-students at the Medical Faculty, University of Aarhus, were given a questionnaire concerning the Ph.D-program (91% reply rate). The Ph.D.-students had typically graduated four years before enrollment and had gained basic clinical experience. Eighty-four percent had been involved in research projects prior to their formal research education. In general, the Ph.D.-students found the supervision offered by senior researchers adequate, although, more Ph.D.-students in clinical than in preclinical departments would have liked their main supervisor to be more enthusiastic and have more specific expertise. By tradition, the Medical Faculty in Aarhus offers a broad introductory course on research methodology, this was appreciated by the Ph.D.-students. However, they found that too much time was allocated for this purpose. The Ministry of Education recommends that Ph.D.-students gain experience from international collaboration, preferably from a stay abroad. However, only 24% of Ph.D.-students had stayed at an international collaborating institution. Although the overall evaluation of the medical Ph.d.-program was positive, the Ph.D.-students pointed out weaknesses and conflicts requiring adjustment. PMID:9816962

Hauge, E M; Grønbaek, H

1998-11-01

87

Development and Evaluation of a Questionnaire to Assess Physical Educators' Knowledge of Student Assessment  

ERIC Educational Resources Information Center

The purpose of this pilot study was to develop and evaluate an instrument for measuring Greek elementary physical educators' knowledge of student assessment. A multiple-choice questionnaire comprised of items about concepts, methods, tools, and types of student assessment in physical education was designed and tested. The initial 35-item…

Emmanouilidou, Kyriaki; Derri, Vassiliki; Aggelousis, Nicolaos; Vassiliadou, Olga

2012-01-01

88

Online student evaluation improves Course Experience Questionnaire results in a physiotherapy program  

Microsoft Academic Search

This paper reports the use of an online student evaluation system, Course Experience on the Web (CEW), in a physiotherapy program to improve their Course Experience Questionnaire (CEQ) results. CEW comprises a course survey instrument modelled on the CEQ and a tailored unit survey instrument. Closure of the feedback loop is integral in the CEW system. Analysis of the data

Beatrice Tucker; Sue Jones; Leon Straker

2008-01-01

89

Online Student Evaluation Improves Course Experience Questionnaire Results in a Physiotherapy Program  

ERIC Educational Resources Information Center

This paper reports the use of an online student evaluation system, Course Experience on the Web (CEW), in a physiotherapy program to improve their Course Experience Questionnaire (CEQ) results. CEW comprises a course survey instrument modeled on the CEQ and a tailored unit survey instrument. Closure of the feedback loop is integral in the CEW…

Tucker, Beatrice; Jones, Sue; Straker, Leon

2008-01-01

90

Further Evaluation of the Psychometric Properties of the Acceptance and Action Questionnaire-II  

ERIC Educational Resources Information Center

The Acceptance and Action Questionnaire-II (AAQ-II) is a self-report measure designed to assess experiential avoidance as conceptualized in acceptance and commitment therapy (ACT). The current study is the first to evaluate the psychometric properties of the AAQ-II in a large sample of adults (N = 376) with mild to moderate levels of depression…

Fledderus, Martine; Oude Voshaar, Martijn A. H.; ten Klooster, Peter M.; Bohlmeijer, Ernst T.

2012-01-01

91

Quantitative method of medication system interface evaluation.  

PubMed

The objective of this study was to develop a quantitative method of evaluating the user interface for medication system software. A detailed task analysis provided a description of user goals and essential activity. A structural fault analysis was used to develop a detailed description of the system interface. Nurses experienced with use of the system under evaluation provided estimates of failure rates for each point in this simplified fault tree. Means of estimated failure rates provided quantitative data for fault analysis. Authors note that, although failures of steps in the program were frequent, participants reported numerous methods of working around these failures so that overall system failure was rare. However, frequent process failure can affect the time required for processing medications, making a system inefficient. This method of interface analysis, called Software Efficiency Evaluation and Fault Identification Method, provides quantitative information with which prototypes can be compared and problems within an interface identified. PMID:17625402

Pingenot, Alleene Anne; Shanteau, James; Pingenot, James D F

2007-01-01

92

Evaluation of the dentists' knowledge on medical urgency and emergency.  

PubMed

This study aimed at evaluating how well dentists understand medical emergency/urgency procedures and issues during dental treatment at a hospital specialized in cleft lip and palate. It comprised a hundred dentists from the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), Brazil, from different dental specialties. A questionnaire was applied to evaluate their knowledge of medical emergencies/urgencies from June through September 2011. The questionnaire was anonymous, confidential and constructed with closed questions and either yes-no or multiple-choice responses. Results showed that most professionals (87%) were trained in basic life support (BLS), but only 43% considered themselves capable of providing first aid and performing the necessary maneuvers. Most participants (94%) claimed that they knew the difference between medical urgencies and emergencies, and 69% had BLS training in their undergraduate courses, as opposed to 37%, during their specialization. Some participants (23%) mentioned that they had received knowledge of the subject during extracurricular courses and/or graduate courses (12%). Only 9% had not been educated on the subject; however, all participants showed interest in attending a course in BLS. In regard to assessing training that dentists who attended BLS courses received, 49% were satisfied and 42% were dissatisfied. Results of the present study emphasize that dentists from HRAC/USP have little knowledge about BLS procedures to perform them. Dentists must gain adequate education and training to minimize possible technical, ethical and legal problems associated with dental practice. It is necessary to improve both knowledge and practice in order to become well-qualified practitioners. PMID:25141014

Stafuzza, Tássia Carina; Carrara, Cleide Felício Carvalho; Oliveira, Fernanda Veronese; Santos, Carlos Ferreira; Oliveira, Thais Marchini

2014-01-01

93

Appendix C: The Questionnaire of Experiment #2: Evaluating Semi-automatic Domain Models (SDM) in Comparison to Ontologies  

E-print Network

80 Appendix C: The Questionnaire of Experiment #2: Evaluating Semi-automatic Domain Models (SDM enables tasks scheduling and projects management. All the questions in this questionnaire refer to this SDM-generated model. The questionnaire includes 3 parts, to be answered in the order of appearance

Reinhartz-Berger, Iris

94

Evaluation of adherence to oral antiviral hepatitis B treatment using structured questionnaires  

PubMed Central

AIM: To assess adherence rates to nucleos(t)ide analogues (NUCs) therapy in patients with chronic hepatitis B virus infection and determine factors associated with adherence. METHODS: The questionnaire study was conducted in the liver clinics at Concord Repatriation General Hospital. All patients who were currently taking one or more NUCs were asked to complete a structured, self-administered 32-item questionnaire. Adherence was measured using visual analogue scales. The patient’s treating clinician was also asked to assess their patient’s adherence via a structured questionnaire. RESULTS: A total of 80 patients completed the questionnaire. Sixty six percent of the patients (n = 49) reported optimal adherence whilst 25 (33.8%) graded their adherence to NUCs as suboptimal. Thirty four (43%) patients reported to have omitted taking their NUCs sometime in the past. Recent non-adherence was uncommon. Amongst the patients who reported skipping medications, the most common reason cited was ”forgetfulness“ (n = 27, 56.25%). Other common reasons included: ran out of medications (n = 5, 10.42%), being too busy (n = 4, 8.33%) and due to a change in daily routine (n = 5, 10.42%). Patients who reported low adherence to other prescription pills were also more likely to miss taking NUCs (P = 0.04). Patients who were under the care of a language-discordant clinician were also more likely to report suboptimal adherence to NUCs (P = 0.04). CONCLUSION: Adherence rates were much less than that expected by the physician and has potential adverse affect on long term outcome. Communication and education appear central and strategies need to be implemented to improve ongoing adherence. PMID:22400085

Giang, Leesa; Selinger, Christian P; Lee, Alice Unah

2012-01-01

95

42 CFR 456.170 - Medical, psychiatric, and social evaluations.  

Code of Federal Regulations, 2013 CFR

... Medical, Psychiatric, and Social Evaluations and Admission Review... Medical, psychiatric, and social evaluations. (a) Before...or beneficiary's need for care in the hospital; and appropriate...must make a psychiatric and social evaluation. (b) Each...

2013-10-01

96

42 CFR 456.170 - Medical, psychiatric, and social evaluations.  

Code of Federal Regulations, 2011 CFR

... Medical, Psychiatric, and Social Evaluations and Admission Review... Medical, psychiatric, and social evaluations. (a) Before...applicant's or recipient's need for care in the hospital; and appropriate...must make a psychiatric and social evaluation. (b) Each...

2011-10-01

97

42 CFR 456.170 - Medical, psychiatric, and social evaluations.  

Code of Federal Regulations, 2012 CFR

... Medical, Psychiatric, and Social Evaluations and Admission Review... Medical, psychiatric, and social evaluations. (a) Before...or beneficiary's need for care in the hospital; and appropriate...must make a psychiatric and social evaluation. (b) Each...

2012-10-01

98

42 CFR 456.170 - Medical, psychiatric, and social evaluations.  

Code of Federal Regulations, 2010 CFR

... Medical, Psychiatric, and Social Evaluations and Admission Review... Medical, psychiatric, and social evaluations. (a) Before...applicant's or recipient's need for care in the hospital; and appropriate...must make a psychiatric and social evaluation. (b) Each...

2010-10-01

99

An ultraviolet intercomparison for medical equipment evaluation  

NASA Astrophysics Data System (ADS)

This work presents the results of an ultraviolet irradiance intercomparison concerning two quantities: ultraviolet irradiance in the range of 250 to 400 nm and effective ultraviolet irradiance, which aims to support the ultraviolet radiation metrological issues of medical equipment manufactures and occupational ultraviolet evaluation. The intercomparison participants are medical equipment company laboratory and university or independent laboratories. The intercomparison is performed in the round robin model and a 1000W seasoned filament FEL lamp attached to housing with quartz lens is used as intercomparison measurement object. The lamp ultraviolet irradiance reference measurement is made by a spectroradiometer and is performed before and after all participants' measurements, which allows the evaluation of the irradiance drift. The normalized error is used as the intercomparison measurement agreement criterion. Results show that 16.7% of measurement is in agreement and after some measurement procedures corrections the result agreement percentage is 66.7%.

Ferreira, A. F. Gentil; Leone Filho, R.; Pereira Filho, M. L.

2013-11-01

100

Wireless Medication Management System: Design and performance evaluation  

Microsoft Academic Search

To keep healthcare costs under control, a high-level of medication adherence, or compliance with medication regimen, must be achieved. In this paper, we show how wireless technologies can be used to improve medication adherence. More specifically, we present the design, operation, and evaluation of a wireless medication system, termed Smart Medication Management System (SMMS). We also present multiple metrics for

Upkar Varshney

2011-01-01

101

Development and Psychometric Evaluation of an Evidence-Based Practice Questionnaire for a Chiropractic Curriculum  

PubMed Central

Objective The purpose of this study was to describe the questionnaire development process for evaluating important elements of an evidence-based practice (EBP) curriculum and to report on initial reliability and validity testing for the primary component of the questionnaire, an EBP knowledge exam. Methods The EBP knowledge test was evaluated with students enrolled in a doctor of chiropractic program. The initial version was tested with a sample of 374 and a revised version with a sample of 196 students. Item performance and reliability were assessed using item difficulty, item discrimination, and internal consistency. An expert panel assessed face and content validity. Results The first version of the knowledge exam demonstrated a low internal consistency (KR20=0.55) and a few items had poor item difficulty and discrimination. This resulted in an expansion in the number of items from 20 to 40, as well as a revision of the poorly performing items from the initial version. The KR20 of the second version was 0.68; 32 items had item difficulties of between 0.20 and 0.80 and 26 items had item discrimination values of 0.20 or greater. Conclusions A questionnaire for evaluating a revised EBP integrated curriculum was developed and evaluated. Psychometric testing of the EBP knowledge component provided some initial evidence for acceptable reliability and validity. PMID:23206964

Leo, Michael; Peterson, David; Haas, Mitchell; LeFebvre, Ron; Bhalerao, Shireesh

2013-01-01

102

Study on a practical robotic follower to support home oxygen therapy patients--questionnaire-based concept evaluation by the patients-.  

PubMed

Home oxygen therapy (HOT) is a medical treatment for the patients suffering from severe lung diseases. Although walking outdoors is recommended for the patients to maintain physical strength, the patients always have to carry a portable oxygen supplier which is not sufficiently light weight for this purpose. Our ultimate goal is to develop a mobile robot to carry an oxygen tank and follow a patient in an urban outdoor environment. We have proposed a mobile robot with a tether interface to detect the relative position of the foregoing patient. In this paper, we report the questionnaire-based evaluation about the two developed prototypes by the HOT patients. We conduct maneuvering experiments, and then obtained questionnaire-based evaluations from the 20 patients. The results show that the basic following performance is sufficient and the pulling force of the tether is sufficiently small for the patients. Moreover, the patients prefer the small-sized prototype for compactness and light weight to the middle-sized prototype which can carry larger payload. We also obtained detailed requests to improve the robots. Finally the results show the general concept of the robot is favorably received by the patients. PMID:24187296

Endo, Gen; Iemura, Yu; Fukushima, Edwardo F; Hirose, Shigeo; Iribe, Masatsugu; Ikeda, Ryota; Onishi, Kohei; Maeda, Naoto; Takubo, Toshio; Ohira, Mineko

2013-06-01

103

Evaluation of a short retrospective questionnaire for physical activity in women.  

PubMed

Physical activity (PA) is discussed as a preventive factor for many chronic diseases. Thus, in epidemiological studies it often is an important covariate. Due to frequently long latency periods, long-term PA in the past is of greater interest than current PA. However, there is a lack of retrospective questionnaires that are validated for long-term PA, including occupational, household, and leisure activities. We therefore evaluated a short questionnaire for the comprehensive assessment of usual PA in distant age periods, administered with cognitive interviewing techniques. From an ongoing study on postmenopausal breast cancer 110 cases and 101 controls, age 50-74 years, were randomly selected. Our questionnaire was administered in a telephone interview more than two months after the main study interview, which included a detailed questionnaire on PA performed in the age periods 30-49 years and 50+ years. Total PA scores were derived from both interviews as MET-hours per week. Degree of agreement was assessed using Bland-Altman analyses. Further, potential sources of systematic and random error were investigated. The mean difference between both questionnaires was 3 MET hours/week, and 53.6% of absolute differences were below 35 MET hours/week, i.e. showing good agreement. Further 28.9% of differences could be considered acceptable agreement. Measurement errors seem to be non-differential with respect to cancer status. The median interviewing time was 10 min. Overall, this short questionnaire appears to be a useful and valid tool to distinguish between high and low levels of women's physical activity in the distant past. PMID:17004027

Schmidt, Martina E; Slanger, Tracy; Chang-Claude, Jenny; Wahrendorf, Jürgen; Steindorf, Karen

2006-01-01

104

EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction 1 1 Requests for copies of the EDITS should be directed to S.E. Althof  

Microsoft Academic Search

Objectives. To develop Patient and Partner versions of a psychometrically sound questionnaire, the EDITS (Erectile Dysfunction Inventory of Treatment Satisfaction), to assess satisfaction with medical treatments for erectile dysfunction.Methods. Treatment satisfaction differs from treatment efficacy as it focuses on a person’s subjective evaluation of treatment received. Twenty-nine items representing the domain of treatment satisfaction for men and 20 representing partner

Stanley E Althof; Eric W Corty; Stephen B Levine; Frederic Levine; Arthur L Burnett; Kevin McVary; Vera Stecher; Allen D Seftel

1999-01-01

105

Psychometric Evaluation of the Eating Disorder Examination-Questionnaire for Bariatric Surgery Candidates  

Microsoft Academic Search

Objective:Despite increasing use of the Eating Disorder Examination-Questionnaire (EDE-Q) in bariatric surgery patients, little is known about the utility and psychometric performance of this self-report measure in this clinical group. The primary purpose of the current study was to evaluate the factor structure and construct validity of the EDE-Q in a large series of bariatric surgery candidates.Methods and Procedures:Participants were

Joshua I. Hrabosky; Marney A. White; Robin M. Masheb; Bruce S. Rothschild; Carolyn H. Burke-Martindale; Carlos M. Grilo

2008-01-01

106

Psychometric evaluation of the five-factor Modified Drinking Motives Questionnaire — Revised in undergraduates  

Microsoft Academic Search

The psychometric properties of the Modified Drinking Motives Questionnaire — Revised (Modified DMQ-R) [Blackwell, E., & Conrod, P. J. (2003). A five-dimensional measure of drinking motives. Unpublished manuscript, Department of Psychology, University of British Columbia], based on a five-factor model of drinking motives with separate coping-anxiety and coping-depression factors, were evaluated in undergraduates. In Study 1, confirmatory factor analyses supported

Valerie V. Grant; Sherry H. Stewart; Roisin M. O'Connor; Ekin Blackwell; Patricia J. Conrod

2007-01-01

107

Preparation of medical devices for evaluation.  

PubMed

Preparing and processing medical device implants for evaluation is a relatively high-risk and high-dollar process in which studies get made and endpoints can be lost with no second chance. It is important to customize every aspect of the preparation process to the type of device and the study endpoints. Some standard and proven approaches for a few types of implants are discussed, addressing fixation, special dissection and extraction techniques, preprocessing imaging, trimming techniques, sample processing, embedding media, and cutting and staining options. PMID:18337224

Rousselle, Serge; Wicks, Joan

2008-01-01

108

Curriculum evaluation, education financing, and career plans of 1983 medical school graduates.  

PubMed

The Association of American Medical Colleges annually gathers data on curriculum evaluation, financing, and career plans from senior medical students through a graduation questionnaire. According to the 1983 survey, a majority of the seniors perceived that an appropriate amount of time was devoted to the various areas of instruction at their institutions. The average indebtedness of the graduates was reported to be increasing, and 84.4 percent reported having medical school debts. Only 13.2 percent of the graduates indicated plans to enter a career in research, although over one-third had some research involvement while in medical school. Those who participated in research activities during medical school were somewhat more likely to plan significant research involvement after graduation than those who were not involved in research in medical school. PMID:6471079

Thomae-Forgues, M; Dial, T H; Boerner, R J

1984-09-01

109

The development of a questionnaire for evaluating process-oriented group supervision during nursing education.  

PubMed

The benefits of process-oriented group supervision are difficult to evaluate, as the validity and reliability of the existing instruments have been questioned. The aim was to develop and test the psychometric properties of a questionnaire in order to evaluate the effects of process-oriented group supervision on nursing students during their three-year nursing education. A 55-item Process-oriented Group Supervision Questionnaire (PGSQ) with a developmental design was formulated on the basis of a literature review and the expectations of nursing students who participated in a three-year nursing education programme (N=176). Construct validity and internal consistency reliability were tested at the end of each study year: year 1 (T1), year 2 (T2), and year 3 (T3) by means of exploratory factor analysis and Cronbach's alpha coefficient. An adequate explorative factor analysis (principal component analysis, varimax rotation) with an Eigenvalue >1.0 and factor loadings >0.40, reduced the questionnaire to 18 items comprising three factors labelled educative, supportive and developmental, which explained 60.2% at T1, 71.8% at T2, and 69.3% at T3 of the total cumulative variance. The corresponding Cronbach's alpha coefficient figures were 0.89 (T1), 0.94 (T2) and 0.93 (T3). The 18-item PGSQ is considered to be a short and useful tool due to its satisfactory validity and reliability figures. PMID:18291325

Arvidsson, Barbro; Skärsäter, Ingela; Baigi, Amir; Fridlund, Bengt

2008-03-01

110

Evaluating clinical dermatology practice in medical undergraduates.  

PubMed

The acquisition of competences (the set of knowledge, skills and attitudes required to perform a job to a professional level) is considered a fundamental part of medical training. Dermatology competences should include, in addition to effective clinical interviewing and detailed descriptions of skin lesions, appropriate management (diagnosis, differentiation, and treatment) of common skin disorders and tumors. Such competences can only be acquired during hospital clerkships. As a way of certifying these competences, we propose evaluating the different components as follows: knowledge, via clinical examinations or critical incident discussions; communication and certain instrumental skills, via structured workplace observation and scoring using a set of indicators; and attitudes, via joint evaluation by staff familiar with the student. PMID:23664251

Casanova, J M; Sanmartín, V; Martí, R M; Morales, J L; Soler, J; Purroy, F; Pujol, R

2014-06-01

111

Evaluating satisfaction with maternity care in women from minority ethnic communities: development and validation of a Sylheti questionnaire  

Microsoft Academic Search

Objective. To develop a reliable and valid questionnaire to evaluate satisfaction with maternity care in Sylheti-speaking Bangladeshi women. Design. Two-stage, psychometric study. Firstly, focus groups, in-depth interviews and iterative methods for translation and cultural adaptation were used to develop a Sylheti questionnaire, called the survey of Bangladeshi women's experience of maternity services from an English language questionnaire. Secondly, quantitative psychometric

LESLEY A. DUFF; DONNA L. LAMPING; LAILA B. AHMED

2001-01-01

112

Patient-evaluated dentistry: development and validation of a patient satisfaction questionnaire for fixed prosthodontic treatment.  

PubMed

Purpose: The aim of this study was to develop and verify the reliability and validity of a questionnaire to assess patient satisfaction with fixed dental prostheses (FDPs). Materials and Methods: A questionnaire was developed, pilot-tested, and modified. It assessed esthetics, masticatory function, phonetics, cleansibility, and cost satisfaction using a visual analog scale and whether patients would elect to undergo the same treatment again (yes/no). It was sent to patients with a known evidence-based outcome (survival) who received FDPs from 1984 to 2005 (n = 986) in one private prosthodontic practice. Reliability and validity were analyzed using the Student t, Mann-Whitney U, Kruskal Wallis, Cronbach alpha, Spearman-Brown, Correlation matrix, Bartlett sphericity, Kaiser-Meyer-Olkin (KMO), and factor analysis tests. Significance was set at P = .05. Results: Five hundred patients responded (50.7%). A Cronbach alpha value of 0.8 and split-sample Spearman-Brown value of 0.7 indicated good reliability. Step-wise removal of items did not improve internal consistency. Discriminant construct validity assessment showed no item redundancy. Satisfaction of patients who had experienced prosthesis failure (n = 52) was significantly less than their counterparts (73% ± 3% vs 83% ± 0.6%, P = .004), ascertaining convergent construct validity. Factor analysis (Bartlett sphericity, P < .001; KMO = 0.84) identified two components (Eigenvalues ? 1.0) that explained 93.18% (varimax rotation) of variations. Component 1 included satisfaction with function (esthetics, mastication, phonetics, and cleansibility); component 2 included satisfaction with costs and whether patients would undergo the same treatment again. Conclusions: The Patient Satisfaction Questionnaire developed proved reliable and valid for assessing patient-evaluated outcomes of FDPs. Use of this questionnaire in further research is justified. Int J Prosthodont 2011;24:332-341. PMID:21716971

Layton, Danielle; Walton, Terry

2011-01-01

113

Evaluative survey-questionnaire exploring the perceptions and experiences of endoscopy and sterile service staff.  

PubMed

There is considerable research surrounding professionalization and the barriers that emerging allied health professions may face. In order to develop any emerging profession, the move to voluntary registration and academic qualification will substantially pave the way towards raising the profile and professional recognition with a regulatory governing body. The aim of this evaluative survey-questionnaire was to explore the attitudes and experiences of endoscopy and sterile service staff in their current job roles and to identify any perceived barriers during the proposed transition to professionalization. This article concludes by highlighting the positive and negative aspects of current job roles in relation to job satisfaction, staff retention and career progression opportunities. PMID:24404705

Cobbold, A

2013-12-01

114

Evaluation and revision of questionnaires for use among low-literacy immigrant Latinos  

PubMed Central

As more Spanish speaking immigrants participate in and become the focus of research studies, questions arise about the appropriateness of existing research tools. Questionnaires have often been adapted from English language instruments and tested among college- educated Hispanic-Americans. Little has been written regarding the testing and evaluation of research tools among less educated Latino immigrants. The purpose of this study was to revise and evaluate the appropriateness of a battery of existing Spanish-language questionnaires for a physical activity intervention for immigrant Hispanic women. A three-step process was utilized to evaluate, adapt and test Spanish versions of the Self-Efficacy and Exercise Habits Survey, an abbreviated version of the Hispanic Stress Inventory-Immigrant version and the Latina Values Scale. The revised tools demonstrated acceptable validity and reliability. The adaptations improved the readability of the tools, resulting in a greater response rate, less missing data and fewer extreme responses. Psychometric limitations to the adaptation of Likert scales are discussed. PMID:22030592

D'Alonzo, Karen T.

2011-01-01

115

Evaluation of the Medication Sketch Artist, a New Method of Determining Unknown Patient Medications  

PubMed Central

Medication errors are responsible for a significant number of hospital admissions, and significant morbidity and mortality. Many of these errors result from differences in physicians’ and patients’ understanding of medications. Health care providers think in terms of medication name and dose, however patients remember size, shape, and markings of their medications more frequently than the names. The Medication Sketch Artist was developed to be a graphically interfaced medication identification system to aid in physician-patient communication. This pilot study evaluated the software’s ability to identify medications described from memory by volunteers. Out of 25 pills, each described 5 separate times, there were 80 correct identifications, and 9 identifications of the correct medication, but at a different dose. The Medication Sketch Artist shows promise as a tool to determine unknown medications. It could play an important role in reducing medication errors. PMID:14728203

Lowrey, Geoffrey; Lee, Esther; Gerber, Ben

2003-01-01

116

5 CFR 339.205 - Medical evaluation programs.  

Code of Federal Regulations, 2010 CFR

...and Medical Qualifications § 339.205 Medical evaluation programs. Agencies may establish periodic examination or immunization programs by written policies or directives to safeguard the health of employees whose work may subject them or others to...

2010-01-01

117

5 CFR 339.205 - Medical evaluation programs.  

Code of Federal Regulations, 2011 CFR

...and Medical Qualifications § 339.205 Medical evaluation programs. Agencies may establish periodic examination or immunization programs by written policies or directives to safeguard the health of employees whose work may subject them or others to...

2011-01-01

118

5 CFR 339.205 - Medical evaluation programs.  

Code of Federal Regulations, 2012 CFR

...and Medical Qualifications § 339.205 Medical evaluation programs. Agencies may establish periodic examination or immunization programs by written policies or directives to safeguard the health of employees whose work may subject them or others to...

2012-01-01

119

Developing medical educators - a mixed method evaluation of a teaching education program  

PubMed Central

Background It is well accepted that medical faculty teaching staff require an understanding of educational theory and pedagogical methods for effective medical teaching. The purpose of this study was to evaluate the effectiveness of a 5-day teaching education program. Methods An open prospective interventional study using quantitative and qualitative instruments was performed, covering all four levels of the Kirkpatrick model: Evaluation of 1) ‘Reaction’ on a professional and emotional level using standardized questionnaires; 2) ‘Learning’ applying a multiple choice test; 3) ‘Behavior’ by self-, peer-, and expert assessment of teaching sessions with semistructured interviews; and 4) ‘Results’ from student evaluations. Results Our data indicate the success of the educational intervention at all observed levels. 1) Reaction: The participants showed a high acceptance of the instructional content. 2) Learning: There was a significant increase in knowledge (P<0.001) as deduced from a pre-post multiple-choice questionnaire, which was retained at 6 months (P<0.001). 3) Behavior: Peer-, self-, and expert-assessment indicated a transfer of learning into teaching performance. Semistructured interviews reflected a higher level of professionalism in medical teaching by the participants. 4) Results: Teaching performance ratings improved in students’ evaluations. Conclusions Our results demonstrate the success of a 5-day education program in embedding knowledge and skills to improve performance of medical educators. This multimethodological approach, using both qualitative and quantitative measures, may serve as a model to evaluate effectiveness of comparable interventions in other settings. PMID:24679671

Roos, Marco; Kadmon, Martina; Kirschfink, Michael; Koch, Eginhard; Junger, Jana; Strittmatter-Haubold, Veronika; Steiner, Thorsten

2014-01-01

120

Development and evaluation of a questionnaire to measure the perceived implementation of the mission statement of a competency based curriculum  

PubMed Central

Background A mission statement (MS) sets out the long-term goals of an institution and is supposed to be suited for studying learning environments. Yet, hardly any study has tested this issue so far. The aim of the present study was the development and psychometric evaluation of an MS-Questionnaire (MSQ) focusing on explicit competencies. We investigated to what extent the MSQ captures the construct of learning environment and how well a faculty is following - in its perception - a competency orientation in a competency-based curriculum. Methods A questionnaire was derived from the MS “teaching” (Medical Faculty, Heinrich-Heine University Düsseldorf) which was based on (inter-) nationally accepted goals and recommendations for a competency based medical education. The MSQ was administered together with the Dundee Ready Education Environment Measure (DREEM) to 1119 students and 258 teachers. Cronbach’s alpha was used to analyze the internal consistency of the items. Explorative factor analyses were performed to analyze homogeneity of the items within subscales and factorial validity of the MSQ. Item discrimination was assessed by means of part-whole corrected discrimination indices, and convergent validity was analyzed with respect to DREEM. Demographic variations of the respondents were used to analyze the inter-group variations in their responses. Results Students and teachers perceived the MS implementation as “moderate” and on average, students differed significantly in their perception of the MS. They thought implementation of the MS was less successful than faculty did. Women had a more positive perception of educational climate than their male colleagues and clinical students perceived the implementation of the MS on all dimensions significantly worse than preclinical students. The psychometric properties of the MSQ were very satisfactory: Item discrimination was high. Similarly to DREEM, the MSQ was highly reliable among students (? = 0.92) and teachers (? = 0.93). In both groups, the MSQ correlated highly positively with DREEM (r = 0.79 and 0.80, p < 0.001 each). Factor analyses did not reproduce the three areas of the MS perfectly. The subscales, however, could be identified as such both among teachers and students. Conclusions The perceived implementation of faculty-specific goals can be measured in an institution to some considerable extent by means of a questionnaire developed on the basis of the institution’s MS. Our MSQ provides a reliable instrument to measure the learning climate with a strong focus on competencies which are increasingly considered crucial in medical education. The questionnaire thus offers additional information beyond the DREEM. Our site-specific results imply that our own faculty is not yet fully living up to its competency-based MS. In general, the MSQ might prove useful for faculty development to the increasing number of faculties seeking to measure their perceived competency orientation in a competency-based curriculum. PMID:23134815

2012-01-01

121

Medical evaluations on the KC-135 1990 flight report summary  

NASA Technical Reports Server (NTRS)

The medical investigations completed on the KC-135 during FY 1990 in support of the development of the Health Maintenance Facility and Medical Operations are discussed. The experiments are comprised of engineering evaluations of medical hardware and medical procedures. The investigating teams are made up of both medical and engineering personnel responsible for the development of medical hardware and medical operations. The hardware evaluated includes dental equipment, a coagulation analyzer, selected pharmaceutical aerosol devices, a prototype air/fluid separator, a prototype packaging and stowage system for medical supplies, a microliter metering system, and a workstation for minor surgical procedures. The results of these engineering evaluations will be used in the design of fleet hardware as well as to identify hardware specific training requirements.

Lloyd, Charles W.; Guess, Terrell M.; Whiting, Charles W.; Doarn, Charles R.

1991-01-01

122

Medical evaluations on the KC-135 1991 flight report summary  

NASA Technical Reports Server (NTRS)

The medical investigations completed on the KC-135 during FY 1991 in support of the development of the Health Maintenance Facility and Medical Operations are presented. The experiments consisted of medical and engineering evaluations of medical hardware and procedures and were conducted by medical and engineering personnel. The hardware evaluated included prototypes of a crew medical restraint system and advanced life support pack, a shuttle orbiter medical system, an airway medical accessory kit, a supplementary extended duration orbiter medical kit, and a surgical overhead canopy. The evaluations will be used to design flight hardware and identify hardware-specific training requirements. The following procedures were evaluated: transport of an ill or injured crewmember at man-tended capability, surgical technique in microgravity, transfer of liquids in microgravity, advanced cardiac life support using man-tended capability Health Maintenance Facility hardware, medical transport using a model of the assured crew return vehicle, and evaluation of delivery mechanisms for aerosolized medications in microgravity. The results of these evaluation flights allow for a better understanding of the types of procedures that can be performed in a microgravity environment.

Lloyd, Charles W.

1993-01-01

123

The evaluation of the psychometric properties of a specific quality of life questionnaire for physiological pregnancy  

PubMed Central

Background Pregnancy is a specific condition that is neither a disease nor a normal state of health. The attention has been devoted to the relation between the normal, physiological process of pregnancy and the quality of life of women in this period is paid much less attention. Our study focuses on the evaluation of the quality of life by means of a specific questionnaire for physiological pregnancy. The main objective was to evaluate psychometric characteristics of a newly developed, specific QoL. Methods Two measures were used: a Czech version of the generic WHOQOL-BREF, validated in 2006, and a new specific-QoL measure. Both measures were administered in each trimester to a sample of 225 pregnant women in the first trimester of a routine pregnancy. Results The reliability of the WHOQOL-BREF scales at different trimesters was evaluated, including the correlation between trimesters. Based on exploratory factor analyses of the specific-QoL measure with the working title QOL-GRAV, one 9-item scale was constructed expressing the degree of specific experiences during pregnancy. All scales were found to have satisfactory internal consistency (Cronbach alphas?>?.7) apart from the social relations subscale of the WHOQOL-BREF. Conclusions The general quality and the specific quality of a pregnant woman’s life varies. The specific QOL-GRAV scale is more sensitive to the specific experiences during pregnancy that significantly affect a pregnant woman’s quality of life. A simple specific questionnaire, applicable within prenatal care as well, was designed and validated. PMID:24365336

2013-01-01

124

Revealing Relations between Open and Closed Answers in Questionnaires through Text Clustering Evaluation  

E-print Network

Open answers in questionnaires contain valuable information that is very time-consuming to analyze manually. We present a method for hypothesis generation from questionnaires based on text clustering. Text clustering is used interactively on the open answers, and the user can explore the cluster contents. The exploration is guided by automatic evaluation of the clusters against a closed answer regarded as a categorization. This simplifies the process of selecting interesting clusters. The user formulates a hypothesis from the relation between the cluster content and the closed answer categorization. We have applied our method on an open answer regarding occupation compared to a closed answer on smoking habits. With no prior knowledge of smoking habits in different occupation groups we have generated the hypothesis that farmers smoke less than the average. The hypothesis is supported by several separate surveys. Closed answers are easy to analyze automatically but are restricted and may miss valuable aspects. Open answers, on the other hand, fully capture the dynamics and diversity of possible outcomes. With our method the process of analyzing open answers becomes feasible. 1.

Magnus Rosell; Sumithra Velupillai

2008-01-01

125

Body image during pregnancy: an evaluation of the suitability of the body attitudes questionnaire  

PubMed Central

Background Available data suggest that body dissatisfaction is common during pregnancy and may even be a precursor to post-natal depression. However, in order to accurately identify at-risk women, it is essential to first establish that body image measures function appropriately in pregnant populations. Our study examines the suitability of the Body Attitudes Questionnaire (BAQ) for measuring body dissatisfaction among pregnant women by comparing the psychometric functioning of the BAQ: (1) across key phases of pregnancy, and (2) between pregnant and non-pregnant women. Methods A total of 176 pregnant women from Melbourne, Victoria filled out a questionnaire battery containing demographic questions and the Body Attitudes Questionnaire at 16, 24, and 32 weeks during pregnancy. A comparison group of 148 non-pregnant women also completed the questionnaire battery at Time 1. Evaluations of the psychometric properties of the BAQ consisted of a series of measurement invariance tests conducted within a structural equation modelling framework. Results Although the internal consistency and factorial validity of the subscales of the BAQ were established across time and also in comparisons between pregnant and non-pregnant women, measurement invariance tests showed non-invariant item intercepts across pregnancy and also in comparison with the non-pregnant subgroup. Inspection of modification indices revealed a complex, non-uniform pattern of differences in item intercepts across groups. Conclusions Collectively, our findings suggest that comparisons of body dissatisfaction between pregnant and non-pregnant women (at least based on the BAQ) are likely to be conflated by differential measurement biases that serve to undermine attempts to accurately assess level of body dissatisfaction. Researchers should be cautious in assessments of body dissatisfaction among pregnant women until a suitable measure has been established for use in this population. Given the fact that body dissatisfaction is often associated with maladaptive behaviours, such as unhealthy eating and extreme weight loss behaviours, and with ante-and post-natal depression, that have serious negative implications for women’s health and well-being, and potentially also for the unborn foetus during pregnancy, developing a suitable body image screening tool, specific to the perinatal period is clearly warranted. PMID:22950761

2012-01-01

126

Service Learning in Medical Education: Project Description and Evaluation  

ERIC Educational Resources Information Center

Although medical education has long recognized the importance of community service, most medical schools have not formally nor fully incorporated service learning into their curricula. To address this problem, we describe the initial design, development, implementation, and evaluation of a service-learning project within a first-year medical

Borges, Nicole J.; Hartung, Paul J.

2007-01-01

127

Appendix A-Fit Test Questionnaire Appendix C to Sec. 1910.134: OSHA Respirator Medical Evaluation Questionnaire  

E-print Network

tobacco, or have you smoked tobacco in the last month: Yes/No 2. Have you ever had any of the following been selected to use any type of respirator (please circle "yes" or "no"). 1. Do you currently smoke at an ordinary pace on level ground: Yes/No d. Have to stop for breath when walking at your own pace on level

Wisconsin at Madison, University of

128

Towards socially inclusive research: An evaluation of telephone questionnaire administration in a multilingual population  

Microsoft Academic Search

BACKGROUND: Missing data may bias the results of clinical trials and other studies. This study describes the response rate, questionnaire responses and financial costs associated with offering participants from a multilingual population the option to complete questionnaires over the telephone. METHODS: Design: Before and after study of two methods of questionnaire completion. Participants and Setting: Seven hundred and sixty five

Elizabeth Dormandy; Katrina Brown; Erin P Reid; Theresa M Marteau

2008-01-01

129

Current trends in use of intracanal medications in dental care facilities: questionnaire-based survey on training dental hygienists at educational institutions.  

PubMed

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. PMID:23614952

Furusawa, Masahiro; Yoshida, Takashi; Hosokawa, Souhei; Ariizumi, Yuugo

2013-01-01

130

Shuttle Orbiter medical system equipment/supplies evaluation  

NASA Technical Reports Server (NTRS)

The effectivity was evaluated in zero gravity of several medical equipment and supply items flown in the Shuttle Orbiter Medical System (SOMS). Several procedures listed in Medical Operations Medical Checklist, JSC 1732 were also evaluated. Several items were drawn out of the kits and tested on the KC-135. In two different flights, the following elements were examined: (1) measuring IV flow (drip chamber, one way flow valve, and air/fluid separator); (2) chemstrip protocol for urine analysis in zero-gravity; and (3) tamper resistant seals for injectable medications.

Maidlow, Kristin; Schulz, John M.; Lloyd, Charles W.; Breeding, Tiffany

1991-01-01

131

78 FR 26681 - Medical Criteria for Evaluating Cystic Fibrosis  

Federal Register 2010, 2011, 2012, 2013

...Medical Criteria for Evaluating Cystic Fibrosis AGENCY: Social Security Administration...to evaluate claims involving cystic fibrosis in adults and children under...Information for individuals with cystic fibrosis who apply for Social...

2013-05-07

132

Addressing Organizational Issues into the Evaluation of Medical Systems  

Microsoft Academic Search

New system design and evaluation methodologies are being developed to address social, organizational, political, and other non-technological issues in medical informatics. This paper describes a social interactionist framework for researching these kinds of organizational issues, based on research within medical informatics and other disciplines over the past 20 years. It discusses how effective evaluation strategies may be undertaken to address

Bonnie Kaplan

1997-01-01

133

42 CFR 456.243 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 false Content of medical care evaluation studies. 456.243 Section 456...Mental Hospitals Ur Plan: Medical Care Evaluation Studies § 456.243 Content of medical care evaluation studies. Each medical care...

2010-10-01

134

42 CFR 456.243 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Content of medical care evaluation studies. 456.243 Section 456...Mental Hospitals Ur Plan: Medical Care Evaluation Studies § 456.243 Content of medical care evaluation studies. Each medical care...

2012-10-01

135

42 CFR 456.143 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 false Content of medical care evaluation studies. 456.143 Section 456...Control: Hospitals Ur Plan: Medical Care Evaluation Studies § 456.143 Content of medical care evaluation studies. Each medical care...

2010-10-01

136

42 CFR 456.143 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false Content of medical care evaluation studies. 456.143 Section 456...Control: Hospitals Ur Plan: Medical Care Evaluation Studies § 456.143 Content of medical care evaluation studies. Each medical care...

2011-10-01

137

42 CFR 456.143 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2013 CFR

...2013-10-01 false Content of medical care evaluation studies. 456.143 Section 456...Control: Hospitals Ur Plan: Medical Care Evaluation Studies § 456.143 Content of medical care evaluation studies. Each medical care...

2013-10-01

138

42 CFR 456.143 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Content of medical care evaluation studies. 456.143 Section 456...Control: Hospitals Ur Plan: Medical Care Evaluation Studies § 456.143 Content of medical care evaluation studies. Each medical care...

2012-10-01

139

42 CFR 456.243 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2013 CFR

...2013-10-01 false Content of medical care evaluation studies. 456.243 Section 456...Mental Hospitals Ur Plan: Medical Care Evaluation Studies § 456.243 Content of medical care evaluation studies. Each medical care...

2013-10-01

140

42 CFR 456.243 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false Content of medical care evaluation studies. 456.243 Section 456...Mental Hospitals Ur Plan: Medical Care Evaluation Studies § 456.243 Content of medical care evaluation studies. Each medical care...

2011-10-01

141

42 CFR 456.143 - Content of medical care evaluation studies.  

...2014-10-01 false Content of medical care evaluation studies. 456.143 Section...Utilization Control: Hospitals Ur Plan: Medical Care Evaluation Studies § 456.143 Content of medical care evaluation studies. Each medical care...

2014-10-01

142

42 CFR 456.243 - Content of medical care evaluation studies.  

...2014-10-01 false Content of medical care evaluation studies. 456.243 Section...Control: Mental Hospitals Ur Plan: Medical Care Evaluation Studies § 456.243 Content of medical care evaluation studies. Each medical care...

2014-10-01

143

The Birth Memories and Recall Questionnaire (BirthMARQ): development and evaluation  

PubMed Central

Background Childbirth is a challenging and emotive experience that is accompanied by strong positive and/or negative emotions. Memories of birth may be associated with how women cognitively process birth events postpartum and potentially their adaptation to parenthood. Characteristics of memories for birth may also be associated with postnatal psychological wellbeing. This paper reports the development and evaluation of a questionnaire to measure characteristics of memories of childbirth and to examine the relationship between memories for birth and mental health. Methods The Birth Memories and Recall Questionnaire (BirthMARQ) was developed by generating items from literature reviews and general measures of memory characteristics to cover dimensions relevant to childbirth. Fifty nine items were administered to 523 women in the first year after childbirth (M?=?23.7 weeks) as part of an online study of childbirth. Validity of the final scale was checked by examining differences between women with and without probable depression and PTSD. Results Principal components analysis identified 23 items representing six aspects of memory accounting for 64% of the variance. These were: Emotional memory, Centrality of memory to identity, Coherence, Reliving, Involuntary recall, and Sensory memory. Reliability was good (M alpha?=?.80). Women with probable depression or PTSD reported more emotional memory, centrality of memories and involuntary recall. Women with probable depression also reported more reliving, and those with probable PTSD reported less coherence and sensory memory. Conclusion The results suggest the BirthMARQ is a coherent and valid measure of the characteristics of memory for childbirth which may be important in postnatal mood and psychopathology. While further testing of its reliability and validity is needed, it is a measure capable of becoming a valuable tool for examining memory characteristics in the important context of childbirth. PMID:24950589

2014-01-01

144

Genital heat stress in men of barren couples: a prospective evaluation by means of a questionnaire.  

PubMed

Exposure to genital heat stress among men of barren couples was evaluated in a prospective study. Five hundred and forty-two consecutive patients referred for andrological examination were asked to complete a specific questionnaire at their first visit. For 449 patients who answered all questions, the individual score values could be calculated by scoring each answer with points. Patients with 'idiopathic' oligoasthenoteratozoospermia had significantly higher score values when compared with men showing normozoospermia (P < 0.01), 'symptomatic' oligoasthenoteratozoospermia as a result of defined andrological disorders (P < 0.01), cryptozoospermia (P < 0.01) or other pathological semen profiles (P < 0.05). These data support the hypothesis that patients with 'idiopathic' oligoasthenoteratozoospermia are more exposed to genital heat stress than normozoospermic men. Moreover, in patients with a varicocele impairment semen quality was associated with significantly higher score values compared with the subgroup of men with normal semen profiles (P < 0.05). In contrast, the score values did not significantly differ between equivalent subgroups of men with a history of a retractile testis. Our observations indicate that the questionnaire used in the present study allows an integrative assessment of genital heat stress, which is superior to single factor analysis. Notably, the group of men with 'idiopathic' oligoasthenoteratozoospermia showed the highest mean score values for 10 of the 18 questions compared with the other groups. Prolonged sitting in a vehicle represented the only single factor with significantly different score values in patients with 'idiopathic' oligoasthenoteratozoospermia and those with normozoospermia (P < 0.05). PMID:12472617

Jung, A; Schill, W-B; Schuppe, H-C

2002-12-01

145

Characteristics of physicians engaged in basic science: a questionnaire survey of physicians in basic science departments of a medical school in Japan.  

PubMed

The number of physicians engaged in basic science and teaching is sharply decreasing in Japan. To alleviate this shortage, central government has increased the quota of medical students entering the field. This study aimed to determine the characteristics of physicians who are engaged in basic science in efforts to recruit talent. A questionnaire was distributed to all 30 physicians in the basic science departments of Juntendo University School of Medicine. Question items inquired about sex, years since graduation, years between graduation and time entering basic science, clinical experience, recommending the career to medical students, expected obstacles to students entering basic science, efforts to inspire students in research, increased number of lectures and practical training sessions on research, and career choice satisfaction. Correlations between the variables were examined using ?(2) tests. Overall, 26 physicians, including 7 female physicians, returned the questionnaire (response rate 86.7%). Most physicians were satisfied with their career choice. Medical students were deemed not to choose basic science as their future career, because they aimed to become clinicians and because they were concerned about salary. Women physicians in basic science departments were younger than men. Women physicians also considered themselves to make more efforts in inspiring medical students to be interested in research. Moreover, physicians who became basic scientists earlier in their career wanted more research-related lectures in medical education. Improving physicians' salaries in basic science is important to securing talent. In addition, basic science may be a good career path for women physicians to follow. PMID:22976453

Yamazaki, Yuka; Uka, Takanori; Shimizu, Haruhiko; Miyahira, Akira; Sakai, Tatsuo; Marui, Eiji

2012-01-01

146

Evaluation and Clinical Validity of a New Questionnaire for Mikulicz's Disease  

PubMed Central

Objectives. The characteristic features of Mikulicz's disease (MD) are diffuse enlargement of the lacrimal and submandibular glands, elevated levels of serum immunoglobulin (Ig)G4, and abundant infiltration of IgG4-positive plasmacytes into both glands. No disease index is available to properly evaluate MD, so we developed a functional assessment of MD, the Mikulicz's disease activity questionnaire (MAQ), and evaluated its clinical efficacy. Methods. We selected 18 patients who were either being treated for MD or who had presented with recurrence. The patients completed a self-assessment and were scored according to the MAQ sheet during each visit between December 2009 and August 2011. Assessment items were in regard to increases or decreases in lacrimal and salivary gland enlargement and severity of sicca symptoms. Results. On the first visits, MAQ scores were high, but scores decreased rapidly as treatment progressed. When doses of glucocorticoid were reduced, some patients showed increased scores. Dry-symptom scores increased initially. MAQ scores for patients with recurrent MD gradually increased over several months before relapse. However, some patients displayed no elevation in MAQ scores due to relapses at other sites. Conclusion. MAQ score can be used to quantify flares and treatment response and is useful for functional assessment of MD. PMID:22649453

Yamamoto, Motohisa; Takahashi, Hiroki; Ishigami, Keisuke; Yajima, Hidetaka; Shimizu, Yui; Tabeya, Tetsuya; Matsui, Mikiko; Suzuki, Chisako; Naishiro, Yasuyoshi; Yamamoto, Hiroyuki; Imai, Kohzoh; Shinomura, Yasuhisa

2012-01-01

147

Psychometric Evaluation of the Eating Disorder Examination-Questionnaire for Bariatric Surgery Candidates  

PubMed Central

Objective Despite increasing use of the Eating Disorder Examination-Questionnaire (EDE-Q) in bariatric surgery patients, little is known about the utility and psychometric performance of this self-report measure in this clinical group. The primary purpose of the current study was to evaluate the factor structure and construct validity of the EDE-Q in a large series of bariatric surgery candidates. Methods and Procedures Participants were 337 obese bariatric surgery candidates. Participants completed the EDE-Q and a battery of behavioral and psychological measures. Results Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) produced a 12-item, 4-factor structure of the EDE-Q. The four factors, interpreted as Dietary Restraint, Eating Disturbance, Appearance Concerns, and Shape/Weight Overvaluation, were found to be internally consistent and converged with other relevant measures of psychopathology. Discussion Factor analysis of the EDE-Q in bariatric surgery candidates did not replicate the original subscales but revealed an alternative factor structure. Future research must further evaluate the psychometric properties, including the factor structure, of the EDE-Q in this and other diverse populations and consider means of improving this measure's ability to best assess eating-related pathology in bariatric surgery patients. PMID:18379561

Hrabosky, Joshua I.; White, Marney A.; Masheb, Robin M.; Rothschild, Bruce S.; Burke-Martindale, Carolyn H.; Grilo, Carlos M.

2013-01-01

148

The evaluating of the questionnaire of clothing brands and construction of dimensions based on consumers' perception  

Microsoft Academic Search

Clothing brand recognition is the integration perception of clothing brand functional attributes and affective properties formed by the consumers according to their own psychological characteristics, namely the overall feeling of the clothing brand. In order to construct the questionnaire of clothing brands, this paper formed the prediction questionnaire by using the method of interview and literature review. Through the analysis

Yu Guorui

2012-01-01

149

Current medical student interviewers add data to the evaluation of medical school applicants  

PubMed Central

Background There is evidence that the addition of current medical student interviewers (CMSI) to faculty interviewers (FI) is valuable to the medical school admissions process. This study provides objective data about the contribution of CMSI to the admissions process. Method Thirty-six applicants to a 4-year medical school program were interviewed by both CMSI and FI, and the evaluations completed by the two groups of interviewers were compared. Both FI and CMSI assessed each applicant's motivation, medical experiences, personality, communication skills, and interests outside of the medical field, and provided a numerical score for each applicant on an evaluation form. Both objective and subjective data were then extracted from the evaluation forms, and paired t-test and rank order tests were used for statistical analysis. Results When compared with FI, CMSI wrote two to three times more words on the applicants' motivation, personality, communication skills, interests, and overall evaluation sections (p<0.001) and provided about 60% more examples on the motivation section (p=0.0011) and communication skills section (p=0.0035). In contrast, FI and CMSI provided similar numbers of negative examples in these and in the personality section and equivalent overall numerical evaluation scores. Conclusions These results indicate that when compared with FI, CMSI give equivalent overall evaluation scores to medical school candidates but provide additional potentially useful information particularly in the areas of motivation and communication skills to committees assigned the task of selecting students to be admitted to medical school. PMID:20548967

Gutowski, Christina J.; Thaker, Nikhil G.; Heinrich, George; Fadem, Barbara

2010-01-01

150

Concept of Operations Evaluation for Mitigating Space Flight-Relevant Medical Issues in a Planetary Habitat  

NASA Technical Reports Server (NTRS)

Introduction: Analogue environments assist the NASA Human Research Program (HRP) in developing capabilities to mitigate high risk issues to crew health and performance for space exploration. The Habitat Demonstration Unit (HDU) is an analogue habitat used to assess space-related products for planetary missions. The Exploration Medical Capability (ExMC) element at the NASA Johnson Space Center (JSC) was tasked with developing planetary-relevant medical scenarios to evaluate the concept of operations for mitigating medical issues in such an environment. Methods: Two medical scenarios were conducted within the simulated planetary habitat with the crew executing two space flight-relevant procedures: Eye Examination with a corneal injury and Skin Laceration. Remote guidance for the crew was provided by a flight surgeon (FS) stationed at a console outside of the habitat. Audio and video data were collected to capture the communication between the crew and the FS, as well as the movements of the crew executing the procedures. Questionnaire data regarding procedure content and remote guidance performance also were collected from the crew immediately after the sessions. Results: Preliminary review of the audio, video, and questionnaire data from the two scenarios conducted within the HDU indicate that remote guidance techniques from an FS on console can help crew members within a planetary habitat mitigate planetary-relevant medical issues. The content and format of the procedures were considered concise and intuitive, respectively. Discussion: Overall, the preliminary data from the evaluation suggest that use of remote guidance techniques by a FS can help HDU crew execute space exploration-relevant medical procedures within a habitat relevant to planetary missions, however further evaluations will be needed to implement this strategy into the complete concept of operations for conducting general space medicine within similar environments

Barsten, Kristina; Hurst, Victor, IV; Scheuring, Richard; Baumann, David K.; Johnson-Throop, Kathy

2010-01-01

151

AMEE Medical Education Guide No. 6. Evaluating Multimedia Applications for Medical Education.  

ERIC Educational Resources Information Center

Discusses the evaluation of the usefulness of multimedia materials in medical education. Approaches the issue by looking at the nature of the knowledge that medical professionals are expected to acquire and relating that knowledge to what multimedia applications have to offer. Multimedia applications must also be analyzed for whether they can…

Atkins, M. J.; O'Halloran, C.

1995-01-01

152

Using the Defensive Style Questionnaire to evaluate the impact of sex reassignment surgery on defensive mechanisms in transsexual patients Aplicação do Defensive Style Questionnaire para avaliar o impacto da cirurgia de redesignação sexual nos mecanismos de defesa de pacientes transexuais  

Microsoft Academic Search

Objective: To evaluate the impact of sex reassignment surgery on the defense mechanisms of 32 transsexual patients at two different points in time using the Defensive Style Questionnaire. Method: The Defensive Style Questionnaire was applied to 32 patients upon their admission to the Gender Identity Disorder Program, and 12 months after they had undergone sex reassignment surgery. Results: There were

Maria Inês Lobato; Walter José Koff; Tiago Crestana; Camila Chaves; Jaqueline Salvador; Analídia Rodolpho Petry; Esalba Silveira; Alexandre Annes Henriques; Fábio Cervo; Eduardo Siam Böhme; Raffael Massuda

2009-01-01

153

49 CFR 391.47 - Resolution of conflicts of medical evaluation.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Resolution of conflicts of medical evaluation. ...391.47 Resolution of conflicts of medical evaluation. ...field in which the medical conflict arose. The specialist should...explaining in detail why the decision of the medical...

2012-10-01

154

49 CFR 391.47 - Resolution of conflicts of medical evaluation.  

Code of Federal Regulations, 2013 CFR

...2013-10-01 false Resolution of conflicts of medical evaluation. ...391.47 Resolution of conflicts of medical evaluation. ...field in which the medical conflict arose. The specialist should...explaining in detail why the decision of the medical...

2013-10-01

155

49 CFR 391.47 - Resolution of conflicts of medical evaluation.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false Resolution of conflicts of medical evaluation. ...391.47 Resolution of conflicts of medical evaluation. ...field in which the medical conflict arose. The specialist should...explaining in detail why the decision of the medical...

2011-10-01

156

Evaluation of a Medical School for Rural Doctors  

ERIC Educational Resources Information Center

Context: Jichi Medical School (JMS) is the first and only medical school in Japan that was founded exclusively to graduate/prepare rural doctors. Purpose: To evaluate the long-term effect of JMS on the nationwide distribution of doctors. Methods: Data from the Japanese population census of 1995 and from the Japanese physician census of 1994 were…

Inoue, Kazuo; Matsumoto, Masatoshi; Sawada, Tsutomu

2007-01-01

157

Medical Devices: Principles of Clinical Evaluation of Effectiveness and Safety  

E-print Network

Medical Devices: Principles of Clinical Evaluation of Effectiveness and Safety P1 D11 v2 050521 in trials including ethical issues. However, it goes on to indicate where trials of medical devices need basic groups of users in mind: The manager or non-specialist, including the new recruit, requiring

Oakley, Jeremy

158

Evaluation of Clinical Instructors by Third-Year Medical Students.  

ERIC Educational Resources Information Center

Third-year medical students used 12 descriptive items to evaluate the teaching skills of first-year residents, senior medical residents, preceptors, and attending physicians. Intraclass correlations showed that the students were able to judge their instructors reliably. (Author/MLW)

Donnelly, Michael B.; Woolliscroft, James O.

1989-01-01

159

78 FR 19725 - Merchant Mariner Medical Evaluation Program  

Federal Register 2010, 2011, 2012, 2013

...USCG-2013-0089'' as your search term. Use the filters on the left side of the page to highlight...designated medical examiner. Finally, a hybrid system could be adopted whereby the designated...relative merits of a closed, open, or hybrid system of medical evaluation,...

2013-04-02

160

Immigrant and refugee health: medical evaluation.  

PubMed

Overseas medical screening by panel physicians for conditions that might jeopardize US public health is required for admission to the United States by immigrant visa or refugee status. According to protocols established by the Centers for Disease Control and Prevention, conditions such as active tuberculosis and substance dependence, when detected, prohibit entry to the United States, whereas close medical follow-up after arrival is required for individuals with other conditions. Refugees and asylees should undergo further medical assessment by a US civil surgeon as soon as possible after arrival. Applicants for legal permanent residence in the United States, whether by immigrant visa or adjustment of status, must receive vaccinations comparable to those recommended for citizens. When immigrants and refugees present to a primary care physician, the vaccination process may not be complete, and documentation of the extent to which it is complete might be lacking. Immigrants and refugees may have a variety of unrecognized or untreated musculoskeletal conditions, mental health conditions, infectious diseases, and chronic conditions. PMID:25127535

Rew, Karl T; Clarke, S Lindsey; Gossa, Weyinshet; Savin, Daniel

2014-08-01

161

Prevalence of and factors associated with daily smoking among Inner Mongolia medical students in China: a cross-sectional questionnaire survey  

PubMed Central

Background To date, no study on smoking behavior of medical students in Inner Mongolia has been reported. The aim of the present study was to determine the 1-month prevalence of and factors associated with daily smoking among medical students in Inner Mongolia of China, to assist interventions designed to reduce the smoking behavior of medical college students in this region. Methods During December 2010 and January 2011 a cross-sectional survey was conducted among medical students at the Inner Mongolia Medical College using a self-administered questionnaire. The questionnaire consisted of three sections: students’ basic information, attitude on smoking behavior, and smoking status of the student daily smokers. Students who smoked every day in the last 30?days were regarded as daily smokers. Factors associated with smoking were identified using binary logistic regression analysis. Results A total of 6044 valid surveys were returned. The overall prevalence of daily smoking was 9.8% while the prevalence of daily smoking among males and females were 29.4% and 1.7%, respectively. Males in the Faculty of Medicine Information Management had the highest daily smoking rate (48.9%). Logistic regression models found that the main factors associated with daily smoking among male medical students were highest year of study (OR?=?3.62; CI: 1.18–11.05); attitude towards smoking behavior Do not care about people smoking around you (OR?=?2.75; CI: 2.08–3.64); and Smoking is harmful to their health (OR?=?4.40; CI: 2.21–8.75). The main factor associated with daily smoking among female medical students was attitude towards smoking behavior Eliminate smoking on campus (OR?=?0.11; CI: 0.06–0.23). Both for male and female medical students, there was no association between ethnicity and cigarette daily smoking. In regard to smoking status, more than 60% of daily smokers began smoking in high school, 61.3% smoked less than 5 cigarettes per day, 62.9% of the daily smokers’ families opposed their smoking behavior, and after an hour of not smoking 74.6% daily smokers did not feel uncomfortable. Conclusions Antismoking education should be further promoted in Inner Mongolia medical students, with consideration given to the factors associated with daily smoking behavior found in the present study. PMID:22591602

2012-01-01

162

The Evaluation of a Screening Tool for Children with an Intellectual Disability: The Child and Adolescent Intellectual Disability Screening Questionnaire  

ERIC Educational Resources Information Center

The study outlines the evaluation of an intellectual disability screening tool, the "Child and Adolescent Intellectual Disability Screening Questionnaire" ("CAIDS-Q"), with two age groups. A number of aspects of the reliability and validity of the "CAIDS-Q" were assessed for these two groups, including inter-rater reliability, convergent and…

McKenzie, Karen; Paxton, Donna; Murray, George; Milanesi, Paula; Murray, Aja Louise

2012-01-01

163

A Psychometric Evaluation of the Behavioral Inhibition Questionnaire in a Non-Clinical Sample of Dutch Children and Adolescents  

ERIC Educational Resources Information Center

The Behavioral Inhibition Questionnaire (BIQ) is a parent-rating scale for measuring temperamental characteristics referring to shyness, fearfulness, and withdrawal in young, preschool children. The present study evaluated the psychometric properties of the BIQ in a Dutch community sample of children with a broad age range. For this purpose, the…

Broeren, Suzanne; Muris, Peter

2010-01-01

164

Development and Validation of a Beverage and Snack Questionnaire for Use in Evaluation of School Nutrition Policies  

Microsoft Academic Search

School nutrition policies limiting access to sweetened beverages, candy, and salty snacks have the potential to improve the health of children. To effectively evaluate policy success, appropriate and validated dietary assessment instruments are needed. The objective of this study was to develop and validate a beverage and snack questionnaire suitable for use among young adolescents. A new 19-item Beverage and

Marian L. Neuhouser; Sonya Lilley; Anne Lund; Donna B. Johnson

2009-01-01

165

Teaching and Evaluating Instructor Effectiveness Using the Instructor Effectiveness Questionnaire and the Instructor Effectiveness Check Sheet Combination  

ERIC Educational Resources Information Center

This article describes the use of two linked instruments, the Instructor Effectiveness Check Sheet (IEC) and Instructor Effectiveness Questionnaire (IEQ). The use of an evaluation instrument during a course can enable improvements to be made--even with experienced instructors. Detail can be taken from the IEC and IEQ to find obvious and not so…

Phipps, Maurice L.; Hayashi, Aya; Lewandowski, April; Padgett, Allison H.

2005-01-01

166

The Menopause-Specific Quality of Life (MENQOL) Questionnaire: Psychometric Evaluation among Breast Cancer Survivors  

PubMed Central

Objective To evaluate the psychometric properties of the Menopause-Specific Quality of Life (MENQOL) Questionnaire in a sample of breast cancer survivors experiencing menopausal symptoms. Methods This was a secondary analysis of MENQOL psychometric data from two larger parent studies investigating acupuncture for the relief of menopausal symptoms among breast cancer survivors. Reliability was assessed for each subscale of the MENQOL via: 1) internal consistency reliability with Cronbach’s ?, and 2) test-retest reliability at multiple follow-up points with intra-class correlation coefficients (ICCs) and r. Convergent and discriminant validity were assessed via correlations of the vasomotor and psychosocial MENQOL subscales with select items in the Kupperman Index and Daily Symptom Diary. A principal components analysis (PCA) was performed to determine construct validity. Results For each subscale, Cronbach’s ? was ? 0.70. All subscale test-retest reliabilities at first follow-up were significant and at least moderately correlated ? 0.450 (r’s and ICCs). Convergent validity was moderate between the vasomotor and psychosocial subscales and the symptom diary (r’s ? 0.410, p’s < 0.001), and larger between these domains and the Kupperman Index (r’s ? 0.614, p’s < 0.001). In the same subscales, discriminant validity was supported by low, non-significant correlations (r’s ? 0.176, p’s > 0.05). The PCA revealed a latent structure nearly identical to the pre-specified instrument domains, with the exception of the physical domain. Conclusions With results comparable to those obtained in previous psychometric work, the MENQOL appears to be a reliable and valid instrument to assess quality of life in post-menopausal breast cancer survivors. PMID:20881889

Radtke, Jill V.; Terhorst, Lauren; Cohen, Susan M.

2010-01-01

167

A social media self-evaluation checklist for medical practitioners.  

PubMed

Increasing numbers of medical practitioners and medical students are using online social and business-related networking websites such as Facebook, Doc2doc and LinkedIn. These rapidly evolving and growing social media have potential to promote public health by providing powerful instruments for communication and education. However, evidence is emerging from studies, legal cases, and media reports that the use of these new technologies is creating several ethical problems for medical practitioners as well as medical students. Improper online activities may harm not only individual reputations and careers, but also the medical profession as a whole, for example by breach of patient confidentiality, defamation of colleagues and employers, undisclosed conflict of interests that bias the medical practitioner's medical advice, posting of advice/information without an evidence base, and infringement of copyright. We developed a self-evaluation checklist for medical practitioners using social media. The checklist addresses three key elements in the use of social media: personal information and accessibility, connections, and postings. It contains questions specifically formulated to evaluate a medical practitioner's social media profile, to prevent unintended, improper online activities and to promote professional online behaviour. PMID:23099596

Visser, Benjamin J; Huiskes, Florian; Korevaar, Daniel A

2012-01-01

168

Introduction of a Self-report Version of the Prescription Drug Use Questionnaire and Relationship to Medication Agreement Non-Compliance  

PubMed Central

The Prescription Drug Use Questionnaire (PDUQ) is one of several published tools developed to help clinicians better identify the presence of opioid abuse or dependence in patients with chronic pain. This paper introduces a patient version of the PDUQ (PDUQp), a 31-item questionnaire derived from the items of the original tool designed for self-administration, and describes evidence for its validity and reliability in a sample of patients with chronic nonmalignant pain and on opioid therapy. Further, this study examines instances of discontinuation from opioid medication treatment related to violation of the medication agreement (MAVRD) in this population, and the relationship of these with problematic opioid misuse behaviors, PDUQ and PDUQp scores. A sample of 135 consecutive patients with chronic nonmalignant pain was recruited from a multidisciplinary Veterans Affairs chronic pain clinic, and prospectively followed over one year of opioid therapy. Utilizing the PDUQ as a criterion measure, moderate to good concurrent and predictive validity data for the PDUQp are presented, as well as item-by-item comparison of the two formats. Reliability data indicate moderate test stability over time. Of those patients whose opioid treatment was discontinued due to MAVRD (n = 38 or 28% of sample), 40% of these (n = 11) were due to specific problematic opioid misuse behaviors. Based upon specificity and sensitivity analyses, a suggested cut-off PDUQp score for predicting MAVRD is provided. This study supports the PDUQp as a useful tool for assessing and predicting problematic opioid medication use in a chronic pain patient sample. PMID:18508231

Compton, Peggy A.; Wu, Stephen M.; Schieffer, Beatrix; Pham, Quynh; Naliboff, Bruce D.

2008-01-01

169

Appendix B: The Questionnaire of Experiment #1: Evaluating Semi-automatic Domain Models (SDM) in Comparison to Human-made Domain Models  

E-print Network

69 Appendix B: The Questionnaire of Experiment #1: Evaluating Semi-automatic Domain Models (SDM the questions in this questionnaire refer to this automatically generated model. For better understanding). The questionnaire includes two parts. In Part A, you will be asked to map the automatically generated domain model

Reinhartz-Berger, Iris

170

Self-reported tobacco smoking practices among medical students and their perceptions towards training about tobacco smoking in medical curricula: A cross-sectional, questionnaire survey in Malaysia, India, Pakistan, Nepal, and Bangladesh  

PubMed Central

Background Tobacco smoking issues in developing countries are usually taught non-systematically as and when the topic arose. The World Health Organisation and Global Health Professional Student Survey (GHPSS) have suggested introducing a separate integrated tobacco module into medical school curricula. Our aim was to assess medical students' tobacco smoking habits, their practices towards patients' smoking habits and attitude towards teaching about smoking in medical schools. Methods A cross-sectional questionnaire survey was carried out among final year undergraduate medical students in Malaysia, India, Nepal, Pakistan, and Bangladesh. An anonymous, self-administered questionnaire included items on demographic information, students' current practices about patients' tobacco smoking habits, their perception towards tobacco education in medical schools on a five point Likert scale. Questions about tobacco smoking habits were adapted from GHPSS questionnaire. An 'ever smoker' was defined as one who had smoked during lifetime, even if had tried a few puffs once or twice. 'Current smoker' was defined as those who had smoked tobacco product on one or more days in the preceding month of the survey. Descriptive statistics were calculated. Results Overall response rate was 81.6% (922/1130). Median age was 22 years while 50.7% were males and 48.2% were females. The overall prevalence of 'ever smokers' and 'current smokers' was 31.7% and 13.1% respectively. A majority (> 80%) of students asked the patients about their smoking habits during clinical postings/clerkships. Only a third of them did counselling, and assessed the patients' willingness to quit. Majority of the students agreed about doctors' role in tobacco control as being role models, competence in smoking cessation methods, counseling, and the need for training about tobacco cessation in medical schools. About 50% agreed that current curriculum teaches about tobacco smoking but not systematically and should be included as a separate module. Majority of the students indicated that topics about health effects, nicotine addiction and its treatment, counselling, prevention of relapse were important or very important in training about tobacco smoking. Conclusion Medical educators should consider revising medical curricula to improve training about tobacco smoking cessation in medical schools. Our results should be supported by surveys from other medical schools in developing countries of Asia. PMID:21080923

2010-01-01

171

42 CFR 456.242 - UR plan requirements for medical care evaluation studies.  

Code of Federal Regulations, 2011 CFR

...plan requirements for medical care evaluation studies. 456.242 Section...Hospitals Ur Plan: Medical Care Evaluation Studies § 456.242 UR plan requirements for medical care evaluation studies. (a) The UR...

2011-10-01

172

42 CFR 456.242 - UR plan requirements for medical care evaluation studies.  

Code of Federal Regulations, 2012 CFR

...plan requirements for medical care evaluation studies. 456.242 Section...Hospitals Ur Plan: Medical Care Evaluation Studies § 456.242 UR plan requirements for medical care evaluation studies. (a) The UR...

2012-10-01

173

42 CFR 456.242 - UR plan requirements for medical care evaluation studies.  

Code of Federal Regulations, 2013 CFR

...plan requirements for medical care evaluation studies. 456.242 Section...Hospitals Ur Plan: Medical Care Evaluation Studies § 456.242 UR plan requirements for medical care evaluation studies. (a) The UR...

2013-10-01

174

42 CFR 456.142 - UR plan requirements for medical care evaluation studies.  

Code of Federal Regulations, 2012 CFR

...plan requirements for medical care evaluation studies. 456.142 Section...Hospitals Ur Plan: Medical Care Evaluation Studies § 456.142 UR plan requirements for medical care evaluation studies. (a) The UR...

2012-10-01

175

42 CFR 456.142 - UR plan requirements for medical care evaluation studies.  

Code of Federal Regulations, 2011 CFR

...plan requirements for medical care evaluation studies. 456.142 Section...Hospitals Ur Plan: Medical Care Evaluation Studies § 456.142 UR plan requirements for medical care evaluation studies. (a) The UR...

2011-10-01

176

42 CFR 456.142 - UR plan requirements for medical care evaluation studies.  

Code of Federal Regulations, 2013 CFR

...plan requirements for medical care evaluation studies. 456.142 Section...Hospitals Ur Plan: Medical Care Evaluation Studies § 456.142 UR plan requirements for medical care evaluation studies. (a) The UR...

2013-10-01

177

42 CFR 456.142 - UR plan requirements for medical care evaluation studies.  

...false UR plan requirements for medical care evaluation studies. 456.142 Section...Control: Hospitals Ur Plan: Medical Care Evaluation Studies § 456.142 UR plan requirements for medical care evaluation studies. (a) The UR...

2014-10-01

178

42 CFR 456.242 - UR plan requirements for medical care evaluation studies.  

...false UR plan requirements for medical care evaluation studies. 456.242 Section...Mental Hospitals Ur Plan: Medical Care Evaluation Studies § 456.242 UR plan requirements for medical care evaluation studies. (a) The UR...

2014-10-01

179

Evaluating validity and test-retest reliability in four drive for muscularity questionnaires.  

PubMed

The current study assessed relationships among four commonly used drive for muscularity questionnaires, along with their 7 and 14 day test-retest reliability. Sample 1 was comprised of young British adult males (N=272; M(AGE)=20.3) who completed the questionnaires once. Sample 2, a group of young British adult males (N=54, M(AGE)=19.3), completed the questionnaires three times spaced 7 and 14 days apart. Correlations among Sample 1 ranged from .20 to .82 providing evidence for concurrent and discriminant validities. Evidence for test-retest reliability emerged with intraclass correlations ranging from .78 to .95 (p<.001) and generally nonsignificant t-tests (p>.05). Overall, the data support the psychometric properties of the drive for muscularity inventories; however, the shared variance (35-67%) hints that refinement is possible. PMID:22398333

Tod, David; Morrison, Todd G; Edwards, Christian

2012-06-01

180

A health status questionnaire using 30 items from the Medical Outcomes Study. Preliminary validation in persons with early HIV infection  

Microsoft Academic Search

Many current health status instruments either are too long to use in many acquired immune deficiency syndrome (AIDS) clinical trials or omit important concepts. In this study, human immunodeficiency virus (HIV)-relevant items developed for the Medical Outcomes Study (MOS) from subscales for cognitive function, energy\\/fatigue, health distress, and a single quality of life item were added to a portion of

Albert W. Wu; Haya R. Rubin; William C. Mathews; Ware John E. Jr; Lucy T. Brysk; William D. Hardy; Samuel A. Bozzette; Stephen A. Spector; Douglas D. Richman

1991-01-01

181

Validity and reliability of the Spanish version of the Involvement Evaluation Questionnaire among caregivers of patients with eating disorders.  

PubMed

The Involvement Evaluation Questionnaire (IEQ) was developed to evaluate burden among caregivers of patients with schizophrenia. We aimed to examine its psychometric properties among caregivers of patients with eating disorders (ED). A prospective study was carried out, recruiting caregivers of patients with an ED attending two outpatient clinics in Bizkaia, Spain. Caregivers provided sociodemographic information and completed the Involvement Evaluation Questionnaire (IEQ), the Hospital Anxiety and Depression Scale (HADS), the Short-Form 12 (SF-12) and the Anorectic Behaviour Observation Scale (ABOS). The same information was requested one year later. The confirmatory factor analysis (CFA) provided satisfactory fit indexes. Almost all of the factor loadings were above 0.40. Cronbach's alpha coefficients were mostly superior to 0.70. The correlation coefficients between the IEQ domains and the other questionnaires were lower than the Cronbach's alpha coefficients. Known-groups validity was supported by significant differences in the IEQ mean scores according to certain variables, as contact hours, living with the patient, type of caregiver and gender. The indexes employed for the evaluation of responsiveness were between 0.13 and 0.99. The IEQ has good psychometric properties and can be used to evaluate burden among caregivers of patients with ED. PMID:22884308

González, Nerea; Bilbao, Amaia; Padierna, Angel; Martín, Josune; Orive, Miren; Quintana, José M

2012-12-30

182

Sense of competence questionnaire among informal caregivers of older adults with dementia symptoms: A psychometric evaluation  

Microsoft Academic Search

BACKGROUND: The Sense of Competence Questionnaire (SCQ) was originally developed for informal caregivers of patients with diagnosed dementia. In order to study the validity and usefulness of the SCQ when applied to informal caregivers of older adults with dementia symptoms (i.e. cognitive impairment, pre-diagnostic dementia or dementia in its early stages), we investigated the construct validity, feasibility, subscales, homogeneity, and

Aaltje PD Jansen; Hein PJ van Hout; Harm WJ van Marwijk; Giel Nijpels; Chad Gundy; Myrra JFJ Vernooij-Dassen; Henrica CW de Vet; François G Schellevis; Wim AB Stalman

2007-01-01

183

Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument  

Microsoft Academic Search

BACKGROUND: Negative experiences of first childbirth increase risks for maternal postpartum depression and may negatively affect mothers' attitudes toward future pregnancies and choice of delivery method. Postpartum questionnaires assessing mothers' childbirth experiences are needed to aid in identifying mothers in need of support and counselling and in isolating areas of labour and birth management and care potentially in need of

Anna Dencker; Charles Taft; Liselotte Bergqvist; Håkan Lilja; Marie Berg

2010-01-01

184

An Evaluation of the Nutrition Services for the Elderly. Volume V. Questionnaires.  

ERIC Educational Resources Information Center

This document is part of a five-volume nationwide study of Nutrition Services operations and elderly citizens participating in congregate dining and home delivery services authorized by Title III-C of the Older Americans' Act. This volume contains the questionnaires used in the study. Section 1 gives a report overview and acknowledgements. Section…

Kirschner Associates, Inc., Albuquerque, NM.

185

Religiosity and Spirituality: A Psychometric Evaluation of the Santa Clara Strength of Religious Faith Questionnaire  

Microsoft Academic Search

The Santa Clara Strength of Religious Faith Questionnaire (SCSORF) was administered to 124 undergraduate college students attending a private Catholic university and the result was compared to measures of spirituality, religious behavior, religious coping, and affect. The present study found that the SCSORF was strongly related to spirituality, in particular, seeking support from one's spirituality. However, the SCSORF was not

Stacy R. Freiheit; Kaela Sonstegard; Alexis Schmitt; Christopher Vye

2006-01-01

186

Psychometric evaluation of the Situational Confidence Questionnaire in adolescents: Fitting a graded item response model  

Microsoft Academic Search

Self-efficacy theory has been extensively applied to alcoholism treatment, theories of relapse, and relapse prevention. Most empirical studies of perceived self-efficacy to resist heavy drinking have used the Situational Confidence Questionnaire (SCQ). Among adults, this instrument has been shown to be psychometrically sound. Little is known however, about the psychometric properties of the SCQ in the adolescent population. We administered

Levent Kirisci; Howard B. Moss; Ralph E. Tarter

1996-01-01

187

An Evaluation of the Job Stress Questionnaire with a Sample of Entrepreneurs  

Microsoft Academic Search

A modified version of Caplan's Job Stress Questionnaire (JSQ) was administered to 169 male and 56 female entrepreneurs. Entrepreneurs were found to have higher levels of stress associated with workload than with role ambiguity and underutilization of skills. Compared to scores reported previously for various occupational categories, the entrepreneurs scored significantly higher than did white collar, blue collar, and professional

Julie Aitken Harris; Robert Saltstone; Maryann Fraboni

1999-01-01

188

Questionnaire Design in Broad-Based Evaluation Studies: Letting Someone Else Collect Comparison Group Data.  

ERIC Educational Resources Information Center

A context in which existing items may provide a convenient source of questions for questionnaires was explored through a case study making use of existing comparison groups. Two programs at Oak Ridge Associated Universities (ORAU), the Science and Engineering Research Semester (SERS) and the Laboratory Graduate Research Participation (Lab Grad)…

Clark, Sheldon B.; Boser, Judith A.

189

Hybrid Medical Visualizations: Creation and Evaluation  

E-print Network

and Related WorkMotivation and Related Work · Surgery planning and education ­ Surgery planning, radiationOutline · Motivation and Related Work · Combination of Several Rendering Methods · Evaluation of the Produced Silhouettes, Shading, and Volume Rendering for Surgery Education and Planning. In Proceedings of Eurographics

190

Effects of person-vocation fit and core self-evaluation on career commitment of medical university students: the mediator roles of anxiety and career satisfaction  

PubMed Central

Background How the career commitment of medical university students can be improved is an underinvestigated topic. Aim This experimental study aims to explore the factors that influence career commitment of medical university students. Methods One hundred eighty-two medical university students completed the vocational value questionnaire, state anxiety scale, core self-evaluation scale, Minnesota satisfaction questionnaire, and the Chinese career commitment questionnaire. Results (1) A mismatch was found between the vocational value and the medical career of medical university students, primarily in their self-development; (2) Core self-evaluation can significantly predict the continued commitment of medical university students; (3) Vocational value, career fit, and core self-evaluation can significantly predict the affective commitment and normative commitment of medical university students, while state anxiety and vocational satisfaction play significant mediating roles. Conclusions Both person–vocation fit and core self-evaluation can affect the career commitment of medical university students, while job satisfaction and state anxiety play mediating roles. PMID:24555701

2014-01-01

191

The Usefulness of the Functional Status Questionnaire and Medical Outcomes Study Short Form in Parkinson's Disease Research  

Microsoft Academic Search

Parkinson's disease (PD) has no cure and is a progressive neurological disorder with treatment aimed at the maintenance of\\u000a function and limitation of the symptoms. No extensive studies of the disease's impact on health-related quality of life (HRQoL)\\u000a have been conducted. The purpose of this study was to assess the potential usefulness of the Medical Outcomes Study Short\\u000a Form (SP-36)

L. M. Rubenstein; M. D. Voelker; E. A. Chrischilles; D. C. Glenn; R. B. Wallace; R. L. Rodnitzky

1998-01-01

192

A protocol-based evaluation of medical image digitizers.  

PubMed

Medical film digitizers play an important transitory role as digital-to-analogue bridges in radiology. Their use requires performance evaluation to assure medical image quality. A complete quality control protocol is presented, based on a set of test objects adaptable to the specification of various digitizers. The protocol includes parameters such as uniformity, input-output response, noise, geometric distortion, spatial resolution, low contrast discrimination, film slippage and light leakage, as well as associated measurement methods. The applicability of the protocol is demonstrated with two types of medical film digitizers; a charge-coupled device (CCD) digitizer and a laser digitizer. The potential value of the protocol is also discussed. PMID:11560833

Efstathopoulos, E P; Costaridou, L; Kocsis, O; Panayiotakis, G

2001-09-01

193

Evaluation of the Symptom Representation Questionnaire (SRQ) for Assessing Cancer-Related Symptoms  

Microsoft Academic Search

Multidimensional, multisymptom approaches to cancer symptom assessment and management have been emphasized across health disciplines. However, each dimension that is assessed significantly increases patient\\/subject burden. Efficient, reliable, and valid assessment of the critical dimensions of patients' most salient symptoms is important in clinical and research settings. The Symptom Representation Questionnaire (SRQ), derived from information processing theory, assesses critical cognitive and emotional factors that

Heidi Scharf Donovan; Sandra Ward; Paula Sherwood; Ronald C. Serlin

2008-01-01

194

Implementation and Evaluation of a Medical Informatics Distance Education Program  

Microsoft Academic Search

ObjectiveGiven the need for continuing education in medical informatics for mid-career professionals, the authors aimed to implement and evaluate distance learning courses in this area.DesignThe authors performed a needs assessment, content and technology planning, implementation, and student evaluation.MeasurementsThe needs assessment and student evaluations were assessed using a combination of Likert scale and free-form questions.ResultsThe needs assessment indicated much interest in

William R Hersh; Katherine Junium; Mark Mailhot; Patricia Tidmarsh

2001-01-01

195

MEASURING MOBILITY IN PEOPLE WITH LOWER LIMB AMPUTATION: RASCH ANALYSIS OF THE MOBILITY SECTION OF THE PROSTHESIS EVALUATION QUESTIONNAIRE  

Microsoft Academic Search

Objective: To assess the psychometric properties of the Mobility Section of the Prosthesis Evaluation Questionnaire (PEQ-MS). Design: A postal survey, including self-report assessment of prosthetic capability and performance with the PEQ-MS and the Locomotor Capabilities Index, and of other variab- les associated with prosthetic wear and use. The PEQ-MS data underwent Rasch analysis for rating scale diagnostics and a reliability

Franco Franchignoni; Andrea Giordano; Giorgio Ferriero; Duccio Orlandini; Amedeo Amoresano; Laura Perucca

2007-01-01

196

Construct Validation and Test-Retest Reliability of the Seniors in the Community: Risk Evaluation for Eating and Nutrition Questionnaire  

Microsoft Academic Search

Background. We performed two studies. Study 1 was a construct validation of Seniors in the Community: Risk Evaluation for Eating and Nutrition (SCREEN), a 15-item questionnaire for assessing nutritional risk. In Study 2, we ex- amined the test-retest reliability of SCREEN. Methods. Study 1 was a cross-sectional study, and Study 2 was a cohort study. For Study 1, ten diverse

Heather H. Keller; Jacquelyn D. McKenzie; Richard E. Goy

2001-01-01

197

Predictive Validity of the Children’s Attributional Styles Questionnaire: Linkages with Reactions to an In Vivo Peer Evaluation Manipulation  

Microsoft Academic Search

The present study examined the predictive validity of the Children’s Attributional Styles Questionnaire (CASQ) by investigating\\u000a associations between children’s attributional style and their cognitive appraisals of an in vivo peer evaluation manipulation.\\u000a Participants (n = 92), ages 10–13, played a computer contest based on the television show Survivor and were randomized to either a peer rejection\\u000a (i.e., receiving the lowest total ‘likeability’

Albert Reijntjes; Maja Dekovic; Marjolijn Vermande; Michael J. Telch

2008-01-01

198

Evaluation of a short-term medical mission to Syrian refugee camps in Turkey  

PubMed Central

BACKGROUND: The escalating political and humanitarian crisis in Syria has left thousands detained, killed or displaced in neighboring countries. Given the permission and co-operation of the Turkish health authorities, a short-term medical mission to the Syrian refugee camps in the Hatay province was arranged. MATERIALS AND METHODS: To assess this mission's impact and potential expansion to serve other more emergently inflicted areas both inside and outside the Syrian borders, an evaluation was conducted via survey questionnaire of participating physicians. RESULTS: While almost all respondents found the experience worthwhile and fulfilling, medical, social and educational challenges as well as possible solutions were outlined. CONCLUSION: The use of several specified principles to further guide efforts towards providing service, education, relief, and awareness would result in greater effect, sustainability and growth of the mission. PMID:23826554

Alghothani, Nora; Alghothani, Yousef; Atassi, Bassel

2012-01-01

199

Evaluation of the community-oriented medical education in two medical schools in Sudan.  

PubMed

An evaluation was made of the extent and impact of community-oriented medical education in the Khartoum and Gezira medical schools in the Sudan. Competency of graduates 3-7 years after graduation and health indicators of the provinces of both medical schools were examined. Gezira had a more community-oriented curriculum although it was deficient in other aspects. The degree of partnership of both schools with the Ministry of Health and the community was weak and the schools' research programmes had no community orientation. Graduates had similar profiles of job satisfaction, community service, knowledge, attitudes and self-learning. Although Gezira had more emphasis on community medical education, graduates of both schools adapted themselves to the environment dictated by the health care delivery system and cultural values. PMID:15562751

Azizi, F

2003-01-01

200

Analysis, evaluation and adaptation of the ReTransQoL: a specific quality of life questionnaire for renal transplant recipients  

PubMed Central

Background End stage renal disease (ESRD) profoundly impacts the lives of patients. Kidney transplantation provides the greatest health-related quality of life (HRQOL) improvement. Its measurement has become an important outcome parameter and a very important criterion in the evaluation of any type of medical treatment, especially in the field of renal transplantation. In 2007, a specific self-administered questionnaire for renal transplant recipients was developed in the French language: the ReTransQol (RTQ). After 5 years of use, the properties of the RTQ needed to be re-evaluated in a larger sample. This paper describes the analysis of the ReTransQol and its adaptation to achieve an improved and revised version. Methods The study design included three analysis phases for two samples of adult renal transplant recipients which came from two cross-sectional multicenter studies carried out in France in 2007 and 2012. Psychometrics properties like construct validity, acceptability and feasibility, reliability and convergent validity were evaluated and every analysis resulted in a new version of the questionnaire: the RTQ V2. The construct validity of the new RTQ was assessed with a Confirmatory Factor Analysis on a large sample of patients. Results The study samples included 1,059 patients and 1,591 patients, respectively. After a principal component analysis, item reduction was performed and a total of 13 items were deleted. A final version of the RTQ V2 was created and comprised of 32 items describing 5 domains: Physical Health, Social Functioning, Medical Care, Treatment and Fear of Losing Graft. The explained variance between the first and second RTQ versions improved from 46.3% to 53.1%. All psychometric properties of RTQ V2 were satisfactory: IIC >0.4, IDV (%) of 100% and Cronbach’s Alpha >0.7 in every dimension. The confirmatory analysis showed that the overall scalability of the RTQ V2 was satisfactory; all items showed a good fit to the Rasch model within each dimension, and showed INFIT statistics inside the acceptable range. Conclusions Psychometric properties allow this new version of the questionnaire to be used to assess different specific dimensions for the renal transplant population, more effectively than previously possible. PMID:24001187

2013-01-01

201

Health status in COPD cannot be measured by the St George's Respiratory Questionnaire alone: an evaluation of the underlying concepts of this questionnaire  

Microsoft Academic Search

BACKGROUND: Improving patients' health status is one of the major goals in COPD treatment. Questionnaires could facilitate the guidance of patient-tailored disease management by exploring which aspects of health status are problematic, and which aspects are not. Health status consists of four main domains (physiological functioning, symptoms, functional impairment, and quality of life), and at least sixteen sub-domains. A prerequisite

Leonie Daudey; Jeannette B Peters; Johan Molema; PN Richard Dekhuijzen; Judith B Prins; Yvonne F Heijdra; J. H. M. M. Vercoulen

2010-01-01

202

Psychometric evaluation of a cross-culturally adapted felt stigma questionnaire among people living with HIV in Kenya.  

PubMed

Psychometric properties of an 18-item HIV felt stigma questionnaire were evaluated utilizing data collected from a diverse ethnic and socioeconomic group of 370 people living with HIV/AIDS and receiving HIV/AIDS-related health services at an HIV clinic in Kenya. Factor analyses revealed a four factor solution (public attitudes, ostracize, discrimination, personal life disrupted) based on the Scree plot with explained variance of 44% that had Eigen values greater than 1.00. The retained felt stigma items revealed a Cronbach's alpha coefficient of 0.828, while the four factors had coefficient alphas ranging from 0.675 to 0.799. The adapted retained questionnaire was deemed a practical guide for measuring felt stigma in a Kenyan cultural context to necessitate provision of the most effective HIV-related mental health services to individuals living with HIV in Kenya. PMID:23968206

Kingori, Caroline; Reece, Michael; Obeng, Samuel; Murray, Maresa; Shacham, Enbal; Dodge, Brian; Akach, Emannuel; Ngatia, Peter; Ojakaa, David

2013-08-01

203

Memory worries and self-reported daily forgetfulness: a psychometric evaluation of the Dutch translation of the Multifactorial Memory Questionnaire.  

PubMed

The expression of memory worries and the self-reporting of daily forgetfulness easily spark discussion among sufferers and their family or friends about what is normal or abnormal forgetfulness. One way to investigate whether the reporting of forgetfulness might be excessive is to use a standardized memory questionnaire--for instance, the Multifactorial Memory Questionnaire (MMQ). The MMQ measures worries, daily forgetfulness, and memory strategy use. In this study we present a psychometric evaluation of the Dutch translation of the MMQ and provide normative data to determine the significance of individual differences in subtest scores. In addition, clinical examples are given of the use and interpretation of percentile norms and single-case statistics. PMID:21253959

van der Werf, Sieberen P; Vos, Sandra H

2011-02-01

204

Evaluation of the Unified Medical Language System as a Medical Knowledge Source  

PubMed Central

Abstract Objective: The authors evaluated the use of the Unified Medical Language System (UMLS) as a medical knowledge source for the representation of medical procedures in the MAOUSSC system. Design: MAOUSSC, a multiaxial coding system, was used for the representation of 1500 procedures from 15 clinical specialties, using UMLS concepts (augmented by full sources for three new vocabularies being added to the UMLS) and relationships whenever possible. Evaluation criteria for the UMLS included (1) completeness of representation of concepts and of inter-concept relationships, (2) consistency in the categorization of both concepts and inter-concept relationships, and (3) usability, including adaptability of the UMLS to a foreign language (French), its suitability to a geographic region with different medical practices than the USA, and issues relative to the annual update changes in the test vocabularies. Results: During the MAOUSSC trial, the number of missing concepts or relationships identified in the augmented UMLS sources was deemed to be inconsequential relative to overall project goals. “Missing” UMLS inter-concept relationships were identified, although they were small in number. Some inconsistencies in the UMLS were noted, especially in the area of hierarchic relationships. Conclusion: After UMLS was used for five years as a knowledge source for representing 1500 complex medical procedures in MAOUSSC, its value is considered significant. Future editions of the UMLS are expected to improve representation of inter-concept relationships and global consistency. PMID:9452987

Bodenreider, Oliver; Burgun, Anita; Botti, Genevieve; Fieschi, Marius; Beux, Pierre Le; Kohler, Francois

1998-01-01

205

Evaluation of Continuing Medical Education for Chronic Obstructive Pulmonary Diseases.  

ERIC Educational Resources Information Center

A continuing medical education program is discussed that addresses chronic obstructive pulmonary disease and that links primary care physicians to a source of needed clinical knowledge at a relatively low cost. The educational methods, evaluation design, diagnosis of educational needs, selection of program content and behavioral outcomes are…

Li Wang, Virginia; And Others

1979-01-01

206

Charting the Winds of Change: Evaluating Innovative Medical Curricula.  

ERIC Educational Resources Information Center

The Josiah Macy Jr. Foundation sponsored a conference to consider designs for evaluation studies and the potential distinctive outcomes of the innovative medical curricula that might be foci of these studies. Differences between graduates of innovative and traditional curricula which might be expected were identified. (Author/MLW)

Friedman, Charles P.; And Others

1990-01-01

207

Design and Evaluation of a Medical Teamwork Training Simulator  

E-print Network

,4]. Communication is a vital aspect of teamwork, and failure of communication can lead to critical or even lethalDesign and Evaluation of a Medical Teamwork Training Simulator using Consumer-Level Equipment Zealand Abstract. Virtual environments (VE) are increasingly used for teamwork training purposes, e

Sun, Jing

208

Medical Resident Work Schedules: Design and Evaluation by Stimulation Modeling  

Microsoft Academic Search

Society has demanded reform in medical resident work scheduling; consequently, hospitals are implementing changes having organizational, clinical, financial, social, emotional, and educational consequences for physician training and patient care. We report the use of simulation modeling as an approach to evaluate the outcomes of alternative designs prior to implementation. Mobile resources such as physicians with complex job descriptions and patients

Robert S. Dittus; Robert W. Klein; David J. DeBrota; Mark A. Dame; John F. Fitzgerald

1996-01-01

209

Development of a Psychotropic PRN Medication Evaluative Tool  

ERIC Educational Resources Information Center

This article describes a psychotropic PRN Evaluative Tool developed by interprofessional clinicians to address inconsistent reporting and assessment of the effectiveness of PRN medications used for people who are developmentally disabled. Fifty-nine participants (37 males, 22 females), ages 16 to 60 years, were included in the review, all…

Silk, Larry; Watt, Jackie; Pilon, Nancy; Draper, Chad

2013-01-01

210

Evaluation of HIV and AIDS knowledge in rural Cameroon men with the use of a questionnaire  

PubMed Central

Introduction HIV/AIDS, the most important health problem in Africa, is the leading cause of death on the continent. Ignorance on HIV/AIDS status will hamper treatment and prevention. To investigate the level of HIV/AIDS knowledge among men in a rural area, we performed a questionnaire study on HIV/AIDS knowledge in men living in Banga Bakundu, a rural village in Cameroon. Methods Forty-eight men, aged 17-66 years, were interviewed. They were divided in 2 groups: ?29 years, being those young enough to be able to have knowledge about HIV/AIDS at the time of their first sexual contact, and those > 29 years who weren't. A semi-structured clinical interview was performed to obtain information about socio-demographic characteristics, sexual activity, knowledge about HIV/AIDS and its prevention. Results There is an overall good HIV/AIDS knowledge and what should be done about it. Men with a higher level of education and more HIV/AIDS knowledge seem to take less preventive measures. The differentiation per age group showed that age influenced the data on knowledge and behaviour. Conclusion Our data are consistent with other studies. Remarkable is the difference in HIV/AIDS knowledge between the 2 age groups, and the relation between HIV/AIDS knowledge and sexual habits and prevention. Sufficient HIV/AIDS knowledge did not lead to significant changes in sexual behaviour. The questionnaire showed to provide sufficient information and was easy to use. Further research should be performed. PMID:24876900

Versteegh, Hendt Paul; Bakia, Affuenti; Koopman, Hendrik Maria; Kraaij, Vivian; Versteegh, Florens Gerard Adriaan

2013-01-01

211

Evaluation of Examination Stress and Its Effect on Cognitive Function among First Year Medical Students  

PubMed Central

Background: Medical students experience stress at every phase of curriculum more so before examination. This stress may affect physiological, psychological and cognitive functions of the students. Aim: The present study aimed to evaluate stress status among first year MBBS students by recording pulse rate (PR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and using stress questionnaire; its effect on cognitive function by recording auditory reaction time (ART) and visual reaction time (VRT). Setting and Design: It is a cross-sectional study. Materials and Methods: A total of 100 (49 males and 51 females) first year healthy MBBS students participated. Stress questionnaire was given and assessed. Cardiovascular parameters were also assessed. The ART and VRT were recorded before (pre examination setting) and after 3 month of examination (post-examination setting). Statistical Analysis: The data were analysed by using SPSS 21.0 version. Results: All parameters namely PR, SBP, DBP, ART, VRT and stress scores were increased in preexamination setting irrespective of gender. Increased PR was observed in female learners where as stress score and SBP were increased in males in pre-examination setting. ART and VRT were more in females as compared to males in both setting. Conclusion: It is concluded that examination in the form of stressor hampers cognitive function of first year medical students. The cognitive functions of the female learners were more affected as compared to males. Therefore, proper counselling of the students should be initiated at the earliest to decrease their stress level. PMID:25302186

Pradhan, Ganesh; Mendinca, Nishitha Linet

2014-01-01

212

Medical students' perception of the educational environment in a medical college in India: a cross-sectional study using the Dundee Ready Education Environment questionnaire  

PubMed Central

Purpose: The objective of this study was to assess student perceptions of the environment in this medical college using the Dundee Ready Educational Environment Measure (DREEM). Methods: Cross-sectional study; 348 medical student volunteers (68.1%) of all semesters participated (511 enrolled). DREEM has 50 items, each rated from 0–4 (Likert scale: 0, strongly disagree to 4, strongly agree), that measure five domains: students’ perceptions of learning; perceptions of teachers; academic self-perception; perceptions of the atmosphere; and social self-perception. Mean item scores, domain scores, and global scores were computed. Results: The three highest rated items were knowledgeable teachers, having good friends, and confidence about passing; the three most problematic items were a poor support system for stressed students, inability to memorize everything, and over-emphasis on factual learning. The percentage score for perception of learning (47.26± 14.85) was significantly lower than that for teachers (52.28± 9.91; P< 0.001); academic self-perception (52.14 ± 15.21; P < 0.001); perception of the atmosphere (51.21 ± 13.60; P = 0.001); and social self-perception (50.63± 13.90; P= 0.010). The global scores were lowest for eighth-semester students (89.8± 21.24) when compared to second (101.33± 21.05; P= 0.003), fourth (107.69± 18.96; P< 0.001), and sixth (100.07± 20.61; P= 0.020). Conclusion: Improvement is required across all domains of the educational environment at this institution. Students, particularly of the eighth semester, perceived the teaching negatively. The lowest scores were given to the support system, burdensome course content, and factual learning; thus, a hybrid curriculum that includes problem-based learning might provide students with stimulating learning; structured clinical teaching with specific curricular objectives, as well as mentoring of senior students by faculty and near-peers, might improve the learning environment for senior students. PMID:23967369

2013-01-01

213

Student evaluation of the academic advising process in an Iranian medical school  

PubMed Central

Objective The purpose of this study was to examine student evaluation of the academic advising process in an Iranian medical school. Method We conducted a cross sectional survey of all fourth and fifth year students who studied medicine, nursing and laboratory technology. A short version of a validated questionnaire was administrated to 85 students (23 males and 62 females) at Fasa Medical School, Iran. Results Of the students, 48(56%) were satisfied with the academic advising process. The descriptive analysis of the study showed that many students (n=72) valued the importance of feedback on student ability in the academic advising process. A further descriptive analysis showed that 34 students (40%) were satisfied that advisers were aware of their records. There was a significant difference between student’s main course (?2 (2) = 8.9; p= 0.012) and satisfaction with academic advising. However, the observed differences between female and male students in this study were not statistically significant (?2 (1) = 2.2; p= 0.107). Conclusions The results of this study reveal a lack of systematic planning, skills and resources for the academic advising process at the Fars Medical School. The results indicate the need for academic staff development initiatives to improve the academic advising process. An ongoing evaluation program of the academic needs of students may help to advisors to provide academic advising and academic support for students in various courses.

Shamsdin, Azra

2012-01-01

214

High evaluation of medical staff by women after miscarriage during hospitalization.  

PubMed

The loss of a baby is a traumatic event, irrespective of the duration of pregnancy. In the present study, we attempted to recognize the opinions of women after miscarriage that needed assistance and support from the medical staff during hospitalization. The study was conducted during the period from January to June 2012 and included 303 women who miscarried and used medical care in the Lublin Region (Poland). The method of a diagnostic survey was applied using a questionnaire technique. The majority of the respondents reported that information obtained from physicians after the diagnosis of miscarriage were rather understandable (44.22%) and sufficient (41.91%). According to more than a half of respondents, after miscarriage, midwives demonstrated adequate skills (57.43%) and provided necessary informative support (52.81%). The study showed that during hospital stay the women who had experienced miscarriage evaluated in relatively high terms the physicians and midwives providing them with care. The evaluations of the attitudes of doctors and midwives increased with the women's growing needs during hospitalization. The results of the study allow the presumption that the medical staff providing care of women after miscarriage possess a relatively high level of knowledge and skills in the area of diagnostics and treatment of pregnancy terminated with miscarriage. However, it should be remembered that the constant training of doctors and midwives in the provision of emotional and psychological support is necessary. PMID:24598139

Iwanowicz-Palus, Grazyna; Rzonca, Ewa; Bien, Agnieszka; Wloszczak-Szubzda, Anna; Walczuk, Elzbieta

2014-01-01

215

A Computerized, Self-Administered Questionnaire to Evaluate Posttraumatic Stress Among Firefighters After the World Trade Center Collapse  

PubMed Central

Objectives. We sought to determine the frequency of psychological symptoms and elevated posttraumatic stress disorder (PTSD) risk among New York City firefighters after the World Trade Center (WTC) attack and whether these measures were associated with Counseling Services Unit (CSU) use or mental health–related medical leave over the first 2.5 years after the attack. Methods. Shortly after the WTC attack, a computerized, binary-response screening questionnaire was administered. Exposure assessment included WTC arrival time and “loss of a co-worker while working at the collapse.” We determined elevated PTSD risk using thresholds derived from Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, and a sensitivity-specificity analysis. Results. Of 8487 participants, 76% reported at least 1 symptom, 1016 (12%) met criteria for elevated PTSD risk, and 2389 (28%) self-referred to the CSU, a 5-fold increase from before the attack. Higher scores were associated with CSU use, functional job impairment, and mental health–related medical leave. Exposure–response gradients were significant for all outcomes. Conclusions. This screening tool effectively identified elevated PTSD risk, higher CSU use, and functional impairment among firefighters and therefore may be useful in allocating scarce postdisaster mental health resources. PMID:19890176

Corrigan, Malachy; McWilliams, Rita; Kelly, Kerry J.; Niles, Justin; Cammarata, Claire; Jones, Kristina; Wartenberg, Daniel; Hallman, William K.; Kipen, Howard M.; Glass, Lara; Schorr, John K.; Feirstein, Ira

2009-01-01

216

Evaluating of Life Quality in Patients with Acne Vulgaris Using Generic and Specific Questionnaires  

PubMed Central

Background. Acne vulgaris is a common skin disease that can adversely affect the quality of life of patients. Objective. The aim of this study was to determine the quality of life in patients with acne vulgaris. Methods. This study was carried out on 70 patients with acne vulgaris (28 males, 42 females). All the patients filled out two Persian versions of questionnaires: short form 36 (SF-36) and Dermatology Life Quality Index (DLQI). The obtained data were analyzed by using SPSS software (version 17). Results. The scores for physical functioning, social functioning, and bodily pain domains in patients were over 70%, but the scores for role physical, general health, vitality, role emotional, and mental health in patients were under 70%. Scores on the DLQI in patients with acne vulgaris ranged from 0 to 22 (mean ± SD, 8.18 ± 4.83). After comparing mean score of DLQI with respect to gender and age, it was found that the difference between the two groups was not statistically significant. Conclusion. Acne vulgaris has a significant effect on the quality of life. There was not any significant gender or age related difference in QOL. PMID:24371434

Ghaderi, Reza; Saadatjoo, Alireza; Ghaderi, Faezeh

2013-01-01

217

Evaluation of the Alcohol Craving Questionnaire-Now factor structures: application of a cue reactivity paradigm.  

PubMed

The current study compared the psychometric properties and clinical/research utility of four distinct factor/subscale models of alcohol craving (three factor-derived models, and one rationally derived model) as measured by the Alcohol Craving Questionnaire-Now in social (n=52) and alcohol dependent (n=71) drinkers. All participants completed a self-report measure of alcohol abuse in addition to engaging in a structured interview and cue reactivity protocol. Participants provided self-reported craving, as well as desire to approach or avoid drinking, during a cue exposure task using separate analog scales. Factor/subscale models were compared in terms of internal consistency, convergent and divergent validity, and ability to predict cue-elicited approach and craving in addition to diagnostic status. All models demonstrated high levels of internal consistency, convergent and divergent validity, and the ability to predict both cue-elicited craving and alcohol dependence status. Specific strengths and weaknesses of each model are examined and the theoretical, clinical, and research utility of the current findings are discussed. PMID:19423243

Connolly, Kevin M; Coffey, Scott F; Baschnagel, Joseph S; Drobes, David J; Saladin, Michael E

2009-07-01

218

Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and Pain Scales  

Microsoft Academic Search

Background contextThe impact of lumbar spinal surgery is commonly evaluated with three patient-reported outcome measures: Oswestry Disability Index (ODI), the physical component summary (PCS) of the Short Form of the Medical Outcomes Study (SF-36), and pain scales. A minimum clinically important difference (MCID) is a threshold used to measure the effect of clinical treatments. Variable threshold values have been proposed

Anne G. Copay; Steven D. Glassman; Brian R. Subach; Sigurd Berven; Thomas C. Schuler; Leah Y. Carreon

2008-01-01

219

Assessing implicit gender bias in Medical Student Performance Evaluations.  

PubMed

For medical schools, the increasing presence of women makes it especially important that potential sources of gender bias be identified and removed from student evaluation methods. Our study looked for patterns of gender bias in adjective data used to inform our Medical Student Performance Evaluations (MSPEs). Multigroup Confirmatory Factor Analysis (CFA) was used to model the latent structure of the adjectives attributed to students (n = 657) and to test for systematic scoring errors by gender. Gender bias was evident in two areas: (a) women were more likely than comparable men to be described as ''compassionate,'' ''sensitive,'' and ''enthusiastic'' and (b) men were more likely than comparable women to be seen as ''quick learners.'' The gender gap in ''quick learner'' attribution grows with increasing student proficiency; men's rate of increase is over twice that of women's. Technical and nontechnical approaches for ameliorating the impact of gender bias on student recommendations are suggested. PMID:20801977

Axelson, Rick D; Solow, Catherine M; Ferguson, Kristi J; Cohen, Michael B

2010-09-01

220

Desegregation Questionnaire.  

ERIC Educational Resources Information Center

This 47-item questionnaire is designed to measure the examinee's satisfaction or dissatisfaction with various situations occurring in desegregated schools. Administration instructions and a breakdown of the questionnaire into categories and items is included. No field testing has been done. (See also TM 000 940 for a description of the study and…

Mullen, David J.

221

78 FR 16679 - Center for Drug Evaluation and Research Medical Policy Council; Request for Comments  

Federal Register 2010, 2011, 2012, 2013

...Center for Drug Evaluation and Research Medical Policy Council; Request for Comments AGENCY...and other interested organizations, on medical policy issues that may be considered by the CDER Medical Policy Council (Council) in FDA's...

2013-03-18

222

Evaluation of mobile learning: Students' experiences in a new rural-based medical school  

PubMed Central

Background Mobile learning (ML) is an emerging educational method with success dependent on many factors including the ML device, physical infrastructure and user characteristics. At Gippsland Medical School (GMS), students are given a laptop at the commencement of their four-year degree. We evaluated the educational impact of the ML program from students' perspectives. Methods Questionnaires and individual interviews explored students' experiences of ML. All students were invited to complete questionnaires. Convenience sampling was used for interviews. Quantitative data was entered to SPSS 17.0 and descriptive statistics computed. Free text comments from questionnaires and transcriptions of interviews were thematically analysed. Results Fifty students completed the questionnaire (response rate 88%). Six students participated in interviews. More than half the students owned a laptop prior to commencing studies, would recommend the laptop and took the laptop to GMS daily. Modal daily use of laptops was four hours. Most frequent use was for access to the internet and email while the most frequently used applications were Microsoft Word and PowerPoint. Students appreciated the laptops for several reasons. The reduced financial burden was valued. Students were largely satisfied with the laptop specifications. Design elements of teaching spaces limited functionality. Although students valued aspects of the virtual learning environment (VLE), they also made many suggestions for improvement. Conclusions Students reported many educational benefits from school provision of laptops. In particular, the quick and easy access to electronic educational resources as and when they were needed. Improved design of physical facilities would enhance laptop use together with a more logical layout of the VLE, new computer-based resources and activities promoting interaction. PMID:20701752

2010-01-01

223

Psychometric evaluation of the marijuana and stimulant effect expectancy questionnaires for adolescents  

Microsoft Academic Search

Alcohol expectancies are important in the mediation and prediction of alcohol use. Expectancies for the effects of other drugs, although less well delineated, appear equally important. Therefore, development and validation of expectancy measures for drugs other than alcohol is necessary for evaluating the importance of these constructs. We examined the factor structure, reliability, and validity of the Marijuana Effect Expectancy

Gregory A. Aarons; Sandra A. Browna; Eric Sticed; Michael T. Coee

2001-01-01

224

Forensic evaluation of medical liability cases in general surgery.  

PubMed

Although medical liability (disciplinary, civil and criminal) is increasingly becoming an issue, few studies exist, particularly from the perspective of forensic science, which demonstrate the extent to which medical malpractice occurs, or when it does, the reasons for it. Our aims were to evaluate the current situation concerning medical liability in general surgery (GS) in Portugal, the reasons for claims, and the forensic evaluations and conclusions, as well as the association between these issues and the judicial outcomes. We analysed the Medico-Legal Council (CML) reports of the National Institute of Legal Medicine and Forensic Sciences of Portugal related to GS during 2001-2010. The judicial outcomes of each case were requested from the Public Prosecutor Office (PPO) and the court. Alleged cases of medical liability in GS represented 11.2% of the total cases analysed by the CML. We estimated that in Portugal, 4:100,000 surgeries are subject to litigation. The majority of complaints were due to the patient's death (75.4%), with laparoscopic cholecystectomy surgeries representing 55.2% of cases. In 76.1% of the cases, the CML believed that there was no violation of leges artis and in 55.2% of cases, no causal nexus was found between the medical practice and the alleged harm. The PPO prosecuted physicians in 6.4% of the cases and resulted in one conviction. Finally, the importance of the CML reports as a relevant technical-scientific tool for judicial decision was evident because these reports significantly (p?

Moreira, H; Magalhães, T; Dinis-Oliveira, Rj; Taveira-Gomes, A

2014-10-01

225

Evaluating community engagement in an academic medical center.  

PubMed

From the perspective of academic medical centers (AMCs), community engagement is a collaborative process of working toward mutually defined goals to improve the community's health, and involves partnerships between AMCs, individuals, and entities representing the surrounding community. AMCs increasingly recognize the importance of community engagement, and recent programs such as Prevention Research Centers and Clinical and Translational Science Awards have highlighted community engagement activities. However, there is no standard or accepted metric for evaluating AMCs' performance and impact of community engagement activities.In this article, the authors present a framework for evaluating AMCs' community engagement activities. The framework includes broad goals and specific activities within each goal, wherein goals and activities are evaluated using a health services research framework consisting of structure, process, and outcome criteria. To illustrate how to use this community engagement evaluation framework, the authors present specific community engagement goals and activities of the University of Rochester Medical Center to (1) improve the health of the community served by the AMC; (2) increase the AMC's capacity for community engagement; and (3) increase generalizable knowledge and practices in community engagement and public health.Using a structure-process-outcomes framework, a multidisciplinary team should regularly evaluate an AMC's community engagement program with the purpose of measurably improving the performance of the AMC and the health of its surrounding community. PMID:24556768

Szilagyi, Peter G; Shone, Laura P; Dozier, Ann M; Newton, Gail L; Green, Theresa; Bennett, Nancy M

2014-04-01

226

An Initial Psychometric Evaluation and Exploratory Cross-Sectional Study of the Body Checking Questionnaire among Brazilian Women  

PubMed Central

Body checking is considered an expression of an excessive preoccupation with appearance. The first aim of this study was to evaluate the psychometric properties of a Brazilian Portuguese version of the Body Checking Questionnaire (BCQ). Additionally, we wanted to examine the questionnaire’s associations with body avoidance behaviour, body mass index, dietary habits, and the intensity, frequency, and length of physical exercise. Finally, we also examined the differences between the total BCQ score and the individual BCQ factor scores. Differences between active and sedentary persons and between non-dieters and those on weight-loss diets were also analyzed. For the psychometric study, 546 female public university students from four different courses were surveyed. Two minor samples of university students and eating disorders women were also recruited. In the second part of the study, 403 women were recruited from weight-loss programs, gyms, and a university. All participants were verbally invited to participate in the research and voluntarily took part. Confirmatory factor analysis showed a good fit to the original model of the Brazilian BCQ that retained all 23 items. Satisfactory evidence of construct validity and internal consistency were also generated through analysis of factor loadings, t-values, Cronbach’s alpha, and construct reliability tests. The results also showed associations among body checking and body avoidance, body satisfaction, social anxiety, body mass index, and the frequency and intensity of physical exercise. Significant differences were found between non-dieters and weight-loss dieters for all BCQ factors and the total BCQ score. For physically active and sedentary persons, a significant difference was only observed for idiosyncratic checking behaviour. In conclusion, the BCQ appears to be a valid and reliable scale for Brazilian research, and the associations and differences found in this study suggest that women at gyms and especially in weight-loss programs should be targeted for future body checking studies. PMID:24040304

Campana, Angela Nogueira Neves Betanho; Swami, Viren; Onodera, Carolina Mie Kawagosi; da Silva, Dirceu; Tavares, Maria da Consolacao Gomes Cunha Fernandes

2013-01-01

227

The Mother-Newborn Skin-to-Skin Contact Questionnaire (MSSCQ): development and psychometric evaluation among Iranian midwives  

PubMed Central

Background Despite the benefits of mother-newborn skin-to-skin contact immediately after birth, it has not been universally implemented as routine care for healthy term neonates. Midwifes are the first person to contact the neonate after birth. However, there is evidence that many midwives do not perform mother-newborn skin-to-skin contact. The aim of this study was to develop and psychometrically evaluate an instrument for measuring factors associated with mother-newborn skin-to-skin contact (MSSCQ) based on the PRECEDE-PROCEED model. Methods This was a two-phase qualitative and quantitative study. It was conducted during 2010 to 2012 in Tehran, Iran. In the qualitative part, 150 midwives working in labor room participated in 19 focus group discussions in order to generate a preliminary item pool. Then, content and face validity were performed to provide a pre-final version of the questionnaire. In the quantitative phase, reliability (internal consistency and test-retest analysis), validity and factor analysis (both exploratory and confirmatory) were performed to assess psychometric properties of the instrument. Results A 120-item questionnaire was developed through the qualitative phase. It was reduced to an 83-item after content validity. The exploratory factor analysis loaded fifteen-factors and three constructs (predisposing, enabling and reinforcing) containing 82 items (38, 18, and 26 statements, respectively) that jointly accounted for 60.61% of observed variance. The Confirmatory factors analysis determined a model with appropriate fitness for the data. The Cronbach’s alpha coefficient showed excellent internal consistency (alpha?=?0.92), and test-retest of the scale with 2-week intervals indicated an appropriate stability for the MSSCQ (ICC?=?0.94). Conclusion The Mother-Newborn Skin-to-Skin Contact Questionnaire (MSSCQ) is a reliable and valid theory-based measurement and now can be used in clinical practice, midwifery and nursing studies. PMID:24564830

2014-01-01

228

Career progression of men and women doctors in the UK NHS: a questionnaire study of the UK medical qualifiers of 1993 in 2010/2011  

PubMed Central

Summary Objectives To report the career progression of a cohort of UK medical graduates in mid-career, comparing men and women. Design Postal and questionnaire survey conducted in 2010/2011, with comparisons with earlier surveys. Setting UK. Participants In total, 2507 responding UK medical graduates of 1993. Main outcome measures Doctors’ career specialties, grade, work location and working pattern in 2010/2011 and equivalent data in earlier years. Results The respondents represented 72% of the contactable cohort; 90% were working in UK medicine and 7% in medicine outside the UK; 87% were in the UK NHS (87% of men and 86% of women). Of doctors in the NHS, 70.6% of men and 52.0% of women were in the hospital specialties and the great majority of the others were in general practice. Within hospital specialties, a higher percentage of men than women were in surgery, and a higher percentage of women than men were in paediatrics, obstetrics and gynaecology, clinical oncology, pathology and psychiatry. In the NHS, 63% of women and 8% of men were working less-than-full-time (in general practice, 19% of men and 83% of women; and in hospital specialties, 3% of men and 46% of women). Among doctors who had always worked full-time, 94% of men and 87% of women GPs were GP principals; in hospital practice, 96% of men and 93% of women had reached consultant level. Conclusions The 1993 graduates show a continuing high level of commitment to the NHS. Gender differences in seniority lessened considerably when comparing doctors who had always worked full-time.

Svirko, Elena; Goldacre, Michael J

2014-01-01

229

Translation, cultural adaptation and evaluation of the psychometric properties of the Falls Risk Awareness Questionnaire (FRAQ): FRAQ-Brazil  

PubMed Central

Objective This study aimed to translate and culturally adapt the Falls Risk Awareness Questionnaire (FRAQ) for the elderly Brazilian population as well as to evaluate the internal consistency and reliability of this instrument. Method The study used internationally accepted guidelines for the cross-cultural adaptation process. The questionnaire in its final Portuguese version was then applied to 120 elderly people to assess the measurement properties. The participants were interviewed twice in the first assessment (examiners 1 and 2 at an interval of 30to60minutes) and again after 2 to 7 days by examiner 1. The internal consistency was assessed with Cronbach' s alpha coefficient. To evaluate the reliability of the intra- and inter-evaluators, the Kappa coefficient for categorical variables was used; for numeric variables, the intra-class correlation coefficient (2-way mixed model) and the respective 95% confidence intervals were used in addition to the concordance test of Bland and Altman. Results The Brazilian version of the FRAQ was obtained while maintaining a semantic, idiomatic, cultural and conceptual equivalence. The internal consistency was ?=0.95, while for intra-examiner reliability, an intrarater correlation coefficient (ICC-3,1) of 0.91 was obtained with an intra-class correlation Kappa coefficient of 0.89 and a Bland and Altman mean difference (bias) of -0.52. Regarding the inter-examiner reliability, the ICC=0.78, Kappa=0.76 and bias=0.12. Conclusions The translation and cultural adaptation of the FRAQ for the elderly Brazilian population was successfully performed. The instrument demonstrated excellent reliability and internal consistency, thus making it useful for assessing the perception of the risk of a fall among elderly Brazilians. PMID:24346294

Lopes, Analia R.; Trelha, Celita S.

2013-01-01

230

Developing Written Questionnaires: Determining if Questionnaires Should be Used  

NSDL National Science Digital Library

This module provides a strategy for determining whether a written questionnaire is an appropriate means of gathering data to meet the goals of an evaluation. The authors define which conditions are suitable for using questionnaires.

Zalles, Daniel R.; Library, Online E.

231

Evaluating the Quality of Education at Dentistry School of Tehran University of Medical Sciences  

PubMed Central

Background: Educational evaluation is a process which deals with data collection and assessment of academic activities’ progress. In this research, educational evaluation of Dentistry School of Tehran University of Medical Sciences, which trains students in undergraduate and residency courses, was studied. Methods: This descriptive study was done with a model of educational evaluation in ten steps and 13 fields including purposes and mission objectives, management and organization, academic board members, students, human resources and support, educational, research, health and treatment spaces, educational, diagnostic, research and laboratory tools, educational, research, health and treatment programs and courses, process of teaching and learning, evaluation and assessment, alumni, and patients satisfaction. Data were collected using observation, interviews, questionnaires, and checklists. Results: Results of the study were mainly qualitative and in some cases quantitative, based on defined optimal situation. The total mean of qualitative results of educational evaluation of dentistry school in all 13 fields was 55.98% which is relatively desirable. In the case of quantitative ones, results of some fields such as treatment quality of patients and education and learning of the students were relatively desirable (61.32% and 60.16% respectively). Conclusion: According to the results, educational goals and missions, educational and research facilities and spaces which were identified as the weakest areas need to be considered and paid more serious attention. PMID:22013466

Farzianpour, Fereshteh; Monzavi, Abbas; Yassini, Esmaeil

2011-01-01

232

Safety Evaluation of Medical Devices: US Food and Drug Administration and International Standards Organization Guidelines  

Microsoft Academic Search

During the last 20 years, safety evaluation of medical devices has evolved from screening assays to the “pharmaceutical model” of preclinical testing. Biocompatibility testing guidelines for medical devices are published in the International Organization for Standardization (ISO) document 10993–1: Biological evaluation of medical devices—Part 1: Evaluation and testing. These guidelines are recognized by most national regulatory bodies and supplement, but

Sharon J. Northup

1999-01-01

233

[Evaluation of medication advertising broadcast on radio stations].  

PubMed

The scope of this paper was to evaluate advertising for medication broadcast on radio stations in Natal, State of Rio Grande do Norte, Brazil, from April to September 2008 and from April to September 2010. The advertising was recorded and transcribed in order to conduct legal analysis and content analysis based on the precepts of Laurence Bardin. Both the advertising recorded during the first stage (regulated by RDC 102/00) and the second stage (regulated by RDC 96/08) contained some form of legal violation. Content analysis detected practically the same violations in both stages, namely the lack of information regarding adverse effects of the medication, appeal to consumption, exaggeration of efficiency/effectiveness and abusive exploitation of illness. Despite the inclusion of more modern and restrictive legislation, radio advertising continues to violate the law blatantly, committing abuse and disrespecting the population's entitlement to good health. The study reveals the need for medication advertising to be dealt with in a broader context, in other words to be treated as a public health concern. It must take into consideration the socio-historical scenario in which it evolved, since the legislation alone is insufficient to combat abuse committed to the detriment of public health. PMID:23358781

Batista, Almária Mariz; Carvalho, Maria Cleide Ribeiro Dantas de

2013-02-01

234

Evaluation of the Accuracy of Smartphone Medical Calculation Apps  

PubMed Central

Background Mobile phones with operating systems and capable of running applications (smartphones) are increasingly being used in clinical settings. Medical calculating applications are popular mhealth apps for smartphones. These include, for example, apps that calculate the severity or likelihood of disease-based clinical scoring systems, such as determining the severity of liver disease, the likelihood of having a pulmonary embolism, and risk stratification in acute coronary syndrome. However, the accuracy of these apps has not been assessed. Objective The objective of this study was to evaluate the accuracy of smartphone-based medical calculation apps. Methods A broad search on Google Play, BlackBerry World, and the iTunes App Store was conducted to find medical calculation apps for smartphones. The list of apps was narrowed down based on inclusion and exclusion criteria focusing on functions thought to be relevant by a panel of general internists (number of functions =13). Ten case values were inputted for each function and were compared to manual calculations. For each case, the correct answer was assigned a score of 1. A score for the 10 cases was calculated based on the accuracy of the results for each function on each app. Results We tested 14 apps and 13 functions for each app if that function was available. We conducted 10 cases for each function for a total of 1240 tests. Most functions tested on the apps were accurate in their results with an overall accuracy of 98.6% (17 errors in 1240 tests). In all, 6 of 14 (43%) apps had 100% accuracy. Although 11 of 13 (85%) functions had perfect accuracy, there were issues with 2 functions: the Child-Pugh scores and Model for End-Stage Liver Disease (MELD) scores on 8 apps. Approximately half of the errors were clinically significant resulting in a significant change in prognosis (8/17, 47%). Conclusions The results suggest that most medical calculating apps provide accurate and reliable results. The free apps that were 100% accurate and contained the most functions desired by internists were CliniCalc, Calculate by QxMD, and Medscape. When using medical calculating apps, the answers will likely be accurate; however, it is important to be careful when calculating MELD scores or Child-Pugh scores on some apps. Despite the few errors found, greater scrutiny is warranted to ensure full accuracy of smartphone medical calculator apps. PMID:24491911

Bierbrier, Rachel; Lo, Vivian

2014-01-01

235

Improving the transition from medical school to internship - evaluation of a preparation for internship course  

PubMed Central

Background This study evaluates the impact of a new 'Preparation for Internship’ (PRINT) course, which was developed to facilitate the transition of University of New South Wales (UNSW) medical graduates from Medical School to Internship. Methods During a period of major curricular reform, the 2007 (old program) and 2009 (new program) cohorts of UNSW final year students completed the Clinical Capability Questionnaire (CCQ) prior to and after undertaking the PRINT course. Clinical supervisors’ ratings and self-ratings of UNSW 2009 medical graduates were obtained from the Hospital-based Prevocational Progress Review Form. Results Prior to PRINT, students from both cohorts perceived they had good clinical skills, with lower ratings for capability in procedural skills, operational management, and administrative tasks. After completing PRINT, students from both cohorts perceived significant improvement in their capability in procedural skills, operational management, and administrative tasks. Although PRINT also improved student-perceived capability in confidence, interpersonal skills and collaboration in both cohorts, curriculum reform to a new outcomes-based program was far more influential in improving self-perceptions in these facets of preparedness for hospital practice than PRINT. Conclusions The PRINT course was most effective in improving students’ perceptions of their capability in procedural skills, operational management and administrative tasks, indicating that student-to-intern transition courses should be clinically orientated, address relevant skills, use experiential learning, and focus on practical tasks. Other aspects that are important in preparation of medical students for hospital practice cannot be addressed in a PRINT course, but major improvements are achievable by program-wide curriculum reform. PMID:24485072

2014-01-01

236

Evaluation of board performance in Iran's universities of medical sciences  

PubMed Central

Background: The critical role that the board plays in governance of universities clarifies the necessity of evaluating its performance. This study was aimed to evaluate the performance of the boards of medical universities and provide solutions to enhance its performance. Methods: The first phase of present study was a qualitative research in which data were collected through face-to-face semi-structured interviews. Data were analyzed by thematic approach. The second phase was a mixed qualitative and quantitative study, with quantitative part in cross-sectional format and qualitative part in content analysis format. In the quantitative part, data were collected through Ministry of Health and Medical Education (MoHME). In the qualitative part, the content of 2,148 resolutions that were selected by using stratified sampling method were analyzed. Results: Participants believed that the boards had no acceptable performance for a long time.Results also indicated the increasing number of meetings and resolutions of the boards in these 21 years. The boards’ resolutions were mostly operational in domain and administrative in nature. The share of specific resolutions was more than the general ones. Conclusion: Given the current pace of change and development and the need to timely respond them, it is recommended to accelerate the slow pace of improvement process of the boards. It appears that more delegation and strengthening the position of the boards are the effective strategies to speed up this process. PMID:25337597

Sajadi, Haniye Sadat; Maleki, Mohammadreza; Ravaghi, Hamid; Farzan, Homayoun; Aminlou, Hasan; Hadi, Mohammad

2014-01-01

237

Evaluation of the psychometric properties of a modified version of the Social Phobia Screening Questionnaire for use in adolescents  

PubMed Central

Background Social phobia (social anxiety disorder - SAD) is a rather common but often undetected and undertreated psychiatric condition in youths. Screening of SAD in young individuals in community samples is thus important in preventing negative outcomes. The present study is the first report on the psychometric properties of the Social Phobia Screening Questionnaire for Children and adolescents (SPSQ-C). Methods The SPSQ-C was administered to a community sample of high-school students. Test-retest reliability over three weeks was evaluated (n = 127) and internal consistency was calculated for items measuring level of fear in eight social situations. To measure concurrent validity, subjects who reported SAD on at least one occasion and randomly selected non-cases were blindly interviewed with the Structured Clinical Interview for DSM-IV Axis-I disorders (SCID-I), as gold standard (n = 51). Results A moderate test-retest reliability, r = .60 (P < .01), and a satisfactory alpha coefficient of .78 was found. Values of sensitivity and specificity were 71% and 86% respectively, and area under the curve (AUC) was .79. Positive likelihood ratio (LR+) showed that a positive screening result was five times more likely to be correct than to reflect a non-case. Negative likelihood ratio (LR -) was .34. In addition, positive predictive value was 45% and negative predictive value was 95%. The prevalence of self-reported SAD was found to be 7.2% at the first assessment. Conclusion The SPSQ-C is a short and psychometrically sound questionnaire for screening of SAD in adolescents, with the advantage of being based on the DSM-IV criteria. PMID:19906313

2009-01-01

238

[Evaluation of using statistical methods in selected national medical journals].  

PubMed

The paper covers the performed evaluation of frequency with which the statistical methods were applied in analyzed works having been published in six selected, national medical journals in the years 1988-1992. For analysis the following journals were chosen, namely: Klinika Oczna, Medycyna Pracy, Pediatria Polska, Polski Tygodnik Lekarski, Roczniki Pa?stwowego Zak?adu Higieny, Zdrowie Publiczne. Appropriate number of works up to the average in the remaining medical journals was randomly selected from respective volumes of Pol. Tyg. Lek. The studies did not include works wherein the statistical analysis was not implemented, which referred both to national and international publications. That exemption was also extended to review papers, casuistic ones, reviews of books, handbooks, monographies, reports from scientific congresses, as well as papers on historical topics. The number of works was defined in each volume. Next, analysis was performed to establish the mode of finding out a suitable sample in respective studies, differentiating two categories: random and target selections. Attention was also paid to the presence of control sample in the individual works. In the analysis attention was also focussed on the existence of sample characteristics, setting up three categories: complete, partial and lacking. In evaluating the analyzed works an effort was made to present the results of studies in tables and figures (Tab. 1, 3). Analysis was accomplished with regard to the rate of employing statistical methods in analyzed works in relevant volumes of six selected, national medical journals for the years 1988-1992, simultaneously determining the number of works, in which no statistical methods were used. Concurrently the frequency of applying the individual statistical methods was analyzed in the scrutinized works. Prominence was given to fundamental statistical methods in the field of descriptive statistics (measures of position, measures of dispersion) as well as most important methods of mathematical statistics such as parametric tests of significance, analysis of variance (in single and dual classifications). non-parametric tests of significance, correlation and regression. The works, in which use was made of either multiple correlation or multiple regression or else more complex methods of studying the relationship for two or more numbers of variables, were incorporated into the works whose statistical methods were constituted by correlation and regression as well as other methods, e.g. statistical methods being used in epidemiology (coefficients of incidence and morbidity, standardization of coefficients, survival tables) factor analysis conducted by Jacobi-Hotellng's method, taxonomic methods and others. On the basis of the performed studies it has been established that the frequency of employing statistical methods in the six selected national, medical journals in the years 1988-1992 was 61.1-66.0% of the analyzed works (Tab. 3), and they generally were almost similar to the frequency provided in English language medical journals. On a whole, no significant differences were disclosed in the frequency of applied statistical methods (Tab. 4) as well as in frequency of random tests (Tab. 3) in the analyzed works, appearing in the medical journals in respective years 1988-1992. The most frequently used statistical methods in analyzed works for 1988-1992 were the measures of position 44.2-55.6% and measures of dispersion 32.5-38.5% as well as parametric tests of significance 26.3-33.1% of the works analyzed (Tab. 4). For the purpose of increasing the frequency and reliability of the used statistical methods, the didactics should be widened in the field of biostatistics at medical studies and postgraduation training designed for physicians and scientific-didactic workers. PMID:9199127

Sych, Z

1996-01-01

239

Evaluation Axes for Medical Image Retrieval Systems --The ImageCLEF Experience  

E-print Network

the large amount of medical images being produced. Applications are mainly expected in the field of medicalEvaluation Axes for Medical Image Retrieval Systems -- The ImageCLEF Experience Henning M¨uller1 , Paul Clough2 , William Hersh3 , Thomas Deselaers4 , Thomas Lehmann4 , Antoine Geissbuhler1 1 Medical

Deselaers, Thomas

240

Psychometric properties of the pain stages of change questionnaire as evaluated by rasch analysis in patients with chronic musculoskeletal pain  

PubMed Central

Background Our objective was to evaluate the measurement properties of the Pain Stages of Change Questionnaire (PSOCQ) and its four subscales Precontemplation, Contemplation, Action and Maintenance. Methods A total of 231 patients, median age 42 years, with chronic musculoskeletal pain responded to the 30 items in PSOCQ. Thresholds for item scores, and unidimensionality and invariance of the PSOCQ and its four subscales were evaluated by Rasch analysis, partial credit model. Results The items had disordered threshold and needed to be rescored. The 30 items in the PSOCQ did not fit the Rasch model Chi- square item trait statistics. All subscales fitted the Rasch models. The associations to pain (11 point numeric rating scale), emotional distress (Hopkins symptom check list v 25) and self-efficacy (Arthritis Self-Efficacy Scale) were highest for the Precontemplation subscale. Conclusion The present analysis revealed that all four subscales in PSOCQ fitted the Rasch model. No common construct for all subscales were identified, but the Action and Maintenance subscales were closely related. PMID:24646065

2014-01-01

241

Devil in the Detail: Using a Pupil Questionnaire Survey in an Evaluation of Out-of-School Classes for Gifted and Talented Children  

ERIC Educational Resources Information Center

The use of questionnaires to evaluate educational initiatives is widespread, but often problematic. This paper examines four aspects of an evaluation survey carried out with very able pupils attending out-of-school classes: ethics, design, bias and interpretation. There is a particular focus on the interpretation and analysis of pupils' answers to…

Lambert, Mike

2008-01-01

242

An evaluation of patients' adherence with hypoglycemic medications among Papua New Guineans with type 2 diabetes: influencing factors  

PubMed Central

Purpose The aims of this study were to evaluate the extent of adherence to hypoglycemic medications, assess the relationship between adherence and glycemic control, and evaluate factors affecting adherence. Research design and methods This was a cross-sectional study of patients with established type 2 diabetes attending the Port Moresby General Hospital Diabetes Clinic. Face-to-face interviews were conducted using a questionnaire designed for the study and data were collected concerning the 3 months prior to interview. The questionnaire covered demographic details, lifestyle, biochemical and physical measurements, and medication management. Glycemic control was investigated among patients adhering to their medications (not missing doses) to different degrees (100%, 95%, 90%, and 80%). Results Of a total of 356 participants who were prescribed hypoglycemic medications, 59.6% omitted some of their doses. Age appeared to have a significant impact on adherence at some levels of adherence, with those aged >60 years being more likely to be adherent (logistic regression). Those who were 95%–99% and those who were <80% adherent had a statistically significant risk of a high glycated hemoglobin of >10% (85.5 mmol/mol). Multiple factors were identified as contributors to nonadherence, with patient-based issues (86.0%) and the health care system (21.7%) being the most common. Conclusion This study showed a significant level of nonadherence among patients with type 2 diabetes in Papua New Guinea. Nonadherence to medication appeared to be associated with poor glycemic control and was due to a variety of reasons. Future interventions aimed at improving adherence will need to take these into account. PMID:25258517

Pihau-Tulo, Stella Tilu; Parsons, Richard W; Hughes, Jeffery D

2014-01-01

243

Evaluation of various speckle reduction filters on medical ultrasound images.  

PubMed

At present, ultrasound is one of the essential tools for noninvasive medical diagnosis. However, speckle noise is inherent in medical ultrasound images and it is the cause for decreased resolution and contrast-to-noise ratio. Low image quality is an obstacle for effective feature extraction, recognition, analysis, and edge detection; it also affects image interpretation by doctor and the accuracy of computer-assisted diagnostic techniques. Thus, speckle reduction is significant and critical step in pre-processing of ultrasound images. Many speckle reduction techniques have been studied by researchers, but to date there is no comprehensive method that takes all the constraints into consideration. In this paper we discuss seven filters, namely Lee, Frost, Median, Speckle Reduction Anisotropic Diffusion (SRAD), Perona-Malik's Anisotropic Diffusion (PMAD) filter, Speckle Reduction Bilateral Filter (SRBF) and Speckle Reduction filter based on soft thresholding in the Wavelet transform. A comparative study of these filters has been made in terms of preserving the features and edges as well as effectiveness of de-noising.We computed five established evaluation metrics in order to determine which despeckling algorithm is most effective and optimal for real-time implementation. In addition, the experimental results have been demonstrated by filtered images and statistical data table. PMID:24109896

Wu, Shibin; Zhu, Qingsong; Xie, Yaoqin

2013-01-01

244

Comparative evaluation of different medication safety measures for the emergency department: physicians' usage and acceptance of training, poster, checklist and computerized decision support  

PubMed Central

Background Although usage and acceptance are important factors for a successful implementation of clinical decision support systems for medication, most studies only concentrate on their design and outcome. Our objective was to comparatively investigate a set of traditional medication safety measures such as medication safety training for physicians, paper-based posters and checklists concerning potential medication problems versus the additional benefit of a computer-assisted medication check. We concentrated on usage, acceptance and suitability of such interventions in a busy emergency department (ED) of a 749 bed acute tertiary care hospital. Methods A retrospective, qualitative evaluation study was conducted using a field observation and a questionnaire-based survey. Six physicians were observed while treating 20 patient cases; the questionnaire, based on the Technology Acceptance Model 2 (TAM2), has been answered by nine ED physicians. Results During field observations, we did not observe direct use of any of the implemented interventions for medication safety (paper-based and electronic). Questionnaire results indicated that the electronic medication safety check was the most frequently used intervention, followed by checklist and posters. However, despite their positive attitude, physicians most often stated that they use the interventions in only up to ten percent for subjectively “critical” orders. Main reasons behind the low usage were deficits in ease-of-use and fit to the workflow. The intention to use the interventions was rather high after overcoming these barriers. Conclusions Methodologically, the study contributes to Technology Acceptance Model (TAM) research in an ED setting and confirms TAM2 as a helpful diagnostic tool in identifying barriers for a successful implementation of medication safety interventions. In our case, identified barriers explaining the low utilization of the implemented medication safety interventions - despite their positive reception - include deficits in accessibility, briefing for the physicians about the interventions, ease-of-use and compatibility to the working environment. PMID:23890121

2013-01-01

245

Psychological Variables for Identifying Susceptibility to Mental Disorders in Medical Students at the University of Barcelona  

Microsoft Academic Search

Introduction: This study analyses some psychological variables related to susceptibility to mental disorders in medical students. Methods: A sample of 209 first- and second-year medical students was evaluated using the State and Trait Anxiety Inventory (STAI), and three questionnaires: Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ), General Health Questionnaire (GHQ-28) and UNCAHS scale of STRAIN. Results: Thirty percent

Rosa Sender; Manel Salamero; Antoni Vallés; Manuel Valdés

246

The communication skills course for second year medical students at Hannover Medical School: An evaluation study based on students' self-assessments  

PubMed Central

In the model medical curriculum HannibaL at Hannover Medical School (MHH, Hannover, Germany), communication skills in taking case histories and disclosing diagnoses (breaking bad news) are assessed through an objective structured clinical examination (OSCE). This is part of the examinations which at the MHH represent the equivalent to the First Part of the Medical Examinations. The second year doctor-patient communication course preparing for these examinations was evaluated during the 2009/10 academic year. Using questionnaires specific to the learning objectives, learning needs were assessed, pre-post comparisons of self-assessed competencies were performed and key teaching methods were evaluated (5-point Likert scales, “5”=fully agree). At T0 (start of the course) 267 students participated (response rate: 93.7%), of which 180 filled out the T1 questionnaire during the last session of the course (67.4%). Within-subject analyses of variance and paired t-tests were conducted. The highest learning needs were found for the “to show how”-items regarding history taking and disclosing diagnoses (M=4.4). The T1-T0 comparisons showed the greatest improvements for history taking (“to know how”: mean difference = +1.7, “to show how”: +1.8, p<.0001 as with all tests) and the “to know how”-item regarding the disclosure of diagnoses (+1.6), followed by the “to show how”-items on disclosing a diagnosis (+1.4), shared decision making (+1.2), self-assessing one’s own strengths/weaknesses (+1.0) and confidently approaching new patients (+0.7). Students with T0 values of 1 or 2 on the respective scales improved on average by 2.2 points across all items, students with the value of 3 by 1.1, and from 4 or 5 by 0.1. Methodically, the use of simulated patients was rated the most helpful (M=4.8, 87% with the scale value 5). This doctor-patient communication course is associated with substantial improvements regarding all key learning objectives. Regarding methods, the deployed simulated patients (2-4 per 10-student-course group in 3 of the 7 course sessions, respectively) were rated the most helpful. The present evaluation calls for both further development of the doctor-patient communication curriculum at the MHH and joint activities across medical schools, which are discussed at the end of the paper. PMID:22205912

von Lengerke, Thomas; Kursch, Angelika; Lange, Karin

2011-01-01

247

Development and evaluation of a community immersion program during preclinical medical studies: a 15-year experience at the University of Geneva Medical School  

PubMed Central

Background Significant changes in medical education have occurred in recent decades because of new challenges in the health sector and new learning theories and practices. This might have contributed to the decision of medical schools throughout the world to adopt community-based learning activities. The community-based learning approach has been promoted and supported by the World Health Organization and has emerged as an efficient learning strategy. The aim of the present paper is to describe the characteristics of a community immersion clerkship for third-year undergraduate medical students, its evolution over 15 years, and an evaluation of its outcomes. Methods A review of the literature and consensus meetings with a multidisciplinary group of health professionals were used to define learning objectives and an educational approach when developing the program. Evaluation of the program addressed students’ perception, achievement of learning objectives, interactions between students and the community, and educational innovations over the years. Results The program and the main learning objectives were defined by consensus meetings among teaching staff and community health workers, which strengthened the community immersion clerkship. Satisfaction, as monitored by a self-administered questionnaire in successive cohorts of students, showed a mean of 4.4 on a five-point scale. Students also mentioned community immersion clerkship as a unique community experience. The learning objectives were reached by a vast majority of students. Behavior evaluation was not assessed per se, but specific testimonies show that students have been marked by their community experience. The evaluation also assessed outcomes such as educational innovations (eg, students teaching other students), new developments in the curriculum (eg, partnership with the University of Applied Health Sciences), and interaction between students and the community (eg, student development of a website for a community health institution). Conclusion The community immersion clerkship trains future doctors to respond to the health problems of individuals in their complexity, and strengthens their ability to work with the community. PMID:23900611

Chastonay, P; Zesiger, V; Klohn, A; Soguel, L; Mpinga, E K; Vu, NV; Bernheim, L

2013-01-01

248

Evaluation of medical research performance - position paper of the Association of the Scientific Medical Societies in Germany (AWMF)  

PubMed Central

Objective: The evaluation of medical research performance is a key prerequisite for the systematic advancement of medical faculties, research foci, academic departments, and individual scientists’ careers. However, it is often based on vaguely defined aims and questionable methods and can thereby lead to unwanted regulatory effects. The current paper aims at defining the position of German academic medicine toward the aims, methods, and consequences of its evaluation. Methods: During the Berlin Forum of the Association of the Scientific Medical Societies in Germany (AWMF) held on 18 October 2013, international experts presented data on methods for evaluating medical research performance. Subsequent discussions among representatives of relevant scientific organizations and within three ad-hoc writing groups led to a first draft of this article. Further discussions within the AWMF Committee for Evaluation of Performance in Research and Teaching and the AWMF Executive Board resulted in the final consented version presented here. Results: The AWMF recommends modifications to the current system of evaluating medical research performance. Evaluations should follow clearly defined and communicated aims and consist of both summative and formative components. Informed peer reviews are valuable but feasible in longer time intervals only. They can be complemented by objective indicators. However, the Journal Impact Factor is not an appropriate measure for evaluating individual publications or their authors. The scientific “impact” rather requires multidimensional evaluation. Indicators of potential relevance in this context may include, e.g., normalized citation rates of scientific publications, other forms of reception by the scientific community and the public, and activities in scientific organizations, research synthesis and science communication. In addition, differentiated recommendations are made for evaluating the acquisition of third-party funds and the promotion of junior scientists. Conclusions: With the explicit recommendations presented in the current position paper, the AWMF suggests enhancements to the practice of evaluating medical research performance by faculties, ministries and research funding organizations. PMID:24971044

Herrmann-Lingen, Christoph; Brunner, Edgar; Hildenbrand, Sibylle; Loew, Thomas H.; Raupach, Tobias; Spies, Claudia; Treede, Rolf-Detlef; Vahl, Christian-Friedrich; Wenz, Hans-Jurgen

2014-01-01

249

Evaluation of Mobile Authoring and Tutoring in Medical Issues  

ERIC Educational Resources Information Center

Mobile computing facilities may provide many assets to the educational process. Mobile technology provides software access from anywhere and at any time, as well as computer equipment independence. The need for time and place independence is even greater for medical instructors and medical students. Medical instructors are usually doctors that…

Alepis, Efthymios; Virvou, Maria

2010-01-01

250

[Evaluating quality and efficiency of workers' medical examinations].  

PubMed

The authors suggested complex of parameters that characterize both quality and efficiency of periodic and additional medical examinations, and could be a basis for management decisions to increase effectiveness of periodic and additional medical examinations. The measures are suggested to harmonize periodic and additional medical examinations. PMID:18686636

Izmerova, N I; Tikhonova, G I; Zhavoronok, L G

2008-01-01

251

Validity and reliability of activities coaching context questionnaire  

PubMed Central

Background: Learning in a clinical environment is an inseparable part of a training program in medical education. To evaluate the quality of training in a clinical environment, a comprehensive questionnaire which is adjusted for local purposes is essential. This study was conducted to determine the validity and reliability of Activities Coaching Context (ACC)-questionnaire from the perspective of residents and students in a clinical learning environment. Methods: This was a cross-sectional study conducted with 65 residents and students of Semnan University of Medical Sciences. The Content Validity of the questionnaire was confirmed by the judgment of a panel of ten experts in medical education. The construct validity of the questionnaire was determined by factor analysis. Data were collected and analyzed by SPSS16. Results: The ratio and index of content validity calculated by experts’ view were quite acceptable (0.31 and 0.7, respectively). Construct validity was examined by factor analysis which confirmed seven first order factors. Cronbach’s Alfa coefficient revealed a high degree of internal consistency (0.932). The reliability of the questionnaire was measured by test - retest (0.9). Conclusions: The ACC questionnaire appeared to be a valid, reliable and also appropriate tool to evaluate the educational quality of a clinical learning environment.

Koohpayehzadeh, Jalil; Haji Ahmadi, Maryam; Dehnad, Afsaneh; Soltani Arabshahi, Seyed kamran; Bigdeli, Shoaleh; Yadollahi, Sohrab

2014-01-01

252

Open-source point-of-care electronic medical records for use in resource-limited settings: systematic review and questionnaire surveys  

PubMed Central

Background Point-of-care electronic medical records (EMRs) are a key tool to manage chronic illness. Several EMRs have been developed for use in treating HIV and tuberculosis, but their applicability to primary care, technical requirements and clinical functionalities are largely unknown. Objectives This study aimed to address the needs of clinicians from resource-limited settings without reliable internet access who are considering adopting an open-source EMR. Study eligibility criteria Open-source point-of-care EMRs suitable for use in areas without reliable internet access. Study appraisal and synthesis methods The authors conducted a comprehensive search of all open-source EMRs suitable for sites without reliable internet access. The authors surveyed clinician users and technical implementers from a single site and technical developers of each software product. The authors evaluated availability, cost and technical requirements. Results The hardware and software for all six systems is easily available, but they vary considerably in proprietary components, installation requirements and customisability. Limitations This study relied solely on self-report from informants who developed and who actively use the included products. Conclusions and implications of key findings Clinical functionalities vary greatly among the systems, and none of the systems yet meet minimum requirements for effective implementation in a primary care resource-limited setting. The safe prescribing of medications is a particular concern with current tools. The dearth of fully functional EMR systems indicates a need for a greater emphasis by global funding agencies to move beyond disease-specific EMR systems and develop a universal open-source health informatics platform. PMID:22763661

Bru, Juan; Berger, Christopher A

2012-01-01

253

Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: a new health status measure for heart failure  

Microsoft Academic Search

OBJECTIVESTo create a valid, sensitive, disease-specific health status measure for patients with congestive heart failure (CHF).BACKGROUNDQuantifying health status is becoming increasingly important for CHF. The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a new, self-administered, 23-item questionnaire that quantifies physical limitations, symptoms, self-efficacy, social interference and quality of life.METHODSTo establish the performance characteristics of the KCCQ, two distinct patient cohorts were

C. Patrick Green; Charles B. Porter; Dennis R. Bresnahan; John A. Spertus

2000-01-01

254

The Sexual Abuse Questionnaire: A Preliminary Examination of a Time and Cost Efficient Method in Evaluating the Presence of Childhood Sexual Abuse in Adult Patients  

ERIC Educational Resources Information Center

This paper provides the results of two studies designed to evaluate a newly constructed self-report instrument, the Sexual Abuse Questionnaire (SAQ). The SAQ was designed as a brief screening device to aid in the identification of a childhood sexual abuse history. A "unique" feature of the SAQ is the inclusion of a number of non-face valid…

Lock, Timothy G.; Levis, Donald J.; Rourke, Patricia A.

2005-01-01

255

A Pilot Evaluation of the Test-Retest Score Reliability of the Dimensions of Mastery Questionnaire in Preschool-Aged Children  

ERIC Educational Resources Information Center

Preschool-aged children continually learn new skills and perfect existing ones. "Mastery motivation" is theorized to be a personality trait linked to skill learning. The Dimensions of Mastery Questionnaire (DMQ) quantifies mastery motivation. This pilot study evaluated DMQ test-retest score reliability (preschool-version) and included exploratory…

Igoe, Deirdre; Peralta, Christopher; Jean, Lindsey; Vo, Sandra; Yep, Linda Ngan; Zabjek, Karl; Wright, F. Virginia

2011-01-01

256

76 FR 27380 - Proposed Information Collection (Report of Medical Examination for Disability Evaluation...  

Federal Register 2010, 2011, 2012, 2013

...Report of Medical Examination for Disability Evaluation...undergoing a VA medical examination for disability benefits...Federal Docket Management System (FDMS) at http...comments may be viewed online through FDMS. FOR FURTHER...Report of Medical Examination for Disability...

2011-05-11

257

Evaluation of life in Skylab from a medical viewpoint  

NASA Technical Reports Server (NTRS)

The Skylab program established the opportunity for the first time to perform extensive medical experimentation on man in a long-term zero-g environment. This experimentation involved metabolic studies, cardiovascular systems, nutrition and mineral balance, hematology, vestibular function, and many other related investigations. This report presents an overview of the significant results of the medical experiments performed during the program and a summary of the medical observations gathered by the team of life scientists.

Hordinsky, J. R.

1974-01-01

258

Implementation Brief: Evaluation of an Inpatient Computerized Medication Reconciliation System  

Microsoft Academic Search

We designed the Pre-Admission Medication List (PAML) Builder medication reconciliation application and implemented it at two academic hospitals. We asked 1,714 users to complete a survey of their satisfaction with the application and analyzed factors associated with user efficiency. The survey was completed by 626 (36.5%) users. Most (64%) responders agreed that medication reconciliation improves patient care. Improvement requests included

Alexander Turchin; Claus Hamann; Jeffrey L. Schnipper; Erin Graydon-Baker; Sally G. Millar; Patricia C. McCarthy; Christopher M. Coley; Tejal K. Gandhi; Carol A. Broverman

2008-01-01

259

Medical Students' Evaluations of Curriculum Innovations at Ten North American Medical Schools.  

ERIC Educational Resources Information Center

A study investigated medical students' opinions of curriculum reform efforts at eight United States and two Canadian medical schools. At all schools, students appreciated reform efforts that encouraged individuation, connection, and diversity. Enrollees at smaller schools with more distinctly teaching-service missions objected to extensive…

Ross, Robert H.; Fineberg, Harvey V.

1998-01-01

260

Evaluation of aerosolized medications during parabolic flight maneuvers  

NASA Technical Reports Server (NTRS)

The goal was to visually evaluate the effect gravity has on delivery of medications by the use of various aerosol devices. During parabolic flight the same four aerosols were retested as performed in studio ground tests. It appears that the Cetacaine spray and the Ventolin inhaler function without failure during all test. The pump spray (Nostril) appeared to function normally when the container was full, however it appeared to begin to fail to deliver a full mist with larger droplet size when the container was nearly empty. The simple hand spray bottle appeared to work when the container was full and performed progressively worse as the container was emptied. During Apollo flights, it was reported that standard spray bottles did not work well, however, they did not indicate why. It appears that we would also conclude that standard spray bottles do not function as well in zero gravity by failing to produce a normal mist spray. The standard spray bottle allowed the fluid to come out in a narrow fluid stream when held with the nozzle either level or slightly tilted upward.

Lloyd, Charles W.; Martin, William J.; Gosbee, John

1991-01-01

261

Evaluation of Psychological Factors in Medical School Admissions Decisions.  

ERIC Educational Resources Information Center

Medical school admissions committees are expected to select physicians with specific attributes such as intelligence, altruism, dutifulness, and compassion. Besides basing these attributes on the best professional judgment of the physicians and medical school faculty, there has been little quantitative research to determine the psychological…

Jones, Bonnie J.; Borges, Nicole J.

262

The Preschool Behavior Questionnaire  

Microsoft Academic Search

In summary, the Preschool Behavior Questionnaire was developed as a screening instrument for use by preschool teachers, providing norms for children, ages 3–6. During the 34-month period since its publication in late 1974, the scale has been used to a considerable extent in the screening of young children. Those who have used the scale evaluate it highly. However, the variations

Lenore B. Behar

1977-01-01

263

A Student Authored Online Medical Education Textbook: Editing Patterns and Content Evaluation of a Medical Student Wiki  

PubMed Central

The University of Minnesota medical student wiki (UMMedWiki) allows students to collaboratively edit classroom notes to support medical education. Since 2007, UMMedWiki has grown to include 1,591 articles that have collectively received 1.2 million pageviews. Although small-scale wikis have become increasingly important, little is known about their dynamics compared to large wikis, such as Wikipedia. To better understand UMMedWiki’s management and its potential reproducibility at other medical schools, we used an edit log with 28,000 entries to evaluate the behavior of its student editors. The development of tools to survey UMMedwiki allows for quality comparisons that improve both the wiki and the curriculum itself. We completed a content survey by comparing the UMMedWiki with two types of rubric data: TIME, a medical education taxonomy consisting of 1500 terms and national epidemiological data on 2,100 diseases. PMID:22195202

Thompson, CL; Schulz1, Wade L.; Terrence, Adam

2011-01-01

264

Evaluation of Two New Scales Assessing Driving Anger: The Driving Anger Expression Inventory and the Driver's Angry Thoughts Questionnaire  

Microsoft Academic Search

This study assessed the validity of the Driving Anger Expression Inventory (DAX) and Driver's Angry Thoughts Questionnaire (DATQ). Scales within the DAX and DATQ appeared to assess separate, correlated constructs. Aggressive forms of thinking and anger expression correlated positively with each other, trait driving anger, aggressive and risky behavior, some crash-related conditions, general trait anger, and general forms of anger

Jerry L. Deffenbacher; Gail S. White; Rebekah S. Lynch

2004-01-01

265

Psychological Inflexibility in Childhood and Adolescence: Development and Evaluation of the Avoidance and Fusion Questionnaire for Youth  

ERIC Educational Resources Information Center

The authors describe the development and validation of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y), a child-report measure of psychological inflexibility engendered by high levels of cognitive fusion and experiential avoidance. Consistent with the theory underlying acceptance and commitment therapy (ACT), items converged into a…

Greco, Laurie A.; Lambert, Warren; Baer, Ruth A.

2008-01-01

266

Evaluation of IPAQ questionnaires supported by formal concept analysis q Radim Belohlavek a,c,*, Erik Sigmund b  

E-print Network

is the IPAQ (International Physical Activity Questionnaire). The paper is a continuation of previous studies-wide project of monitoring physical activities in today's population. The experts struggled with classic ``Physical activity and inactivity of inhabitants of the Czech Republic in the context of behavioral changes

Belohlavek, Radim

267

Evaluation of impairment of health related quality of life in asthma: development of a questionnaire for use in clinical trials  

Microsoft Academic Search

BACKGROUND: In the past only physiological and clinical outcomes have been used to assess the effect of asthma interventions and the effect of the intervention on the lives of the patients has not been determined. The objective of this study was to assess health related impairment of quality of life in adult asthmatic patients and to develop a questionnaire for

E F Juniper; G H Guyatt; R S Epstein; P J Ferrie; R Jaeschke; T K Hiller

1992-01-01

268

The Preference for and Tolerance of the Intensity of Exercise Questionnaire: A psychometric evaluation among college women  

Microsoft Academic Search

Individuals differ in the intensity of exercise that they prefer and the intensity that they can tolerate. We examined the psychometric properties of the Preference for and Tolerance of the Intensity of Exercise Questionnaire (PRETIE-Q; Ekkekakis, Hall, & Petruzzello, 2005: Journal of Sport and Exercise Psychology, 27, 350 – 374). A sample of 601 college women (mean age 20 years) completed the

Panteleimon Ekkekakis; Jennifer Thome; Steven J. Petruzzello; Eric E. Hall

2008-01-01

269

The Preference for and Tolerance of the Intensity of Exercise Questionnaire: A psychometric evaluation among college women  

Microsoft Academic Search

Individuals differ in the intensity of exercise that they prefer and the intensity that they can tolerate. We examined the psychometric properties of the Preference for and Tolerance of the Intensity of Exercise Questionnaire (PRETIE-Q; Ekkekakis, Hall, & Petruzzello, 2005: Journal of Sport and Exercise Psychology, 27, 350 - 374). A sample of 601 college women (mean age 20 years)

PANTELEIMON EKKEKAKIS; JENNIFER THOME; STEVEN J. PETRUZZELLO; ERIC E. HALL

2008-01-01

270

Psychometric Evaluation of a Questionnaire to Measure the Quality of Life of People with Profound Multiple Disabilities (QOL-PMD)  

ERIC Educational Resources Information Center

Because of a shortage of valid instruments to measure the QOL of people with profound multiple disabilities (PMD), the QOL-PMD was developed. In the present study, possibilities for item reduction as well as the psychometric properties of the questionnaire were examined. One hundred and forty-seven informants of people with PMD participated in the…

Petry, Katja; Maes, Bea; Vlaskamp, Carla

2009-01-01

271

Development and Psychometric Evaluation of an Instrument to Assess Reinforcer Preferences: The Preferred Items and Experiences Questionnaire  

ERIC Educational Resources Information Center

The Preferred Items and Experiences Questionnaire (PIEQ) is a new instrument to assess reinforcer preferences in adolescents and adults. Research was conducted with college and high school students to develop the PIEQ, to examine its reliability with test-retest and internal consistency methods, and to test its validity. This research provides…

Sarafino, Edward P.; Graham, James A.

2006-01-01

272

Evaluating the Structure of the Mathematics Teacher Questionnaire: A Measure of Exposure to Mathematics Instructional Practices and Content  

ERIC Educational Resources Information Center

Psychometric properties of 24 items from the fifth grade Early Childhood Longitudinal Study-Kindergarten Cohort Mathematics Teacher Questionnaire were investigated in a sample of 5,181 participants. These items asked teachers to report how often they had their classroom students engage in different mathematics content, skills and instructional…

Ottmar, Erin R.; Konold, Timothy R.; Berry, Robert Q.; Grissmer, David W.; Cameron, Claire E.

2014-01-01

273

Evaluation of Intravenous Medication Errors with Smart Infusion Pumps in an Academic Medical Center  

PubMed Central

While some published research indicates a fairly high frequency of Intravenous (IV) medication errors associated with the use of smart infusion pumps, the generalizability of these results are uncertain. Additionally, the lack of a standardized methodology for measuring these errors is an issue. In this study we iteratively developed a web-based data collection tool to capture IV medication errors using a participatory design approach with interdisciplinary experts. Using the developed tool, a prevalence study was then conducted in an academic medical center. The results showed that the tool was easy to use and effectively captured all IV medication errors. Through the prevalence study, violation errors of hospital policy were found that could potentially place patients at risk, but no critical errors known to contribute to patient harm were noted. PMID:24551395

Ohashi, Kumiko; Dykes, Patricia; McIntosh, Kathleen; Buckley, Elizabeth; Wien, Matt; Bates, David W.

2013-01-01

274

Medical Students' Evaluation of Physiology Learning Environments in Two Nigerian Medical Schools  

NSDL National Science Digital Library

This article describes a study of Nigerian medical students' perceptions of traditional didactic lectures and their overall learning environment. The results confirm declining interest in didactic lectures and practical sessions with preferences for peer-tutored discussion classes, which were considered more interactive and interesting. This study recommends more emphasis on student-centered learning with alternatives to passive lecture formats and repetitive cookbook practical sessions. The institutionalization of student feedback processes in Nigerian medical schools is also highly recommended.

2011-06-01

275

Using the Progress Test Medizin (PTM) for evaluation of the Medical Curriculum Munich (MeCuM)  

PubMed Central

Aims: The Medical Curriculum Munich (MeCuM) has been implemented since 2004 and was completely established in 2007. In this study the clinical part of MeCuM was evaluated with respect to retention of the knowledge in internal medicine (learning objectives of the 6th/7th semester). Methods: In summer of 2009 and winter of 2009/2010 1065 students participated in the Progress Test Medizin (PTM) from Charité Medical School Berlin. Additionally the students answered a questionnaire regarding the acceptance and rating of the progress test and basic demographic data. Results: The knowledge of internal medicine continuously increases during the clinical part of the medical curriculum in Munich. However, significant differences between the sub-disciplines of internal medicine could be observed. The overall acceptance of the PTM was high and increased further with the study progress. Interestingly, practical experiences like clinical clerkships positively influenced the test score. Conclusions: The PTM is a useful tool for the evaluation of knowledge retention in a specific curriculum. PMID:21818215

Schmidmaier, Ralf; Holzer, Matthias; Angstwurm, Matthias; Nouns, Zineb; Reincke, Martin; Fischer, Martin R.

2010-01-01

276

42 CFR 456.242 - UR plan requirements for medical care evaluation studies.  

Code of Federal Regulations, 2010 CFR

...plan must describe the methods that the committee...medical care evaluation studies under paragraph (b...1) Determines the methods to be used in selecting...medical care evaluation studies in the mental hospital...care and promote more effective and efficient use...

2010-10-01

277

42 CFR 456.142 - UR plan requirements for medical care evaluation studies.  

Code of Federal Regulations, 2010 CFR

...plan must describe the methods that the committee...medical care evaluation studies under paragraph (b...1) Determines the methods to be used in selecting...medical care evaluation studies in the hospital; ...care and promote more effective and efficient use...

2010-10-01

278

Medical Student Evaluation of the Quality of Hospitalist and Nonhospitalist Teaching Faculty on Inpatient Medicine Rotations  

Microsoft Academic Search

Purpose. To evaluate the impact of academic hospital- ists on third-year medical students during inpatient med- icine rotations. Method. The authors conducted a retrospective quanti- tative assessment of medical student evaluations of hos- pitalist and nonhospitalist Department of Medicine fac- ulty at Oregon Health & Science University, for the 1998 - 00 academic years. Using a nine-point Likert-type scale, students

Alan J. Hunter; Sima S. Desai; Rebecca A. Harrison; Benjamin K. S. Chan

2004-01-01

279

The need to develop guidelines for the evaluation of medical image processing procedures  

Microsoft Academic Search

Evaluations of procedures in medical image processing are notoriously difficult and often unconvincing. From a detailed bibliographic study, we analyzed the way evaluation studies are conducted and extracted a number of entities common to any evaluation protocol. From this analysis, we propose here a generic evaluation model (GEM). The GEM includes the notion of hierarchical evaluation, identifies the components which

Irene Buvat; Virginie Chameroy; Florent Aubry; Melanie Pelegrini; Georges El Fakhri; Celine Huguenin; Habib Benali; Andrew Todd-Pokropek; Robert di Paola

1999-01-01

280

Mental Health Referral and Services for Maltreated Children and Child Protection Evaluations of Children with Special Needs: A National Survey of Hospital- and Community-Based Medically Oriented Teams  

ERIC Educational Resources Information Center

Objective: To survey the self-perceived capability of medically oriented child maltreatment teams in the US to provide mental health referrals and services when needed and to evaluate children with special health care needs (CSHCN). Methods: Mailed questionnaire with 5 items related to mental health, 12 items on services for CSHCN, and 28 items on…

Montoya, Louise A.; Giardino, Angelo P.; Leventhal, John M.

2010-01-01

281

75 FR 30693 - Revised Medical Criteria for Evaluating Hearing Loss  

Federal Register 2010, 2011, 2012, 2013

...tympanic membrane) performed by an audiologist to establish a medically determinable...substitute otoscopy performed by an audiologist for a complete otologic examination...inspection'' is the term usually used when audiologists conduct otoscopic examinations,...

2010-06-02

282

Infant Movement Motivation Questionnaire: development of a measure evaluating infant characteristics relating to motor development in the first year of life.  

PubMed

This paper highlights the development and testing of the Infant Movement Motivation Questionnaire (IMMQ), an instrument designed to evaluate qualities of infant characteristics that relate specifically to early motor development. The measurement development process included three phases: item generation, pilot testing and evaluation of acceptability and feasibility for parents and exploratory factor analysis. The resultant 27-item questionnaire is designed for completion by parents and contains four factors including Activity, Exploration, Motivation and Adaptability. Overall, the internal consistency of the IMMQ is 0.89 (Cronbach's alpha), with test-retest reliability measured at 0.92 (ICC, with 95% CI 0.83-0.96). Further work could be done to strengthen the individual factors; however it is adequate for use in its full form. The IMMQ can be used for clinical or research purposes, as well as an educational tool for parents. PMID:24861943

Doralp, Samantha; Bartlett, Doreen

2014-08-01

283

Evaluation of Existing Structure and Civil Protection Management Framework in Greek Local Authorities: A Questionnaire Survey Demonstrates Why Prevention Fails  

NASA Astrophysics Data System (ADS)

In the face of a growing number of natural disasters and the increasing costs associated with them, Europe and Greece in particular, have devoted significant efforts and resources in natural hazards mitigation during the last decades. Despite the significant legislative efforts (e.g. 1998/22/EC, 2001/792/EC, 2007/60/EC Directives, 3013/2002 Act) and even though a number of steps has been taken towards improving civil protection, recent catastrophic events have illustrated the weaknesses of current approaches. In particular, in Greece, events such as the 1999 Athens earthquake, the 2007 and 2009 wildfires have shown the inadequacy of prevention and mitigation practices. Given the enhanced civil protection responsibilities, given by the Greek national law (Acts 3013/2002, 3852/2010) to local authorities in Greece, this work analyses and evaluates the existing structure and current management framework under which local authorities function and examines their risk mitigation practices. We conducted the largest questionnaire survey regarding Civil Protections issues, among the municipalities of Greece. To this aim, this work used a innovative online tool to assess current framework. Therefore, a network connecting civil protection departments of municipalities was developed, based on an Internet platform that acted also as a communication tool. Overall, we had feedback either online or offline from 125 municipalities across the country (representing more than one/third of the total municipalities of Greece). Through this network, municipal civil protection officials completed surveys designed to obtain and quantify information on several aspects of civil protection practices and infrastructure. In particular, the examined factors included: (i) personnel and equipment, (ii) inter-agency cooperation, (iii) training, (iv) compliance with existing regulations and (v) persistent problems encountered by civil protection departments, that prevent the effectiveness of current practices. Responses showed that civil protection personnel lack adequate training and expertise, many are overstretched with several duties, while several prevention actions are carried out by seasonal or voluntary staff. Approximately half of the heads of civil protection offices do not hold a university degree, only 27% have a relevant scientific background (geoscientists or engineers) and more than half of them are elected members and not permanent staff, implying that no continuity is secured. Inter-agency cooperation is shown to be poor and organizational learning from international practices not adequate. Half of the municipalities report that the authorization processes are too slow so that prevention actions particularly regarding forest fires are severely delayed. Existing regulations are not followed by a significant portion of municipalities since 19% have not established a civil protection office and 23% have not compiled an action plan yet. Existing action plans lack important information, present no spatial data and are predominantly catalogues and tables of information regarding authorised personnel and equipment. Overall, underfunding, poor coordination of the different actors involved, lack of training and understaffing, lack of proper equipment and several other issues are held responsible by officials for preventing effectiveness of current practices. Finally, the EU emergency number 112 is widely unknown (87%). This work was held under the LIFE+ project "Local Authorities Alliance for Forest Fire Prevention - LIFE08/ENV/GR/000553" which is implemented with the contribution of the LIFE financial instrument of the European Community.

Papanikolaou, Dimitrios; Papanikolaou, Ioannis; Diakakis, Michalis; Deligiannakis, Georgios

2013-04-01

284

(Created 12/01; Revised 11/07, 4/08, 2/13) MEDICAL EVALUATION QUESTIONNAIRE  

E-print Network

circle "yes" or "no"). 1. Do you currently smoke tobacco, or have you smoked tobacco in the last month walking with other people at an ordinary pace on level ground: Yes/No d. Have to stop for breath when

Logan, David

285

Evaluation of Female Youth Educational Needs about Reproductive Health in Non-Medical Students in the City of Qom  

PubMed Central

Objective To evaluate reproductive health education which is essential to the prevention of sexual risk behavior and its associated adverse outcomes of unwanted pregnancy, AIDS and other sexually transmitted disease in adolescents. Little is known about youth educational needs about reproductive health in Iran. The aim of this study is evaluation of female youth educational needs about reproductive health in non-medical universities in the city of Qom, north central of Iran. Materials and methods The study was descriptive-analytical type conducted in nine non-medical universities (400 students). A questionnaire was constructed to meet the purpose of the study based on similar studies of knowledge and attitude in different countries, yet it was modified according to Iranian culture and social norms. Results The findings showed that a majority of participants have moderate knowledge about all components of reproductive health. Approximately, one - third of the participants reported difficulties to discuss about sexual health with mothers. The most of the participants believed insufficient female youth reproductive health services and low knowledge about reproductive health were the main barriers for female youth reproductive health aims. Conclusion The participants in this study are representatives of an important subgroup in Iran in order to evaluate female youth reproductive health educational needs. The study identified many misconception and negative attitude that need to be addressed. A health education program through parents, peers, mass media campaign and more comprehensive family planning curriculum in universities are recommended to overcome misconception and spread awareness. PMID:24971106

Bazarganipour, Fatemeh; Foroozanfard, Fatemeh; Taghavi, Seyed Abdolvahab; Hekmatzadeh, Fatemeh; Sarviye, Malihe

2013-01-01

286

Promoting medical humanism: design and evaluation of an online curriculum.  

PubMed

To provide patient-centered care, physicians must be well trained in the concepts and methods of humanistic practice. Educational efforts to promote humanism may help to overcome the counter-training of the hidden medical school curriculum, responsible for a decline in empathy and idealism over the course of medical training. The online component of the clerkship in family medicine at Boston University introduced activities founded on reflection, self-awareness, collaborative learning, and applied practice to successfully promote student confidence in three key areas of humanistic practice. PMID:18830833

Wiecha, John M; Markuns, Jeffrey F

2008-10-01

287

78 FR 7695 - Revised Medical Criteria for Evaluating Genitourinary Disorders  

Federal Register 2010, 2011, 2012, 2013

...kidney disease under 6.05. 3. Kidney or bone biopsy. If you have had a kidney or bone biopsy, we need a copy of the pathology report. When...an acceptable medical source verifying that a biopsy was performed and describing the...

2013-02-04

288

Evaluation of Medical Student Training in Family Assessment.  

ERIC Educational Resources Information Center

Three methods for teaching medical students skills in assessment of family problems at the University of Calgary were assessed. The methods included lecture and video demonstrations, small groups and video demonstrations, and small groups and practical experience. Achievement and student satisfaction results were mixed. (MSE)

Leahey, Maureen; Tomm, Karl

1982-01-01

289

Quality evaluation for compressed medical images: Diagnostic Accuracy  

Microsoft Academic Search

We examined in the previous chapter several common computable measures of image quality, as well as subjective quality ratings. While these quality measures are useful in many ways, for medical images one wishes a quality measure to take proper account of the diagnostic purpose of the image. The ROC methodology discussed in the previous chapter is one approach to this.

Pamela Cosman; Robert Gray; Richard Olshen

290

Abstract An evaluation of the components of medicated early weaning  

Microsoft Academic Search

The purpose of this study was to determine which, if any, of five medicated early weaning (MEW) methods would prevent the transmission of various pathogens from dams to pigs. All animals in the study were taken from a source herd from which numerous pathogens were identified directly or by serologic tests. We randomly assigned 60 pregnant dams to one of

L. Kirk Clark; Michael A. Hill; Timothy S. Kniffen; William VanAlstine; Gregory Stevenson; Kenneth B. Meyer; Ching C. Wu; Alan B. Scheidt; Kay Knox; Sharon Albregts

1994-01-01

291

Evolution and evaluation of a Medical Psychiatric Unit  

Microsoft Academic Search

In 1991, the first Medical Psychiatric Unit (MPU) in Australia was established at the Royal Prince Alfred Hospital, Sydney. The processes involved in introducing it to the hospital staff and administration, as well as its structure and criteria for admission, are described. Its development was compared to the experiences of others in North America over the past 15 years. The

Robert Gertler; Elzbieta M. Kopec-Schrader; Christopher J. Blackwell

1995-01-01

292

Evaluation of a Program to Teach Medical Students about Alcoholism.  

ERIC Educational Resources Information Center

The Week-end Intervention Program (WIP) used by Wright State University School of Medicine, which assesses the alcohol problems of those convicted of offenses such as drunk driving and then assists in finding treatment, is described. The impact of the program in educating medical students about alcoholism is discussed. (MLW)

Siegal, Harvey A.; And Others

1986-01-01

293

Clinical evaluation, medical management and outcome of atrioventricular canal defects  

Microsoft Academic Search

The relative effects of interatrial shunting, interventricular shunting and atrioventricular valve function will determine the general course of patients with atrioventricular canal defects. This report reviews the natural history, medical management and current outcome of this group of patients. The overall long-term survival of patients with primum atrial septal defect following repair was found to match that of the general

Howard D. Apfel; Welton M. Gersony

1999-01-01

294

Integrating Geriatrics into Medical School: Student Journaling as an Innovative Strategy for Evaluating Curriculum  

ERIC Educational Resources Information Center

Purpose of the study: The Alpert Medical School of Brown University began to integrate geriatrics content into all preclerkship courses and key clerkship cases as part of a major medical school curriculum redesign in 2006. This study evaluates students' responses to geriatrics integration within the curriculum using journals kept by volunteer…

Shield, Renee R.; Farrell, Timothy W.; Nanda, Aman; Campbell, Susan E.; Wetle, Terrie

2012-01-01

295

Teaching and evaluating first and second year medical students' practice of evidence-based medicine  

Microsoft Academic Search

PURPOSE To implement an evidence-based medicine (EBM) curriculum for Year 1 and 2 medical students, and to develop a method to evaluate their practice of EBM in discrete and relevant worksteps. METHODS For the 100 students entering Year 1 of their medical education in 2000, we implemented a curriculum with 25-30 student contact hours of EBM instruction which used a

Robert Holloway; Kathryn Nesbit; Donald Bordley; Katia Noyes

2004-01-01

296

78 FR 69324 - Revised Medical Criteria for Evaluating Hematological Disorders  

Federal Register 2010, 2011, 2012, 2013

...Criteria for Evaluating Hematological Disorders AGENCY: Social Security Administration...evaluate cases involving hematological disorders in adults and children under titles II...introductory text to the hematological disorders body system for both adults...

2013-11-19

297

Medical image transmission via communication satellite: evaluation of ultrasonographic images.  

PubMed

As compared with terrestrial circuits, communication satellites possess superior characteristics such as wide area coverage, broadcasting functions, high capacity, and resistance to disasters. Utilizing the narrow band channel (64 kbps) of the stationary communication satellite JCSAT1 located at an altitude of 36,000 km above the equator, we investigated satelliterelayed dynamic medical images transmitted by video signals, using hepatic ultrasonography as a model. We conclude that the "variable playing speed transmission scheme" proposed by us is effective for the transmission of dynamic images in the narrow band channel. This promises to permit diverse utilization and applications for purposes such as the transmission of other types of ultrasonic images as well as remotely directed medical diagnosis and treatment. PMID:8916265

Suzuki, H; Horikoshi, H; Shiba, H; Shimamoto, S

1996-01-01

298

The impact of cockpit automation on crew coordination and communication. Volume 1: Overview, LOFT evaluations, error severity, and questionnaire data  

NASA Technical Reports Server (NTRS)

The purpose was to examine, jointly, cockpit automation and social processes. Automation was varied by the choice of two radically different versions of the DC-9 series aircraft, the traditional DC-9-30, and the glass cockpit derivative, the MD-88. Airline pilot volunteers flew a mission in the simulator for these aircraft. Results show that the performance differences between the crews of the two aircraft were generally small, but where there were differences, they favored the DC-9. There were no criteria on which the MD-88 crews performed better than the DC-9 crews. Furthermore, DC-9 crews rated their own workload as lower than did the MD-88 pilots. There were no significant differences between the two aircraft types with respect to the severity of errors committed during the Line-Oriented Flight Training (LOFT) flight. The attitude questionnaires provided some interesting insights, but failed to distinguish between DC-9 and MD-88 crews.

Wiener, Earl L.; Chidester, Thomas R.; Kanki, Barbara G.; Palmer, Everett A.; Curry, Renwick E.; Gregorich, Steven E.

1991-01-01

299

The design and evaluation of a mobile handheld intervention for providing context-sensitive medication reminders  

E-print Network

This work introduces the design and exploratory evaluation of a home reminder system for medication and healthcare that situates the timing and location of reminders based on contextual information about the user. The ...

Kaushik, Pallavi

2005-01-01

300

Familial Clustering of Autoimmune Disorders and Evaluation of Medical Risk Factors in Autism  

Microsoft Academic Search

Autism is an age-dependent neurologic disorder that is often associated with autoimmune disorders in the patients' relatives. To evaluate the frequency of autoimmune disorders, as well as various prenatal and postnatal events in autism, we surveyed the families of 61 autistic patients and 46 healthy controls using questionnaires. The mean number of autoimmune disorders was greater in families with autism;

Anne M. Comi; Andrew W. Zimmerman; Virginia H. Frye; Paul A. Law; Joseph N. Peeden

1999-01-01

301

Standardizing Evaluation of On-Line Continuing Medical Education: Physician Knowledge, Attitudes, and Reflection on Practice  

ERIC Educational Resources Information Center

Introduction: Physicians increasingly earn continuing medical education (CME) credits through on-line courses, but there have been few rigorous evaluations to determine their effects. The present study explores the feasibility of implementing standardized evaluation templates and tests them to evaluate 30 on-line CME courses. Methods: A time…

Casebeer, Linda; Kristofco, Robert E.; Strasser, Sheryl; Reilly, Michael; Krishnamoorthy, Periyakaruppan; Rabin, Andrew; Zheng, Shimin; Karp, Simone; Myers, Lloyd

2004-01-01

302

Benefits and Challenges of Focus Groups in the Evaluation of a New Graduate Entry Medical Programme  

ERIC Educational Resources Information Center

Programme evaluation is essential for quality assurance in education. In this paper, we describe our evaluation strategy for the first year of a new medical programme. Although we used multiple methods in the evaluation, the use of the focus group method was core. This paper reports our experiences of focus groups for this purpose. We describe the…

Nestel, Debra; Ivkovic, Amelie; Hill, Robyn A.; Warrens, Anthony N.; Paraskevas, Paraskeva A.; McDonnell, Jacqueline A.; Mudarikwa, Ruvimbo S.; Browne, Chris

2012-01-01

303

Evaluation of Self Medication Practices in Rural Area of Town Sahaswan at Northern India  

PubMed Central

Background: Many of the studies have investigated the prevalence and nature of self-medication. It is a common type of self-care behavior among the populace of various countries. World Health Organization promotes the practice of self-medication for effective and quick relief of symptoms without medical consultations to reduce the burden on health-care services, which are often understaffed and inaccessible in rural and remote areas. Aim: The aim of the study was to determine the extent and pattern of self-medication among the population (patients) attending pharmacies at study sites and to note the association of self-medication variables with demographic factors. Subjects and Methods: The present study was a community based cross sectional study aimed to gather information about the prevalence of self-medication in the rural town of Sahaswan, Uttar Pradesh from June 2012 to July 2012. The sample size comprised of 600 respondents. Data were collected through a prepared questionnaire. All descriptive data were coded, entered and analyzed using the statistical package for Social sciences program version 17.0 (Chicago, IL, USA). Descriptive data analysis was conducted and reported as frequencies and percentage. Results: The percentage of patients who were seeking self-medication was approximately 50% (300/600). Most of the patients were seeking self-medication for headache and other pain (23.3% [140/600]), fever (14.5% [87/600]), urinary tract infections (9.7% [58/600]) and respiratory tract infections (11.7% [70/600]). The drugs most commonly purchased for practicing self-medication were non-steroidal anti-inflammatory drugs (25.3% [152/600]), medications used for gastro intestinal problems (20.8% [125/600]) and antibiotics (16.7% [100/600]). Conclusion: Prevalence of self-medication was high primarily among illiterate males aged above 15 years with a low income. Patient health awareness programs, assistance by community pharmacists and pharmacist continuing education are necessary for controlling self-medication. There is a need for planning interventions to promote rational self-medication through mass medias such as newspaper, magazine and TV.

Ahmad, A; Patel, I; Mohanta, GP; Balkrishnan, R

2014-01-01

304

Do Students' and Authors' Genders Affect Evaluations? A Linguistic Analysis of Medical Student Performance Evaluations  

PubMed Central

Purpose Recent guidelines for the Medical Student Performance Evaluation (MSPE) have standardized the “dean’s letter.” The authors examined MSPEs for linguistic differences according to student or author gender. Method This 2009 study analyzed 297 MSPEs for 227 male and 70 female medical students applying to a diagnostic radiology residency program. Text analysis software identified word counts, categories, frequencies, and contexts; factor analysis detected patterns of word categories in student–author gender pairings. Results Analyses showed a main effect for student gender (P=.046) and a group difference for the author–student gender combinations (P=.048). Female authors of male student MSPEs used the fewest “positive emotion” words (P=.006). MSPEs by male authors were shorter than those by females (P=.014). MSPEs for students ranked in the National Resident Matching Program contained more “standout” (P=.002) and “positive emotion” (P=.001) words. There were no differences in the author–gender pairs in the proportion of students ranked, although predominant word categories differed by author and student gender. Factor analysis revealed differences among the author–student groups in patterns of correlations among word categories. Conclusions MSPEs differed slightly but significantly by student and author gender. These differences may derive from societal norms for male and female behaviors and the subsequent linguistic interpretation of these behaviors, which itself may be colored by the observer’s gender. Although the differences in MSPEs did not seem to influence students’ rankings, this work underscores the need for awareness of the complex effects of gender in evaluating students and guiding their specialty choices. PMID:21099389

Isaac, Carol; Chertoff, Jocelyn; Lee, Barbara; Carnes, Molly

2012-01-01

305

Optimal evaluation of infectious medical waste disposal companies using the fuzzy analytic hierarchy process  

SciTech Connect

Ever since Taiwan's National Health Insurance implemented the diagnosis-related groups payment system in January 2010, hospital income has declined. Therefore, to meet their medical waste disposal needs, hospitals seek suppliers that provide high-quality services at a low cost. The enactment of the Waste Disposal Act in 1974 had facilitated some improvement in the management of waste disposal. However, since the implementation of the National Health Insurance program, the amount of medical waste from disposable medical products has been increasing. Further, of all the hazardous waste types, the amount of infectious medical waste has increased at the fastest rate. This is because of the increase in the number of items considered as infectious waste by the Environmental Protection Administration. The present study used two important findings from previous studies to determine the critical evaluation criteria for selecting infectious medical waste disposal firms. It employed the fuzzy analytic hierarchy process to set the objective weights of the evaluation criteria and select the optimal infectious medical waste disposal firm through calculation and sorting. The aim was to propose a method of evaluation with which medical and health care institutions could objectively and systematically choose appropriate infectious medical waste disposal firms.

Ho, Chao Chung, E-mail: ho919@pchome.com.tw [Department of Industrial Management, National Taiwan University of Science and Technology, Taipei, Taiwan (China)

2011-07-15

306

Optimal evaluation of infectious medical waste disposal companies using the fuzzy analytic hierarchy process.  

PubMed

Ever since Taiwan's National Health Insurance implemented the diagnosis-related groups payment system in January 2010, hospital income has declined. Therefore, to meet their medical waste disposal needs, hospitals seek suppliers that provide high-quality services at a low cost. The enactment of the Waste Disposal Act in 1974 had facilitated some improvement in the management of waste disposal. However, since the implementation of the National Health Insurance program, the amount of medical waste from disposable medical products has been increasing. Further, of all the hazardous waste types, the amount of infectious medical waste has increased at the fastest rate. This is because of the increase in the number of items considered as infectious waste by the Environmental Protection Administration. The present study used two important findings from previous studies to determine the critical evaluation criteria for selecting infectious medical waste disposal firms. It employed the fuzzy analytic hierarchy process to set the objective weights of the evaluation criteria and select the optimal infectious medical waste disposal firm through calculation and sorting. The aim was to propose a method of evaluation with which medical and health care institutions could objectively and systematically choose appropriate infectious medical waste disposal firms. PMID:21419613

Ho, Chao Chung

2011-07-01

307

Evaluating parallel relational databases for medical data analysis.  

SciTech Connect

Hospitals have always generated and consumed large amounts of data concerning patients, treatment and outcomes. As computers and networks have permeated the hospital environment it has become feasible to collect and organize all of this data. This raises naturally the question of how to deal with the resulting mountain of information. In this report we detail a proof-of-concept test using two commercially available parallel database systems to analyze a set of real, de-identified medical records. We examine database scalability as data sizes increase as well as responsiveness under load from multiple users.

Rintoul, Mark Daniel; Wilson, Andrew T.

2012-03-01

308

Chronic fatigue syndrome: sufferers' evaluation of medical support.  

PubMed Central

In response to reports of negative cooperation between sufferers of chronic fatigue syndrome (CFS) and their doctors, semi-structured interviews were conducted with sufferers from two different patient samples. Satisfaction with support received and with medical professionals in general was low. Sufferers complained about insufficient informational as well as emotional support from their doctors, and as a consequence most opted for alternative or complementary forms of treatment. In addition, disagreements over illness aetiology and treatment precluded effective cooperation. If satisfaction and compliance are to improve, sufferers will need more information about CFS and more support. PMID:9204018

Ax, S; Gregg, V H; Jones, D

1997-01-01

309

An Evaluation of Stimulant Medication on the Reinforcing Effects of Play  

PubMed Central

Although a vast literature has indicated that stimulant medications are effective for reducing inappropriate behavior in children with attention deficit hyperactivity disorder (ADHD), the effects of stimulant medication on ancillary behaviors (e.g., play) have yet to be investigated with the same rigor. We used a reinforcer assessment procedure to evaluate the effects of medication on the play and social behavior of 5 preschool children who had been diagnosed with ADHD. Conditions included (a) social reinforcement (i.e., playing with friends), (b) alone play, and (c) quiet time (i.e., resting). Results indicated that 1 of the 5 participants selected fewer social reinforcers and more nonsocial reinforcers (alone play or quiet time) while on medication. The findings indicate that the reinforcer assessment procedure may be a viable way to evaluate medication effects on an ongoing basis and to inform treatment decisions. PMID:18468289

LaRue, Robert H; Northup, John; Baumeister, Alan A; Hawkins, Mike F; Seale, Lauren; Williams, Tara; Ridgway, Andrea

2008-01-01

310

The role of the medical provider in the evaluation of sexually abused children and adolescents.  

PubMed

It was only 30 years ago that the medical community began to develop an increased awareness of child sexual abuse, and the role of the medical provider in the evaluation of sexually abused children has evolved significantly. As clinicians worldwide develop a greater understanding of the impact of the sexual abuse evaluation on the child, the roles of the physician and nurse have changed. In the United States, current practice often uses a multidisciplinary assessment involving skilled forensic interviewing of the child and a medical examination done by a medical provider with specialized training in sexual abuse. In order to minimize child interviews, these assessments are frequently held in settings such as child advocacy centers, where forensic interviewers and medical clinicians, child protective service workers, and police and district attorneys can work jointly to address the legal and protective issues in a coordinated fashion. PMID:21113834

Newton, Alice Whittier; Vandeven, Andrea Marie

2010-11-01

311

Evaluation of Process and Product in Medical Education.  

ERIC Educational Resources Information Center

Describes the systematic program developed by the faculty of medicine at the University of Newcastle (Australia) for the evaluation of the effectiveness, efficiency, and acceptability of its educational endeavors. Evaluation needs, process, and constraints are discussed, as well as the specific tasks required at the University. (Author/JD)

Feletti, Grahame I.; Fisher, Lawrence A.

1979-01-01

312

A 5-year evaluation of a methadone medical maintenance program.  

PubMed

Methadone medical maintenance (MMM) is a model for the treatment of opioid dependence in which a monthly supply of methadone is distributed in an office setting, in contrast to more highly regulated settings where daily observed dosing is the norm. We assessed patient characteristics and treatment outcomes of an MMM program initiated in the Bronx, New York, in 1999 by conducting a retrospective chart review. Participant characteristics were compared with those of patients enrolled in affiliated conventional methadone maintenance treatment programs. Patients had diverse ethnicities, occupations, educational backgrounds, and income levels. Urine toxicology testing detected illicit opiate and cocaine use in 0.8% and 0.4% of aggregate samples, respectively. The retention rate was 98%, which compares favorably with the four other MMM programs that have been reported in the medical literature. This study demonstrates that selected patients from a socioeconomically disadvantaged population remained clinically stable and engaged in treatment in a far less intensive setting than traditional methadone maintenance. PMID:17084798

Harris, Kenneth A; Arnsten, Julia H; Joseph, Herman; Hecht, Joe; Marion, Ira; Juliana, Patti; Gourevitch, Marc N

2006-12-01

313

Evaluation of Un-Medicated, Self-Paced Alcohol Withdrawal  

E-print Network

It is currently unclear how effective un-medicated, self-paced alcohol withdrawal is in reducing alcohol consumption in alcohol dependent clients. To address this question, the current study examined the reduction in alcohol consumption, assessed by breath alcohol and drink diary self-report, of 405 alcohol-dependent clients over a 10-day, un-medicated, selfpaced alcohol reduction program that included group discussion of strategies for titrating between withdrawal and intoxication. It was found that attendance at treatment sessions was associated with a reduction in alcohol consumption, reflected in both breath alcohol and diary measures, and these two measures were significantly correlated. Overall, 35 % of clients achieved a zero breath alcohol reading by their final session, although this percentage increased to 56 % of clients who attended all 10 sessions. Withdrawal seizures occurred in only 0.5 % of clients despite 17.2 % having a history of seizures in other settings. It is concluded that the alcohol reduction protocol outlined here provides an effective and safe method for reducing alcohol consumption in severely alcohol dependent clients, and that methods for augmenting attendance, such as contingency management, should enhance the effectiveness of this treatment.

Martin Craig; Antonio Pennacchia; Neil R. Wright; Henry W. Chase; Lee Hogarth

2011-01-01

314

Medication Errors  

MedlinePLUS

... Coordinating Council for Medication Error Reporting and Prevention Medication Errors Within the Center for Drug Evaluation and ... broader product safety issues. Drug Products Associated with Medication Errors FDA Drug Safety Communication: Serious medication errors ...

315

Discrepancies in current practice of pathological evaluation of sentinel lymph nodes in breast cancer. Results of a questionnaire based survey by the European Working Group for Breast Screening Pathology  

Microsoft Academic Search

AIMS: To evaluate aspects of the current practice of sentinel lymph node (SLN) pathology in breast cancer via a questionnaire based survey, to recognise major issues that the European guidelines for mammography screening should address in the next revision. METHODS: A questionnaire was circulated by mail or electronically by the authors in their respective countries. Replies from pathology units dealing

G. Cserni; I. Amendoeira; N. Apostolikas; J. P. Bellocq; S. Bianchi; W. Boecker; B. Borisch; C. E. Connolly; T. Decker; P. Dervan; M. Drijkoningen; I. O. Ellis; C. W. Elston; V. Eusebi; D. Faverly; P. Heikkila; R. Holland; H. Kerner; J. Kulka; J. Jacquemier; M. Lacerda; J. Martinez-Penuela; C. de Miguel; J. L. Peterse; F. Rank; P. Regitnig; A. Reiner; A. Sapino; B. Sigal-Zafrani; A. M. Tanous; S. Thorstenson; E. Zozaya; G. Fejes; C. A. Wells

2004-01-01

316

Comparison of the medical students' perceived self-efficacy and the evaluation of the observers and patients  

PubMed Central

Background The accuracy of self-assessment has been questioned in studies comparing physicians’ self-assessments to observed assessments; however, none of these studies used self-efficacy as a method for self-assessment. The aim of the study was to investigate how medical students’ perceived self-efficacy of specific communication skills corresponds to the evaluation of simulated patients and observers. Methods All of the medical students who signed up for an Objective Structured Clinical Examination (OSCE) were included. As a part of the OSCE, the student performance in the “parent-physician interaction” was evaluated by a simulated patient and an observer at one of the stations. After the examination the students were asked to assess their self-efficacy according to the same specific communication skills. The Calgary Cambridge Observation Guide formed the basis for the outcome measures used in the questionnaires. A total of 12 items was rated on a Likert scale from 1–5 (strongly disagree to strongly agree). We used extended Rasch models for comparisons between the groups of responses of the questionnaires. Comparisons of groups were conducted on dichotomized responses. Results Eighty-four students participated in the examination, 87% (73/84) of whom responded to the questionnaire. The response rate for the simulated patients and the observers was 100%. Significantly more items were scored in the highest categories (4 and 5) by the observers and simulated patients compared to the students (observers versus students: -0.23; SE:0.112; p=0.002 and patients versus students:0.177; SE:0.109; p=0.037). When analysing the items individually, a statistically significant difference only existed for two items. Conclusion This study showed that students scored their communication skills lower compared to observers or simulated patients. The differences were driven by only 2 of 12 items. The results in this study indicate that self-efficacy based on the Calgary Cambridge Observation guide seems to be a reliable tool. PMID:23565905

2013-01-01

317

The development, validation, and application of a science curriculum delivery evaluation questionnaire for francophone-minority settings  

Microsoft Academic Search

The study described in this paper examines the procedures used in the identification of the broad and complex factors influencing science curriculum delivery in francophone?minority settings where the teaching of science is the responsibility of non?specialist science teachers. Furthermore, it describes the processes involved in the development and validation of an evaluation instrument, the Science Delivery Evaluation Instrument for Francophone?minority

Brian Lewthwaite; Rodelyn Stoeber; Robert Renaud

2007-01-01

318

Evaluation of Weight Loss Failure, Medical Outcomes, and Personal Experiences after Roux-en-Y Gastric Bypass: A Critical Analysis  

PubMed Central

Background. Roux-en-Y gastric bypass (RYGB) is considered an effective and well-tolerated surgical procedure. In this retrospective study, we critically assessed efficacy and negative personal experiences (NPEs) after RYGB with a self-administered questionnaire (SAQ). Methods. This questionnaire study included 404 patients who had undergone RYGB. Analysis was performed using data from medical records, referral letters, and SAQs at an average of 33?months after procedure. We evaluated the occurrence of hypertension, CPEP use and type 2 diabetes mellitus (T2DM), the amount of excess weight loss, degree of satisfaction and negative personal experiences (NPEs) related to the procedure, and adherence to a dedicated life style program and (non)attendance to followup. consults after surgery. Results. 42.3% of all SAQs were evaluable for analysis. T2DM remained similar, while hypertension and continuous positive airway pressure (CPAP) use decreased significantly; excess weight loss of ?40% was reported in 69% and of <40% in 19%, a significant improvement. Absolute weight gain was reported in 10.5%, fatigue in 44.4%, dysphagia in 11.6%, and other NPEs in 7.6%. Dissatisfaction over weight loss was reported in 9.4%. Mean number of follow-up visits was 9.6 per respondent, while nonattendance of any follow-up visit consults occurred in 1.8%. Conclusions. The use of post-RYGB SAQs provided evaluable data in 42.3%. Treatment failure after RYGB appears to be relevant, encouraging the use of SAQ studies in large cohorts. PMID:24555160

Horchner, Rogier; Schweitzer, Dave

2013-01-01

319

Evaluating automatic medical concepts associations with human judgments  

Microsoft Academic Search

This paper evaluates the associations of a subset of concepts extracted by VCGS (Vocabulary Cluster Generating System), a concept extraction and association tool, based on 6000 titles and abstracts downloaded from EBSCOhost Health Source - Consumer Edition database, against associations decided by 30 participants. The results show that after incorporating LSA (Latent Semantic Analysis) technique, the VCGS system establishes term

Xiangyu Fan; Javed Mostafa

320

Formatively evaluating the importance of different aspects of an electronic blood transfusion system from the end users' point of view: a questionnaire study.  

PubMed

Blood transfusion is a process in which potential errors may result in serious adverse events to patients. To help improve the safety and efficiency of the blood transfusion process an electronic clinical transfusion management system is being piloted by NHS Connecting for Health. Evaluation of the implementation is being carried out in parallel. One component of the evaluation project aims to assess the importance placed in the various potential benefits of this new system by patients and healthcare workers. A questionnaire was generated and completed by healthcare workers and patients. Results indicate respondents viewing all factors as at least "important". "System" factors were deemed most important. Overall, clinical workers expressed the lowest importance to new process factors. Ultimately these results will be measured against final satisfaction with the system to assess 'fit' between perceived importance and satisfaction to guide areas for attention and resource allocation. PMID:20841876

Goddard, Kate; Shabestari, Omid; Kay, Jonathan D S; Roudsari, Abdul

2010-01-01

321

Evaluating a Lecture on Cultural Competence in the Medical School Preclinical Curriculum  

ERIC Educational Resources Information Center

Objective: The authors aim to evaluate the effectiveness of a presentation designed to increase cultural competence. Methods: A measure was developed to evaluate the attainment of knowledge and attitude objectives by first-year medical students who watched a presentation on the effect of culture on the doctor-patient relationship and effective…

Lim, Russell F.; Wegelin, Jacob; Hua, Lisa L.; Kramer, Elizabeth J.; Servis, Mark E.

2008-01-01

322

Medical Evaluation of Sexual Abuse in Children Without Disclosed or Witnessed Abuse  

Microsoft Academic Search

Objectives: To investigate why sexual abuse was sus- pected and what physical findings were present among children referred for the evaluation of sexual abuse with- out a verbal disclosure or witnessed abuse, and to deter- mine if the reasons for requesting medical evaluation var- ied by referral source. Design: Prospective descriptive study. Setting\\/Patients: Two groups of consecutive chil- dren referred

Kathryn Bowen; Michael B. Aldous

1999-01-01

323

Development and Evaluation of a Novel Dissolution Apparatus for Medicated Chewing Gum Products  

Microsoft Academic Search

A novel dissolution apparatus was developed for medicated chewing gum products. A prototype gum product containing phenylpropa-nolamine hydrochloride (PPA) was used to evaluate the apparatus. The apparatus consists of a conical Teflon base and a rotating, ribbed Teflon plunger suspended in a dissolution vessel. Parameters evaluated were rotation speed, plunger frequency, medium volume, medium type, medium sampling location, number of

James N. Rider; Ed L. Brunson; Walter G. Chambliss; Robert W. Cleary; Ahmed H. Hikal; Peggy H. Rider; Larry A. Walker; Christy M. Wyandt; Alan B. Jones

1992-01-01

324

Reliability and Validity of Simplified Chinese Version of Roland-Morris Questionnaire in Evaluating Rural and Urban Patients with Low Back Pain  

PubMed Central

Objective The causes of low back pain in China and Western countries are extremely different. We attempted to analyze the risk factors of low back pain in urban and rural patients under the dual economy with the simplified Chinese version of Roland-Morris disability questionnaire (SC-RMDQ) to demonstrate that SC-RMDQ could evaluate patients with low back pain arising from different causes. Methods Roland-Morris disability questionnaire was translated into SCRMDQ according to international guidelines for questionnaire adaptation. In this study, causes of low back pain of 187 outpatients and inpatients (99 urban patients and 88 rural patients) were analyzed. All patients underwent simplified Chinese version of Roland-Morris disability questionnaire (SC-RMDQ), simplified Chinese Oswestry disability index (SCODI) and visual analogue scale (VAS). Reliability was tested using reproducibility (intraclass coefficient of correlation – ICC) and internal consistency (Cronbach's alpha). Validity was tested using Pearson correlation analysis. Results The leading causes for low back pain were sedentariness (38.4%) and vibration (18.1%) in urban patients and waist bending (48.9%) and spraining (25%) in rural patients. Although causes of low back pain in the two groups of population were completely different, SCRMDQ had high internal consistency (Cronbach's ? value of 0.874 in urban patients and 0.883 in rural patients) and good reproducibility (ICC value of .952 in urban patients and 0.949 in rural patients, P<0.01). SCRMDQ also showed significant correlation with Simplified Chinese version of Oswestry disability index (SCODI) and visual analogue scale (VAS) in rural areas (SCRMDQ-SCODI r?=?0.841; SCRMDQ -VAS: r?=?0.685, P<0.01) and in urban areas (SCRMDQ-SCODI: r?=?0.818, P<0.01; SCRMDQ –VAS: r?=?0.666, P<0.01). Conclusions Although causes of low back pain are completely different in rural and urban patients, SCRMDQ has a good reliability and validity, which is a reliable clinical method to evaluate disability of rural and urban patients. PMID:22303457

Chen, Ziqiang; Wang, Xinhui; Zhu, Xiaodong; Zhang, Wei; Chen, Jiayu; Zhang, Diqing; Li, Ming

2012-01-01

325

Management of extravasation injuries: a focused evaluation of noncytotoxic medications.  

PubMed

Extravasations are common manifestations of iatrogenic injury that occur in patients requiring intravenous delivery of known vesicants. These injuries can contribute substantially to patient morbidity, cost of therapy, and length of stay. Many different mechanisms are behind the tissue damage during extravasation injuries. In general, extravasations consist of four different subtypes of tissue injury: vasoconstriction, osmotic, pH related, and cytotoxic. Recognition of high-risk patients, appropriate cannulation technique, and monitoring of higher risk materials remain the standard of care for the prevention of extravasation injury. Prompt interdisciplinary action is often necessary for the treatment of extravasation injuries. Knowledge of the mechanism of extravasation-induced tissue injury, agents for reversal, and appropriate nonpharmacologic treatment methods is essential. The best therapeutic agent for treatment of vasopressor extravasation is intradermal phentolamine. Topical vasodilators and intradermal terbutaline may provide relief. Intradermal hyaluronidase has been effective for hyperosmotic extravasations, although its use largely depends on the risk of tissue injury and the severity of extravasation. Among the hyperosmotic agents, calcium extravasation is distinctive because it may present as an acute tissue injury or may possess delayed clinical manifestations. Extravasation of acidic or basic materials can produce significant tissue damage. Phenytoin is the prototypical basic drug that causes a clinical manifestation known as purple glove syndrome (PGS). This syndrome is largely managed through preventive and conservative treatment measures. Promethazine is acidic and can cause a devastating extravasation, particularly if administered inadvertently through the arteriolar route. Systemic heparin therapy remains the accepted treatment option for intraarteriolar administration of promethazine. Overall, the evidence for managing extravasations due to noncytotoxic medications is nonexistent or limited to case reports. More research is needed to improve knowledge of patient risk, prompt recognition of the extravasation, and time course for tissue injury, and to develop prevention and treatment strategies for extravasation injuries. PMID:24420913

Reynolds, Paul M; MacLaren, Robert; Mueller, Scott W; Fish, Douglas N; Kiser, Tyree H

2014-06-01

326

Evaluation of virtual microscopy in medical histology teaching.  

PubMed

Histology stands as a major discipline in the life science curricula, and the practice of teaching it is based on theoretical didactic strategies along with practical training. Traditionally, students achieve practical competence in this subject by learning optical microscopy. Today, students can use newer information and communication technologies in the study of digital microscopic images. A virtual microscopy program was recently introduced at Ghent University. Since little empirical evidence is available concerning the impact of virtual microscopy (VM) versus optical microscopy (OM) on the acquisition of histology knowledge, this study was set up in the Faculty of Medicine and Health Sciences. A pretest-post test and cross-over design was adopted. In the first phase, the experiment yielded two groups in a total population of 199 students, Group 1 performing the practical sessions with OM versus Group 2 performing the same sessions with VM. In the second phase, the research subjects switched conditions. The prior knowledge level of all research subjects was assessed with a pretest. Knowledge acquisition was measured with a post test after each phase (T1 and T2). Analysis of covariance was carried out to study the differential gain in knowledge at T1 and T2, considering the possible differences in prior knowledge at the start of the study. The results pointed to non-significant differences at T1 and at T2. This supports the assumption that the acquisition of the histology knowledge is independent of the microscopy representation mode (VM versus OM) of the learning material. The conclusion that VM is equivalent to OM offers new directions in view of ongoing innovations in medical education technology. PMID:23463716

Mione, Sylvia; Valcke, Martin; Cornelissen, Maria

2013-01-01

327

Evaluating professionalism in medical undergraduates using selected response questions: findings from an item response modelling study  

Microsoft Academic Search

Background  Professionalism is a difficult construct to define in medical students but aspects of this concept may be important in predicting\\u000a the risk of postgraduate misconduct. For this reason attempts are being made to evaluate medical students' professionalism.\\u000a This study investigated the psychometric properties of Selected Response Questions (SRQs) relating to the theme of professional\\u000a conduct and ethics comparing them with

Paul A Tiffin; Gabrielle M Finn; John C McLachlan

2011-01-01

328

A Bedside Ultrasound Curriculum for Medical Students: Prospective Evaluation of Skill Acquisition  

Microsoft Academic Search

Objective: We conducted a study to evaluate the efficacy of an introductory ultrasound (US) curriculum for medical students rotating through our emergency departments.Materials and Methods: Third and 4th-year medical students indicated their previous US experience and were given a pretest consisting of static US images to assess baseline interpretation skills. They participated in a 45-min interactive didactic session followed by

Madonna Fernandez-Frackelton; Michael Peterson; Roger J. Lewis; Javier E. Perez; Wendy C. Coates

2007-01-01

329

The Survey Questionnaire  

ERIC Educational Resources Information Center

Internet-based surveys are still relatively new, and researchers are just beginning to articulate best practices for questionnaire design. Online questionnaire design has generally been guided by the principles applying to other self-administered instruments, such as paper-based questionnaires. Web-based questionnaires, however, have the potential…

Ritter, Lois A. Ed.; Sue, Valerie M., Ed.

2007-01-01

330

Evaluating an End-of-Life Curriculum in a Medical Residency Program  

Microsoft Academic Search

The ability to meet patient needs at the end of life is important. Boston University Residency Program in Medicine initiated a 1-week-long end-of-life curriculum that included a hospice care orientation, core articles, and home hospice visits. Evaluated was the impact of the rotation on participant knowledge and attitude. Knowledge was assessed by pretest and posttest questionnaires and compared with more

Andrew C. Yacht; Shakira Franco Suglia; Jay D. Orlander

2007-01-01

331

Appendix B: Questionnaire B1: Questionnaire  

E-print Network

Appendix B: Questionnaire B1: Questionnaire #12;Do not write in this space To protect your child many children and adults currently live in the child's household? #12;12a. Please enter the number of children within each given age range that currently reside with the study child. Children 0-3 years old 4

332

Estimation of Physical Activity Levels Using Cell Phone Questionnaires: A Comparison With Accelerometry for Evaluation of Between-Subject and Within-Subject Variations  

PubMed Central

Background Physical activity promotes health and longevity. Further elaboration of the role of physical activity for human health in epidemiological studies on large samples requires accurate methods that are easy to use, cheap, and possible to repeat. The use of telecommunication technologies such as cell phones is highly interesting in this respect. In an earlier report, we showed that physical activity level (PAL) assessed using a cell phone procedure agreed well with corresponding estimates obtained using the doubly labeled water method. However, our earlier study indicated high within-subject variation in relation to between-subject variations in PAL using cell phones, but we could not assess if this was a true variation of PAL or an artifact of the cell phone technique. Objective Our objective was to compare within- and between-subject variations in PAL by means of cell phones with corresponding estimates using an accelerometer. In addition, we compared the agreement of daily PAL values obtained using the cell phone questionnaire with corresponding data obtained using an accelerometer. Methods PAL was measured both with the cell phone questionnaire and with a triaxial accelerometer daily during a 2-week study period in 21 healthy Swedish women (20 to 45 years of age and BMI from 17.7 kg/m2 to 33.6 kg/m2). The results were evaluated by fitting linear mixed effect models and descriptive statistics and graphs. Results With the accelerometer, 57% (95% confidence interval [CI] 40%-66%) of the variation was within subjects, while with the cell phone, within-subject variation was 76% (95% CI 59%-83%). The day-to-day variations in PAL observed using the cell phone questions agreed well with the corresponding accelerometer results. Conclusions Both the cell phone questionnaire and the accelerometer showed high within-subject variations. Furthermore, day-to-day variations in PAL within subjects assessed using the cell phone agreed well with corresponding accelerometer values. Consequently, our cell phone questionnaire is a promising tool for assessing levels of physical activity. The tool may be useful for large-scale prospective studies. PMID:21946080

Bexelius, Christin; Sandin, Sven; Trolle Lagerros, Ylva; Litton, Jan-Eric

2011-01-01

333

Evaluation of the first year of the Oxpal Medlink: A web-based partnership designed to address specific challenges facing medical education in the occupied Palestinian territories  

PubMed Central

Objectives To (1) evaluate educational needs of clinical students at Al-Quds University Medical School in the West Bank; (2) address these needs where possible using synchronous distance learning, with clinicians in Oxford providing case-based tutorials to undergraduates in the West Bank via an online platform (WizIQ) and (3) assess the impact of this education. Design Review of online OxPal Medlink database for tutorials held between March 2012 and April 2013. Needs assessment and evaluation of student and tutor experiences through online questionnaires, focus groups and semi-structured interviews. Setting Oxford University Hospitals, Oxford, UK, and Al-Quds University Medical School, Abu Dies, Palestine. Participants Doctors at Oxford University Hospitals and fourth-, fifth- and sixth-year medical students and faculty members at Al-Quds Medical School. Main outcome measures Number of tutorials, student participation, student-rated satisfaction and qualitative feedback from tutors and students. Results Students demonstrated strong theoretical knowledge but struggled to apply this in presentation-based scenarios. Between March 2012 and April 2013, 90 tutorials were delivered to 60 students. Feedback: >95% respondents rated tutorials as ‘Excellent’ or ‘Good’ and ‘Very’ or ‘Fairly’ relevant to their future practice in Palestine. Students reported the programme had modified their approach to patients but requested better synchronization with concurrent attachments and clarification of learning outcomes. Conclusions OxPal Medlink is a novel, web-based distance-learning partnership designed to overcome some of the challenges to local medical education in the occupied Palestinian territories. Evaluation of the first year indicates teaching is relevant to local practice and of high quality. This approach may have the potential to strengthen local capacity for medical education. PMID:25057373

Ali, Mohammad A; Ali, Adam M; Patel, Ishita; MacGregor, Thomas; Shankar, Sushma; Cahill, Thomas J; Finlayson, Alexander ET; Mahmud, Imran

2014-01-01

334

A clinical laboratory paradigm for evaluating medication effects on alcohol consumption: naltrexone and nalmefene.  

PubMed

Opiate antagonist medications have been shown to improve alcoholism treatment, but few human laboratory-based studies investigating mechanisms for these effects have been conducted on alcohol dependent persons. The present study was designed to determine the impact of two opiate antagonists on alcohol consumption among nontreatment-seeking alcoholics (n=125) and social drinkers (n=90). Participants were randomly assigned to receive placebo, naltrexone (titrated to 50 mg/day), or nalmefene (titrated to 40 mg/day) for 8 days with an alcohol laboratory session on the final day. Alcohol consumption was monitored in the natural environment during the first 5 medication days, and during a choice consumption paradigm following a standard 'priming' alcohol dose in a bar-laboratory setting. Social drinkers consumed less alcohol than alcoholics during the prelab medication period and the laboratory choice consumption paradigm, and they attained lower blood alcohol levels than alcoholics following the priming drink. Both opiate antagonist medications equally reduced drinking amounts and frequency among alcoholics but not social drinkers, relative to placebo, during natural environment and bar-lab alcohol consumption evaluations. Greater medication side effects, mostly mild in nature, were observed in participants taking nalmefene. These findings demonstrate that both naltrexone and nalmefene can lead to reductions in alcohol consumption among alcoholics who are not attempting to reduce drinking. Similar laboratory paradigms may offer substantial advantages for observing these effects during evaluation of other medications as well. PMID:12655322

Drobes, David J; Anton, Raymond F; Thomas, Suzanne E; Voronin, Konstantin

2003-04-01

335

Evaluation of Prescribing Medications for Terminal Cancer Patients near Death: Essential or Futile  

PubMed Central

Purpose The purpose of this study is to evaluate the prescription of essential or futile medications for terminal cancer patients during their final admission. Materials and Methods We conducted a retrospective review of the medical charts of terminally ill cancer patients admitted to the Hemato-oncology Department of two teaching hospitals from March 1, 2007 to December 31, 2009. Essential medications were based on the drugs listed by the International Association for Hospice and Palliative Care, while futile medications were defined when short-term benefit to patients with respect to survival, quality of life, or symptom control was not anticipated. Results A total of 196 patients were included. Among essential medications, strong opioids were the most frequently prescribed drugs during the last admission (62.2% fentanyl, 44.3% morphine), followed by megestrol (46.0%), and metoclopramide (37.2%); 51% of gastric protectors were prescribed with potential futility. Anti-hypertensive and antiglycemic agents were administered to those who experienced arterial blood pressure below 90 mm Hg (47.3%) or presented with a single measurement of fasting glucose below 50 mg/dL (10.7%), respectively. Statins were prescribed to 6.1% (12/196) of patients, and 75% of those prescriptions were regarded as futile. Conclusion Our data suggest that effective prescription of essential medications and withdrawal from futile medications should be actively reconciled for improvement of a patient's end-of-life care. PMID:24155681

Lee, Hye Ran; Yi, Seong Yoon

2013-01-01

336

Using Audience Response Technology to provide formative feedback on pharmacology performance for non-medical prescribing students - a preliminary evaluation  

PubMed Central

Background The use of anonymous audience response technology (ART) to actively engage students in classroom learning has been evaluated positively across multiple settings. To date, however, there has been no empirical evaluation of the use of individualised ART handsets and formative feedback of ART scores. The present study investigates student perceptions of such a system and the relationship between formative feedback results and exam performance. Methods Four successive cohorts of Non-Medical Prescribing students (n=107) had access to the individualised ART system and three of these groups (n=72) completed a questionnaire about their perceptions of using ART. Semi-structured interviews were carried out with a purposive sample of seven students who achieved a range of scores on the formative feedback. Using data from all four cohorts of students, the relationship between mean ART scores and summative pharmacology exam score was examined using a non-parametric correlation. Results Questionnaire and interview data suggested that the use of ART enhanced the classroom environment, motivated students and promoted learning. Questionnaire data demonstrated that students found the formative feedback helpful for identifying their learning needs (95.6%), guiding their independent study (86.8%), and as a revision tool (88.3%). Interviewees particularly valued the objectivity of the individualised feedback which helped them to self-manage their learning. Interviewees’ initial anxiety about revealing their level of pharmacology knowledge to the lecturer and to themselves reduced over time as students focused on the learning benefits associated with the feedback. A significant positive correlation was found between students’ formative feedback scores and their summative pharmacology exam scores (Spearman’s rho = 0.71, N=107, p<.01). Conclusions Despite initial anxiety about the use of individualised ART units, students rated the helpfulness of the individualised handsets and personalised formative feedback highly. The significant correlation between ART response scores and student exam scores suggests that formative feedback can provide students with a useful reference point in terms of their level of exam-readiness. PMID:23148762

2012-01-01

337

Evaluation on quality of life in patients with nasal polyposis managed with optimal medical therapy  

PubMed Central

Nasal polyposis (NP) has a great impact on quality of life (QOL) and its management involves a combination of medical therapy and surgery. To the authors' knowledge, no publication has extensively examined NP after optimal medical treatment based on subjective evaluations. The aim of this prospective study was designed to evaluate the QOL in NP patients after (1) a short course of oral steroids, (2) initial 3-month course of macrolide, and (3) long-term treatment with intranasal steroids. A total of 55 patients with grades I and II NP were consecutively treated with oral prednisolone at 25 mg in a single dose for 2 weeks, macrolide at 250 mg daily for the first 3 months, and long-term intranasal steroids. Patients were followed up and evaluated at baseline and 3, 6, and 12 months for QOL measure. At baseline, patients with grade I and grade II NP showed significantly worse QOL scores on all Rhinosinusitis Disability Index domains, particularly for physical function (4.59 ± 1.41) and were significantly higher in social function (3.16 ± 1.17). At 3, 6, and 12 months of treatment, patients showed a significant improvement in all impaired QOL domains compared with baseline after optimal medical therapy (p < 0.05). These results suggest that the optimal medical treatment to improve QOL incorporates medical polypectomy with a short course of oral steroids in addition to macrolide and this can be maintained by long-term intranasal steroid therapy. PMID:24612853

Husain, Salina; Gendeh, Balwant Singh

2014-01-01

338

[Does the disability of shoulder, arm and hand questionnaire (DASH) replace grip strength and range of motion in outcome-evaluation?].  

PubMed

Scoring systems currently used to evaluate functional disabilities in upper extremity conditions frequently combine so-called "objective" parameters such as grip strength and range of motion with "subjective" parameters such as pain. Since its introduction, the Disabilities of Arm, Shoulder and Hand Questionnaire has proven useful in the pre- and postoperative evaluation of functional limitations of the upper extremity. This study examines the relationship between DASH scores, the so-called "objective" parameters of grip strength and range of motion and those of "mixed scores" such as Krimmer and Cooney Scores. Based on the data of six diagnostic groups, Spearman's correlation coefficients were calculated. There was no correlation between DASH scores and range of motion, however, some of the diagnostic groups showed a moderate correlation between DASH scores and grip strength. Both the Krimmer and Cooney scores showed a significant correlation with the DASH scores, indicating that these "mixed-scores" can be replaced by the DASH. Since it has been shown that grip strength and range of motion do not capture patients' functional limitations adequately, their continued use in the evaluation of upper extremity conditions should be the topic of further discussion. PMID:15877274

Jester, A; Harth, A; Wind, G; Germann, G; Sauerbier, M

2005-04-01

339

Conversion of Questionnaire Data  

SciTech Connect

During the survey, respondents are asked to provide qualitative answers (well, adequate, needs improvement) on how well material control and accountability (MC&A) functions are being performed. These responses can be used to develop failure probabilities for basic events performed during routine operation of the MC&A systems. The failure frequencies for individual events may be used to estimate total system effectiveness using a fault tree in a probabilistic risk analysis (PRA). Numeric risk values are required for the PRA fault tree calculations that are performed to evaluate system effectiveness. So, the performance ratings in the questionnaire must be converted to relative risk values for all of the basic MC&A tasks performed in the facility. If a specific material protection, control, and accountability (MPC&A) task is being performed at the 'perfect' level, the task is considered to have a near zero risk of failure. If the task is performed at a less than perfect level, the deficiency in performance represents some risk of failure for the event. As the degree of deficiency in performance increases, the risk of failure increases. If a task that should be performed is not being performed, that task is in a state of failure. The failure probabilities of all basic events contribute to the total system risk. Conversion of questionnaire MPC&A system performance data to numeric values is a separate function from the process of completing the questionnaire. When specific questions in the questionnaire are answered, the focus is on correctly assessing and reporting, in an adjectival manner, the actual performance of the related MC&A function. Prior to conversion, consideration should not be given to the numeric value that will be assigned during the conversion process. In the conversion process, adjectival responses to questions on system performance are quantified based on a log normal scale typically used in human error analysis (see A.D. Swain and H.E. Guttmann, 'Handbook of Human Reliability Analysis with Emphasis on Nuclear Power Plant Applications,' NUREG/CR-1278). This conversion produces the basic event risk of failure values required for the fault tree calculations. The fault tree is a deductive logic structure that corresponds to the operational nuclear MC&A system at a nuclear facility. The conventional Delphi process is a time-honored approach commonly used in the risk assessment field to extract numerical values for the failure rates of actions or activities when statistically significant data is absent.

Powell, Danny H [ORNL] [ORNL; Elwood Jr, Robert H [ORNL] [ORNL

2011-01-01

340

Evaluation of a Comprehensive Programme for the Assessment of Medical Students.  

ERIC Educational Resources Information Center

A process for the assessment of students' clinical competence introduced for medical undergraduates in their first year at the University of Newcastle is discussed. The assessment enables students to demonstrate competence, review peers' performance, and receive early diagnostic advice. Student evaluation of the assessment programs is discussed.…

Feletti, Grahame I.

1980-01-01

341

Evaluating a Novel Hybrid--DSM Framework in Real--World Scenarios Using Medical Imaging Applications  

E-print Network

Evaluating a Novel Hybrid--DSM Framework in Real--World Scenarios Using Medical Imaging-- DSM system is required to directly provide the hard­ ware support to user applications. Such a DSM sys programming on cluster architectures is re­ stricted to SoftWare Distributed Shared Memory (SW--DSM) systems

Stamatakis, Alexandros

342

Fostering Student Adjustment to Medical School: Evaluation of One Innovative Curricular Approach.  

ERIC Educational Resources Information Center

This study evaluated an innovative curriculum for first-year medical students which was designed to render the undergraduate curriculum more humanistic in socializing students into medicine. The Personal, Professional, and Leadership (PPL) development program provides guided, semi-structured opportunities to create "communities of learning" by…

Dennis, Kay S.

343

Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors  

Microsoft Academic Search

The objective of this report is to describe the methods used in and lessons learned from a research study that evaluated prescriptions for medication errors prior to the implementation of an ambulatory computerized prescriber order entry (ACPOE) system in a community-based, integrated health system. Several aspects of the study are described: practice setting, research team, project scope and study design,

Emily Beth Devine; Jennifer L. Wilson-Norton; Nathan M. Lawless; Thomas K. Hazlet; Ryan Hansen; Kerry Kelly; Stephanie Te; Carolyn Wong

344

A Qualitative Evaluation of a Health Literacy Intervention to Improve Medication Adherence for Underserved Pharmacy Patients  

Microsoft Academic Search

Objective. To evaluate the implementation of a health literacy intervention to improve medication adherence among patients in an inner-city health system. Methods. Interviews with pharmacists and focus groups with pharmacy patients were conducted one month and six months after beginning the intervention. Patients and pharmacists described their experiences with the intervention, consisting of an automated telephone call reminder system, an

MA Karen McMorris Kara L. Sarah C. Blake; MSc Sunil Kripalani

2010-01-01

345

A Qualitative Evaluation of a Health Literacy Intervention to Improve Medication Adherence for Underserved Pharmacy Patients  

Microsoft Academic Search

:Objective. To evaluate the implementation of a health literacy intervention to improve medication adherence among patients in an inner-city health system. Methods. Interviews with pharmacists and focus groups with pharmacy patients were conducted one month and six months after beginning the intervention. Patients and pharmacists described their experiences with the intervention, consisting of an automated telephone call reminder system, an

Sarah C. Blake; Karen McMorris; Kara L. Jacobson; Julie A. Gazmararian; Sunil Kripalani

2010-01-01

346

[ISO System 9000 or evaluation of the quality of medical care].  

PubMed

Evaluation of the quality of medical care began in Mexico in 1956. This was done by reviewing the clinical files of patients. In 1984, Donabedian introduced the Theory of Systems that evaluates structure, process and results, adopted as a base in the IMSS to develop the System of Integral Evaluation and Continuous Improvement of the Quality of the Medical Care, through the identification and solution of the problems that affect quality in medical care as well as the improvements of the inefficient processes or those with low quality. The Joint Commission on Accreditation of Health Care, European Foundation for Quality Management (ETQM) and International Society for Quality in Health Care (ISQua) use a similar methodology in its evaluations. The ISO System (International Organization for Standardization) was created in 1947 to assure and to certify the quality of the production processes and to guarantee the quality of the products that were fabricated. In health institutions the ISO system is useful to certify the structure and organization, and it indicates that they are under conditions to assure the quality of medical care, but it does not guarantee that this must happen. On the other hand, faults in structure and organization may result in poor quality of care. We conclude that both systems are complementary, rather than exclusionary. PMID:18492443

Aguirre-Gas, Héctor Gerardo

2008-01-01

347

Prevention Education and Evaluation in U.S. Medical Schools: A Status Report.  

ERIC Educational Resources Information Center

A survey of American medical school preventive medicine curricula found more emphasis on teaching and evaluation of students in areas of clinical preventive services and quantitative methods and less emphasis on community services and health services organization and delivery. Written tests and unstructured observation were the most common methods…

Garr, David R.; Lackland, Daniel T.; Wilson, Diane B.

2000-01-01

348

Evaluation of HF RFID for Implanted Medical Applications Eric Freudenthal, David Herrera, Frederick Kautz, Carlos Natividad,  

E-print Network

Evaluation of HF RFID for Implanted Medical Applications Eric Freudenthal, David Herrera, Frederick Paso. 500 W. University Avenue, El Paso, TX, 79902, USA. {efreudenthal, jssipla}@utep.edu David Herrera, Frederick Kautz, Carlos Natividad, Alexandra Ogrey and Abimael Sosa are students at the University of Texas

Ward, Karen

349

Evaluating Preclinical Medical Students by Using Computer-Based Problem-Solving Examinations.  

ERIC Educational Resources Information Center

A study to determine the feasibility of creating and administering computer-based problem-solving examinations for evaluating second-year medical students in immunology and to determine how students would perform on these tests relative to their performances on concurrently administered objective and essay examinations is described. (Author/MLW)

Stevens, Ronald H.; And Others

1989-01-01

350

Automated medical information system of the Los Alamos Scientific Laboratory  

SciTech Connect

The Medical Information System (MIS) at the Los Alamos Scientific Laboratory automates the acquisition, storage, and retrieval of medical information concerning the nine thousand project-connected personnel. The MIS incorporates an on-line, interactive medical history questionnaire, mark sense form processing, and automated coronary risk assesment in the medical evaluation process. Also, MIS has created the ability for long-term study and comparison of employee health as well as made the physician's time more effective.

Eagan, G.D.; Grier, R.S.

1980-01-01

351

ANNUAL MEDICAL HISTORY QUESTIONNAIRE FOR RESPIRATOR USE  

E-print Network

of tight or enclosed places 11. Sensation of smothering 12. Heat exhaustion or heat stroke 13. Ruptured ear drum 14. Defective vision 15. Defective hearing 16. Wear contact lenses or glasses 17. Other conditions

Slatton, Clint

352

Mediquest: an interactive medical history questionnaire  

E-print Network

, DIFFICULT'( Ii! -. EP '11C- ', i/AB;tl, SHIVERS KiEN NOT COLD DIGESTIVE 3~STER: NO PREVIOUS STO 1ACH ULCERS ~ HAS BECENTL' TAKEN AN OVER-THE-COUN EP. ANTACIDS LIKE TU1S OB BOLAIDS NERVO?JS SYSTEI'ii: HAS HAD NEliBI IS, HAS HLI;1! KI'10CKED..., DIFFICULT'( Ii! -. EP '11C- ', i/AB;tl, SHIVERS KiEN NOT COLD DIGESTIVE 3~STER: NO PREVIOUS STO 1ACH ULCERS ~ HAS BECENTL' TAKEN AN OVER-THE-COUN EP. ANTACIDS LIKE TU1S OB BOLAIDS NERVO?JS SYSTEI'ii: HAS HAD NEliBI IS, HAS HLI;1! KI'10CKED...

Mann, Charles Franklin

2012-06-07

353

Design and Evaluation of a National Set of Learning Objectives: The Medical Physiology Learning Objectives Project  

NSDL National Science Digital Library

In 1998, the American Physiological Society (APS) and the Association of Chairs of Departments of Physiology (ACDP) began collaboration on a project to develop a set of physiology learning objectives for medical students. Over the next 2 years, more than 50 physiologists collaborated in the development a comprehensive draft containing its 695 learning objectives. Faculty in 31 medical schools in the United States, Canada, and Puerto Rico evaluated these objectives. On the basis of this evaluation, the ACDP recommended deleting 13 of them. The final project, containing 682 objectives, was approved in December 2000 by the ACDP and published on the APS website http://www.the-aps.org/education/MedPhysObj/medcor.htm. The identification of the "content" of medical physiology instruction provides the APS and the ACDP with a tool to introduce emerging topics, such as the physiology of aging and gender differences, at a national level. The medical physiology learning objectives project provides a guide for directing current and future medical physiology instruction in the United States.

PhD Robert G. Carroll (East Carolina State University Department of Physiology)

2001-06-01

354

Facility Evaluation Questionnaire Environmental Compliance  

E-print Network

: Phone: Incident Cause: (circle) Resources Affected: (circle) 1- Human Error 7- Deliberate 1- On Land 2- Traffic Accident 8- Abandoned Drums 2- In Storm Sewer 3- Equipment Failure 9- Storage Tank Failure 3

Pawlowski, Wojtek

355

Evaluation of a nutrition education activity for medical students in China.  

PubMed

In China, where cancers and cardiovascular disease are the major causes of morbidity and mortality, an important role for preventive medicine has emerged. Therefore, preparing China's medical students to tackle contemporary health problems requires attention to nutrition and health promotion in the medical curriculum. To evaluate the effectiveness of a nutrition education activity for medical students, a two-group pre-test/post-test nutrition education program was conducted in a medical university in south-western China (n=300 per group). Students in another south-western Chinese medical university served as controls (n= 150 per group). Special features of the intervention were: (1) nutrition education materials developed from (a) the results of a pre-test survey of medical students and (b) discussions with medical students, faculty, and physicians; and (2) a multi-channel delivery, which included a classroom lecture-discussion; a nutrition knowledge competition; a handout providing a day's dietary allotment; campus radio and movie theatre announcements, and posters. Analysis of variance, chi-square, and t-tests showed a significant increase (P<0.05) in nutrition knowledge, but not in nutrition attitude score. The final nutrition knowledge and attitude scores were also found to be related to the students' increased exposure to the various channels (P<0.001). Also observed was an increase in the consumption of soybean and dairy products (P<0.05). It is concluded that the method is a useful and practical model for designing and developing student nutrition education activities in China, as well as demonstrating nutrition and health education methods among the medical university community. PMID:24352102

Guldan, G S; Yu, W S; Yu, Y; Zhao, M; Xiang, D P; Yang, L; Long, F

1993-06-01

356

Evaluation of organizational maturity based on people capacity maturity model in medical record wards of Iranian hospitals  

PubMed Central

Context: People capacity maturity model (PCMM) is one of the models which focus on improving organizational human capabilities. Aims: The aim of this model's application is to increase people ability to attract, develop, motivate, organize and retain the talents needed to organizational continuous improvement. Settings and Design: In this study, we used the PCMM for investigation of organizational maturity level in medical record departments of governmental hospitals and determination strengths and weaknesses of their staff capabilities. Materials and Methods: This is an applied research and cross sectional study in which data were collected by questionnaires to investigation of PCMM model needs in medical record staff of governmental hospitals at Isfahan, Iran. We used the questionnaire which has been extracted from PCMM model and approved its reliability with Cronbach's Alpha 0.96. Statistical Analysis Used: Data collected by the questionnaire was analyzed based on the research objectives using SPSS software and in accordance with research questions descriptive statistics were used. Results: Our findings showed that the mean score of medical record practitioners, skill and capability in governmental hospitals was 35 (62.5%) from maximum 56 (100%). There is no significant relevance between organizational maturity and medical record practitioners, attributes. Conclusions: Applying PCMM model is caused increasing staff and manager attention in identifying the weaknesses in the current activities and practices, so it will result in improvement and developing processes. PMID:25077147

Yarmohammadian, Mohammad H.; Tavakoli, Nahid; Shams, Assadollah; Hatampour, Farzaneh

2014-01-01

357

Evaluation of the acceptability of Peer Physical Examination (PPE) in medical and osteopathic students: a cross sectional survey  

PubMed Central

Background Peer physical examination (PPE) is a method of training in medical and osteopathic curricula. The aim of this study was to compare the acceptability of PPE in two classes of medical and osteopathic students after their first experience, to obtain comparative information useful for an understanding of the different professional approaches. The leading hypothesis was that osteopathic students enter the curriculum with a more positive attitude to bodily contact. As a secondary aim, this study validated the new version of a questionnaire to assess the acceptability of PPE. Methods A new version of a previously validated questionnaire and an instrument from the literature (the Examining Fellow Student [EFS] questionnaire) were used for a cross-sectional survey in a class of 129 3rd year medical students and in two parallel classes of 1st year osteopathic students (total of 112 students). Results The mean score of the new questionnaire was significantly higher for the osteopathic students than for the medical students (53.4?±?6.3 vs. 43.4?±?8.9; p?medical or osteopathic student. The EFS mean score also showed a significant difference between the osteopathic and medical students (30.76?±?2.9 vs. 27.85?±?4.3; p?questionnaire identified three factors (appropriateness and usefulness, sexual implications and passive role) accounting for 62.8% of the variance. Criterion validity was assessed by correlation with the EFS (Pearson’s r coefficient?=?0.61). Reliability was expressed in terms of Cronbach’s alpha coefficient, which equals 0.86. Conclusions These quantitative results are consistent with previous qualitative research on the process of embodiment both in medicine and osteopathy. The new questionnaire proved to be valid and reliable. The objective assessment of the acceptability of PPE is a way to determine differences in students’ attitudes towards contact with the body and can be used for counselling students regarding career choice. This study can also highlight differences between students from different professions and serve as a basis for reflection for improved mutual interprofessional understanding and future interprofessional education. PMID:23968312

2013-01-01

358

An Independent Human Factors Analysis and Evaluation of the Emergency Medical Protocol Checklist for the International Space Station  

NASA Technical Reports Server (NTRS)

Emergency medical capabilities aboard the ISS include a Crew Medical Officer (CMO) (not necessarily a physician), and back-up, resuscitation equipment, and a medical checklist. It is essential that CMOs have reliable, usable and informative medical protocols that can be carried out independently in flight. The study evaluates the existing ISS Medical Checklist layout against a checklist updated to reflect a human factors approach to structure and organization. Method: The ISS Medical checklist was divided into non-emergency and emergency sections, and re-organized based on alphabetical and a body systems approach. A desk-top evaluation examined the ability of subjects to navigate to specific medical problems identified as representative of likely non-emergency events. A second evaluation aims to focus on the emergency section of the Medical Checklist, based on the preliminary findings of the first. The final evaluation will use Astronaut CMOs as subjects comparing the original checklist against the updated layout in the task of caring for a "downed crewmember" using a Human Patient Simulator [Medical Education Technologies, Inc.]. Results: Initial results have demonstrated a clear improvement of the re-organized sections to determine the solution to the medical problems. There was no distinct advantage for either alternative, although subjects stated having a preference for the body systems approach. In the second evaluation, subjects will be asked to identify emergency medical conditions, with measures including correct diagnosis, time to completion and solution strategy. The third evaluation will compare the original and fully updated checklists in clinical situations. Conclusions: Initial findings indicate that the ISS Medical Checklist will benefit from a reorganization. The present structure of the checklist has evolved over recent years without systematic testing of crewmember ability to diagnose medical problems. The improvements are expected to enable ISS Crewmembers to more speedily and accurately respond to medical situations on the ISS.

Marshburn, Thomas; Whitmore, Mihriban; Ortiz, Rosie; Segal, Michele; Smart, Kieran; Hughes, Catherine

2003-01-01

359

Evaluating an end-of-life curriculum in a medical residency program.  

PubMed

The ability to meet patient needs at the end of life is important. Boston University Residency Program in Medicine initiated a 1-week-long end-of-life curriculum that included a hospice care orientation, core articles, and home hospice visits. Evaluated was the impact of the rotation on participant knowledge and attitude. Knowledge was assessed by pretest and posttest questionnaires and compared with more senior resident controls, naïve to the curriculum. Attitudes toward issues relating to end-of-life care and subjective change in knowledge were assessed comparing subjects' retrospective preintervention and postintervention responses included in the postintervention questionnaire. Forty-five second-year participants completed both questionnaires. Participants demonstrated significant improvements in attitude and self-assessed knowledge of end-of-life care in 23 of 24 Likert-type scale questions. The end-of-life curriculum led to significant improvements in participant knowledge and attitudes about the conceptual and practical aspects of end-of-life care. The structure of the rotation should be reproducible in many locales. PMID:17210997

Yacht, Andrew C; Suglia, Shakira Franco; Orlander, Jay D

360

Engaging with economic evaluation methods: insights from small and medium enterprises in the UK medical devices industry after training workshops  

PubMed Central

Background With increased governmental interest in value assessment of technologies and where medical device manufacturers are finding it increasingly necessary to become more familiar with economic evaluation methods, the study sought to explore the levels of health economics knowledge within small and medium-sized enterprises (SMEs) and to scope strategies they employ to demonstrate the value of their products to purchasers. Methods A short questionnaire was completed by participants attending one of five workshops on product development in the medical device sector that took place in England between 2007 and 2011. From all responses obtained, a large proportion of participants were based in SMEs (N?=?43), and these responses were used for the analysis. Statistical analysis using non-parametric tests was performed on questions with approximately interval scales. Qualitative data from participant responses were analysed to reveal emerging themes. Results The questionnaire results revealed that 60% of SME participants (mostly company directors or managers, including product or project managers) rated themselves as having low or no knowledge of health economics prior to the workshops but the rest professed at least medium knowledge. Clinical trials and cost analyses or cost-effectiveness studies were the most highly cited means by which SMEs aim to demonstrate value of products to purchasers. Purchasers were perceived to place most importance on factors of safety, expert opinion, cost-effectiveness and price. However many companies did not utilise formal decision-making tools to prioritise these factors. There was no significant dependence of the use of decision-making tools in general with respect to professed knowledge of health economics methods. SMEs did not state a preference for any particular aspect of potential value when deciding whether to develop a product. A majority of SMEs stated they would use a health economics tool. Research and development teams or marketing and sales departments would most likely use one. Conclusion This study points to the need for further research into the education requirements of SMEs in the area of Health Technology Assessment (HTA) and also for investigation into how SMEs engage with existing HTA processes as required by assessors such as NICE. PMID:22943625

2012-01-01

361

The MPC&A Questionnaire  

SciTech Connect

The questionnaire is the instrument used for recording performance data on the nuclear material protection, control, and accountability (MPC&A) system at a nuclear facility. The performance information provides a basis for evaluating the effectiveness of the MPC&A system. The goal for the questionnaire is to provide an accurate representation of the performance of the MPC&A system as it currently exists in the facility. Performance grades for all basic MPC&A functions should realistically reflect the actual level of performance at the time the survey is conducted. The questionnaire was developed after testing and benchmarking the material control and accountability (MC&A) system effectiveness tool (MSET) in the United States. The benchmarking exercise at the Idaho National Laboratory (INL) proved extremely valuable for improving the content and quality of the early versions of the questionnaire. Members of the INL benchmark team identified many areas of the questionnaire where questions should be clarified and areas where additional questions should be incorporated. The questionnaire addresses all elements of the MC&A system. Specific parts pertain to the foundation for the facility's overall MPC&A system, and other parts pertain to the specific functions of the operational MPC&A system. The questionnaire includes performance metrics for each of the basic functions or tasks performed in the operational MPC&A system. All of those basic functions or tasks are represented as basic events in the MPC&A fault tree. Performance metrics are to be used during completion of the questionnaire to report what is actually being done in relation to what should be done in the performance of MPC&A functions.

Powell, Danny H [ORNL] [ORNL; Elwood Jr, Robert H [ORNL] [ORNL

2011-01-01

362

An innovative medical and dental hygiene clinic for street youth: results of a process evaluation.  

PubMed

Canada has a noteworthy reputation for high quality health care. Nonetheless, street youth are one of our most vulnerable yet underserved populations. Consequently, a medical and dental clinic was created in downtown Ottawa, Ontario to respond to their needs. The purpose of this study is to describe a process evaluation of the clinic during its first year of operation with a focus on program fidelity, dose, reach, and satisfaction. A mixed methods approach was used involving interviews with providers, focus groups with street youth, analysis of Electronic Medical Record (EMR) data, and supplemental information such as document reviews. The evaluation identified areas that were working well along with challenges to program implementation. Areas of concerns and possible solutions were presented to the management team that then helped to plan and make improvements to the clinic. Our evaluation design and working relationship with clinic management promoted the integration of real-time evidence into program improvements. PMID:23692920

Rowan, Margo S; Mason, Melanie; Robitaille, Annie; Labrecque, Lise; Tocchi, Cathy Lambert

2013-10-01

363

A Mobile Tablet App for Clinical Evaluation and Medical Education: Development and Usability Evaluation  

Microsoft Academic Search

The rise in popularity of smartphones and tablets has sparked substantial interest among healthcare providers. Increasing number of medical schools have launched curricula targeted for mobile tablets. A mobile tablet that facilitates clinical documentation can enhance the mobility of residents and physicians by eliminating the need to be tethered to a workstation. Considering the popularity of Apple’s iPad, a clinical

Deepa A Mathew

2012-01-01

364

20 CFR 30.908 - How will the FAB evaluate new medical evidence submitted to challenge the impairment...  

Code of Federal Regulations, 2010 CFR

... 2010-04-01 false How will the FAB evaluate new medical evidence submitted...of Impairment § 30.908 How will the FAB evaluate new medical evidence submitted...relied upon by the district office, the FAB will not consider the additional...

2010-04-01

365

Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation.  

PubMed

The effects of drug dependence on social systems has helped shape the generally held view that drug dependence is primarily a social problem, not a health problem. In turn, medical approaches to prevention and treatment are lacking. We examined evidence that drug (including alcohol) dependence is a chronic medical illness. A literature review compared the diagnoses, heritability, etiology (genetic and environmental factors), pathophysiology, and response to treatments (adherence and relapse) of drug dependence vs type 2 diabetes mellitus, hypertension, and asthma. Genetic heritability, personal choice, and environmental factors are comparably involved in the etiology and course of all of these disorders. Drug dependence produces significant and lasting changes in brain chemistry and function. Effective medications are available for treating nicotine, alcohol, and opiate dependence but not stimulant or marijuana dependence. Medication adherence and relapse rates are similar across these illnesses. Drug dependence generally has been treated as if it were an acute illness. Review results suggest that long-term care strategies of medication management and continued monitoring produce lasting benefits. Drug dependence should be insured, treated, and evaluated like other chronic illnesses. JAMA. 2000;284:1689-1695. PMID:11015800

McLellan, A T; Lewis, D C; O'Brien, C P; Kleber, H D

2000-10-01

366

Evaluation of long-term practical training of graduate students at an off-campus hospital-questionnaire survey of graduate students and pharmacists-.  

PubMed

The graduate students in our laboratory underwent 4-5 months of training at Maizuru Kyosai Hospital. To evaluate the effectiveness of this long-term practical training course of the off-campus hospital, we conducted a questionnaire survey before and after the course among the students and the pharmacists. The results of the survey suggest that the students gained experience regarding pharmaceutical management and came to understand the importance of pharmaceutical care during the course. They had an opportunity to connect clinical practice with the research activities conducted at the university. With regard to the pharmacists, this course has motivated them to act as mentors during the practical training, and therefore was also of significance to them. However, this long-term practical training at the off-campus hospital necessitated a change in lifestyle and living arrangements for the students, which placed stress on them. They required emotional support from university staff before and during the placement. These results show that in order to maintain close collaboration with the hospital and to ensure the success of long-term practical training at an off-campus hospital, academic and emotional support for the students is necessary. PMID:20190529

Fukumoto, Kyoko; Fujimura, Yasuo; Kusumoto, Masaaki; Tatami, Ryozo; Ueno, Kazuyuki

2010-03-01

367

Evaluation of the French version of the Orientation Towards Chocolate Questionnaire: chocolate-related guilt and ambivalence are associated with overweight and disordered eating.  

PubMed

The aims of this study were firstly to evaluate the psychometric properties of the French version of the Orientation towards Chocolate Questionnaire (OCQ), secondly to examine differences in chocolate craving as a function of weight status, and thirdly to examine the OCQ craving dimensions as predictors of body dissatisfaction and disordered eating. Participants included 247 female students from the University of Toulouse, France, who completed measures of chocolate craving, body dissatisfaction, bulimia, drive for thinness, and emotional eating, and for whom body mass index (BMI) was available. Confirmatory factor analysis supported the three-factor model of the OCQ, with guilt, approach, and avoidance subscales. Patterns of endorsement of chocolate craving dimensions differed according to weight status, with ambivalence present only amongst overweight participants. Guilt and approach were positively associated with disordered eating, whereas avoidance was negatively associated with bulimia. These results confirm the validity and reliability of the French version of the OCQ and highlight strong associations between chocolate craving dimensions and disordered eating patterns. PMID:22051356

Rodgers, Rachel F; Stritzke, Werner G K; Bui, Eric; Franko, Debra L; Chabrol, Henri

2011-12-01

368

Introducing a short version of the physical self description questionnaire: new strategies, short-form evaluative criteria, and applications of factor analyses.  

PubMed

Based on the Physical Self Description Questionnaire (PSDQ) normative archive (n = 1,607 Australian adolescents), 40 of 70 items were selected to construct a new short form (PSDQ-S). The PSDQ-S was evaluated in a new cross-validation sample of 708 Australian adolescents and four additional samples: 349 Australian elite-athlete adolescents, 986 Spanish adolescents, 395 Israeli university students, 760 Australian older adults. Across these six groups, the 11 PSDQ-S factors had consistently high reliabilities and invariant factor structures. Study 1, using a missing-by-design variation of multigroup invariance tests, showed invariance across 40 PSDQ-S items and 70 PSDQ items. Study 2 demonstrated factorial invariance over a 1-year interval (test-retest correlations .57-.90; Mdn = .77), and good convergent and discriminant validity in relation to time. Study 3 showed good and nearly identical support for convergent and discriminant validity of PSDQ and PSDQ-S responses in relation to two other physical self-concept instruments. PMID:20733208

Marsh, Herbert W; Martin, Andrew J; Jackson, Susan

2010-08-01

369

The Nursing Home as a Site for Teaching Medical Students.  

ERIC Educational Resources Information Center

Responses to questionnaires were compared between 106 students in nursing homes with those of 171 students in hospitals to evaluate interview and physical examination instruction for medical students. The nursing home was assessed as an appropriate alternative site for teaching the medical interview and physical diagnosis. (GLR)

Wiener, Myra; Shamaskin, Ann

1990-01-01

370

Psychometric evaluation of the French version of the questionnaire attitudes towards morphine use; a cross-sectional study in Valais, Switzerland  

PubMed Central

Background In Switzerland, nurses are allowed to prescribe and administer morphine in emergency situations without a doctor. Still, nurses and other health professionals are often reluctant to prescribe and administer morphine for pain management in patients. No valid French-speaking instrument is available in Switzerland to assess the attitudes of nurses and other health professionals towards the prescription and administration of morphine. In this study, we evaluated the psychometric properties of the French version of the questionnaire “Attitudes towards morphine use”. Methods The instrument was derived from an Italian version. Forward and back translations of the questionnaire were performed. Item analysis and construct validity were assessed between April and December 2010 in a cross sectional study including five Swiss hospitals in a sample of 588 health professionals (533 nurses, mean age 38.3?±?10.2 years). Thirty subjects participated in test-retest reliability. Results The time to complete the instrument ranged between 12 and 15 minutes and neither floor nor ceiling effect were found. The initial 24-item instrument showed an intraclass correlation (ICC) of 0.69 (95% CI: 0.64 to 0.73, P?

2014-01-01

371

Fear of Spiders Questionnaire  

Microsoft Academic Search

The Fear of Spiders Questionnaire (FSQ), an 18-item self-report questionnaire assessing spider phobia, was developed in an attempt to complement the information provided by the Spider Phobia Questionnaire (SPQ). Data obtained from 338 undergraduates revealed that the FSQ was able to discriminate phobics from nonphobics, and indicated decrements in phobic responding from pretest to posttest following cognitive therapy. Test-retest data,

Jeff Szymanski; William O'Donohue

1995-01-01

372

Evaluation of EMERGE, a Medical Decision Making Aid for Analysis of Chest Pain  

PubMed Central

EMERGE, a rule-based medical decision making aid for analysis of chest pain in the emergency room, was evaluated using retrospective patient data. The analysis consisted of two phases. In the initial phase, patient cases were run in order to make minor modifications and adjustments in the criteria used for determination of admission. In the second phase, patient cases were analyzed to determine the effectiveness of the EMERGE system in arriving at the proper conclusion.

Hudson, Donna L.; Cohen, Moses E.; Deedwania, Prakash C.; Watson, Patricia E.

1983-01-01

373

Evaluation of Multiple Choice and Short Essay Question items in Basic Medical Sciences  

PubMed Central

Objectives: To evaluate Multiple Choice and Short Essay Question items in Basic Medical Sciences by determining item writing flaws (IWFs) of MCQs along with cognitive level of each item in both methods. Methods: This analytical study evaluated the quality of the assessment tools used for the first batch in a newly established medical college in Karachi, Pakistan. First and sixth module assessment tools in Biochemistry during 2009-2010 were analyzed. Cognitive level of MCQs and SEQs, were noted and MCQ item writing flaws were also evaluated. Results: A total of 36 SEQs and 150 MCQs of four items were analyzed. The cognitive level of 83.33% of SEQs was at recall level while remaining 16.67% were assessing interpretation of data. Seventy six percent of the MCQs were at recall level while remaining 24% were at the interpretation. Regarding IWFs, 69 IWFs were found in 150 MCQs. The commonest among them were implausible distracters (30.43%), unfocused stem (27.54%) and unnecessary information in the stem (24.64%). Conclusion: There is a need to review the quality including the content of assessment tools. A structured faculty development program is recommended for developing improved assessment tools that align with learning outcomes and measure competency of medical students. PMID:24639820

Baig, Mukhtiar; Ali, Syeda Kauser; Ali, Sobia; Huda, Nighat

2014-01-01

374

Screening for acromegaly by application of a simple questionnaire evaluating the enlargement of extremities in adult patients seen at primary health care units  

Microsoft Academic Search

The objective of this study was to screen for acromegaly by application of a simple questionnaire in patients seen at primary\\u000a health care units. A total of 17,000 patients of both genders >18 and general practitioner were interviewed. Patients with known pituitary disease and pregnant women were excluded. A simple questionnaire was applied\\u000a to the patients: Has your shoe size

Pedro Weslley RosarioMaria; Maria Regina Calsolari

375

Henry County School Questionnaire.  

ERIC Educational Resources Information Center

This 14-item questionnaire was designed to measure parent opinion regarding the effect of integration on third grade pupils in Henry County Schools. The questionnaire is not standardized, and field testing has been on a small scale. (See also TM 000 940 for a description of the study, and 942, 943 for the desegregation and school integration…

Goolsby, Thomas M., Jr.; Frary, Robert B.

376

Indirect immunofluorescence test performance and questionnaire results from the Centers for Disease Control Model Performance Evaluation Program for human immunodeficiency virus type 1 testing.  

PubMed Central

Results from laboratories performing indirect immunofluorescence (IIF) testing for human immunodeficiency virus type 1 antibody and participating in the Centers for Disease Control Model Performance Evaluation Program in 1988 are presented. Approximately 90% of all laboratories receiving specimen panels or questionnaires furnished results to the Centers for Disease Control. In September 1988, 111 reports were received from IIF laboratories from 34 states and nine countries; most of these laboratories did IIF testing in conjunction with other antibody tests. Hospital laboratories were the most common type of laboratory participating in the program. Laboratories that performed IIF employed fewer personnel and performed testing less frequently than did laboratories that performed enzyme immunoassays or Western blot (immunoblot) tests and were likely to use a commercial test kit. Most of the laboratories that referred specimens for IIF testing sent them to the state laboratory. The analytic specificity for the Model Performance Evaluation Program specimens was 98.5% when indeterminate results on a negative specimen were considered correct (negative) and 89.6% when indeterminate results on a negative specimen were considered incorrect; analytic sensitivity was 94.8% when indeterminate results on a positive specimen were correct (positive) and 91.4% when indeterminate results on a positive specimen were considered incorrect. When indeterminate results were considered correct, all types of laboratories (blood bank, state, hospital, independent, and other) had analytic specificities over 96%, and all manufacturers had analytic specificities above 95%. All types of laboratories had analytic sensitivities over 92%, and analytic sensitivities were above 94% for all manufacturers and reagent sources except Cellular Products. Comparison of percentages of correct responses between IIF and Western blot assays on those samples for which there was good agreement on the target interpretation revealed no significant differences. Both individual donor and diluted materials were included in the evaluations; the diluted donor material presented the greatest testing difficulty. Within-survey reproducibility was about 93% overall and by specimen type. Between-survey reproducibility was about 81% for negative and indeterminate specimens and 88.5% for positive specimens, for an overall between-survey reproducibility of 84.3%. Differences in performance were noted when results were compared by type of laboratory and test manufacturer. PMID:2168439

Taylor, R N; Hearn, T L; Schalla, W O; Valdiserri, R O

1990-01-01

377

Quantitative evaluation of the requirements for the promotion as associate professor at German Medical Faculties  

PubMed Central

Background: First quantitative evaluation of the requirements for the promotion as associate professor (AP) at German Medical Faculties Material and methods: Analysis of the AP-regulations of German Medical Faculties according to a validated scoring system, which has been adapted to this study. Results: The overall scoring for the AP-requirements at 35 German Medical Faculties was 13.5±0.6 of 20 possible scoring points (95% confidence interval 12.2-14.7). More than 88% of the AP-regulations demand sufficient performance in teaching and research with adequate scientific publication. Furthermore, 83% of the faculties expect an expert review of the candidate´s performance. Conference presentations required as an assistant professor as well as the reduction of the minimum time as an assistant professor do only play minor roles. Conclusion: The requirements for assistant professors to get nominated as an associate professor at German Medical Faculties are high with an only small range. In detail, however, it can be seen that there still exists large heterogeneity, which hinders equal opportunities and career possibilities. These data might be used for the ongoing objective discussion. PMID:23255964

Sorg, Heiko; Knobloch, Karsten

2012-01-01

378

[A new tool for evaluation of medication errors applied to pediatric hematology].  

PubMed

This study was conducted in a haematological paediatric department and was aimed at evaluating drug medication errors. Their frequency was studied, but also and mainly their degree of severity and preventability. Only adverse drug events that were identified as possibly due to pharmacological properties of drugs or medication errors were collected. An original method was used, based on a multidimensional mathematical tool, called Factorial Analysis of Multiple Correspondences (FAMC), in order to assess the grade of severity and preventability for each adverse drug event. A total of 155 adverse drug events were detected for 34 out of 52 patients hospitalized during the study period. The prevalence rate was 65 per cent and among these adverse drug events, 16 per cent were serious and 53 per cent were avoidable. Apart from the fact that the FAMC helped to determine the grade of preventability, FAMC allowed one to demonstrate that allergy and medication errors were the most avoidable adverse drug events. In this way the method used was validated. This study permitted the assessment of drug medication errors in this department and helped to choose the priorities for the management of preventive actions. PMID:11878110

Queuille, E; Bleyzac, N; Auray, J P; Bertrand, Y; Souillet, G; Philippe, N; Duru, G; Aulagner, G

2001-01-01

379

Evaluating Medical Marijuana Dispensary Policies: Spatial Methods for the Study of Environmentally-Based Interventions  

PubMed Central

In 1996, California was the first state to pass a Compassionate Use Act allowing for the legal use of marijuana for medical purposes. Here we review several current policy and land use environmental interventions designed to limit problems related to the influx of medical marijuana dispensaries across California cities. Then we discuss the special challenges, solutions, and techniques used for studying the effects of these place-based policies. Finally, we present some of the advanced spatial analytic techniques that can be used to evaluate the effectiveness of environmental interventions, such as those related to reducing problems associated with the proliferation of medical marijuana dispensaries. Further, using data from a premise survey of all the dispensaries in Sacramento, this study will examine what characteristics and practices of these dispensaries are related to crime within varying distances from the dispensaries (e.g., 100, 250, 500, and 1000 feet). We find that some security measures, such as security cameras and having a door man outside, implemented by medical marijuana dispensary owners might be effective at reducing crime within the immediate vicinity of the dispensaries. PMID:22821130

Freisthler, Bridget; Kepple, Nancy J.; Sims, Revel; Martin, Scott E.

2013-01-01

380

Evaluating User Perceptions of Mobile Medication Management Applications With Older Adults: A Usability Study  

PubMed Central

Background Medication nonadherence has a significant impact on the health and wellbeing of individuals with chronic disease. Several mobile medication management applications are available to help users track, remember, and read about their medication therapy. Objective The objective of this study was to explore the usability and usefulness of existing medication management applications for older adults. Methods We recruited 35 participants aged 50 and over to participate in a 2-hour usability session. The average age ranged from 52-78 years (mean 67 years) and 71% (25/35) of participants were female. Each participant was provided with an iPad loaded with four medication management applications: MyMedRec, DrugHub, Pillboxie, and PocketPharmacist. These applications were evaluated using the 10 item System Usability Scale (SUS) and visual analog scale. An investigator-moderated 30-minute discussion followed, and was recorded. We used a grounded theory (GT) approach to analyze qualitative data. Results When assessing mobile medication management applications, participants struggled to think of a need for the applications in their own lives. Many were satisfied with their current management system and proposed future use only if cognition and health declined. Most participants felt capable of using the applications after a period of time and training, but were frustrated by their initial experiences with the applications. The early experiences of participants highlighted the benefits of linear navigation and clear wording (eg, “undo” vs “cancel”) when designing for older users. While there was no order effect, participants attributed their poor performance to the order in which they tried the applications. They also described being a part of a technology generation that did not encounter the computer until adulthood. Of the four applications, PocketPharmacist was found to be the least usable with a score of 42/100 (P<.0001) though it offered a drug interaction feature that was among the favorite features of participants. The usability scores for MyMedRec (56/100), DrugHub (57/100), and Pillboxie (52/100) were not significantly different and participants preferred MyMedRec and DrugHub for their simple, linear interfaces. Conclusions With training, adults aged 50 and over can be capable and interested in using mHealth applications for their medication management. However, in order to adopt such technology, they must find a need that their current medication management system cannot fill. Interface diversity and multimodal reminder methods should be considered to increase usability for older adults. Lastly, regulation or the involvement of older adults in development may help to alleviate generation bias and mistrust for applications. PMID:25099993

Gates, Allison

2014-01-01

381

The economics of health information technology in medication management: a systematic review of economic evaluations  

PubMed Central

Objective To conduct a systematic review and synthesis of the evidence surrounding the cost-effectiveness of health information technology (HIT) in the medication process. Materials and methods Peer-reviewed electronic databases and gray literature were searched to identify studies on HIT used to assist in the medication management process. Articles including an economic component were reviewed for further screening. For this review, full cost-effectiveness analyses, cost-utility analyses and cost-benefit analyses, as well as cost analyses, were eligible for inclusion and synthesis. Results The 31 studies included were heterogeneous with respect to the HIT evaluated, setting, and economic methods used. Thus the data could not be synthesized, and a narrative review was conducted. Most studies evaluated computer decision support systems in hospital settings in the USA, and only five of the studied performed full economic evaluations. Discussion Most studies merely provided cost data; however, useful economic data involves far more input. A full economic evaluation includes a full enumeration of the costs, synthesized with the outcomes of the intervention. Conclusion The quality of the economic literature in this area is poor. A few studies found that HIT may offer cost advantages despite their increased acquisition costs. However, given the uncertainty that surrounds the costs and outcomes data, and limited study designs, it is difficult to reach any definitive conclusion as to whether the additional costs and benefits represent value for money. Sophisticated concurrent prospective economic evaluations need to be conducted to address whether HIT interventions in the medication management process are cost-effective. PMID:21984590

Tarride, Jean-Eric; Goeree, Ron; Lokker, Cynthia; McKibbon, K Ann

2011-01-01

382

Evaluation of reprocessing medical devices in 14 German regional hospitals and at 27 medical practitioners‘ offices within the European context – consequences for European harmonization  

PubMed Central

Safe reprocessing of medical devices through cleaning, disinfection, and sterilization is essential for the prevention of health care associated infections (HAI) and to guarantee patient safety. Several studies detected residual contamination and even severe infections of patients, despite carrying out reprocessing. To develop appropriate solutions, the existing situation in Germany and selected European countries was analyzed. Additionally, in 27 medical practitioners’ offices and 14 hospitals, the true practice of reprocessing was analyzed using a questionnaire, a checklist, and inspection on site. A structured analysis of potential alternatives to the internal reprocessing was conducted within the German and European context. The results indicate that the conditions for the execution of the reprocessing process in the analyzed health facilities in southern Hesse (Germany) do not satisfy legal requirements. The detected deficiencies were consistent with other reports from Germany and Europe. The analysis gave insight into several reasons for the detected deficiencies. The three main reasons were the high costs for proper implementation, the subjective value assigned to the reprocessing unit in health care facilities, and deficits in monitoring by the health authority. Throughout the European Union, a similar regulatory framework for the performance of the reprocessing process exists, while the environment, structures of the health systems and administrative supervision vary significantly. The German states as well as selected European countries are currently discussing the challenges of increased quality-assured execution of the reprocessing process. For instance, the same supervisory system for hospitals and medical practitioners should be established at an equal standard. Alternatives such as the use of single-use medical devices, outsourcing the decontamination processes, or the cooperation of health facilities may be considered. This paper also discusses economic and ecological aspects. Finally, different options are recommended to ensure the exclusive use of reliable medical devices for surgical procedures that guarantee an adequate standard of patient safety within economic constraints. PMID:24327946

Thiede, Birgit; Kramer, Axel

2013-01-01

383

Development and evaluation of a crosswalk between the SF-36 physical functioning scale and Health Assessment Questionnaire disability index in rheumatoid arthritis  

PubMed Central

Background The SF-36 physical functioning scale (PF-10) and the Health Assessment Questionnaire disability index (HAQ-DI) are the most frequently used instruments for measuring self-reported physical function in rheumatoid arthritis (RA). The objective of this study was to develop a crosswalk between scores on the PF-10 and HAQ-DI in RA. Methods Item response theory (IRT) methods were used to co-calibrate both scales using data from 1791 RA patients. The appropriateness of a Rasch-based crosswalk was evaluated by comparing it with crosswalks based on a two-parameter and a multi-dimensional IRT model. The accuracy of the final crosswalk was cross-validated using baseline (n?=?532) and 6-month follow-up (n?=?276) data from an independent cohort of early RA patients. Results The PF-10 and HAQ-DI adequately fit a unidimensional Rasch model. Both scales measured a wide range of functioning, although the HAQ-DI tended to better target lower levels of functioning. The Rasch-based crosswalk performed similarly to crosswalks based on the two-parameter and multidimensional IRT models. Agreement between predicted and observed scale scores in the cross-validation sample was acceptable for group-level comparisons. The longitudinal validity in discriminating between disease response states was similar between observed and predicted scores. Conclusion The crosswalk developed in this study allows for converting scores from one scale to the other and can be used for group-level analyses in patients with RA. PMID:24229416

2013-01-01

384

Behavioral questionnairesField implementation  

E-print Network

at risk for HIV: MSM, PWID and FSW. These standardized questionnaires are a resource for countries standardized behavioral questionnaires for MSM, PWID and FSW which can be utilized for implementing behavioral. Contents FSW questionnaire ........................................375 MSM questionnaire

Mullins, Dyche

385

Evaluation of parenteral nutritional support in the surgical and medical wards of a referral teaching hospital  

PubMed Central

Background and purpose Malnutrition is a common problem in patients who are hospitalized in surgical and medical wards. Surgical patients, geriatric populations and individuals with severe illness are more vulnerable to malnutrition during their hospitalization course. The purpose of this study was evaluation of parenteral nutrition services in a referral teaching hospital, Tehran, Iran. Method Medical records of 72 patients who received parenteral nutrition during one year period in different surgical and medical wards of Imam Khomeini hospital were reviewed retrospectively by clinical pharmacists. Criteria for initiation of parenteral nutrition, selection of appropriate formulation and monitoring parameters were assessed based on the American Society of Parenteral and Enteral Nutrition recommendations. Results Based on the patients' anthropometric parameters and serum albumin levels, 4.2%, 75% and 20.8% of the patients were well-nourished, moderately malnourished and severely malnourished respectively at the hospital admission and before nutritional support. Adequate calorie, protein, carbohydrate and lipid supports were achieved in 21.1%, 32.4%, 23.7% and 10.5% of the patients respectively. About 91% of the patients experienced at least one complication of the nutritional support. Conclusion In this evaluation, several errors in assessment, establishing goals, and monitoring of parenteral nutrition regimens have been detected. Approximately all of the patients did not receive to the trace elements supports goals. PMID:23351175

2012-01-01

386

Evaluation of HVS models in the application of medical image quality assessment  

NASA Astrophysics Data System (ADS)

In this study, four of the most widely used Human Visual System (HVS) models are applied on Magnetic Resonance (MR) images for signal detection task. Their performances are evaluated against gold standard derived from radiologists' majority decision. The task-based image quality assessment requires taking into account the human perception specificities, for which various HVS models have been proposed. However to our knowledge, no work was conducted to evaluate and compare the suitability of these models with respect to the assessment of medical image qualities. This pioneering study investigates the performances of different HVS models on medical images in terms of approximation to radiologist performance. We propose to score the performance of each HVS model using the AUC (Area Under the receiver operating characteristic Curve) and its variance estimate as the figure of merit. The radiologists' majority decision is used as gold standard so that the estimated AUC measures the distance between the HVS model and the radiologist perception. To calculate the variance estimate of AUC, we adopted the one-shot method that is independent of the HVS model's output range. The results of this study will help to provide arguments to the application of some HVS model on our future medical image quality assessment metric.

Zhang, L.; Cavaro-Menard, C.; Le Callet, P.

2012-03-01

387

How to use Outcome Questionnaires: Pearls and Pitfalls  

PubMed Central

Outcome questionnaires are increasingly used in the current medical practice. Patient reported outcomes serve as an essential and perhaps more relevant means for assessing patients’ response to treatment than clinical measures alone. Many of the procedures performed in plastic surgery are associated with aesthetic outcomes, therefore it is pertinent to thoroughly understand the patient’s perspective of achieved results. Surgeons need to possess the knowledge and skills about outcomes assessments and understand how to apply them to improve quality of care delivered based on evidence. This paper discusses the appropriate use of outcome questionnaires to rigorously evaluate treatment methods based on patient satisfaction and the outcome measurement instruments frequently used in plastic surgery. PMID:23506766

Malay, Sunitha; Chung, Kevin C.

2012-01-01

388

Medical curriculum reform in Sun Yat-sen University: implications from the results of GMER evaluation in China.  

PubMed

Created by interlocking economies, a global language, the informatics revolution and rapid travel, globalization has penetrated all aspects of human life including science, environment, public health and medicine. Physicians are now members of a global community. The global physician should possess universal core essential competences required for medical practice throughout the world. The Institute for International Medical Education (IIME), created by the China Medical Board (CMB) of New York, has developed the " global minimal essential requirements" (GMER) that define the knowledge, skills, professional behavior and ethics that all physicians must have regardless of where they received their general medical education and training. The IIME initiated a pilot project in China in October, 2003, to evaluate the graduates of the 7- or 8-year track program of eight leading medical schools, including Medical School of Sun Yat-sen University. The results of GMER evaluation indicated strengths and areas for improvement of our school in relation to international standards, which greatly re-invigorate our enthusiasm on medical curriculum reform on the new 8-year track program in Medical School of Sun Yat-sen University. The modifications of our medical curriculum for the new 8-year track program based on the results of GMER evaluation are discussed in this paper. PMID:18236259

Xiao, Haipeng; Xian, Liqing; Yu, Xueqing; Wang, Jianping

2007-09-01

389

Evaluation of a Discharge Medication Service on an Acute Psychiatric Unit  

PubMed Central

Background: Nonadherence with medication is a major factor that influences acute psychiatric hospital readmission. Pharmacists can positively influence rapid psychiatric readmission due to nonadherence by counseling patients and providing filled prescriptions on discharge. Objective: This study is a retrospective evaluation of a pharmacist-driven discharge medication service for hospitalized psychiatric patients. Measured outcomes include a comparison of rapid readmissions pre and post implementation. Rapid readmissions between the concurrent study group and excluded group were also compared. Methods: From October 2010 to November 2011, home-destined subjects being discharged from the hospital’s behavioral health unit were provided filled psychiatric prescriptions for self-administration upon discharge, coupled with medication counseling. A series of statistical comparisons were made between the 2 prior years' overall rapid readmissions. This was subsequently compared with the overall rapid readmission rate during the study year. The study group’s rapid readmissions were then compared to the overall rapid readmission rate of the study year as well as to the concurrent excluded group. Results: Thirty-day hospital readmissions were found to be significantly decreased in studied subjects compared to total rapid readmissions during the previous year (P = .004) and to the excluded group (P = .020). Conclusion: Immediate availability of prescriptions upon discharge, coupled with development of therapeutic alliances with patients, removes some of the barriers to patient medication adherence in the discharged, acute psychiatric patient. The program provided positive outcomes with regard to decreased frequent, rapid readmission to the acute care psychiatric unit due to medication nonadherence. PMID:24421481

Ahmed, Nadeem; Mukherjee, Koushik; Roma, Rebecca S.; DiLucente, Donna; Orchowski, Karen

2013-01-01

390

Medication reviews led by community pharmacists in Switzerland: a qualitative survey to evaluate barriers and facilitators  

PubMed Central

Objective 1) To evaluate the participation rate and identify the practical barriers to implementing a community pharmacist-led medication review service in francophone Switzerland and, 2) To assess the effectiveness of external support. Methods A qualitative survey was undertaken to identify barriers to patient inclusion and medication review delivery in daily practice among all contactable independent pharmacists working in francophone Switzerland (n=78) who were members of a virtual chain (pharmacieplus), regardless of their participation in a simultaneous cross-sectional study. This study analyzed the dissemination of a medication review service including a prescription and drug utilization review with access to clinical data, a patient interview and a pharmaceutical report to the physicians. In addition, we observed an exploratory and external coaching for pharmacists that we launched seven months after the beginning of the cross-sectional study. Results Poor motivation on the part of pharmacists and difficulties communicating with physicians and patients were the primary obstacles identified. Lack of time and lack of self-confidence in administering the medication review process were the most commonly perceived practical barriers to the implementation of the new service. The main facilitators to overcome these issues may be well-planned workflow organization techniques, strengthened by an adequate remuneration scheme and a comprehensive and practice-based training course that includes skill-building in pharmacotherapy and communication. External support may partially compensate for a weak organizational framework. Conclusions To facilitate the implementation of a medication review service, a strong local networking with physicians, an effective workflow management and a practice- and communications-focused training for pharmacists and their teams seem key elements required. External support can be useful to help some pharmacists improve their service management skills. Adequate remuneration seems necessary to encourage initial investments to provide such a service. Future research in this area may help improve the process and design of training programs, as well as the monitoring of implementation for each new pharmaceutical service. PMID:25152791

Niquille, Anne; Lattmann, Chantal; Bugnon, Olivier

2009-01-01

391

Methods for Evaluating Practice Change Toward a Patient-Centered Medical Home  

PubMed Central

PURPOSE Understanding the transformation of primary care practices to patient-centered medical homes (PCMHs) requires making sense of the change process, multilevel outcomes, and context. We describe the methods used to evaluate the country’s first national demonstration project of the PCMH concept, with an emphasis on the quantitative measures and lessons for multimethod evaluation approaches. METHODS The National Demonstration Project (NDP) was a group-randomized clinical trial of facilitated and self-directed implementation strategies for the PCMH. An independent evaluation team developed an integrated package of quantitative and qualitative methods to evaluate the process and outcomes of the NDP for practices and patients. Data were collected by an ethnographic analyst and a research nurse who visited each practice, and from multiple data sources including a medical record audit, patient and staff surveys, direct observation, interviews, and text review. Analyses aimed to provide real-time feedback to the NDP implementation team and lessons that would be transferable to the larger practice, policy, education, and research communities. RESULTS Real-time analyses and feedback appeared to be helpful to the facilitators. Medical record audits provided data on process-of-care outcomes. Patient surveys contributed important information about patient-rated primary care attributes and patient-centered outcomes. Clinician and staff surveys provided important practice experience and organizational data. Ethnographic observations supplied insights about the process of practice development. Most practices were not able to provide detailed financial information. CONCLUSIONS A multimethod approach is challenging, but feasible and vital to understanding the process and outcome of a practice development process. Additional longitudinal follow-up of NDP practices and their patients is needed. PMID:20530398

Jaen, Carlos Roberto; Crabtree, Benjamin F.; Palmer, Raymond F.; Ferrer, Robert L.; Nutting, Paul A.; Miller, William L.; Stewart, Elizabeth E.; Wood, Robert; Davila, Marivel; Stange, Kurt C.

2010-01-01

392

Questionnaire Design: Asking Questions with a Purpose  

NSDL National Science Digital Library

This short document guides the user through the stages of creating and implementing an effective questionnaire. The types of questions and how they should be worded are addressed, and many good examples of the different types of questions that could go into a questionnaire are presented. This resource is intended for novice evaluators.

Taylor-Powell, Ellen

1998-05-01

393

Development, implementation and evaluation of a pain management and palliative care educational seminar for medical students  

PubMed Central

BACKGROUND: Despite calls for the development and evaluation of pain education programs during early medical student training, little research has been dedicated to this initiative. OBJECTIVES: To develop a pain management and palliative care seminar for medical students during their surgical clerkship and evaluate its impact on knowledge over time. METHODS: A multidisciplinary team of palliative care and pain experts worked collaboratively and developed the seminar over one year. Teaching methods included didactic and case-based instruction, as well as small and large group discussions. A total of 292 medical students attended a seminar during their third- or fourth-year surgical rotation. A 10-item test on knowledge regarding pain and palliative care topics was administered before the seminar, immediately following the seminar and up to one year following the seminar. Ninety-five percent (n=277) of students completed the post-test and 31% (n=90) completed the follow-up test. RESULTS: The mean pretest, post-test and one-year follow-up test scores were 51%, 75% and 73%, respectively. Mean test scores at post-test and follow-up were significantly higher than pretest scores (all P<0.001). No significant difference was observed in mean test scores between follow-up and post-test (P=0.559), indicating that students retained knowledge gained from the seminar. CONCLUSIONS: A high-quality educational seminar using interactive and case-based instruction can enhance students’ knowledge of pain management and palliative care. These findings highlight the feasibility of developing and implementing pain education material for medical students during their training. PMID:24851239

Paneduro, Denise; Pink, Leah R; Smith, Andrew J; Chakraborty, Anita; Kirshen, Albert J; Backstein, David; Woods, Nicole N; Gordon, Allan S

2014-01-01

394

Evaluation of small-group teaching in human gross anatomy in a Caribbean medical school  

NSDL National Science Digital Library

Although there are a number of medical schools in the Caribbean islands, very few reports have come out so far in the literature regarding the efficacy of small-group teaching. The introduction of small-group teaching in the gross anatomy laboratory one and a half years ago at St. Matthew's University (SMU) on Grand Cayman appears to have had a significant positive impact on the academic achievement of students in anatomy. This study surveyed the responses of the students to the small-group learning method in gross anatomy at SMU using a structured questionnaire. The results show that our students prefer this small-group learning method over a completely self-directed method in the gross anatomy lab because the study materials were carefully chosen and the study objectives were demonstrated by the resource person. However, teacher-centered teaching was deliberately avoided by fostering problem-solving skills in the anatomy lab sessions. Another aim of the small-group teaching at SMU was to develop the interpersonal and communication skills of the students, which are important in their later education and career.

Dr. Lap Ki Chan (The University of Hong Kong)

2008-01-01

395

Continuing medical education for pathologists: an evaluation of the Royal College of Pathologists' Wessex pilot scheme.  

PubMed Central

AIM: To discover the attitudes to continuing medical education (CME) of the Wessex pathologists who participated in the Wessex CME pilot scheme and to identify their preferences and difficulties in pursuing CME activities. METHOD: The views of pathologists in the scheme were collected during a period of one year using workshops and discussions. A confidential, anonymous postal questionnaire based on these issues was sent to the 103 pathologists in Wessex who participated in the pilot scheme. RESULTS: A 64% response rate was obtained. The respondents identified lack of time and funded study leave as major barriers to CME and highlighted the gap between CME activity and its recognition and funding by employers. They wanted a wide variety of locally based CME activities to be recognised, and they valued local activities that linked theory with practice. They believed that the college scheme tended to favour academic activities over more practical and locally based ones. They found the paired peer review process time consuming but valuable for identifying their learning needs in some cases, but demonstrated that they have mixed preferences about the way they do their CME. CONCLUSIONS: The Wessex pathologists believe that CME is important and have positive attitudes to it. Their attitudes to CME echo the current literature about what makes CME effective. Unless individuals' preferences and difficulties are taken into account, CME programmes in which they participate are not likely to succeed. PMID:9516886

du Boulay, C

1997-01-01

396

Evaluating the safety and efficiency of a CPOE system for continuous medication infusions in a pediatric ICU.  

PubMed

Critically ill children often require continuous intravenous infusions of life-supporting medications. The complexity of ordering such infusions makes this an error prone process, and such errors can result in serious adverse events. A CPOE system was developed and evaluated to assess its impact on the safety and efficiency of prescribing continuous medication infusions. PMID:17238747

Vaidya, Vinay; Sowan, Azizeh K; Mills, Mary Etta; Soeken, Karen; Gaffoor, Mohamed; Hilmas, Elora

2006-01-01

397

Evaluating the Safety and Efficiency of a CPOE System for Continuous Medication Infusions in a Pediatric ICU  

PubMed Central

Critically ill children often require continuous intravenous infusions of life-supporting medications. The complexity of ordering such infusions makes this an error prone process, and such errors can result in serious adverse events. A CPOE system was developed and evaluated to assess its impact on the safety and efficiency of prescribing continuous medication infusions. PMID:17238747

Vaidya, Vinay; Sowan, Azizeh K.; Mills, Mary Etta; Soeken, Karen; Gaffoor, Mohamed; Hilmas, Elora

2006-01-01

398

Computer-Assisted, Programmed Text, and Lecture Modes of Instruction in Three Medical Training Courses: Comparative Evaluation. Final Report.  

ERIC Educational Resources Information Center

This report contains a comparative analysis of the differential effectiveness of computer-assisted instruction (CAI), programmed instructional text (PIT), and lecture methods of instruction in three medical courses--Medical Laboratory, Radiology, and Dental. The summative evaluation includes (1) multiple regression analyses conducted to predict…

Deignan, Gerard M.; And Others

399

Medical Operations Console Procedure Evaluation: BME Response to Crew Call Down for an Emergency  

NASA Technical Reports Server (NTRS)

International Space Station (ISS) Mission Operations are managed by multiple flight control disciplines located at the lead Mission Control Center (MCC) at NASA-Johnson Space Center (JSC). ISS Medical Operations are supported by the complementary roles of Flight Surgeons (Surgeon) and Biomedical Engineer (BME) flight controllers. The Surgeon, a board certified physician, oversees all medical concerns of the crew and the BME provides operational and engineering support for Medical Operations Crew Health Care System. ISS Medical Operations is currently addressing the coordinated response to a crew call down for an emergent medical event, in particular when the BME is the only Medical Operations representative in MCC. In this case, the console procedure BME Response to Crew Call Down for an Emergency will be used. The procedure instructs the BME to contact a Surgeon as soon as possible, coordinate with other flight disciplines to establish a Private Medical Conference (PMC) for the crew and Surgeon, gather information from the crew if time permits, and provide Surgeon with pertinent console resources. It is paramount that this procedure is clearly written and easily navigated to assist the BME to respond consistently and efficiently. A total of five BME flight controllers participated in the study. Each BME participant sat in a simulated MCC environment at a console configured with resources specific to the BME MCC console and was presented with two scripted emergency call downs from an ISS crew member. Each participant used the procedure while interacting with analog MCC disciplines to respond to the crew call down. Audio and video recordings of the simulations were analyzed and each BME participant's actions were compared to the procedure. Structured debriefs were conducted at the conclusion of both simulations. The procedure was evaluated for its ability to elicit consistent responses from each BME participant. Trials were examined for deviations in procedure task completion and/or navigation, in particular the execution of the Surgeon call sequence. Debrief comments were used to analyze unclear procedural steps and to discern any discrepancies between the procedure and generally accepted BME actions. The sequence followed by BME participants differed considerably from the sequence intended by the procedure. Common deviations included the call sequence used to contact Surgeon, the content of BME and crew interaction and the gathering of pertinent console resources. Differing perceptions of task priority and imprecise language seem to have caused multiple deviations from the procedure s intended sequence. The study generated 40 recommendations for the procedure, of which 34 are being implemented. These recommendations address improving the clarity of the instructions, identifying training considerations, expediting Surgeon contact, improving cues for anticipated flight control team communication and identifying missing console tools.

Johnson-Troop; Pettys, Marianne; Hurst, Victor, IV; Smaka, Todd; Paul, Bonnie; Rosenquist, Kevin; Gast, Karin; Gillis, David; McCulley, Phyllis

2006-01-01

400

Attitudes of Medical Students Towards Psychiatry  

Microsoft Academic Search

Objective: The attitudes of medical students towards psychiatry and psychotherapy were examined considering the extent of their education,\\u000a previous psychiatry experience, the evaluation of the course, their career intentions and socio-demographic variables. Methods: Five hundred and eight medical students in their second, fifth, ninth and tenth semester completed a questionnaire on “Attitudes\\u000a Towards Psychiatry” (ATP-30). Results: With 508 participants (return

Olaf Kuhnigk; Bernd Strebel; Joerg Schilauske; Markus Jueptner

2007-01-01

401

Development and evaluation of a crowdsourcing methodology for knowledge base construction: identifying relationships between clinical problems and medications  

PubMed Central

Objective We describe a novel, crowdsourcing method for generating a knowledge base of problem–medication pairs that takes advantage of manually asserted links between medications and problems. Methods Through iterative review, we developed metrics to estimate the appropriateness of manually entered problem–medication links for inclusion in a knowledge base that can be used to infer previously unasserted links between problems and medications. Results Clinicians manually linked 231?223 medications (55.30% of prescribed medications) to problems within the electronic health record, generating 41?203 distinct problem–medication pairs, although not all were accurate. We developed methods to evaluate the accuracy of the pairs, and after limiting the pairs to those meeting an estimated 95% appropriateness threshold, 11?166 pairs remained. The pairs in the knowledge base accounted for 183?127 total links asserted (76.47% of all links). Retrospective application of the knowledge base linked 68?316 medications not previously linked by a clinician to an indicated problem (36.53% of unlinked medications). Expert review of the combined knowledge base, including inferred and manually linked problem–medication pairs, found a sensitivity of 65.8% and a specificity of 97.9%. Conclusion Crowdsourcing is an effective, inexpensive method for generating a knowledge base of problem–medication pairs that is automatically mapped to local terminologies, up-to-date, and reflective of local prescribing practices and trends. PMID:22582202

Wright, Adam; Laxmisan, Archana; Ottosen, Madelene J; McCoy, Jacob A; Butten, David; Sittig, Dean F

2012-01-01

402

Use of a questionnaire to predict von Willebrand disease status and characterize hemorrhagic signs in a population of dogs and evaluation of a diagnostic profile to predict risk of bleeding  

PubMed Central

The objective of this study was to use a questionnaire 1) for characterization of hemorrhagic signs; 2) to assess its value as a predictor of von Willebrand Disease (vWD) status; and 3) for evaluation of the vWD diagnostic profile [platelet function analysis using the PFA-100, Collagen binding assay (vWF:CBA), and vWF antigen ELISA (vWF:Ag)], partial thromboplastin time (PTT) and Factor VIII activity (FVIII) as predictors of hemorrhagic risk. von Willebrand factor (vWF) concentration and function was assessed for each of the 165 canine participants using the vWD diagnostic profile. Hemorrhagic signs for each dog were obtained using a standardized questionnaire. Questionnaires were scored according to a previously prepared scoring key. Of the 165 dogs in the study, 43.6% had a low vWF concentration, with only 48.6% of dogs in this group having reports of hemorrhagic signs. Oral bleeding was the most commonly reported sign. The questionnaire had a sensitivity of 48.6% and a specificity of 78.5% for the prediction of vWD status. Using the Spearman correlation coefficient, a statistical association was found between the questionnaire and the vWD diagnostic profile components. However, this could not be translated into an ability to predict hemorrhage. The questionnaire allowed characterization of hemorrhagic signs in a large population of dogs over a range of vWF:Ag concentrations, and demonstrated that the vWD diagnostic profile was unsuccessful in the prediction of hemorrhagic risk. Although the sensitivity was insufficient for a screening tool, the questionnaire did have some discriminatory power in the prediction of vWD status. PMID:20046625

Burgess, Hilary J.; Woods, J. Paul; Abrams-Ogg, Anthony C.G.; Wood, R. Darren

2009-01-01

403

Development and evaluation of a novel dissolution apparatus for medicated chewing gum products.  

PubMed

A novel dissolution apparatus was developed for medicated chewing gum products. A prototype gum product containing phenylpropanolamine hydrochloride (PPA) was used to evaluate the apparatus. The apparatus consists of a conical Teflon base and a rotating, ribbed Teflon plunger suspended in a dissolution vessel. Parameters evaluated were rotation speed, plunger frequency, medium volume, medium type, medium sampling location, number of plunger ribs, and number of gum pieces. Samples were taken over a 20-min period and samples were analyzed by HPLC. Cumulative percentage released-versus-time profiles were obtained for each parameter evaluated. Statistical analysis of the gum product indicated that the only significant differences occurred at the lowest rotation speed and lowest plunger frequencies. A Level A correlation was found between the in vitro release profile for the 20-rpm and 30-cycles/min plunger frequency and the in vivo chew-out study. PMID:1553351

Rider, J N; Brunson, E L; Chambliss, W G; Cleary, R W; Hikal, A H; Rider, P H; Walker, L A; Wyandt, C M; Jones, A B

1992-02-01

404

The PRCI study: design of a randomized clinical trial to evaluate a coping intervention for medical waiting periods used by women undergoing a fertility treatment  

PubMed Central

Background Many medical situations necessitate a stressful period of waiting for potentially threatening test results. The medical waiting period is often associated with negative anticipatory anxiety and rumination about the outcome of treatment. Few evidence-based self-help coping interventions are available to assist individuals manage these periods. Theory and research suggest that positive reappraisal coping strategies may be particularly useful for this type of unpredictable and uncontrollable stressful context. The objective of this study is to investigate the effects of a Positive Reappraisal Coping Intervention (PRCI) on psychological well-being of women waiting for the outcome of their fertility treatment cycle. Methods/Design In a three-armed randomized controlled trial, the effectiveness of the PRCI will be tested. Consecutive patients undergoing in vitro fertilisation in a Dutch university hospital and meeting selection criteria will be invited to participate. Those who agree will be randomized to one of three experimental groups (N=372). The PRCI Intervention group will receive the intervention that comprises an explanatory leaflet and the 10 statements designed to promote positive reappraisal coping, to be read at least once in the morning, once in the evening. To capture the general impact of PRCI on psychological wellbeing patients will complete questionnaires before the waiting period (pre-intervention), on day ten of the 14-day waiting period (intervention) and six weeks after the start of the waiting period (post-intervention). To capture the specific effects of the PRCI during the waiting period, patients will also be asked to monitor daily their emotions and reactions during the 14-day waiting period. The primary outcome is general anxiety, measured by the Hospital Anxiety and Depression Scale. Secondary outcomes are positive and negative emotions during the waiting period, depression, quality of life, coping and treatment outcome. During recruitment for the RCT it was decided to add a fourth non-randomized group, a PRCI Control group that received the PRCI and completed the questionnaires but did not complete daily monitoring. Discussion Positive reappraisal is one of the few ways of coping that has been shown to be associated with increased wellbeing during unpredictable and uncontrollable situations like medical waiting periods. A simple evidence based self-help intervention could facilitate coping during this common medical situation. This RCT study will evaluate the value of a self-help coping intervention designed for medical waiting periods in women undergoing fertility treatment. Trial registration The study is registered at the Clinical Tials.gov (NCT01701011). PMID:24004640

2013-01-01

405

Methodology for evaluating Insite: Canada's first medically supervised safer injection facility for injection drug users  

PubMed Central

Many Canadian cities are experiencing ongoing infectious disease and overdose epidemics among injection drug users (IDUs). In particular, Human Immunodeficiency Virus (HIV) and hepatitis C Virus (HCV) have become endemic in many settings and bacterial and viral infections, such as endocarditis and cellulitis, have become extremely common among this population. In an effort to reduce these public health concerns and the public order problems associated with public injection drug use, in September 2003, Vancouver, Canada opened a pilot medically supervised safer injecting facility (SIF), where IDUs can inject pre-obtained illicit drugs under the supervision of medical staff. The SIF was granted a legal exemption to operate on the condition that its impacts be rigorously evaluated. In order to ensure that the evaluation is appropriately open to scrutiny among the public health community, the present article was prepared to outline the methodology for evaluating the SIF and report on some preliminary observations. The evaluation is primarily structured around a prospective cohort of SIF users, that will examine risk behavior, blood-borne infection transmission, overdose, and health service use. These analyses will be augmented with process data from within the SIF, as well as survey's of local residents and qualitative interviews with users, staff, and key stakeholders, and standardised evaluations of public order changes. Preliminary observations suggest that the site has been successful in attracting IDUs into its programs and in turn helped to reduce public drug use. However, each of the indicators described above is the subject of a rigorous scientific evaluation that is attempting to quantify the overall impacts of the site and identify both benefits and potentially harmful consequences and it will take several years before the SIF's impacts can be appropriately examined. PMID:15535885

Wood, Evan; Kerr, Thomas; Lloyd-Smith, Elisa; Buchner, Chris; Marsh, David C; Montaner, Julio SG; Tyndall, Mark W

2004-01-01

406

Design, Evaluation and Validation, and Analysis of a Five-Dimensional Leadership Questionnaire for a Project Leader in an International Scientific Research Environment  

E-print Network

The basic goal of the study is to develop a five dimensional leadership questionnaire for a project leader in an international scientific research laboratory and to verify statistically the independency of the individual questions from each other to ensure low overlap in content and meaning by achieving low correlation coefficients. This leadership questionnaire is designed to examine the behavior, personality, and character attributes of a project or experiment team leader in an international scientific research laboratory as perceived by her/his team members during the planning, design, implementation, and execution of the project itself. The leadership questionnaire is applied to a sample of about 40 participants from different international scientific research laboratories. This sample should represent in age, rank, and profession the whole population of employees and team members currently working in different international scientific research laboratories dealing with physics, informatics, and engineeri...

Wilfinger, Roman

2008-01-01

407

New Tools for Systematic Evaluation of Teaching Qualities of Medical Faculty: Results of an Ongoing Multi-Center Survey  

PubMed Central

Background Tools for the evaluation, improvement and promotion of the teaching excellence of faculty remain elusive in residency settings. This study investigates (i) the reliability and validity of the data yielded by using two new instruments for evaluating the teaching qualities of medical faculty, (ii) the instruments' potential for differentiating between faculty, and (iii) the number of residents' evaluations needed per faculty to reliably use the instruments. Methods and Materials Multicenter cross-sectional survey among 546 residents and 629 medical faculty representing 29 medical (non-surgical) specialty training programs in the Netherlands. Two instruments—one completed by residents and one by faculty—for measuring teaching qualities of faculty were developed. Statistical analyses included factor analysis, reliability and validity exploration using standard psychometric methods, calculation of the numbers of residents' evaluations needed per faculty to achieve reliable assessments and variance components and threshold analyses. Results A total of 403 (73.8%) residents completed 3575 evaluations of 570 medical faculty while 494 (78.5%) faculty self-evaluated. In both instruments five composite-scales of faculty teaching qualities were detected with high internal consistency and reliability: learning climate (Cronbach's alpha of 0.85 for residents' instrument, 0.71 for self-evaluation instrument, professional attitude and behavior (0.84/0.75), communication of goals (0.90/0.84), evaluation of residents (0.91/0.81), and feedback (0.91/0.85). Faculty tended to evaluate themselves higher than did the residents. Up to a third of the total variance in various teaching qualities can be attributed to between-faculty differences. Some seven residents' evaluations per faculty are needed for assessments to attain a reliability level of 0.90. Conclusions The instruments for evaluating teaching qualities of medical faculty appear to yield reliable and valid data. They are feasible for use in medical residencies, can detect between-faculty differences and supply potentially useful information for improving graduate medical education. PMID:22022486

Arah, Onyebuchi A.; Hoekstra, Joost B. L.; Bos, Albert P.; Lombarts, Kiki M. J. M. H.

2011-01-01

408

Writing a Questionnaire Report.  

ERIC Educational Resources Information Center

Outlines a plan to provide practice in writing questionnaire reports. Teaches students: (1) how to know what report format is appropriate; (2) how to interpret and present statistical data; and (3) what recommendations to make, if any. (RAE)

Spring, Marietta

1988-01-01

409

The Shorter PROMIS Questionnaire  

Microsoft Academic Search

There is both a theoretical and clinical need to develop a questionnaire that assesses a range of addictive behaviours. The Shorter PROMIS Questionnaire (SPQ) is a 16-scale self-report instrument assessing the use of nicotine, recreational drugs, prescription drugs, gambling, sex, caffeine, food bingeing, food starving, exercise, shopping, work, relationships dominant and submissive, and compulsive helping dominant and submissive. Clinical cut-off

George Christo; Susan L Jones; Samantha Haylett; Geoffrey M Stephenson; Robert M. H Lefever; Robin Lefever

2003-01-01

410

[Medical-surgical nursing: a new teaching approach and its evaluation by the student].  

PubMed

This issue is about a teaching methodology developed by the Medical-Surgical subject of Nursing on Graduate Course at Universidade Estadual de Londrina. The teachers used the student-centered teaching process based on interpersonal relationship and problem solving method. The aim was to evaluate the last period of nursing students perception about developing of cognitive, affective and psychomotor abilities when compared with others subjects of nursing course since 1985 until 1990. This method of teaching supplied more integration among theory and practice, more ability in developing library search and oral exposition, besides more active student participation on his apprenticeship process. PMID:7694751

Haddad, M do C; Vannuchi, M T; Takahashi, O C; Hirazawa, S A; Rodrigues, I G; Cordeiro, B R; do Carmo, H M

1993-06-01

411

Intake risk and dose evaluation methods for workers in radiochemistry labs of a medical cyclotron facility.  

PubMed

The aim of this paper is to evaluate the risks and doses for the internal contamination of the radiochemistry staff in a high workload medical cyclotron facility. The doses from internal contamination derive from the inhalation of radioactive gas leakage from the cells by personnel involved in the synthesis processes and are calculated from urine sample measurements. Various models are considered for the calculation of the effective committed dose from the analysis of these urine samples, and the results are compared with data obtained from local environmental measurement of the radioactivity released inside the lab. PMID:19741360

Calandrino, Riccardo; del Vecchio, Antonella; Savi, Annarita; Todde, Sergio; Belloli, Sara

2009-10-01

412

Developing questionnaires for educational research: AMEE Guide No. 87.  

PubMed

In this AMEE Guide, we consider the design and development of self-administered surveys, commonly called questionnaires. Questionnaires are widely employed in medical education research. Unfortunately, the processes used to develop such questionnaires vary in quality and lack consistent, rigorous standards. Consequently, the quality of the questionnaires used in medical education research is highly variable. To address this problem, this AMEE Guide presents a systematic, seven-step process for designing high-quality questionnaires, with particular emphasis on developing survey scales. These seven steps do not address all aspects of survey design, nor do they represent the only way to develop a high-quality questionnaire. Instead, these steps synthesize multiple survey design techniques and organize them into a cohesive process for questionnaire developers of all levels. Addressing each of these steps systematically will improve the probabilities that survey designers will accurately measure what they intend to measure. PMID:24661014

Artino, Anthony R; La Rochelle, Jeffrey S; Dezee, Kent J; Gehlbach, Hunter

2014-06-01

413

Evaluation of herbal cannabis characteristics by medical users: a randomized trial  

PubMed Central

Background Cannabis, in herbal form, is widely used as self-medication by patients with diseases such as HIV/AIDS and multiple sclerosis suffering from symptoms including pain, muscle spasticity, stress and insomnia. Valid clinical studies of herbal cannabis require a product which is acceptable to patients in order to maximize adherence to study protocols. Methods We conducted a randomized controlled crossover trial of 4 different herbal cannabis preparations among 8 experienced and authorized cannabis users with chronic pain. Preparations were varied with respect to grind size, THC content and humidity. Subjects received each preparation on a separate day and prepared the drug in their usual way in a dedicated and licensed clinical facility. They were asked to evaluate the products based on appearance (smell, colour, humidity, grind size, ease of preparation and overall appearance) and smoking characteristics (burn rate, hotness, harshness and taste). Five-point Likert scores were assigned to each characteristic. Scores were compared between preparations using ANOVA. Results Seven subjects completed the study, and the product with highest THC content (12%), highest humidity (14%) and largest grind size (10 mm) was rated highest overall. Significant differences were noted between preparations on overall appearance and colour (p = 0.003). Discussion While the small size of the study precludes broad conclusions, the study shows that medical cannabis users can appreciate differences in herbal product. A more acceptable cannabis product may increase recruitment and retention in clinical studies of medical cannabis. PMID:17101054

Ware, Mark A; Ducruet, Thierry; Robinson, Ann R

2006-01-01

414

Development and evaluation of an instrument to assess medical students' cultural attitudes.  

PubMed

This paper describes the development and psychometric evaluation of an instrument designed to assess medical students' comfort with a range of sociocultural issues and intercultural experiences. Each survey item obliged students to reflect on their own sociocultural identities and academic status in relation to others', and to judge how comfortable they would be interacting across perceived boundaries based on sociocultural identity and academic status. More than 90% of University of Michigan first-year medical students (n=153) completed the survey just before classes began. Principal components analysis of the survey's 26 items identified 7 interpretable factors or subscales; the Cronbach alpha reliability coefficients for the 7 subscales and the total scale ranged from .73 to .92. T-tests were used to investigate differences in average ratings among student subgroups (based on gender and ethnicity). To assess the magnitude of the effect of the differences between groups, effect size was computed for each of the means comparisons. Psychometric analyses indicated that this survey was both reliable and valid for assessing students' cultural attitudes. Further, analyses by gender and ethnic subgroup identified meaningful ratings differences in men's and women's reported comfort levels. Our findings suggest that this instrument is useful for assessing students' openness to developing cultural awareness and competence. Educators at other medical schools may find this instrument useful as a needs assessment tool for planning educational programs designed to increase students' cultural competence. PMID:17598290

Robins, L S; Alexander, G L; Wolf, F M; Fantone, J C; Davis, W K

1998-01-01

415

Performance evaluation of medical LCD displays using 3D channelized Hotelling observers  

NASA Astrophysics Data System (ADS)

High performance of the radiologists in the task of image lesion detection is crucial for successful medical practice. One relevant factor in clinical image reading is the quality of the medical display. With the current trends of stack-mode liquid crystal displays (LCDs), the slow temporal response of the display plays a significant role in image quality assurance. In this paper, we report on the experimental study performed to evaluate the quality of a novel LCD with advanced temporal response compensation, and compare it to an existing state-of-the-art display of the same category but with no temporal response compensation. The data in the study comprise clinical digital tomosynthesis images of the breast with added simulated mass lesions. The detectability for the two displays is estimated using the recent multi-slice channelized Hotelling observer (msCHO) model which is especially designed for multi-slice image data. Our results suggest that the novel LCD allows higher detectability than the existing one. Moreover, the msCHO results are used to advise on the parameters for the follow up image reading study with real medical doctors as observers. Finally, the main findings of the msCHO study were confirmed by a human reader study (details to be published in a separate paper).

Platiša, Ljiljana; Marchessoux, Cédric; Goossens, Bart; Philips, Wilfried

2011-03-01

416

Evaluation of the Irritable Bowel Syndrome Quality of Life (IBS-QOL) questionnaire in diarrheal-predominant irritable bowel syndrome patients  

PubMed Central

Background Diarrhea-predominant irritable bowel syndrome (IBS-d) significantly diminishes the health-related quality of life (HRQOL) of patients. Psychological and social impacts are common with many IBS-d patients reporting comorbid depression, anxiety, decreased intimacy, and lost working days. The Irritable Bowel Syndrome Quality of Life (IBS-QOL) questionnaire is a 34-item instrument developed and validated for measurement of HRQOL in non-subtyped IBS patients. The current paper assesses this previously-validated instrument employing data collected from 754 patients who participated in a randomized clinical trial of a novel treatment, eluxadoline, for IBS-d. Methods Psychometric methods common to HRQOL research were employed to evaluate the IBS-QOL. Many of the historical analyses of the IBS-QOL validations were used. Other techniques that extended the original methods were applied where more appropriate for the current dataset. In IBS-d patients, we analyzed the items and substructure of the IBS-QOL via item reduction, factor structure, internal consistency, reproducibility, construct validity, and ability to detect change. Results This study supports the IBS-QOL as a psychometrically valid measure. Factor analyses suggested that IBS-specific QOL as measured by the IBS-QOL is a unidimensional construct. Construct validity was further buttressed by significant correlations between IBS-QOL total scores and related measures of IBS-d severity including the historically-relevant Irritable Bowel Syndrome Adequate Relief (IBS-AR) item and the FDA’s Clinical Responder definition. The IBS-QOL also showed a significant ability to detect change as evidenced by analysis of treatment effects. A minority of the items, unrelated to the IBS-d, performed less well by the standards set by the original authors. Conclusions We established that the IBS-QOL total score is a psychometrically valid measure of HRQOL in IBS-d patients enrolled in this study. Our analyses suggest that the IBS-QOL items demonstrate very good construct validity and ability to detect changes due to treatment effects. Furthermore, our analyses suggest that the IBS-QOL items measure a univariate construct and we believe further modeling of the IBS-QOL from an item response theory (IRT) approach under both non-treatment and treatment conditions would greatly further our understanding as item-based methods could be used to develop a short form. PMID:24330412

2013-01-01

417

The Analysis of Health Research System Evaluation in Medical Sciences Universities  

PubMed Central

Background: Based on Iran by 2025 defined vision, we must to receive the first grade of science position in south western Asian region. Thus we need to have a comprehensive evaluation program. Methods: A comprehensive WHO Health Research System Analysis (HRSA)- based evaluation system was developed to evaluate the HRS in Iran. This article has explored the results of the five-year evaluation (2003–2008) and aims to introduce this method to other developing countries. Here we explore the results of research performance evaluation from 2002 to 2010 and by comparing the results with previous available information, we reveal the probable role of this method in research promotion and proposed approach to facilitate and expedite achieving the prospects for goals of health research based on the visions of Iran by 2025. Results: All of the indicators of stewardship and capacity building axes are received to their predefined levels. Moreover all of the medical science university research policies are based on their strategic plannings which are extracted from national visions of Iran by 2025. Most of the predefined goals in knowledge production domain had a significant grow trend but for more growth for commitments they should be closely follow. Conclusion: We developed an HRS-based comprehensive evaluation program to our national vision as well as our regional and international research competition. PMID:23865018

Djalalinia, Sh; Peykari, N; Owlia, P; Eftekhari, M Baradaran; Habibi, E; Falahat, K; Mojarrab, Sh; Malekafzali, H; Ghanei, M

2013-01-01

418

Performance evaluation of lossless medical and natural continuous tone image compression algorithms  

NASA Astrophysics Data System (ADS)

In this study we evaluate the performance of several lossless grayscale image compression algorithms: algorithms that are standards in medical image transmitting and archiving systems, other algorithms used for compressing medical images in practice and in image compression research, and of a couple of universal algorithms applied to raw and preprocessed image data. In the experiments we use a new, publicly available, test image set, which is described in detail in the paper. The set contains about one hundred images, mainly medical images of various modalities (CR, CT, MR, and US) and natural continuous tone grayscale images of various sizes and various bit depths (up to 16 bits per pixel). We analyze algorithm performance with respect to image modality, depth, and size. Our results generally adhere to results reported in other studies, however, we find that some common opinions on performance of popular algorithms are imprecise, or even false. Most interesting observation concerning the compression speed is that the speed of many algorithms is relatively low, e.g., JPEG2000 obtains speed close to CALIC algorithm, which is considered to be slow. On the other hand there exist algorithms much faster than the JPEG-LS (i.e., SZIP and SFALIC). Considering the compression ratio, the most interesting results were obtained for high bit depth medical CT and MR images, which are of sparse histograms. For better compression ratios of those images, instead of standard image compression algorithms, we should either use universal algorithms or employ the histogram packing technique prior to actual image compression.

Starosolski, Roman

2005-09-01

419

Increasing medical team cohesion and leadership behaviors using a 360-degree evaluation process.  

PubMed

Current national health care issues of affordability, quality, and accessibility have prompted the development of Accountable Care Organizations (ACOs) and Patient-Centered Medical Homes (PCMHs). Components of ACOs and PCMHs call for increased capacities in areas of teamwork, engagement, and physician leadership skills and behaviors. Three hundred sixty degree feedback evaluation processes have been established in corporate environments as effective for increasing capacities in these areas. Recently, health care organizations have begun to adopt the use of such tools with positive outcomes. This article presents a case study of the development and implementation of a 360-degree evaluation process at a family medicine clinic. We also discuss the challenges, successes, and lessons learned along the way. PMID:22533214

Tumerman, Marc; Carlson, Leanne M Hedberg

2012-02-01

420

Evaluation of computer-aided instruction in the medical gross anatomy curriculum.  

PubMed

A two-year study was conducted to provide summative evaluations of web-based computer-aided instruction (CAI) specifically designed to supplement the laboratory dissections in the medical human anatomy course. Utilization of CAI was analyzed using server statistics, student surveys and network login tables. There was a significant increase in server requests for CAI over the period of the course in both years of the study. In general, student surveys corresponded with the login data for individual students, although several discrepancies showed limitations of the respective methodologies. When course examination scores were compared to the number of CAI logins for individual students, there were statistically significant direct correlations between exam grades and frequency of CAI use. Our findings illustrate the value of combining server statistics with user surveys for evaluations of CAI as an effective supplement for student learning in the anatomy curriculum. PMID:14695594

McNulty, John A; Halama, James; Espiritu, Baltazar

2004-01-01

421

An Evaluation of a Distributed Medical Device Safety Surveillance System: The DELTA Network Study  

PubMed Central

Background Post-market medical product safety surveillance is a complex task requiring standardized data collection, prompt adverse event reporting mechanisms and appropriate methodologies to identify low frequency safety threats and risk communication. Purpose To review the design of the DELTA (Data Extraction and Longitudinal Trend Analysis) network study of the medical device safety surveillance. Methods This is a multicenter prospective observational study designed to evaluate the safety of new cardiovascular devices used during percutaneous coronary intervention (PCI) performed through continuous analysis of the routinely collected American College of Cardiology- National Cardiovascular Data Registry (ACC-NCDR) data elements. The primary endpoint of the study is detection of adverse event rates specific to several classes of new medical devices, including drug eluting coronary stents, embolic protection devices, and vascular closure devices in patients undergoing PCI. Secondary endpoints include the time-savings between the DELTA network detection of a true device safety alert and the time taken to detect the same outcome using conventional retrospective data analysis, overall sensitivity, specificity, positive predictive value and negative predictive value of the DELTA network surveillance system. Results The details of the study are described including system design, eligibility criteria, methods and components of data collection, data security and statistical methods. In addition, the methods of adjudication and verification following an adverse event alert, overall study outcomes, end points, limitations and potential advantages are discussed. Conclusion This report describes the first multicenter prospective study of a computerized safety surveillance system to monitor and evaluate the safety of new cardiovascular devices. PMID:21356331

Vidi, Venkatesan D.; Matheny, Michael E.; Donnelly, Sharon; Resnic, Frederic S.

2011-01-01

422

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

SciTech Connect

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.

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

423

Assessment of student performance and perceptions of learning in a medication use evaluation project.  

PubMed

Objective. To describe and assess student perceptions and performance on a medication use evaluation (MUE) team project. Design. Following a 1-hour MUE lecture in a 62-student patient safety course, student teams (n=14) were assigned a medication safety or quality issue. Teams worked with a mentor to design an MUE to address the issue. The deliverable was a verbal presentation recorded as a webinar. Assessment. Presentations were assessed by 2 reviewers for content and style. Mean score was 45.0 +/- 2.7 of 50 points. Students rated level of agreement that they could perform MUE-related skills pre- and postproject (n=35 and 34, respectively) on a 5-point Likert scale. Students perceived improved ability to design an MUE after project completion (median 3 vs 4; p=0.003). Student comfort with sample determination, data, collaborators, study limitations, and potential project impact also improved. Conclusion. Teams achieved the objective of successfully designing an MUE, and related enabling outcomes (ie, supportive activities that contribute to designing an MUE), as measured by evaluators and student perceptions. PMID:25386020

Beckett, Robert D; Ersin, Ozlem H; Chen, Yu-Chieh

2014-10-15