Sample records for medical evaluation questionnaire

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

    PubMed Central

    2013-01-01

    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

  2. Development and validation of a questionnaire to evaluate medical students' and residents' responsibility in clinical settings.

    PubMed

    Asemani, Omid; Iman, Mohammad Taghi; Khayyer, Mohammad; Tabei, Seyed Ziaaddin; Sharif, Farkhondeh; Moattari, Marzieh

    2014-01-01

    There is a shortage of quantitative measures for assessing the concept of responsibility as a fundamental construct in medical education, ethics and professionalism in existing literature. This study aimed to develop an instrument for measuring responsibility in both undergraduate and graduate medical students during clinical training. Instrument content was based on literature review and mainly qualitative data obtained from a published grounded theory research. The draft questionnaire (Persian version) was then validated and revised with regard to face and content validity. The finalized 41-item questionnaire consists of four domains that were identified using factor analysis. Test-retest reliability and internal consistency were also assessed. Test-retest reliability was rather high, ranging between 0.70 and 0.75 for all domains. Cronbach's alpha coefficients were 0.75 - 0.76 for all domains and 0.90 for the composite scale of the whole questionnaire. Correlations between the four domains of the instrument were also satisfactory (r ? 0.47 for most domains). The correlation between each domain and the composite scale was higher than its correlation with other domains (r ? 0.79 for most domains). The instrument demonstrated good construct and internal validity, and can be suitable for measuring the concept of responsibility in practice in different groups of undergraduate and graduate medical trainees (MTs). PMID:25512836

  3. Development and validation of a questionnaire to evaluate medical students’ and residents’ responsibility in clinical settings

    PubMed Central

    Asemani, Omid; Iman, Mohammad Taghi; Khayyer, Mohammad; Tabei, Seyed Ziaaddin; Sharif, Farkhondeh; Moattari, Marzieh

    2014-01-01

    There is a shortage of quantitative measures for assessing the concept of responsibility as a fundamental construct in medical education, ethics and professionalism in existing literature. This study aimed to develop an instrument for measuring responsibility in both undergraduate and graduate medical students during clinical training. Instrument content was based on literature review and mainly qualitative data obtained from a published grounded theory research. The draft questionnaire (Persian version) was then validated and revised with regard to face and content validity. The finalized 41-item questionnaire consists of four domains that were identified using factor analysis. Test-retest reliability and internal consistency were also assessed. Test-retest reliability was rather high, ranging between 0.70 and 0.75 for all domains. Cronbach’s alpha coefficients were 0.75 – 0.76 for all domains and 0.90 for the composite scale of the whole questionnaire. Correlations between the four domains of the instrument were also satisfactory (r ? 0.47 for most domains). The correlation between each domain and the composite scale was higher than its correlation with other domains (r ? 0.79 for most domains). The instrument demonstrated good construct and internal validity, and can be suitable for measuring the concept of responsibility in practice in different groups of undergraduate and graduate medical trainees (MTs). PMID:25512836

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

    PubMed Central

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

    2014-01-01

    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

  5. JOB EVALUATION QUESTIONNAIRE ANSWER SHEET

    E-print Network

    Amin, S. Massoud

    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

  6. The Emergency Medical Services Safety Attitudes Questionnaire

    Microsoft Academic Search

    P. Daniel Patterson; David T. Huang; Rollin J. Fairbanks; Henry E. Wang

    2010-01-01

    To characterize safety culture in emergency medical services (EMS), the authors modified a validated safety culture instrument, the Safety Attitudes Questionnaire (SAQ). The pilot instrument was administered to 3 EMS agencies in a large metropolitan area. The authors characterized safety culture across 6 domains: safety climate, teamwork climate, perceptions of management, job satisfaction, working conditions, and stress recognition. The feasibility

  7. Kee Dental Care Medical History -Confidential Patient Questionnaire

    E-print Network

    Harman, Neal.A.

    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

  8. 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

  9. History of Medicine student selected components at UK medical schools: a questionnaire-based study

    PubMed Central

    Metcalfe, Neil H; Brown, Andrew K

    2011-01-01

    Objectives To determine the current status of History of Medicine student selected components (SSC) at UK medical schools. This includes the frequency, methods of delivery, assessment, and evaluation of such courses. Design An 18-item questionnaire was created, piloted, and then sent electronically in January 2010 to participants pertaining to their History of Medicine SSC provision as of 1 January 2010. Initial non-responders were re-sent the questionnaire in February 2010. Setting All UK medical schools. Participants The History of Medicine SSC lead or overall SSC lead at each UK medical school were contacted to ascertain their History of Medicine SSC provision. Main outcome measures Percentages of History of Medicine SSCs for each objective characteristic were obtained as well as general descriptive data. Results Fifteen of the 32 medical schools in the UK offer a History of Medicine SSC. Eleven medical schools (offering a total of 12 SSCs) completed the questionnaire (response rate 73.3%). Eight different teaching methods are used within the SSCs. Medical professionals most frequently deliver the teaching, which most frequently covers the 20th and 21st centuries. Four assessment methods are used among the SSCs, the most common being a group presentation. Questionnaires are the most frequent method of evaluation. There are several factors limiting the provision of some current SSCs, most commonly a lack of staff, teaching facilities, and available time within the curriculum. Conclusion History of Medicine is being delivered more frequently in UK medical schools than when previously researched 40 years ago. However, the subject is still offered in a minority of the medical schools. This study offers useful information to consider for the development of current and potential new History of Medicine SSCs. PMID:22046496

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

    PubMed Central

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

    2014-01-01

    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

  11. Usability in a medical technology context assessment of methods for usability evaluation of medical equipment

    Microsoft Academic Search

    Erik Liljegren

    2006-01-01

    The increased complexity of medical technology makes usability an important selection criterion when new equipment is purchased. However, this requires an understanding of what usability is in a medical technology context and what usability evaluation methods are suitable. A questionnaire was used to investigate what users of medical technology regard as the largest component of usability. The component ‘difficult to

  12. Using the Ages and Stages Questionnaire to teach medical students developmental assessment: a descriptive analysis

    PubMed Central

    Nicol, Pam

    2006-01-01

    Background After a survey of medical graduates' skills found a lack of confidence in developmental assessment, a program was introduced with the broad aims of increasing medical student confidence and respect for the parents' role in childhood developmental assessment. Research has shown that parents' concerns are as accurate as quality screening tests in assessing development, so the program utilised the Ages and Stages Questionnaire, a parent completed, child development assessment tool. Method To evaluate the program, an interpretative analysis was completed on the students' reports written during the program and a questionnaire was administered to the parents to gain their perception of the experience. As well, student confidence levels in assessing growth and development were measured at the end of the paediatric term. Results Although there was an increase in student confidence in developmental assessment at the end of the term, it was not statistically significant. However the findings indicated that students gained increased understanding of the process and enhanced recognition of the parental role, and the study suggested there was increased confidence in some students. Parents indicated that they thought they should be involved in the teaching of students. Conclusion The ASQ was shown to have been useful in an education program at the level of advanced beginners in developmental assessment. PMID:16716208

  13. 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

    Applebaum, David

    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 or a GP (General Medical Practitioner) in London who is prepared to visit them in their Residence should

  14. Inaccessible novel questionnaires in published medical research: hidden methods, hidden costs.

    PubMed

    Schilling, Lisa M; Kozak, Katarzyna; Lundahl, Kristy; Dellavalle, Robert P

    2006-12-15

    Although critical analysis of survey research is limited when reviewers and readers cannot view a study's questionnaire, access to novel questionnaires used in published research has not been systematically examined. The authors identified publications reporting the results of novel questionnaires in three medical journals (JAMA, The New England Journal of Medicine, and The Lancet) in January 2000-May 2003 and searched portable document format (PDF) versions of the studies for the complete questionnaire or a Uniform Resource Locator (URL) providing access to the questionnaire. When the questionnaire was not provided in the publication or a published URL, the authors requested it from the corresponding author in writing up to three times over a 6-week period. Of 93 publications with novel questionnaires, four printed the questionnaire in the article and three provided online access. Corresponding authors failed to provide questionnaires for 37 of 81 (46%) studies. Novel questionnaires used in published research are frequently not available to readers or researchers. Policies that improve access to novel questionnaires will allow better assessment of study results, reduce duplicated efforts, and improve authorship attribution for questionnaire design. PMID:17041128

  15. Further Evaluation of the Outcome Questionnaire-45.2

    ERIC Educational Resources Information Center

    Rice, Kenneth G.; Suh, Hanna; Ege, Engin

    2014-01-01

    Data from clinical and nonclinical samples ("Ns" = 2,096, 618) were used to evaluate and replicate the measurement structure of the Outcome Questionnaire-45.2. Different measurement models and invariance tests were evaluated and the best psychometric support was found for a shortened measure of two factors: overall maladjustment and…

  16. Course Evaluation in Medical Education

    ERIC Educational Resources Information Center

    Kogan, Jennifer R.; Shea, Judy A.

    2007-01-01

    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…

  17. MEDICAL HISTORY QUESTIONNAIRE FOR N-95 FILTERING FACE PIECE RESPIRATORS

    E-print Network

    Slatton, Clint

    for health care or animal care activities, and do not use any other type of respirator. Name: UFID #: Date. Diabetes 8. Feelings of Claustrophobia (Sensation of Smothering) 9. Skin Problems / Abnormalities 10. Are you taking any medications (prescription or over-the- counter) If Yes, LIST: 19. Do you now

  18. The use of questionnaires in safety culture research – an evaluation

    Microsoft Academic Search

    Frank W. Guldenmund

    2007-01-01

    Questionnaires have not been particularly successful in exposing the core of an organisational safety culture. This is clear both from the factors found and the relations between these and safety indicators. The factors primarily seem to denote an overall evaluation of management, which does not say much about cultural basic assumptions. In addition, methodology requires that levels of theory and

  19. The Application of a Primary Science Delivery Evaluation Questionnaire

    ERIC Educational Resources Information Center

    Lewthwaite, Brian; Fisher, Darrell

    2004-01-01

    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…

  20. Validation of a nurses' views on electronic medical record systems (EMR) questionnaire in Turkish health system.

    PubMed

    Top, Mehmet; Yilmaz, Ali; Karabulut, Erdem; Otieno, Ochieng George; Saylam, Melahat; Bak?r, Sevgi; Top, Sümbül

    2015-06-01

    Using of EMR in health services and organizations is steadily increasing for quality improvement, cost effectiveness and performance development. However, no validated national and international instruments (scale, questionnaire, index, and inventory) have assessed the effectiveness, satisfaction, health care savings, patient safety and cost minimization of electronic medical and health systems from the viewpoint and perceptions of nurses in Turkish health services. The perceptions of health care professionals especially physicians and nurses can contribute important information that may predict their acceptance of EMR and desired mode of use for EMR, evaluation performance of EMR thus guiding EMR implementation in hospitals. This article is a report of validation of the instrument to measure nurses' views on the use, quality and user satisfaction with EMR in Turkish health system. Items in the questionnaire were designed and obtained following O.G. Otieno, H. Toyama, M. Asonuma, M. Kanai-Pak, K. Naitoh's questionnaire about Use, Quality and User Satisfaction with EMR systems. Reliability and validity were examined and investigated in terms of responses from 487 nurses from one education hospital in Ankara, Turkey. This study was planned and conducted at a university hospital. The validation process was based on construct validity in this study. The response rate was 74.92%. Cronbach's alphas of three factors (use, quality and satisfaction of EMR) ranged from 0.78 to 0.94. Goodness-of-fit indices from the confirmatory factor analysis showed a reasonable model fit. Results of confirmatory factor analysis showed that ?2 statistic indicated significant result (p?

  1. Development and Preliminary Evaluation of the Bedtime Routines Questionnaire

    Microsoft Academic Search

    Jill A. Henderson; Sara Sytsma Jordan

    2010-01-01

    In the past, child bedtime routines have been examined through observation or sleep diaries. These methods are often expensive\\u000a and hinder study comparisons due to lack of consistent operational definitions of routines. This article describes the development\\u000a and psychometric evaluation of the Bedtime Routines Questionnaire (BRQ), a 31-item paper-and-pencil, parent-report measure\\u000a of children’s bedtime routines. The BRQ and related measures

  2. The Questionnaire as a Data-Gathering Device: Medical School Response Patterns

    ERIC Educational Resources Information Center

    Hilles, William C.; And Others

    1977-01-01

    The process for completing four national questionnaires was analyzed following site visits and detailed documentation at each of six representative medical schools. A number of problems with the process were found that inhibited the provision of reliable data. Corrective action for institutions and sponsoring agencies are suggested. (Editor/LBH)

  3. Medical oncology patients’ preferences with regard to health care: development of a patient-driven questionnaire

    Microsoft Academic Search

    H. Wessels; A. de Graeff; K. Wynia; H. J. Sixma; M. de Heus; M. Schipper; G. T. G. J. Woltjer; S. C. C. M. Teunissen; E. E. Voest

    2009-01-01

    Background: To improve quality of care for cancer patients, it is important to have an insight on the patient’s view on health care and on their specific wishes, needs and preferences, without restriction and without influence of researchers and health care providers. The aim of this study was to develop a questionnaire assessing medical oncology patients’ preferences for health care

  4. Standardization of European Medical Risk Related History questionnaire for use with Persian-speaking population

    PubMed Central

    Pooyafared, Adeleh; Hashemipour, Maryam Alsadat; Baharloey, Kheyzaran; Shafiei, Leili; Montajeb, Forogheh

    2015-01-01

    Background: Today, the dental practitioners are finding many more medically compromised patients in their practice. Aims: The aim of this study was standardization of the European Medical Risk Related History (EMRRH) questionnaire for use among Persian population. Materials and Methods: The English original version of the EMRRH questionnaire was translated into Persian language by a forward–backward translation method. Then reliability was tested on 50 subjects. Also, the sensitivity, specificity, and validity of the questionnaire were assessed. Statistical Analysis Used: Cohen's kappa, a measure of agreement between observers that includes an adjustment for chance agreement, was likewise calculated. Results: The reliability coefficient (Cronbach's alpha) of the EMRRH was above the recommended 0.7 threshold and considered excellent (alpha 0.87). Specificity of the questions was 94% and of per EMRRH item was 93%. Sensitivity per question was 86.1% and of per EMRRH item was 94%. Cohen's kappa for the questionnaire was 0.89 and for subsequent questions was 0.82. Conclusions: The EMRRH (Persian version) has been shown to be valid in comparison with the gold standard (a medical history taken by a physician experienced) and this instrument would be an effectual method of history taking for the dentist. PMID:26097855

  5. Evaluation of a diabetes knowledge and behaviour (DKB) questionnaire.

    PubMed

    Simmons, D; Mandell, C; Fleming, C; Gatland, B; Leakehe, L

    1994-12-01

    The primary prevention of type 2 (non-insulin-dependent) diabetes is now considered possible through adopting lifestyle changes. Population strategies for preventing diabetes are now being developed. The South Auckland Diabetes Project has developed a questionnaire to assess the impact of a diabetes awareness, exercise/healthy eating programme in the local communities. The questionnaire was evaluated among local adult Europeans (n=127), Maori (n=103) and Pacific Islands people (n =167). The questionnaire is interviewer-directed and takes approximately 30 min to administer. Diabetes knowledge was assessed using four open questions and 31 closed true/false questions which had good reliability (Cronbach's a range: 0.59-0.90), reproducibility (Pearson's r range: 0.39-0.74) and external validity (r range: 0.28-0.56) among all ethnic groups. Median scores increased by 7-13% on re-testing. The open and closed question scores were 7-13% and l0-26% higher respectively among those with diabetes or a family history of diabetes (n = 78). Important dietary habits were assessed using four tools: (1) a seven-item food preparation/fat content 'fat index'; (2) a four-item high-fat/high-refined-carbohydrate score had good reliability (Cronbach's ? 0.51-0.74), reproducibility (r = 0.37-0.70) and external validity when compared with a dietetic assessment (total fat r = 0.44-0.90); (3) a 12-item food frequency questionnaire based on standard portion sizes also shared good reproducibility (Pearson's r = 0.45-0.52) and correlated well with the dietetic assessment of total calories (r = 0.48 0.64) and of calories due to fat (r = 0.41-0.65), and (4) a simple question related to the frequency of fruit consumption correlated negatively with the fat index in Europeans (r = 0.25, P<0.05) and Maori (r = -0.33, P<0.01). While the questionnaire does not give a quantitative assessment of nutritional habits, it does offer a speedy tool for evaluating population-based lifestyle and diabetes awareness interventions directed at the prevention and control of type 2 (non-insulin-dependent) diabetes. PMID:24351330

  6. Correlation between single limb support phase and self-evaluation questionnaires in knee osteoarthritis populations

    PubMed Central

    DEBI, RONEN; MOR, AMIT; SEGAL, GANIT; SEGAL, OFER; AGAR, GABRIEL; DEBBI, EYTAN; HALPERIN, NAHUM; HAIM, AMIR; ELBAZ, AVI

    2011-01-01

    Purpose. To investigate the correlation between single limb support (SLS) phase (% of gait cycle) and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) questionnaire and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36 Health Survey) in patients with knee osteoarthritis (OA). Method. A prospective observational study was employed with 125 adults with bilateral medial compartment symptomatic knee OA who underwent a physical and radiographic evaluation. Velocity, step length and SLS were assessed by a computerised mat (GAITRite). Patients completed the WOMAC and SF-36 Health Survey questionnaires. Results. Statistical analysis examined the correlations between SLS and both questionnaires, between Kellgren & Lawrence (K&L) scores and both questionnaires and between SLS correlations and K&L correlations. We found significantly stronger correlations between SLS and WOMAC-pain, WOMAC-function, the SF-36 pain sub-category, velocity and step length than between K&L scores and these parameters (Pearson's r— 0.50 vs. 0.26, 0.53 vs. 0.34, 0.50 vs. 023, 0.81 vs. 0.33, 0.77 vs. 0.37, respectively; all p 5 0.05). Significant differences in SLS were found over WOMAC-pain, WOMAC-function and SF-36 overall score quartiles (p 5 0.05 for all). Conclusion. We recommend integrating SLS as an objective parameter in the comprehensive evaluation of patients with knee OA. PMID:21208029

  7. Heuristic evaluation and thinking aloud test of a digitized questionnaire for diabetes outpatient clinics.

    PubMed

    Schaarup, Clara; Hejlesen, Ole K

    2014-01-01

    Diabetes is a chronic disease characterized by hyperglycaemia. The number of patients with diabetes is expected to exceed 592 million in 2035. The growing number of diabetics is a great burden for the Danish healthcare system. The Danish government desires a modern and efficient healthcare system with a high patient security and a coherent continuity of care. To achieve these outcomes medical record-keeping, paper questionnaires and notes must be digitized. The current system enforces that the diabetics fill out questionnaires in paper form after which the healthcare personnel enter the same information in the electronic health record. In this study, an online questionnaire was designed and the usability was evaluated using the following parameters: learnability, efficiency, memorability, errors, and satisfaction. The parameters were evaluated by using the discount usability engineering method. 5 double specialists and 6 patients diagnosed with diabetes provided the data of the study. The results indicated that simple and obvious figures were preferred in the online questionnaire, as well as error preventing in the form of validation fields. This study inspire to further development in the digitizing process. PMID:25160322

  8. Prescription stimulant expectancies in recreational and medical users: results from a preliminary expectancy questionnaire.

    PubMed

    Looby, Alison; Earleywine, Mitch

    2009-01-01

    Given the rise of prescription stimulant misuse, examination of effect expectancies could prove helpful. The Prescription Stimulant Expectancy Questionnaire (PSEQ) was designed to explore positive and negative prescription stimulant-related expectancies. In 2006, 157 participants nationwide completed an Internet survey of prescription stimulant use, attention-deficit/hyperactivity disorder symptoms, and expectancies. Multiple regressions demonstrate that positive, but not negative expectancies, predicted frequency of use. Recreational and medical users were classified by hierarchical cluster analysis. Recreational users reported fewer positive and negative expectancies than medical users. Implications and limitations are discussed. Future research is warranted on prescription stimulant expectancies and the utility of the PSEQ. PMID:19938932

  9. Development and Validation of the "iCAN!"--A Self-Administered Questionnaire Measuring Outcomes/Competences and Professionalism of Medical Graduates

    ERIC Educational Resources Information Center

    Dimoliatis, Ioannis D. K.; Lyrakos, Georgios N.; Tseretopoulou, Xanthippi; Tzamalis, Theodoros; Bazoukis, George; Benos, Alexis; Gogos, Charalambos; Malizos, Konstantinos; Pneumatikos, Ioannis; Thermos, Kyriaki; Kaldoudi, Eleni; Tzaphlidou, Margaret; Papadopoulos, Iordanis N.; Jelastopulu, Eleni

    2014-01-01

    The Tuning-Medicine Project produced a set of "level one" and "level two" learning outcomes/competences to be met by European medical graduates. In the learner-centered era self-assessment becomes more and more important. Our aim was to develop a self-completion questionnaire ("iCAN!") evaluating graduates' learning…

  10. Validation of a Questionnaire for Heat Strain Evaluation in Women Workers

    PubMed Central

    Dehghan, Habibollah; Habibi, Ehsanollah; Habibi, Peymaneh; Maracy, Mohammad Reza

    2013-01-01

    Introduction: Physiological, anthropometrical and thermal perceptual are the most important factors affecting thermoregulation of men and women in workplaces. The purpose of this study was determining the validity of a questionnaire method for assessing women's heat strain in workplaces. Methods: This cross-sectional study was carried out on 96 healthy women. Data were continuously collected over a period of 3 months (July-September) in 2012. Mean ± (SD) of age was found to be 31.5 ± 7.48 years, of height 1.61 ± 0.05 m, of weight 61.55 ± 10.35 kg, and of body mass index 23.52 ± 3.75 kg/m2 in different workplaces. Heart rate and oral temperature were measured by heart rate monitoring and a medical digital thermometer, respectively. Subjects completed a draft questionnaire about the effective factors in the onset of heat strain. After collecting the questionnaires, the data were analyzed by applying Cronbach’sa calculation, factor analysis method, Pearson correlation and receiver operator characteristic curves using the SPSS 18 software. Results: The value for Cronbach's ? was found to be 0.68. The factor analysis method on items of draft questionnaire extracted three subscale (16 variables) which they explained 63.6% of the variance. According to the results of receiver operator characteristic curve analysis, the cut-off questionnaire score for separating people with heat strain from people with no heat strain was obtained to be 17. Conclusions: The results of this research indicated that this quantitative questionnaire has an acceptable reliability and validity, and a cut-off point. Therefore it could be used in the preliminary screening of heat strain in women in warm workplaces, when other heat stress evaluation methods are not available. PMID:23930180

  11. Comorbidity Assessment in Skin Cancer Patients: A Pilot Study Comparing Medical Interview with a Patient-Reported Questionnaire

    PubMed Central

    Lee, Erica H.; Nijhawan, Rajiv I.; Nehal, Kishwer S.; Dusza, Stephen W.; Levine, Amanda; Hill, Amanda; Barker, Christopher A.

    2015-01-01

    Background. Comorbidities are conditions that occur simultaneously but independently of another disorder. Among skin cancer patients, comorbidities are common and may influence management. Objective. We compared comorbidity assessment by traditional medical interview (MI) and by standardized patient-reported questionnaire based on the Adult Comorbidity Evaluation-27 (ACE-27). Methods. Between September 2011 and October 2013, skin cancer patients underwent prospective comorbidity assessment by a Mohs surgeon (MI) and a radiation oncologist (using a standardized patient-reported questionnaire based on the ACE-27, the PRACE-27). Comorbidities were identified and graded according to the ACE-27 and compared for agreement. Results. Forty-four patients were evaluated. MI and PRACE-27 identified comorbidities in 79.5% and 88.6% (p = 0.12) of patients, respectively. Among 27 comorbid ailments, the MI identified 9.9% as being present, while the PRACE-27 identified 12.5%. When there were discordant observations, PRACE-27 was more likely than MI to identify the comorbidity (OR = 5.4, 95% CI = 2.4–14.4, p < 0.001). Overall comorbidity scores were moderate or severe in 43.2% (MI) versus 59.1% (PRACE-27) (p = 0.016). Limitations. Small sample size from a single institution. Conclusion. Comorbidities are common in skin cancer patients, and a standardized questionnaire may better identify and grade them. More accurate comorbidity assessments may help guide skin cancer management. PMID:26180643

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

    Microsoft Academic Search

    Marie E Dahlin; Bo Runeson

    2007-01-01

    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

  13. Development and validation of the CAM Health Belief Questionnaire (CHBQ) and CAM use and attitudes amongst medical students

    PubMed Central

    Lie, Désirée; Boker, John

    2004-01-01

    Background The need for Complementary and Alternative Medicine (CAM) and holistic approaches in allopathic medical school curricula has been well articulated. Despite increased CAM instruction, feasible and validated instruments for measuring learner outcomes in this content area do not widely exist. In addition, baseline attitudes or beliefs of medical students towards CAM, and the factors that may have formed them, including use of CAM itself, remain unreported. Methods A 10-item measure (CHBQ – CAM Health Belief Questionnaire) was constructed and administered to three successive classes of medical students simultaneously with the previously validated 29-item Integrative Medicine Attitude Questionnaire (IMAQ). Both measures were imbedded in a baseline needs assessment questionnaire. Demographic and other data were collected on students' use of CAM modalities and their awareness and use of primary CAM information resources. Analysis of CHBQ items was performed and its reliability and criterion-related validity were established. Results Response rate was 96.5% (272 of 282 students studied). The shorter CHBQ compared favorably with the longer IMAQ in internal consistency reliability. Cronbach's coefficient alpha was 0.75 and 0.83 for the CHBQ and IMAQ respectively. Students showed positive attitudes/beliefs towards CAM and high levels of self-reported CAM use. The majority (73.5%) of students reported using at least one CAM modality, and 54% reported using at least two modalities. Eighty-one percent use the internet as a primary source of information for CAM. Conclusions The CHBQ is a practical, valid and reliable instrument for measuring medical student attitudes/beliefs and has potential utility for measuring the impact of CAM instruction. Medical students showed a high self-reported rate of CAM use and positive attitudes towards CAM. Short, didactic exposure to CAM instruction in the first year of medical school did not additionally impact these already positive attitudes. Unlike the IMAQ, which was intended for use with physicians, the CHBQ is generic in design and content and applicable to a variety of learner types. Evaluation measures must be appropriate for specific CAM instructional outcomes. PMID:14718061

  14. 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

    Applebaum, David

    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 that all students are registered with either the College Health Centre or a GP (General Medical

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

    PubMed Central

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

    2014-01-01

    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

  16. The Development and Evaluation of the Academic Entitlement Questionnaire

    ERIC Educational Resources Information Center

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

    2011-01-01

    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.…

  17. Children's Attributional Style Questionnaire-Revised: Psychometric Evaluation.

    ERIC Educational Resources Information Center

    Thompson, Martie; Kaslow, Nadine J.; Weiss, Bahr; Nolen-Hoeksema, Susan

    1998-01-01

    The psychometric properties of the Children's Attributional Style Questionnaire-Revised (CASQ) (N. Kaslow and S. Nolen-Hoeksema, 1991) were studied with 1086 children, 9 to 12 years old. Results indicate the revised version to be somewhat less reliable than the original, but with equivalent criterion-related validity for self-reported depression.…

  18. Harvard University Respiratory Protection Program Medical Evaluation Questionnaire

    E-print Network

    Heller, Eric

    ? Asbestosis: Yes No Asthma: Yes No Chronic bronchitis: Yes No Emphysema: Yes No Pneumonia: Yes No Tuberculosis. Do you currently have any of the following symptoms of pulmonary or lung illness? Shortness of breath

  19. UNIVERSITY OF CALIFORNIA, SAN DIEGO MEDICAL EVALUATION QUESTIONNAIRE

    E-print Network

    Russell, Lynn

    .................................................................................................Yes / No d. Emphysema of the following symptoms of pulmonary or lung illness? If YES, how long have you had the illness? (Please give

  20. Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure

    Microsoft Academic Search

    Yuji Okura; Lynn H. Urban; Douglas W. Mahoney; Steven J. Jacobsen; Richard J. Rodeheffer

    2004-01-01

    ObjectivesQuestionnaires are used to estimate disease burden. Agreement between questionnaire responses and a criterion standard is important for optimal disease prevalence estimates. We measured the agreement between self-reported disease and medical record diagnosis of disease.

  1. Food Preferences of Men and Women by Sensory Evaluation Versus Questionnaire

    Microsoft Academic Search

    Michelle R. Weaver; Helen C. Brittin

    2001-01-01

    The purpose of the study was to determine food preferences of men and women by sensory evaluation versus questionnaire. Men and women university students (N = 110, mean age = 21.5±2.5 years) used a questionnaire containing 54 foods to rate on a 9-point hedonic scale and to indicate frequency of consumption. Two weeks later, they tasted 12 of the foods

  2. A Questionnaire for Listening to Students' Voices in the Assessment of Teaching Quality in a Classical Medical School

    ERIC Educational Resources Information Center

    Gaspar, Maria Filomena; Pinto, Anabela Mota; da Conceicao, Hugo Camilo F.; da Silva, Jose Antonio Pereira

    2008-01-01

    The purpose of this study was to develop a teaching quality assessment questionnaire and assess its reliability by using it with a sample of first-year medical students. Principal components analysis with varimax orthogonal rotation resulted in the development of a 12-item, two-component tool, adequate for use in lectures and small-group sessions.…

  3. Construction and validation of the My Medicines and Me Questionnaire for assessment of the self-reported side effects of psychotropic medication.

    PubMed

    Ashoorian, Deena M; Davidson, Rowan M; Rock, Daniel J T; Dragovic, Milan; Clifford, Rhonda M

    2015-07-01

    We aimed to construct and assess the psychometric properties of the My Medicines and Me Questionnaire (M3Q), a self-report side-effect questionnaire for mental health patients. Thirty individuals taking a psychotropic medication completed the M3Q side-effect checklist along with the Liverpool University Neuroleptic Side Effect Rating Scale. Thirty healthy comparison individuals also completed the M3Q checklist. Data were analyzed using factorial analysis. Psychometric evaluations including validity and reliability testing were carried out on the questionnaire's checklist. The original 54-item checklist of the M3Q was shortened to include only those items found to be significant in the factorial analysis. The revised 32-item checklist of the M3Q was found to be valid and reliable. The M3Q is a simple, valid and reliable questionnaire that can be used routinely in clinical practice for detecting bothersome side effects of a range of psychotropic medications. This will provide a platform for improved communication between the clinician and the patient. PMID:25852030

  4. Ride quality evaluation 1: Questionnaire studies of airline passenger comfort

    NASA Technical Reports Server (NTRS)

    Richards, L. G.; Jacobson, I. D.

    1974-01-01

    As part of a larger effort to assess passenger comfort in aircraft, two questionnaires were administered: one to ground-based respondents; the other to passengers in flight. Respondents indicated the importance of various factors influencing their satisfaction with a trip, the perceived importance of various physical factors in determining their level of comfort, and the ease of time spent performing activities in flight. The in-flight sample also provided a rating of their level of comfort and of their willingness to fly again. Comfort ratings were examined in relation to (1) type of respondent, (2) type of aircraft, (3) characteristics of the passengers, (4) ease of performing activities, and (5) willingness to fly again.

  5. Subject-matter Directed Motivation and its Evaluation by Means of Questionnaires

    ERIC Educational Resources Information Center

    Kempf, Wilhelm F.; Lehrke, Manfred

    1975-01-01

    The concept of subject-matter directed motivation, measured by means of questionnaires, proves useful for evaluation, though it covers and emphasizes only one aspect of those modes of behavior which are regarded as motivated. (Author/DEP)

  6. The prosthesis evaluation questionnaire: reliability and cross-validation of the Turkish version

    PubMed Central

    Safer, Vildan Binay; Yavuzer, Gunes; Demir, Sibel Ozbudak; Yanikoglu, Inci; Guneri, Fulya Demircioglu

    2015-01-01

    [Purpose] Currently, there are a limited number of amputee-specific instruments for measuring prosthesis-related quality of life with good psychometric properties in Turkey. This study translated the Prosthetic Evaluation Questionnaire to Turkish and analyzed as well as discussed its construct validity and internal consistency. [Subjects and Methods] The Prosthetic Evaluation Questionnaire was adapted for use in Turkish by forward/backward translation. The final Turkish version of this questionnaire was administered to 90 unilateral amputee patients. Second evaluation was possible in 83 participants within a median 28 day time period. [Results] Point estimates for the intraclass correlation coefficient ranged from 0.69 to 0.89 for all 9 Prosthetic Evaluation Questionnaire scales, indicating good correlation. Overall Cronbach’s alpha coefficients ranged from 0.64 to 0.92, except for the perceived response subscale of 0.39. The ambulation subscale was correlated with the physical functioning subscales of Short Form-36 (SF-36) (r=0.48). The social burden subscale score of the Prosthetic Evaluation Questionnaire was correlated with social functioning subscales of SF-36 (r= 0.63). [Conclusion] The Turkish version of the Prosthetic Evaluation Questionnaire is a valid and reliable tool for implementation in the Turkish unilateral amputee population. PMID:26180296

  7. Validation of Questionnaires from Several Medical Fields regarding the Constitution of Patients

    Microsoft Academic Search

    C. Hoffmann; A. Rosenberger; W. Troeger; R. Stange; M. Buehring

    2002-01-01

    Summary Introduction: To consider or determine an individual’s ‘warm and cold’ constitution is common part of traditional Chinese medicine (TCM), Indian medicine (Ayurveda), anthroposophic medicine and classical natural medicine. Objective: Common psychometric characteristics of 4 questionnaires should be examined. Methods: 110 cancer patients and 110 non-cancer patients were asked to answer these questionnaires twice 4 weeks apart. Subsequent validation of

  8. The resting state questionnaire: An introspective questionnaire for evaluation of inner experience during the conscious resting state.

    PubMed

    Delamillieure, Pascal; Doucet, Gaëlle; Mazoyer, Bernard; Turbelin, Marie-Renée; Delcroix, Nicolas; Mellet, Emmanuel; Zago, Laure; Crivello, Fabrice; Petit, Laurent; Tzourio-Mazoyer, Nathalie; Joliot, Marc

    2010-04-01

    We designed a semi-structured questionnaire for the introspective evaluation of inner experience of participants undergoing functional magnetic resonance imaging (fMRI) in the resting state. This resting state questionnaire (ReSQ) consists of 62 items organized by five main types of mental activity: visual mental imagery (IMAG); inner language (LANG), split into two subtypes, inner speech (SPEE) and auditory mental imagery (AUDI); somatosensory awareness (SOMA); inner musical experience (MUSI); and mental manipulation of numbers (NUMB). For IMAG and LANG, additional questions estimated association of such activities with ongoing learning, retrospective memories, or prospective thoughts. Using a 0-100% scale, the participant quantitatively rated the proportion of time spent in each mental activity during the resting state fMRI acquisition. A total of 180 healthy volunteers completed the ReSQ immediately after being scanned with fMRI while at rest. Of these, 66% exhibited dominance of a type of mental activity at rest (IMAG: 35%; LANG: 17%; SOMA: 7%; MUSI: 6%; NUMB: 1%). A majority of participants reported either retrospective memories (82%) or prospective thoughts (78%), with 58% of participants reporting both in at least one type of mental activity. Thoughts related to ongoing learning were low (37% of participants). The present results are consistent with those of previous studies investigating inner experience in a natural environment. In conclusion, we provide a robust and easy-to-implement tool for the exploration of mental activities during rest of healthy participants undergoing fMRI. This tool relies on normative data acquired from a 180-participant sample balanced for sex and handedness. PMID:20003916

  9. A questionnaire survey comparing the educational priorities of patients and medical students in the management of multiple sclerosis

    PubMed Central

    Fakis, Apostolos; Phillips, Margaret F; Pinnington, Lorraine L

    2014-01-01

    Summary Objective To compare the educational priorities patients and students raise concerning the management of multiple sclerosis (MS). Design/setting A single-centre comparative questionnaire survey conducted in a foundation trust hospital which provides teaching for one UK medical school. Participants A total of 255 people with multiple sclerosis (pwMS) and 125 final year medical students attending a mandatory module were invited to participate. Main outcome measurements Questionnaires were developed and piloted for this study and analysed on the basis of the International Classification of Functioning, Disability and Health terminology. Results Questionnaires were returned by 125 (50%) pwMS (age range 36–86 years; median 58) and 96 (77%) medical students (age range 22–37 years; median 23). The most commonly reported priority listed by people with MS and students concerned ‘environmental contextual factors’ (95.5% and 99%, respectively). PwMS focused primarily on the ‘social and attitudinal aspects’ of the environment (53.6%), while students expressed greater interest in the use of medications (91.7%) and investigations (14.6%) (p?medical students identify different topics when asked to list aspects of management of MS which they deem to be important for medical student teaching. These differences in educational priorities should be taken into consideration when teaching students about MS. The findings may also apply to other long-term neurological conditions and warrant further investigation. PMID:25548654

  10. Medical evaluation for respirator use.

    PubMed

    Szeinuk, J; Beckett, W S; Clark, N; Hailoo, W L

    2000-01-01

    The purpose of a respirator is to prevent the inhalation of harmful airborne substances or to provide a source of respirable air when breathing in oxygen-deficient atmospheres. For a physician to recommend the use of respirator, general background information on respiratory-protective devices is required. The first part of this clinical practice review describes the general aspects of industrial hygiene, respirators and a respirator-certification program. The second part addresses matters related to medical certification for respirator use. Medical certification for respirators is an important part of the activities of the occupational physician. To determine whether a worker is able to tolerate the added strain of a respiratory protective device is a complex process in which factors such as fitness for work, health of the individual, characteristics of the work itself, and the properties, type, and requirements of the respiratory protective device, have to be considered. Medical certification is of utmost importance for respirator use, and it should be viewed as an element in a comprehensive respiratory protection program. A comprehensive program is the key element in affording the workers' effective respiratory protection once the initial steps of the hierarchy of methods of hazard control have proved insufficient or infeasible. As a result, the need for the industrial hygiene/safety officer, the worker, the employer and the medical professional to work as a team is much more than in any other field of occupational medicine--a necessary requirement for making the right decision. PMID:10573602

  11. Measuring social support in patients with advanced medical illnesses: An analysis of the Duke-UNC Functional Social Support Questionnaire.

    PubMed

    Saracino, Rebecca; Kolva, Elissa; Rosenfeld, Barry; Breitbart, William

    2014-09-01

    Objective: To date, no measure of social support has been developed specifically for either palliative care or oncology settings. The present study examined the psychometric properties of the Duke-University of North Carolina Functional Social Support Questionnaire (DUFSS) in order to (1) assess the adequacy of the scale in the context of severe medical illness and (2) evaluate whether a brief subset of items might generate roughly comparable utility. Method: The 14-item DUFSS was administered to 1,362 individuals with advanced cancer or AIDS. Classical test theory (CTT) and item response theory (IRT) analyses were utilized to develop an abbreviated version of the DUFSS that maintained adequate reliability and validity and might increase the feasibility of its administration in a palliative care setting. The reliability and concurrent validity of the DUFSS-5 were evaluated in a separate validation sample of patients with advanced cancer. Results: Analyses generated a five-item version of the DUFSS (the DUFSS-5) that collapsed response levels into only three options, instead of five. Correlations between the DUFSS-5 and measures of depression, quality of life, and desire for hastened death, as well as regression models testing the main-effect and buffering models of social support, provided support for the utility of the DUFSS-5. Significance of results: Both the DUFSS and the abbreviated DUFSS-5 appear to have adequate reliability and validity in this setting. Moreover, the DUFSS-5 represents a potentially important option for healthcare researchers, particularly for those working in palliative care settings where issues of patient burden are paramount. Such analyses are critical for advancing the development and refinement of psychosocial measures, but have often been neglected. PMID:25201170

  12. Euthanasia of Danish dairy cows evaluated in two questionnaire surveys

    PubMed Central

    Thomsen, Peter T; Sørensen, Jan Tind

    2008-01-01

    Background Mortality risk in Danish dairy cows has more than doubled since 1990 (from 2% in 1990 to 5% in 2005). Until now, registrations about dead cows in the Danish Cattle Database have not included information about whether the cow died unassisted or was euthanized. Methods We interviewed a random sample of 196 Danish dairy farmers that had reported a dead cow to the Danish Cattle Database in 2002 and 196 dairy farmers that had reported a dead cow in 2006. Our objectives were to evaluate the proportion of euthanized cows, changes in the behaviour of farmers regarding euthanasia of cows over the years and possible reasons for these changes. Results It seems that the threshold for euthanasia of cows among farmers has changed. Farmers generally reported a lower threshold for euthanasia compared to 5–10 years ago. Conclusion The threshold for euthanasia of cows has, according to the dairy farmers, become lower. This might have positive impacts on animal welfare as more seriously ill cows are euthanized in the herds and not put through a period of suffering associated with disease and treatment or transported to a slaughterhouse in poor condition. PMID:18718005

  13. Application of CIPP model for evaluating the medical records education course at master of science level at Iranian medical sciences universities

    Microsoft Academic Search

    Nooshin Mohebbi; Faezeh Akhlaghi; Mohammad Hossein Yarmohammadian; Masumeh Khoshgam

    2011-01-01

    The data attempting to determine the acceptability level of context, inputs, processes, and outputs of the Medical Records Education Course at Master of Science Level at four Iranian Medical Sciences Universities have been gathered through the questionnaires that were developed by the researcher based on the CIPP evaluation model. As a result of the research it is found that all

  14. EMPI: A questionnaire based method for the evaluation of multimedia interactive

    E-print Network

    Paris-Sud XI, Université de

    EMPI: A questionnaire based method for the evaluation of multimedia interactive pedagogical.Hu@utc.fr, Philippe.Trigano@utc.fr Abstract: We submit a method to help in evaluating the multimedia learning software: the general feeling, the technical quality, the usability, the multimedia docu- ments, the scenario

  15. Psychometric Properties of a Standardized Questionnaire of Knowledge, Attitude, and Practice of Iranian Medical Specialists about Viral Hepatitis

    PubMed Central

    Ghasemi, Shahin; Kabir, Ali; Ansari Jafari, Mojtaba; Jalali, Mohammad; Amini, Afshin; Faghihi-Kashani, Amir Hossein; Alavian, Seyed Moayed

    2012-01-01

    Background Good knowledge, attitude and practice (KAP) of the physicians allow them to handle their patients in such a way that they prevent themselves from contracting, and their patients from spreading, the infection. However, the Iranian standardized KAP questionnaire of physicians about viral hepatitis is not available. So, we developed a standard questionnaire. Objectives The purpose of this study was to provide a standard questionnaire as a basic tool for assessment of the present situation of the KAP of clinicians. It can also be used for evaluating educational programs and interventions on physicians in addition to any trends in their KAP about viral hepatitis. Patients and Methods In order to design and standardize a 29-item self-administered questionnaire, we developed a cross sectional pilot study on 60 Iranian physicians. Ten experts in the field of liver diseases and/or designing the questionnaire answered questions about its validity. Cronbach’s Alpha (on 60 physicians that participated in a congress) and factor analysis (on 370 persons; participants of two viral hepatitis congresses in Tehran and Zanjan and physicians of two university hospitals in Ahvaz) were used in the analysis. Results Reliability was 0.7 according to Cronbach’s Alpha score. Face validity was higher than 80%. Content validity of the whole parts of the questionnaire was 96.25% for clarity, 91.56% for relevancy, 96.25% for simplicity and 98.44% for consistency of each question with the questions’ set. Factor analysis showed that 13 components account for 67.4% of the total variance. Conclusions This study provided evidence that our questionnaire is a feasible, valid and reliable measure of physicians’ KAP status in Iran. The factor analysis did not reveal a strong cluster structure. This questionnaire should be interpreted as a one-dimensional element by the sum of all items, rather than a multi-dimensional instrument. PMID:23443850

  16. Role of religion and spirituality in medical patients: Confirmatory results with the SpREUK questionnaire

    PubMed Central

    Büssing, Arndt; Ostermann, Thomas; Matthiessen, Peter F

    2005-01-01

    Background Spirituality has become a subject of interest in health care as it is was recognized to have the potential to prevent, heal or cope with illness. There is less doubt that values and goals are important contributors to life satisfaction, physical and psychological health, and that goals are what gives meaning and purpose to people's lives. However, there is as yet but limited understanding of how patients themselves view the impact of spirituality on their health and well-being, and whether they are convinced that their illness may have "meaning" to them. To raise these questions and to more precisely survey the basic attitudes of patients with severe diseases towards spirituality/religiosity (SpR) and their adjustment to their illness, we developed the SpREUK questionnaire. Methods In order to re-validate our previously described SpREUK instrument, reliability and factor analysis of the new inventory (Version 1.1) were performed according to the standard procedures. The test sample contained 257 German subjects (53.3 ± 13.4 years) with cancer (51%), multiple sclerosis (24%), other chronic diseases (16%) and patients with acute diseases (7%). Results As some items of the SpREUK construct require a positive attitude towards SpR, these items (item pool 2) were separated from the others (item pool 1). The reliability of the 15-item the construct derived from the item pool 1 respectively the 14-item construct which refers to the item pool 2 both had a good quality (Cronbach's alpha = 0.9065 resp. 0.9525). Factor analysis of item pool 1 resulted in a 3-factor solution (i.e. the 6-item sub-scale 1: "Search for meaningful support"; the 6-item sub-scale 2: "Positive interpretation of disease"; and the 3-item sub-scale 3: "Trust in external guidance") which explains 53.8% of variance. Factor analysis of item pool 2 pointed to a 2-factor solution (i.e. the 10-item sub-scale 4: "Support in relations with the External life through SpR" and the 4-item sub-scale 5: "Support of the Internality through SpR") which explains 58.8% of variance. Generally, women had significantly higher SpREUK scores than male patients. Univariate variance analyses revealed significant associations between the sub-scales and SpR attitude and the educational level. Conclusions The current re-evaluation of the SpREUK 1.1 questionnaire indicates that it is a reliable, valid measure of distinct topics of SpR that may be especially useful of assessing the role of SpR in health related research. The instrument appears to be a good choice for assessing a patients interest in spiritual concerns which is not biased for or against a particular religious commitment. Moreover it addresses the topic of "positive reinterpretation of disease" which seems to be of outstanding importance for patients with life-changing diseases. PMID:15705195

  17. Medical History Questionnaire This form is voluntary. You may ignore it, complete parts of it, or fill it out fully. It is intended solely for

    E-print Network

    Russell, Lynn

    Medical History Questionnaire This form is voluntary. You may ignore it, complete parts of it, or fill it out fully. It is intended solely for your self-protection at sea, by making your medical history available for reference at Medical Advisory Systems/ MedAire, 80 E. Salado Parkway, Suite 610

  18. Physician-nurse collegiality in the medical school curriculum: exploratory workshop and student questionnaire.

    PubMed

    Anvaripour, P L; Jacobson, L; Schweiger, J; Weissman, G K

    1991-01-01

    Medical education is the key to improvements in physician-nurse relationships and communication. The results of a workshop for second-year medical students on collegiality organized by The Mount Sinai Hospital Department of Nursing and the Mount Sinai School of Medicine are presented. The workshop follow-up roundtable discussion is summarized and the results of a survey of medical students' perception of professional nursing are presented. PMID:2023596

  19. Using the Ages and Stages Questionnaire to teach medical students developmental assessment: a descriptive analysis

    Microsoft Academic Search

    Pam Nicol

    2006-01-01

    BACKGROUND: After a survey of medical graduates' skills found a lack of confidence in developmental assessment, a program was introduced with the broad aims of increasing medical student confidence and respect for the parents' role in childhood developmental assessment. Research has shown that parents' concerns are as accurate as quality screening tests in assessing development, so the program utilised the

  20. 28 CFR 549.63 - Initial medical evaluation and management.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...2014-07-01 2014-07-01 false Initial medical evaluation and management. 549.63...OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Hunger Strikes, Inmate § 549.63 Initial medical evaluation and management....

  1. 28 CFR 549.63 - Initial medical evaluation and management.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...2013-07-01 2013-07-01 false Initial medical evaluation and management. 549.63...OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Hunger Strikes, Inmate § 549.63 Initial medical evaluation and management....

  2. 28 CFR 549.63 - Initial medical evaluation and management.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...2012-07-01 2012-07-01 false Initial medical evaluation and management. 549.63...OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Hunger Strikes, Inmate § 549.63 Initial medical evaluation and management....

  3. Evaluating a poetry workshop in medical education.

    PubMed

    Collett, T J; McLachlan, J C

    2006-06-01

    This study aimed at evaluating how doing poetry could affect students' understanding of medical practice and at assessing the effectiveness of the evaluation method used. Qualitative research was carried out on the experiences of medical students participating in a poetry workshop, followed by some quantitative analysis. The study was conducted at Peninsula Medical School and St Ives, Cornwall, UK, with three medical students, a poet and a pathologist as participants. Data were collected by interviews, observation and web access. "Doing poetry" with a professional poet was found to assist communication between doctors and patients as it enhanced skills of observation, heightened awareness of the effect of language and fostered deep reflection. Poetry was also found to offer an outlet for medics and patients. The voluntary workshop attracted three participants; however, it might have had an effect on the wider student community because the poetry website received 493 hits in four months. Qualitative methods worked well as a tool for evaluation. "Doing poetry for poetry's sake" seemed to foster the development of skills related to empathy. The opportunity to do poetry should be made available to medical students as part of a wider arts and humanities programme. PMID:23674751

  4. Screening for Psoriatic Arthritis in Korean Psoriasis Patients Using the Psoriatic Arthritis Screening Evaluation Questionnaire

    PubMed Central

    You, Hyang-Suk; Kim, Gun-Wook; Cho, Hyun-Ho; Kim, Won-Jeong; Mun, Je-Ho; Song, Margaret; Kim, Hoon-Soo; Ko, Hyun-Chang; Kim, Moon-Bum; Lee, Seung-Geun; Lee, In-Sook

    2015-01-01

    Background Psoriatic arthritis (PsA) is chronic seronegative inflammatory arthritis that causes irreversible joint damage. Early recognition of PsA in patients with psoriasis is important for preventing physical disability and deformity. However, diagnosing PsA in a busy dermatology outpatient clinic can be difficult. Objective This study aimed to validate the Psoriatic Arthritis Screening and Evaluation (PASE) questionnaire for the detection of PsA in Korean patients with psoriasis. Methods The PASE questionnaire was prospectively given to 148 patients diagnosed with psoriasis but without a previous diagnosis of PsA. All patients underwent radiologic and laboratory examinations, and a subsequent clinical evaluation by a rheumatologist. Results Eighteen psoriasis patients (12.2%) were diagnosed with PsA according to the Classification Criteria for Psoriatic Arthritis. The PASE questionnaire scores of differed significantly between PsA and non-PsA patients. Receiver operator characteristic analysis showed an area under the curve of 0.82 (95% confidence interval: 0.72, 0.92) for PASE score. A PASE score cut-off of 37 points had a sensitivity of 77.8% and specificity of 82.3% for the diagnosis of PsA. Conclusion The PASE questionnaire is a simple and convenient screening tool for detecting PsA in Korean dermatology clinics. A PASE questionnaire score of 37 points appears to be an appropriate cut-off for screening Korean psoriasis patients.

  5. Evaluation of the pharmacy safety climate questionnaire in European community pharmacies

    Microsoft Academic Search

    D. L. Phipps; J. de Bie; H. Herborg; M. Guerreiro; C. Eickhoff; F. Fernandes-Llimos; M. L. Bouvy; C. Rossing; U. Mueller; D. M. Ashcroft

    2012-01-01

    OBJECTIVE: To evaluate the internal reliability, factor structure and construct validity of the Pharmacy Safety Climate Questionnaire (PSCQ) when applied to a pan-European sample of community pharmacies. DESIGN: A cross-sectional survey design was used. SETTING: Community pharmacies in Denmark, Germany, the Netherlands, Portugal and Great Britain. PARTICIPANTS: A total of 4105 members of the community pharmacy workforce, all drawn from

  6. Evaluating score distributions in the revised Dutch version of the Childhood Health Assessment Questionnaire

    Microsoft Academic Search

    Jessika W Ouwerkerk; Philomine A van Pelt; Tim Takken; Paul JM Helders; Janjaap Net

    2008-01-01

    OBJECTIVES: Evaluating the original, and the revised version of the Dutch Childhood Health Assessment Questionnaire (CHAQ). To explore the effect of different score calculation methods and eight more challenging items as proposed by Lam et al. (2004) on the score distribution in a population of patients with Juvenile Idiopathic Arthritis (JIA). METHODS: Two convenience samples of 59 and 31 children

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

    ERIC Educational Resources Information Center

    Tucker, Beatrice; Jones, Sue; Straker, Leon

    2008-01-01

    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…

  8. The Development and Validation of a Primary Science Curriculum Delivery Evaluation Questionnaire. Research Report

    ERIC Educational Resources Information Center

    Lewthwaite, Brian; Fisher, Darrell

    2005-01-01

    This study describes the processes involved in the development and statistical validation of a primary science curriculum delivery evaluation instrument, the Science Curriculum Implementation Questionnaire (SCIQ), used to identify factors influencing science programme delivery at the classroom and school level. The study begins by exploring the…

  9. End-of-life caregivers' perception of medical and psychological support during the final weeks of glioma patients: a questionnaire-based survey

    PubMed Central

    Heese, Oliver; Vogeler, Eva; Martens, Tobias; Schnell, Oliver; Tonn, Jörg-Christian; Simon, Matthias; Schramm, Johannes; Krex, Dietmar; Schackert, Gabriele; Reithmeier, Thomas; Nikkhah, Guido; Sabel, Michael; Steiger, Hans-Jakob; Schlegel, Uwe; Löffler, Markus; Weller, Michael; Westphal, Manfred

    2013-01-01

    Background The prognosis for glioma remains dismal, and little is known about the final disease phase. To obtain information about this period, we surveyed caregivers of patients who were registered in the German Glioma Network and who died from the disease. Methods A questionnaire with 15 items, focusing on medical, logistic, and mental health support and symptom control during the final 4 weeks, was sent to caregivers. For some of the questions, a scale from 1 (inadequate) to 10 (excellent) was used. Results Of 1655 questionnaires, 605 were returned (36.6%) and evaluated. We found that 67.9% of the patients were taken care of at home for the last 4 weeks; 47.7% died at home, 22.6% died in hospitals, and 19.3% died in hospice facilities. Medical support was provided by general practitioners in 72.3% of cases, by physicians affiliated with a nursing home or hospice in 29.9%, and by general oncologists in 17%. Specialized neuro-oncologists were involved in 6%. The caregivers ranked the medical support with a mean of 7.2 (using a 10-point scale), nursing service with 8.1, and mental health support with 5.5. In 22.9% of cases, no support for the caregivers themselves was offered by medical institutions. Conclusions Although these data reflect the caregivers' subjective views, they are useful in understanding and improving current patterns of care. While patients and their caregivers are supported mainly by neuro-oncologists for most of the disease phase, the end-of-life phase is managed predominantly by general practitioners and specialists in palliative care. Close cooperation between these specialties is necessary to meet the specific needs of glioma patients. PMID:23814266

  10. Academic Training of Medical Students in Transfusion Medicine, Hemotherapy, and Hemostasis: Results of a Questionnaire-Based Status Report in Germany

    PubMed Central

    Scharf, Rüdiger E.; Burger, Reinhard

    2014-01-01

    Summary Background As a consequence of the German Transfusion Act and the corresponding Hemotherapeutic Guidelines of the German Medical Association, the National Advisory Committee Blood approved a recommendation (votum 29) in 2003 to specify students’ training in transfusion medicine, hemotherapy, and hemostasis. The objective of this study was to assess the current status of teaching in these fields. Methods A questionnaire-based evaluation was performed at the medical schools in Germany (n = 34). Responses were analyzed by descriptive criteria, except for weekly semester hours of teaching. Results Responses were obtained from 30 medical faculties (88%). Among them, 18 had conducted votum 29 (12 ‘completely’, 6 ‘essentially’), while 7 had done so only ‘in part’ and 5 ‘not at all’. 13 of 30 sites (43%) reported that no faculty-related curriculum in transfusion medicine and hemostasis (hemotherapy) exists. At 28 of 30 medical schools (93%), teaching in transfusion medicine, hemotherapy, and hemostasis is integrated into cross-curricular topics of interdisciplinary programs, including lectures. The corresponding semester hours of teaching per week ranged from 0.5 to 12 h/week. Conclusion Votum 29 is incompletely established. Consequently, academic teaching in transfusion medicine, hemotherapy, and hemostasis requires structural and conceptual improvement to fulfill legal specifications and regulatory constraints. PMID:25254026

  11. Fault lines in forensic medical toxicology in Ireland exposed through replies of pathologists and coroners to anonymous questionnaires.

    PubMed

    Tormey, William P; Borovickova, Ingrid; Moore, Tara M

    2014-01-01

    The attitudes and experiences of pathologists and coroners to the provision of biochemical forensic toxicology in the Republic of Ireland were determined using separate questionnaires to each group anonymously. Replies were received from 36/88 (41%) of pathologists and 19/71 (27%) of coroners. 37% of coroners considered that histopathologists give an adequate opinion in forensic toxicology yet 58% of pathologists reported that they did not have adequate access to expert medical interpretative toxicological opinion. For drug-drug interactions and metabolic diseases, 69% of pathologists were unhappy with the processes and 68% of coroner replies did not know if vitreous samples were used appropriately. There is a clear requirement for retraining of coroners and for the appointment of medical toxicology expertise to improve the quality of service for coroners. PMID:25279322

  12. Medical students' choice of specialty and factors determining their choice: a cross-sectional questionnaire survey in Melaka-Manipal Medical College, Malaysia.

    PubMed

    Chew, Yu Wei; Rajakrishnan, Sudeash; Low, Chin Aun; Jayapalan, Prakash Kumar; Sreeramareddy, Chandrashekhar T

    2011-01-01

    Information about medical students' choice of specialty can be helpful for planning health manpower. However, such information from medical students in Malaysian medical schools is lacking. We carried out a cross-sectional questionnaire survey among fourth- and fifth-year medical undergraduate students at Melaka-Manipal Medical College. A total of 425 students responded to the survey questionnaire. Nearly a quarter of the students indicated internal medicine as their choice of specialty. Other choices were general surgery (13.2%), pediatrics (11.3%), orthopedics (12.7%) and obstetrics & gynecology (Ob/Gyn) (12.1%). Female students (OR 1.91; 95% CI 1.18-3.08), fourth-year students (OR 1.9; 95% CI 1.15-3.12), and students who reported a higher self-rated knowledge of their subject of choice were more likely to choose internal medicine and allied specialties (OR 1.53; 95% CI 1.07-2.19). The influence of teaching faculty and consultants at the teaching hospitals (74.4%) and inspiration obtained during clinical postings (71.9%) were the factors which were rated by the most students as 'important' for choosing a specialty. About half of the students intended to pursue their postgraduate studies in Malaysia, most of the rest in the United Kingdom or Australia. While internal medicine and surgical subspecialties were preferred, students were not inclined towards primary care or diagnostic subspecialties. Incentives should be provided and other measures should be taken to make these branches more attractive. PMID:21572250

  13. Assessment of learning styles of undergraduate medical students using the VARK questionnaire and the influence of sex and academic performance.

    PubMed

    Urval, Rathnakar P; Kamath, Ashwin; Ullal, Sheetal; Shenoy, Ashok K; Shenoy, Nandita; Udupa, Laxminarayana A

    2014-09-01

    While there are several tools to study learning styles of students, the visual-aural-read/write-kinesthetic (VARK) questionnaire is a simple, freely available, easy to administer tool that encourages students to describe their behavior in a manner they can identify with and accept. The aim is to understand the preferred sensory modality (or modalities) of students for learning. Teachers can use this knowledge to facilitate student learning. Moreover, students themselves can use this knowledge to change their learning habits. Five hundred undergraduate students belonging to two consecutive batches in their second year of undergraduate medical training were invited to participate in the exercise. Consenting students (415 students, 83%) were administered a printed form of version 7.0 of the VARK questionnaire. Besides the questionnaire, we also collected demographic data, academic performance data (marks obtained in 10th and 12th grades and last university examination), and self-perceived learning style preferences. The majority of students in our study had multiple learning preferences (68.7%). The predominant sensory modality of learning was aural (45.5%) and kinesthetic (33.1%). The learning style preference was not influenced by either sex or previous academic performance. Although we use a combination of teaching methods, there has not been an active effort to determine whether these adequately address the different types of learners. We hope these data will help us better our course contents and make learning a more fruitful experience. PMID:25179610

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

    PubMed

    D'Alonzo, Karen T

    2011-01-01

    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 evaluate and revise a battery of Spanish-language questionnaires for an intervention among immigrant Hispanic women. A three-step process was used 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 higher response rate, less missing data and fewer extreme responses. Psychometric limitations to the adaptation of Likert scales are discussed. PMID:22030592

  15. D2-3: Development of a Provider-level Patient Centered Medical Home Questionnaire for Measuring Implementation and Impact

    PubMed Central

    Graham, Jove; Mercer, Dione; Tusing, Lorraine; Stewart, Walter

    2014-01-01

    Background/Aims The patient-centered medical home (PCMH) is widely supported as a means to coordinate care in the primary care environment, but relatively little is known about how variation in implementation of a PCMH model influences the success and sustainability. Many survey instruments developed to date for assessing PCMH are aimed at the healthcare system design as a whole or at patient experience, but not at providers who may have varying attitudes and perspectives on the role of PCMH and unique insights into practical implementation issues. Our goal was to develop questionnaires aimed at primary care physicians (PCPs) and nurse case managers (CMs) to assess variation in perception and implementation of PCMH. Methods This study was performed within Geisinger Health System, an integrated health system with a PCMH program first introduced in 2006. We reviewed care management, medical home, chronic illness and chronic care model literature, and existing tools such as Patients Assessment of Chronic Illness Care (PACIC). Based on 60-minute interviews with system leadership about program design, we developed pilot questions and completed 90-minute interviews with 3 highly-experienced nurse CMs to map global concepts of services and systems to individual staff member functions. Two structured questionnaires were developed for CMs and PCPs focusing on team interactions, linkages to outside resources, and tasks/responsibilities. Providers were asked to rate difficulty of various functions as well as their perceived impact on patient care. Results We administered questionnaires during 60-minute semi-structured interviews with 47 clinical staff covering 23 medical home clinics. Case managers and physicians showed strong agreement on who bears responsibility for ensuring patient access (PCP), monitoring and linkages (CM) and education (Shared), but there was wide variation among clinics in perceived difficulty and impact of various tasks, particularly connecting patients with community resources and interacting with external nursing home facilities in different areas. Results of other questionnaire areas will be presented. Conclusions Design characteristics, process measures and patient-level outcomes are all important in assessing benefits of a PCMH program, and this work contributes additional tools for measuring provider perspectives and variation in implementation across different PCMH sites.

  16. A method for selecting criteria to evaluate medical care.

    PubMed Central

    Wagner, E H; Williams, C A; Greenberg, R; Kleinbaum, D; Wolf, S; Ibrahim, M A

    1978-01-01

    This study tests a questionnaire method for eliciting process criteria for medical care appraisal. The questionnaire was sent to national samples of family physicians, pediatricians, and pediatricians specializing in infectious diseases asking their opinions about various clinical actions in 125 clinical situations concerning respiratory infection in infants. Five hundred twenty-four (54%) physicians returned completed questionnaires. Questionnaire responses favored the performance of a majority of actions and opposed very few. Opinions concerning individual actions, particularly diagnostic tests and treatments, varied widely depending upon the clinical situation presented. A second questionnaire sent one year later indicated that the opinions expressed in the first questionnaire remained stable over time, especially if the initial opinion favored performance of the action. Comparison of the questionnaire responses and medical records of a group of practitioners demonstrated that only 55% of actions favored in a practitioner's questionnaire appeared in his records. Although the questionnaire method appears to be a feasible, specific, and reliable means of identifying clinical opinion, there remains considerable discordance between opinion as expressed in the questionnaire and recorded clinical practice. PMID:645995

  17. 42 CFR 456.370 - Medical, psychological, and social evaluations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...2014-10-01 2014-10-01 false Medical, psychological, and social evaluations...HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS UTILIZATION CONTROL...Control: Intermediate Care Facilities Medical, Psychological, and Social...

  18. 42 CFR 456.370 - Medical, psychological, and social evaluations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...2012-10-01 2012-10-01 false Medical, psychological, and social evaluations...HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS UTILIZATION CONTROL...Control: Intermediate Care Facilities Medical, Psychological, and Social...

  19. 42 CFR 456.370 - Medical, psychological, and social evaluations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...2013-10-01 2013-10-01 false Medical, psychological, and social evaluations...HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS UTILIZATION CONTROL...Control: Intermediate Care Facilities Medical, Psychological, and Social...

  20. Medical evaluation and management of urolithiasis.

    PubMed

    Semins, Michelle Jo; Matlaga, Brian R

    2010-02-01

    Nephrolithiasis is a highly prevalent condition with a high recurrence rate that has a large impact on the quality of life of those affected. It also poses a great financial burden on society. There have been great advancements in the surgical treatment of stone disease over the past several decades. The evolution of surgical technique appears to have overshadowed the importance of prevention of stone disease despite evidence showing medical therapies significantly decreasing stone recurrence rates. Herein we review the metabolic evaluation of stone formers with the use of specific blood and urine tests. We complete our discussion with a review of the medical management of stone formers providing both general recommendations as well as reviewing focused therapies for specific metabolic abnormalities and medical conditions. PMID:21789078

  1. Wireless Medication Management System: Design and performance evaluation

    Microsoft Academic Search

    Upkar Varshney

    2011-01-01

    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

  2. Data quality evaluation in medical database watermarking.

    PubMed

    Franco-Contreras, Javier; Coatrieux, Gouenou; Massari, Philippe; Darmoni, Stefan; Cuppens-Boulahia, Nora; Cuppens, Frédéric; Roux, Christian

    2015-01-01

    The use of watermarking in the protection of medical relational databases requires that the introduced distortion does not hinder records interpretation. In this paper, we present the preliminary results of a watermarked data quality evaluation protocol developed so as to analyze the perception the practitioner has of the watermark. These results show that some attributes are more appropriate for watermarking than others and also that incoherent or unlikely records resulting from careless watermarking are easily identified by an expert. PMID:25991149

  3. Screening high-risk patients and assisting in diagnosing anxiety in primary care: the Patient Health Questionnaire evaluated

    PubMed Central

    2013-01-01

    Background Questionnaires may help in detecting and diagnosing anxiety disorders in primary care. However, since utility of these questionnaires in target populations is rarely studied, the Patient Health Questionnaire anxiety modules (PHQ) were evaluated for use as: a) a screener in high-risk patients, and/or b) a case finder for general practitioners (GPs) to assist in diagnosing anxiety disorders. Methods A cross-sectional analysis was performed in 43 primary care practices in the Netherlands. The added value of the PHQ was assessed in two samples: 1) 170 patients at risk of anxiety disorders (or developing them) according to their electronic medical records (high-risk sample); 2) 141 patients identified as a possible ‘anxiety case’ by a GP (GP-identified sample). All patients completed the PHQ and were interviewed using the Mini International Neuropsychiatric interview to classify DSM-IV anxiety disorders. Psychometric properties were calculated, and a logistic regression analysis was performed to assess the diagnostic value of the PHQ. Results Using only the screening questions of the PHQ, the area under the curve was 83% in the high-risk sample. In GP-identified patients the official algorithm showed the best characteristics with an area under the curve of 77%. Positive screening questions significantly increased the odds of an anxiety disorder diagnosis in high-risk patients (odds ratio?=?23.4; 95% confidence interval 6.9 to 78.8) as did a positive algorithm in GP-identified patients (odds ratio?=?13.9; 95% confidence interval 3.8 to 50.6). Conclusions The PHQ screening questions can be used to screen for anxiety disorders in high-risk primary care patients. In GP-identified patients, the benefit of the PHQ is less evident. PMID:23865984

  4. 5 CFR 339.205 - Medical evaluation programs.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...2010-01-01 false Medical evaluation programs. 339.205 Section...Qualifications § 339.205 Medical evaluation programs. Agencies...significant health or safety risks due to occupational or environmental...demands. The need for a medical evaluation program must be clearly...

  5. Development and validation of a questionnaire for evaluation of students' attitudes towards family medicine.

    PubMed

    Šter, Marija Petek; Švab, Igor; Klemenc-Ketiš, Zalika; Kersnik, Janko

    2015-03-01

    The development of the EURACT (European Academy of Teachers in General Practice) Educational Agenda helped many family medicine departments in development of clerkship and the aims and objectives of family medicine teaching. Our aims were to develop and validate a tool for assessment of students' attitudes towards family medicine and to evaluate the impact of the clerkship on students' attitudes regarding the competences of family doctor. In the pilot study, experienced family doctors were asked to describe their attitudes towards family medicine by using the Educational Agenda as a template for brainstorming. The statements were paraphrased and developed into a 164-items questionnaire, which was administered to 176 final-year students in academic year 2007/08. The third phase consisted of development of a final tool using statistical analysis, which resulted in the 60-items questionnaire in six domains which was used for the evaluation of students' attitudes. At the beginning of the clerkship, person-centred care and holistic approach scored lower than the other competences. Students' attitudes regarding the competences at the end of 7 weeks clerkship in family medicine were more positive, with exception of the competence regarding primary care management. The students who named family medicine as his or her future career choice, found holistic approach as more important than the students who did not name it as their future career. With the decision tree, which included students' attitudes to the competences of family medicine, we can successfully predict the future career choice in family medicine in 93.5% of the students. This study reports on the first attempt to develop a valid and reliable tool for measuring attitudes towards family medicine based on EURACT Educational Agenda. The questionnaire could be used for evaluating changes of students' attitudes in undergraduate curricula and for prediction of students' preferences regarding their future professional career in family medicine. PMID:26040061

  6. Validity, reliability, and sensitivity-to-change properties of the psoriatic arthritis screening and evaluation questionnaire

    PubMed Central

    Husni, M. Elaine; Holt, Elizabeth W.; Tyler, Stephanie; Qureshi, Abrar A.

    2010-01-01

    Psoriatic arthritis (PsA) is an inflammatory arthritis associated with irreversible joint damage in a subset of individuals. There is a need to screen early for this condition to prevent damage. To meet this need, we have developed the psoriatic arthritis screening and evaluation (PASE) questionnaire. The 15-item PASE questionnaire was administered to 190 individuals with either psoriasis or PsA. The PASE questionnaire was readministered to a subset of individuals with PsA in order to assess test–retest reliability and sensitivity-to-change. Receiver operator curves were constructed to optimize sensitivity and specificity for the diagnosis of PsA. Of the 190 participating in the study, 19.5% (37/191) participants were diagnosed with PsA. PASE total scores ranged from 15 to 74 (possible range, 15–75). The PsA group had a median Total score of 51 (25th and 75th percentile 44 and 57), and non-PsA group had a median total score of 34 (25th and 75th percentile 21 and 49) (p < 0.001). A PASE total score of 44 was able to distinguish PsA from non-PsA participants with 76% sensitivity and 76% specificity. Furthermore, 13 of the 15 items demonstrated significant test–retest reliability as assessed by Pearson correlation coefficient (r ? 0.5). PASE was sensitive-to-change with therapy; PASE scores were significantly lower for PsA individuals after systemic therapy (p < 0.034). The PASE questionnaire is a valid and reliable tool to screen for active PsA among individuals with psoriasis. PASE scores may be used as a marker of therapeutic response. PMID:19603175

  7. Evaluating Training Programs: Development and Correlates of the Questionnaire for Professional Training Evaluation

    ERIC Educational Resources Information Center

    Grohmann, Anna; Kauffeld, Simone

    2013-01-01

    Psychometrically sound evaluation measures are vital for examining the contribution of professional training to organizational success in a reliable manner. As training evaluations tend to be both time-consuming and labor-intensive, there is an increasing demand for economic evaluation inventories. Simultaneously, evaluation measures have to meet…

  8. Evaluation of hospital medication inventory policies.

    PubMed

    Gebicki, Marek; Mooney, Ed; Chen, Shi-Jie Gary; Mazur, Lukasz M

    2014-09-01

    As supply chain costs constitute a large portion of hospitals' operating expenses and with $27.7 billion spent by the US hospitals on drugs alone in 2009, improving medication inventory management provides a great opportunity to decrease the cost of healthcare. This study investigates different management approaches for a system consisting of one central storage location, the main pharmacy, and multiple dispensing machines located in each department. Each medication has a specific unit cost, availability from suppliers, criticality level, and expiration date. Event-driven simulation is used to evaluate the performance of several inventory policies based on the total cost and patient safety (service level) under various arrangements of the system defined by the number of drugs and departments, and drugs' criticality, availability, and expiration levels. Our results show that policies that incorporate drug characteristics in ordering decisions can address the tradeoff between patient safety and cost. Indeed, this study shows that such policies can result in higher patient safety and lower overall cost when compared to traditional approaches. Additional insights from this study allow for better understanding of the medication inventory system's dynamics and suggest several directions for future research in this topic. Findings of this study can be applied to help hospital pharmacies with managing their inventory. PMID:24014095

  9. Medical Laboratory Science: An International Comparison for Credentials Evaluators.

    ERIC Educational Resources Information Center

    Turner, Solveig M.; Karlsson, Britta

    Information is presented to help medical technology schools abroad evaluate their credentials in comparison to U.S. requirements. After defining the subfields of medical technology, also called medical laboratory science, a summary is provided of the educational requirements, the professional titles, and the certification recognition of medical

  10. Factor analysis of treatment outcomes from a UK specialist addiction service: Relationship between the Leeds Dependence Questionnaire, Social Satisfaction Questionnaire and 10-item Clinical Outcomes in Routine Evaluation

    PubMed Central

    Fairhurst, Caroline; Böhnke, Jan R; Gabe, Rhian; Croudace, Tim J; Tober, Gillian; Raistrick, Duncan

    2014-01-01

    Introduction and Aims To examine the relationship between three outcome measures used by a specialist addiction service (UK): the Leeds Dependence Questionnaire (LDQ), the Social Satisfaction Questionnaire (SSQ) and the 10-item Clinical Outcomes in Routine Evaluation (CORE-10). Design and Method A clinical sample of 715 service user records was extracted from a specialist addiction service (2011) database. The LDQ (dependence), SSQ (social satisfaction) and CORE-10 (psychological distress) were routinely administered at the start of treatment and again between 3 and 12 months post-treatment. A mixed pre/post-treatment dataset of 526 service users was subjected to exploratory factor analysis. Parallel Analysis and the Hull method were used to suggest the most parsimonious factor solution. Results Exploratory factor analysis with three factors accounted for 66.2% of the total variance but Parallel Analysis supported two factors as sufficient to account for observed correlations among items. In the two-factor solution, LDQ items and nine of the 10 CORE-10 items loaded on the first factor >0.41, and the SSQ items on factor 2 with loadings >0.63. A two dimensional summary appears sufficient and clinically meaningful. Discussion and Conclusions Among specialist addiction service users, social satisfaction appears to be a unique construct of addiction and is not the same as variation due to psychological distress or dependence. Our interpretation of the findings is that dependence is best thought of as a specific psychological condition subsumed under the construct psychological distress. [Fairhurst C, Böhnke JR, Gabe R, Croudace TJ, Tober G, Raistrick D. Factor analysis of treatment outcomes from a UK specialist addiction service: Relationship between the Leeds Dependence Questionnaire, Social Satisfaction Questionnaire and 10-item Clinical Outcomes in Routine Evaluation. Drug Alcohol Rev 2014;33:643–650] PMID:24802233

  11. Evaluating clinical dermatology practice in medical undergraduates.

    PubMed

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

    2014-06-01

    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

  12. [Psychometric evaluation of the German version of the temperament questionnaire TEMPS-A].

    PubMed

    Victor, Daniela; Sakado, Kaoru; Mundt, Christoph; Kronmüller, Klaus-Thomas

    2006-02-01

    One aim of the present study was the psychometric evaluation of the German version of the questionnaire TEMPS-A of Akiskal, Mundt, Maier and Angst , which explores five affective temperaments. Another aim was to create a short version of the questionnaire. For that purpose the TEMPS-A was filled in by n = 62 in-patients who suffered from Major Depression. Then the relation between the five types of temperament and the big five personality factors was examined. The intercorrelations of the five temperament scales of the TEMPS-A showed mainly moderate associations. The correlations with the big five personality factors resulted in significant associations of all temperaments with neuroticism. By factor analyses, conducted for each scale of the TEMPS-A, we developed a short form of the TEMPS-A with 30 items. The evaluation of the TEMPS-A is just beginning. The TEMPS-A is an important basis for the further examination of the relationship between temperament and psychiatric disorders. PMID:16453245

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

    PubMed Central

    2012-01-01

    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

  14. Developing medical educators – a mixed method evaluation of a teaching education program

    PubMed Central

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

    2014-01-01

    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

  15. Using usability heuristics to evaluate patient safety of medical devices

    Microsoft Academic Search

    Jiajie Zhang; Todd R. Johnson; Vimla L. Patel; Danielle L. Paige; Tate Kubose

    2003-01-01

    Objective. To modify the traditional heuristic evaluation method of assessing software usability so that it can be applied to medical devices and used to evaluate the patient safety of those devices through the identification and assessment of usability problems.Design. Heuristic evaluation, a usability inspection method commonly used for software usability evaluation, was modified and extended for medical devices. The modified

  16. Evaluation of the medication sketch artist, a new method of determining unknown patient medications.

    PubMed

    Lowrey, Geoffrey; Lee, Esther; Gerber, Ben

    2003-01-01

    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

  17. 5 CFR 339.205 - Medical evaluation programs.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...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...

  18. 5 CFR 339.205 - Medical evaluation programs.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...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...

  19. 5 CFR 339.205 - Medical evaluation programs.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...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...

  20. 5 CFR 339.205 - Medical evaluation programs.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...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...

  1. Predicting Residential Air Exchange Rates from Questionnaires and Meteorology: Model Evaluation in Central North Carolina

    PubMed Central

    2010-01-01

    A critical aspect of air pollution exposure models is the estimation of the air exchange rate (AER) of individual homes, where people spend most of their time. The AER, which is the airflow into and out of a building, is a primary mechanism for entry of outdoor air pollutants and removal of indoor source emissions. The mechanistic Lawrence Berkeley Laboratory (LBL) AER model was linked to a leakage area model to predict AER from questionnaires and meteorology. The LBL model was also extended to include natural ventilation (LBLX). Using literature-reported parameter values, AER predictions from LBL and LBLX models were compared to data from 642 daily AER measurements across 31 detached homes in central North Carolina, with corresponding questionnaires and meteorological observations. Data was collected on seven consecutive days during each of four consecutive seasons. For the individual model-predicted and measured AER, the median absolute difference was 43% (0.17 h?1) and 40% (0.17 h?1) for the LBL and LBLX models, respectively. Additionally, a literature-reported empirical scale factor (SF) AER model was evaluated, which showed a median absolute difference of 50% (0.25 h?1). The capability of the LBL, LBLX, and SF models could help reduce the AER uncertainty in air pollution exposure models used to develop exposure metrics for health studies. PMID:21069949

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

    PubMed Central

    2012-01-01

    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

  3. Medical evaluations on the KC-135 1990 flight report summary

    NASA Technical Reports Server (NTRS)

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

    1991-01-01

    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.

  4. Medical evaluations on the KC-135 1991 flight report summary

    NASA Technical Reports Server (NTRS)

    Lloyd, Charles W.

    1993-01-01

    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.

  5. Evaluating Decentralized Basic Science Medical Education:A Model

    Microsoft Academic Search

    Thomas J. Cullen; Charles W. Dohner; Roy Schwarz

    1981-01-01

    The Washington, Alaska, Montana, and Idaho Program in Decentralized Medical Education began in 1971. Since that time, more than 400 students have participated in the University Phase of the program. This article presents a modelfor evaluating the basic science portion of the program in which the first year of medical school is taught at sites remote from the medical center

  6. Service Learning in Medical Education: Project Description and Evaluation

    ERIC Educational Resources Information Center

    Borges, Nicole J.; Hartung, Paul J.

    2007-01-01

    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

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

    PubMed Central

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

    2014-01-01

    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

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

    E-print Network

    Wisconsin at Madison, University of

    : Yes/No b. Asthma: Yes/No c. Chronic bronchitis: Yes/No d. Emphysema: Yes/No e. Pneumonia: Yes/No f told about: Yes/No 4. Do you currently have any of the following symptoms of pulmonary or lung illness with your job: Yes/No m. Chest pain when you breathe deeply: Yes/No n. Any other symptoms that you think may

  9. Development and validation of the EUROLIGHT questionnaire to evaluate the burden of primary headache disorders in Europe.

    PubMed

    Andrée, Colette; Vaillant, Michel; Barre, Jessica; Katsarava, Zaza; Lainez, Jose Miguel; Lair, Marie-Lise; Lanteri-Minet, Michel; Lampl, Christian; Steiner, Timothy J; Stovner, Lars Jacob; Tassorelli, Cristina; Sándor, Peter S

    2010-09-01

    We developed a 103-item self-reporting questionnaire to assess the burden of primary headache disorders on those affected by them, including headache characteristics, associated disability, co-morbidities, disease-management and quality of life. We validated the questionnaire in five languages with 426 participants (131 in UK, 60 in Italy, 107 in Spain, 83 in Germany/Austria, and 45 in France). After a linguistic and a face-content validation, we tested the questionnaire for comprehensibility, internal consistency and test-retest reliability at an interval of one month. In the different countries, response rates were between 73% and 100%. Test-retest reliability varied between -0.27 to 1.0 depending of the nature of the expected agreement. The internal consistency was between 0.69 and 0.91. The EUROLIGHT questionnaire is suitable for evaluating the burden of primary headache disorders, and can be used in English, German, French, Italian and Spanish. PMID:20713559

  10. La dimension sociale de la douleur chronique. Evaluation par un questionnaire spécifique

    Microsoft Academic Search

    Ch. Baude; S. Pittié

    2004-01-01

    Résumé  La douleur chronique est un problème de santé publique avec de nombreuses composantes. Presque toutes ont fait l’objet d’évaluation\\u000a spécifique. L’objectif de ce travail est d’évaluer la dimension sociale grâce à un questionnaire spécifique. 139 douloureux\\u000a chroniques ont été inclus entre avril 2002 et avril 2003. Le questionnaire utilisé est une traduction modifiée du questionnaire\\u000a de Gil (1987: nombre de

  11. 78 FR 26681 - Medical Criteria for Evaluating Cystic Fibrosis

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ...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...

  12. Noncognitive Evaluation of Medical Training: A Paracognitive Approach.

    ERIC Educational Resources Information Center

    Raffetto, Allen M.; Zabarenko, Lucy M.

    1979-01-01

    Paracognitive evaluation of medical training recognizes the linkage between training and specific maturational trends. After administering the Paracognitive Evaluation Form to assess medical students' performance in seminars and clinical teaching situations, hierarchical cluster analysis suggested that maturational trends were measured and that…

  13. Factors Influencing Medical Students’ Choice of Future Specialization in Medical Sciences: A Cross-Sectional Questionnaire Survey from Medical Schools in China, Malaysia and Regions of South Asian Association for Regional Cooperation

    PubMed Central

    Kumar, Arun; Mitra, Kasturi; Nagarajan, Sangeetha; Poudel, Bibek

    2014-01-01

    Background: In future, increase in the number of healthcare professionals is dependent on the career interest among present undergraduate medical students. Based on their interest to pursue their specialty, the availability of medical doctors in each specialty could be done. Aims: This study was to find out future career interest and factors that influence undergraduate medical students to choose their future specialization. Materials and Methods: The study was carried out among first-year medical students from five countries. The students were asked to complete an 8-item questionnaire. Two thousand one hundred fifty three participants were enrolled in the study. Data were analyzed in Microsoft-Excel and Statistical Package for the Social Sciences. Results: Of the 2153 participants, only 1470 responded. Among the 1470 participants, 169 participants were excluded due to the ambiguity in responses, finally making it to 1301participants. Among them, Anatomy (49.3%) followed by Biochemistry (26.7%) and Physiology (24%) were the most preferred subjects. Conclusions: Anatomy was the most preferred basic science subject among the other subjects and the students were interested to pursuing surgery in future. Furthermore, the most preferred future specialties were surgery, internal medicine and pediatrics with gender variations; males preferring surgery and females in obstetrics and gynecology. PMID:24741550

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

    NASA Technical Reports Server (NTRS)

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

    2010-01-01

    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

  15. [SF-36 and EQ-5D in the evaluation of QOL in the osteoporotic patients as the generic questionnaires].

    PubMed

    Tanaka, Kiyoshi; Fujii, Ayano; Kuwabara, Akiko

    2012-02-01

    Health-related quality of life (HRQOL) , abbreviated as QOL, can be evaluated by various questionnaires, which are classified as generic and disease-targeted ones. Generic questionnaires are further subdivided into profile-type and preference-based ones. SF-36 and EQ-5D are the best known examples for the former and the latter, respectively. In SF-36 and its shortened one SF-8, the subjects' QOL is expressed by several profiles or subscales. Their advantages include well-conducted validation and availability of national norms. In EQ-5D, a single value representing the subjects' QOL status (utility) is obtained through 5 questions. These generic questionnaires are applicable to patients with various diseases or even to healthy citizens. In contrast, disease-targeted questionnaires lack such features, but can include items that are specifically related to the disease but devoid of general applicability. Thus, generic and disease-targeted questionnaires have their own pros and cons. Selection of the questionnaires depends on the object of the study. PMID:22298081

  16. Autism Screening Tools: An Evaluation of the Social Communication Questionnaire and the Developmental Behaviour Checklist-Autism Screening Algorithm

    ERIC Educational Resources Information Center

    Witwer, Andrea N.; Lecavalier, Luc

    2007-01-01

    Background: This study is the first to evaluate the "Social Communication Questionnaire" (SCQ) and the "Developmental Behaviour Checklist-Autism Screening Algorithm" (DBC-ASA) in the same sample of school-aged children with intellectual disability (ID) with and without Pervasive Developmental Disorders (PDDs). Method: Parents of 49 children (36…

  17. Evaluation of the Motivated Strategies for Learning Questionnaire for Predicting Academic Performance in College Students of Varying Scholastic Aptitude

    ERIC Educational Resources Information Center

    Burlison, Jonathan D.; Murphy, Chanda S.; Dwyer, William O.

    2009-01-01

    All 15 subscales of the Motivated Strategies for Learning Questionnaire (Pintrich, Smith, Garcia, & McKeachie, 1993) were administered to 352 undergraduate students taking Introductory Psychology. Their scores were evaluated with respect to incremental validity (in addition to ACT scores) they provided for predicting course grades. Results…

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

    ERIC Educational Resources Information Center

    Broeren, Suzanne; Muris, Peter

    2010-01-01

    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…

  19. Evaluation of a Patient Perspective Module in a Required Medication Safety and Quality Course at a College of Pharmacy

    PubMed Central

    Battaglia, Jessica N.; Lis, Jennifer E.; Chui, Michelle A.

    2013-01-01

    Objectives To develop and evaluate the impact of a module discussing the patient’s perspective on medication errors in a required medication safety course at a college of pharmacy. Methods Students were required to read Josie’s Story, a true story written by a mother after her daughter died from a medical error, and attend an in-class discussion regarding the book. A questionnaire, which employed a pre-post retrospective method and extracted items from the Caring Ability Inventory, was then administered to measure the change in students’ perceptions of patient care. Additional questions gathered students’ perceptions of the assignment, their personal experiences with the topic, and the importance of medication safety. Results 120 out of 138 students (response rate = 87%) completed the questionnaire. 56% of students indicated they would be more likely to speak with a patient directly about a medication error after reading the book, whereas only 3% were less likely, and 42% indicated they were just as likely. Most students (59%) reported that they felt more motivated to learn about medication safety after reading Josie’s Story. Implications This course previously addressed strategies to prevent medication errors. Successfully adding a component that introduces how a medication error impacted a patient and her family may help motivate students to recognize the importance and need for a culture of safety, personalize how medication errors impact patients, and provide a venue for students to gain patient centeredness and caring skills. PMID:23638323

  20. Benefit Evaluation in Vitiligo Treatment: Development and Validation of a Patient-Defined Outcome Questionnaire

    Microsoft Academic Search

    M. Augustin; A. I. Gajur; C. Reich; S. J. Rustenbach; I. Schaefer

    2008-01-01

    Background: In addition to clinical efficacy, patient-defined benefit assessment has become an important outcome parameter. Thus far, no such instrument has been developed for vitiligo. Objectives: Development and validation of a patient-defined benefit questionnaire in the therapy of vitiligo. Methods: Open questioning of 50 vitiligo patients generated 110 benefit items, which were converted into a 26-item questionnaire by a panel

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

    Microsoft Academic Search

    Suzanne Broeren; Peter Muris

    2010-01-01

    The Behavioral Inhibition Questionnaire (BIQ) is a parent-rating scale for measuring temperamental characteristics referring\\u000a to shyness, fearfulness, and withdrawal in young, preschool children. The present study evaluated the psychometric properties\\u000a of the BIQ in a Dutch community sample of children with a broad age range. For this purpose, the reliability and validity\\u000a of the BIQ was evaluated in three age

  2. Evaluation of a Validated Food Frequency Questionnaire for Self-Defined Vegans in the United States

    PubMed Central

    Dyett, Patricia; Rajaram, Sujatha; Haddad, Ella H.; Sabate, Joan

    2014-01-01

    This study aimed to develop and validate a de novo food frequency questionnaire for self-defined vegans in the United States. Diet histories from pilot samples of vegans and a modified ‘Block Method’ using seven selected nutrients of concern in vegan diet patterns, were employed to generate the questionnaire food list. Food frequency responses of 100 vegans from 19 different U.S. states were obtained via completed mailed questionnaires and compared to multiple telephone-conducted diet recall interviews. Computerized diet analyses were performed. Correlation coefficients, t-tests, rank, cross-tabulations, and probability tests were used to validate and compare intake estimates and dietary reference intake (DRI) assessment trends between the two methods. A 369-item vegan-specific questionnaire was developed with 252 listed food frequency items. Calorie-adjusted correlation coefficients ranged from r = 0.374 to 0.600 (p < 0.001) for all analyzed nutrients except calcium. Estimates, ranks, trends and higher-level participant percentile placements for Vitamin B12 were similar with both methods. Questionnaire intakes were higher than recalls for most other nutrients. Both methods demonstrated similar trends in DRI adequacy assessment (e.g., significantly inadequate vitamin D intake among vegans). This vegan-specific questionnaire can be a useful assessment tool for health screening initiatives in U.S. vegan communities. PMID:25006856

  3. Evaluation of antihypertensive medication adherence in a Veteran population

    Microsoft Academic Search

    Julio R. Lopez; Joy L. Meier; David Siegel

    2005-01-01

    This study evaluates antihypertensive medication adherence using Department of Veterans Affairs pharmacy databases. Automated data extraction routines capture pharmacy, ICD-9, laboratory, and patient demographic data on a monthly basis. We included patients with a diagnosis of hypertension (ICD-9 codes 401.1 to 401.9) who had a history of medication use during July 2002 through December 2003. Medications in the following drug

  4. Assessing diets of 3 year old children: evaluation of a food frequency questionnaire

    PubMed Central

    Jarman, Megan; Fisk, Catherine; Ntani, Georgia; Crozier, Sarah; Godfrey, Keith; Inskip, Hazel; Cooper, Cyrus; Robinson, Sian

    2013-01-01

    Objective To evaluate the use of an administered 80-item food frequency questionnaire (FFQ) to assess nutrient intake and diet quality in 3 year old children. Design Frequency of consumption and portion size of the foods listed on the FFQ during the 3 months preceding the interview were reported by the child’s main caregiver; after the interview a 2-day prospective food diary (FD) was completed on behalf of the child. Nutrient intakes from FFQ and FD were estimated using UK food composition data. Diet quality was assessed from the FFQ and FD, according to the child’s scores for a principal component analysis-defined dietary pattern (‘prudent’ pattern), characterised by high consumption of fruit, vegetables, water and wholemeal cereals. Subjects 892 children aged 3 years in the Southampton Women’s Survey Setting Southampton, UK Results Intakes of all nutrients assessed by FFQ were higher than FD estimates, but there was reasonable agreement in terms of ranking of children (range for Spearman rank correlations for energy-adjusted nutrient intakes, rs=0.41 to 0.59). Prudent diet scores estimated from the FFQ and FD were highly correlated (r=0.72). Some family and child characteristics appeared to influence the ability of the FFQ to rank children, most notably the number of child’s meals eaten away from home. Conclusion The FFQ provides useful information to allow ranking of children at this age with respect to nutrient intake and quality of diet, but may overestimate absolute intakes. Dietary studies of young children need to consider family and child characteristics that may impact on reporting error associated with an FFQ. PMID:23635946

  5. Performance evaluation of low rate WPANs for medical applications

    Microsoft Academic Search

    Nada Golmie; David Cypher; Olivier Rebala

    2004-01-01

    In this article we consider the emerging low-rate wireless personal area network (WPAN) technology as specified in the IEEE 802.15.4 standard and evaluate its suitability for medical applications. The main objective for this effort is to develop a universal and interoperable interface for medical equipment . We focus on scalability issues and the need to support several communicating devices near

  6. Assessment of Learning Styles of Undergraduate Medical Students Using the VARK Questionnaire and the Influence of Sex and Academic Performance

    ERIC Educational Resources Information Center

    Urval, Rathnakar P.; Kamath, Ashwin; Ullal, Sheetal; Shenoy, Ashok K.; Shenoy, Nandita; Udupa, Laxminarayana A.

    2014-01-01

    While there are several tools to study learning styles of students, the visual-aural-read/write-kinesthetic (VARK) questionnaire is a simple, freely available, easy to administer tool that encourages students to describe their behavior in a manner they can identify with and accept. The aim is to understand the preferred sensory modality (or…

  7. Evaluation Study for an ISO 13606 Archetype Based Medical Data Visualization Method.

    PubMed

    Kopanitsa, Georgy

    2015-08-01

    The objective of this evaluation study is to assess a method for standard based medical data visualization. The method allows flexible and customizable visualization for ISO 13606 archetype based medical data. The chosen evaluation concept is based the Guideline for Good Evaluation Practice in Health Informatics (GEP-HI). The stages of the study were identified. Each stage got a detailed description. We also identified the participants and their required qualifications and responsibilities. The evaluation location was described in details. The evaluation metrics were defined. The questionnaires for doctors, patients and experts were developed to fulfill the requirements of the evaluation study. The study was performed in Tomsk, Russia. 30 patients and 5 doctors participated in the study. The overall performance of the users reached the expert level by the end of the study. Patients as well as medical staff stated in their comments that the usability of the system was high, and they preferred it to the previously used paper-based and computer based systems. This was also shown by the high level of satisfaction measured within our study. The visualization approach, integrated into the electronic health record, was well accepted in our pilot setting with high usability scores from patients and doctors alike. The results showed the efficiency for both modeling and visualization part of the system. PMID:26160021

  8. Understanding the Military Medical Evaluation Process

    MedlinePLUS

    ... Line 800.273.TALK (8255) DoD Safe Helpline Sexual Assault Support 877.995.5247 Confidential services, including non- ... Non-Medical Counseling Parenting Relationship Health & Family Wellness Sexual Assault Spouse Education & Career Opportunities Transition Assistance Voluntary Education ...

  9. The evaluation of free influenza vaccination in health care workers in a medical center in Taiwan

    Microsoft Academic Search

    Agnes L. F. Chan; Huei-Jen Shie; Yung-Jin Lee; Shun-Jin Lin

    2008-01-01

    Objective  To evaluate the outcome of free influenza vaccination for healthcare workers in Taiwan.\\u000a \\u000a \\u000a \\u000a Method  A retrospective observational study was conducted in a partially vaccinated sample of healthcare workers in a medical centre\\u000a in the southern part of Taiwan. A convenience sample of 500 employees received a questionnaire.\\u000a \\u000a \\u000a \\u000a Main outcome measure  Incidence of influenza like- illness (ILI), rates of absenteeism and costs savings.

  10. The negative affect repair questionnaire: factor analysis and psychometric evaluation in three samples

    PubMed Central

    2013-01-01

    Background Negative affect and difficulties in its regulation have been connected to several adverse psychological consequences. While several questionnaires exist, it would be important to have a theory-based measure that includes clinically relevant items and shows good psychometric properties in healthy and patient samples. This study aims at developing such a questionnaire, combining the two Gross [1] scales Reappraisal and Suppression with an additional response-focused scale called Externalizing Behavioral Strategies covering clinically relevant items. Methods The samples consisted of 684 students (mean age?=?23.3, SD?=?3.5; 53.6% female) and 369 persons with mixed mental disorders (mean age?=?36.0 SD?=?14.6; 71.2% female). Items for the questionnaire were derived from existing questionnaires and additional items were formulated based on suggestions by clinical experts. All items start with “When I don’t feel well, in order to feel better…”. Participants rated how frequently they used each strategy on a 5-point Likert scale. Confirmatory Factor Analyses were conducted to verify the factor structure in two separate student samples and a clinical sample. Group comparisons and correlations with other questionnaires were calculated to ensure validity. Results After modification, the CFA showed good model fit in all three samples. Reliability scores (Cronbach’s ?) for the three NARQ scales ranged between .71 and .80. Comparisons between students and persons with mental disorders showed the postulated relationships, as did comparisons between male and female students and persons with or without Borderline Personality Disorder. Correlations with other questionnaires suggest the NARQ’s construct validity. Conclusions The results indicate that the NARQ is a psychometrically sound and reliable measure with practical use for therapy planning and tracking of treatment outcome across time. We advocate the integration of the new response-focused strategy in the Gross’s model of emotion regulation. PMID:23302222

  11. A social media self-evaluation checklist for medical practitioners.

    PubMed

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

    2012-01-01

    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

  12. Evaluating the impact of the humanities in medical education.

    PubMed

    Wershof Schwartz, Andrea; Abramson, Jeremy S; Wojnowich, Israel; Accordino, Robert; Ronan, Edward J; Rifkin, Mary R

    2009-08-01

    The inclusion of the humanities in medical education may offer significant potential benefits to individual future physicians and to the medical community as a whole. Debate remains, however, about the definition and precise role of the humanities in medical education, whether at the premedical, medical school, or postgraduate level. Recent trends have revealed an increasing presence of the humanities in medical training. This article reviews the literature on the impact of humanities education on the performance of medical students and residents and the challenges posed by the evaluation of the impact of humanities in medical education. Students who major in the humanities as college students perform just as well, if not better, than their peers with science backgrounds during medical school and in residency on objective measures of achievement such as National Board of Medical Examiners scores and academic grades. Although many humanities electives and courses are offered in premedical and medical school curricula, measuring and quantifying their impact has proven challenging because the courses are diverse in content and goals. Many of the published studies involve self-selected groups of students and seek to measure subjective outcomes which are difficult to measure, such as increases in empathy, professionalism, and self-care. Further research is needed to define the optimal role for humanities education in medical training; in particular, more quantitative studies are needed to examine the impact that it may have on physician performance beyond medical school and residency. Medical educators must consider what potential benefits humanities education can contribute to medical education, how its impact can be measured, and what ultimate outcomes we hope to achieve. PMID:19642151

  13. Economic evaluation of medical technologies in Sweden

    Microsoft Academic Search

    Bengt Jönsson

    1997-01-01

    This paper reviews the use of economic evaluations in the Swedish health care system. The most important actors are defined and examples are given how economic evaluations have played a role in the decision making process. The introduction of extracorporal shock-wave lithotripsy (ESWL) is used as an example on how economic evaluation was used for recommendations to the county councils

  14. 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

    2010-01-01

    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

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

    Microsoft Academic Search

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

    2006-01-01

    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

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

    Microsoft Academic Search

    Julie Aitken Harris; Robert Saltstone; Maryann Fraboni

    1999-01-01

    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

  17. Item Response Modeling: An Evaluation of the Children's Fruit and Vegetable Self-Efficacy Questionnaire

    ERIC Educational Resources Information Center

    Watson, Kathy; Baranowski, Tom; Thompson, Debbe

    2006-01-01

    Perceived self-efficacy (SE) for eating fruit and vegetables (FV) is a key variable mediating FV change in interventions. This study applies item response modeling (IRM) to a fruit, juice and vegetable self-efficacy questionnaire (FVSEQ) previously validated with classical test theory (CTT) procedures. The 24-item (five-point Likert scale) FVSEQ…

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

    ERIC Educational Resources Information Center

    Clark, Sheldon B.; Boser, Judith A.

    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)…

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

    Microsoft Academic Search

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

    2006-01-01

    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

  20. Psychometric Evaluation of the Student Authorship Questionnaire: A Confirmatory Factor Analysis Approach

    ERIC Educational Resources Information Center

    Ballantine, Joan; Guo, Xin; Larres, Patricia

    2015-01-01

    This research provides new insights into the measurement of students' authorial identity and its potential for minimising the incidence of unintentional plagiarism by providing evidence about the psychometric properties of the Student Authorship Questionnaire (SAQ). Exploratory and confirmatory factor analyses (EFA and CFA) are employed to…

  1. IITS Students' Evaluation Questionnaire for the Fall Semester of 1991. A Summary and Report.

    ERIC Educational Resources Information Center

    Jones, Ted

    A mail survey of students enrolled in distance education classes in library science and health education and promotion was conducted after the courses were first offered in the fall semester of 1991. The 77-item questionnaire explored attitudes, opinions, and preferences relating to the Intercampus, Interactive Telecommunications System (IITS),…

  2. The economic evaluation of medical devices: challenges ahead.

    PubMed

    Kirisits, Andreas; Redekop, W Ken

    2013-02-01

    The economic evaluation of medical technology has evolved as a key element in supporting health budget allocation decisions. Among suppliers of innovation, the medical device industry is one of the most dynamic fields of medical progress with thousands of new products marketed every year. Accordingly, the broad variety of technologies covered by the umbrella term 'medical devices' have come under increasing scrutiny regarding their cost effectiveness. In the process, a number of device-specific factors have become apparent, each of which can complicate a thorough economic evaluation and limit its informative value. Some of these factors relate to specific characteristics of device functioning. Examples of such factors include the fact that most technologies require, or form part of, a procedure and that many devices have multiple indications or purposes. Others in turn reflect external conditions and are more general in character, such as the regulatory framework that a medical device manufacturer faces prior to market approval and the structure of the medical device industry. Drawing on the available literature, these complicating factors and their practical implications are discussed and used as a basis to elaborate on the emerging challenges for the economic evaluation of medical devices. PMID:23329383

  3. Evaluation of the Q16 questionnaire on neurotoxic symptoms and a review of its use.

    PubMed Central

    Lundberg, I; Högberg, M; Michélsen, H; Nise, G; Hogstedt, C

    1997-01-01

    OBJECTIVES: The questionnaire 16 (Q16) is commonly used to study prevalences of neurotoxic symptoms among workers exposed to organic solvents. It has also been recommended that exposed workers reporting more than six symptoms should be referred for further examination of possible chronic toxic encephalopathy. It would be useful to know whether symptoms reported in the questionnaire also reflect impairment of similar functions measured with objective or semiobjective methods in a formerly highly exposed group. METHODS: 135 painters and 71 carpenters answered the Q16, were interviewed about symptoms compatible with an organic brain damage, and took a battery of psychometric tests. A subsample of 52 painters and 45 carpenters were interviewed for psychiatric diagnosis according to Diagnostic and Statistical Manual for Mental Disorders, 3rd version (DSM III) and their vibration thresholds in hands and feet were measured. The entire group was followed up in the register of diagnoses at early retirement 1971-93. The lifetime exposure to organic solvents was assessed. Current exposure to organic solvents was found to be low or none. RESULTS: The prevalence of people with more than six symptoms in the Q16 rose with increasing cumulative exposure to solvents. The sensitivity of the questionnaire (more than six symptoms) to detect people who were assessed to exhibit symptoms compatible with an organic brain damage was only 38%. One of seven people who had retired early with a diagnosis compatible with a chronic toxic encephalopathy, and two of five people with a psychiatric diagnosis compatible with this condition, had more than six symptoms in the Q16. The agreement between Q16 replies and psychometric test results, as well as other examinations, was low. CONCLUSIONS: The notable exposure-response relation indicates that the questionnaire is useful for comparison of groups with different exposures to organic solvents. There was low agreement between the number of symptoms on the questionnaire and the assessment of symptoms compatible with organic brain damage, as well as psychiatric, or early retirement diagnoses compatible with chronic toxic encephalopathy. The questionnaire does not seem useful for screening of patients with chronic toxic encephalopathy in groups without ongoing exposure to organic solvents. PMID:9196457

  4. Measuring psychological stress and strain at work - Evaluation of the COPSOQ Questionnaire in Germany.

    PubMed

    Nübling, Matthias; Stößel, Ulrich; Hasselhorn, Hans-Martin; Michaelis, Martina; Hofmann, Friedrich

    2006-01-01

    The undisputed increase of the relevance of mental work load is confronted with a lack of qualified or at least well documented measuring instruments covering all important aspects.The COPSOQ (Copenhagen Psychosocial Questionnaire), a comprehensive instrument for the assessment of psychosocial factors at work, was tested in a partly modified version in a large German sample (N = 2561 employees). The aims of the study were the detailed investigation of the psychometric measurement properties, and based on these results, the development of an abbreviated version of the instrument.The analysis of objectivity, acceptance, practicability, sensitivity and content validity of the questionnaire as a whole did not show any problematic results - with some limitations regarding the length of the questionnaire.The assessment of the reliability, generalisability, construct validity, criterion validity and diagnostic power of the single scales showed medium to good measuring qualities for the majority of the scales (i.e. Cronbach's alpha mostly >0.7). In addition, the psychometric properties were very similar to those in the Danish COPSOQ-study.Considering all aspects of the measurement quality, a shortened version of the instrument was created. It attempts to combine measuring qualities as high as possible with a number of questions as low as possible.The German COPSOQ questionnaire is a free screening-instrument for the recording of psychosocial work load and strain for all enterprises and organisations interested. The next step is the construction of a "job exposure matrix" for psychosocial factors at work, that means a central database with work load profiles and reference values for as many occupational groups as possible. PMID:19742072

  5. A Psychometric Evaluation of the Approach and Avoidance of Alcohol Questionnaire (AAAQ) in Alcohol Dependent Outpatients

    Microsoft Academic Search

    Audrey A. Klein; Paul R. Stasiewicz; James R. Koutsky; Clara M. Bradizza; Scott F. Coffey

    2007-01-01

    The Approach and Avoidance of Alcohol Questionnaire (AAAQ; McEvoy et al. in Addiction 99:482–497, 2004) was administered to a clinical sample of 138 alcohol dependent men and women. An exploratory factor analysis was used to\\u000a determine the AAAQ factor structure and a confirmatory analysis run on a second administration of the AAAQ. Convergent validity\\u000a was examined by conducting an alcohol

  6. Measuring psychological stress and strain at work - Evaluation of the COPSOQ Questionnaire in Germany

    PubMed Central

    Nübling, Matthias; Stößel, Ulrich; Hasselhorn, Hans-Martin; Michaelis, Martina; Hofmann, Friedrich

    2006-01-01

    The undisputed increase of the relevance of mental work load is confronted with a lack of qualified or at least well documented measuring instruments covering all important aspects. The COPSOQ (Copenhagen Psychosocial Questionnaire), a comprehensive instrument for the assessment of psychosocial factors at work, was tested in a partly modified version in a large German sample (N = 2561 employees). The aims of the study were the detailed investigation of the psychometric measurement properties, and based on these results, the development of an abbreviated version of the instrument. The analysis of objectivity, acceptance, practicability, sensitivity and content validity of the questionnaire as a whole did not show any problematic results – with some limitations regarding the length of the questionnaire. The assessment of the reliability, generalisability, construct validity, criterion validity and diagnostic power of the single scales showed medium to good measuring qualities for the majority of the scales (i.e. Cronbach’s alpha mostly >0.7). In addition, the psychometric properties were very similar to those in the Danish COPSOQ-study. Considering all aspects of the measurement quality, a shortened version of the instrument was created. It attempts to combine measuring qualities as high as possible with a number of questions as low as possible. The German COPSOQ questionnaire is a free screening-instrument for the recording of psychosocial work load and strain for all enterprises and organisations interested. The next step is the construction of a "job exposure matrix" for psychosocial factors at work, that means a central database with work load profiles and reference values for as many occupational groups as possible. PMID:19742072

  7. Evaluation of the medically complex living kidney donor.

    PubMed

    Caliskan, Yasar; Yildiz, Alaattin

    2012-01-01

    Due to organ shortage and difficulties for availability of cadaveric donors, living donor transplantation is an important choice for having allograft. Live donor surgery is elective and easier to organize prior to starting dialysis thereby permitting preemptive transplantation as compared to cadaveric transplantation. Because of superior results with living kidney transplantation, efforts including the usage of "Medically complex living donors" are made to increase the availability of organs for donation. The term "Complex living donor" is probably preferred for all suboptimal donors where decision-making is a problem due to lack of sound medical data or consensus guidelines. Donors with advanced age, obesity, asymptomatic microhematuria, proteinuria, hypertension, renal stone disease, history of malignancy and with chronic viral infections consist of this complex living donors. This medical complex living donors requires careful evaluation for future renal risk. In this review we would like to present the major issues in the evaluation process of medically complex living kidney donor. PMID:22655169

  8. National Undergraduate Medical Core Curriculum in Turkey: Evaluation of Residents

    PubMed Central

    Budako?lu, I??l ?rem; Co?kun, Özlem; Ergün, Mehmet Ali

    2014-01-01

    Background: There is very little information available on self-perceived competence levels of junior medical doctors with regard to definitions by the National Core Curriculum (NCC) for Undergraduate Medical Education. Aims: This study aims to determine the perceived level of competence of residents during undergraduate medical education within the context of the NCC. Study Design: Descriptive study. Methods: The survey was conducted between February 2010 and December 2011; the study population comprised 450 residents. Of this group, 318 (71%) participated in the study. Self-assessment questionnaires on competencies were distributed and residents were asked to assess their own competence in different domains by scoring them on a scale of 1 to 10. Results: Nearly half of the residents reported insufficient experience of putting clinical skills into practice when they graduated. In the theoretical part of NCC, the lowest competency score was reported for health-care administration, while the determination of level of chlorine in water, delivering babies, and conducting forensic examinations had the lowest perceived levels of competency in the clinical skills domain. Conclusion: Residents reported low levels of perceived competency in skills they rarely performed outside the university hospital. They were much more confident in skills they performed during their medical education. PMID:25207163

  9. 42 CFR 456.143 - Content of medical care evaluation studies.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 2013-10-01 false Content of medical care evaluation studies. 456.143...HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS UTILIZATION CONTROL...Utilization Control: Hospitals Ur Plan: Medical Care Evaluation Studies §...

  10. [The evaluation of teaching at medical schools in Baden-Wuerttemberg].

    PubMed

    Giesler, Marianne; Fritz, Harald; Kadmon, Martina; Stolz, Katrin; Wirtz, Hans-Peter; Biller, Silke

    2008-01-01

    This article offers an overview of options for the evaluation of medical education. After discussing theoretical and methodological issues we describe how medical education is currently being evaluated by medical faculties in Baden-Wuerttemberg, Germany. PMID:19402354

  11. Implementation and Evaluation of a Medical Informatics Distance Education Program

    Microsoft Academic Search

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

    2001-01-01

    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

  12. EVALUATIONS BY QUESTIONNAIRES ABOUT SIMPLE METHODS OF SEISMIC STRENGTHENING AND SETBACK OF HOUSES

    NASA Astrophysics Data System (ADS)

    Mizuno, Norio; Miyajima, Masakatsu

    Law on promotion of renovation for earthquake-resistant structures was revised in 2006. Since then administrative agencies have been promoting seismic diagnosis and retrofit of houses. But citizens living in densely built-up areas cannot rebuild their houses because of their economic reasons and Building Standards Act regulations. Therefore, we conducted questionnaire surveys of construction companies located in Ishikawa Prefecture and citizens living in Kanazawa City. The results of surveys show that many construction companies are not in favor of simple method of seismic retrofit, and that width of roads hardly influence the citizens' consciousness to renovation for earthquake-resistant structures.

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

    PubMed

    Azizi, F

    2003-01-01

    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

  14. A questionnaire to evaluate the knowledge and attitudes of health care providers on pain.

    PubMed

    Zanolin, M Elisabetta; Visentin, Marco; Trentin, Leonardo; Saiani, Luisa; Brugnolli, Anna; Grassi, Mario

    2007-06-01

    The aims of this study were to survey the knowledge and attitudes of Italian health care professionals toward pain and develop a valid instrument to assess pain knowledge of physicians and nurses. A 21-item questionnaire on a Likert scale was given to 4,961 health professionals in 20 hospitals in Italy who volunteered to participate in the study. The results were analyzed psychometrically in three phases: the Principal Component Analysis phase identified two components, of which only the one that had 10 items about pain knowledge and attitudes (PAK) was studied; the Homogeneity Analysis revealed its acceptable internal reliability (Cronbach's alpha=0.72) and confirmed the Likert equidistance of the item options response; and the Confirmatory Factor Analysis proved that it had a very good construct validity. A standardized score was calculated on the PAK questionnaire using the final 10 selected items, considering 100% as the best level of knowledge of pain management and 0% as the worst. The standardized mean score on the whole sample was equal to 52.6% (95% Confidence Interval: 52.3%-53.0%). There was a statistically significant difference (P<0.001) in percentage score between physicians (56.5%) and nurses (51.3%). Knowledge was best among physicians in Anesthesiology and Emergency; this was followed by doctors in Medicine and then surgeons. The knowledge of nurses was almost constant. This scale fills a void by providing a validated instrument for testing the general knowledge about pain treatment of hospital staff. It is brief and can easily be administered to a considerable number of people. PMID:17531913

  15. 42 CFR 456.482 - Medical, psychiatric, and social evaluations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    If a facility provides inpatient psychiatric services to a beneficiary under age 21, the medical, psychiatric, and social evaluations required by §§ 456.170, and 456.370 must be made by the team described in § 441.153. [43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24,...

  16. 42 CFR 456.482 - Medical, psychiatric, and social evaluations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    If a facility provides inpatient psychiatric services to a beneficiary under age 21, the medical, psychiatric, and social evaluations required by §§ 456.170, and 456.370 must be made by the team described in § 441.153. [43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24,...

  17. 42 CFR 456.482 - Medical, psychiatric, and social evaluations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    If a facility provides inpatient psychiatric services to a recipient under age 21, the medical, psychiatric, and social evaluations required by §§ 456.170, and 456.370 must be made by the team described in § 441.153. [43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24,...

  18. Development of a Psychotropic PRN Medication Evaluative Tool

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

  19. Design and Evaluation of a Medical Teamwork Training Simulator

    E-print Network

    Sun, Jing

    Design 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 for teamwork. We address this issue by using an inexpensive webcam to track the user's head and using that data

  20. Revised medical criteria for evaluating hematological disorders. Final rules.

    PubMed

    2015-04-17

    We are revising the criteria in the Listing of Impairments (listings) that we use to evaluate cases involving hematological disorders in adults and children under titles II and XVI of the Social Security Act (Act). These revisions reflect our adjudicative experience, advances in medical knowledge, diagnosis, and treatment, and public comments we received in response to a Notice of Proposed Rulemaking (NPRM). PMID:25898435

  1. An evaluation of an online course for medical practitioners

    Microsoft Academic Search

    Grainne Conole; Mike Hall; Susan Smith

    2002-01-01

    This paper describes the evaluation of an online training course in Neonatal Medicine, which involved medical practitioners from across Europe. The paper focuses on the findings from an analysis of the online discussion groups. The project aimed to develop an online course for practitioners and included the development of four modules. Delivery was achieved using hybrid technology via distribution of

  2. Evaluation of Continuing Medical Education for Chronic Obstructive Pulmonary Diseases.

    ERIC Educational Resources Information Center

    Li Wang, Virginia; And Others

    1979-01-01

    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…

  3. New Technologies in Medical Imaging: New Challenges in Picture Evaluation

    Microsoft Academic Search

    I. Lovanyi; G. Pak; L. Vajta

    2008-01-01

    The development of medical imaging equipments generates growing amount of pictorial data from the intern organs of the human body. On the other hand the automatically evaluation of the huge amount of pictures and videos is in the very beginning phase, which causes a high need for well trained personal. Over the high cost, the lack of sophisticated and reliable

  4. Evaluation of an Online Bioterrorism Continuing Medical Education Course

    ERIC Educational Resources Information Center

    Casebeer, Linda; Andolsek, Kathryn; Abdolrasulnia, Maziar; Green, Joseph; Weissman, Norman; Pryor, Erica; Zheng, Shimin; Terndrup, Thomas

    2006-01-01

    Introduction: Much of the international community has an increased awareness of potential biologic, chemical, and nuclear threats and the need for physicians to rapidly acquire new knowledge and skills in order to protect the public's health. The present study evaluated the educational effectiveness of an online bioterrorism continuing medical

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

    PubMed Central

    Shamsdin, Azra

    2012-01-01

    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.

  6. A Pilot Study of the Correlation between the Numeric Rating Scale used to Evaluate "Geop" and Questionnaires on Pain Perception

    PubMed Central

    Jung, Myung Jin; Lee, Joon Ho; Jin, Hee Cheol; Lee, Jeong Seok; Kim, Yong Ik

    2015-01-01

    Background The word "geop" is a unique Korean term commonly used to describe fright, fear and anxiety, and similar concepts. The purpose of this pilot study is to examine the correlation between the Numeric Rating Scale (NRS) score of geop and three different questionnaires on pain perception. Methods Patients aged 20 to 70 years who visited our outpatient pain clinics were evaluated. They were requested to rate the NRS score (range: 0-100) if they felt geop. Next, they completed questionnaires on pain perception, in this case the Korean version of the Pain Sensitivity Questionnaire (PSQ), the Pain Catastrophizing Scale (PCS), and the Pain Anxiety Symptoms Scale (PASS). The correlations among each variable were evaluated by statistical analyses. Results There was no statistically significant correlation between the NRS score of geop and the PSQ score (r = 0.075, P = 0.5605). The NRS score of geop showed a significant correlation with the PCS total score (r = 0.346, P = 0.0063). Among the sub-scales, Rumination (r = 0.338, P = 0.0077) and Magnification (r = 0.343, P = 0.0069) were correlated with the NRS score of geop. In addition, the NRS score of geop showed a significant correlation with the PASS total score (r = 0.475, P = 0.0001). The cognitive (r = 0.473, P = 0.0002) and fear factors (r = 0.349, P = 0.0063) also showed significant correlations with the NRS score of geop. Conclusions This study marks the first attempt to introduce the concept of "geop." The NRS score of geop showed a moderate positive correlation with the total PCS and PASS score. However, further investigations are required before the "geop" concept can be used practically in clinical fields. PMID:25589944

  7. Evaluation of the Psychometric Properties of the Functional Assessment of Cancer Therapy-Cervix Questionnaire in Brazil

    PubMed Central

    Fregnani, Cristiane Menezes Sirna; Fregnani, José Humberto Tavares Guerreiro; Dias de Oliveira Latorre, Maria do Rosário; de Almeida, Ana Maria

    2013-01-01

    Background Although cervical cancer is ??the second most common tumor among Brazilian women, studies that evaluate the quality of life of these women are still scarce. This situation is explained by the lack of specific and validated tools for this purpose in Portuguese (Brazil). The aim of this study was to evaluate the psychometric properties of the Portuguese version of the FACT-CX (Functional Assessment of Cancer Therapy-Cervix) questionnaire in a population of Brazilian women with cervical cancer. Methods The psychometric properties of the FACT-CX questionnaire were tested in a sample of 100 women diagnosed with cervical cancer who were previously treated in the Barretos Cancer Hospital. We analyzed the internal consistency (Cronbach's alpha), reproducibility (intraclass correlation coefficient - ICC), confirmatory factor analysis, convergent validity (correlation with the SF-36 questionnaire), and discriminant validity by disease stage and two questions related to self-perception of health was also performed. Results The scales had Cronbach´s alpha coefficients ranging from 0.61 to 0.80. However, three scales did not have a statistically significant coefficient greater than 0.70. The ICC ranged from 0.68 to 0.82 and all considered satisfactory. Factor analysis did not generate consistent components. The FACT-G and FACT-CX total scores had good internal consistency and reproducibility, and also correlated well with the General Health and Vitality scales of the SF-36. However, only two FACT-CX scales had a significant correlation with SF-36. Discriminant analysis showed that FACT-CX failed to discriminate groups according to clinical stage but was able to divide the women according to the self-perception of health. Conclusion FATC-CX total score had good internal consistency, reproducibility and discriminant validity. In addition, it correlated well with General Health and Vitality scales of SF-36. However, three scales had questionable internal consistency and only two had significant correlation with SF-36. PMID:24147102

  8. Evaluation of a BCMA's Electronic Medication Administration Record.

    PubMed

    Staggers, Nancy; Iribarren, Sarah; Guo, Jia-Wen; Weir, Charlene

    2015-07-01

    Barcode medication administration (BCMA) systems can reduce medication errors, but sociotechnical issues are quite common. Although crucial to nurses' work, few usability evaluations are available for electronic medication administration record (eMARs) screens. The purpose of this research was to identify current usability problems in the Veterans Administration's (VA) eMAR/BCMA system and explore how these might affect nurses' situation awareness (SA). Three expert evaluators used 10 tasks/elements, heuristic evaluation techniques, and explored potential impacts using a SA perspective. The results yielded 99 usability problems categorized into 440 heuristic violations with the largest volume in the category of Match With the Real World. Fifteen usability issues were rated as catastrophic with the Administer/Chart medications task having the most. Situational awareness was affected at all levels, especially at Level 2, Comprehension. Usability problems point to important areas for improvement, because these issues have the potential to affect nurses' SA, "at a glance" information, nurse productivity, and patient safety. PMID:25601936

  9. In search of childhood asthma: questionnaire, tests of bronchial hyperresponsiveness, and clinical evaluation

    PubMed Central

    Remes, S; Pekkanen, J; Remes, K; Salonen, R; Korppi, M

    2002-01-01

    Background: The definition or diagnosis of asthma is a challenge for both clinicians and epidemiologists. Symptom history is usually supplemented with tests of bronchial hyperresponsiveness (BHR) in spite of their uncertainty in improving diagnostic accuracy. Methods: To assess the interrelationship between respiratory symptoms, BHR, and clinical diagnosis of asthma, the respiratory symptoms of 1633 schoolchildren were screened using a questionnaire (response rate 81.2%) and a clinical study was conducted in a subsample of 247 children. Data from a free running test and a methacholine inhalation challenge test were available in 218 children. The diagnosis of asthma was confirmed by a paediatric allergist. Results: Despite their high specificity (>0.97), BHR tests did not significantly improve the diagnostic accuracy after the symptom history: area under the receiver operator characteristic (ROC) curve was 0.90 for a logistic regression model with four symptoms and 0.94 for the symptoms with free running test and methacholine inhalation challenge results. On the other hand, BHR tests had low sensitivity (0.35–0.47), whereas several symptoms had both high specificity (>0.97) and sensitivity (>0.7) in relation to clinical asthma, which makes them a better tool for asthma epidemiology than BHR. Conclusions: Symptom history still forms the basis for defining asthma in both clinical and epidemiological settings. BHR tests only marginally increased the diagnostic accuracy after symptom history had been taken into account. The diagnosis of childhood asthma should not therefore be overlooked in symptomatic cases with no objective evidence of BHR. Moreover, BHR should not be required for defining asthma in epidemiological studies. PMID:11828040

  10. 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

    2013-01-01

    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

  11. Psychometric Evaluation of the Dutch Version of the Mood, Interest and Pleasure Questionnaire (MIPQ)

    ERIC Educational Resources Information Center

    Petry, Katja; Kuppens, Sofie; Vos, Pieter; Maes, Bea

    2010-01-01

    Recently, several instruments have been developed to measure the subjective component of the quality of life (QOL) of people with profound intellectual and multiple disabilities (PIMD). A next step, however, must be the further validation of these instruments. The present study aimed at evaluating the psychometric properties of one of these…

  12. Training Teachers to Support Pupils' Listening in Class: An Evaluation Using Pupil Questionnaires

    ERIC Educational Resources Information Center

    Crosskey, Liz; Vance, Maggie

    2011-01-01

    Many children with speech, language and communication needs are educated in mainstream schools. Current policy and practice includes training for school staff in facilitating the development of speaking and listening skills. This study evaluates one such training package that focuses on supporting pupils' listening skills, delivered in a…

  13. Strategies against burnout and anxiety in medical education--implementation and evaluation of a new course on relaxation techniques (Relacs) for medical students.

    PubMed

    Wild, Katharina; Scholz, Michael; Ropohl, Axel; Bräuer, Lars; Paulsen, Friedrich; Burger, Pascal H M

    2014-01-01

    Burnout and stress-related mental disorders (depression, anxiety) occur in medical students and physicians with a significantly higher prevalence than in the general population. At the same time, the learning of coping mechanisms against stress is still not an integral part of medical education. In this pilot study we developed an elective course for learning relaxation techniques and examined the condition of the students before and after the course. 42 students participated in the semester courses in 2012 and 2013 as well as in a survey at the start and end of each course. The students were instructed in autogenic training (AT) and progressive muscle relaxation according to Jacobsen (PMR) with the goal of independent and regular exercising. At the beginning and the end of the semester/course the students were interviewed using standardized, validated questionnaires on burnout (BOSS-II) and anxiety (STAI-G), depression (BDI), quality of life (SF-12) and sense of coherence (SOC-L9). We compared the results of our students participating in Relacs with results from eight semester medical students (n?=?88), assessed with the same questionnaires at similar points of time within their semester. Participating students showed a significant decline in cognitive and emotional burnout stress and in trait anxiety. Furthermore, they showed a reduction in state anxiety and a conspicuous decrease in mean depression. The sense of coherence increased at the same time. A comparative cohort of medical students of 8th semester students, showed lower values for the specified measurement parameters at the beginning, but showed no progressive changes. Our course introducing AT and PMR led to a significant reduction of burnout and anxiety within the participating group of medical students. Even the course attendance for just one semester resulted in significant improvements in the evaluated parameters in contrast to those students who did not attend the course. PMID:25517399

  14. Assessing the reliability and validity of the Revised Two Factor Study Process Questionnaire (R-SPQ2F) in Ghanaian medical students

    PubMed Central

    2014-01-01

    Purpose: We investigated the validity and reliability of the Revised Two Factor Study Process Questionnaire (R-SPQ2F) in preclinical students in Ghana. Methods: The R-SPQ2F was administered to 189 preclinical students of the University for Development Studies, School of Medicine and Health Sciences. Both descriptive and inferential statistics with Cronbach’s alpha test and factor analysis were done. Results: The mean age of the students was 22.69± 0.18years, 60.8% (n=115) were males and 42.3% (n=80) were in their second year of medical training. The students had higher mean deep approach scores (31.23±7.19) than that of surface approach scores (22.62±6.48). Findings of the R-SPQ2F gave credence to a solution of two-factors indicating deep and surface approaches accounting for 49.80% and 33.57%, respectively, of the variance. The scales of deep approach (Cronbach’s alpha, 0.80) and surface approach (Cronbach’s alpha, 0.76) and their subscales demonstrated an internal consistency that was good. The factorial validity was comparable to other studies. Conclusion: Our study confirms the construct validity and internal consistency of the R-SPQ2F for measuring approaches to learning in Ghanaian preclinical students. Deep approach was the most dominant learning approach among the students. The questionnaire can be used to measure students’ approaches to learning in Ghana and in other African countries. PMID:25112447

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

    E-print Network

    Deselaers, Thomas

    Evaluation Axes for Medical Image Retrieval Systems -- The ImageCLEF Experience Henning M¨uller1 in the medical domain is an extremely hot topic in medical imaging as it promises to help better managing the large amount of medical images being produced. Applications are mainly expected in the field of medical

  16. Development and evaluation of a computer-based medical work assessment programme

    PubMed Central

    Mache, Stefanie; Scutaru, Cristian; Vitzthum, Karin; Gerber, Alexander; Quarcoo, David; Welte, Tobias; Bauer, Torsten T; Spallek, Michael; Seidler, Andreas; Nienhaus, Albert; Klapp, Burghard F; Groneberg, David A

    2008-01-01

    Background There are several ways to conduct a job task analysis in medical work environments including pencil-paper observations, interviews and questionnaires. However these methods implicate bias problems such as high inter-individual deviations and risks of misjudgement. Computer-based observation helps to reduce these problems. The aim of this paper is to give an overview of the development process of a computer-based job task analysis instrument for real-time observations to quantify the job tasks performed by physicians working in different medical settings. In addition reliability and validity data of this instrument will be demonstrated. Methods This instrument was developed in consequential steps. First, lists comprising tasks performed by physicians in different care settings were classified. Afterwards content validity of task lists was proved. After establishing the final task categories, computer software was programmed and implemented in a mobile personal computer. At least inter-observer reliability was evaluated. Two trained observers recorded simultaneously tasks of the same physician. Results Content validity of the task lists was confirmed by observations and experienced specialists of each medical area. Development process of the job task analysis instrument was completed successfully. Simultaneous records showed adequate interrater reliability. Conclusion Initial results of this analysis supported the validity and reliability of this developed method for assessing physicians' working routines as well as organizational context factors. Based on results using this method, possible improvements for health professionals' work organisation can be identified. PMID:19094213

  17. Evaluating the Interpersonal Needs Questionnaire: Comparison of the Reliability, Factor Structure, and Predictive Validity across Five Versions.

    PubMed

    Hill, Ryan M; Rey, Yasmin; Marin, Carla E; Sharp, Carla; Green, Kelly L; Pettit, Jeremy W

    2015-06-01

    Five versions of the Interpersonal Needs Questionnaire (INQ), a self-report measure of perceived burdensomeness and thwarted belongingness, have been used in recent studies (including 10-, 12-, 15-, 18-, and 25-items). Findings regarding the associations between perceived burdensomeness, thwarted belongingness, and suicidal ideation using different versions have been mixed, potentially due to differences in measurement scales. This study evaluated factor structure, internal consistency, and concurrent predictive validity of these five versions in three samples. Samples 1 and 2 were comprised of 449 and 218 undergraduates, respectively; Sample 3 included 114 adolescent psychiatric inpatients. All versions demonstrated acceptable internal consistency. The 10-item version and 15-item version demonstrated the best, most consistent model fit in confirmatory factor analyses. Both perceived burdensomeness and thwarted belongingness consistently predicted concurrent suicidal ideation on the 10-item INQ only. Future research should consider using the 15-item or 10-item versions. PMID:25308815

  18. A framework for evaluating and utilizing medical terminology mappings.

    PubMed

    Hussain, Sajjad; Sun, Hong; Sinaci, Anil; Erturkmen, Gokce Banu Laleci; Mead, Charles; Gray, Alasdair J G; McGuinness, Deborah L; Prud'Hommeaux, Eric; Daniel, Christel; Forsberg, Kerstin

    2014-01-01

    Use of medical terminologies and mappings across them are considered to be crucial pre-requisites for achieving interoperable eHealth applications. Built upon the outcomes of several research projects, we introduce a framework for evaluating and utilizing terminology mappings that offers a platform for i) performing various mappings strategies, ii) representing terminology mappings together with their provenance information, and iii) enabling terminology reasoning for inferring both new and erroneous mappings. We present the results of the introduced framework from SALUS project where we evaluated the quality of both existing and inferred terminology mappings among standard terminologies. PMID:25160255

  19. [German version of the Strength and Difficulties Questionnaire (SDQ-German)--overview and evaluation of initial validation and normative results].

    PubMed

    Klasen, Henrikje; Woerner, Wolfgang; Rothenberger, Aribert; Goodman, Robert

    2003-09-01

    The Strengths and Difficulties Questionnaire (SDQ) is a short behavioural screening questionnaire which can be completed in about five minutes by parents and teachers of 4- to 16-year-olds or as self-report by 11- to 16-year-olds. The English original has already been fully evaluated and is widely used in research and clinical practice. The instrument was translated into German in 1997, and several evaluative studies have since been completed. The present paper gives an overview of this novel instrument and summarizes the normative and validation studies to date. A normative study on a field sample of 930 children demonstrated that the distributions of raw scores in the German parent SDQ closely resemble those found in the English version, while a factor analysis of the German data yielded a pattern of loadings which convincingly replicated the original scale structure. Initial validation studies showed that the parent-, teacher-, and self-completed SDQ-Deu correlates well with the considerably longer German versions of the Child Behavior Checklist (CBCL) and respective teacher and self-report derivatives (TRF, YSR). Both parent-rated instruments are equally able to distinguish between a community and a clinic sample, and between subgroups with and without specified categories of disorders within a clinic sample. After discussing possible uses of the SDQ-Deu as well as similarities and differences to other scales, we conclude that the German SDQ is just as useful and valid an instrument for many clinical and research purposes as the English original. PMID:14526759

  20. 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

    Svirko, Elena; Goldacre, Michael J

    2014-01-01

    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. PMID:25408921

  1. [Questionnaire survey of the POCT device antsense ROSE for blood glucose analysis on healthcare professionals--evaluation focused on preventive measures against cross-infections].

    PubMed

    Nagatomo, Ritsuko; Kaneko, Makoto; Yuasa, Kaoru; Ono, Yoshikazu; Kanno, Nobuko; Ueki, Kojiro; Kadowaki, Takashi; Yatomi, Yutaka

    2011-06-01

    Considering the possibility of being used for any patients, such a risk-managed medical device is necessary in the perspective of the prevention of hospital infections. Antsense ROSE, a newly developed POCT (Point of Care Testing) diagnostic device for blood glucose analysis, is designed for safety in hospital use. Use of a disposable chip filter for blood sampling prevents cross-infection through device. As to infection control, we carried out a questionnaire survey of healthcare professionals specialists in diabetes to evaluate the feasibility of this device in clinical practice. Despite the infection control system of this device, the survey participants pointed out only a little improvement in infection risk compared with conventional methods. Some were concerned about the cross-infection because blood sampling itself increases the risk of infection, and because it is difficult for examiners to prevent infections completely due to handling blood samples. Systems ensuring safety, such as a fail-safe, are essential for in-hospital use to prevent hospital infections due to the possibility of using a device for several patients, and to ensure the security even for wrong operations. Further investigations, developments and educational campaign will be required for the use of risk managed devices against in-hospital infections. PMID:21815480

  2. The evaluation of a composed program of continuing medical education for general practitioners

    PubMed Central

    MOATTARI, MARZIEH; YADGARI, DAVOOD; HOSEINI, SEYED JALIL

    2014-01-01

    Introduction: The execution of composed educational programs for general practitioners is one of the most common methods of continuing medical education. This research project aims to evaluate one of these programs. Methods: For this purpose, a pre- and post-test design was developed. The subjects consisted of 45 participants. They were tested in two stages: before and after the program. A questionnaire was also used to gather the participants’ views on four variables including teachers' behavior, the degree of achieving the objective of the program, objective of the learner, and satisfaction with the program. Results: Based on the results of this study, the mean scores of the participants’ knowledge increased from 10.05 (pre test) to 12.61 (post test), (p<0.0001). In addition, the results showed that the teachers’ behavior and satisfaction with the program were rated by participants as the highest and least, respectively. Conclusion: The results of this research are indicative of the effectiveness of the composed educational program in continuing medical education. Nevertheless, such programs are recommended to be further evaluated with more rigorous design. PMID:25512932

  3. Depression among patients with diabetes mellitus in North India evaluated using patient health questionnaire-9

    PubMed Central

    Thour, Amit; Das, Subhash; Sehrawat, Tejasav; Gupta, Yashdeep

    2015-01-01

    Background: Depression is common among diabetes, and is associated with poor outcomes. However, the data on this important relationship are limited from India. Objective: The aim was to estimate the prevalence of depression in patients with diabetes and to determine the association of depression with age, sex, and other related parameters. Materials and Methods: The study was cross-sectional carried out in endocrinology clinic of tertiary care hospital in North India. Cases were patients with type 2 diabetes mellitus (T2DM) above 30 years of age. Depression was assessed using the patient health questionairre-9 (PHQ-9). The relationship with sociodemographic profile, duration of diabetes, hypertension and microvascular complications was also analyzed. Results: Seventy-three subjects (57.5% females) with mean age 50.8 ± 9.2 years were evaluated. The prevalence of depression was 41%. Severe depression (PHQ score ?15) was present in 3 (4%) subjects, moderate depression (PHQ score ?10) in 7 (10%) subjects, and mild depression was present in 20 (27%) of subjects. Depression was significantly more prevalent in rural subjects (57%) when compared to urban ones (31%, P = 0.049). Depression increased with presence of microvascular complications, fasting plasma glucose, hypertension, but the differences were not statistically significant. Conclusions: Our study demonstrates higher prevalence of depression in patients with type 2 diabetes. Apart from being belonging to the rural area, no other factor was significantly associated with depression. Therefore, depression should be assessed in each and every patient, irrespective of other factors. PMID:25729687

  4. Married Women’s Sexual Satisfaction Questionnaire; A Developmental and Psychometric Evaluation

    PubMed Central

    Shahvari, Zahra; Raisi, Firoozeh; Parsa Yekta, Zohre; Ebadi, Abbas; Kazemnejad, Anoshirvan

    2015-01-01

    Background: Despite the significant contribution of cultural factors to sexual satisfaction, most of the current sexual satisfaction scales pay little attention, if any, to cultural factors and marital status. Objectives: The current study aimed to develop and validate the Married Women’s Sexual Satisfaction Scale. Patients and Methods: The current methodological study went through three consecutive phases. In the first phase, the concept of sexual satisfaction was defined and analyzed by the hybrid model approach. In the second phase, an item pool was generated by the findings of the first phase. Finally, the psychometric properties of the scale were evaluated in the third phase. All data analyses were performed by the SPSS version 19.0. Results: A 78-item pool was generated based on the findings of the concept analysis phase. After assessing and confirming its face and content validity, 27 items remained in the final version of the scale. The exploratory factor analysis revealed a four-factor structure for the scale. The results of the known-groups comparison showed that females with lower educational status had significantly lower sexual satisfaction. Moreover, there was a significant correlation between the scores of the finalized scale and those of the ENRICH Marital Satisfaction Scale (r = 0.706, P = 0.01). The interclass correlation between the test and the retest measurements was also statistically significant (ICC = 0.939, P value = 0.001). Conclusions: The 27-item Iranian Married Women’s Sexual Satisfaction Scale is a simple, valid, and reliable tool to assess married women’s sexual satisfaction. PMID:26023347

  5. Evaluation of energy and dietary intake estimates from a food frequency questionnaire using independent energy expenditure measurement and weighed food records

    Microsoft Academic Search

    Monica H Carlsen; Inger TL Lillegaard; Anette Karlsen; Rune Blomhoff; Christian A Drevon; Lene F Andersen

    2010-01-01

    BACKGROUND: We have developed a food frequency questionnaire (FFQ) for the assessment of habitual diet, with special focus on the intake of fruit, vegetables and other antioxidant-rich foods and beverages. The aim of the present study was to evaluate the relative validity of the intakes of energy, food and nutrients from the FFQ. METHODS: Energy intake was evaluated against independent

  6. A Short Version of the Self Description Questionnaire II: Operationalizing Criteria for Short-Form Evaluation With New Applications of Confirmatory Factor Analyses

    ERIC Educational Resources Information Center

    Marsh, Herbert W.; Ellis, Louise A.; Parada, Roberto H.; Richards, Garry; Heubeck, Bernd G.

    2005-01-01

    Four studies evaluate the new Self Description Questionnaire II short-form (SDQII-S) that measures 11 dimensions of adolescent self-concept based on responses to 51 of the original 102 SDQII items and demonstrate new statistical strategies to operationalize guidelines for short-form evaluation proposed by G. T. Smith, D. M. McCarthy, and K. G.…

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

    PubMed Central

    2014-01-01

    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

  8. Crowdsourcing Participatory Evaluation of Medical Pictograms Using Amazon Mechanical Turk

    PubMed Central

    Willis, Matt; Sun, Peiyuan; Wang, Jun

    2013-01-01

    Background Consumer and patient participation proved to be an effective approach for medical pictogram design, but it can be costly and time-consuming. We proposed and evaluated an inexpensive approach that crowdsourced the pictogram evaluation task to Amazon Mechanical Turk (MTurk) workers, who are usually referred to as the “turkers”. Objective To answer two research questions: (1) Is the turkers’ collective effort effective for identifying design problems in medical pictograms? and (2) Do the turkers’ demographic characteristics affect their performance in medical pictogram comprehension? Methods We designed a Web-based survey (open-ended tests) to ask 100 US turkers to type in their guesses of the meaning of 20 US pharmacopeial pictograms. Two judges independently coded the turkers’ guesses into four categories: correct, partially correct, wrong, and completely wrong. The comprehensibility of a pictogram was measured by the percentage of correct guesses, with each partially correct guess counted as 0.5 correct. We then conducted a content analysis on the turkers’ interpretations to identify misunderstandings and assess whether the misunderstandings were common. We also conducted a statistical analysis to examine the relationship between turkers’ demographic characteristics and their pictogram comprehension performance. Results The survey was completed within 3 days of our posting the task to the MTurk, and the collected data are publicly available in the multimedia appendix for download. The comprehensibility for the 20 tested pictograms ranged from 45% to 98%, with an average of 72.5%. The comprehensibility scores of 10 pictograms were strongly correlated to the scores of the same pictograms reported in another study that used oral response–based open-ended testing with local people. The turkers’ misinterpretations shared common errors that exposed design problems in the pictograms. Participant performance was positively correlated with their educational level. Conclusions The results confirmed that crowdsourcing can be used as an effective and inexpensive approach for participatory evaluation of medical pictograms. Through Web-based open-ended testing, the crowd can effectively identify problems in pictogram designs. The results also confirmed that education has a significant effect on the comprehension of medical pictograms. Since low-literate people are underrepresented in the turker population, further investigation is needed to examine to what extent turkers’ misunderstandings overlap with those elicited from low-literate people. PMID:23732572

  9. Improving the transition from medical school to internship – evaluation of a preparation for internship course

    PubMed Central

    2014-01-01

    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

  10. Evaluation of low back pain using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire for lumbar spinal disease in a multicenter study: differences in scores based on age, sex, and type of disease

    Microsoft Academic Search

    Seiji Ohtori; Toshinori Ito; Masaomi Yamashita; Yasuaki Murata; Tatsuo Morinaga; Jiro Hirayama; Tomoaki Kinoshita; Hiromi Ataka; Takana Koshi; Toshihiko Sekikawa; Masayuki Miyagi; Takaaki Tanno; Munetaka Suzuki; Yasuchika Aoki; Takato Aihara; Shinichiro Nakamura; Kiyoshi Yamaguchi; Toshiyuki Tauchi; Kenji Hatakeyama; Keiichi Takata; Hiroaki Sameda; Tomoyuki Ozawa; Eiji Hanaoka; Hirohito Suzuki; Tsutomu Akazawa; Kaoru Suseki; Hajime Arai; Masahiro Kurokawa; Yawara Eguchi; Miyako Suzuki; Yuzuru Okamoto; Jin Miyagi; Masatsune Yamagata; Tomoaki Toyone; Kazuhisa Takahashi

    2010-01-01

    Background  The Japanese Orthopaedic Association (JOA) has investigated the JOA Back Pain Evaluation Questionnaire (JOABPEQ) to evaluate\\u000a several aspects of low back pain in patients. The score includes five categories (25 items) selected from the Roland Morris\\u000a Disability Questionnaire and Short Form 36, and a visual analogue scale. Japanese physicians have recently used these scores\\u000a to evaluate back pain; however, the

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

    PubMed Central

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

    2014-01-01

    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

  12. Two ways to assess problems of evaluating third- and fourth-year medical students: a case study.

    PubMed

    Edwards, J C; Plauché, W C; Vial, R H; Tonesk, X; Buchanan, R

    1989-08-01

    Clinical faculty commonly acknowledge that they have difficulty evaluating third- and fourth-year medical students. The faculty and administration of the Louisiana State University (LSU) School of Medicine in New Orleans conducted pilot tests of two types of materials to assess these problems as part of the Clinical Evaluation Program undertaken by the Association of American Medical Colleges in 1984-1985. The two types of materials--questionnaires and the Problem-Case Analysis--were developed by the staff of the AAMC program and used by the LSU Department of Medicine and the Department of Obstetrics and Gynecology to identify problems in the process of evaluating clerks. Furthermore, the two methods proved complementary: both methods identified some of the same problems and each identified problems not identified by the other. Handling difficult students was the single problem identified by both methods in both departments. The questionnaires permit a simple method of collecting data about a broad range of problems. The Problem-Case Analysis, on the other hand, requires more time but evokes possible causes and alternative solutions, as well as identifying the problems. Improvement plans were developed by each department to address the problems that surfaced. PMID:2751786

  13. 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

    2013-01-01

    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

  14. Evaluation of Patient Knowledge, Desire, and Psychosocial Background regarding Postmastectomy Breast Reconstruction in Hungary: A Questionnaire Study of 500 Cases

    PubMed Central

    Mátrai, Zoltán; Kenessey, István; Sávolt, Ákos; Újhelyi, Mihály; Bartal, Alexandra; Kásler, Miklós

    2014-01-01

    Background According to European guidelines, breast cancer patients requiring mastectomy should be informed about available options regarding breast reconstruction. There are clear differences in the quality standards of oncoplastic care throughout Europe, with slight improvements in Central European countries like Hungary. The aim of the present investigation was to evaluate patients’ knowledge and demand for postmastectomy breast reconstruction, as well as their psychosocial background regarding decision-making. Material/Methods A questionnaire containing 15 structured questions was given to 500 breast cancer patients on the day before undergoing mastectomy. The questions focused on the emotional impact of the malignant disease and the loss of a breast; the importance of environmental conditions; the desire for breast reconstruction; and patients’ knowledge and sources of information about the procedure. All answers were statistically analyzed in the context of patient age, marital status, educational level, and place of residence. Results Descriptive statistical results of the answers to all questions, as well as associations of the different aspects of the decision-making process, are presented. Conclusions Hungarian breast cancer patients have very limited knowledge regarding breast reconstruction. We confirmed that patients scheduled for mastectomy have a great degree of anxiety due to their disease and breast loss. Almost 50% of the responders declared their desire for postmastectomy breast reconstruction. Patient’s age, residence, educational level, marital status, and profession were confirmed as predictive factors in the decision-making process for breast reconstruction. PMID:25502935

  15. Evaluating health-related quality of life in patients with facial acne: development of a self-administered questionnaire for clinical trials

    Microsoft Academic Search

    C. J. Girman; S. Hartmaier; D. Thiboutot; J. Johnson; B. Barber; C. DeMuro-Mercon; J. Waldstreicher

    1996-01-01

    Although psycholosocial aspects of skin diseases are well known, disease-specific questionnaires validated for use in clinical trials are not available to assess the impact of facial acne on health-related quality of life or to evaluate therapeutic change. Development of such an instrument was undertaken and included item generation, reduction and pilottesting phases. By interviewing acne subjects and dermatologists and literature

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

    ERIC Educational Resources Information Center

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

    2011-01-01

    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…

  17. Reliability of Self-Report Measures of Drug Use in Prevention Research: Evaluation of the Project SMART Questionnaire via the Test-Retest Reliability Matrix.

    ERIC Educational Resources Information Center

    Graham, John W.; And Others

    1984-01-01

    Describes an evaluation of a self-report questionnaire administered to seventh graders (N=396). Using the test-retest reliability matrix, eight of nine drug-use indices appeared to have acceptable to good reliability. The three measures included in the test-retest reliability matrix provide stronger evidence for good reliability than could any…

  18. An Evaluation of Body Image Assessments in Hispanic College Women: The Multidimensional Body-Self Relations Questionnaire and the Appearance Schemas Inventory-Revised

    ERIC Educational Resources Information Center

    Smith, Ashlea R.; Davenport, Becky R.

    2012-01-01

    The authors evaluated the utility of the Multidimensional Body-Self Relations Questionnaire (MBSRQ; Brown, Cash, & Mikulka, 1990) and the Appearance Schemas Inventory-Revised (ASI-R; Cash, Melnyk, & Hrabosky, 2004) by administering the instruments to Hispanic female college students. Results indicated that the means of the MBSRQ and the ASI-R…

  19. POST CONFERENCE / WORKSHOP / EVENT EVALUATION Please take a minute a minute to fill out the questionnaire below. This information will help us better

    E-print Network

    Zakharov, Vladimir

    POST CONFERENCE / WORKSHOP / EVENT EVALUATION Please take a minute a minute to fill out the questionnaire below. This information will help us better organize and prepare for future conferences, workshops and events for the department. Conference / Workshop / Event Title: Location and dates: Rate the departments

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

    PubMed Central

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

    2011-01-01

    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

  1. [Asthenopia and work at video display terminals: study of 191 workers exposed to the risk by administration of a standardized questionnaire and ophthalmologic evaluation].

    PubMed

    Taino, G; Ferrari, M; Mestad, I J; Fabris, F; Imbriani, M

    2006-01-01

    VDT (Visual Display Terminals) are commonly used in a wide range of occupational fields. Over the last ten years a number of studies have shown that ocular symptoms are the form of discomfort most frequently experienced by subjects who work at VDT. The symptoms as a whole characterize a complex syndrome named "asthenopia" and have been seen as a consequence of prolonged, fixed and closely oriented vision. In our study we have evaluated data derived from a standardized questionnaire (a series of questions elaborated and promoted by the Italian Society of Occupational Medicine and Industrial Hygiene). It was administered to a group of 191 workers who utilise VDT for more than 20 hours each week. We also took into consideration the results of ophthalmologic medical examinations performed on this particular group of workers. Prevalence of occupational asthenopia we found to be lower in this group than in the case of other reported investigations, though it proved to be higher in the case of female subjects. According to the Literature, symptoms intensity is related to the duration of weekly VDT use, there being no significant association with the number of years spent working at VDT. Our results show that prevalence of asthenopia was not significantly influenced by refractive alterations and this unexpected outcome might be explained by taking into account the small-size group of subjects affected by hypermetropic defects. It is well known that these are the most important factors in conditioning asthenopia. Our finding indicates the need for further research, which should include a larger group of VDT workers with refractive alterations and furthermore take into consideration environmental variables such as climate and illumination, since these are co-aetiological factors, known or suspected, of occupational asthenopia. PMID:17380951

  2. Periorbital hyperpigmentation: review of etiology, medical evaluation, and aesthetic treatment.

    PubMed

    Roberts, Wendy E

    2014-04-01

    Periorbital hyperpigmentation (POH) is a common worldwide problem. It is challenging to treat, complex in pathogenesis, and lacking straightforward and repeatable therapeutic options. It may occur in the young and old, however the development of dark circles under the eyes in any age is of great aesthetic concern because it may depict the individual as sad, tired, stressed, and old. While "dark circles" are seen in all skin types, POH is often more commonly seen in skin of color patients worldwide. With a shifting US demographic characterized by growing number of aging patients as well as skin of color patients, we will encounter POH with greater frequency. As forecasted by the US Census, by 2030 1 in 5 Americans will be 65 plus years old and greater than 50% of the population will possess ethnic skin of color. The disparity in the medical community's understanding of POH versus popular demand for treatment is best illustrated when you have only 65 cited articles to date indexed on PubMed line compared to the 150,000,000 results on Google search engine. Most importantly POH may be a final common pathway of dermatitis, allergy, systemic disorders, sleep disturbances, or nutritional deficiences that lends itself to medical, surgical, and cosmeceutical treatments. A complete medical history with ROS and physical examination is encouraged prior to treating the aesthetic component. Sun protection is a cornerstone of therapy. Safety issues are of utmost concern when embarking upon treatments such as chemical peeling, filler injection, and laser therapy as not to worsen the pigmentation. Without intervention, POH usually progresses over time so early intervention and management is encouraged. The objective of this study was to review the current body of knowledge on POH, provide the clinician with a guide to the evaluation and treatment of POH, and to present diverse clinical cases of POH that have responded to different therapies including non-ablative fractional photothermolysis in two skin of color patients. PMID:24719068

  3. Vergleichende Evaluation einer deutschen Version des Health Assessment Questionnaires (HAQ) und des Funktionsfragebogens Hannover (FFbH)

    Microsoft Academic Search

    J. Lautenschläger; W. Mau; T. Kohlmann; H. H. Raspe; F. Struve; W. Brückle; H. Zeidler

    1997-01-01

    \\u000a Summary   Objective: To translate the Health Assessment Questionnaire Disability Index (HAQ) into a German version, to validate and\\u000a to compare its properties with two different versions of the Hannover Functional Ability Questionnaire (HFAQ) in a German\\u000a speaking population. Methods: The test-retest reliability was tested by Pearson correlation in 32 outpatients of the Department\\u000a of Rheumatology of the Medizinische Hochschule Hannover.

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

    Microsoft Academic Search

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

    2000-01-01

    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

  5. Evaluation of stereoscopic medical video content on an autostereoscopic display for undergraduate medical education

    NASA Astrophysics Data System (ADS)

    Ilgner, Justus F. R.; Kawai, Takashi; Shibata, Takashi; Yamazoe, Takashi; Westhofen, Martin

    2006-02-01

    Introduction: An increasing number of surgical procedures are performed in a microsurgical and minimally-invasive fashion. However, the performance of surgery, its possibilities and limitations become difficult to teach. Stereoscopic video has evolved from a complex production process and expensive hardware towards rapid editing of video streams with standard and HDTV resolution which can be displayed on portable equipment. This study evaluates the usefulness of stereoscopic video in teaching undergraduate medical students. Material and methods: From an earlier study we chose two clips each of three different microsurgical operations (tympanoplasty type III of the ear, endonasal operation of the paranasal sinuses and laser chordectomy for carcinoma of the larynx). This material was added by 23 clips of a cochlear implantation, which was specifically edited for a portable computer with an autostereoscopic display (PC-RD1-3D, SHARP Corp., Japan). The recording and synchronization of left and right image was performed at the University Hospital Aachen. The footage was edited stereoscopically at the Waseda University by means of our original software for non-linear editing of stereoscopic 3-D movies. Then the material was converted into the streaming 3-D video format. The purpose of the conversion was to present the video clips by a file type that does not depend on a television signal such as PAL or NTSC. 25 4th year medical students who participated in the general ENT course at Aachen University Hospital were asked to estimate depth clues within the six video clips plus cochlear implantation clips. Another 25 4th year students who were shown the material monoscopically on a conventional laptop served as control. Results: All participants noted that the additional depth information helped with understanding the relation of anatomical structures, even though none had hands-on experience with Ear, Nose and Throat operations before or during the course. The monoscopic group generally estimated resection depth to much lesser values than in reality. Although this was the case with some participants in the stereoscopic group, too, the estimation of depth features reflected the enhanced depth impression provided by stereoscopy. Conclusion: Following first implementation of stereoscopic video teaching, medical students who are inexperienced with ENT surgical procedures are able to reproduce depth information and therefore anatomically complex structures to a greater extent following stereoscopic video teaching. Besides extending video teaching to junior doctors, the next evaluation step will address its effect on the learning curve during the surgical training program.

  6. Evaluation of RxNorm for Medication Clinical Decision Support

    PubMed Central

    Freimuth, Robert R.; Wix, Kelly; Zhu, Qian; Siska, Mark; Chute, Christopher G.

    2014-01-01

    We evaluated the potential use of RxNorm to provide standardized representations of generic drug name and route of administration to facilitate management of drug lists for clinical decision support (CDS) rules. We found a clear representation of generic drug name but not route of administration. We identified several issues related to data quality, including erroneous or missing defined relationships, and the use of different concept hierarchies to represent the same drug. More importantly, we found extensive semantic precoordination of orthogonal concepts related to route and dose form, which would complicate the use of RxNorm for drug-based CDS. This study demonstrated that while RxNorm is a valuable resource for the standardization of medications used in clinical practice, additional work is required to enhance the terminology so that it can support expanded use cases, such as managing drug lists for CDS. PMID:25954360

  7. Volumetric and cost evaluation study of glaucoma medical therapy

    PubMed Central

    Banga, Hemant Kumar; Gupta, Anita K; Singh, Gursatinder

    2015-01-01

    Aim: The aim of the study was to evaluate the difference in mentioned volume and measured volume of the eye drops and to find out the yearly cost of various antiglaucoma drugs. Methods: It was an experimental and purely laboratory study. Total of 245 bottles of 49 different brands, five of each brand of antiglaucoma drug were analyzed. Number of drops were counted, and volume was measured from each bottle. On the basis of data collected yearly cost of each brand was calculated. Results: Of the 245 bottles, 152 bottles (62.04%) had underfilling. Yearly cost of most of the antiglaucoma drugs lies between Rs. 423.40 and Rs. 6263.40. Conclusion: Measured volume and drops are the major determinants of the cost of medical therapy of glaucoma. Most of the bottles showed underfilling and it was the significant finding. Less number of drops and lesser volume increases the cost of treatment indirectly. PMID:26097815

  8. The Individual Therapy Process Questionnaire: Development and Validation of a Revised Measure to Evaluate General Change Mechanisms in Psychotherapy.

    PubMed

    Mander, Johannes

    2015-07-01

    There is a dearth of measures specifically designed to assess empirically validated mechanisms of therapeutic change. To fill in this research gap, the aim of the current study was to develop a measure that covers a large variety of empirically validated mechanisms of change with corresponding versions for the patient and therapist. To develop an instrument that is based on several important change process frameworks, we combined two established change mechanisms instruments: the Scale for the Multiperspective Assessment of General Change Mechanisms in Psychotherapy (SACiP) and the Scale of the Therapeutic Alliance-Revised (STA-R). In our study, 457 psychosomatic inpatients completed the SACiP and the STA-R and diverse outcome measures in early, middle and late stages of psychotherapy. Data analyses were conducted using factor analyses and multilevel modelling. The psychometric properties of the resulting Individual Therapy Process Questionnaire were generally good to excellent, as demonstrated by (a) exploratory factor analyses on both patient and therapist ratings, (b) CFA on later measuring times, (c) high internal consistencies and (d) significant outcome predictive effects. The parallel forms of the ITPQ deliver opportunities to compare the patient and therapist perspectives for a broader range of facets of change mechanisms than was hitherto possible. Consequently, the measure can be applied in future research to more specifically analyse different change mechanism profiles in session-to-session development and outcome prediction. Copyright © 2014 John Wiley & Sons, Ltd. Key Practitioner Message This article describes the development of an instrument that measures general mechanisms of change in psychotherapy from both the patient and therapist perspectives. Post-session item ratings from both the patient and therapist can be used as feedback to optimize therapeutic processes. We provide a detailed discussion of measures developed to evaluate therapeutic change mechanisms. PMID:24604874

  9. Standardizing the inclusion of indirect medical costs in economic evaluations.

    PubMed

    van Baal, Pieter H M; Wong, Albert; Slobbe, Laurentius C J; Polder, Johan J; Brouwer, Werner B F; de Wit, G Ardine

    2011-03-01

    A shortcoming of many economic evaluations is that they do not include all medical costs in life-years gained (also termed indirect medical costs). One of the reasons for this is the practical difficulties in the estimation of these costs. While some methods have been proposed to estimate indirect medical costs in a standardized manner, these methods fail to take into account that not all costs in life-years gained can be estimated in such a way. Costs in life-years gained caused by diseases related to the intervention are difficult to estimate in a standardized manner and should always be explicitly modelled. However, costs of all other (unrelated) diseases in life-years gained can be estimated in such a way. We propose a conceptual model of how to estimate costs of unrelated diseases in life-years gained in a standardized manner. Furthermore, we describe how we estimated the parameters of this conceptual model using various data sources and studies conducted in the Netherlands. Results of the estimates are embedded in a software package called 'Practical Application to Include future Disease costs' (PAID 1.0). PAID 1.0 is available as a Microsoft® Excel tool (available as Supplemental Digital Content via a link in this article) and enables researchers to 'switch off' those disease categories that were already included in their own analysis and to estimate future healthcare costs of all other diseases for incorporation in their economic evaluations. We assumed that total healthcare expenditure can be explained by age, sex and time to death, while the relationship between costs and these three variables differs per disease. To estimate values for age- and sex-specific per capita health expenditure per disease and healthcare provider stratified by time to death we used Dutch cost-of-illness (COI) data for the year 2005 as a backbone. The COI data consisted of age- and sex-specific per capita health expenditure uniquely attributed to 107 disease categories and eight healthcare provider categories. Since the Dutch COI figures do not distinguish between costs of those who die at a certain age (decedents) and those who survive that age (survivors), we decomposed average per capita expenditure into parts that are attributable to decedents and survivors, respectively, using other data sources. PMID:21184618

  10. Toward Meaningful Evaluation of Medical Trainees: The Influence of Participants' Perceptions of the Process

    ERIC Educational Resources Information Center

    Watling, Christopher J.; Lingard, Lorelei

    2012-01-01

    An essential goal of evaluation is to foster learning. Across the medical education spectrum, evaluation of clinical performance is dominated by subjective feedback to learners based on observation by expert supervisors. Research in non-medical settings has suggested that participants' perceptions of evaluation processes exert considerable…

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

    PubMed Central

    Bru, Juan; Berger, Christopher A

    2012-01-01

    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

  12. AN EVALUATION OF HOW GLAUCOMA PATIENTS USE TOPICAL MEDICATIONS: A PILOT STUDY

    PubMed Central

    Tsai, Tony; Robin, Alan L.; Smith, Judson P.

    2007-01-01

    Purpose Multiple factors can influence patients’ adherence to topical ophthalmic intraocular pressure–lowering medications. An important factor that is often overlooked is the method of eye drop administration, including the handling, storing, and actual administering of eye drops. These aspects of patients’ eye drop administration, which may be strongly related to the success of prescribed therapies, are evaluated. Methods A 2-page questionnaire was distributed to 253 sequential glaucoma patients at the time of their regular clinical visit with one of two geographically distinct glaucoma specialists. In addition to providing demographic data, the patients were asked to complete a 2-page questionnaire about their current use of eye drops. Results The study participants had a mean age of 71.5 years (SD, 15.1 years) and were predominantly female (59.8%) and white (72.6%). Approximately 17% of them relied on others for the administration of drops and most commonly cited inadequate vision and trouble with manual dexterity leading to this dependency. Of those who self-administered drops, only 16.3% used a mirror. The most common location for administration was the bedroom (46.8%), followed by the bathroom (23.4%) and kitchen (16.1%). Almost 16% reported “rarely” or “never” washing their hands. Conclusions Although most individuals may have little difficulty with the use, storage, and handling of eye drops, this study demonstrates that broad variation in reported practices exists. This finding suggests a need for better instruction in eye drop administration and illuminates some of the methodological problems that could be overcome to reduce patients’ frustration, improve compliance, and increase efficacy. PMID:18427591

  13. The Preschool Behavior Questionnaire

    Microsoft Academic Search

    Lenore B. Behar

    1977-01-01

    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

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

    ERIC Educational Resources Information Center

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

    2014-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2008-01-01

    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…

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

    ERIC Educational Resources Information Center

    Sarafino, Edward P.; Graham, James A.

    2006-01-01

    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…

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

    Microsoft Academic Search

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

    1992-01-01

    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

  18. Psychometric Evaluation of the Children's Behavior Questionnaire-Very Short Form in Preschool Children Using Parent and Teacher Report

    ERIC Educational Resources Information Center

    Allan, Nicholas P.; Lonigan, Christopher J.; Wilson, Shauna B.

    2013-01-01

    Temperament is a developmentally important construct, hierarchically comprised of several lower-order dimensions subsumed under effortful control, negative affectivity, and surgency. The Children's Behavior Questionnaire-Very Short Form (CBQ-VSF) was developed as a brief measure of the higher-order factors of temperament to aid researchers in…

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

    Microsoft Academic Search

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

    2004-01-01

    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

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

    PubMed Central

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

    2010-01-01

    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

  1. Laboratory Hazard Assessment Questionnaire EH&S is available to assist with the recognition, evaluation and control of laboratory hazards. This form is to be used to help evaluate possible hazards reported by members of

    E-print Network

    Jia, Songtao

    or potential hazard, including, frequency of use of the chemical(s), engineering control(s), PPE. Upon receiptLaboratory Hazard Assessment Questionnaire EH&S is available to assist with the recognition, evaluation and control of laboratory hazards. This form is to be used to help evaluate possible hazards

  2. Evaluation of Medical Cystine Stone Prevention in an Animal Model

    NASA Astrophysics Data System (ADS)

    Sagi, Sreedhar; Wendt-Nordahl, Gunnar; Alken, Peter; Knoll, Thomas

    2007-04-01

    Medical treatment for cystinuria aims to decrease the concentration of cystine in the urine, increase its solubility and therefore prevent stone formation. Ascorbic acid and captopril have been recommended as alternatives to thiol drugs, though conflicting data undermining their efficacy has been widely reported, too. The aim of this study was to verify the effects of ascorbic acid and captopril on cystine stone formation in the cystinuria mouse model. A total of 28 male homozygous pebbles mice were used for characterizing the mice on normal diet, ascorbic acid and captopril supplemented diets. The baseline physiological parameters of the mice were determined initially. The normal diet was then replaced with the supplemented diet (ascorbic acid/captopril) for the next 48 weeks and various biochemical parameters in urine and plasma were analyzed. All homozygous mice developed urinary cystine stones during the first year of life. No reduction in the urinary cystine concentration was seen with either of the supplemented diets. The stone mass varied widely in the study and a beneficial effect of ascorbic acid in some of the animals was possible though an overall statistical significance was not seen. Conclusions: The cystinuria mouse model provides an ideal tool for evaluation of stone preventive measures in a standardized environment. This study confirms that ascorbic acid and captopril are not effective in cystinuria.

  3. Evaluation of aerosolized medications during parabolic flight maneuvers

    NASA Technical Reports Server (NTRS)

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

    1991-01-01

    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.

  4. Evaluation of life in Skylab from a medical viewpoint

    NASA Technical Reports Server (NTRS)

    Hordinsky, J. R.

    1974-01-01

    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.

  5. Differential AttritionEstimating the Effect of Crossovers on the Evaluation of a Medical Technology

    Microsoft Academic Search

    William H. Yeaton; Paul M. Wortman; Naftali Langberg

    1983-01-01

    The differential attrition of persons from comparison groups severely restricts the inferences that can be made from results of evaluative research. This problem is particularly troublesome in the evaluation of medical technologies, such as coronary artery bypass graft surgery, since a substantial percentage of medical or control patients cross over to the surgical group. A procedure using worst case assumptions

  6. The Role of the Medical Provider in the Evaluation of Sexually Abused Children and Adolescents

    ERIC Educational Resources Information Center

    Newton, Alice Whittier; Vandeven, Andrea Marie

    2010-01-01

    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…

  7. The Role of the Medical Provider in the Evaluation of Sexually Abused Children and Adolescents

    Microsoft Academic Search

    Alice Whittier Newton; Andrea Marie Vandeven

    2010-01-01

    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

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

    ERIC Educational Resources Information Center

    Anyaehie, U. S. B.; Nwobodo, E.; Oze, G.; Nwagha, U. I.; Orizu, I.; Okeke, T.; Anyanwu, G. E.

    2011-01-01

    The expansion of biomedical knowledge and the pursuit of more meaningful learning have led to world-wide evidence-based innovative changes in medical education and curricula. The recent emphasis on problem-based learning (PBL) and student-centred learning environments are, however, not being implemented in Nigerian medical schools. Traditional…

  9. Evaluation of the Modifid Jebsen Test of Hand Function and the University of Maryland Arm Questionnaire for Stroke

    Microsoft Academic Search

    T JH BovendEerdt; H Dawes; H Johansen-Berg; D T Wade

    2004-01-01

    Objective: To examine the concurrent validity and test–retest reliability of the Modified Jebsen Test of Hand Function (MJT) and the University of Maryland Arm Questionnaire for Stroke (UMAQS).Design: Individuals with acquired neurological disorders were retested within an average of 9.6 days after the first assessment.Setting: Individuals were recruited from two specialist rehabilitation units, members of the Multiple Sclerosis Society and

  10. Evaluation of Sexual Function and Its Contributing Factors in Men With Spinal Cord Injury Using a Self-Administered Questionnaire.

    PubMed

    Khak, Mohammad; Hassanijirdehi, Marzieh; Afshari-Mirak, Sohrab; Holakouie-Naieni, Kourosh; Saadat, Soheil; Taheri, Taher; Rahimi-Movaghar, Vafa

    2014-11-27

    Sexual activity is an important aspect of life in patients with spinal cord injury (SCI), rated as one of the top priorities for recovery of function. This study was conducted to establish an understanding of the severity of erectile dysfunction (ED), a major component of male sexual activity, and its correlates in patients with SCI in our community. In a cross-sectional study, 37 male veterans with SCI admitted for regular follow-up at our center were recruited. Demographic and SCI-related descriptive information was gathered through a self-administered questionnaire. Sexual Health Inventory for Men was used to assess the presence and severity of ED. Euro Quality of Life questionnaire and General Health Questionnaire (GHQ-12) were also administered. The mean age of the participants was 45.7 ± 6.5 years with injury duration of 24.7 ± 6.2 years. Mean GHQ-12 score of 3.65 ± 3.38 and mean Sexual Health Inventory for Men score of 11.57 ± 5.28 were measured. All participants had ED, and 27% were suffering from severe ED. Sleep deprivation, worse GHQ-12 score, and hypertension were significantly associated with higher risk of much severe ED (p < .05). In conclusion, ED is a common problem in veterans with SCI and is inversely associated with their general health status. PMID:25432464

  11. 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)

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

    2013-04-01

    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.

  12. Evaluation of a decision support system in a medical environment

    Microsoft Academic Search

    François M. H. M. Dupuits; Arie Hasman

    1995-01-01

    This paper describes the impact of a decision support system on the quality of recorded diagnoses and the completeness of medical records. The assumption is that for quality assessment purposes enough data have to be recorded in an electronic medical record so that diagnostic decisions can be justified. The hypotheses were tested that active decision support will lead to better

  13. Design and Performance Evaluation Considerations of a Multimedia Medical Database

    Microsoft Academic Search

    G. N. M. Sudhakar; Ahmed Karmouch; Nicolas D. Georganas

    1993-01-01

    Multimedia information management and communications systems for medical applications have been undergoing design and development. The aim of these activities has been the development of distributed computer systems providing storage, processing, and communication services required by the medical community. One of the main critical issues of such systems is the handling of multimedia information (i.e., text, images, graphics, and voice)

  14. Evaluation of MEMS materials of construction for implantable medical devices

    Microsoft Academic Search

    Geoffrey Kotzar; Mark Freas; Phillip Abel; Aaron Fleischman; Shuvo Roy; Christian Zorman; James M. Moran; Jeff Melzak

    2002-01-01

    Medical devices based on microelectro-mechanical systems (MEMS) platforms are currently being proposed for a wide variety of implantable applications. However, biocompatibility data for typical MEMS materials of construction and processing, obtained from standard tests currently recognized by regulatory agencies, has not been published. Likewise, the effects of common sterilization techniques on MEMS material properties have not been reported. Medical device

  15. Development and evaluation of a computer-based medical work assessment programme

    Microsoft Academic Search

    Stefanie Mache; Cristian Scutaru; Karin Vitzthum; Alexander Gerber; David Quarcoo; Tobias Welte; Torsten T Bauer; Michael Spallek; Andreas Seidler; Albert Nienhaus; Burghard F Klapp; David A Groneberg

    2008-01-01

    BACKGROUND: There are several ways to conduct a job task analysis in medical work environments including pencil-paper observations, interviews and questionnaires. However these methods implicate bias problems such as high inter-individual deviations and risks of misjudgement. Computer-based observation helps to reduce these problems. The aim of this paper is to give an overview of the development process of a computer-based

  16. Questionnaire design: carry-over effects of overall acceptance question placement and pre-evaluation instructions on overall acceptance scores in central location tests.

    PubMed

    Bastian, Mauresa; Eggett, Dennis L; Jefferies, Laura K

    2015-02-01

    Question placement and usage of pre-evaluation instructions (PEI) in questionnaires for food sensory analysis may bias consumers' scores via carry-over effects. Data from consumer sensory panels previously conducted at a central location, spanning 11 years and covering a broad range of food product categories, were compiled. Overall acceptance (OA) question placement was studied with categories designated as first (the first evaluation question following demographic questions), after nongustation questions (immediately following questions that do not require panelists to taste the product), and later (following all other hedonic and just-about-right [JAR] questions, but occasionally before ranking, open-ended comments, and/or intent to purchase questions). Each panel was categorized as having or not having PEI in the questionnaire; PEI are instructions that appear immediately before the first evaluation question and show panelists all attributes they will evaluate before receiving test samples. Postpanel surveys were administered regarding the self-reported effect of PEI on panelists' evaluation experience. OA scores were analyzed and compared (1) between OA question placement categories and (2) between panels with and without PEI. For most product categories, OA scores tended to be lower when asked later in the questionnaire, suggesting evidence of a carry-over effect. Usage of PEI increased OA scores by 0.10 of a 9-point hedonic scale point, which is not practically significant. Postpanel survey data showed that presence of PEI typically improved the panelists' experience. Using PEI does not appear to introduce a meaningful carry-over effect. PMID:25604650

  17. Evaluation of intravenous medication errors with smart infusion pumps in an academic medical center.

    PubMed

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

    2013-01-01

    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

  18. FRONTLINE: teaching affect recognition to medical students: evaluation and reflections.

    PubMed

    Forrest, David V

    2011-01-01

    Techniques developed for teaching more empathic affect recognition and reflection to medical students during their introduction to psychiatric interviewing begin with a concrete grounding in facial muscular movements and facial affect recognition, and proceed to the use of countertransferential affective experience to aid in ascertaining personality types. Observations about the temper of today's medical students by psychoanalysts may be of help in avoiding increasing their already substantial characterological resistance to affective learning and empathy that has recently been reported in the medical education literature. PMID:21699350

  19. Development and evaluation of a multimedia resource pack for oral health training of medical and nursing staff.

    PubMed

    Sweeney, M P; Bagg, J; Kirkland, G; Farmer, T A

    2000-01-01

    A resource pack has been devised for training medical and nursing staff and other carers in order that they may recognize oral disease and carry out routine oral care and treat common oral disorders. The custom-designed folding pack contains a videotape, a CD-ROM disc, and an A5-sized spiral-bound booklet, together with wall posters and a list of useful addresses. One hundred of the packs were distributed across Scotland to medical, nursing, and dental staff involved in postgraduate medical and nursing education. The packs were independently evaluated by an external organization through a questionnaire and also by telephone interviews. The pack received very positive responses, and 35% of the respondents reported making changes to their current practice. A long-term measure of success, beyond the scope of this paper, will depend on the measurement of improved quality of oral health care of the patients in those institutions where the pack has been used in training. PMID:11203895

  20. Evaluation of Un-Medicated, Self-Paced Alcohol Withdrawal

    Microsoft Academic Search

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

    2011-01-01

    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, self-paced alcohol reduction program that included group discussion of strategies for titrating

  1. Clinical evaluation of chirp-coded excitation in medical ultrasound

    Microsoft Academic Search

    Morten H. Pedersen; Thanassis X. Misaridis; Jørgen A. Jensen

    2003-01-01

    Despite the enormous development in medical ultrasound (US) imaging over the last decades, penetration depth with satisfying image quality is often a problem in clinical practice. Coded excitation, used for years in radar techniques to increase signal-to-noise ratio (SNR), has recently been introduced in medical US scanning. In the present study, coded excitation using frequency-modulated US signals is implemented and

  2. [Evaluation of an anamnesis questionnaire for the diagnosis of sleep apnea in patients with chronic diseases of the respiratory organs].

    PubMed

    Fischer, J; Jackowski, M; Raschke, F

    1991-05-01

    In a Rehabilitation Clinic for Diseases of the Respiratory Organs we examined 497 male patients aged 45.9 +/- 11.1 years with a relative weight of 109 +/- 16.7% who were suffering from chronic diseases of the respiratory tract (66.2% chronic bronchitis, 33.8% asthma bronchiale, 49.6% obstruction of the respiratory tract). They were subjected to a detailed physical examination and were given an anamnestic questionnaire for the purpose of diagnosing sleep-related respiratory disturbances (Siegrist et al., 1987). In addition, whole body plethysmography was performed in all patients as well as a pulse-oximetric examination during night sleep. Using factor analysis, it was possible to extract 5 factors from the 23 items of the anamnesis questionnaire. With these 5 factors, 60.5% of the total variance could be explained. These factors describe: 1. Dyspnoea (35.3%); 2. Vigilance (8.5%); 3. Sleep disturbances (6.3%); 4. Headache (5.8%) and 5. Snoring (4.7%). Different factor patterns are seen for different groups of patients. In patients suspected of an obstructive sleep apnoea syndrome, however, it will always be necessary to perform further stage-wise diagnosis to safeguard the diagnosis. PMID:1866394

  3. Program on Nosocomial Infection in the Curricula of Medicine, Dentistry, Nursing and Medical Technology in Thailand

    Microsoft Academic Search

    Somwang Danchaivijitr; Somsak Chakpaiwong DDS

    2005-01-01

    Objectives : To identify defects in the program on NI in curricula of medical, dental, medical technology and nursing schools. Impacts of the results of the study on the changes of the program were also evaluated Material and Method : Questionnaires study of all 12, 8, 9 medical, dental, medical technology and 20 of 62 nursing schools. Data were collected

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

    E-print Network

    Logan, David

    . Emphysema: Yes/No e. Pneumonia: Yes/No f. Tuberculosis: Yes/No g. Silicosis: Yes/No h. Pneumothorax of the following symptoms of pulmonary or lung illness? a. Shortness of breath: Yes/No b. Shortness of breath when

  5. Large-scale evaluation of a medical cross-language information retrieval system.

    PubMed

    Markó, Kornél; Daumke, Philipp; Schulz, Stefan; Klar, Rüdiger; Hahn, Udo

    2007-01-01

    We propose an approach to multilingual medical document retrieval in which complex word forms are segmented according to medically relevant morpho-semantic criteria. At its core lies a multilingual dictionary, in which entries are equivalence classes of subwords, i.e. semantically minimal units. Using two different standard test collections for the medical domain, we evaluate our approach for six languages covered by our system. PMID:17911746

  6. 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)

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

    1991-01-01

    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.

  7. Stability of Repeated Student Evaluations of Teaching in the Second Preclinical Year of a Medical Curriculum

    ERIC Educational Resources Information Center

    Krantz-Girod, Catherine; Bonvin, Raphael; Lanares, Jacques; Cueanot, Seagoleine; Feihl, Francois; Bosman, Fred; Waeber, Bernard

    2004-01-01

    The second preclinical year of the medical curriculum at the Medical Faculty of the University of Lausanne in Switzerland includes nine multidisciplinary organ-system-oriented modules consisting of lectures and problem-based-learning tutorials. This study reports the experience accumulated with the evaluation of lectures during the academic years…

  8. Using Multiple Assessments to Evaluate Medical Students' Clinical Ability in Psychiatric Clerkships

    ERIC Educational Resources Information Center

    Wang, Peng-Wei; Cheng, Cheng-Chung; Chou, Frank Huang-Chih; Tsang, Hin-Yeung; Chang, Yu-San; Huang, Mei-Feng; Yen, Cheng-Fang

    2011-01-01

    Background: No single assessment method can successfully evaluate the clinical ability of medical students in psychiatric clerkships; however, few studies have examined the efficacy of multiple assessments, especially in psychiatry. The aim of this study was to examine the relationship among different types of assessments of medical students'…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

    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…

  10. BARNARD COLLEGE Health Evaluation form for Readmission after Medical and/or Mental Health Withdrawal

    E-print Network

    BARNARD COLLEGE Health Evaluation form for Readmission after Medical and/or Mental Health Withdrawal To the Student: Please review this form with your current health care or mental health care. Students who withdrew for medical or mental health reasons may be given housing preference, based on when

  11. Use of Functional Analysis Methodology in the Evaluation of Medication Effects.

    ERIC Educational Resources Information Center

    Crosland, Kimberly A.; Zarcone, Jennifer R.; Lindauer, Steven E.; Valdovinos, Maria G.; Zarcone, Troy J.; Hellings, Jessica A.; Schroeder, Stephen R.

    2003-01-01

    The atypical antipsychotic medication risperidone was evaluated using a double-blind, placebo-controlled design to treat destructive behavior in two males (ages 6 and 24) with autism. Destructive behavior during the demand condition was significantly reduced during the medication phases, whereas it continued to occur to obtain tangible items and…

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

    ERIC Educational Resources Information Center

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

    2004-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

    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…

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

    E-print Network

    Kaushik, Pallavi

    2005-01-01

    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 ...

  15. 'Ten Golden Rules' for Designing Software in Medical Education: Results from a Formative Evaluation of DIALOG.

    ERIC Educational Resources Information Center

    Jha, Vikram; Duffy, Sean

    2002-01-01

    Reports the results of an evaluation of Distance Interactive Learning in Obstetrics and Gynecology (DIALOG) which is an electronic program for continuing education. Presents 10 golden rules for designing software for medical practitioners. (Contains 26 references.) (Author/YDS)

  16. Actuarial considerations of medical malpractice evaluations in M&As.

    PubMed

    Frese, Richard C

    2014-11-01

    To best project an actuarial estimate for medical malpractice exposure for a merger and acquisition, a organization's leaders should consider the following factors, among others: How to support an unbiased actuarial estimation. Experience of the actuary. The full picture of the organization's malpractice coverage. The potential for future loss development. Frequency and severity trends. PMID:25647911

  17. Evaluation of Heavy Metals in Slags from Medical Waste Incinerator

    Microsoft Academic Search

    A. Santarsiero; M. Ottaviani

    1995-01-01

    The paper discusses the landfilling of solid residues from hospital waste incineration in Italy and its complex legal status (hazardous or nonhazardous). According to current regulations, the parameter to be controlled is the concentration of heavy metals before their final disposal in a landfill. Some results are reported on the heavy metal content in slag samples from a medical solid

  18. Evaluation of a Lecture Recording System in a Medical Curriculum

    ERIC Educational Resources Information Center

    Bacro, Thierry R. H.; Gebregziabher, Mulugeta; Fitzharris, Timothy P.

    2010-01-01

    Recently, the Medical University of South Carolina adopted a lecture recording system (LRS). A retrospective study of LRS was implemented to document the students' perceptions, pattern of usage, and impact on the students' grades in three basic sciences courses (Cell Biology/Histology, Physiology, and Neurosciences). The number of accesses and…

  19. Scales to evaluate quality of medication management: development and psychometric properties.

    PubMed

    Taylor, Amanda C; Bond, Gary R; Tsai, Jack; Howard, Patricia B; El-Mallakh, Peggy; Finnerty, Molly; Kealey, Edith; Myrhol, Britt; Kalk, Karin; Adams, Neal; Miller, Alexander L

    2009-07-01

    This paper describes the psychometric properties of two fidelity scales created as part of the Substance Abuse and Mental Health Services Administration (SAMHSA) sponsored medication management toolkit and their metric properties when used in 26 public mental health clinics with 50 prescribers. A 23-item scale, based on chart reviews, was developed to assess whether prescribers are following good medication practices, in conjunction with a 17-item scale to assess organizational support for and evaluation of prescriber adherence to recommended medication-related practices. Fundamental gaps in routine practice, including poor documentation of medication history and infrequent monitoring of symptoms and side effects were found. PMID:19247828

  20. 69 FR 51777 - Revised Medical Criteria for Evaluating Genitourinary Impairments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2004-08-23

    ...diabetic, or metabolic renal disease...evaluate nephrotic syndrome due to glomerular...diabetic, or metabolic renal disease...evaluate nephrotic syndrome due to glomerular...removal of toxic metabolic byproducts from...6. Nephrotic syndrome is a general...

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

    SciTech Connect

    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

    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.

  2. A Simple Tool for Diet Evaluation in Primary Health Care: Validation of a 16-Item Food Intake Questionnaire

    PubMed Central

    Hemiö, Katri; Pölönen, Auli; Ahonen, Kirsti; Kosola, Mikko; Viitasalo, Katriina; Lindström, Jaana

    2014-01-01

    Our aim was to validate a 16-item food intake questionnaire (16-FIQ) and create an easy to use method to estimate patients’ nutrient intake in primary health care. Participants (52 men, 25 women) completed a 7-day food record and a 16-FIQ. Food and nutrient intakes were calculated and compared using Spearman correlation. Further, nutrient intakes were compared using kappa-statistics and exact and opposite agreement of intake tertiles. The results indicated that the 16-FIQ reliably categorized individuals according to their nutrient intakes. Methods to estimate nutrient intake based on the answers given in 16-FIQ were created. In linear regression models nutrient intake estimates from the food records were used as the dependent variables and sum variables derived from the 16-FIQ were used as the independent variables. Valid regression models were created for the energy proportion of fat, saturated fat, and sucrose and the amount of fibre (g), vitamin C (mg), iron (mg), and vitamin D (?g) intake. The 16-FIQ is a valid method for estimating nutrient intakes in group level. In addition, the 16-FIQ could be a useful tool to facilitate identification of people in need of dietary counselling and to monitor the effect of counselling in primary health care. PMID:24599042

  3. A simple tool for diet evaluation in primary health care: validation of a 16-item food intake questionnaire.

    PubMed

    Hemiö, Katri; Pölönen, Auli; Ahonen, Kirsti; Kosola, Mikko; Viitasalo, Katriina; Lindström, Jaana

    2014-03-01

    Our aim was to validate a 16-item food intake questionnaire (16-FIQ) and create an easy to use method to estimate patients' nutrient intake in primary health care. Participants (52 men, 25 women) completed a 7-day food record and a 16-FIQ. Food and nutrient intakes were calculated and compared using Spearman correlation. Further, nutrient intakes were compared using kappa-statistics and exact and opposite agreement of intake tertiles. The results indicated that the 16-FIQ reliably categorized individuals according to their nutrient intakes. Methods to estimate nutrient intake based on the answers given in 16-FIQ were created. In linear regression models nutrient intake estimates from the food records were used as the dependent variables and sum variables derived from the 16-FIQ were used as the independent variables. Valid regression models were created for the energy proportion of fat, saturated fat, and sucrose and the amount of fibre (g), vitamin C (mg), iron (mg), and vitamin D (?g) intake. The 16-FIQ is a valid method for estimating nutrient intakes in group level. In addition, the 16-FIQ could be a useful tool to facilitate identification of people in need of dietary counselling and to monitor the effect of counselling in primary health care. PMID:24599042

  4. An evaluation of stimulant medication on the reinforcing effects of play.

    PubMed

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

    2008-01-01

    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

  5. Internet-Based Survey Evaluating Use of Pain Medications and Attitudes of Radiation Oncology Patients Toward Pain Intervention

    SciTech Connect

    Simone, Charles B. [Department of Radiation Oncology, Hospital of University of Pennsylvania, Philadelphia, PA (United States); Radiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD (United States)], E-mail: simonec@mail.nih.gov; Vapiwala, Neha; Hampshire, Margaret K.; Metz, James M. [Department of Radiation Oncology, Hospital of University of Pennsylvania, Philadelphia, PA (United States)

    2008-09-01

    Purpose: Pain is a common symptom among cancer patients, yet many patients do not receive adequate pain management. Few data exist quantifying analgesic use by radiation oncology patients. This study evaluated the causes of pain in cancer patients and investigated the reasons patients fail to receive optimal analgesic therapy. Methods and Materials: An institutional review board-approved, Internet-based questionnaire assessing analgesic use and pain control was posted on the OncoLink (available at (www.oncolink.org)) Website. Between November 2005 and April 2006, 243 patients responded. They were predominantly women (73%), white (71%), and educated beyond high school (67%) and had breast (38%), lung (6%), or ovarian (6%) cancer. This analysis evaluated the 106 patients (44%) who underwent radiotherapy. Results: Of the 106 patients, 58% reported pain from their cancer treatment, and 46% reported pain directly from their cancer. The pain was chronic in 51% and intermittent in 33%. Most (80%) did not use medication to manage their pain. Analgesic use was significantly less in patients with greater education levels (11% vs. 36%, p = 0.002), with a trend toward lower use by whites (16% vs. 32%, p 0.082) and women (17% vs. 29%, p = 0.178). The reasons for not taking analgesics included healthcare provider not recommending medication (87%), fear of addiction or dependence (79%), and inability to pay (79%). Participants experiencing pain, but not taking analgesics, pursued alternative therapies for relief. Conclusions: Many radiation oncology patients experience pain from their disease and cancer treatment. Most study participants did not use analgesics because of concerns of addiction, cost, or failure of the radiation oncologist to recommend medication. Healthcare providers should have open discussions with their patients regarding pain symptoms and treatment.

  6. Preoperative Medical Evaluation: Part 1: General Principles and Cardiovascular Considerations

    PubMed Central

    Becker, Daniel E

    2009-01-01

    A thorough assessment of a patient's medical status is standard practice when dental care is provided. Although this is true for procedures performed under local anesthesia alone, the information gathered may be viewed somewhat differently if the dentist is planning to use sedation or general anesthesia as an adjunct to dental treatment. This article is the first of a 2-part sequence and will address general principles and cardiovascular considerations. A second article will address pulmonary, metabolic, and miscellaneous disorders. PMID:19769423

  7. Evaluation of the Practice Pattern of Medical Patients' VTE Prophylaxis With a Standard Risk Assessment Model Form: MERAM Study.

    PubMed

    Ongen, Gul; Demir, Muzaffer; Molinas, Nil; Ince, Birsen; Ongen, Zeki

    2015-07-01

    Hospitalized acutely ill patients face high risk for venous thromboembolism (VTE) unless appropriate thromboprophylaxis is applied. This study aimed to determine VTE prophylaxis practices for inpatients in Turkey and to evaluate the impact of physicians' training via a modified "Standard Medical Patients' VTE Risk Assessment Model (MERAM)." A total of 607 inpatients included in this national multicenter noninterventional observational registry were evaluated in terms of demographics, VTE risk, and preventive measures at 2 consecutive cross-sectional visits. Physicians were asked to complete a questionnaire on current VTE method risk assessment and other models including MERAM. The VTE prophylaxis rates significantly increased from 49.4% to 62.4% between visits (P < .05). The lack of risk evaluation decreased from 74.6% to 19.5% (P < .001). Percentage of physicians using prophylaxis and use of MERAM increased between visits. Physician training proved effective for providing general "awareness" of VTE prophylaxis and led to higher rates of risk assessment model-based appropriate VTE prophylaxis. PMID:24113493

  8. Evaluating parallel relational databases for medical data analysis.

    SciTech Connect

    Rintoul, Mark Daniel; Wilson, Andrew T.

    2012-03-01

    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.

  9. Staff attitudes towards working with drug users: development of the Drug Problems Perceptions Questionnaire

    Microsoft Academic Search

    Hazel Watson; William Maclaren; Susan M. Kerr

    2006-01-01

    The aim of this study was to evaluate the psychometric properties of an adaptation of the Alcohol and Alcohol Problems Perceptions Questionnaire to measure the attitudes of staff to working with drug users (the DDPPQ). Participants were a stratified random sample of medical staff, clinical psychologists, occupational therapists and nurses (n = 672) who work within generic mental health, adolescent

  10. Early evaluation of MDIS workstations at Madigan Army Medical Center

    NASA Astrophysics Data System (ADS)

    Leckie, Robert G.; Goeringer, Fred; Smith, Donald V.; Bender, Gregory N.; Choi, Hyung-Sik; Haynor, David R.; Kim, Yongmin

    1993-06-01

    The image viewing workstation is an all-important link in the PACS (Picture Archiving and Communications System) chain since it represents the interface between the system and the user. For PACS to function, the working environment and transfer of information to the user must be the same or better than the traditional film-based system. The important characteristics of a workstation from a clinical standpoint are acceptable image quality, rapid response time, a friendly user interface, and a well-integrated, highly-reliable, fault-tolerant system which provides the user ample functions to complete his tasks successfully. Since early 1992, the MDIS (Medical Diagnostic Imaging Support) system's diagnostic and clinical workstations have been installed at Madigan Army Medical Center. Various functionalities and performance characteristics of the MDIS workstations such as image display, response time, database, and ergonomics will be presented. User comments and early experience with the workstations as well as new functionality recommended for the future will be discussed.

  11. Evaluation of Medical Students During a Clinical Clerkship in Internal Medicine

    ERIC Educational Resources Information Center

    O'Donohue, W. J., Jr.; Wergin, Jon F.

    1978-01-01

    During a three-month clinical clerkship in medicine 175 medical students were evaluated. A proficiency assessment process was developed that included preceptor evaluation of on-the-job performance as well as oral and written examinations. Data analysis showed small correlations among the three measurements of competence. (Author/LBH)

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

    ERIC Educational Resources Information Center

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

    2008-01-01

    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…

  13. Development of a guideline for protein chip evaluation as medical devices

    Microsoft Academic Search

    H. W. Roh; N. R. Lee; Y. H. Cho; J. B. Jung; H. N. Chung; W. S. Yang; W. K. Lee; H. K. Lee; G. H. Ryu

    2006-01-01

    Protein chip technology can be applied to diagnosis of disease, prognosis, drug discovery, tailored drug therapy, screening of drug candidates and so on. A protein chip should be evaluated and approved as a medical device to be used as a diagnostic device before marketing. In this study, we prepared a cancer protein chip and evaluated it. From the results of

  14. Process evaluation of complex interventions: Medical Research Council guidance

    E-print Network

    Moore, Graham F.; Audrey, Suzanne; Barker, Mary; Bond, Lyndal; Bonell, Chris; Hardeman, Wendy; Moore, Laurence; O’Cathain, Alicia; Tinati, Tannaze; Wight, Daniel; Baird, Janis

    2015-01-13

    New social and emotional skills curriculum and learning materials Action group decides priorities, oversees actions Reduced substance use and sexual risk Reduced truancy and school exclusions More students make healthier decisions Funding of £4000... to evaluating complex public health interventions. Soc Sci Med 2012;75:2299–306. 16 Shiell A, Hawe P, Gold L. Complex interventions or complex systems? Implications for health economic evaluation. BMJ 2008;336:1281–83. 17 Pawson R, Tilley N. Realistic...

  15. Recognizing noun phrases in medical discharge summaries: an evaluation of two natural language parsers.

    PubMed Central

    Spackman, K. A.; Hersh, W. R.

    1996-01-01

    We evaluated the ability of two natural language parsers, CLARIT and the Xerox Tagger, to identify simple, noun phrases in medical discharge summaries. In twenty randomly selected discharge summaries, there were 1909 unique simple noun phrases. CLARIT and the Xerox Tagger exactly identified 77.0% and 68.7% of the phrases, respectively, and partially identified 85.7% and 80.8% of the phrases. Neither system had been specially modified or tuned to the medical domain. These results suggest that it is possible to apply existing natural language processing (NLP) techniques to large bodies of medical text, in order to empirically identify the terminology used in medicine. Virtually all the noun phrases could be regarded as having special medical connotation and would be candidates for entry into a controlled medical vocabulary. PMID:8947647

  16. 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

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

    2014-01-01

    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

  17. Medical and surgical evaluation and care of illness in space

    NASA Technical Reports Server (NTRS)

    Siegel, John H.

    1994-01-01

    This report summarizes the work done on the contract NAG9-567, which was activated at the New Jersey Medical School-UMDNJ in April 1992 and carried on during the 1992-93 year to the present 1993-94 year which was terminated in May 1994. The initial examination stage was completed of an interactive program for the recording of physical and physiologic injury information obtained from examination of an injured person, who might be an astronaut sustaining traumatic injury, due to a burn or physical trauma, either in space or in an earth bound training environment. In this report three aspects will be discussed: 1) a description of the system of diagnostic examination graphics, 2) a description of the organization of the therapeutic advisory systems with a demonstration of two specific modules, and 3) a brief technical description of the organization of the programming system carried out on a UNIX based work station using a WINDOWS environment.

  18. Self Medication Practices among Medical Students of a Private Institute.

    PubMed

    Kasulkar, Arti A; Gupta, M

    2015-01-01

    The study was undertaken to evaluate various aspects of self-medication in medical students. A prospective, cross-sectional, questionnaire-based study was carried out among 488 medical students selected by simple random sampling from January 2013 to June 2013. Data was collected and analyzed for counts and percentage. Students reported self-medication in the preceding one year was 71.7 % and the prevalence was more in final year students. Fever and headache were the most frequently reported illnesses, commonly used drugs were antipyretics and analgesics, obtained information through reading material, and reasons quoted were minor ailments and quick relief. Majority students agreed that medical knowledge is necessary for administration of medicine by self. Self-medication is highly prevalent in medical students, which is quite alarming. PMID:26009650

  19. Revised medical criteria for evaluating cancer (malignant neoplastic diseases). Final rule.

    PubMed

    2015-05-20

    We are revising the criteria in parts A and B of the Listing of Impairments (listings) that we use to evaluate claims involving cancer (malignant neoplastic diseases) under titles II and XVI of the Social Security Act (Act). These revisions reflect our adjudicative experience, advances in medical knowledge, recommendations from medical experts we consulted, and public comments we received in response to a Notice of Proposed Rulemaking (NPRM). PMID:26003962

  20. The pre-travel medical evaluation: the traveler with chronic illness and the geriatric traveler.

    PubMed Central

    Patterson, J. E.

    1992-01-01

    The pre-travel medical evaluation of elderly patients and patients with chronic illness requires special assessment and advice. Screening and special precautions are reviewed for traveling patients with respiratory disease, cardiac disease, sinusitis, diabetes mellitus, HIV infection, and other chronic medical conditions. Current guidelines for empiric therapy and prophylaxis of travelers' diarrhea are reviewed, with emphasis on concerns in geriatric or chronically ill travelers. Special considerations such as potential drug-drug interactions and insurance coverage are also discussed. PMID:1290273

  1. Designing and evaluation of the teaching quality assessment form from the point of view of the Lorestan University of Medical Sciences students - 2010

    PubMed Central

    Kamran, Aziz; Zibaei, Mohammed; Mirkaimi, Kamal; Shahnazi, Hussein

    2012-01-01

    Introduction: Education is basically one of the Universities’ and faculties’ leading missions and duties; its promoted quality will also lead to an elevated educational quality in the University. Teacher assessment can be mentioned as essential for the success of the quality promotion process. This article deals with the designing and evaluation of a teaching quality evaluation form for teachers, from the Lorestan University of Medical Science students’ point of view. Methods: A two-stage, cross-sectional study was conducted on 290 Lorestan University of Medical Science students. First, evaluation priorities were extracted using the Delphi technique in the fifth section, including teaching skills, communication skills, principles of training, and skills assessment. In the second stage, as the priority and importance of each item was evaluated in the fourth Lickert option, sampling was done in few stages. The study instrument was a questionnaire, which included six areas. The first part of the questionnaire was made up of the demographic characteristics and the second part included five evaluation areas that were obtained from the student. The collected data were analyzed using statistical software SPSS-16 and chi-square test, Kruskal-Wallis test. Results: In the areas of teaching skills, mastery of the course, individual characteristics, self-confidence, communication skills, intimate relationship with students, educational principles, rules respecting the beginning and end time of class, skill assessment, and an accurate comprehensive examination at the end of the semester by the students, were chosen as the most important factors. There were significant differences in the majority of expressed comments between the genders and academic status (P < 0.05). Conclusion: Students can properly diagnose the essential factors in teachers’ evaluation, but in item prioritizing they may be partly affected by some factors such as gender, academic status, semester, and academic course. PMID:23555146

  2. Evaluation of Ridge Seeking Operators for Multimodality Medical Image Matching

    Microsoft Academic Search

    J. B. Antoine Maintz; Petra A. Van Den Elsen; Max A. Viergever

    1996-01-01

    Ridge-like structures in digital images may be extracted by convolving the images with deriva- tives of Gaussians. The choice of the convolution operator and of the parameters involved defines a specific ridge image. In this paper, various ridge measures related to isophote curvature are con- structed, reviewed, and evaluated with respect to their usability in CT\\/MRI matching of human brain

  3. 71 FR 2312 - Revised Medical Criteria for Evaluating Cardiovascular Impairments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2006-01-13

    ...section 4.00H8, to discuss Marfan syndrome and how we evaluate its manifestations...Kawasaki disease (formerly called Kawasaki syndrome), which usually develops before age 5. We have also added a section on Marfan syndrome in final section 104.00F10; it...

  4. Revised medical criteria for evaluating genitourinary disorders. Final rules.

    PubMed

    2014-10-10

    These final rules revise the criteria in the Listing of Impairments (listings) that we use to evaluate cases involving genitourinary disorders in adults and children under titles II and XVI of the Social Security Act (Act). The revisions reflect our program experience and address adjudicator questions we have received since we last comprehensively revised this body system in 2005. PMID:25341262

  5. 77 FR 7549 - Revised Medical Criteria for Evaluating Visual Disorders

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-13

    ...fingers (CF) or no light perception (NLP), to evaluate your vision loss. This...perception or light perception only), or NLP (no light perception) indicates that no...is recorded as CF, HM, LP or LPO, or NLP, we will determine that...

  6. MEDICAL STUDENT Contributing Evaluators (Question 1 of 17 -Mandatory )

    E-print Network

    Puglisi, Joseph

    and Interpersonal Communication (includes multisource feedback request) Exam None Comment on Change in Grade: RIME (Clinical Reasoning, Application of Knowledge, Patient Management, Systems-Based Practice a conflict of interest, please suspend this evaluation.) No conflict of interest Overall Grade (Question 3

  7. Evaluation of accelerated stability test conditions for medicated chewing gums.

    PubMed

    Maggi, Lauretta; Conte, Ubaldo; Nhamias, Alain; Grenier, Pascal; Vergnault, Guy

    2013-10-01

    The overall stability of medicated chewing gums is investigated under different storage conditions. Active substances with different chemical stabilities in solid state are chosen as model drugs. The dosage form is a three layer tablet obtained by direct compression. The gum core contains the active ingredient while the external layers are formulated to prevent gum adhesion to the punches of the tableting machine. Two accelerated test conditions (40°C/75% RH and 30°C/65% RH) are performed for 6 months. Furthermore, a long-term stability test at room conditions is conducted to verify the predictability of the results obtained from the stress tests. Some drugs are stable in all the conditions tested, but other drugs, generally considered stable in solid dosage forms, have shown relevant stability problems particularly when stress test conditions are applied to this particular semi-solid dosage forms. For less stable drugs, the stress conditions of 40°C/75% RH are not always predictable of chewing gum stability at room temperature and may produce false negative; intermediate conditions, 30°C/65% RH, are more predictive for this purpose, the results of drug content found after 6 months at intermediate stress conditions and 12 months at room conditions are generally comparable. But the results obtained show that only long-term conditions stability tests gave consistent results. During aging, the semi solid nature of the gum base itself, may also influence the drug delivery rate during chewing and great attention should be given also to the dissolution stability. PMID:22794248

  8. Electronic medical records: a practitioner's perspective on evaluation and implementation.

    PubMed

    Diamond, Edward; French, Kim; Gronkiewicz, Cynthia; Borkgren, Marilyn

    2010-09-01

    This article describes the initial and ongoing efforts of our pulmonary medicine practice to deploy an electronic medical records (EMR) system. Key factors in the vendor selection and implementation process included (1) identification and commitment to long-term goals for EMR; (2) dedicated resources, including both physician and nonphysician champions to lead the design and implementation teams; and (3) ample patience and time allotted to achieve the desired results: a fully functional system that enhances quality, improves operational efficiency, and reduces costs. An EMR scorecard including multiple system attributes was designed to facilitate vendor comparisons. Perseverance, patience, and compromise were necessary to overcome the challenge of changing the behavior of providers and support staff. We have accomplished improvements in workflow automation and reductions in staff hours, office supplies, file space, and transcription costs. Our system lacks pulmonary-specific templates and prompts for work flow and clinical decision making. We have directed internal resources and outsourced professional support to design these features as our practice strives to enhance our quality of care with pulmonary disease management that conforms to national guidelines. PMID:20822993

  9. Development, implementation and evaluation of a medication safety programme for schoolchildren in Qatar.

    PubMed

    Wilby, K J; Hazi, H M; Ashour, M A

    2015-01-01

    The objectives of this study were to assess the needs of schoolchildren relating to medication safety and to develop and implement a health promotion programme in Qatar. Semi-structured interviews were completed with teachers, nurses and school administrators at 2 primary schools in Doha. Two main themes were identified from these interviews, namely medication basics and medication safety. Subsequently, a 25-minute health promotion programme was developed and delivered to 11 groups of schoolchildren aged 6-10 years. The student groups contained both expatriate and local Qatari students. The programme was evaluated based on perceptions of site representatives, investigators and peer reviewers using a standardized evaluation form. All the evaluators agreed that the programme was beneficial and should be recommended to other schools in Qatar. This study can serve as a prototype for future programmes in the Eastern Mediterranean Region and elsewhere. PMID:25907194

  10. Marketing: The Applicant Questionnaire

    ERIC Educational Resources Information Center

    Huddleston, Thomas, Jr.

    1976-01-01

    The construction of a market research questionnaire is recommended as one way a college can identify its applicant pool market. Included are an outline of information the applicant pool questionnaire might seek and basic criteria of question writing. (JT)

  11. Two h-Index Benchmarks for Evaluating the Publication Performance of Medical Informatics Researchers

    PubMed Central

    Arbuckle, Luk; Jonker, Elizabeth; Anderson, Kevin

    2012-01-01

    Background The h-index is a commonly used metric for evaluating the publication performance of researchers. However, in a multidisciplinary field such as medical informatics, interpreting the h-index is a challenge because researchers tend to have diverse home disciplines, ranging from clinical areas to computer science, basic science, and the social sciences, each with different publication performance profiles. Objective To construct a reference standard for interpreting the h-index of medical informatics researchers based on the performance of their peers. Methods Using a sample of authors with articles published over the 5-year period 2006–2011 in the 2 top journals in medical informatics (as determined by impact factor), we computed their h-index using the Scopus database. Percentiles were computed to create a 6-level benchmark, similar in scheme to one used by the US National Science Foundation, and a 10-level benchmark. Results The 2 benchmarks can be used to place medical informatics researchers in an ordered category based on the performance of their peers. A validation exercise mapped the benchmark levels to the ranks of medical informatics academic faculty in the United States. The 10-level benchmark tracked academic rank better (with no ties) and is therefore more suitable for practical use. Conclusions Our 10-level benchmark provides an objective basis to evaluate and compare the publication performance of medical informatics researchers with that of their peers using the h-index. PMID:23079075

  12. Re-evaluating a vision-related quality of life questionnaire with item response theory (IRT) and differential item functioning (DIF) analyses

    PubMed Central

    2011-01-01

    Background For the Low Vision Quality Of Life questionnaire (LVQOL) it is unknown whether the psychometric properties are satisfactory when an item response theory (IRT) perspective is considered. This study evaluates some essential psychometric properties of the LVQOL questionnaire in an IRT model, and investigates differential item functioning (DIF). Methods Cross-sectional data were used from an observational study among visually-impaired patients (n = 296). Calibration was performed for every dimension of the LVQOL in the graded response model. Item goodness-of-fit was assessed with the S-X2-test. DIF was assessed on relevant background variables (i.e. age, gender, visual acuity, eye condition, rehabilitation type and administration type) with likelihood-ratio tests for DIF. The magnitude of DIF was interpreted by assessing the largest difference in expected scores between subgroups. Measurement precision was assessed by presenting test information curves; reliability with the index of subject separation. Results All items of the LVQOL dimensions fitted the model. There was significant DIF on several items. For two items the maximum difference between expected scores exceeded one point, and DIF was found on multiple relevant background variables. Item 1 'Vision in general' from the "Adjustment" dimension and item 24 'Using tools' from the "Reading and fine work" dimension were removed. Test information was highest for the "Reading and fine work" dimension. Indices for subject separation ranged from 0.83 to 0.94. Conclusions The items of the LVQOL showed satisfactory item fit to the graded response model; however, two items were removed because of DIF. The adapted LVQOL with 21 items is DIF-free and therefore seems highly appropriate for use in heterogeneous populations of visually impaired patients. PMID:21888648

  13. Evaluation of a Dedicated Pharmacist Staffing Model in the Medical Intensive Care Unit

    PubMed Central

    Kucukarslan, Suzan N.; Corpus, Kim; Mehta, Nisha; Mlynarek, Mark; Peters, Mike; Stagner, Lisa; Zimmerman, Chris

    2013-01-01

    Purpose: Published studies have shown that pharmacists on medical rounds reduce the incidence of preventable adverse drug events (ADEs). However, the impact of a dedicated pharmacist who provides consistent patient care in a critical care unit remains to be evaluated. Objective: To determine the impact of a pharmacist who is permanently assigned to the medical intensive care unit (MICU) on the incidence of preventable ADEs, drug charges, and length of stay (LOS) in the MICU. Design: A randomized, experimental versus historical control group design was used. Preventable ADEs were identified and validated by 2 pharmacists and a critical care physician. Information about MICU drug charges and LOS were obtained from the hospital administrative database. Results: The intervention group had fewer occurrences of ADEs (10 ADEs/1,000 patient days) when compared to the control group (28 ADEs/1,000 patient days) at a significance level of .03. No significant differences were found between the 2 groups in MICU drug charges and LOS. The vast majority of the 596 documented recommended interventions (99%) were accepted by the medical team. Nutrition monitoring, medication indicated but not prescribed, and dosage modification were the top 3 problems identified by the pharmacist. Conclusion: The addition of a dedicated critical care pharmacist to the MICU medical team improves the safe use of medication. The services of a dedicated critical care pharmacist should be expanded to include weekend hours to ensure the benefits of improved medication safety. PMID:24474833

  14. Measuring the improvement in health-related quality of life using King’s health questionnaire in non-obese and obese patients with lower urinary tract symptoms after alpha-adrenergic medication: a preliminary study

    PubMed Central

    2014-01-01

    Background The efficacy of medical treatment among obese men with lower urinary tract symptoms (LUTS) has been less clear, especially regarding the improvement of QoL. We aimed to investigate the difference in efficacy and consequent satisfaction of life quality after medical treatment of male LUTS according to obesity. Methods An 8-week prospective study was performed for a total of 140 patients >50?years old with International Prostate Symptom Scores (IPSS) > 12 points and prostate volume > 20?mL. Obesity was determined by either body mass index (BMI) or waist circumference (WC). Patients were divided into 2 groups according to BMI or WC. Patients received tamsulosin at a dose of 0.4?mg daily for 8?weeks. The changes from baseline in the IPSS, maximal urinary flow rate (Qmax), post-void residual volume, questionnaire of quality of life (QoL), and King’s Health Questionnaire (KHQ) were analyzed. Results Of the 150 enrolled patients, 96 completed the study. Seventy-five patients (78.1%) had BMI ? 23?kg/m2, and 24 (25.0%) had WC > 90?cm. Overall, the IPSS, IPSS QoL, and total KHQ showed significant improvement. Obese (BMI ? 23?kg/m2) and non-obese (BMI < 23?kg/m2) both showed improvement of the IPSS and IPSS QoL scores, but only the obese (BMI ? 23?kg/m2) group showed improvement of the total KHQ score (P < 0.001 vs. P = 0.55). Only the obese (WC > 90?cm) group showed improvement of the IPSS and total KHQ scores (P < 0.001). Conclusions Our preliminary study showed the different efficacy of an alpha-blocker for improvement of LUTS and life quality according to obesity. Obese patients, defined by BMI or WC, showed the tendency toward a more favorable improvement of LUTS and life quality. Trial registration Current Controlled Trials 2010–058. Registered 2 September 2010 in Soonchunhyang Univeristy Hospital PMID:25099073

  15. A survey on home generated medical waste in Mauritius

    Microsoft Academic Search

    Ah Subratty; Me Hassed Nathire

    2005-01-01

    This study was carried out to evaluate home-generated medical waste in Mauritius. A questionnaire survey was undertaken among a random sample population in 250 houses in the nine districts of the island. Results of this study showed an overwhelmingly large proportion of medical waste arising from the domestic environment joins the common municipal solid waste stream and ends in landfills.

  16. Instructional Television Questionnaire -- Teacher Form.

    ERIC Educational Resources Information Center

    Payne, David A.; And Others

    The instructional television questionnaire for teachers consists primarily of statements to be answered with a rating scale. The first seventeen statements ask for evaluative judgments about various aspects of instructional television. The remainder of the statements require judgments of frequency. Questions to ascertain personal data and use of…

  17. A questionnaire based survey study for the evaluation of knowledge of Pakistani University teachers regarding their awareness about ibuprofen as an over the counter analgesic.

    PubMed

    Chen, Jianxian; Murtaza, Ghulam; Nadeem, Nida; Shao, Xiaokuai; Siddiqi, Bushra G; Shafique, Zainab; Ahmad, Saeed; Amjad, Seyyeda T; Haroon, Saima; Tanoli, Mamoona; Zhou, Mei

    2014-01-01

    In recent time, due to convenient availability of number of over the counter (OTC) drugs, patients are able to treat minor ailments by themselves. The self-medicated regimen has lead to certain health problems in all age groups irrespective of their professions. People are usually unaware about the safe use of NSAIDs (non-steroidal anti-inflammatory drugs) and currently there is no study carried out in COMSATS Institute of Information Technology (CIIT), Abbottabad, regarding the choice of faculty members for NSAIDs to relieve pain and their knowledge about its safety and use. A questionnaire based survey was carried out to collectdata about the choice of CIIT faculty for a specific NSAID and their cognition related to ibuprofen. Two hundred fifty faculty members (comprising of 53 pharmacy faculty members and 197 faculty members who belonged to other departments) of which 87 were females, took part in this study. Average age of participants was 34.86 +/- 9.02 years. Ibuprofen was the drug of choice NSAID among the participants. Four percent participants experienced pain almost every day. Analgesia was the well known indication for ibuprofen (31%) by both the groups and in general more educated and younger participants showed better apprehension related to indications. Sixty one percent participants comprising of non-pharmacy faculty were unaware of any undesirable effects and 79% (comprising of 72% pharmacists and 5% non-pharmacists) were affirmative that ibuprofen had no adverse effects. Fifteen percent participants of department other than pharmacy were not aware of any interactions of ibuprofen. 34% of participants (comprising of 32% non-pharmacists and 2% pharmacists) entrusted their physician for an analgesic. Regardless that many participants suffered from pain almost every day and their drug of choice would be ibuprofen, they had inadequate information related to the safety and use of ibuprofen. PMID:25272655

  18. A review of student evaluation of teaching: applications to veterinary medical education.

    PubMed

    Beran, Tanya N; Donnon, Tyrone; Hecker, Kent

    2012-01-01

    Student evaluation of teaching is ubiquitous to teaching in colleges and universities around the world. Since the implementation of student evaluations in the 1970s in the US, considerable research has been devoted to their appropriate use as a means of judging the effectiveness of teaching. The present article aims to (1) examine the evidence for the reliability, validity, and utility of student ratings; (2) provide seven guidelines for ways to identify effective instruction, given that the purpose of student evaluation is to assess effective teaching; and (3) conclude with recommendations for the integration of student ratings into the continuous evaluation of veterinary medical education. PMID:22433742

  19. Spectral analysis for evaluation of myocardial tracers for medical imaging

    SciTech Connect

    Huesman, Ronald H.; Reutter, Bryan W.; Marshall, Robert C.

    2000-10-11

    Kinetic analysis of dynamic tracer data is performed with the goal of evaluating myocardial radiotracers for cardiac nuclear medicine imaging. Data from experiments utilizing the isolated rabbit heart model are acquired by sampling the venous blood after introduction of a tracer of interest and a reference tracer. We have taken the approach that the kinetics are properly characterized by an impulse response function which describes the difference between the reference molecule (which does not leave the vasculature) and the molecule of interest which is transported across the capillary boundary and is made available to the cell. Using this formalism we can model the appearance of the tracer of interest in the venous output of the heart as a convolution of the appearance of the reference tracer with the impulse response. In this work we parameterize the impulse response function as the sum of a large number of exponential functions whose predetermined decay constants form a spectrum, and each is required only to have a nonnegative coefficient. This approach, called spectral analysis, has the advantage that it allows conventional compartmental analysis without prior knowledge of the number of compartments which the physiology may require or which the data will support.

  20. Systematic sports medical prophylactic evaluations in the countries of the former USSR

    Microsoft Academic Search

    P Mustafins; A Landyr; I Schybria; J Istomina; T Gurevich

    2011-01-01

    BackgroundPeriodic health evaluations for athletes are widely discussed in the sports medical literature, and are intended to screen for underlying cardiovascular disease, identify sports injury risk factors and posture disturbances, as well as exercise induced physiological conditions.ObjectiveTo review the systematic the athletes' periodic health evaluations in the territories of the former USSR.ParticipantsSelected sports medicine outpatient centres (SMC) and sports medicine

  1. Regulating the economic evaluation of pharmaceuticals and medical devices: a European perspective

    Microsoft Academic Search

    Richard Cookson; John Hutton

    2003-01-01

    Throughout the developed world, economic evaluation of costly new pharmaceuticals and medical devices became increasingly widespread and systematic during the 1990s. However, serious concerns remain about the validity and relevance of this economic evidence, and about the transparency and accountability of its use in public sector reimbursement decisions. In this article, we summarise current concerns in Europe, based on interviews

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

    ERIC Educational Resources Information Center

    Stevens, Ronald H.; And Others

    1989-01-01

    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)

  3. Evaluation of treatment effects in obese children with co-morbid medical or psychiatric conditions

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The need for effective treatments for pediatric overweight is well known. We evaluated the applicability of an evidence-based treatment in an applied clinic setting that includes children with severe obesity and comorbid medical or psychiatric conditions. Forty-eight overweight children and their fa...

  4. A Methodology for Evaluation of Boundary Detection Algorithms on Medical Images

    Microsoft Academic Search

    Vikram Chalana; Yongmin Kim

    1997-01-01

    Image segmentation is the partition of an image into a set of nonoverlapping regions whose union is the entire image. The image is decomposed into meaningful parts which are uniform with respect to certain characteristics, such as gray level or texture. In this paper, we propose a methodology for evaluating medical image segmentation algorithms wherein the only information available is

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

    ERIC Educational Resources Information Center

    Dennis, Kay S.

    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…

  6. Baylor SBIRT Medical Residency Training Program: Model Description and Initial Evaluation

    ERIC Educational Resources Information Center

    Bray, James H.; Kowalchuk, Alicia; Waters, Vicki; Laufman, Larry; Shilling, Elizabeth H.

    2012-01-01

    The Baylor College of Medicine SBIRT Medical Residency Training Program is a multilevel project that trains residents and faculty in evidenced-based screening, brief intervention, and referral to treatment (SBIRT) methods for alcohol and substance use problems. This paper describes the training program and provides initial evaluation after the…

  7. Vagus nerve stimulation for treatment of medically intractable seizures. Evaluation of long-term outcome

    Microsoft Academic Search

    Paolo Tanganelli; Sergio Ferrero; Patrizio Colotto; Giovanni Regesta

    2002-01-01

    Vagus nerve stimulation (VNS) constitutes an adjunctive, modern management of medically intractable seizures, especially when surgery is inadvisable. Objective: To evaluate the long-term results as regards efficacy, safety and tolerability of VNS in epileptic subjects, with focal and\\/or generalised seizures, refractory to old and new AEDs, without indication for resective surgery. Patients: 51 epileptic subjects (30 males, 21 females), aged

  8. Introduction: Feature Issue on Phantoms for the Performance Evaluation and Validation of Optical Medical Imaging Devices

    PubMed Central

    Hwang, Jeeseong; Ramella-Roman, Jessica C.; Nordstrom, Robert

    2012-01-01

    The editors introduce the Biomedical Optics Express feature issue on “Phantoms for the Performance Evaluation and Validation of Optical Medical Imaging Devices.” This topic was the focus of a technical workshop that was held on November 7–8, 2011, in Washington, D.C. The feature issue includes 13 contributions from workshop attendees. PMID:22741084

  9. The Headroom Method of early economic evaluation of medical devices: A useful tool for device developers?

    E-print Network

    Oakley, Jeremy

    The Headroom Method of early economic evaluation of medical devices: A useful tool for device: What the NHS is Willing To Pay for extra health benefit, normally measured in QALYs [Quality Adjusted Life Year] Headroom Determines the maximum reimbursable price of the new device Can the manufacturer

  10. Some descriptive characteristics of abusive families evaluated at Kansas university medical center

    Microsoft Academic Search

    Edward J. Hett; Jeanne E. Fish

    1979-01-01

    A description of the population of abused children and their parents as compared to the U.S. averages was obtained in this study in addition to an evaluation of how carefully procedures for the assessment of abused children were followed at Kansas University Medical Center. A group of 74 children discharged from the hospital with a diagnosis of child abuse or

  11. Psychometric evaluation of the SF-36 (v.2) questionnaire in a probability sample of Brazilian households: results of the survey Pesquisa Dimensões Sociais das Desigualdades (PDSD), Brazil, 2008

    PubMed Central

    2011-01-01

    Background In Brazil, despite the growing use of SF-36 in different research environments, most of the psychometric evaluation of the translated questionnaire was from studies with samples of patients. The purpose of this paper is to examine if the Brazilian version of SF-36 satisfies scaling assumptions, reliability and validity required for valid interpretation of the SF-36 summated ratings scales in the general population. Methods 12,423 individuals and their spouses living in 8,048 households were selected from a stratified sample of all permanent households along the country to be interviewed using the Brazilian SF-36 (version 2). Psychometric tests were performed to evaluate the scaling assumptions based on IQOLA methodology. Results Data quality was satisfactory with questionnaire completion rate of 100%. The ordering of the item means within scales clustered as hypothesized. All item-scale correlations exceeded the suggested criteria for reliability with success rate of 100% and low floor and ceiling effects. All scales reached the criteria for group comparison and factor analysis identified two principal components that jointly accounted for 67.5% of the total variance. Role emotional and vitality were strongly correlated with physical and mental components, respectively, while social functioning was moderately correlated with both components. Role physical and mental health scales were, respectively, the most valid measures of the physical and mental health component. In the comparisons between groups that differed by the presence or absence of depression, subjects who reported having the disease had lower mean scores in all scales and mental health scale discriminated best between the two groups. Among those healthy and with one, two or three and more chronic illness, the average scores were inverted related to the number of diseases. Body pain, general health and vitality were the most discriminating scales between healthy and diseased groups. Higher scores were associated with individuals of male sex, age below 40 years old and high schooling. Conclusions The Brazilian version of SF-36 performed well and the findings suggested that it is a reliable and valid measure of health related quality of life among the general population as well as a promising measure for research on health inequalities in Brazil. PMID:21812986

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

    PubMed Central

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

    2014-01-01

    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

  13. Facility Evaluation Questionnaire Environmental Compliance

    E-print Network

    Pawlowski, Wojtek

    Facility Name: Building Codes(s): Building name: Building Codes(s): Building name: Building Codes(s): Building name: Building Codes(s): Building name: Building Codes(s): Building name: City: State: County: Zip sheets if required, please be specific and detailed): Has a Regulatory Agency visited your facility

  14. Facility Evaluation Questionnaire Environmental Compliance

    E-print Network

    Pawlowski, Wojtek

    ) Petroleum Spilled: (circle) 1- Petroleum 1- Gasoline 7- Used Oil 2- Non-Petro/ Non-Haz 2- #2 Fuel 8- Non-PCB Oil 3- Hazardous Material 3- #4 Fuel 9- PCB Oil 4- Raw Sewage 4- #6 Fuel 10-Kerosene 5- Unknown 5- Diesel 11- Unknown 6- Other (refrigerant) 6- Jet Fuel Spill Location: Spiller: (if different from Spill

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

    PubMed Central

    2013-01-01

    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

  16. Evaluating the Potential Impact of Pharmacist Counseling on Medication Adherence Using a Simulation Activity

    PubMed Central

    Das, Rolee Pathak; Mansukhani, Rupal Patel; Cosler, Leon E.

    2014-01-01

    Objective. To evaluate the impact of counseling in a simulated medication adherence activity. Design. Students were randomized into 2 groups: patient medication monograph only (PMMO) and patient medication monograph with counseling (PMMC). Both groups received a fictitious medication and monograph. Additionally, the PMMC group received brief counseling. A multiple-choice, paper-based survey instrument was used to evaluate simulated food-drug interactions, adherence, and perceptions regarding the activity’s value and impact on understanding adherence challenges. Assessment. Ninety-two students participated (PMMC, n=45; and PMMO, n=47). Overall, a significantly higher incidence of simulated food-drug interactions occurred in the PMMO group (30%) vs the PMMC group (22%) (p=0.02). Doses taken without simulated food-drug interactions were comparable: 46.2% (PMCC) vs 41.9% (PMMO) (p=0.19). The average number of missed doses were 3.2 (PMMC) vs 2.8 (PMMO) (p=0.55). Approximately 70% of the students found the activity to be valuable and 89% believed it helped them better understand adherence challenges. Conclusion. This activity demonstrated the challenges and important role of counseling in medication adherence.

  17. Prospective Evaluation of Cases of Discharge against Medical Advice in Abuja, Nigeria

    PubMed Central

    Anthonia, Obalim-Chris; Chinwe, Igwilo; Oluwafemi, Adewumi; Ganiyu, Aremu; Haroun, Adamu; Chinwe, Eziechila; Joshua, Aiyekomogbon

    2015-01-01

    Background. Discharge against medical advice (DAMA) is a global clinical phenomenon contributing significantly to adverse patients' outcome. Literatures abound on self-discharges in specific medical subpopulations. However, multidisciplinary studies on this subject in our region are few. Aim. To prospectively evaluate cases of DAMA in a wholesale multidisciplinary perspective at Federal Staff Medical Centre, Abuja, and suggest strategies to reduce it. Patients and Methods. All consecutive patients who DAMA from our medical centre between June 2013 and May 2014 were included in the study. Data harvested from the standard proforma were analyzed using IBM SPSS version 19.0. Results. We recorded an overall DAMA rate of 2.1%. The majority of the patients were paediatric cases (n = 63, 44.6%) while closed long bone fractures represented the leading diagnosis (n = 35, 24.8%). The most commonly cited reasons for leaving the hospital were financial constraints (n = 46, 32.6%) and seeking alternative therapy (n = 25, 17.7%). Conclusion. The DAMA rate in our study is comparable to some urban hospitals elsewhere. However, the leading reasons for this phenomenon are unacceptable in the current medical best practice. Thus, strengthening the Health Insurance Scheme, strict control of traditional medical practices, and focused health education are recommended strategies to reduce DAMA. PMID:25821850

  18. Mediquest: an interactive medical history questionnaire

    E-print Network

    Mann, Charles Franklin

    1976-01-01

    illustrates an example of the sequential recor ds that com- pose a typical response phrase. The flag in the previous record is an l7 A. General format of every record j 2 3 0 5 6 T 8 9 IO II IZ l3 lf IS l6 Alphanumeric Data Phrase Flag B. Sequential r... UNCONSCIOUS FOB LESS THAN ONE NIINUTE, FREQiIENT NU. '. HHiESS OB TINGLING IN PARTS OF THE BODY lPwDIQUEST REPORT 011 JACKSON, BRIAN SCOT 12/16/75 PAGE 2 QF 2 :. ! E D I (, : V ? 3 T B E P 0 H T FE, ;ALE AGE: (?7 PSSSICIA?. : D, . i&ED& U?ST DATi', : l2...

  19. Mediquest: an interactive medical history questionnaire 

    E-print Network

    Mann, Charles Franklin

    1976-01-01

    ?r, HAT '0', ~ Ql: BL&&DBH, OP~HAr'10' ? ' *, ' ti ' "() i, ' ', 7 t& D . &iAS rr At) A CQ 7?r B'. , B'" t BX ', ;, :i '!JAT i &)' "H JS Yi;AH, "' IHS I 7 ir' "IUS(H~I. JGJNG) T! i(NIT!)3 JN BQ(; } J HS ?HCi &I, t, CL!iAH t NG Bl'"-:"I BAH dt}il...

  20. MEDICAL TECHNOLOGY ASSESSMENT: THE USE OF THE ANALYTIC HIERARCHY PROCESS AS A TOOL FOR MULTIDISCIPLINARY EVALUATION OF MEDICAL DEVICES

    Microsoft Academic Search

    HUMMEL JM

    Most types of medical technology assessments are performed after the technology has been developed. Consequently, they have only minor effects on changes in clinical practice. Our study introduces a new method of constructive medical technology assessment that can change the development and diffusion of a medical device to improve its later effectiveness in clinical practice. The method, based on Saaty's

  1. How to use Outcome Questionnaires: Pearls and Pitfalls

    PubMed Central

    Malay, Sunitha; Chung, Kevin C.

    2012-01-01

    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

  2. Evaluation of a computerized reminder system in the enhancement of patient medication refill compliance.

    PubMed

    Simkins, C V; Wenzloff, N J

    1986-10-01

    This study evaluated the use of a computerized patient profile combined with a reminder system to increase refill compliance of patients on cardiovascular medications. There were 311 patients randomly assigned into one of three groups. Patients in group 1 were monitored for refill compliance only. Group 2 patients received a postcard reminder; group 3 patients received a telephone call reminder. Refill compliance was monitored via the computerized patient profile system for a period of three months. Data collection included refill compliance, reasons for noncompliance, and the number of prescription medications for each patient. There was a significant difference between the overall mean rate of compliance between the control and intervention groups. An increase in refill compliance for all groups occurred over three months. There was no significant difference in compliance between the treatment groups. Overall, the medication reminder system appeared to be effective; however, modifications in the system should be pursued. PMID:3769774

  3. Experimental evaluation of an invasive medical instrument based on a displacement measurement system.

    PubMed

    Fotiadis, Dimitris; Astaras, Alexandros; Bamidis, Panagiotis; Papathanasiou, Kostas; Kalfas, Anestis

    2014-09-24

    This paper presents a novel method for tracking the position of a medical instrument's tip. The system is based on phase locking a high frequency signal transmitted from the medical instrument's tip to a reference signal. Displacement measurement is established having the loop open, in order to get a low frequency voltage representing the medical instrument's movement; therefore, positioning is established by means of conventional measuring techniques. The Voltage Controlled Oscillator (VCO) stage of the Phase Locked Loop (PLL), combined to an appropriate antenna comprise the associated transmitter located inside the medical instrument tip. All the other low frequency PLL components, Low Noise Amplifier (LNA) and Mixer, are located outside the human body, forming the receiver part of the system. The operating details of the proposed system were coded in Verilog-AMS. Simulation results indicate robust medical instrument tracking in one dimension (1D). Experimental evaluation of the proposed position tracking system is also presented. The experiments described in this paper are based on a transmitter moving opposite a stationary receiver performing either constant velocity or uniformly accelerated movement, and also together with two stationary receivers performing constant velocity movement again. This latter setup is implemented in order to demonstrate the prototype's accuracy for planar (2D) motion measurements. Error analysis and time domain analysis are presented for system performance characterization. Furthermore, preliminary experimental assessment using a saline solution container to more closely approximate the human body as an RF wave transmission medium has proved the system's capability of operating underneath the skin. PMID:25265618

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

    PubMed

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

    2000-10-01

    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

  5. Evaluating educational preparation for a health education role in practice: the case of medication education.

    PubMed

    Latter, S; Rycroft-Malone, J; Yerrell, P; Shaw, D

    2000-11-01

    Current health care policy and practice contexts in the UK point to the importance of nurses' ability to make an effective contribution to educating patients about medication, as part of their role in health education and health promotion. Nurses' potential contribution to this important activity will inevitably be dependent on knowledge and skills acquired during preregistration and postregistration programmes of education. Against this backdrop, changes in pre and postregistration nurse education in the UK in the past decade highlight the importance and timeliness of evaluating the adequacy of educational preparation for a medication role. This paper reports on the findings from an evaluation of UK educational preparation for a medication education role in practice. A case study design was used to investigate current educational preparation at three education institutions. Multiple methods of data collection at each site involved focus group discussions with lecturers and practitioners, individual interviews with key personnel, nonparticipant observation of teaching sessions, postobservation interviews with students and curriculum analysis. Findings highlighted the importance of a number of dimensions of preparation for practice of such a role: the need for sufficient taught pharmacology; opportunities for application and integration of prerequisite knowledge and skills; the importance of practice-based learning; the need for an evidence-based curriculum, and the importance of clarifying outcomes and competencies required for a medication education role within pre and postregistration curricula. The paper concludes with a discussion and implications of the findings. PMID:11115014

  6. Web tools for effective retrieval, visualization, and evaluation of cardiology medical images and records

    NASA Astrophysics Data System (ADS)

    Masseroli, Marco; Pinciroli, Francesco

    2000-12-01

    To provide easy retrieval, integration and evaluation of multimodal cardiology images and data in a web browser environment, distributed application technologies and java programming were used to implement a client-server architecture based on software agents. The server side manages secure connections and queries to heterogeneous remote databases and file systems containing patient personal and clinical data. The client side is a Java applet running in a web browser and providing a friendly medical user interface to perform queries on patient and medical test dat and integrate and visualize properly the various query results. A set of tools based on Java Advanced Imaging API enables to process and analyze the retrieved cardiology images, and quantify their features in different regions of interest. The platform-independence Java technology makes the developed prototype easy to be managed in a centralized form and provided in each site where an intranet or internet connection can be located. Giving the healthcare providers effective tools for querying, visualizing and evaluating comprehensively cardiology medical images and records in all locations where they can need them- i.e. emergency, operating theaters, ward, or even outpatient clinics- the developed prototype represents an important aid in providing more efficient diagnoses and medical treatments.

  7. Program Evaluation in Medical Education: An Overview of the Utilization-focused Approach.

    PubMed

    Vassar, Matt; Wheeler, Denna L; Davison, Machelle; Franklin, Johnathan

    2010-01-01

    Medical school administrators, educators, and other key personnel must often make difficult choices regarding the creation, retention, modification, or termination of the various programs that take place at their institutions. Program evaluation is a data-driven strategy to aide decision-makers in determining the most appropriate outcome for programs within their purview. The purpose of this brief article is to describe one program evaluation model, the utilization-focused approach. In particular, we address the focus of this model, the personal factor, the role of the evaluator, and the evaluation process. Based on the flexibility of this model as well as its focus on stakeholder involvement, we encourage readers to consider the utilization-focused approach when evaluating programs. PMID:20559515

  8. Program Evaluation in Medical Education: An Overview of the Utilization-focused Approach

    PubMed Central

    Wheeler, Denna L.; Davison, Machelle; Franklin, Johnathan

    2010-01-01

    Medical school administrators, educators, and other key personnel must often make difficult choices regarding the creation, retention, modification, or termination of the various programs that take place at their institutions. Program evaluation is a data-driven strategy to aide decision-makers in determining the most appropriate outcome for programs within their purview. The purpose of this brief article is to describe one program evaluation model, the utilization-focused approach. In particular, we address the focus of this model, the personal factor, the role of the evaluator, and the evaluation process. Based on the flexibility of this model as well as its focus on stakeholder involvement, we encourage readers to consider the utilization-focused approach when evaluating programs. PMID:20559515

  9. [Review of influence of landing impact on human body (correction of boby) and its medical evaluation].

    PubMed

    Guo, Yao-yu; Tan, Cheng; Liu, Bing-kun; Jiang, Shi-zhong

    2002-12-01

    Landing impact is the dynamic factor that manned spaceship will inevitably meet after the mission has been completed, and impact force may cause damages to human tissues [correction of tissuses] and organs, even death. This paper described the characteristics of pathological and dynamic response of human body to landing impact, and discussed various related factors such as impact angle, fetters, design of cushion, harness and terrain condition. Medical evaluation of +Gx, +Gz, +/- Gy impacts were summarized. PMID:12622097

  10. Empirical Evaluation of Adaptive User Modeling in a Medical Information Retrieval Application

    Microsoft Academic Search

    Eugene Santos Jr.; Hien Nguyen; Qunhua Zhao; Erik Pukinskis

    2003-01-01

    A comprehensive methodology for evaluating a user model presents challenges in choosing metrics and in assessing usefulness\\u000a from both user and system perspectives. In this paper, we describe such a methodology and use it to assess the effectiveness\\u000a of an adaptive user model embedded in a medical information retrieval. We demonstrate that the user model helps to improve\\u000a the retrieval

  11. Piloting an outcome-based programme evaluation tool in undergraduate medical education

    PubMed Central

    Raupach, Tobias; Schiekirka, Sarah; Münscher, Christian; Beißbarth, Tim; Himmel, Wolfgang; Burckhardt, Gerhard; Pukrop, Tobias

    2012-01-01

    Aims: Different approaches to performance-oriented allocation of resources according to teaching quality are currently being discussed within German medical schools. The implementation of these programmes is impeded by a lack of valid criteria to measure teaching quality. An assessment of teaching quality should include structural and procedural aspects but focus on learning outcome itself. The aim of this study was to implement a novel, outcome-based evaluation tool within the clinical phase of a medical curriculum and address differences between the novel tool and traditional evaluation methods. Methods: Student self-assessments before and after completion of a teaching module were used to compute performance gains for specific learning objectives. Mean performance gains in each module were compared to student expectations before the module and data derived from a traditional evaluation tool using overall course ratings at the end of the module. Results: A ranking of the 21 modules according to computed performance gains yielded entirely different results than module rankings based on overall course ratings. There was no significant correlation between performance gain and overall ratings. However, the latter were significantly correlated to student expectations before entering the module as well as structural and procedural parameters (Pearson’s r 0.7-0.9). Conclusion: Performance gain computed from comparative self-assessments adds an important new dimension to course evaluation in medical education. In contrast to overall course ratings, the novel tool is less heavily confounded by construct-irrelevant factors. Thus, it appears to be more appropriate than overall course ratings in determining teaching quality and developing algorithms to guide performance-oriented resource allocation in medical education. PMID:22737199

  12. Developing questionnaires for educational research: AMEE Guide No. 87

    PubMed Central

    La Rochelle, Jeffrey S.; Dezee, Kent J.; Gehlbach, Hunter

    2014-01-01

    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

  13. Extending Question & Test Learning Technology Specifications with Enhanced Questionnaire Models

    Microsoft Academic Search

    Elena García; Miguel-Ángel Sicilia; José-Ramón Hilera; José-Antonio Gutiérrez

    Questionnaires are a commonly used instrument for diverse purposes in the context of educational technology. Applications of questionnaires range from student's assessments to evaluations of teaching, and include also the evaluation of the learning contents, and even of the technology that delivers them. Although the IMS QTI specification addresses the interchange of questionnaires and their results, the scope of its

  14. Validation of a questionnaire to identify hearing loss among farm operators.

    PubMed

    McCullagh, Marjorie C

    2012-01-01

    Workers in certain industries (e.g., agriculture) do not participate in a hearing conservation program and rarely receive this important preventive care. The National Institute for Deafness and Communication Disorders (NIDCD) has published a questionnaire to assess a person's need for medical examination of their hearing. The use of a self-administered questionnaire may pose a simple, low cost opportunity to assess the hearing health of workers not included in a hearing conservation program. However, the validity of the NIDCD questionnaire has not been tested. A study was conducted to compare the results of audiometric screening and the NIDCD questionnaire in identifying persons at risk for hearing impairment who may benefit from a medical referral. Data were collected from 103 farm operators at a regional farm show. Receiver-operator characteristic curves, measuring the ability of the questionnaire to correctly classify those with and without the disease suggested that the level of performance of the questionnaire as a whole, ranged from 0.74 to 0.69 (fair to poor). However, selected questionnaire items (e.g., Do you have to strain to understand conversations?) had moderate agreement (0.38 to 0.41) with screening audiogram results. Overall, the 10-item instrument did not perform as well as instruments with fewer items reported in separate studies. These findings suggest that, while less desirable than audiometry, alternative self-administered instruments might perform the better in this group. This approach may be useful as an alternative screening method to detect risk of hearing loss and identifying the need for medical evaluation of hearing sensitivity, particularly among farm operators. PMID:22387711

  15. Quantitative evaluation of English-Japanese machine translation of medical literature.

    PubMed

    Kiuchi, T; Kaihara, S

    1991-08-01

    Although many machine-translation programs are currently available, few evaluation methods of such translation exist for any given application area. It is difficult to evaluate machine-translation systems objectively because the quality of a translation depends on the combination of three factors: the translation program, the dictionary, and the original document. In this study, we developed a quantitative evaluation method for assessing machine translation, which evaluates these three factors separately. We applied this method to the translation of English to Japanese for medical literature and the method proved to be a good indicator for further system improvement. Using this method we also discovered other important points for machine translation, such as the examination of target documents for the construction of a better application dictionary. PMID:1943792

  16. Evaluating the quality of psychosocial care in outpatient medical oncology settings using performance indicators

    PubMed Central

    Jacobsen, Paul B.; Shibata, David; Siegel, Erin M.; Lee, Ji-Hyun; Fulp, William J.; Alemany, Carlos; Abesada-Terk, Guillermo; Brown, Richard; Cartwright, Thomas; Faig, Douglas; Kim, George; Levine, Richard; Markham, Merry-Jennifer; Schreiber, Fred; Sharp, Philip; Malafa, Mokenge

    2015-01-01

    Objective An American Psychosocial Oncology Society workgroup has developed indicators of the quality of psychosocial care that can be measured through review of medical records. The present report describes the first large-scale use of these indicators to evaluate psychosocial care in outpatient medical oncology settings. Methods Medical records of 1660 colorectal, breast and non-small cell cancer patients first seen by a medical oncologist in 2006 at 11 practice sites in Florida were reviewed for performance on indicators of the quality of psychosocial care. Results Assessment of emotional well-being was significantly less likely to be documented than assessment of pain (52 vs 87%, p<0.001). A problem with emotional well-being was documented in 13% of records and evidence of action taken was documented in 58% of these records. Ten of eleven practice sites performed below an 85% threshold on each indicator of psychosocial care. Variability in assessment of emotional-well being was associated (p<0.02) with practice site and patient gender and age while variability in assessment of pain was associated (p<0.001) with practice site and cancer type. Conclusions Findings illustrate how use of the psychosocial care indicators permits identification of specific practice sites and processes of care that should be targeted for quality improvement efforts. Additionally, findings demonstrate the extent to which routine assessment of emotional well-being lags behind routine assessment of pain in cancer patients. PMID:20878724

  17. Reforms of the Korean Medical Licensing Examination regarding item development and performance evaluation

    PubMed Central

    2015-01-01

    Purpose: The Korean Medical Licensing Examination (KMLE) has undergone a variety of innovative reforms implemented by the National Health Personnel Licensing Examination Board (NHPLEB) in order to make it a competency-based test. The purpose of this article is to describe the ways in which the KMLE has been reformed and the effect of those innovations on medical education in Korea. Methods: Changes in the KMLE were traced from 1994 to 2014 by reviewing the adoption of new policies by the NHPLEB and the relevant literature. Results: The most important reforms that turned the examination into a competency-based test were the following: First, the subjects tested on the exam were revised; second, R-type items were introduced; third, the proportion of items involving problem-solving skills was increased; and fourth, a clinical skills test was introduced in addition to the written test. The literature shows that the above reforms have resulted in more rigorous licensure standards and have improved the educational environment of medical schools in Korea. Conclusion: The reforms of the KMLE have led to improvements in how the competency of examinees is evaluated, as well as improvements in the educational system in medical schools in Korea. PMID:25797057

  18. Assessment of Questionnaires Measuring Quality of Life in Infertile Couples: A Systematic Review

    PubMed Central

    Mousavi, Seyyed Abbas; Masoumi, Seyyedeh Zahra; Keramat, Afsaneh; Pooralajal, Jalal; Shobeiri, Fatemeh

    2013-01-01

    Background Infertility has potentially inappropriate effects on quality of life in infertile couples. Various general and specific questionnaires have been structured for assessing different aspects of quality of life in infertile men, women, or couples. The present systematic review was designed to assess these questionnaires and also identify different factors affecting infertile couples based on the aforesaid questionnaires. Methods The research strategy involved general and specific terms in relation to couples's infertility and their quality of life. A review was done for studies published from 1982 to 2012 that were indexed in Medline, ISI Web of Science and Scopus as well as abstract books on this subject. We also corresponded with the authors of the references in related studies for introducing more resources and references. Results In all reviewed studies, different aspects of the quality of life in couples were evaluated including sexual, psychological, social, communicational, environmental, occupational, medical, as well as economical ones. In total, after initial screening of all studies, 10 general and 2 specific questionnaires were retrieved. Although no meta-analysis was found in the review, infertility had a negative effect on quality of life in couples. Conclusion This study revealed that some general questionnaires such as SF-36 and WHO-QOL were mostly used for assessing quality of life in infertile couples and some specific questionnaires such as FERTI-QoL and Fertility Problem Inventory were rarely used. Thus, it seems that the evaluation of quality of life in infertile couples needs valid instruments for measurement. PMID:24163794

  19. 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

    Thiede, Birgit; Kramer, Axel

    2013-01-01

    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

  20. Evaluating User Perceptions of Mobile Medication Management Applications With Older Adults: A Usability Study

    PubMed Central

    Gates, Allison

    2014-01-01

    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

  1. Assuring safety of inherently unsafe medications: the FDA risk evaluation and mitigation strategies.

    PubMed

    Nelson, Lewis S; Loh, Meredith; Perrone, Jeanmarie

    2014-06-01

    The decision to approve a drug for clinical use is based on an understanding of its benefits versus the risks. Although efficacy is generally understood at the time of submission to the FDA for approval, the risks are more difficult to assess. Both PubMed (from 2000 to 2012) and the FDA website (www.fda.gov) were searched using the search terms "risk evaluation and mitigation strategy" (REMS). Articles for review were selected by relevance to topic, and their references were searched as well for additional relevant resources. Since the search results were not expected to contain research studies, formal quality assessment and inclusion and exclusion criteria were not utilized resulting in a narrative review. Few directly relevant research studies exist, although supporting documents such as government reports were available. For effective drugs with unclear or concerning safety records, the FDA has the option of requiring a risk evaluation and mitigation strategy, which allows a systematic approach to track and assure safe medication use. Over 100 different medications are currently covered by REMS, and each REMS is developed individually based on the needs of the specific drug or class. Although likely associated with improvements in medication safety, the potential benefit, limitations, and consequences of REMS are not yet fully understood. PMID:24414251

  2. Evaluation of parenteral nutritional support in the surgical and medical wards of a referral teaching hospital

    PubMed Central

    2012-01-01

    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

  3. The Role of Academic Psychiatry Faculty in the Treatment and Subsequent Evaluation and Promotion of Medical Students: An Ethical Conundrum

    ERIC Educational Resources Information Center

    Kavan, Michael G.; Malin, Paula Jo; Wilson, Daniel R.

    2008-01-01

    Objectives: This article explores ethical and practical issues associated with the Liaison Committee on Medical Education (LCME) provision that states health professionals who provide psychiatric/psychological care to medical students must have no involvement in the academic evaluation or promotion of students receiving those services. Method: The…

  4. Test de Evaluacion de Conocimientos Medicos-CIIPME (Test of Evaluation of Medical Knowledge-CIIPME). Publication No. 42.

    ERIC Educational Resources Information Center

    Alfici, C.; And Others

    The purpose of this research is to build a test for the evaluation of the knowledge needed by medical students before entering clinical courses in medical school. The criterion for this was provided by teachers in both the pre-clinical and clinical subjects. The Pilot instrument consisted of 335 items that covered 8 sections. Each one of these…

  5. A questionnaire survey approach to the study of the psychosocial consequences of shiftwork

    Microsoft Academic Search

    Michael J. Smith; Michael J. Colligan; Donald L. Tasto

    1979-01-01

    A questionnaire survey of shiftworkers, while somewhat less objective than a health and safety records evaluation or a medical\\u000a study, can provide a fast and efficient way for collecting a large amount of detailed data about the psychological, social,\\u000a and health consequences of shiftwork. In fact, this method can produce information that cannot be derived from either of the\\u000a other

  6. Development and evaluation of a crowdsourcing methodology for knowledge base construction: identifying relationships between clinical problems and medications

    PubMed Central

    Wright, Adam; Laxmisan, Archana; Ottosen, Madelene J; McCoy, Jacob A; Butten, David; Sittig, Dean F

    2012-01-01

    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

  7. Evaluation of a Discharge Medication Service on an Acute Psychiatric Unit

    PubMed Central

    Ahmed, Nadeem; Mukherjee, Koushik; Roma, Rebecca S.; DiLucente, Donna; Orchowski, Karen

    2013-01-01

    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

  8. Evaluation of small-group teaching in human gross anatomy in a Caribbean medical school.

    PubMed

    Chan, Lap Ki; Ganguly, Pallab K

    2008-01-01

    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 in them. 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. PMID:19177374

  9. Development, implementation and evaluation of a pain management and palliative care educational seminar for medical students

    PubMed Central

    Paneduro, Denise; Pink, Leah R; Smith, Andrew J; Chakraborty, Anita; Kirshen, Albert J; Backstein, David; Woods, Nicole N; Gordon, Allan S

    2014-01-01

    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

  10. Scientific evaluation and pricing of medical devices and associated procedures in France.

    PubMed

    Gilard, Martine; Debroucker, Frederique; Dubray, Claude; Allioux, Yves; Aper, Eliane; Barat-Leonhardt, Valérie; Brami, Michèle; Carbonneil, Cédric; Chartier-Kastler, Emmanuel; Coqueblin, Claire; Fare, Sandrine; Giri, Isabelle; Goehrs, Jean-Marie; Levesque, Karine; Maugendre, Philippe; Parquin, François; Sales, Jean-Patrick; Szwarcensztein, Karine

    2013-01-01

    Medical devices are many and various, ranging from tongue spatulas to implantable or invasive devices and imaging machines; their lifetimes are short, between 18 months and 5 years, due to incessant incremental innovation; and they are operator-dependent: in general, the clinical user performs a fitting procedure (hip implant or pacemaker), a therapeutic procedure using a non-implantable invasive device (arrhythmic site ablation probe, angioplasty balloon, extension spondyloplasty system, etc.) or follow-up of an active implanted device (long-term follow-up of an implanted cardiac defibrillator or of a deep brain stimulator in Parkinson's patients). A round-table held during the XXVIII(th) Giens Workshops meeting focused on the methodology of scientific evaluation of medical devices and the associated procedures with a view to their pricing and financing by the French National Health Insurance system. The working hypothesis was that the available data-set was sufficient for and compatible with scientific evaluation with clinical benefit. Post-registration studies, although contributing to the continuity of assessment, were not dealt with. Moreover, the focus was restricted to devices used in health establishments, where the association between devices and technical medical procedures is optimally representative. An update of the multiple regulatory protocols governing medical devices and procedures is provided. Issues more specifically related to procedures as such, to non-implantable devices and to innovative devices are then dealt with, and the proposals and discussion points raised at the round-table for each of these three areas are presented. PMID:23981256

  11. Evaluation of the Turkish Version of the "Ages and Stages Questionnaires: Social-Emotional" in Identifying Children with Social-Emotional Problems

    ERIC Educational Resources Information Center

    Kucuker, Sevgi; Kapci, Emine Gul; Uslu, Runa Idil

    2011-01-01

    The applicability of the Age and Stages Questionnaires: Social Emotional (ASQ-SE; J. Squires, D. Bricker & E. Twombly, 2003) for Turkish children was examined. A total of 608 mothers completed the ASQ-SE's. Overall sensitivity and overall specificity were 83.7% and 89.9%, respectively. Test-retest reliability, assessed by classifying children as…

  12. Evaluation of neutron dose equivalent levels at the maze entrance of medical accelerator treatment rooms

    SciTech Connect

    McGinley, P.H.; Butker, E.K. (Emory Clinic, Division of Radiation Oncology, Atlanta, Georgia (USA))

    1991-03-01

    This paper evaluates the accuracy of Kersey's method of calculation of the dose level due to photoneutrons at the maze entrance of medical accelerators. In this study measurements and calculations of the neutron dose equivalent were made for 13 medical accelerator facilities. The group of accelerators was composed of four different models from two manufacturers. The maze length for the treatment rooms varied from 3.0 to 8.54 m and 10 of the mazes had a single 90-deg turn with the remaining having two 90-deg turns. Moderated activation detectors and a portable neutron remmeter were used for measurements in the treatment room and maze, respectively. It was found that the maximum disagreement between the measured and calculated values was a factor of 2.3 with the calculated value exceeding the measured value. The majority of the measured values were within 25% of the calculated levels. It was concluded that Kersey's method is suitable for use in designing medical accelerator mazes.

  13. Evaluation of medical and veterinary students' attitudes toward a one health interprofessional curricular exercise.

    PubMed

    Winer, Jenna Nicole; Nakagawa, Keisuke; Conrad, Patricia A; Brown, Lauren; Wilkes, Michael

    2015-01-01

    This study evaluates whether medical and veterinary students' attitudes toward "One Health" and interprofessional education changed after participating in a joint small group learning exercise focused on risk factors associated with zoonotic disease. A survey was distributed to third-year medical students (n?=?98) and second-year veterinary students (n?=?140), each with a 95% response rate. Overall, 92% of veterinary students and 73% of medical students agreed or strongly agreed that "One Health" was relevant to their desired specialty. Students from both schools largely agreed that interprofessional education should be a goal of the curriculum for their school, and that interprofessional approaches strengthen their overall education. Students reported increased confidence in their communication skills and improved ability to contribute to One Health collaborative teams. This educational intervention, built around a patient case, focused on a variety of learning objectives including skills (such as communication), knowledge (of zoonotic toxoplasmosis) and attitudes (toward collaborative learning and practice). By sparking an interest in One Health during their early professional education, we sought to encourage a new generation of physicians and veterinarians to adopt a more collaborative spirit to their clinical practice, which will ultimately benefit human, animal and environmental health. PMID:25051087

  14. Questionnaires in behavioral pediatrics: guidelines for selection and use.

    PubMed

    Eisert, D C; Sturner, R A; Mabe, P A

    1991-02-01

    There is a death of information for pediatricians to use in choosing questionnaires that would be useful in medical practice. In this article, general guidelines are presented for primary child health clinicians to use in selecting questionnaires. Concepts such as reliability, validity, readability, response format, scoring and completion time, and norms are reviewed, and the implications of these concepts for practitioners are discussed. Guidelines are applied to selected behavioral questionnaires to illustrate their importance. PMID:2016402

  15. The role of human drug self-administration procedures in the development of medications

    Microsoft Academic Search

    S. D. Comer; J. B. Ashworth; R. W. Foltin; C. E. Johanson; J. P. Zacny; S. L. Walsh

    2008-01-01

    The purpose of this review is to illustrate the utility and value of employing human self-administration procedures in medication development, including abuse liability assessments of novel medications and evaluation of potential pharmacotherapies for substance use disorders. Traditionally, human abuse liability testing has relied primarily on subjective reports describing drug action by use of questionnaires; similarly, drug interactions between putative treatment

  16. Avaliação da qualidade dos registros de enfermagem no prontuário por meio da auditoria Evaluation of the quality of nursing documentation though the review of patient medical records

    Microsoft Academic Search

    Vanessa Grespan Setz; Maria D'Innocenzo

    2009-01-01

    Objective: To evaluate the quality of nursing documentation on medical records of patients from a university hospital in São Paulo, Brazil. Methods: A retrospective descriptive study was used to conduct the study. Four hundred and twenty four medical records of patients from medical and surgical units were reviewed from November 2006 to January 2007. The medical records were from patients

  17. Psychometric Evaluation of a Self-Medication Assessment Tool in an Elderly Population

    PubMed Central

    Irvine-Meek, Janice M; Gould, Odette N

    2011-01-01

    Background: Most community-dwelling older adults are engaged in medication self-management activities. Deviation in these activities can lead to adverse outcomes for patients and an increased burden on the health care system. Successful medication self-management involves a complex interaction among cognitive, functional, and psychosocial variables. Several assessment instruments have been developed, but there remains a need for an effective and comprehensive tool. Objective: To evaluate the psychometric properties (inter-rater reliability, test–retest reliability, and validity), as well as the usability, of the Self-Medication Assessment Tool (SMAT), an instrument designed to measure elderly patients’ ability to manage their medications. Methods: The study enrolled patients 65 years of age or older who were living independently and were admitted to family medicine beds in a community hospital in eastern Canada. Three subsamples of the population were identified. The inter-rater reliability group was videotaped and scored independently by 2 pharmacists. The test–retest reliability group was tested with the SMAT and was retested with the same tool a week later. The usability group was interviewed after using the SMAT to determine their satisfaction. Standard neuropsychological measures (Cognitive Competency Test, clock-drawing test, and Mini Mental State Examination [MMSE]) were used to determine convergent and divergent validity. Pill counts, refill rates, and use of adherence aids or reminders before study enrolment were used as measures of concurrent validity. Results: A total of 121 patients (mean age 81.5 years) were enrolled. The scales of the SMAT were determined to have good internal consistency and high inter-rater and test–retest reliability. Convergent validity was evidenced by the high positive correlation between the functional scale of the SMAT and the results of the clock-drawing and Cognitive Competency tests (p < 0.01) and between the cognitive and recall scales of the SMAT and the results of the clock-drawing test (p < 0.05), the MMSE (p < 0.01), and the Cognitive Competency Test (p < 0.01). Patients reported being highly satisfied with their experience. Conclusion: The SMAT is a practical, reliable, comprehensive instrument with demonstrated convergent validity, strong patient acceptability, and various internally consistent scales that assess multiple dimensions of elderly patients’ ability to self-manage their medications. Further testing is required to show that the SMAT correlates with medication adherence. PMID:22479024

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

    SciTech Connect

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

    2014-01-01

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

  19. Evaluating Medical Students' Skills in Obtaining Informed Consent for HIV Testing

    PubMed Central

    Roberts, Laura Weiss; Geppert, Cynthia; McCarty, Teresita; Obenshain, S Scott

    2003-01-01

    OBJECTIVE To evaluate fourth-year medical students' abilities to obtain informed consent or refusal for HIV testing through a performance-based evaluation method. DESIGN Student competence was assessed in a standardized patient interaction in which the student obtained informed consent or refusal for HIV testing. A previously validated 16-item checklist was completed by the standardized patient. A subset was independently reviewed and scored by a faculty member to calculate interrater reliability for this report. Student feedback on the assessment was elicited. SETTING School of Medicine at the University of New Mexico. PATIENTS/PARTICIPANTS All senior medical students in the class of 2000 were included. INTERVENTIONS A 10-minute standardized patient interaction was administered within the context of a formal comprehensive performance assessment. MEASUREMENTS and MAIN RESULTS Seventy-nine students participated, and most (96%) demonstrated competence on the station. For the 15 specific items, the mean score was 25.5 out of 30 possible points (range, 13 to 30; SD, 3.5) on the checklist. A strong positive correlation (rs = .79) was found between the total score on the 15 Likert-scaled items and the score in response to the global item, “I would return to this clinician” (mean, 3.5; SD, 1.0). Scores given by the standardized patients and the faculty rater were well correlated. The station was generally well received by students, many of whom were stimulated to pursue further learning. CONCLUSIONS This method of assessing medical students' abilities to obtain informed consent or refusal for HIV testing can be translated to a variety of clinical settings. Such efforts may help in demonstrating competence in performing key ethics skills and may help ensure ethically sound clinical care for people at risk for HIV infection. PMID:12542585

  20. Program Evaluation of Remote Heart Failure Monitoring: Healthcare Utilization Analysis in a Rural Regional Medical Center

    PubMed Central

    Keberlein, Pamela; Sorenson, Gigi; Mohler, Sailor; Tye, Blake; Ramirez, A. Susana; Carroll, Mark

    2015-01-01

    Abstract Background: Remote monitoring for heart failure (HF) has had mixed and heterogeneous effects across studies, necessitating further evaluation of remote monitoring systems within specific healthcare systems and their patient populations. “Care Beyond Walls and Wires,” a wireless remote monitoring program to facilitate patient and care team co-management of HF patients, served by a rural regional medical center, provided the opportunity to evaluate the effects of this program on healthcare utilization. Materials and Methods: Fifty HF patients admitted to Flagstaff Medical Center (Flagstaff, AZ) participated in the project. Many of these patients lived in underserved and rural communities, including Native American reservations. Enrolled patients received mobile, broadband-enabled remote monitoring devices. A matched cohort was identified for comparison. Results: HF patients enrolled in this program showed substantial and statistically significant reductions in healthcare utilization during the 6 months following enrollment, and these reductions were significantly greater compared with those who declined to participate but not when compared with a matched cohort. Conclusions: The findings from this project indicate that a remote HF monitoring program can be successfully implemented in a rural, underserved area. Reductions in healthcare utilization were observed among program participants, but reductions were also observed among a matched cohort, illustrating the need for rigorous assessment of the effects of HF remote monitoring programs in healthcare systems. PMID:25025239

  1. Evaluation of board performance in Iran’s universities of medical sciences

    PubMed Central

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

    2014-01-01

    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

  2. Identification Number:.... Questionnaire Four

    E-print Network

    Boschetti, Fabio

    the complete complex system?'' This is the last questionnaire for the experiment. It asks about your general thoughts and your learning from this experiment. Could you give some information that could explain how you particularly easy? If so what were they and why? Were there any specific aspects that were particularly

  3. Questionnaire typography and production.

    PubMed

    Gray, M

    1975-06-01

    This article describes the typographic principles and practice which provide the basis of good design and print, the relevant printing processes which can be used, and the graphic designer's function in questionnaire production. As they impose constraints on design decisions to be discussed later in the text, the various methods of printing and production are discussed first. PMID:15677172

  4. Diet History Questionnaire

    Cancer.gov

    NATIONAL INSTITUTES OF HEALTH Diet History Questionnaire Today's date: MONTH DAY YEAR |___|___| 0 0 1 1 2 2 3 3 4 5 6 7 8 01 Jan 02 Feb 03 Mar 04 Apr 05 May 06 Jun 07 Jul 08 Aug 09 Sep 10 Oct 11 Nov 12

  5. Philosophy of Glasser Questionnaire.

    ERIC Educational Resources Information Center

    Masters, James R.; Laverty, Grace E.

    As part of the instrumentation to assess the effectiveness of the Schools Without Failure (SWF) program in 10 elementary schools in the New Castle, Pa. School District, the Philosophy of Glasser Questionnaire was developed. This 15-item scale measuring attitudes toward the philosophy of William Glasser had a coefficient alpha reliability of .77…

  6. Adherence to antidepressant medications: an evaluation of community pharmacists’ counseling practices

    PubMed Central

    Chong, Wei Wen; Aslani, Parisa; Chen, Timothy F

    2013-01-01

    Background Recent studies have shown that pharmacists have a role in addressing antidepressant nonadherence. However, few studies have explored community pharmacists’ actual counseling practices in response to antidepressant adherence-related issues at various phases of treatment. The purpose of this study was to evaluate counseling practices of community pharmacists in response to antidepressant adherence-related issues. Methods A simulated patient method was used to evaluate pharmacist counseling practices in Sydney, Australia. Twenty community pharmacists received three simulated patient visits concerning antidepressant adherence-related scenarios at different phases of treatment: 1) patient receiving a first-time antidepressant prescription and hesitant to begin treatment; 2) patient perceiving lack of treatment efficacy for antidepressant after starting treatment for 2 weeks; and 3) patient wanting to discontinue antidepressant treatment after 3 months due to perceived symptom improvement. The interactions were recorded and analyzed to evaluate the content of consultations in terms of information gathering, information provision including key educational messages, and treatment recommendations. Results There was variability among community pharmacists in terms of the extent and content of information gathered and provided. In scenario 1, while some key educational messages such as possible side effects and expected benefits from antidepressants were mentioned frequently, others such as the recommended length of treatment and adherence-related messages were rarely addressed. In all scenarios, about two thirds of pharmacists explored patients’ concerns about antidepressant treatment. In scenarios 2 and 3, only half of all pharmacists’ consultations involved questions to assess the patient’s medication use. The pharmacists’ main recommendation in response to the patient query was to refer the patient back to the prescribing physician. Conclusion The majority of pharmacists provided information about the risks and benefits of antidepressant treatment. However, there remains scope for improvement in community pharmacists’ counseling practice for patients on antidepressant treatment, particularly in providing key educational messages including adherence-related messages, exploring patients’ concerns, and monitoring medication adherence. PMID:23986631

  7. Please complete this form, along with form A (Risk Assessment Work Evaluation Questionnaire) Mail or give all forms to Occupational Health/EHS, Mail Code 0091

    E-print Network

    Russell, Lynn

    allergies or respiratory sensitivities which may be caused or aggravated by work around animals. Chronic present additional risks during pregnancy or for certain respiratory or chronic health disorders. Based any of the following medical conditions? Allergy and Respiratory System Health History Yes No Yes

  8. The patient health questionnaire for adolescents

    Microsoft Academic Search

    Jeffrey G Johnson; Emily S Harris; Robert L Spitzer; Janet B. W Williams

    2002-01-01

    Purpose: To investigate the validity of the Patient Health Questionnaire for Adolescents (PHQ-A), a self-administered instrument that assesses anxiety, eating, mood, and substance use disorders among adolescent primary care patients.Methods: A total of 403 adolescents from California, New Jersey, New York, and Ohio completed the PHQ-A and the Medical Outcomes Study Short-Form General Health Survey (SF-20) during or shortly after

  9. Characterization of a pressure measuring system for the evaluation of medical devices.

    PubMed

    Bonnaire, Rébecca; Verhaeghe, Marion; Molimard, Jérôme; Calmels, Paul; Convert, Reynald

    2014-12-01

    The purpose of this study is to evaluate the possible use of four "FSA" thin and flexible resistive pressure mapping systems, designed by Vista Medical (Winnipeg, Manitoba, Canada), for the measurement of interface pressure exerted by lumbar belts onto the trunk. These sensors were originally designed for the measurement of low pressure applied by medical devices on the skin. Two types of tests were performed: standard metrology tests such as linearity, hysteresis, repeatability, reproducibility and drift, and specific tests for this application such as curvature, surface condition and mapping system superposition. The linear regression coefficient is between 0.86 and 0.98; hysteresis is between 6.29% and 9.41%. Measurements are repeatable. The location, time and operator, measurement surface condition and mapping system superposition have a statistically significant influence on the results. A stable measure is verified over the period defined in the calibration procedure, but unacceptable drift is observed afterward. The measurement stays suitable on a curved surface for an applied pressure above 50?mmHg. To conclude, the sensor has acceptable linearity, hysteresis and repeatability. Calibration must be adapted to avoid drift. Moreover, when comparing different measurements with this sensor, the location, the time, the operator and the measurement surface condition should not change; the mapping system must not be superimposed. PMID:25515227

  10. An analytical phantom for the evaluation of medical flow imaging algorithms

    NASA Astrophysics Data System (ADS)

    Pashaei, A.; Fatouraee, N.

    2009-03-01

    Blood flow characteristics (e.g. velocity, pressure, shear stress, streamline and volumetric flow rate) are effective tools in diagnosis of cardiovascular diseases such as atherosclerotic plaque, aneurism and cardiac muscle failure. Noninvasive estimation of cardiovascular blood flow characteristics is mostly limited to the measurement of velocity components by medical imaging modalities. Once the velocity field is obtained from the images, other flow characteristics within the cardiovascular system can be determined using algorithms relating them to the velocity components. In this work, we propose an analytical flow phantom to evaluate these algorithms accurately. The Navier-Stokes equations are used to derive this flow phantom. The exact solution of these equations obtains analytical expression for the flow characteristics inside the domain. Features such as pulsatility, incompressibility and viscosity of flow are included in a three-dimensional domain. The velocity domain of the resulted system is presented as reference images. These images could be employed to evaluate the performance of different flow characteristic algorithms. In this study, we also present some applications of the obtained phantom. The calculation of pressure domain from velocity data, volumetric flow rate, wall shear stress and particle trace are the characteristics whose algorithms are evaluated here. We also present the application of this phantom in the analysis of noisy and low-resolution images. The presented phantom can be considered as a benchmark test to compare the accuracy of different flow characteristic algorithms.

  11. Design and evaluation of a medical teamwork training simulator using consumer-level equipment.

    PubMed

    Marks, Stefan; Windsor, John A; Wünsche, Burkhard

    2012-01-01

    Virtual environments (VE) are increasingly used for teamwork training purposes, e.g., for medical teams. One shortcoming is lack of support for nonverbal communication channels, essential for teamwork. We address this issue by using an inexpensive webcam to track the user's head and using that data for controlling avatar head movement, thereby conveying head gestures and adding a nonverbal communication channel. In addition, navigation and orientation within the virtual environment is simplified. We present the design and evaluation of a simulation framework based on a game engine and consumer-level hardware and the results of two user studies showing, among other results, an improvement in the usability of the VE and in the perceived quality of realism and communication within the VE by using head tracking avatar and view control. PMID:22357001

  12. Usability evaluation of mobile medical treatment carts: another explanation by information engineers.

    PubMed

    Chien, Tsan-Nan; Hsieh, Sung-Huai; Cheng, Po-Hsun; Chen, Ying-Pei; Chen, Sao-Jie; Luh, Jer-Junn; Chen, Heng-Shuen; Lai, Jin-Shin

    2012-06-01

    Healthcare services integration is a critical task as it attempts to reform the user practices. In response to the request of facilities upgrade, we perform a usability evaluation of the mobile medical treatment carts (MMTC) installed in the Emergency Medicine Department of our healthcare enterprise. A survey conducted in August 2006 identified that our experimental area needs some improvements to support the MMTC adoption. For example, the MMTC can accompany with several popular nursing care items. Follow-up several undertaken investigations indicated that our expectation of the MMTC solution had been reached. Given the evident heterogeneity of viewpoints, it is imperative for a healthcare enterprise to broadly ascertain the requirements of end users before investing in any information technologies. PMID:20852921

  13. Medical feature based evaluation of structuring elements for morphological enhancement of ultrasonic images.

    PubMed

    Shrimali, V; Anand, R S; Kumar, V; Srivastav, R K

    2009-01-01

    This paper investigates the use of morphology-based nonlinear filters, and performs deterministic and statistical analysis of the linear combinations of the filters for the image quality enhancement of B-mode ultrasound images. The fact that the structuring element shape greatly influences the output of the filter, is one of the most important features of mathematical morphology. The present reported work comparatively evaluates the structuring elements for morphological liver image enhancement and verifies the hypothesis that the speckles visible in US images are short, slightly 'banana-shaped' white lines. Initially, five different liver images were morphologically filtered using 10 different structuring elements and then the filtered images were assessed quantitatively. Image quality parameters such as peak signal-to-noise ratio, mean square error and correlation coefficient have been used to evaluate the performance of the morphological filters with different structuring elements. To endorse the observation of the quantitative analysis, the filtered images were then evaluated qualitatively, based on the image features looked into by the medical fraternity. The evaluation parameters have been taken on the basis of the suggestions made by a group of radiologists. The results of the processed images were then evaluated by a different group of radiologists. A multi-point rank order method has been used to identify small differences or trends in observation. The subjective analysis by radiologists indicates that morphological filter using line shaped structuring element with length 2 performs better than the other structuring elements. These observations were found to be in line with the observations of quantitative analysis. PMID:19205994

  14. Identification and evaluation of scientific uncertainties related to fish and aquatic resources in the Colorado River, Grand Canyon - summary and interpretation of an expert-elicitation questionnaire

    USGS Publications Warehouse

    Kennedy, Theodore A.

    2013-01-01

    Identifying areas of scientific uncertainty is a critical step in the adaptive management process (Walters, 1986; Runge, Converse, and Lyons, 2011). To identify key areas of scientific uncertainty regarding biologic resources of importance to the Glen Canyon Dam Adaptive Management Program, the Grand Canyon Monitoring and Research Center (GCMRC) convened Knowledge Assessment Workshops in May and July 2005. One of the products of these workshops was a set of strategic science questions that highlighted key areas of scientific uncertainty. These questions were intended to frame and guide the research and monitoring activities conducted by the GCMRC in subsequent years. Questions were developed collaboratively by scientists and managers. The questions were not all of equal importance or merit—some questions were large scale and others were small scale. Nevertheless, these questions were adopted and have guided the research and monitoring efforts conducted by the GCMRC since 2005. A new round of Knowledge Assessment Workshops was convened by the GCMRC in June and October 2011 and January 2012 to determine whether the research and monitoring activities conducted since 2005 had successfully answered some of the strategic science questions. Oral presentations by scientists highlighting research findings were a centerpiece of all three of the 2011–12 workshops. Each presenter was also asked to provide an answer to the strategic science questions that were specific to the presenter’s research area. One limitation of this approach is that these answers represented the views of the handful of scientists who developed the presentations, and, as such, they did not incorporate other perspectives. Thus, the answers provided by presenters at the Knowledge Assessment Workshops may not have accurately captured the sentiments of the broader group of scientists involved in research and monitoring of the Colorado River in Glen and Grand Canyons. Yet a fundamental ingredient of resilient decisionmaking and problem-solving is incorporation of a wide range of perspectives (Carpenter and others, 2009). To ensure that a wide range of scientists had an opportunity to weigh in on the strategic science questions, the GCMRC elicited additional perspectives through written questionnaires. Independently soliciting responses from scientists through questionnaires had the added advantage of allowing all scientists to freely and openly share their views on complex and controversial topics—something which may not have occurred in the group setting of the June 2011 Knowledge Assessment Workshop because of dominance by one or more scientists. The purpose of this report is to document and interpret the questionnaire responses.

  15. Systematic evaluation of errors occurring during the preparation of intravenous medication

    PubMed Central

    Parshuram, Christopher S.; To, Teresa; Seto, Winnie; Trope, Angela; Koren, Gideon; Laupacis, Andreas

    2008-01-01

    Introduction Errors in the concentration of intravenous medications are not uncommon. We evaluated steps in the infusion-preparation process to identify factors associated with preventable medication errors. Methods We included 118 health care professionals who would be involved in the preparation of intravenous medication infusions as part of their regular clinical activities. Participants performed 5 infusion-preparation tasks (drug-volume calculation, rounding, volume measurement, dose-volume calculation, mixing) and prepared 4 morphine infusions to specified concentrations. The primary outcome was the occurrence of error (deviation of > 5% for volume measurement and > 10% for other measures). The secondary outcome was the magnitude of error. Results Participants performed 1180 drug-volume calculations, 1180 rounding calculations and made 1767 syringe-volume measurements, and they prepared 464 morphine infusions. We detected errors in 58 (4.9%, 95% confidence interval [CI] 3.7% to 6.2%) drug-volume calculations, 30 (2.5%, 95% CI 1.6% to 3.4%) rounding calculations and 29 (1.6%, 95% CI 1.1% to 2.2%) volume measurements. We found 7 errors (1.6%, 95% CI 0.4% to 2.7%) in drug mixing. Of the 464 infusion preparations, 161 (34.7%, 95% CI 30.4% to 39%) contained concentration errors. Calculator use was associated with fewer errors in dose-volume calculations (4% v. 10%, p = 0.001). Four factors were positively associated with the occurence of a concentration error: fewer infusions prepared in the previous week (p = 0.007), increased number of years of professional experience (p = 0.01), the use of the more concentrated stock solution (p < 0.001) and the preparation of smaller dose volumes (p < 0.001). Larger magnitude errors were associated with fewer hours of sleep in the previous 24 hours (p = 0.02), the use of more concentrated solutions (p < 0.001) and preparation of smaller infusion doses (p < 0.001). Interpretation Our data suggest that the reduction of provider fatigue and production of pediatric-strength solutions or industry-prepared infusions may reduce medication errors. PMID:18166730

  16. Evaluation of long-term maintenance of a large medical knowledge base.

    PubMed Central

    Giuse, D A; Giuse, N B; Miller, R A

    1995-01-01

    OBJECTIVE: Evaluate the effects of long-term maintenance activities on existing portions of a large internal medicine knowledge base. DESIGN: Five physicians who were not among the original developers of the knowledge base independently updated a total of 15 QMR disease profiles; each updated submission was modified by a review of group serving as the "gold standard, " and the pre- and post-study versions of each updated disease profile were compared. MEASUREMENTS: Numbers and types of changes, defined as any difference between the original version and the final version of a disease profile; reason for each change; and bibliographic references cited by the physicians as supporting evidence. RESULTS: A total of 16% of all entries were modified by the updating process; up to 95% of the entries in a disease profile were affected. The two most common modifications were changes to the frequency of an entry, and creation of a new entry. Laboratory findings were affected much more often than were history, symptom, or physical exam findings. The dominant reason for changes was appearance of new evidence in the medical literature. The literature cited ranged from 1944 to the present. CONCLUSIONS: This study provides an evaluation of the rate of change within the QMR medical knowledge base due to long-term maintenance. The results show that this is a demanding activity that may profoundly affect certain portions of a knowledge base, and that different types of knowledge (e.g., simple laboratory vs expensive or invasive laboratory findings) are affected by the process in different ways. PMID:7496879

  17. Evaluation of selected ex-reactor accidents related to the tritium and medical isotope production mission at the FFTF

    SciTech Connect

    Himes, D.A.

    1997-11-17

    The Fast Flux Test Facility (FFTF) has been proposed as a production facility for tritium and medical isotopes. A range of postulated accidents related to ex-reactor irradiated fuel and target handling were identified and evaluated using new source terms for the higher fuel enrichment and for the tritium and medical isotope targets. In addition, two in-containment sodium spill accidents were re-evaluated to estimate effects of increased fuel enrichment and the presence of the Rapid Retrieval System. Radiological and toxicological consequences of the analyzed accidents were found to be well within applicable risk guidelines.

  18. Your answers to the following questions will help us to understand your medical history and the concerns you'd like to discuss with your doctor. Please fill out as much of this questionnaire as possible. If you cannot answer

    E-print Network

    Borenstein, Elhanan

    Your answers to the following questions will help us to understand your medical history you for your help. PATIENT NAME meal: _________ Physical activity: _________ # times per week Comments/how can we help

  19. Predictive parameters for medical expulsive therapy in ureteral stones: a critical evaluation.

    PubMed

    Sahin, Cahit; Eryildirim, Bilal; Kafkasli, Alper; Coskun, Alper; Tarhan, Fatih; Faydaci, Gokhan; Sarica, Kemal

    2015-06-01

    To evaluate the predictive value of some certain radiological as well as stone-related parameters for medical expulsive therapy (MET) success with an alpha blocker in ureteral stones. A total 129 patients receiving MET for 5 to 10 mm ureteral stones were evaluated. Patients were divided into two subgroups where MET was successful in 64 cases (49.61 %) and unsuccessful in 65 cases (50.39 %). Prior to management, stone size, location, position in the ureter, degree of hydronephrosis, diameter of ureteral lumen proximal to the stone, ureteral wall thickness along with patient's demographics including body mass index (BMI) values were evaluated and recorded. The possible predictive values of these parameters for stone expulsion (and stone expulsion time) were evaluated in a comparative manner between two groups. The overall mean patient age and stone size values were 38.02 ± 0.94 years and 40.31 ± 1.13 mm(2), respectively. Regarding the predictive values of these parameters for MET-success, while stone size and localization, degree of hydronephrosis, proximal ureteral diameter and ureteral wall thickness were found to be highly predictive for MET-success, patients age, BMI values and stone density had no predictive value on this aspect. Our findings indicated that some stone and anatomical factors may be used to predict the success of MET in an effective manner. With this approach unnecessary use of these drugs that may cause a delay for stone removal will be avoided and the possible adverse effects of obstruction as well as stone-related clinical symptoms could be minimized. PMID:25820291

  20. Using Presence Questionnaires in Reality Using Presence Questionnaires in Reality

    E-print Network

    Slater, Mel

    compared to immersive virtual. #12;Using Presence Questionnaires in Reality 2 1. Introduction The concept1 Using Presence Questionnaires in Reality Using Presence Questionnaires in Reality Martin Usoh different presence question- naires can distinguish between real and virtual experiences. One group of 10

  1. Evaluation of the medical device approval lag between the United States and the European Union

    E-print Network

    Dhavale, Todd V

    2011-01-01

    The United States is the world leader in development and manufacture of medical devices. Even with this leadership position, there is evidence that the US is often not the first country to have new medical technology ...

  2. Faculty verbal evaluations reveal strategies used to promote medical student performance

    PubMed Central

    Hauer, Karen E.; Mazotti, Lindsay; O'Brien, Bridget; Hemmer, Paul A.; Tong, Lowell

    2011-01-01

    Background Preceptors rarely follow medical students' developing clinical performance over time and across disciplines. This study analyzes preceptors' descriptions of longitudinal integrated clerkship (LIC) students' clinical development and their identification of strategies to guide students' progress. Methods We used a common evaluation framework, reporter-interpreter-manager-educator, to guide multidisciplinary LIC preceptors' discussions of students' progress. We conducted thematic analysis of transcripts from preceptors' (seven longitudinal ambulatory preceptors per student) quarterly group discussions of 15 students' performance over one year. Results All students' clinical development progressed, although most experienced obstacles. Lack of structure in the history and physical exam commonly obstructed progression. Preceptors used templates for data gathering, and modeling or experiences in the inpatient setting to provide time and solidify structure. To advance students' knowledge acquisition, many preceptors identified focused learning topics with their students; to promote application of knowledge, preceptors used reasoning strategies to teach the steps involved in synthesizing clinical data. Preceptors shared accountability for helping students advance as the LIC allowed them to follow students' response to teaching strategies. Discussion These results depict preceptors' perceptions of LIC students' developmental continuum and illustrate how multidisciplinary preceptors can use a common evaluation framework to identify strategies to improve performance and follow students' performance longitudinally. PMID:21629669

  3. Evaluation of a Steam Autoclave for Sterilizing Medical Waste at a University Health Center

    Microsoft Academic Search

    A. Linscott

    2004-01-01

    BACKGROUND: As healthcare institutions search for methods to decrease costs associated with medical waste disposal, many are turning to the use of steam autoclaves. Steam autoclaving theoretically saves money by sterilizing large loads of medical waste, making it safe for disposal in a public landfill. There are no national standards for challenging medical waste autoclaves and no guidelines for parameters

  4. [Medical knowledge in immunological security of red blood cells transfusion in Tunisia: evaluation of a CD-ROM of auto-learning].

    PubMed

    Ben Salah, N; El Borgi, W; Aounallah Skhiri, H; Ben Lakhal, F; Mouelhi, H; Zoueri, B; Gouider, E; Hafsia, R

    2013-09-01

    In Tunisia, red blood cells (RBC) transfusion joins in a statutory frame but remains subject to failures because of the misunderstanding of legislation and regulations. Our purpose is to estimate the knowledge of the medical staff in the immunological safety of RBC transfusion before and after reading an auto-education CD-ROM. It is a study of evaluation of an intervention. Eighty physicians participated to the study. The evaluation was done using an anonymous questionnaire, containing seven questions with multiple choices (QMC) relating to several items. The rate of good answers (RGA) calculated by questions and by items took into account the impact of the CD-ROM on the improvement of the answers after reading. The global average mark is 2.9/7. The RGA to questions varies from 22.5 % to 76.3%. All participants answered correctly to more than 50% of all items. Two answered correctly to all items. Among the participants, 31.3% answered to all "important" items, concerning ABO blood groups compatibility and ultimate bedside test. The rate of participation to the final evaluation was 83%. The impact of the CD-ROM was important and statistically significant. In the final evaluation, the global mark raised from 2.9 to 5.8/7, 31.5% (vs 2%) answered correctly all the questions and 95.5% (vs 31.3%) answered correctly all "important" items. This study revealed a misunderstanding of the doctors in immunological safety of RBC transfusions. Auto-teaching by CD-ROM was efficient. An improvement of the knowledge by continuous training is necessary in our country. PMID:23876371

  5. Guides & Reports for Questionnaire Design

    Cancer.gov

    Applied Research Program (ARP) staff use a variety of methods to develop and test questionnaires, including established Questionnaire Design Principles, empirical methods such as Cognitive Testing and psychometric methods such as Item Response Theory Modeling.

  6. Diet History Questionnaire: International Applications

    Cancer.gov

    ARP staff adapted the Diet History Questionnaire (DHQ) for use by Canadian populations in collaboration with the Alberta Cancer Board. This questionnaire takes into account the different food fortification polices of the US and Canada.

  7. Prevalence and Sources of Stress among Universiti Sains Malaysia Medical Students

    PubMed Central

    Yusoff, Muhamad Saiful Bahri; Abdul Rahim, Ahmad Fuad; Yaacob, Mohd Jamil

    2010-01-01

    Background: Being in medical school has always been regarded as highly stressful. Excessive stress causes physical and mental health problems. Persistent stress can impair students’ academic achievement and personal or professional development. The aim of this study is to explore the nature of stress among medical students by determining the prevalence, sources and pattern of stress and the factors affecting it. Methods: We chose a cross-sectional study design utilizing validated questionnaires, the 12 items General Health Questionnaire (GHQ-12) and Medical Student Stressor Questionnaire (MSSQ), to evaluate stress levels and stressors. School and ethical committee clearance were obtained prior to the study. Data were analysed using SPSS version 12. Results: Of the medical students who were administered the questionnaire, 761 (72%) respondents participated in this study. The prevalence of stress among the medical students was 29.6%. The top 10 stressors were academic-related. Prevalence of stress for the first, second, third, fourth and fifth year students was 26.3%, 36.5 %, 31.4%, 35.3% and 21.9%, respectively. Year of study was the only significant factor affecting stress among medical students (P-value < 0.05). Conclusions: The prevalence of stress among medical students in USM is high. Academic-related problems were the major stressor among medical students. Year of study was the factor most significantly associated with medical students’ stress. There was a bimodal pattern of the stress level throughout the year of study. PMID:22135523

  8. Evaluating the Effects of Medical Explorers a Case Study Curriculum on Critical Thinking, Attitude toward Life Science, and Motivational Learning Strategies in Rural High School Students

    ERIC Educational Resources Information Center

    Brand, Lance G.

    2011-01-01

    The purpose of this study was three-fold: to measure the ability of the "Medical Explorers" case-based curriculum to improve higher order thinking skills; to evaluate the impact of the "Medical Explorers" case-based curriculum to help students be self directed learners; and to investigate the impact of the "Medical Explorers" case-based curriculum…

  9. Assessment for self-blame and trauma symptoms during the medical evaluation of suspected sexual abuse.

    PubMed

    Melville, John D; Kellogg, Nancy D; Perez, Nadia; Lukefahr, James L

    2014-05-01

    The purpose of this study was to describe behavioural and emotional symptoms and to examine the effect of abuse-related factors, family responses to disclosure, and child self-blame on these symptoms in children presenting for medical evaluations after disclosure of sexual abuse. A retrospective review was conducted of 501 children ages 8-17. Trauma symptoms were determined by two sets of qualitative measures. Abstracted data included gender, ethnicity, and age; severity of abuse and abuser relationship to child; child responses regarding difficulty with sleep, school, appetite/weight, sadness, or self-harm, parent belief in abuse disclosure, and abuse-specific self-blame; responses to the Trauma Symptom Checklist in Children-Alternate; and the parent's degree of belief in the child's sexual abuse disclosure. Overall, 83% of the children had at least one trauma symptom; 60% had difficulty sleeping and one-third had thoughts of self-harm. Child age and abuse severity were associated with 3 of 12 trauma symptoms, and abuse-specific self-blame was associated with 10 trauma symptoms, after controlling for other variables. The children of parents who did not completely believe the initial disclosure of abuse were twice as likely to endorse self-blame as children of parents who completely believed the initial disclosure. Screening for behavioural and emotional problems during the medical assessment of suspected sexual abuse should include assessment of self-blame and family responses to the child's disclosures. In addition, parents should be informed of the importance of believing their child during the initial disclosure of abuse and of the impact this has on the child's emotional response to the abuse. PMID:24630439

  10. Evaluation of an interactive, case-based review session in teaching medical microbiology

    PubMed Central

    Blewett, Earl L; Kisamore, Jennifer L

    2009-01-01

    Background Oklahoma State University-Center for Health Sciences (OSU-CHS) has replaced its microbiology wet laboratory with a variety of tutorials including a case-based interactive session called Microbial Jeopardy!. The question remains whether the time spent by students and faculty in the interactive case-based tutorial is worthwhile? This study was designed to address this question by analyzing both student performance data and assessing students' perceptions regarding the tutorial. Methods Both quantitative and qualitative data were used in the current study. Part One of the study involved assessing student performance using archival records of seven case-based exam questions used in the 2004, 2005, 2006, and 2007 OSU-CHS Medical Microbiology course. Two sample t-tests for proportions were used to test for significant differences related to tutorial usage. Part Two used both quantitative and qualitative means to assess student's perceptions of the Microbial Jeopardy! session. First, a retrospective survey was administered to students who were enrolled in Medical Microbiology in 2006 or 2007. Second, responses to open-ended items from the 2008 course evaluations were reviewed for comments regarding the Microbial Jeopardy! session. Results Both student performance and student perception data support continued use of the tutorials. Quantitative and qualitative data converge to suggest that students like and learn from the interactive, case-based session. Conclusion The case-based tutorial appears to improve student performance on case-based exam questions. Additionally, students perceived the tutorial as helpful in preparing for exam questions and reviewing the course material. The time commitment for use of the case-based tutorial appears to be justified. PMID:19712473

  11. Clogging evaluation of porous asphalt concrete cores in conjunction with medical x-ray computed tomography

    NASA Astrophysics Data System (ADS)

    Su, Yu-Min; Hsu, Chen-Yu; Lin, Jyh-Dong

    2014-03-01

    This study was to assess the porosity of Porous Asphalt Concrete (PAC) in conjunction with a medical X-ray computed tomography (CT) facility. The PAC was designed as the surface course to achieve the target porosity 18%. There were graded aggregates, soils blended with 50% of coarse sand, and crushed gravel wrapped with geotextile compacted and served as the base, subbase, and infiltration layers underneath the PAC. The test site constructed in 2004 is located in Northern of Taiwan in which the daily traffic has been light and limited. The porosity of the test track was investigated. The permeability coefficient of PAC was found severely degraded from 2.2×10-1 to 1.2×10-3 -cm/sec, after nine-year service, while the permeability below the surface course remained intact. Several field PAC cores were drilled and brought to evaluate the distribution of air voids by a medical X-ray CT nondestructively. The helical mode was set to administrate the X-ray CT scan and two cross-sectional virtual slices were exported in seconds for analyzing air voids distribution. It shows that the clogging of voids occurred merely 20mm below the surface and the porosity can reduce as much about 3%. It was also found that the roller compaction can decrease the porosity by 4%. The permeability reduction in this test site can attribute to the voids of PAC that were compacted by roller during the construction and filled by the dusts on the surface during the service.

  12. Is Wikipedia a reliable learning resource for medical students? Evaluating respiratory topics.

    PubMed

    Azer, Samy A

    2015-03-01

    The aim of the present study was to critically evaluate the accuracy and readability of English Wikipedia articles on the respiratory system and its disorders and whether they can be a suitable resource for medical students. On April 27, 2014, English Wikipedia was searched for articles on respiratory topics. Using a modified DISCERN instrument, articles were independently scored by three assessors. The scoring targeted content accuracy, frequency of updating, and quality of references. The readability of articles was measured using two other instruments. The mean DISCERN score for the 40 articles identified was 26.4±6.3. Most articles covered causes, signs and symptoms, prevention, and treatment. However, several knowledge deficiencies in the pathogenesis of diseases, investigations needed, and treatment were observed. The total number of references for the 40 articles was 1,654, and the references varied from 0 to 168 references, but several problems were identified in the list of references and citations made. The readability of articles was in the range of 9.4±1.8 to 22.6±10.7 using the Flesch-Kincaid Grade Level instrument and 10.0±2.6 to 19.6±8.3 using the Readability Coleman-Liau index. A strong correlation was found between the two instruments (r2=0.744, P<0.001). The agreement between the assessors had mean ? scores in the range of 0.712-0.857. In conclusion, despite the effort placed in creating Wikipedia respiratory articles by anonymous volunteers (wikipedians), most articles had knowledge deficiencies, were not accurate, and were not suitable for medical students as learning resources. PMID:25727464

  13. Comparison between student rating, faculty self-rating and evaluation of faculty members by heads of respective academic departments in the school of medicine in Birjand University of Medical Sciences in Iran

    PubMed Central

    Taheri, Mohammad Mehdi Hassanzadeh; Ryasi, Hamid Reza; Afshar, Mohammad; Mofatteh, Mohammad Reza

    2014-01-01

    Introduction: University teachers are one of the main pillars of university and the quality of their performance must continuously and systematically be evaluated. This evaluation can be carried out in various ways. The aim of the present study was to survey and to compare the evaluation of faculty members in the medical school in Birjand University of Medical Sciences by three different sources: Student rating, self-assessment, and evaluation by head of related department. Materials and Methods: This descriptive analytical cross-sectional study was conducted in the academic year 2009-2010. Sampling was drawn from all students studying basic science and clinical training in the first and the second semesters. All heads of departments in basic science and clinical training and their faculty members took part in this study. Means of data collection were four different questionnaires designed in the education development center (EDC) and their validity and reliability had been verified by the center. These questionnaires were based on student rating, self-assessment, and evaluation of faculty members by heads of clinical and basic sciences academic departments. After the questionnaires were filled out, the obtained data was analyzed by Statistical Package for the Social Sciences (SPSS) software (version 13), independent t-test, and Pearson's correlation coefficient at the significant level of ? = 0.05. Results: In the present study, 2417 students completed the questionnaires regarding 63 faculty members, 87 faculty members completed the self-assessment form, and for 60 faculty members, 48 members in clinical and 12 members in basic science, the questionnaires were completed by heads of respective departments. Mean and standard deviation of student evaluation, self-assessment, and teachers evaluation by heads of departments were 3.23 ± 0.38, 3.51 ± 0.33, and 3.60 ± 0.32, respectively, and the difference between student rating and self-assessment was significant (P = 0.02). In comparing between managers scores with students evaluation, no significant difference was observed (P = 0.68). Comparison between self-assessment and teachers scores by managers showed a significant difference (P = 0.04). Mean scores of faculty members in clinical training and in basic science were 3.23 ± 0.73 and 3.31 ± 0.69 on the part of students, respectively; thus, the difference was significant (P = 0.004). Conclusion: Since, the present study was inconsistent with similar previously carried out investigations, the observed difference among the three procedures was statically significant; hence, it can be suggested that student's scores of teachers evaluation, previously used as the only one of evaluation source is not enough and other sources such as assessment by the respective department heads, dean of faculty, and self-assessment must also be taken into consideration. This collection can definitely yield a more favorable evaluation of faculty members and feedback can be more acceptable to them and it will be more effective in improving their education. PMID:25013827

  14. Evaluation of digital optical density of bone repair in rats medicated with ketoprofen.

    PubMed

    Martins, Márcia Valéria; da Silva, Marcos André dos Santos; Medici Filho, Edmundo; de Moraes, Luiz Cesar; Castilho, Julio Cezar de Melo; da Rocha, Rosilene Fernandes

    2005-01-01

    The purpose of this study was to evaluate the influence of ketoprofen on bone repair process in tibiae of rats by means of analysis of the digital optical density. Twenty Wistar rats were assigned to two groups: an untreated control group and a group treated with ketoprofen. The experimental procedures comprised the following stages: general anesthesia, preparation of a unicortical bone defect on the left tibia of each rat, medication with ketoprofen and radiographic examination. Digital radiographic images were acquired using Visualix GX-S-HDI digital sensor and an x-ray equipment. Radiographs were taken at baseline, 7, 14, 21 and 30 days postoperatively and the optical density (OD) was evaluated using the Vix win 1.4 system. The mean values of OD readings were analyzed statistically by ANOVA and Tukey's test with significance level set at á=5%. The control group showed a statistically significant correlation (p=0.001) between time and optical density, while the ketoprofen group exhibited a weak and not statistically significant correlation (p=0.100). The control group presented the smallest OD ratios at days 1 and 7, and the greatest OD ratios at days 14, 21 and 30, with statistically significant difference (p=0.001). There was no significant differences (p=0.100) among the OD ratios in the ketoprofen group, regardless of the evaluation period. The findings of this study suggest that ketoprofen influenced bone repair process because there was an increase in optical density during the first week and delayed new bone formation after the 21st day. PMID:16429186

  15. A formative evaluation of problem-based learning as an instructional strategy in a medical laboratory technician course

    Microsoft Academic Search

    Diane Patricia Nelson

    2002-01-01

    This study is a formative evaluation of problem-based learning as an effective course delivery strategy in a second year introductory Medical Laboratory Technician discipline-specific hematology course. This strategy can serve two purposes in this type of course: discipline specific content knowledge and process skills learning. A needs study identified that students required additional workplace skills as they entered the clinical

  16. 658 IEEE TRANSACTIONS ON MEDICAL IMAGING, VOL. 23, NO. 5, MAY 2004 Comments on: A Methodology for Evaluation of Boundary

    E-print Network

    between two statistical tests used for evaluation of boundary detection algorithms on medical images. We conclude that the statement made by Chalana and Kim (1997) about the performance of the percentage test has a one-sided hypothesis test for which the acceptance region can be determined in advance, as opposed

  17. A Discrete Choice Conjoint Experiment to Evaluate Parent Preferences for Treatment of Young, Medication Naive Children with ADHD

    ERIC Educational Resources Information Center

    Waschbusch, Daniel A.; Cunningham, Charles E.; Pelham, William E., Jr.; Rimas, Heather L.; Greiner, Andrew R.; Gnagy, Elizabeth M.; Waxmonsky, James; Fabiano, Gregory A.; Robb, Jessica A.; Burrows-MacLean, Lisa; Scime, Mindy; Hoffman, Martin T.

    2011-01-01

    The current study examined treatment preferences of 183 parents of young (average age = 5.8 years, SD = 0.6), medication naive children with ADHD. Preferences were evaluated using a discrete choice experiment in which parents made choices between different combinations of treatment characteristics, outcomes, and costs. Latent class analysis…

  18. DRUG STUDY QUESTIONNAIRE PROGRAM DIRECTOR:______________________________________ DATE:_____________________________

    E-print Network

    Acton, Scott

    DRUG STUDY QUESTIONNAIRE PROGRAM DIRECTOR:______________________________________ DATE and/or efficacy of a drug? A. If yes, is the testing, study, evaluation or research primarily for use in pharmaceutical pre-market clearance applications to the Food and Drug Administration? 2. Is drug administered

  19. Identification of adults with symptoms suggestive of obstructive airways disease: Validation of a postal respiratory questionnaire

    PubMed Central

    Frank, Timothy L; Frank, Peter I; Cropper, Jennifer A; Hazell, Michelle L; Hannaford, Philip C; McNamee, Roseanne R; Hirsch, Sybil; Pickering, Charles AC

    2003-01-01

    Background Two simples scoring systems for a self-completed postal respiratory questionnaire were developed to identify adults who may have obstructive airways disease. The objective of this study was to validate these scoring systems. Method A two-stage design was used. All adults in two practice populations were sent the questionnaire and a stratified random sample of respondents was selected to undergo full clinical evaluation. Three respiratory physicians reviewed the results of each evaluation. A majority decision was reached as to whether the subject merited a trial of obstructive airways disease medication. This clinical decision was compared with two scoring systems based on the questionnaire in order to determine their positive predictive value, sensitivity and specificity. Results The PPV (positive predictive value) of the first scoring system was 75.1% (95% CI 68.6–82.3), whilst that of the second system was 82.3% (95% CI 75.9–89.2). The more stringent second system had the greater specificity, 97.1% (95% CI 96.0–98.2) versus 95.3% (95% CI 94.0–96.7), but poorer sensitivity 46.9% (95% CI 33.0–66.8) versus 50.3% (95% CI 35.3–71.6). Conclusion This scoring system based on the number of symptoms/risk factors reported via a postal questionnaire could be used to identify adults who would benefit from a trial of treatment for obstructive airways disease. PMID:12716458

  20. Levonorgestrel-Releasing Intrauterine System vs. Usual Medical Treatment for Menorrhagia: An Economic Evaluation Alongside a Randomised Controlled Trial

    PubMed Central

    Sanghera, Sabina; Roberts, Tracy Elizabeth; Barton, Pelham; Frew, Emma; Daniels, Jane; Middleton, Lee; Gennard, Laura; Kai, Joe; Gupta, Janesh Kumar

    2014-01-01

    Objective To undertake an economic evaluation alongside the largest randomised controlled trial comparing Levonorgestrel-releasing intrauterine device (‘LNG-IUS’) and usual medical treatment for women with menorrhagia in primary care; and compare the cost-effectiveness findings using two alternative measures of quality of life. Methods 571 women with menorrhagia from 63 UK centres were randomised between February 2005 and July 2009. Women were randomised to having a LNG-IUS fitted, or usual medical treatment, after discussing with their general practitioner their contraceptive needs or desire to avoid hormonal treatment. The treatment was specified prior to randomisation. For the economic evaluation we developed a state transition (Markov) model with a 24 month follow-up. The model structure was informed by the trial women's pathway and clinical experts. The economic evaluation adopted a UK National Health Service perspective and was based on an outcome of incremental cost per Quality Adjusted Life Year (QALY) estimated using both EQ-5D and SF-6D. Results Using EQ-5D, LNG-IUS was the most cost-effective treatment for menorrhagia. LNG-IUS costs £100 more than usual medical treatment but generated 0.07 more QALYs. The incremental cost-effectiveness ratio for LNG-IUS compared to usual medical treatment was £1600 per additional QALY. Using SF-6D, usual medical treatment was the most cost-effective treatment. Usual medical treatment was both less costly (£100) and generated 0.002 more QALYs. Conclusion Impact on quality of life is the primary indicator of treatment success in menorrhagia. However, the most cost-effective treatment differs depending on the quality of life measure used to estimate the QALY. Under UK guidelines LNG-IUS would be the recommended treatment for menorrhagia. This study demonstrates that the appropriate valuation of outcomes in menorrhagia is crucial. PMID:24638071

  1. Performance evaluation of a medical robotic 3D-ultrasound imaging system.

    PubMed

    Janvier, Marie-Ange; Durand, Louis-Gilles; Cardinal, Marie-Hélène Roy; Renaud, Isabelle; Chayer, Boris; Bigras, Pascal; de Guise, Jacques; Soulez, Gilles; Cloutier, Guy

    2008-06-01

    3D-ultrasound (US) imaging systems offer many advantages such as convenience, low operative costs and multiple scanning options. Most 3D-US freehand tracking systems are not optimally adapted for the quantification of lower limb arterial stenoses because their performance depends on the scanning length, on ferro-magnetic interferences or because they require a constant line of sight with the US probe. Robotic systems represent a promising alternative since they can control and standardize the 3D-US acquisition process for large scanning distances without requiring a specific line of sight. The performance of a new prototype medical robot, in terms of positioning and inter-target accuracies (i.e., difference between measurements and ground truth values) was evaluated with a lower-limb mimicking phantom throughout the robot workspace. The teach/replay repeatability (i.e., difference between taught and replayed points) was also assessed. A mean positioning accuracy between 0.46 mm and 0.75 mm was found on all scanning zones. The mean inter-target distance accuracy varied between 0.26 mm and 0.61 mm. Teach/replay repeatability below 0.20mm was also obtained. Additionally, a 3D reconstruction of in-vitro stenoses was performed with the robotic US scanner. The quantification error of a 80% area reduction (AR) stenosis was 3.0%, whereas it was -0.9% for a less severe 75% AR stenosis. Altogether, these results suggest that the robot may be of value for the clinical evaluation of lower limb vessels over long and tortuous segments starting from the iliac artery down to the popliteal artery below the knee. PMID:18068419

  2. [Evaluation of disability pensions by a medical polyclinic: 1990-1995].

    PubMed

    Siegenthaler, M; Osterwalder, P; Vetter, W

    1998-10-21

    The question if and in what manner changes of the labour market, in first line increasing unemployment, may influence the composition of the collective demanding a disability pension on one hand and the diagnoses relevant for assessment of requests on the other hand have been investigated as well as possible influences on the criteria for assessments. To this end all expert reports elaborated by the Medical Outpatient Clinic of the University Hospital of Zürich and submitted to the disability insurance between 1990 and 1995 have been evaluated retrospectively. The results show that the fraction of men remained stable around 70% over the whole observation period. The number of persons employed in auxiliary functions remained also constantly high. Over the whole period of observation there was a high, growing percentage of foreign applicants. The most marked change during the observation period was a significant increase of unemployment in the collective. This increase particularly affected applicants with higher ranking jobs or persons over 50. Foreigners became an important part of the unemployed applicants. Rheumatoid disorders and "back pain" in particular were of increasing importance among the relevant diagnoses for assessment of disability. There was a significant decline in the extent of invalidity acknowledged in marked contrast to our initial expectation that the strictness of the applied criteria would weaken when confronted with an increasing number of applications. PMID:9844487

  3. Unauthorized drug use in the US Army based on medical review officer evaluations.

    PubMed

    Platteborze, Peter L; Kippenberger, Donald J; Martin, Thomas M

    2014-01-01

    This article examines the US Army's Medical Review Officer (MRO) drug positive urinalysis evaluations from 2009 through 2012. We retrospectively analyzed nearly 70,000 MRO results by year, drug and Army component. Of the MRO reviewable positive results, the Army's unauthorized drug positive rate was 22.21%. The component rates were 20.81, 24.17 and 26.09% for the Active Duty, Reserve and National Guard, respectively. By drug, the average unauthorized rates over these 4 years were 13.78% for oxycodone, 24.62% oxymorphone, 18.56% d-amphetamine, 98.04% d-methamphetamine, 21.97% codeine, 45.21% morphine and 100% steroids. In 2012 testing began for hydrocodone and hydromorphone and their unauthorized rates were 12.32 and 15.04%, respectively. The Army's unauthorized drug positive rate peaked in 2012 when it increased over 44% from the previous year. The 2012 rates in decreasing order were steroids > D-methamphetamine > morphine > oxymorphone > oxycodone > codeine > D-amphetamine > hydromorphone > hydrocodone. This comprehensive analysis showed that the majority of the Army's MRO reviews were associated with the use of authorized prescriptions; however, there appears to be significant abuse of oxycodone and D-amphetamine. PMID:25002456

  4. Lost in Translation? Psychometric Properties and Construct Validity of the English Essen Climate Evaluation Schema (EssenCES) Social Climate Questionnaire

    Microsoft Academic Search

    Matthew Tonkin; Kevin Howells; Eamonn Ferguson; Amanda Clark; Michelle Newberry; Norbert Schalast

    2012-01-01

    The social climate of correctional (forensic) settings is likely to have a significant impact on the outcome of treatment and the overall functioning of these units. The Essen Climate Evaluation Schema (EssenCES) provides an objective way of measuring social climate that overcomes the content, length, and psychometric limitations of other measures. But the English translation of the EssenCES has yet

  5. October 2011 Updated Page 1 of 4 CUPE, Local 3338 Weighted Job Questionnaire (WJQ) Custom Employee Initiated Job Re-evaluation, Reclassification

    E-print Network

    or e-mail cupe@sfu.ca) or contact your Human Resources Assistant in Human Resources (general local 23237 or general e-mail human_resources@sfu.ca ). FREQUENTLY ASKED QUESTIONS & ANSWERS If the duties. Go to the Human Resources web site (http://www.sfu.ca/human-resources/) click on Job Evaluation

  6. Musculoskeletal education in general practice: a questionnaire survey.

    PubMed

    Wise, E M; Walker, D J; Coady, D A

    2014-07-01

    Musculoskeletal education in primary care has previously been shown, in 1995, to be inadequate [1]. The aims of this study were to evaluate the current musculoskeletal education and skills during vocational training for general practice and to see if progress has been made. Questionnaires were sent to General Practice Registrars, in general practice attachments in June 2004. Four UK General Practice Deaneries participated (Northern, Mersey, Yorkshire and Wessex). Questionnaires were received from 251 (44 %) registrars. Of the responders, only 77 % reported receiving specific clinical rheumatology teaching at medical school and 30 % had not received any tutorials on musculoskeletal conditions during their vocational training. Of the registrars, 16 % reported having completed a rheumatology post, and an additional 19 % had been able to attend rheumatology outpatient clinics; 70 % of the registrars had injected or aspirated the knee although less than half of these (22 %) had done this in a primary care setting. Lack of experience was associated with low confidence at knowing when to perform the injection and with performing the injection itself. A significant proportion of registrars reported being pre-dominantly self-taught for performing injections (soft tissue?=?10.7 %, joint injections?=?8.7 %) and for the management of shoulder pain (20.1 %). Registrars rated their overall musculoskeletal training as inadequate. Primary care musculoskeletal education remains inadequate and needs to be improved to enable registrars to be confident in managing a significant proportion of their workload. Identifying learning needs for primary care would inform future educational interventions. PMID:24510025

  7. Wilderness Medical Society practice guidelines for the out-of-hospital evaluation and treatment of accidental hypothermia: 2014 update.

    PubMed

    Zafren, Ken; Giesbrecht, Gordon G; Danzl, Daniel F; Brugger, Hermann; Sagalyn, Emily B; Walpoth, Beat; Weiss, Eric A; Auerbach, Paul S; McIntosh, Scott E; Némethy, Mária; McDevitt, Marion; Dow, Jennifer; Schoene, Robert B; Rodway, George W; Hackett, Peter H; Bennett, Brad L; Grissom, Colin K

    2014-12-01

    To provide guidance to clinicians, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations. This is an updated version of the original Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia published in Wilderness & Environmental Medicine 2014;25(4):425-445. PMID:25498264

  8. The pornography craving questionnaire: psychometric properties.

    PubMed

    Kraus, Shane; Rosenberg, Harold

    2014-04-01

    Despite the prevalence of pornography use, and recent conceptualization of problematic use as an addiction, we could find no published scale to measure craving for pornography. Therefore, we conducted three studies employing young male pornography users to develop and evaluate such a questionnaire. In Study 1, we had participants rate their agreement with 20 potential craving items after reading a control script or a script designed to induce craving to watch pornography. We dropped eight items because of low endorsement. In Study 2, we revised both the questionnaire and cue exposure stimuli and then evaluated several psychometric properties of the modified questionnaire. Item loadings from a principal components analysis, a high internal consistency reliability coefficient, and a moderate mean inter-item correlation supported interpreting the 12 revised items as a single scale. Correlations of craving scores with preoccupation with pornography, sexual history, compulsive internet use, and sensation seeking provided support for convergent validity, criterion validity, and discriminant validity, respectively. The enhanced imagery script did not impact reported craving; however, more frequent users of pornography reported higher craving than less frequent users regardless of script condition. In Study 3, craving scores demonstrated good one-week test-retest reliability and predicted the number of times participants used pornography during the following week. This questionnaire could be applied in clinical settings to plan and evaluate therapy for problematic users of pornography and as a research tool to assess the prevalence and contextual triggers of craving among different types of pornography users. PMID:24469338

  9. Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between Hospital Discharge and Primary Care Follow-Up.

    PubMed

    Armor, Becky L; Wight, Avery J; Carter, Sandra M

    2014-10-13

    Approximately two-thirds of adverse events posthospital discharge are due to medication-related problems. Medication reconciliation is a strategy to reduce medication errors and improve patient safety. Objective: To evaluate adverse drug events (ADEs), potential ADEs (pADEs), and medication discrepancies occurring between hospital discharge and primary care follow-up in an academic family medicine clinic. Adult patients recently discharged from the hospital were seen by a pharmacist for medication reconciliation between September 1, 2011, and November 30, 2012. The pharmacist identified medication discrepancies and pADEs or ADEs from a best possible medication history obtained from the electronic medical record (EMR) and hospital medication list. In 43 study participants, an average of 2.9 ADEs or pADEs was identified (N = 124). The most common ADEs/pADEs identified were nonadherence/underuse (18%), untreated medical problems (15%), and lack of therapeutic monitoring (13%). An average of 3.9 medication discrepancies per participant was identified (N = 171), with 81% of participants experiencing at least 1 discrepancy. The absence of a complete and accurate medication list at hospital discharge is a barrier to comprehensive medication management. Strategies to improve medication management during care transitions are needed in primary care. PMID:25312264

  10. Stability and Change of Medical Specialty Choice, Wright State University School of Medicine. Classes of 1981 and 1982, Report No. 7 [and] Class of 1981, Report No. 4. Program Evaluation Studies. Occasional Papers.

    ERIC Educational Resources Information Center

    Markert, Ronald J.

    Medical specialty choice and reasons for change among those Wright State University students who switched their choice between entry and graduation were studied, based on questionnaire findings. For the class of 1982, 35 of the 70 students chose as their eventual specialty their preference at entry to medical school. Primary care specialties…

  11. Drug Dependence, a Chronic Medical Illness Implications for Treatment, Insurance, and Outcomes Evaluation

    Microsoft Academic Search

    A. Thomas McLellan; David C. Lewis; Charles P. O'Brien; Herbert D. Kleber

    2006-01-01

    The effects of drug dependence on social systems has helped shape the gen- erally 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, heri- tability, etiology

  12. An evaluation of feature sets and sampling techniques for de-identification of medical records

    Microsoft Academic Search

    James J. Gardner; Li Xiong; Fusheng Wang; Andrew Post; Joel H. Saltz; Tyrone Grandison

    2010-01-01

    De-identification of text medical records is of critical importance in any health informatics system in order to facilitate research and sharing of medical records. While statistical learning based techniques have shown promising results for de-identification purposes, few such systems are publicly available. It remains a challenge for practitioners to build an accurate and efficient system as it involves a significant

  13. Evaluating Currency of the Medical Sciences Collection Available on Public Library Shelves.

    ERIC Educational Resources Information Center

    Everhart, Peggy S.

    Because advances in medical science can lead to rapid changes in current health knowledge, a library collection of medical science materials can become dated rather quickly. This factor, as well as the many variables of library use and operation which impact the availability of current materials on the library shelves--loan periods, weeding…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

  15. Development and environmental improvements of plastics for hydrophilic catheters in medical care: an environmental evaluation

    Microsoft Academic Search

    Håkan Stripple; Robert Westman; Daniel Holm

    2008-01-01

    Single-use medical devices have been under close scrutiny for several years, especially the choice of plastic materials. Many different requirements such as medical safety, treatment functionality and efficiency, environmental performance, etc. have to be fulfilled. Today, the most commonly used materials for hydrophilic urinary catheters are polyvinylchloride (PVC) and thermoplastic polyurethane (TPU). In this research study, these two materials' environmental

  16. Elective courses for medical students during the preclinical curriculum: a systematic review and evaluation

    PubMed Central

    Agarwal, Ankit; Wong, Stephanie; Sarfaty, Suzanne; Devaiah, Anand; Hirsch, Ariel E.

    2015-01-01

    Objective Preclinical medical student electives are prevalent at medical schools across the United States, but the range of electives available and their impact on medical student education are not well described in the literature. The objective of this article is to review the literature relating to preclinical medical student electives and their impact on medical student educational outcomes. Methods We reviewed studies that met the following criteria: English-language articles describing preclinical US-based medical electives. We used PubMed journal databases and limited our search for the time period 1999–2014. We excluded electives based in other countries or electives designed for third or fourth year students. Data abstracted included the topic of the elective, qualitative descriptions of the electives, and any associated surveys or exam data associated with the electives. Data were synthesized using descriptive tables sorting electives by broad topic. Reported outcomes and statistical methods were analyzed to assess study quality. Results We found a wide range of subjects taught in the form of preclinical medical school electives. We identified electives in clinical skills, the humanities, student lifestyle, specialty-specific electives, and an assortment of other miscellaneous electives. Surveys and exams administered to students showed that the electives were universally well received by students. Of the 37 electives identified, 15 electives used quantitative objective assessments, such as knowledge exams, while the remaining tended to use student self-reported results. Conclusions Preclinical medical student electives are prevalent at medical schools across the United States and have a significant impact on medical student education. PMID:25968131

  17. Adherence to Long-Term Therapies and Beliefs about Medications

    PubMed Central

    2014-01-01

    Objectives. To assess adherence to long-term medications among patients in family medicine clinics and to evaluate relationship between adherence, beliefs about medications, medication information adequacy, and other factors. Methods. Interviewer assisted survey was conducted to assess adherence using the 8-item Morisky Medication Adherence Scale (MMAS-8), beliefs about medications using beliefs about medicine questionnaire (BMQ), and the patients' perception of medication information adequacy. Results. Of the 408 participants, 56.9% reported low adherence. Pearson's bivariate correlation showed positive association between MMAS-8 score and BMQ-specific necessity (r = 0.526??P < 0.001) and the perceived information adequacy (r = 0.568??P < 0.001), and there was negative association between adherence score and BMQ specific concerns, general overuse, and harm (r = ?0.647, ?0.466, and ?0.663, resp.) (P < 0.001). Multivariable analysis revealed that age, number of medications, number of medical conditions, specific necessity and concerns beliefs, general harm beliefs, and perceived adequacy of medication information were independent predictor of adherence. Furthermore, specific beliefs explain 27.7% of the variance in adherence, while medication information adequacy explains 32.3% of the variance in adherence. Conclusion. The prevalence of low adherence among patients on long-term medications is high and it is related to negative beliefs about medications and to inadequate information given to patients about their medications. PMID:24688792

  18. Multicenter Study Evaluating the Vitek MS System for Identification of Medically Important Yeasts

    PubMed Central

    Westblade, Lars F.; Jennemann, Rebecca; Branda, John A.; Bythrow, Maureen; Ferraro, Mary Jane; Garner, Omai B.; Ginocchio, Christine C.; Lewinski, Michael A.; Manji, Ryhana; Mochon, A. Brian; Procop, Gary W.; Richter, Sandra S.; Rychert, Jenna A.; Sercia, Linda

    2013-01-01

    The optimal management of fungal infections is correlated with timely organism identification. Matrix-assisted laser desorption ionization–time of flight (MALDI-TOF) mass spectrometry (MS) is revolutionizing the identification of yeasts isolated from clinical specimens. We present a multicenter study assessing the performance of the Vitek MS system (bioMérieux) in identifying medically important yeasts. A collection of 852 isolates was tested, including 20 Candida species (626 isolates, including 58 C. albicans, 62 C. glabrata, and 53 C. krusei isolates), 35 Cryptococcus neoformans isolates, and 191 other clinically relevant yeast isolates; in total, 31 different species were evaluated. Isolates were directly applied to a target plate, followed by a formic acid overlay. Mass spectra were acquired using the Vitek MS system and were analyzed using the Vitek MS v2.0 database. The gold standard for identification was sequence analysis of the D2 region of the 26S rRNA gene. In total, 823 isolates (96.6%) were identified to the genus level and 819 isolates (96.1%) were identified to the species level. Twenty-four isolates (2.8%) were not identified, and five isolates (0.6%) were misidentified. Misidentified isolates included one isolate of C. albicans (n = 58) identified as Candida dubliniensis, one isolate of Candida parapsilosis (n = 73) identified as Candida pelliculosa, and three isolates of Geotrichum klebahnii (n = 6) identified as Geotrichum candidum. The identification of clinically relevant yeasts using MS is superior to the phenotypic identification systems currently employed in clinical microbiology laboratories. PMID:23658267

  19. Understanding barriers to medication adherence in the hypertensive population by evaluating responses to a telephone survey

    PubMed Central

    Nair, Kavita V; Belletti, Daniel A; Doyle, Joseph J; Allen, Richard R; McQueen, Robert B; Saseen, Joseph J; Vande Griend, Joseph; Patel, Jay V; McQueen, Angela; Jan, Saira

    2011-01-01

    Background: Although hypertension is a major risk factor for cardiovascular disease, adherence to hypertensive medications is low. Previous research identifying factors influencing adherence has focused primarily on broad, population-based approaches. Identifying specific barriers for an individual is more useful in designing meaningful targeted interventions. Using customized telephonic outreach, we examined specific patient-reported barriers influencing hypertensive patients’ nonadherence to medication in order to identify targeted interventions. Methods: A telephone survey of 8692 nonadherent hypertensive patients was conducted. The patient sample comprised health plan members with at least two prescriptions for antihypertensive medications in 2008. The telephone script was based on the “target” drug associated with greatest nonadherence (medication possession ratio [MPR] <80%) during the four-month period preceding the survey. Results: The response rate was 28.2% of the total sample, representing 63.8% of commercial members and 37.2% of Medicare members. Mean age was 63.4 years. Mean MPR was 61.0% for the target drug. Only 58.2% of Medicare respondents and 60.4% of commercial respondents reported “missing a dose of medication”. The primary reason given was “forgetfulness” (61.8% Medicare, 60.8% commercial), followed by “being too busy” (2.7% Medicare, 18.5% commercial) and “other reasons” (21.9% Medicare, 8.1% commercial) including travel, hospitalization/sickness, disruption of daily events, and inability to get to the pharmacy. Prescription copay was a barrier for less than 5% of surveyed patients. Conclusion: Our findings indicate that events interfering with daily routine had a significant impact on adherence. Medication adherence appears to be a patterned behavior established through the creation of a routine and a reminder system for taking the medication. Providers should assess patients’ daily schedules and medication-taking competency to develop and promote a medication routine. PMID:21573051

  20. Education Against Tobacco (EAT): a quasi-experimental prospective evaluation of a programme for preventing smoking in secondary schools delivered by medical students: a study protocol

    PubMed Central

    Brinker, Titus J; Stamm-Balderjahn, Sabine; Seeger, Werner; Groneberg, David A

    2014-01-01

    Introduction A survey conducted by the German Federal Centre for Health Education in 2012 showed that 35.2% of all young adults (18–25?years) and 12.0% of all adolescents (12–17?years) in Germany are regular cigarette smokers. Most smoked their first cigarette in early adolescence. We recently reported a significantly positive short-term effect of a physician-delivered school-based smoking prevention programme on the smoking behaviour of schoolchildren in Germany. However, physician-based programmes are usually very expensive. Therefore, we will evaluate and optimise Education against Tobacco (EAT), a widespread, low-cost programme delivered by about 400 medical students from 16 universities in Germany. Methods and analysis A prospective quasi-experimental study design with two measurements at baseline (t1) and 6?months post-intervention (t2) to investigate an intervention in 10–15-year-olds in grades 6–8 at German secondary schools. The intervention programme consists of two 60-min school-based medical-student-delivered modules with (module 1) and without the involvement of patients with tobacco-related diseases and control groups (no intervention). The study questionnaire measuring smoking status (water pipe and cigarette smoking), smoking-related cognitions, and gender, social and cultural aspects was designed and pre-tested in advance. The primary end point is the prevalence of smokers and non-smokers in the two study arms at 6 months after the intervention. The percentage of former smokers and new smokers in the two groups and the measures of smoking behaviour will be studied as secondary outcome measures. Ethics and dissemination In accordance with Good Epidemiologic Practice (GEP) guidelines, the study protocol was submitted for approval by the responsible ethics committee, which decided that the study does not need ethical approval (Goethe University, Frankfurt-Main, Germany). Findings will be disseminated in peer-reviewed journals, at conferences, within our scientific advisory board and through medical students within the EAT project. PMID:25059969

  1. Is a medical humanities test needed in the National Medical Licensing Examination of Korea? Opinions of medical students and physician writers (secondary publication)

    PubMed Central

    2014-01-01

    The purpose of this study was to examine the opinions of medical students and physician writers regarding the medical humanities as a subject and its inclusion in the medical school curriculum. Furthermore, we addressed whether an assessment test should be added to the National Medical Licensing Examination of Korea (KMLE). A total of 192 medical students at Inha University and 39 physician writers registered with the Korean Association of Physician Essayists and the Korean Association of Physician Poets participated in this study. They were asked to answer a series of questionnaires. Most medical students (59%) and all physician writers (100%) answered that the medical humanities should be included in the medical school curriculum to train good physicians. They thought that the KMLE did not currently include an assessment of the medical humanities (medical students 69%, physician writers 69%). Most physician writers (87%; Likert scale, 4.38±0.78) felt that an assessment of the medical humanities should be included in the KMLE. Half of the medical students (51%; Likert scale, 2.51±1.17) were against including it in the KMLE, which they would have to pass after several years of study. For the preferred field of assessment, medical ethics was the most commonly endorsed subject (medical students 59%, physician writers 39%). The most frequently preferred evaluation method was via an interview (medical students 45%, physician writers 33%). In terms of the assessment of the medical humanities and the addition of this subject to the KMLE, an interview-based evaluation should be developed. PMID:25112444

  2. Is a medical humanities test needed in the National Medical Licensing Examination of Korea? Opinions of medical students and physician writers (secondary publication).

    PubMed

    Hwang, Kun

    2014-01-01

    The purpose of this study was to examine the opinions of medical students and physician writers regarding the medical humanities as a subject and its inclusion in the medical school curriculum. Furthermore, we addressed whether an assessment test should be added to the National Medical Licensing Examination of Korea (KMLE). A total of 192 medical students at Inha University and 39 physician writers registered with the Korean Association of Physician Essayists and the Korean Association of Physician Poets participated in this study. They were asked to answer a series of questionnaires. Most medical students (59%) and all physician writers (100%) answered that the medical humanities should be included in the medical school curriculum to train good physicians. They thought that the KMLE did not currently include an assessment of the medical humanities (medical students 69%, physician writers 69%). Most physician writers (87%; Likert scale, 4.38±0.78) felt that an assessment of the medical humanities should be included in the KMLE. Half of the medical students (51%; Likert scale, 2.51±1.17) were against including it in the KMLE, which they would have to pass after several years of study. For the preferred field of assessment, medical ethics was the most commonly endorsed subject (medical students 59%, physician writers 39%). The most frequently preferred evaluation method was via an interview (medical students 45%, physician writers 33%). In terms of the assessment of the medical humanities and the addition of this subject to the KMLE, an interview-based evaluation should be developed. PMID:25112444

  3. Evaluating Medication Use in Pregnancy and Lactation: What Every Pharmacist Should Know

    PubMed Central

    Burkey, Betsy Walters; Holmes, Amy P.

    2013-01-01

    As a pharmacist, being asked to give advice about medication use during pregnancy or lactation can be daunting. This article reviews the principles of drug transfer across the placenta, into breast milk, and reviews the rating scales and different resources available. The Food and Drug Administration classification scale is reviewed and the upcoming changes are explained, along with recent labeling changes for specific medications or drug classes when appropriate. This article provides the pharmacist with a practical set of tools to review the information available and assess the risks of treating or withholding a medication for mother and infant. PMID:24052789

  4. Validation of the Clinical COPD questionnaire in Italian language

    Microsoft Academic Search

    Salvatore Damato; Chiara Bonatti; Vinicio Frigo; Silvana Pappagallo; Rita Raccanelli; Claudio Rampoldi; Francesco Rodi

    2005-01-01

    BACKGROUND: The development and validation study of the Clinical Chronic Obstructive Disease (COPD) Questionnaire (CCQ) has recently been published in this journal. The CCQ is the first questionnaire that incorporates both clinician and patient guideline goals in the clinical control evaluation of patients with COPD in general clinical practice. The aim of this study is the validation of the CCQ

  5. Current indications for renal biopsy: A questionnaire-based survey

    Microsoft Academic Search

    Giorgio Fuiano; Giuseppe Mazza; Nicola Comi; Alfredo Caglioti; Luca De Nicola; Carmela Iodice; Michele Andreucci; Vittorio E. Andreucci

    2000-01-01

    Indications for renal biopsy are still ill defined. We recently sent a detailed questionnaire to 360 nephrologists in different areas of the world with the aim of providing information on this critical issue by evaluating the replies. The questionnaire was organized in four sections that included questions on renal biopsy indications in patients with normal renal function, renal insufficiency, and

  6. Ending Smoking at The Johns Hopkins Medical Institutions An Evaluation of Smoking Prevalence and Indoor Air Pollution

    Microsoft Academic Search

    Frances A. Stillman; Diane M. Becker; Robert T. Swank; Donald Hantula; Hamilton Moses; Stanton Glantz; H. Richard Waranch

    2010-01-01

    An empiric evaluation of a policy ending smoking in a large urban medical center was conducted. The study included a prospective cohort tracking of employees to measure changes in smoking behavior, environmental fires, smoking-related litter, and environmental tobacco pollution exposure. A 25% decrease in employ- ee smoking prevalence was found (21.7% vs 16.2% before vs after policy implementation, respectively). The

  7. Creation of an innovative inpatient medical procedure service and a method to evaluate house staff competency

    Microsoft Academic Search

    C. Christopher Smith; Craig E. Gordon; David Feller-Kopman; Grace C. Huang; Saul N. Weingart; Roger B. Davis; Armin Ernst; Mark D. Aronson

    2004-01-01

    INTRODUCTION: Training residents in medical procedures is an area of growing interest. Studies demonstrate that internal medicine residents\\u000a are inadequately trained to perform common medical procedures, and program directors report residents do not master these\\u000a essential skills. The American Board of Internal Medicine requires substantiation of competence in procedure skills for all\\u000a internal medicine residents; however, for most procedures, standards

  8. Towards effective evaluation and reform in medical education: a cognitive and learning sciences perspective

    Microsoft Academic Search

    Vimla L. Patel; Nicole A. Yoskowitz; Jose F. Arocha

    2009-01-01

    Health professions education is dealing with major transformations in light of the changing nature of the health care delivery\\u000a system, including the use of technology for “just in time” delivery of care, evidence-based practice, personalized medical\\u000a care and learning, as health professionals strive to integrate biomedical advances and clinical practice. This has forced\\u000a the medical education community to reassess the

  9. Impact of whole-body 18F-FDG PET on diagnostic and therapeutic management of Medical Oncology patients

    Microsoft Academic Search

    Marta Zafra; Francisco Ayala; Enrique Gonzalez-Billalabeitia; Elena Vicente; Pedro Gonzalez-Cabezas; Teresa García; José A. Macías; Vicente Vicente

    2008-01-01

    AimMost studies evaluating positron-emission tomography (PET) impact on decision making are based on questionnaires sent to referring physicians, with low response rates and potential bias. Studies directly evaluating influence of PET on routine management of Medical Oncology patients are scarce.

  10. Good agreement between questionnaire and administrative databases for health care use and costs in patients with osteoarthritis

    PubMed Central

    2011-01-01

    Background Estimating costs is essential to the economic analysis of health care programs. Health care costs are often captured from administrative databases or by patient report. Administrative records only provide a partial representation of health care costs and have additional limitations. Patient-completed questionnaires may allow a broader representation of health care costs; however the validity and feasibility of such methods have not been firmly established. This study was conducted to assess the validity and feasibility of using a patient-completed questionnaire to capture health care use and costs for patients with osteoarthritis, and to compare the research costs of the data-capture methods. Methods We designed a patient questionnaire and applied it in a clinical trial. We captured equivalent data from four administrative databases. We evaluated aspects of the questionnaire's validity using sensitivity and specificity, Lin's concordance correlation coefficient (?c), and Bland-Altman comparisons. Results The questionnaire's response rate was 89%. Acceptable sensitivity and specificity levels were found for all types of health care use. The numbers of visits and the majority of medications reported by patients were in agreement with the database-derived estimates (?c > 0.40). Total cost estimates from the questionnaire agreed with those from the databases. Patient-reported co-payments agreed with administrative records with respect to GP office transactions, but not pharmaceutical co-payments. Research costs for the questionnaire-based method were less than one-third of the costs for the databases method. Conclusion A patient-completed questionnaire is feasible for capturing health care use and costs for patients with osteoarthritis, and data collected using it mostly agree with administrative databases. Caution should be exercised when applying unit costs and collecting co-payment data. PMID:21489280

  11. Wilderness Medical Society practice guidelines for the out-of-hospital evaluation and treatment of accidental hypothermia.

    PubMed

    Zafren, Ken; Giesbrecht, Gordon G; Danzl, Daniel F; Brugger, Hermann; Sagalyn, Emily B; Walpoth, Beat; Weiss, Eric A; Auerbach, Paul S; McIntosh, Scott E; Némethy, Mária; McDevitt, Marion; Dow, Jennifer; Schoene, Robert B; Rodway, George W; Hackett, Peter H; Bennett, Brad L; Grissom, Colin K

    2014-12-01

    To provide guidance to clinicians, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations. PMID:25443771

  12. Health economic evaluations of medical devices in the People’s Republic of China: A systematic literature review

    PubMed Central

    Zhang, Rongrong; Modaresi, Farhang; Borisenko, Oleg

    2015-01-01

    Background The objective of this study is to identify and review the methodological quality of health economic evaluations of medical devices performed in the People’s Republic of China. To our knowledge, no such investigations have been performed to date. Methods A systematic literature review involving searches of Medline, Medline In-Process, the National Health Service Economic Evaluation Database, the Cost-Effectiveness Analysis Registry of the Tufts Medical Center, and the Wanfang Database was performed. The search spanned the period from 1990 to 2013. Studies on health economic evaluations of medical devices, in-vitro diagnostics, procedures, and the use of medical devices in Chinese health care settings were included. Full-text articles and conference abstracts in English and Chinese were included. Results Fifty-seven publications were included, 26 (46%) of which were in English and 31 (54%) of which were in Chinese. The included publications covered a wide range of clinical areas, such as surgery (n=23, 40%), screening (n=9, 16%), imaging use (n=6, 11%), kidney intervention (n=4, 7%), and nine other technological areas. Most of the studies (n=31, 54%) were cost analyses. Among the others, 13 (50%) studies used modeling, and another 13 (50%) were within-trial evaluations. Among studies that used modeling, eleven (85%) conducted sensitivity analyses, six of which had one-way sensitivity analysis, whereas one conducted both one-way and two-way sensitivity analyses; four of these eleven modeling-based analyses included probabilistic sensitivity analyses. The incremental cost-effectiveness ratio was reported in ten (18%) studies, eight of which were screening studies. The remaining two modeling studies were in areas of imaging and oncology. Conclusion This study indicates that there are major limitations and deficiencies in the health economic evaluations on medical devices performed in the People’s Republic of China. Further efforts are required from different stakeholders – academic, governmental, and privatized – to improve health economic research capacity and to put it to use when informative decisions are made in the health care setting. PMID:25914551

  13. Evaluation of monoscopic and stereoscopic displays for visual-spatial tasks in medical contexts.

    PubMed

    Martinez Escobar, Marisol; Junke, Bethany; Holub, Joseph; Hisley, Kenneth; Eliot, David; Winer, Eliot

    2015-06-01

    In the medical field, digital images are present in diagnosis, pre-operative planning, minimally invasive surgery, instruction, and training. The use of medical digital imaging has afforded new ways to interact with a patient, such as seeing fine details inside a body. This increased usage also raises many basic research questions on human perception and performance when utilizing these images. The work presented here attempts to answer the question: How would adding the stereopsis depth cue affect relative position tasks in a medical context compared to a monoscopic view? By designing and conducting a study to isolate the benefits between monoscopic 3D and stereoscopic 3D displays in a relative position task, the following hypothesis was tested: stereoscopic 3D displays are beneficial over monoscopic 3D displays for relative position judgment tasks in a medical visualization setting. 44 medical students completed a series of relative position judgments tasks. The results show that stereoscopic condition yielded a higher score than the monoscopic condition with regard to the hypothesis. PMID:25909641

  14. Measuring the stigma of psychiatry and psychiatrists: development of a questionnaire.

    PubMed

    Gaebel, Wolfgang; Zäske, Harald; Cleveland, Helen-Rose; Zielasek, Jürgen; Stuart, Heather; Arboleda-Florez, Julio; Akiyama, Tsuyoshi; Gureje, Oye; Jorge, Miguel R; Kastrup, Marianne; Suzuki, Yuriko; Tasman, Allan; Sartorius, Norman

    2011-11-01

    The stigma of mental illness is a severe burden for people suffering from mental illness both in private and public life, also affecting their relatives, their close social network, and the mental health care system in terms of disciplines, providers, and institutions. Interventions against the stigma of mental illness employ complementary strategies (e.g., protest, education, and contact) and address different target groups (e.g., school children and teachers, journalists, stakeholders). Within this framework, the World Psychiatric Association has adopted an Action Plan with the goal to improve the image of psychiatry and to reduce potential stigmatizing attitudes toward psychiatry and psychiatrists. To evaluate such interventions, a questionnaire has been developed that assesses opinions and attitudes toward psychiatrists and psychiatry in different samples of medical specialists (psychiatrists and general practitioners). The questionnaire comprises scales about perceived stigma in terms of the perception of societal stereotypes, self-stigma in terms of stereotype agreement, perceived stigma in terms of structural discriminations, discrimination experiences, stigma outcomes, and attitudes toward a second medical discipline. It is available in several languages (Arab, English, German, Japanese, Polish, and Spanish) and can easily be adapted for utilization in other medical specialties. PMID:21947511

  15. Parental concerns on the circumcision for elementary school boys: a questionnaire study.

    PubMed

    Lee, Sang D; Park, Eun; Choe, Byeng M

    2003-02-01

    To evaluate the parental concerns for elementary school boys (7-12 yr) on the circumcision, a randomly selected cross-sectional survey was performed in each elementary school from 16 urban wards in Busan. We asked 10,861 parents to answer the questionnaires on the circumcision such as the benefits and fallbacks of circumcision, proper time and knowledge of the surgery, and neonatal circumcision. The overall response rate to the questionnaire was 38.9%. The overall circumcision rate of elementary school boys was 43.2%, which increased from 18.7% at 7 yr old to 64.8% at 12 yr old. The significant reason for and against circumcision was "hygiene benefits (88.1%)" and "unreliable medical benefits (38.5%)", respectively. 74.9% of parents thought that elementary school age is the optimal time of circumcision. Only 11.2% of boys were circumcised during neonatal period. The main reason for parents to oppose neonatal circumcision was "their babies feel pain (35.8%)". About 50% of parents thought that circumcision will prevent medical diseases. Besides the medical basis, the circumcision is emerging as a kind of social custom in Busan. For parents making the decisions on the circumcision of their boys, physician or health care providers should provide helpful and honest facts about circumcision. PMID:12589091

  16. Development and Evaluation of the Habitat Demonstration Unit Medical Operations Workstation and Opportunities for Future Research

    NASA Technical Reports Server (NTRS)

    Howard, Robert L., Jr.

    2012-01-01

    As NASA develops missions to leave Earth orbit and explore distant destinations (Mars, Moon, Asteroids) it is necessary to rethink human spaceflight paradigms in the life sciences. Standards developed for low earth orbit human spaceflight may not be fully applicable and in-space research may be required to develop new standards. Preventative and emergency medical care may require new capabilities never before used in space. Due to spacecraft volume limitations, this work area may also be shared with various animal and plant life science research. This paper explores the prototype Medical Operations Workstation within the NASA Habitat Demonstration Unit and discusses some of the lessons learned from field analogue missions involving the workstation. Keywords: Exploration, medical, health, crew, injury emergency, biology, animal, plant, science, preventative, emergency.

  17. Development of a physician attributes database as a resource for medical education, professionalism and student evaluation.

    PubMed

    Rabinowitz, David; Reis, Shmuel; Van Raalte, Riki; Alroy, Gideon; Ber, Rosalie

    2004-03-01

    In the light of the growing interest in professionalism and non-cognitive attributes in medical education, a focus group (FG) methodology was used to achieve a database of desired physician attributes. Ten FGs, consisting of medical faculty, service heads, residents, general practitioners, students and patients, took place, producing 169 desired attributes; further attributes were derived from a literature search, and the Mission and Vision Statement (MVS) of the authors' medical faculty. A total of 254 separate attributes finally emerged, after a process of combining and collapsing similar items. Attributes appearing with the highest frequency were: honest, empathic, patient, capacity to be an attentive listener, understanding, able to work in a team, intellectual curiosity, egalitarian. The high number of attributes generated in this study provides an indication of what the profession is wanting of itself. This database is multipotential and preliminary in nature and requires further processing before achieving full relevance. PMID:15203525

  18. Evaluation of Unpreparedness When Issuing Copies of Medical Records in Tertiary Referral Hospitals

    PubMed Central

    Moon, Myong-Mo; Seo, Sun-Won; Park, Woo-Sung; Kim, Yoon; Kim, Sung-Soo; Choi, Eun-Mi; Park, Jong; Park, Il-Soon

    2010-01-01

    Objectives As a baseline study to aid in the development of proper policy, we investigated the current condition of unpreparedness of documents required when issuing copies of medical records and related factors. Methods The study was comprised of 7,203 cases in which copies of medical records were issued from July 1st, 2007 through June 30th, 2008 to 5 tertiary referral hospitals. Data from these hospitals was collected using their established electronic databases and included study variables such as unpreparedness of the required documents as a dependent variable and putative covariates. Results The rate of unpreparedness of required documents was 14.9%. Multiple logistic regression analysis revealed the following factors as being related to the high rate of unpreparedness: patient age (older patients had a higher rate), issuance channels (on admission > via out-patient clinic), type of applicant (others such as family members > for oneself > insurers), type of original medical record (utilization records on admission > other records), issuance purpose (for providing insurer > medical use), residential area of applicant (Seoul > Honam province and Jeju), and number of copied documents (more documents gave a lower rate). The rate of unpreparedness differed significantly among the hospitals; suggesting that they may have followed their own conventional protocols rather than legal procedures in some cases. Conclusions The study results showed that the level of compliance to the required legal procedure was high, but that problems occurred in assuring the safety of the medical information. A proper legislative approach is therefore required to balance the security of and access to medical information. PMID:21818431

  19. An Evaluation of a NiTiCo Alloy and its Suitability for Medical Device Applications

    NASA Astrophysics Data System (ADS)

    Fasching, Audrey; Norwich, D.; Geiser, T.; Paul, Graeme W.

    2011-07-01

    Development of a superelastic material with higher stiffness and plateau stresses than binary nitinol is of interest to the medical device industry because it may allow for lower profile, less intrusive devices without compromising the material's characteristics. This project studied the effect of cobalt (Co) alloying additions on the stiffness and plateau stresses of a superelastic nickel-titanium alloy. In addition, the general physical, mechanical, corrosion, and biocompatibility properties of the alloy were compared to binary nitinol. The results of this study showed Co to be an interesting alloying addition that should be considered for future medical devices in applications, where stiffness is of concern.

  20. Cognitive Artifacts in Support of Medical Shift Handover: An In Use, In Situ Evaluation

    Microsoft Academic Search

    Stephanie Wilson; Julia Galliers; James Fone

    2007-01-01

    Technologies introduced to support complex and critical work practices merit rigorous and effective evaluation. However, evaluation strategies often fall short of evaluating real use by practitioners in the workplace and thereby miss an opportunity to gauge the true impact of the technology on the work. This article reports an in use, in situ evaluation of 2 cognitive artifacts that support

  1. Psychometric Properties of the Positive Automatic Thoughts Questionnaire.

    ERIC Educational Resources Information Center

    Ingram, Rick E.; And Others

    1995-01-01

    Original data and other studies using the Positive Automatic Thoughts Questionnaire (ATP-Q) show that the reliability and norms of the instrument appear stable and that the ATP-Q is inversely associated with negative affective states but unrelated to conditions such as medical condition not accompanied by psychological distress. (SLD)

  2. Characteristics of the internship programs for students in medical illustration and biomedical communications.

    PubMed

    Shilling, L M

    1983-03-01

    A survey questionnaire was developed to request general information about each program as well as specific information on internship objectives, what interns do, internship sites, benefits, problems, preceptors, evaluation, coordinators, contracts, and support services. Questionnaires were sent to the directors of 17 programs, and to the chairman of the internship committee of the Association of Medical illustrators, all of whom responded. The 15 useable responses from program directors were divided according to type of program, compiled and analyzed separately. Respondents agreed that an internship is a valuable experience for medical illustration and biomedical communications students. PMID:6189819

  3. Oxygen/ozone as a medical gas mixture. A critical evaluation of the various methods clarifies positive and negative aspects

    PubMed Central

    2011-01-01

    Besides oxygen, several other gases such as NO, CO, H2, H2S, Xe and O3 have come to age over the past few years. With regards to O3, its mechanisms of action in medicine have been clarified during the last two decades so that now a comprehensive framework for understanding and recommending ozone therapy in various pathologies is available. O3 used within the determined therapeutic window is absolutely safe and more effective than golden standard medications in numerous pathologies, like vascular diseases. However, ozone therapy is mostly in practitioners' hands and some recent developments for increasing cost effectiveness and speed of treatment are neither standardized, nor evaluated toxicologically. Hence, the aim of this article is to emphasize the need to objectively assess the pros and cons of oxygen/ozone as a medical gas mixture in the hope that ozone therapy will be accepted by orthodox medicine in the near future. PMID:22146387

  4. The Lay Health Educator Program: Evaluating the Impact of this Community Health Initiative on the Medical Education of Resident Physicians.

    PubMed

    Galiatsatos, Panagis; Rios, Rebeca; Daniel Hale, W; Colburn, Jessica L; Christmas, Colleen

    2015-06-01

    Resident physicians receive little training designed to help them develop an understanding of the health literacy and health concerns of laypersons. The purpose of this study was to assess whether residents improve their understanding of health concerns of community members after participating in the Lay Health Educator Program, a health education program provided through a medical-religious community partnership. The impact was evaluated via pre-post surveys and open-ended responses. There was a statistically significant change in the residents' (n = 15) understanding of what the public values as important with respect to specific healthcare topics. Findings suggest participation in a brief, formal community engagement activity improved medical residents' confidence with community health education. PMID:25761451

  5. Ending smoking at the Johns Hopkins Medical Institutions. An evaluation of smoking prevalence and indoor air pollution.

    PubMed

    Stillman, F A; Becker, D M; Swank, R T; Hantula, D; Moses, H; Glantz, S; Waranch, H R

    1990-09-26

    An empiric evaluation of a policy ending smoking in a large urban medical center was conducted. The study included a prospective cohort tracking of employees to measure changes in smoking behavior, environmental fires, smoking-related litter, and environmental tobacco pollution exposure. A 25% decrease in employee smoking prevalence was found (21.7% vs 16.2% before vs after policy implementation, respectively). The daily number of cigarettes reportedly smoked by employees who continued smoking and the total number smoked at work decreased across all occupational categories by an average of 25%. Significant reductions were noted in the level of public smoking and the amount of cigarette remnants. Nicotine vapor concentrations decreased significantly in all areas except restrooms. These findings suggest that visible smoking and environmental tobacco smoke exposure can be markedly decreased by instituting a policy eliminating smoking in a large medical center. PMID:2395198

  6. Facilities Hazard Assessment Questionnaire EH&S is available to assist CUF Compliance with the recognition, evaluation and control of occupational hazards. This form is to be used to help evaluate possible hazards

    E-print Network

    Jia, Songtao

    with the recognition, evaluation and control of occupational hazards. This form is to be used to help evaluate possible Volatile Organic Cpds Toxic Material Noise or Vibration Particulates Brief Description of the Activity

  7. Factors affecting medical waste management in low- level health facilities in Tanzania

    Microsoft Academic Search

    S. V. Manyele; T. J. Lyasenga

    2010-01-01

    A study on evaluation of medical waste management systems was conducted in the low-level health facilities (LLHFs) in Dar es Salaam by comparing Ilala and Kinondoni municipalities. Questionnaires, interviews, visits and observation were used in data collection. The study has revealed that; most of the facilities have no specific disposal sites. In Ilala, 70% of the health facilities burn wastes

  8. Modeling of the Cuffless Blood Pressure Measurement Errors for the Evaluation of a Wearable Medical Device

    Microsoft Academic Search

    X. Y. Xiang; C. C. Y. Poon; Yuan-ting Zhang

    2006-01-01

    The two widely used standards for validating the conventional cuff-based BP devices are those set up by the American Association for the Advancement of Medical Instrumentation (AAMI) and the British Hypertension Society (BHS) respectively. It was reported that although both standards work well for most BP devices, they do not agree with each other in all circumstances. Previous attempts to

  9. Towards Effective Evaluation and Reform in Medical Education: A Cognitive and Learning Sciences Perspective

    ERIC Educational Resources Information Center

    Patel, Vimla L.; Yoskowitz, Nicole A.; Arocha, Jose F.

    2009-01-01

    Health professions education is dealing with major transformations in light of the changing nature of the health care delivery system, including the use of technology for "just in time" delivery of care, evidence-based practice, personalized medical care and learning, as health professionals strive to integrate biomedical advances and clinical…

  10. Improving the methods for evaluating the safety of psychotropic medications in children and adolescents

    Microsoft Academic Search

    Laurence L. Greenhill; Benedetto Vitiello; Howard Abikoff; Jerome Levine; John S. March; Mark A. Riddle; Lisa Capasso; Thomas Cooper; Mark Davies; Prudence Fisher; Robert L. Findling; Jane Fried; Michael Labellarte; James McCracken; Donald J. McMahon; James Robinson; Anne M. Skrobala; Lawrence Scahill; John Walkup; Julie Zito

    2001-01-01

    Background: Given the considerable importance of drug safety in children and adolescents and the potential effects of psychotropic medications on growth rates and developing central neurotransmitter systems, there is a need for valid methods for detecting possible drug-induced adverse events during prolonged exposure.Objectives: The aims of this study were to discuss challenges involved in the collection of safety information on

  11. Evaluating Risk Taking Propensity as a Predictor of the Outcome Dimensions of Medication History Taking.

    ERIC Educational Resources Information Center

    Lively, Buford T.

    1983-01-01

    Senior pharmacy students' level of risk-taking as a personality trait was compared with their performance in medication history interviews in an ambulatory medicine clinic. Effective and efficient interviewers were significantly higher in risk-taking propensity than others. (MSE)

  12. Collaborative Audit of Risk Evaluation in Medical Emergency Treatment (CARE-MET I) — An international pilot

    Microsoft Academic Search

    C. P. Subbe; W. Gauntlett; J. G. Kellett

    2010-01-01

    BackgroundThe absence of an accepted model for risk-adjustment of acute medical admissions leads to suboptimal clinical triage and serves as a disincentive to compare outcomes in different hospitals. The Simple Clinical Score (SCS) is a model based on 16 clinical parameters affecting hospital mortality.

  13. Motivational Influences of Using Peer Evaluation in Problem-Based Learning in Medical Education

    ERIC Educational Resources Information Center

    Abercrombie, Sara; Parkes, Jay; McCarty, Teresita

    2015-01-01

    This study investigates the ways in which medical students' achievement goal orientations (AGO) affect their perceptions of learning and actual learning from an online problem-based learning environment, Calibrated Peer Review™. First, the tenability of a four-factor model (Elliot & McGregor, 2001) of AGO was tested with data collected from…

  14. Evaluating the Predictive Validity of Suicidal Intent and Medical Lethality in Youth

    ERIC Educational Resources Information Center

    Sapyta, Jeffrey; Goldston, David B.; Erkanli, Alaattin; Daniel, Stephanie S.; Heilbron, Nicole; Mayfield, Andrew; Treadway, S. Lyn

    2012-01-01

    Objectives: To examine whether suicidal intent and medical lethality of past suicide attempts are predictive of future attempts, the association between intent and lethality, and the consistency of these characteristics across repeated attempts among youth. Method: Suicide attempts in a 15-year prospective study of 180 formerly psychiatrically…

  15. A Medical Student Logbook for Streamlining Collection of Clerkship Evaluation Data.

    ERIC Educational Resources Information Center

    DaRosa, Debra A.; Folse, Roland

    A medical student logbook that was developed by the Department of Surgery at Southern Illinois University School of Medicine to improve the clerkship is described. Specific objectives of the logbook were: (1) to reinforce student habits to systematically record relevant data concerning patients for purposes of future recall and reference; (2) to…

  16. DEVELOPMENT AND EVALUATION OF EDUCATIONAL PROGRAMS IN BIO-MEDICAL EQUIPMENT TECHNOLOGY, PHASE I. FINAL REPORT.

    ERIC Educational Resources Information Center

    Technical Education Research Center, Cambridge, MA.

    OFFICIALS OF A REPRESENTATIVE SAMPLE OF HOSPITALS, BIOMEDICAL EQUIPMENT MANUFACTURERS, AND MEDICAL RESEARCH INSTITUTES IN NEW ENGLAND AND THREE MIDDLE ATLANTIC STATES WERE INTERVIEWED TO DETERMINE THE NEED FOR TECHNICIANS TO SERVICE AND MAINTAIN EQUIPMENT FOUND IN HOSPITALS AND BIOMEDICAL RESEARCH INSTITUTIONS. RESPONSES INDICATED A NEED FOR…

  17. Viability of the Commitment-for-Change Evaluation Strategy in Continuing Medical Education.

    ERIC Educational Resources Information Center

    Jones, Deborah L.

    1990-01-01

    Several features of a two-day national nephrology continuing medical education conference were analyzed using commitments for change and subsequent self-reports of implementation of change as the dependent variables. Subjects were those physician participants (N=84) who completed demographic information forms and agreed to participate in the…

  18. An average enumeration method of hyperspectral imaging data for quantitative evaluation of medical device surface contamination

    Technology Transfer Automated Retrieval System (TEKTRAN)

    We propose a quantification method called Mapped Average Principal Component Analysis Score (MAPS) to enumerate the contamination coverage on common medical device surfaces. The method was adapted from conventional Principal Component Analysis (PCA) on non-overlapped regions on a full frame hyperspe...

  19. Evaluation of Collection, Transport and Disposal of medical solid waste in West Azarbaijan province

    Microsoft Academic Search

    A. Jalilzadeh; S. D. Ashrafi; M. H. Mahmoudian

    This research is intended to present a clean and overall view about the existing situation of collection, keeping, transporting and final discharge of medical wastes in West Azarbaijan cities. The survey was performed in more than 16 % of medicine centers in West Azarbaijan cities. From the centers studied, 46 % were hospital, 12 % health-treatment center and 16 %

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

    Microsoft Academic Search

    Chao Chung

    2011-01-01

    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

  1. Development and Evaluation of a Palliative Medicine Curriculum for Third-Year Medical Students

    PubMed Central

    Mullan, Patricia; Nelesen, Richard A.; Soskins, Matt; Savoia, Maria; Buckholz, Gary; Weissman, David E.

    2012-01-01

    Abstract Objective To assess the impact, retention, and magnitude of effect of a required didactic and experiential palliative care curriculum on third-year medical students' knowledge, confidence, and concerns about end-of-life care, over time and in comparison to benchmark data from a national study of internal medicine residents and faculty. Design Prospective study of third-year medical students prior to and immediately after course completion, with a follow-up assessment in the fourth year, and in comparison to benchmark data from a large national study. Setting Internal Medicine Clerkship in a public accredited medical school. Participants Five hundred ninety-three third-year medical students, from July 2002 to December 2007. Main outcome measures Pre- and postinstruction performance on: knowledge, confidence (self-assessed competence), and concerns (attitudes) about end-of-life care measures, validated in a national study of internal medicine residents and faculty. Medical student's reflective written comments were qualitatively assessed. Intervention Required 32-hour didactic and experiential curriculum, including home hospice visits and inpatient hospice care, with content drawn from the AMA-sponsored Education for Physicians on End-of-life Care (EPEC) Project. Results Analysis of 487 paired t tests shows significant improvements, with 23% improvement in knowledge (F1,486=881, p<0.001), 56% improvement in self-reported competence (F1,486=2,804, p<0.001), and 29% decrease in self-reported concern (F1,486=208, p<0.001). Retesting medical students in the fourth year showed a further 5% increase in confidence (p<0.0002), 13% increase in allaying concerns (p<0.0001), but a 6% drop in knowledge. The curriculum's effect size on M3 students' knowledge (0.56) exceeded that of a national cross-sectional study comparing residents at progressive training levels (0.18) Themes identified in students' reflective comments included perceived relevance, humanism, and effectiveness of methods used to teach and assess palliative care education. Conclusions We conclude that required structured didactic and experiential palliative care during the clinical clerkship year of medical student education shows significant and largely sustained effects indicating students are better prepared than a national sample of residents and attending physicians. PMID:22845026

  2. Physical Activity Questionnaire Search Results

    Cancer.gov

    The Brunel Lifestyle Physical Activity Questionnaire a4 If you add together each session of pre-planned physical activity that you engage in during a normal week, how much time would you estimate that you spend in total?

  3. Michigan Questionnaire Documentation System (MQDS)

    E-print Network

    Cheung, Gina-Qian

    2013-04-03

    Michigan Questionnaire Documentation System (MQDS) Gina Cheung University of Michigan, Survey Research Center North American DDI Conference April 2-3, 2013 Agenda MQDS Background MQDS current design Demo Survey Lifecycle http... questionnaire roster structure Blaise alien router (external program) Paradata Not a tool for Survey life circle documentation yet…. Where we are going… and DDI for… Mixed Mode Project Management CATI CAPI WEB MAIL Decentralized CATI Mixed Mode Survey...

  4. 77 FR 5734 - New Medical Criteria for Evaluating Language and Speech Disorders

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ...our listings a new body system for evaluating language and speech disorders...criteria for evaluating language and speech disorders in several body systems, including...to establish a new body system in our listings for language and speech...

  5. Implementation of a multi-level evaluation strategy: a case study on a program for international medical graduates.

    PubMed

    Nestel, Debra; Regan, Melanie; Vijayakumar, Priyanga; Sunderji, Irum; Haigh, Cathy; Smith, Cathy; Wright, Alistair

    2011-01-01

    Evaluation of educational interventions is often focused on immediate and/or short-term metrics associated with knowledge and/or skills acquisition. We developed an educational intervention to support international medical graduates working in rural Victoria. We wanted an evaluation strategy that included participants' reactions and considered transfer of learning to the workplace and retention of learning. However, with participants in distributed locations and limited program resources, this was likely to prove challenging. Elsewhere, we have reported the outcomes of this evaluation. In this educational development report, we describe our evaluation strategy as a case study, its underpinning theoretical framework, the strategy, and its benefits and challenges. The strategy sought to address issues of program structure, process, and outcomes. We used a modified version of Kirkpatrick's model as a framework to map our evaluation of participants' experiences, acquisition of knowledge and skills, and their application in the workplace. The predominant benefit was that most of the evaluation instruments allowed for personalization of the program. The baseline instruments provided a broad view of participants' expectations, needs, and current perspective on their role. Immediate evaluation instruments allowed ongoing tailoring of the program to meet learning needs. Intermediate evaluations facilitated insight on the transfer of learning. The principal challenge related to the resource intensive nature of the evaluation strategy. A dedicated program administrator was required to manage data collection. Although resource-intensive, we recommend baseline, immediate, and intermediate data collection points, with multi-source feedback being especially illuminating. We believe our experiences may be valuable to faculty involved in program evaluations. PMID:22259672

  6. Implementation of a multi-level evaluation strategy: a case study on a program for international medical graduates

    PubMed Central

    Regan, Melanie; Vijayakumar, Priyanga; Sunderji, Irum; Haigh, Cathy; Smith, Cathy; Wright, Alistair

    2011-01-01

    Evaluation of educational interventions is often focused on immediate and/or short-term metrics associated with knowledge and/or skills acquisition. We developed an educational intervention to support international medical graduates working in rural Victoria. We wanted an evaluation strategy that included participants' reactions and considered transfer of learning to the workplace and retention of learning. However, with participants in distributed locations and limited program resources, this was likely to prove challenging. Elsewhere, we have reported the outcomes of this evaluation. In this educational development report, we describe our evaluation strategy as a case study, its underpinning theoretical framework, the strategy, and its benefits and challenges. The strategy sought to address issues of program structure, process, and outcomes. We used a modified version of Kirkpatrick's model as a framework to map our evaluation of participants' experiences, acquisition of knowledge and skills, and their application in the workplace. The predominant benefit was that most of the evaluation instruments allowed for personalization of the program. The baseline instruments provided a broad view of participants' expectations, needs, and current perspective on their role. Immediate evaluation instruments allowed ongoing tailoring of the program to meet learning needs. Intermediate evaluations facilitated insight on the transfer of learning. The principal challenge related to the resource intensive nature of the evaluation strategy. A dedicated program administrator was required to manage data collection. Although resource-intensive, we recommend baseline, immediate, and intermediate data collection points, with multi-source feedback being especially illuminating. We believe our experiences may be valuable to faculty involved in program evaluations. PMID:22259672

  7. Association of Weight Loss and Medication Adherence Among Adults With Type 2 Diabetes Mellitus: SHIELD (Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes)?

    PubMed Central

    Grandy, Susan; Fox, Kathleen M.; Hardy, Elise

    2013-01-01

    Background Adherence to prescribed diabetes medications is suboptimal, which can lead to poor glycemic control and diabetic complications. Treatment-related weight gain is a side effect of some oral antidiabetic agents and insulin, which may negatively affect adherence to therapy. Objective This study investigated whether adults with type 2 diabetes mellitus (T2DM) who lost weight had better medication adherence than those who gained weight. Methods Weight change over 1 year (2007 to 2008) was assessed among respondents in the US Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD). Weight loss of >1.0%, ?3%, and ?5% of weight was compared with weight gain of ?1.0%. Medication adherence was assessed using the Morisky 4-item questionnaire for medication-taking behavior, with lower scores representing better adherence. Results There were 746 T2DM respondents who lost >1.0%, 483 who lost ?3%, 310 who lost ?5%, and 670 who gained ?1.0% of weight. Each weight-loss group had significantly lower Morisky scores than the weight-gain group; mean scores of 0.389 versus 0.473 (P = 0.050) for the >1.0% weight-loss group, 0.365 versus 0.473 (P = 0.026) for the ?3% weight-loss group, and 0.334 versus 0.473 (P = 0.014) for the ?5% weight-loss group. Significantly fewer respondents who lost weight had received insulin, sulfonylurea, or thiazolidinedione therapy (57%) compared with respondents who gained weight (64%) (P = 0.002). Demographics, exercise habits, and dieting were similar between weight-loss and weight-gain groups. Conclusions T2DM respondents with weight loss had significantly better medication adherence and were less likely to be on treatment regimens that increase weight than T2DM respondents with weight gain. These findings suggest that strategies that lead to weight loss, including use of diabetes medications associated with weight loss, may improve medication adherence. PMID:24465048

  8. Microtox System, a New Approach to the Safety Evaluation of Medical Devices

    Microsoft Academic Search

    K. Rathinam; P. V. Mohanan

    1998-01-01

    Medical devices of both intra- and extra-corporeal applications may contain leachable toxicants that warrant routine testing using internationally recognized\\/practiced protocols. An in vitro Microtox system comprising a selected bioluminescence strain of bacteria—Photobacterium phosphorium which emits light as an end product of its respiration, is used to screen out toxicants from biomaterials\\/devices. A Microtox system was standardized and validated in our

  9. Reality Augmentation for Medical Procedures: System Architecture, Single Camera Marker Tracking, and System Evaluation

    Microsoft Academic Search

    Sebastian Vogt; Ali Khamene; Frank Sauer

    2006-01-01

    Augmented Reality is an emerging technology that seeks to enhance a user’s view by overlaying graphical information. We developed\\u000a a prototype AR system geared for medical applications. It is built around a stereoscopic head-mounted display of the video-see-through\\u000a variety. The newest generation of this prototype system exhibits high performance on a standard PC platform. Stereoscopic\\u000a video images are augmented with

  10. Improving the national board of medical examiners internal medicine subject exam for use in clerkship evaluation

    Microsoft Academic Search

    D. Michael Elnicki; Dianne A. Lescisin; Susan Case

    2002-01-01

    OBJECTIVE: To provide a consensus opinion on modifying the National Board of Medical Examiners (NBME) Medicine Subject Exam (Shelf)\\u000a to: 1) reflect the internal medicine clerkship curriculum, developed by the Society of General Internal Medicine (SGIM) and\\u000a the Clerkship Directors in Internal Medicine (CDIM); 2) emphasize knowledge important for a clerkship student; and 3) obtain\\u000a feedback about students’ performances on

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

    Microsoft Academic Search

    Chao Chung Ho

    2011-01-01

    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

  12. In vitro human skin irritation test for evaluation of medical device extracts.

    PubMed

    Casas, J W; Lewerenz, G M; Rankin, E A; Willoughby, J A; Blakeman, L C; McKim, J M; Coleman, K P

    2013-12-01

    The aim of this study was to determine if the EpiDerm™ reconstructed human skin model (MatTek Corp.) could be an acceptable alternative to the ISO 10993-required rabbit skin irritation test for assessing medical device biocompatibility. Eleven medical device polymers were tested. Four extracts were prepared per polymer, two each with saline and sesame oil; half were spiked with two R-38 irritants, lactic acid for saline extracts and heptanoic acid for the sesame oil extracts. Tissue viability was assessed by MTT reduction and the proinflammatory response was assessed by IL-1? release. LOAELs of 2% for lactic acid in saline and 0.7% for heptanoic acid in sesame oil were determined. A cell viability reduction of >50% was indicative of skin irritation. Cells exposed to saline extracts spiked with 3.25% lactic acid had significantly reduced mean cell viabilities (12.6-17.2%). Cells exposed to sesame oil extracts spiked with 1.25% heptanoic acid also exhibited reduced mean cell viabilities (25.5%-41.7%). All spiked cells released substantial amounts of IL-1? (253.5-387.4pg/ml) signifying a proinflammatory response. These results indicate that the EpiDerm™ model may be a suitable in vitro replacement for the assessment of the irritation potential of medical device extracts. PMID:23999410

  13. Medical students’ assessment preferences at King Faisal University, Saudi Arabia

    PubMed Central

    Amin, Tarek Tawfik; Kaliyadan, Feroze; Al-Muhaidib, Nouria Saab

    2011-01-01

    Objective To assess the preferred methods for assessment among medical students at both preclinical and clinical stages of medical education and the possible correlates that promote these preferences. Subjects and methods All medical students from the third year onwards were surveyed. A self-administered anonymous questionnaire was designed to gather information on the preferred assessment method for course achievement. The preferred methods were also evaluated in relation to cognitive functions. Preference for specific exam format, in the form of multiple choices, short essay questions, or both, and the stated reasons for that preference, was also included in the questionnaire. Results Out of 310 questionnaires distributed, 238 were returned. Written tests, projects, portfolios, and take home exams were the preferred modes for assessing students’ achievements in a course; oral tests including a viva voce were the least preferred type of assessment. Questions that tested the domains of ‘understanding’ and ‘application’ were the most preferred type while those entailing ‘analysis’ were the least preferred. Multiple choice question format was the most preferred type of question (68.7%) at both pre- and clinical stages. Conclusion Students’ assessments at the College of Medicine, King Faisal University, Saudi Arabia, do not use the full range of cognitive domains. The emphasis on higher domains for medical students’ assessment incorporating critical thinking should increase as the students’ progress through their medical courses. PMID:23745080

  14. Pharmacovigilance of herbal medicines in Africa: Questionnaire study.

    PubMed

    Skalli, Souad; Soulaymani Bencheikh, Rachida

    2015-08-01

    In order to describe and evaluate Herbal Medicine (HM) pharmacovigilance in African countries who are members of the WHO International Programme for Drug Monitoring a survey questionnaire was sent to the national centres and national drug regulatory agencies of these countries. Data collection was carried out from October 1st to 31st December, 2014. Among the total of 39 African countries, 34 (87.2%) answered the questionnaire and 25 (64.1%) accepted to share their data in this publication. Spontaneous adverse reaction reporting for HM is voluntary in 7 (43.7%) countries. HM pharmacovigilance programmes covered suspected adverse HM reactions in 14 (87.5%) countries; HM information in 7 (43.7%) countries; HM dependence or abuse in 6 (37.5%) countries; medication errors in 5 (31.2%) countries; falsification and adulteration in 2 (each 12.5%) countries and HM-drug interactions in 1 (6.3%) country. Groups in countries encouraged to submit herbal reports were pharmacists and physicians (both n=15); nurses (n=13); herbal therapists (n=12); patients (n=11) and local manufacturers (n=8). The number of herbal reports received by most countries was very low or even insignificant. VigiFlow is used by 10 countries. Information from pharmacovigilance activities is disseminated using many means. Only five countries have regulatory status and quality control of their HM products. The participants identified a need for HM regulation, technical and training assistance, and funding as being major challenges to HM pharmacovigilance in countries. Particular attention to the development of pharmacovigilance of HM is required in Africa. PMID:26027756

  15. Attitude toward plagiarism among Iranian medical faculty members.

    PubMed

    Ghajarzadeh, Mahsa; Norouzi-Javidan, Abbas; Hassanpour, Kiana; Aramesh, Kiarash; Emami-Razavi, Seyed Hassan

    2012-01-01

    The goal of this study was to assess attitude towards plagiarism in faculty members of Medical School at Tehran University of Medical Sciences. One hundred and twenty medical faculty members of Tehran University of Medical Sciences were enrolled in this cross-sectional study. They were asked to answer to valid and reliable Persian version of attitude towards plagiarism questionnaire. Attitude toward plagiarism, positive attitude toward self-plagiarism and plagiarism acceptance were assessed. Eighty seven filled-up questionnaires were collected. Mean total number of correct answers was 11.6±3.1. Mean number of correct answers to questions evaluating self-plagiarism was 1.7±0.4 and mean number of correct answers to questions evaluating plagiarism acceptance was 1.4±0.2. There was no significant correlation between plagiarism acceptance and self-plagiarism (r=0.17, P=0.1). It is essential to provide materials (such as workshops, leaflets and mandatory courses) to make Iranian medical faculty members familiar with medical research ethics issues such as plagiarism. PMID:23292631

  16. Oral anticancer agent medication adherence by outpatients

    PubMed Central

    KIMURA, MICHIO; USAMI, EISEKI; IWAI, MINA; NAKAO, TOSHIYA; YOSHIMURA, TOMOAKI; MORI, HIROMI; SUGIYAMA, TADASHI; TERAMACHI, HITOMI

    2014-01-01

    In the present study, medication adherence and factors affecting adherence were examined in patients taking oral anticancer agents. In June 2013, 172 outpatients who had been prescribed oral anticancer agents by Ogaki Municipal Hospital (Ogaki, Gifu, Japan) completed a questionnaire survey, with answers rated on a five-point Likert scale. The factors that affect medication adherence were evaluated using a customer satisfaction (CS) analysis. For patients with good and insufficient adherence to medication, the median ages were 66 years (range, 21–85 years) and 73 years (range, 30–90 years), respectively (P=0.0004), while the median dosing time was 131 days (range, 3–3,585 days) and 219 days (24–3,465 days), respectively (P=0.0447). In 36.0% (62 out of 172) of the cases, there was insufficient medication adherence; 64.5% of those cases (40 out of 62) showed good medication compliance (4–5 point rating score). However, these patients did not fully understand the effects or side-effects of the drugs, giving a score of three points or less. The percentage of patients with good medication compliance was 87.2% (150 out of 172). Through the CS analysis, three items, the interest in the drug, the desire to consult about the drug and the condition of the patient, were extracted as items for improvement. Overall, the medication compliance of the patients taking the oral anticancer agents was good, but the medication adherence was insufficient. To improve medication adherence, a better understanding of the effectiveness and necessity of drugs and their side-effects is required. In addition, the interest of patients in their medication should be encouraged and intervention should be tailored to the condition of the patient. These steps should lead to improved medication adherence. PMID:25295117

  17. Oral anticancer agent medication adherence by outpatients.

    PubMed

    Kimura, Michio; Usami, Eiseki; Iwai, Mina; Nakao, Toshiya; Yoshimura, Tomoaki; Mori, Hiromi; Sugiyama, Tadashi; Teramachi, Hitomi

    2014-11-01

    In the present study, medication adherence and factors affecting adherence were examined in patients taking oral anticancer agents. In June 2013, 172 outpatients who had been prescribed oral anticancer agents by Ogaki Municipal Hospital (Ogaki, Gifu, Japan) completed a questionnaire survey, with answers rated on a five-point Likert scale. The factors that affect medication adherence were evaluated using a customer satisfaction (CS) analysis. For patients with good and insufficient adherence to medication, the median ages were 66 years (range, 21-85 years) and 73 years (range, 30-90 years), respectively (P=0.0004), while the median dosing time was 131 days (range, 3-3,585 days) and 219 days (24-3,465 days), respectively (P=0.0447). In 36.0% (62 out of 172) of the cases, there was insufficient medication adherence; 64.5% of those cases (40 out of 62) showed good medication compliance (4-5 point rating score). However, these patients did not fully understand the effects or side-effects of the drugs, giving a score of three points or less. The percentage of patients with good medication compliance was 87.2% (150 out of 172). Through the CS analysis, three items, the interest in the drug, the desire to consult about the drug and the condition of the patient, were extracted as items for improvement. Overall, the medication compliance of the patients taking the oral anticancer agents was good, but the medication adherence was insufficient. To improve medication adherence, a better understanding of the effectiveness and necessity of drugs and their side-effects is required. In addition, the interest of patients in their medication should be encouraged and intervention should be tailored to the condition of the patient. These steps should lead to improved medication adherence. PMID:25295117

  18. Evaluation of generic medical information accessed via mobile phones at the point of care in resource-limited settings

    PubMed Central

    Goldbach, Hayley; Chang, Aileen Y; Kyer, Andrea; Ketshogileng, Dineo; Taylor, Lynne; Chandra, Amit; Dacso, Matthew; Kung, Shiang-Ju; Rijken, Taatske; Fontelo, Paul; Littman-Quinn, Ryan; Seymour, Anne K; Kovarik, Carrie L

    2014-01-01

    Objective Many mobile phone resources have been developed to increase access to health education in the developing world, yet few studies have compared these resources or quantified their performance in a resource-limited setting. This study aims to compare the performance of resident physicians in answering clinical scenarios using PubMed abstracts accessed via the PubMed for Handhelds (PubMed4Hh) website versus medical/drug reference applications (Medical Apps) accessed via software on the mobile phone. Methods A two-arm comparative study with crossover design was conducted. Subjects, who were resident physicians at the University of Botswana, completed eight scenarios, each with multi-part questions. The primary outcome was a grade for each question. The primary independent variable was the intervention arm and other independent variables included residency and question. Results Within each question type there were significant differences in ‘percentage correct’ between Medical Apps and PubMed4Hh for three of the six types of questions: drug-related, diagnosis/definitions, and treatment/management. Within each of these question types, Medical Apps had a higher percentage of fully correct responses than PubMed4Hh (63% vs 13%, 33% vs 12%, and 41% vs 13%, respectively). PubMed4Hh performed better for epidemiologic questions. Conclusions While mobile access to primary literature remains important and serves an information niche, mobile applications with condensed content may be more appropriate for point-of-care information needs. Further research is required to examine the specific information needs of clinicians in resource-limited settings and to evaluate the appropriateness of current resources in bridging location- and context-specific information gaps. PMID:23535665

  19. Course in massage therapy for medical students.

    PubMed

    Falkenbach, A; Blumenthal, E; Bühring, M

    1998-09-01

    Massage courses for medical students have been held at Frankfurt University Medical School since 1987. To evaluate the motives for participation and to record possible changes in the attitude towards massage therapy, the students were asked to fill out a standardized questionnaire in 1990, 1993 and 1995/96. The results show that the motive for participation and the attitude towards massage therapy remained widely unchanged during these years. Summarizing all data (n = 199) the motives for participation were: (1) to practise massage therapy (86%), (2) to be better able to (later) prescribe massage therapy (66%), (3) to improve palpation skills (75%), (4) to do 'something practical' (56%), and (5) to (later) practise massage therapy as a medical doctor (23%). On average, the proportion of theory and practical instruction of 1:3.2 was considered suitable. PMID:10211294

  20. Validating Dental and Medical Students' Evaluations of Faculty Teaching in an Integrated, Multi-Instructor Course

    Microsoft Academic Search

    Terry D. Stratton; Donald B. Witzke; Mary Jane Freund; Martha T. Wilson; Robert J. Jacob

    As more students from various health professions are combined into integrated courses, evaluating the teaching quality of individual faculty in these typically large, multi-instructor contexts becomes increasingly difficult. Indeed, students who lack sufficient recall of a given faculty member or are not committed to the evaluation process may respond by marking identical responses to all evaluation items (e.g., 3-3-3-3-3), regardless

  1. Off the Hamster Wheel? Qualitative Evaluation of a Payment-Linked Patient-Centered Medical Home (PCMH) Pilot

    PubMed Central

    Bitton, Asaf; Schwartz, Gregory R; Stewart, Elizabeth E; Henderson, Daniel E; Keohane, Carol A; Bates, David W; Schiff, Gordon D

    2012-01-01

    Context Many primary care practices are moving toward the patient-centered medical home (PCMH) model and increasingly are offering payment incentives linked to PCMH changes. Despite widespread acceptance of general PCMH concepts, there is still a pressing need to examine carefully and critically what transformation means for primary care practices and their patients and the experience of undergoing such change in a practice. Methods We used a qualitative case study approach to explore the underlying dynamics of change at five practices participating in PCMH transformation efforts linked to payment reform. The evaluation consisted of structured site visits, interviews, observations, and artifact reviews followed by a structured review of transcripts and documents for patterns, themes, and insights related to PCMH implementation. Findings We describe both the detailed components of each practice's transformation efforts and a grounded taxonomy of eight insights stemming from the experiences of these medical homes. We identified specific contextual factors related to wide variations in change tactics. We also observed widely varying approaches to catalyzing change using (or not) external consultants, specific challenges regarding health information technology implementation, team and staff role restructuring, compensation, and change fatigue, and several unexpected potential confounders or alternative explanations for practice success. Conclusions Our evaluation affirms the value and necessity of qualitative methods for understanding primary care practice transformation, and it should encourage ongoing and future pilots to include assessments of the PCMH change process beyond clinical markers and claims data. The results raise insights into the heterogeneity of medical home transformation, the central but complex role of payment reform in creating a space for change, the ability of small practices to achieve substantial change in a short time period, and the challenges of sustaining it. PMID:22985279

  2. The development and evaluation of a medical imaging training immersive environment

    PubMed Central

    Bridge, Pete; Gunn, Therese; Kastanis, Lazaros; Pack, Darren; Rowntree, Pamela; Starkey, Debbie; Mahoney, Gaynor; Berry, Clare; Braithwaite, Vicki; Wilson-Stewart, Kelly

    2014-01-01

    Introduction A novel realistic 3D virtual reality (VR) application has been developed to allow medical imaging students at Queensland University of Technology to practice radiographic techniques independently outside the usual radiography laboratory. Methods A flexible agile development methodology was used to create the software rapidly and effectively. A 3D gaming environment and realistic models were used to engender presence in the software while tutor-determined gold standards enabled students to compare their performance and learn in a problem-based learning pedagogy. Results Students reported high levels of satisfaction and perceived value and the software enabled up to 40 concurrent users to prepare for clinical practice. Student feedback also indicated that they found 3D to be of limited value in the desktop version compared to the usual 2D approach. A randomised comparison between groups receiving software-based and traditional practice measured performance in a formative role play with real equipment. The results of this work indicated superior performance with the equipment for the VR trained students (P = 0.0366) and confirmed the value of VR for enhancing 3D equipment-based problem-solving skills. Conclusions Students practising projection techniques virtually performed better at role play assessments than students practising in a traditional radiography laboratory only. The application particularly helped with 3D equipment configuration, suggesting that teaching 3D problem solving is an ideal use of such medical equipment simulators. Ongoing development work aims to establish the role of VR software in preparing students for clinical practice with a range of medical imaging equipment.

  3. Evaluation of XRI-UNO CdTe detector for nuclear medical imaging

    NASA Astrophysics Data System (ADS)

    Jambi, L. K.; Lees, J. E.; Bugby, S. L.; Tipper, S.; Alqahtani, M. S.; Perkins, A. C.

    2015-06-01

    Over the last two decades advances in semiconductor detector technology have reached the point where they are sufficiently sensitive to become an alternative to scintillators for high energy gamma ray detection for application in fields such as medical imaging. This paper assessed the Cadmium-Telluride (CdTe) XRI-UNO semiconductor detector produced by X-RAY Imatek for photon energies of interest in nuclear imaging. The XRI-UNO detector was found to have an intrinsic spatial resolution of <0.5mm and a high incident count rate capability up to at least 1680cps. The system spatial resolution, uniformity and sensitivity characteristics are also reported.

  4. Demystifying analytical approaches for urine drug testing to evaluate medication adherence in chronic pain management.

    PubMed

    McMillin, Gwendolyn A; Slawson, Matthew H; Marin, Stephanie J; Johnson-Davis, Kamisha L

    2013-12-01

    This comprehensive review of analytical methods used for urine drug testing for the support of pain management describes the methods, their strengths and limitations, and types of analyses used in clinical laboratories today. Specific applications to analysis of opioid levels are addressed. Qualitative versus quantitative testing, immunoassays, chromatographic methods, and spectrometry are discussed. The importance of proper urine sample collection and processing is addressed. Analytical explanations for unexpected results are described. This article describes the scientific basis for urine drug testing providing information which will allow clinicians to differentiate between valid and questionable claims for urine drug testing to monitor medication adherence among chronic pain patients. PMID:24147959

  5. College students' use of widely advertised medications

    Microsoft Academic Search

    Lydia J. Burak; Amy Damico

    2000-01-01

    The authors describe college and university students' use of widely advertised pharmaceutical products. Four hundred seventy-one students from three institutions completed self-administered questionnaires that addressed the use of advertised medications, attention to magazine ads for medications, communications with physicians about medications, and the conditions the medications address. Results indicated that the majority of the students used at least one of

  6. From Morisky to Hill-bone; self-reports scales for measuring adherence to medication.

    PubMed

    Culig, Josip; Leppée, Marcel

    2014-03-01

    There are a number of approaches to studying medication-taking behavior. Self-report measures have the benefits of being cheap, easy to administer, non-intrusive, and able to provide information on attitudes and beliefs about medication. Potential limitations to self-report are that the ability to understand the items, and willingness to disclose information, can affect response accuracy and, thus, questionnaire validity. A computerized systematic search of the PubMed databases identified articles on scales for medication adherence measuring using the MeSH terms medication adherence, compliance, and persistence combined with the terms questionnaire self-report. Adherence scales have identified mostly in the last few years (2005-2012). One of the main sources has been article (Lavsa et. al) which evaluated literature describing medication adherence surveys/scales to gauge patient behaviors at the point of care. Articles were included if they evaluated or reviewed self-reported adherence medication scale applicable to chronic diseases and with a good coefficient of internal consistency reliability (Cronbach's alpha (alpha)). Articles that contained data about self-report medication adherence scales use were included. A total of about one hundred articles were identified. Of those articles, 20% (20 of 100) were included in the review because of their relevance to the article topic. This article describes various self-report scales by which to monitor medication adherence, their advantages and disadvantages, and discusses the effectiveness of their application at different chronic diseases. There are many self-report scales for measuring medication adherence and their derivatives (or subscales). Due to the different nature of the diseases, there is no gold-standard scale for measuring medication adherence. It can be nevertheless concluded that the nearest to gold-standard is the Medication Adherence Questionnaire (MAQ) scale by Morisky et.al. but we found better internal consistency reliability in some other scales. PMID:24851597

  7. U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--FOLLOW-UP QUESTIONNAIRE DATA

    EPA Science Inventory

    The Follow-up Questionnaire data set provides information concerning the activities within the household during the sampling week. The information is from 201 Follow-up Questionnaires for 91 households. Medication and supplemental dietary information is provided. The Follow-up...

  8. [Evaluation of qualification regulations for medical faculties of German universities and recommendations for standardization].

    PubMed

    Nagelschmidt, M; Bergdolt, K; Troidl, H

    1998-04-01

    The original reason for using the German "Habilitation" degree to mean that a candidade had qualified and could conduct research and teach at a university is no longer really valid, as this is being threatened by its importance to further careers. Medical faculties must discuss how this development can be curtailed. In order to check the current situation, the Habilitation degree systems of 36 medical faculties of German universities were compared with the aid of a scoring system. They differed dramatically. Conformity existed only in the demand for a doctoral dissertation, scientific publications and a lecture on approval. Concerning other criteria for qualification there was decreasing consensus in the following order: Habilitation thesis, commitment to teaching, further professional education, participation in congresses, inaugural lecture, qualification to teach, scientific activity, broad background in the discipline, and introduction to the faculty. Application of the scoring system with a maximum of 33 score points resulted in a mean value of 15.2 points and a range from 6 to 29 points. A significant decrease in the score values occurred with increasing age of the Habilitation degree (P = 0.002). Even if scoring systems are ambiguous and unfair, our analysis revealed serious differences in the quality of the Habilitation degree. Presuming that the German Habilitation degree should be maintained as a high-level qualification, we developed proposals that might be used to standardize this academic examination. PMID:9612639

  9. Radiation Safety Awareness Among Medical Staff

    PubMed Central

    Szarmach, Arkadiusz; Piskunowicz, Maciej; ?wi?to?, Dominik; Muc, Adam; Mocka??o, Gabor; Dzier?anowski, Jaros?aw; Szurowska, Edyta

    2015-01-01

    Summary Background The common access to imaging methods based on ionizing radiation requires also radiation protection. The knowledge of ionizing radiation exposure risks among the medical staff is essential for planning diagnostic procedures and therapy. Evaluation of the knowledge of radiation safety during diagnostic procedures among the medical staff. Material/Methods The study consisted of a questionnaire survey. The questionnaire consisted of seven closed-ended questions concerning the knowledge of the effects of exposure to ionizing radiation as well as questions related to responder’s profession and work experience. The study group included a total of 150 individuals from four professional groups: nurses, doctors, medical technicians, support staff. The study was carried out in the three largest hospitals in Gda?sk between July and October 2013. Results The highest rates of correct answers to questions related to the issue of radiation protection were provided by the staff of radiology facilities and emergency departments with 1–5 years of professional experience. The most vulnerable group in terms of the knowledge of these issues consisted of individuals working at surgical wards with 11–15 years of professional experience. Conclusions Education in the field of radiological protection should be a subject of periodic training of medical personnel regardless of position and length of service. PMID:25674196

  10. Undergraduate medical research: the student perspective

    PubMed Central

    Burgoyne, Louise N.; O'Flynn, Siun; Boylan, Geraldine B.

    2010-01-01

    Background Research training is essential in a modern undergraduate medical curriculum. Our evaluation aimed to (a) gauge students' awareness of research activities, (b) compare students' perceptions of their transferable and research-specific skills competencies, (c) determine students' motivation for research and (d) obtain students' personal views on doing research. Methods Undergraduate medical students (N=317) completed a research skills questionnaire developed by the Centre for Excellence in Teaching and Learning in Applied Undergraduate Research Skills (CETL-AURS) at Reading University. The questionnaire assessed students' transferable skills, research-specific skills (e.g., study design, data collection and data analysis), research experience and attitude and motivation towards doing research. Results The majority of students are motivated to pursue research. Graduate entrants and male students appear to be the most confident regarding their research skills competencies. Although all students recognise the role of research in medical practice, many are unaware of the medical research activities or successes within their university. Of those who report no interest in a career incorporating research, a common perception was that researchers are isolated from patients and clinical practice. Discussion Students have a narrow definition of research and what it entails. An explanation for why research competence does not align more closely with research motivation is derived from students' lack of understanding of the concept of translational research, as well as a lack of awareness of the research activity being undertaken by their teachers and mentors. We plan to address this with specific research awareness initiatives. PMID:20844608

  11. Ototoxic Medications (Medication Effects)

    MedlinePLUS

    Ototoxic Medications (Medication Effects) By Barbara Cone, Patricia Dorn, Dawn Konrad-Martin, Jennifer Lister, Candice Ortiz, and ... in our Audiology Information Series [PDF]. What Is Ototoxicity? Certain medications can damage the ear, resulting in ...

  12. Psychometric properties of the Persian version of Social Capital Questionnaire in Iran

    PubMed Central

    Yari, Arezoo; Nadrian, Haidar; Rashidian, Hamideh; Nedjat, Saharnaz; Esmaeilnasab, Nader; Doroudi, Rajabali; Hoursan, Haydeh

    2014-01-01

    Background: The aim of this study was to investigate the psychometric properties of Social Capital Questionnaire ( SCQ) developed by Onyx and Bullen (2000) among a sample of medical science students in Tehran University of Medical Sciences, Iran and to compare the factor analysis with findings from two previous studies in Australia and the United States. Methods: Multistage cluster sampling was employed to recruit 293 medical science students (Male: 95/Female: 198) from 7 faculties in Tehran University of Medical Sciences. After translating SCQ into Persian applying back-translation technique and three-stage consensus panel, the questionnaires administered to the respondents and they were asked to complete them. Statistical Analysis was performed using SPSS version 16.0 for Windows. Results: Exploratory Factor Analysis (EFA) was conducted to evaluate factor structure of the Persian SCQ (PSCQ),which showed a moderate replicability, validity, and reliability (Cronbach alpha= .79) to those found in previous studies. Twelve factors extracted with eight values greater than 1 which altogether accounted for 76.23% of the total variance. Applying Cattell's scree test, it was indicated that between seven and eight factor sextracted. The correlations between factors were detected in the low (at the lowest 0.002) to modest (at the highest 0.614) range. Conclusion: The differences found in the factor analysis between the studies may be ascribed to the various types of populations studied. Despite the difference in populations studied, our findings support the meaningful nessof P-SCQ as an instrument that is worthy of further attention for use in social health researches, although more studies are recommended to help researchers in comparing its variety in dimensions of different communities. PMID:25250262

  13. Validation of a Youth\\/Adolescent Food Frequency Questionnaire

    Microsoft Academic Search

    Helaine R. H. Rockett; Melanie Breitenbach; A. Lindsay Frazier; Jelia Witschi; Anne M. Wolf; Alison E. Field; Graham A. Colditz

    1997-01-01

    Background.To address limited longitudinal nutrition data on children and adolescents, a self-administered food frequency questionnaire was designed for older children and adolescents. Initially, the Youth\\/Adolescent Questionnaire (YAQ) was developed and demonstrated to be reproducible. This study was conducted to evaluate its validity.Methods.The form was administered twice to a sample of 261 youths (ages 9 to 18) at an approximate interval

  14. Comparison of questionnaire information and pharmacy data on drug use

    Microsoft Academic Search

    Piet A. Van den Brandt; Hans Petri; Elisabeth Dorant; R. Alexandra Goldbohm; Sacha Van de Crommert

    1991-01-01

    Information on chronic drug use at any time in the past was collected with a self-administered questionnaire as part of a prospective cohort study on diet, other life-style factors and cancer among subjects aged 55–69 years. The validity of the questionnaire information on drug use was evaluated among 207 subjects by comparing it to pharmacy records of dispensed drugs. The

  15. TIME MANAGEMENT Time Management Questionnaire

    E-print Network

    TIME MANAGEMENT WORKSHOP #12;2 Time Management Questionnaire Self Assessment: Answer "Yes" or "No you tend to complete your assignments on time? 3. ____ Have you estimated how long it takes to read schedule time to study for exams? 8. ____ Do you have a job that requires more than 20 hours a week? 9

  16. Physical Activity Questionnaire Search Results

    Cancer.gov

    The Physical Activity Questionnaire for Elderly Japanese (PAQ-EJ) 1 Over 7 typical days, how often did you take a walk or ride a bicycle on errands such as going to or from a store or taking children to school?

  17. A Split Questionnaire Survey Design

    Microsoft Academic Search

    Trivellore E. Raghunathan; James E. Grizzle

    1995-01-01

    This article develops a survey design where the questionnaire is split into components and individuals are administered the varying subsets of the components. A multiple imputation method for analyzing data from this design is developed, in which the imputations are created by random draws from the posterior predictive distribution of the missing parts, given the observed parts by using Gibbs

  18. Exit Interview Questionnaire Employee's Name

    E-print Network

    Oyet, Alwell

    Exit Interview Questionnaire Employee's Name: Department/Unit: Position Title: Date Hired Good Poor Very Poor Comments: #12;Job satisfaction Very High High Average Low Very Low Comments: Overall satisfaction with Memorial as an employer Very High High Average Low Very Low Comments: Overall

  19. Physical Activity Questionnaire Search Results

    Cancer.gov

    Global Physical Activity Questionnaire (GPAQ) 13 Do you do any moderate-intensity sports, fitness or recreational (leisure) activities that causes a small increase in breathing or heart rate such as brisk walking, cycling, swimming, volleyball) for at least 10 minutes continuously?

  20. College Student Services Accreditation Questionnaire.

    ERIC Educational Resources Information Center

    Cassel, Russell N.

    1979-01-01

    This questionnaire is intended for use as one aspect in accrediting the "Student Personnel Services" which an institution of higher learning provides for students. Areas in question include personal development, health fostering, vocational preparation, effective personalized learning, economic viability, transpersonal offerings, and satisfactory…