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1

Harvard University Respiratory Protection Program Medical Evaluation Questionnaire  

E-print Network

Harvard University Respiratory Protection Program Medical Evaluation Questionnaire Medical No Instructions: All employees must be medically evaluated prior to use of respiratory protection. Employees may University Respiratory Protection Program Medical Evaluation Questionnaire Medical Evaluation Questionnaire

Heller, Eric

2

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

PubMed Central

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

2013-01-01

3

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

PubMed

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

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

2014-01-01

4

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

PubMed Central

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

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

2014-01-01

5

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

PubMed

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

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

2014-07-01

6

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

PubMed

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

Monzen, Satoru; Matsutani, Hideya; Kashiwakura, Ikuo

2013-01-01

7

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

PubMed Central

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

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

2013-01-01

8

The Authority of the Student Evaluation Questionnaire.  

ERIC Educational Resources Information Center

Studied the use of the student evaluation questionnaire as a means of teacher evaluation through the views of two university lecturers. Findings suggest that the use of student evaluation questionnaires as a means of summative and comparative appraisal has several negative implications for lecturers' understandings of teaching and their…

Johnson, Rachel

2000-01-01

9

Evaluation of a gastrointestinal symptoms questionnaire.  

PubMed

Questionnaires are widely used instruments to monitor gastrointestinal (GI) symptoms. However, few of these questionnaires have been formally evaluated. We sought to evaluate our GI symptoms questionnaire in terms of clarity and reproducibility. Primary care patients referred for open access Helicobacter pylori urea breath testing reported GI symptoms (type+severity) and demographic information by written questionnaire. In an interview, patients gave a personal description of the meaning of the GI symptoms on the questionnaire. Patients' descriptions of GI symptoms were compared with current definitions. Symptom severity scores were compared before and after, interview versus questionnaire. Of the 45 patients included, 19 (42%) described all symptoms correctly, whereas 17 (38%) described one symptom incorrectly. None of the patients made more than three mistakes. Regurgitation was the most common incorrectly described symptom (16 patients [36%]), whereas the other individual symptoms were well explained. Symptom severities before the interview, after the interview and reported by questionnaire (mean value+/-SEM) were 2.1 +/- 0.2, 2.1 +/- 0.2, and 1.5 +/- 0.2 points on a 7-point Likert scale (0-6), respectively. Mean severity reported by interview (95% CI) was 1.4 (1.3-1.5) times higher than reported by questionnaire (P < .05). In conclusion, the GI symptom questionnaire is understandable and has good reproducibility for measuring the presence of GI symptoms, although symptom severity is consistently rated higher when reported by interview. PMID:16927133

Bovenschen, H J; Janssen, M J R; van Oijen, M G H; Laheij, R J F; van Rossum, L G M; Jansen, J B M J

2006-09-01

10

Geriatrics in medical students’ curricula: questionnaire-based analysis  

PubMed Central

Background Demographic development is accompanied by an increasingly aging society. Concerning medical education, the treatment of older people as well as the scientific research and exploration of ageing aspects in the coming years need to be considered. Aim of the study was to ascertain medical students’ knowledge, interest, and attitudes regarding older patients and geriatric medicine. Methods Each participant completed a self-designed questionnaire. This questionnaire was based on three validated internationally recognised questionnaires (“Facts on Aging Quiz – FAQ”, “Expectations Regarding Aging – ERA” and the “Aging Semantic Differential – ASD”). The inquiry and survey were performed at the beginning of the summer term in 2012 at the University of Regensburg Medical School. Results A total of n?=?184/253 (72.7%) students participated in this survey. The results of the FAQ 25+ showed that respondents were able to answer an average of M?=?20.4 of 36 questions (56.7%) correctly (Median, Md?=?21; SD ±6.1). The personal attitudes and expectations of ageing averaged M?=?41.2 points on the Likert-scale that ranged from 0 to 100 (Md?=?40.4; SD ±13.7). Respondents’ attitudes towards the elderly (ASD 24) averaged M?=?3.5 points on the Likert-scale (range 1–7, Md 3.6, SD ±0.8). Conclusions In our investigation, medical students’ knowledge of ageing was comparable to previous surveys. Attitudes and expectations of ageing were more positive compared to previous studies. Overall, medical students expect markedly high cognitive capacities towards older people that can actively prevent cognitive impairment. However, medical students’ personal interest in medicine of ageing and older people seems to be rather slight. PMID:25062568

2014-01-01

11

Evaluation of medical audit.  

PubMed Central

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

Robinson, M B

1994-01-01

12

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

E-print Network

Emergency Medical Questionnaire & College Medical Registration Form This information is retained at your Residence for use by Residence staff in the event of a medical emergency and will be treated or a GP (General Medical Practitioner) in London who is prepared to visit them in their Residence should

Applebaum, David

13

Research: Care Delivery Development and validation of the Diabetes Medication System Rating Questionnaire-Short Form  

PubMed Central

Aims To develop and validate a short form of the 54-item Diabetes Medication System Rating Questionnaire that maintains the domains and performance characteristics of the long-form questionnaire. Methods Data from the Diabetes Medication System Rating Questionnaire validation study were analysed to select items representing the nine scales (convenience, negative events, interference, self-monitoring of blood glucose burden, efficacy, social burden, psychological well-being, treatment satisfaction and treatment preference). The resulting 20-item Diabetes Medication System Rating Questionnaire Short-Form was administered online, with validated criterion measures of treatment satisfaction and medication adherence, with a retest within 2 weeks. Participants were US adults (N = 413) with Type 2 diabetes using oral agents alone; insulin by syringe and/or pen with or without oral agents; or glucagon-like peptide-1 agents. Most participants (82%) completed the retest. Results The median inter-item agreement of scales was 0.76 and the total composite (mean of all items except treatment preference) was 0.88. The median test-retest reliability of scales was 0.86, and of the total composite was 0.95. All statistically significant correlations between Diabetes Medication System Rating Questionnaire Short-Form scales and criterion measures of treatment satisfaction and adherence were in the expected direction. The median correlation of the Diabetes Medication System Rating Questionnaire Short-Form with corresponding criterion measures of treatment satisfaction was 0.59; the mean correlation of the same Diabetes Medication System Rating Questionnaire Short-Form measures with adherence was 0.42. The Diabetes Medication System Rating Questionnaire Short-Form scales were more powerful predictors of adherence than were the criterion measures of treatment satisfaction. The Diabetes Medication System Rating Questionnaire Short-Form scales differentiated between those taking different medications and between those using different insulin delivery devices. Conclusions This study suggests that the Diabetes Medication System Rating Questionnaire Short-Form provides a comprehensive set of measures with acceptable reliability and validity and a reduced burden of administration. What’s new? This study reports the development and validation of a short form of the Diabetes Medication System Rating Questionnaire (DMSRQ) that maintains the domains and performance of the long-form questionnaire. Like the Diabetes Medication System Rating Questionnaire, the Diabetes Medication System Rating Questionnaire-Short Form (DMSRQ-SF) has good reliability and enhanced validity relative to other comparable measures. The DMSRQ-SF has a lower burden of administration than the DMSRQ, which makes it suitable for use in clinical settings as well as research. Each of the DMSRQ-SF therapy perception items was chosen to have unique validity and applicability as a single-item measure, i.e. to assess an independent aspect of treatment satisfaction that discriminates treatments and drives global assessments of treatments. PMID:24673614

Peyrot, M; Xu, Y; Rubin, R R

2014-01-01

14

Validation of the Patient-rated Tennis Elbow Evaluation Questionnaire  

Microsoft Academic Search

The aim of this study was to determine the reliability, validity, and sensitivity of the Patient-rated Tennis Elbow Evaluation (PRTEE) Questionnaire in 78 tennis playing subjects who had chronic, unilateral, MRI-confirmed lateral elbow tendinopathy and who concomitantly participated in an outcome study. The PRTEE results were compared with results of the Visual Analog Scale (VAS); the Disabilities of the Arm,

Joy C. MacDermid; T OVEREND

2007-01-01

15

FUDA EMPIRICAL EVALUATION Development Experience Questionnaire (Used Templates)  

E-print Network

1 FUDA EMPIRICAL EVALUATION Development Experience Questionnaire (Used Templates) NOTE for things like /* FRL_* - I basically used the FUDA's labels FRL* to find related code in the examples #12 in the first example. - I think there is obviously a learning curve associated to using the FUDA approach

Czarnecki, Krzysztof

16

FUDA EMPIRICAL EVALUATION Development Experience Questionnaire (Used Templates)  

E-print Network

1 FUDA EMPIRICAL EVALUATION Development Experience Questionnaire (Used Templates) NOTE to plugin.xml to find what file type (ie. txt) the provided FUDA editor was implemented for. - Using and easier. - Suggestion: Had to remember to right-click, "Open With..." and select FUDA Editor in order

Czarnecki, Krzysztof

17

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

PubMed Central

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

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

2014-01-01

18

The HIV-Knowledge Questionnaire: Development and Evaluation of a Reliable, Valid, and Practical Self-Administered Questionnaire  

Microsoft Academic Search

We have developed and evaluated a self-administered questionnaire of knowledge about human immunodeficiency virus (HIV) infection for use in program evaluation. Formative work led to the development of the 62-item HIV-Knowledge Questionnaire (HIV-K-Q), which was administered to 409 women and 227 men. Item analyses resulted in the deletion of 17 items that were either too easy or did not correlate

Michael P. Carey; Dianne Morrison-Beedy; Blair T. Johnson

1997-01-01

19

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

PubMed

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

Looby, Alison; Earleywine, Mitch

2009-01-01

20

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

PubMed

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

Schaarup, Clara; Hejlesen, Ole K

2014-01-01

21

Environmental education curriculum evaluation questionnaire: A reliability and validity study  

NASA Astrophysics Data System (ADS)

The intention of this research project was to bridge the gap between social science research and application to the environmental domain through the development of a theoretically derived instrument designed to give educators a template by which to evaluate environmental education curricula. The theoretical base for instrument development was provided by several developmental theories such as Piaget's theory of cognitive development, Developmental Systems Theory, Life-span Perspective, as well as curriculum research within the area of environmental education. This theoretical base fueled the generation of a list of components which were then translated into a questionnaire with specific questions relevant to the environmental education domain. The specific research question for this project is: Can a valid assessment instrument based largely on human development and education theory be developed that reliably discriminates high, moderate, and low quality in environmental education curricula? The types of analyses conducted to answer this question were interrater reliability (percent agreement, Cohen's Kappa coefficient, Pearson's Product-Moment correlation coefficient), test-retest reliability (percent agreement, correlation), and criterion-related validity (correlation). Face validity and content validity were also assessed through thorough reviews. Overall results indicate that 29% of the questions on the questionnaire demonstrated a high level of interrater reliability and 43% of the questions demonstrated a moderate level of interrater reliability. Seventy-one percent of the questions demonstrated a high test-retest reliability and 5% a moderate level. Fifty-five percent of the questions on the questionnaire were reliable (high or moderate) both across time and raters. Only eight questions (8%) did not show either interrater or test-retest reliability. The global overall rating of high, medium, or low quality was reliable across both coders and time, indicating that the questionnaire can discriminate differences in quality of environmental education curricula. Of the 35 curricula evaluated, 6 were high quality, 14 were medium quality and 15 were low quality. The criterion-related validity of the instrument is at current time unable to be established due to the lack of comparable measures or a concretely usable set of multidisciplinary standards. Face and content validity were sufficiently demonstrated.

Minner, Daphne Diane

22

Validation of a Questionnaire for Heat Strain Evaluation in Women Workers  

PubMed Central

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

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

2013-01-01

23

Evaluating ethics competence in medical education  

Microsoft Academic Search

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

J. Savulescu; R. Crisp; K. W. M. Fulford; T. Hope

1999-01-01

24

[Single use insulin injector evaluated by patients (questionnaire study)].  

PubMed

The aim of the study was the analysis of perception of the disposable pen injector HumaJect by diabetic patients. Selected features of the insulin delivery systems were evaluated, and on that basis, the comparison between HumaJect and other insulin injectors was made. Research material was collected in questionnaires filled out by doctors after interviewing patients who were using HumaJect for at least one month. 1802 diabetic individuals aged 9 to 88 participated in the study. HumaJect was ranked "very good" (which is the highest possible rank) by 71% of patients. Among specific features, the highest ranks were assigned to "Ease of dose setting", "Dosing range" and "Disposable form". Most of patients assigned higher ranks to HumaJect than to other insulin delivery systems. 89% of patients indicated desire to continue treatment with this injector. PMID:11081325

Markiewicz, K; Chrzanowski, G; Falkowska-Gilska, B; Janczarska, M; Kurzawa, J; Pyrzyk, B; Szperkowska, B; Toczkowski, M; Wi?niewski, J

2000-08-01

25

Patient Experiences of Continuity of Cancer Care: Development of a New Medical Care Questionnaire (MCQ) for Oncology Outpatients  

Microsoft Academic Search

ObjectivesTo adapt the Components of Primary Care Index (CPCI) to be applicable to oncology outpatients and to assess the reliability and validity of the adapted instrument (renamed the Medical Care Questionnaire [MCQ]).

Clare Harley; Jacqui Adams; Laura Booth; Peter Selby; Julia Brown; Galina Velikova

2009-01-01

26

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

PubMed Central

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

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

2014-01-01

27

Association between mental health screening by self-report questionnaire and insomnia in medical students  

Microsoft Academic Search

Epidemiologica l research points to the high prevalence of psychiatric disorders among insomniacs. We carried out a cross-sectiona l study with medical students with the aim of evaluating the association between insomnia and suspicion of psychiatric disorder; 302 medical students were included (184 males and 118 females; mean age = 20.47±1.89 years). The main association was tested by logistic regression

Talles S. Ponte; Clarissa G. Carvalho; Michell R. Pedrotti; Paula V. Nunes; Camila M. Souza; Camila B. Zanette; Sara Voltolini; Marcia L. F. Chaves

2001-01-01

28

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

PubMed Central

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

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

2014-01-01

29

Evaluation of questionnaires by means of formal concept analysis  

E-print Network

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

Belohlavek, Radim

30

Psychometric evaluation of the Work Readiness Questionnaire in schizophrenia.  

PubMed

Objective/Introduction Unemployment can negatively impact quality of life among patients with schizophrenia. Employment status depends on ability, opportunity, education, and cultural influences. A clinician-rated scale of work readiness, independent of current work status, can be a valuable assessment tool. A series of studies were conducted to create and validate a Work Readiness Questionnaire (WoRQ) for clinicians to assess patient ability to engage in socially useful activity, independent of work availability. PMID:25269787

Potkin, Steven G; Bugarski-Kirola, Dragana; Edgar, Chris J; Soliman, Sherif; Le Scouiller, Stephanie; Kunovac, Jelena; Miguel Velasco, Eugenio; Garibaldi, George M

2014-10-01

31

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

ERIC Educational Resources Information Center

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.…

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

2008-01-01

32

Ride quality evaluation 1: Questionnaire studies of airline passenger comfort  

NASA Technical Reports Server (NTRS)

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.

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

1974-01-01

33

An Instrument for Needs Assessment and Evaluation of Alcohol Education Programs: The Claydon College Drinking Questionnaire.  

ERIC Educational Resources Information Center

Presents the Claydon College Drinking Questionnaire, an instrument which was developed to evaluate the alcohol education program at the University of California, Santa Barbara. Data indicate it is a highly reliable and valid instrument. (Author/BL)

Claydon, Peter D.; Johnson, Mark E.

1985-01-01

34

A practice of medical image quality evaluation  

Microsoft Academic Search

This paper is devoted to subjective\\/objective evaluation on medical image quality. A model based on neural network is proposed to mimic radiology doctors' perception. Medical images were compressed by different algorithms such as Dct and wavelet with different compression rate. After decompression, subjective and objective methods are used to evaluate image quality. Subjective rating is given by common person, clinic

Yun Zhou; Duo Chen; Chuan-fu Li; Xiao-ou Li; Huan-qing Feng

2003-01-01

35

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

PubMed Central

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

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

2014-01-01

36

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

PubMed

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

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

2014-09-01

37

Automated assessment of medical training evaluation text.  

PubMed

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

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

2012-01-01

38

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

E-print Network

for a requested situation? Does the learning software really use the potential of multimedia technology? To anEMPI: 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

Paris-Sud XI, Université de

39

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

Code of Federal Regulations, 2010 CFR

... false Medical, psychiatric, and social evaluations. 456.482 Section 456...456.482 Medical, psychiatric, and social evaluations. If a facility provides...age 21, the medical, psychiatric, and social evaluations required by §§...

2010-10-01

40

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

Code of Federal Regulations, 2011 CFR

... false Medical, psychological, and social evaluations. 456.370 Section 456...Facilities Medical, Psychological, and Social Evaluations and Admission Review § 456.370 Medical, psychological, and social evaluations. (a) Before...

2011-10-01

41

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

Code of Federal Regulations, 2011 CFR

... false Medical, psychiatric, and social evaluations. 456.482 Section 456...456.482 Medical, psychiatric, and social evaluations. If a facility provides...age 21, the medical, psychiatric, and social evaluations required by §§...

2011-10-01

42

Psychometric properties evaluation of a new ergonomics-related job factors questionnaire developed for nursing workers.  

PubMed

The objectives of this study were to develop a questionnaire that evaluates the perception of nursing workers to job factors that may contribute to musculoskeletal symptoms, and to evaluate its psychometric properties. Internationally recommended methodology was followed: construction of domains, items and the instrument as a whole, content validity, and pre-test. Psychometric properties were evaluated among 370 nursing workers. Construct validity was analyzed by the factorial analysis, known-groups technique, and convergent validity. Reliability was assessed through internal consistency and stability. Results indicated satisfactory fit indices during confirmatory factor analysis, significant difference (p < 0.01) between the responses of nursing and office workers, and moderate correlations between the new questionnaire and Numeric Pain Scale, SF-36 and WRFQ. Cronbach's alpha was close to 0.90 and ICC values ranged from 0.64 to 0.76. Therefore, results indicated that the new questionnaire had good psychometric properties for use in studies involving nursing workers. PMID:24931478

Coluci, Marina Zambon Orpinelli; Alexandre, Neusa Maria Costa

2014-11-01

43

Psychometric Evaluation of the Persian Version of the ‘Aging Male Scales’ Questionnaire  

PubMed Central

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

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

2014-01-01

44

Differences in medical students' attitudes to academic misconduct and reported behaviour across the years—a questionnaire study  

PubMed Central

Objectives: This study aimed to determine attitudinal and self reported behavioural variations between medical students in different years to scenarios involving academic misconduct. Design: A cross-sectional study where students were given an anonymous questionnaire that asked about their attitudes to 14 scenarios describing a fictitious student engaging in acts of academic misconduct and asked them to report their own potential behaviour. Setting: Dundee Medical School. Participants: Undergraduate medical students from all five years of the course. Method: Questionnaire survey. Main measurements: Differences in medical students' attitudes to the 14 scenarios and their reported potential behaviour with regards to the scenarios in each of the years. Results: For most of the scenarios there was no significant difference in the response between the years. Significant differences in the responses were found for some of the scenarios across the years, where a larger proportion of year one students regarded the scenario as wrong and would not engage in the behaviour, compared to other years. These scenarios included forging signatures, resubmitting work already completed for another part of the course, and falsifying patient information. Conclusion: Observed differences between the years for some scenarios may reflect a change in students' attitudes and behaviour as they progress though the course. The results may be influenced by the educational experience of the students, both in terms of the learning environment and assessment methods used. These differences may draw attention to the potential but unintentional pressures placed on medical students to engage in academic misconduct. The importance of developing strategies to engender appropriate attitudes and behaviours at the undergraduate level must be recognised. PMID:12672890

Rennie, S; Rudland, J

2003-01-01

45

UNIVERSITY OF NORTHERN BRITISH COLUMBIA MEDICAL HISTORY QUESTIONNAIRE INVESTIGATORS, TECHNICIANS, STUDENTS AND ALL OTHERS EXPOSED TO  

E-print Network

/or doctor. Please note: Many zoonoses (Refer to SOP #F-1 Procedures for Occupational Health and Safety, Medical Surveillance Program) , may appear as other common ailments, such as a flu symptoms. IF you have

Northern British Columbia, University of

46

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

ERIC Educational Resources Information Center

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

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

2012-01-01

47

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

ERIC Educational Resources Information Center

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

Tucker, Beatrice; Jones, Sue; Straker, Leon

2008-01-01

48

Preliminary Evaluation of the Childhood Experiences of Violence Questionnaire Short Form  

ERIC Educational Resources Information Center

Despite advances in child maltreatment research, accurate measurement of exposure remains a key issue. In this study, we evaluated a short form (CEVQ-SF) of the Childhood Experiences of Violence Questionnaire (CEVQ) in a sample of adolescents involved with child protection services in an urban city in Ontario, Canada. Focusing on the two most…

Tanaka, Masako; Wekerle, Christine; Leung, Eman; Waechter, Randall; Gonzalez, Andrea; Jamieson, Ellen; MacMillan, Harriet L.

2012-01-01

49

Evaluation: salvation or nemesis of medical informatics?  

Microsoft Academic Search

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

Jochen R. Moehr

2002-01-01

50

28 CFR 549.63 - Initial medical evaluation and management.  

Code of Federal Regulations, 2010 CFR

...2010-07-01 2010-07-01 false Initial medical evaluation and management. 549.63...OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Hunger Strikes, Inmate § 549.63 Initial medical evaluation and management....

2010-07-01

51

28 CFR 549.63 - Initial medical evaluation and management.  

Code of Federal Regulations, 2012 CFR

...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....

2012-07-01

52

28 CFR 549.63 - Initial medical evaluation and management.  

Code of Federal Regulations, 2013 CFR

...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....

2013-07-01

53

28 CFR 549.63 - Initial medical evaluation and management.  

...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....

2014-07-01

54

28 CFR 549.63 - Initial medical evaluation and management.  

Code of Federal Regulations, 2011 CFR

...2011-07-01 2011-07-01 false Initial medical evaluation and management. 549.63...OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Hunger Strikes, Inmate § 549.63 Initial medical evaluation and management....

2011-07-01

55

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

PubMed

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

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

2014-09-01

56

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

PubMed Central

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

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

2012-01-01

57

What influences clinicians' decisions about ADHD medication? Initial data from the Influences on Prescribing for ADHD Questionnaire (IPAQ).  

PubMed

Despite evidence for its efficacy and effectiveness, the use of medication for the treatment of ADHD remains controversial. Little is known about the factors that influence clinicians' decisions to use medication for ADHD. Here, we present initial data on the attitudes of prescribing clinicians from the Influences on Prescribing for ADHD Questionnaire (IPAQ)-a new clinician-completed, 40-item scale. The eight IPAQ subscales cover attitudes towards (1) treatment outcome optimisation, (2) the use of rule based over more informal approaches, (3) side effects, (4) symptoms control as the primary goal of treatment, (5) the influence of external pressure on medication-related decisions, (6) the value of taking the child's views into account, (7) long-term medication use and (8) the value of psychosocial approaches for the treatment of ADHD. Sixty-eight clinicians from Belgium and the UK took part. All subscales had acceptable levels of internal reliability (Chronbach's alpha = 0.62-0.78). Overall, clinicians reported taking a rule-based approach to prescribing with a focus on treatment optimisation, taking the child's view into account and valuing psycho-social approaches. They focused on treating broader patterns of impairment, but were wary of the potential side effects and long-term treatment. Psychiatrists scored high on their focus on symptom control and preference for long-term medication use, while paediatricians reported using more rule-based approaches. We identified four distinctive response profiles: (1) pro-psychosocial; (2) medication focused; (3) unsystematic; and (4) response optimizers. Future larger scale studies are required to replicate these profiles and to explore their relationship with prescribing behaviour and treatment outcomes. PMID:23455602

Kovshoff, Hanna; Vrijens, May; Thompson, Margaret; Yardley, Lucy; Hodgkins, Paul; Sonuga-Barke, Edmund J S; Danckaerts, Marina

2013-09-01

58

General practitioners' views on reattribution for patients with medically unexplained symptoms: a questionnaire and qualitative study  

PubMed Central

Background The successful introduction of new methods for managing medically unexplained symptoms in primary care is dependent to a large degree on the attitudes, experiences and expectations of practitioners. As part of an exploratory randomised controlled trial of reattribution training, we sought the views of participating practitioners on patients with medically unexplained symptoms, and on the value of and barriers to the implementation of reattribution in practice. Methods A nested attitudinal survey and qualitative study in sixteen primary care teams in north-west England. All practitioners participating in the trial (n = 74) were invited to complete a structured survey. Semi-structured interviews were undertaken with a purposive sub-sample of survey respondents, using a structured topic guide. Interview transcripts were used to identify key issues, concepts and themes, which were grouped to construct a conceptual framework: this framework was applied systematically to the data. Results Seventy (95%) of study participants responded to the survey. Survey respondents often found it stressful to work with patients with medically unexplained symptoms, though those who had received reattribution training were more optimistic about their ability to help them. Interview participants trained in reattribution (n = 12) reported that reattribution increased their confidence to practice in a difficult area, with heightened awareness, altered perceptions of these patients, improved opportunities for team-building and transferable skills. However general practitioners also reported potential barriers to the implementation of reattribution in routine clinical practice, at the level of the patient, the doctor, the consultation, diagnosis and the healthcare context. Conclusion Reattribution training increases practitioners' sense of competence in managing patients with medically unexplained symptoms. However, barriers to its implementation are considerable, and frequently lie outside the control of a group of practitioners generally sympathetic to patients with medically unexplained symptoms and the purpose of reattribution. These findings add further to the evidence of the difficulty of implementing reattribution in routine general practice. PMID:18713473

Dowrick, Christopher; Gask, Linda; Hughes, John G; Charles-Jones, Huw; Hogg, Judith A; Peters, Sarah; Salmon, Peter; Rogers, Anne R; Morriss, Richard K

2008-01-01

59

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

PubMed

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

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

2013-06-01

60

[Evaluation of new implantable medical devices].  

PubMed

Complex administrative procedures have gradually been established for the evaluation of implantable medical devices, resulting in improved patient safety. These procedures include in vitro testing, animal experimentation, clinical premarketing studies, and post-market surveillance. Further improvements are needed, however, including more independent experts and clinical studies, while ensuring that the approval process is neither to slow nor too hasty. PMID:23259342

Loisance, Daniel

2012-01-01

61

Questionnaire on the awareness of generic drugs among outpatients and medical staff.  

PubMed

Generic drugs are not as widely used in Japan as they are in the West. The objective of this study was to survey the awareness of generic drugs among outpatients and medical staff and propose methods of promoting the use of generic drugs. Our survey showed that 86.7% of respondents were aware of generic drugs. This is a higher awareness rate than that in a survey of other groups conducted last year. One reason to explain this higher awareness is the recent increase in generic drug advertisements both in newspapers and on television. However, a point of note is that generic drug usage has not increased. Our survey also showed that generic drug awareness was differed widely among age groups, as younger respondents were much more aware of generic drugs than older respondents. Still, about 40% of respondents who were aware of generic drugs did not realize that they were less expensive than name-brand drugs ? including 30% of medical staff. In addition to continuing advertisement of generic drugs in the media, medical doctors and pharmacists should also be encouraged to endorse the use of generic drugs. Furthermore a new system allowing for substitution prescriptions started in April 2008 and consequently pharmacists can now play an important role in promoting the use of generic drugs. PMID:22504572

Hoshi, S; Kimura, H

2008-06-01

62

Psychometric Properties of the Korean Versions of Three Sleep Evaluation Questionnaires.  

PubMed

Psychometric properties of the Korean versions of three sleep evaluation questionnaires were described to provide tools for practitioners and researchers interested in transcultural studies in Korea. The Pittsburgh Sleep Quality Index (PSQI), the General Sleep Disturbance Scale (GSDS), and the Leeds Sleep Evaluation Questionnaire (LSEQ) were analyzed using data from 959 community-dwelling adults in Korea. Furthermore, cut-off points and prevalence of sleep disturbance were identified. Reliability and concurrent validity for all measures were acceptable. Optimal cut-off points of PSQI, GSDS, and LSEQ with highest Youden's index were 5, 33, and 66, and prevalence of sleep disturbance was 22.1%, 26.3%, and 25.8%, respectively. The Korean PSQI, GSDS, and LSEQ are all valid and reliable tools for detecting sleep disturbance. We provide suggestions for selecting the right tools according to the purpose, setting, and participants of transcultural studies. PMID:25287067

Choi, Heejung; Kim, Sungjae; Kim, Beomjong; Kim, Inja

2014-10-01

63

Medical evaluation and management of urolithiasis  

PubMed Central

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

Semins, Michelle Jo; Matlaga, Brian R.

2010-01-01

64

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

Code of Federal Regulations, 2012 CFR

...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...

2012-10-01

65

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

...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...

2014-10-01

66

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

Code of Federal Regulations, 2013 CFR

...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...

2013-10-01

67

Evaluation of the Psychometric Properties of the Revised Short-Form McGill Pain Questionnaire (SF-MPQ-2)  

PubMed Central

The recently revised version of the Short-Form McGill Pain Questionnaire (SF-MPQ-2) was created to assess both neuropathic and non-neuropathic pain. The current study extends prior research by testing the reliability and validity of the SF-MPQ-2 in a sample of U.S. veteran patients with a range of chronic pain diagnoses. Participants (N = 186) completed the SF-MPQ-2, a sociodemographic questionnaire, the Structured Clinical Interview for the DSM-IV, and self-report pain and psychiatric measures. Pain diagnoses were extracted from the electronic medical record. The SF-MPQ-2 total and scale scores demonstrated good to excellent internal consistency. Convergent and discriminant validity were supported, and SF-MPQ-2 total and scale scores increased with number of pain diagnoses and pain severity. Confirmatory factor analyses indicated a four-factor model fit the data better than a single-factor model. However, high intercorrelations among the four latent constructs were observed, and a 2nd-order global pain construct also emerged. Overall, the SF-MPQ-2 demonstrated excellent reliability and validity in a sample of U.S. veteran patients with chronic neuropathic and non-neuropathic pain. Future psychometric studies of the SF-MPQ-2 should employ longitudinal data to evaluate the ability of scale scores to uniquely predict clinical and health service outcomes. PMID:23182230

Lovejoy, Travis I.; Turk, Dennis C.; Morasco, Benjamin J.

2012-01-01

68

An ultraviolet intercomparison for medical equipment evaluation  

NASA Astrophysics Data System (ADS)

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

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

2013-11-01

69

A Psychometric evaluation of the Korean version of the evidence based practice questionnaire for nurses.  

PubMed

Abstract Background: Measuring of Evidence-Based Practice (EBP) competence is a challenge in health care setting. Aim: The purpose of this study was to evaluate the psychometric properties of the Korean version of the Evidence-Based Practice Questionnaire. Methods/Design: Data were collected from Korean clinical nurses (N = 801) who worked in acute care settings. Exploratory factor analysis and confirmatory factor analysis were performed to assess its construct validity. Concurrent validity and internal consistence were also assessed. Results: Findings identified that exploratory factor analysis revealed a three-factor solution with 64.4% of total variance explained. The factor loadings ranged from 0.431 to 0.900 for the 24 items. The instrument showed good reliability and concurrent validity with the Critical Thinking Disposition scale. Confirmatory factor analysis revealed that the Korean version of the Evidence-Based Practice Questionnaire was acceptable. Conclusion: The Korean version of the Evidence-Based Practice Questionnaire is a valid and reliable evaluation measure of evidence-based practice competencies of nurses in South Korea. PMID:25429908

Son, Youn-Jung; Song, Youngshin; Park, So-Youn; Kim, Jong-Im

2014-11-28

70

Chronic depression: development and evaluation of the luebeck questionnaire for recording preoperational thinking (LQPT)  

PubMed Central

Background A standardized instrument for recording the specific cognitive psychopathology of chronically depressed patients has not yet been developed. Up until now, preoperational thinking of chronically depressed patients has only been described in case studies, or through the external observations of therapists. The aim of this study was to develop and evaluate a standardized self-assessment instrument for measuring preoperational thinking that sufficiently conforms to the quality criteria for test theory. Methods The "Luebeck Questionnaire for Recording Preoperational Thinking (LQPT)" was developed and evaluated using a german sample consisting of 30 episodically depressed, 30 chronically depressed and 30 healthy volunteers. As an initial step the questionnaire was subjected to an item analysis and a final test form was compiled. In a second step, reliability and validity tests were performed. Results Overall, the results of this study showed that the LQPT is a useful, reliable and valid instrument. The reliability (split-half reliability 0.885; internal consistency 0.901) and the correlations with other instruments for measuring related constructs (control beliefs, interpersonal problems, stress management) proved to be satisfactory. Chronically depressed patients, episodically depressed patients and healthy volunteers could be distinguished from one another in a statistically significant manner (p < 0.001). Conclusion The questionnaire fulfilled the classical test quality criteria. With the LQPT there is an opportunity to test the theory underlying the CBASP model. PMID:22185564

2011-01-01

71

HRQoL questionnaire evaluation in lactose intolerant patients with adverse reactions to foods.  

PubMed

The occurrence of patients with gastrointestinal symptoms attributed either to food allergy or intolerance has significantly increased. Nevertheless, an accurate and detailed case history, a systematic evaluation and the outcomes of specific allergy tests to identify the offending foods, including "in vivo" and "in vitro" allergy tests, are often negative for food allergy and may indicate a lactose intolerance, which is a recurrent condition affecting about 50% of adults. The aims of our study were the following: (1) What is the real incidence of the food hypersensitivity and the primary lactose intolerance in patients with gastrointestinal symptoms, initially referred to allergy or food intolerance? (2) Does lactose intolerance affect the quality of life and compliance to the therapy program? We investigated 262 consecutive patients, 72 men and 190 women. An accurate and detailed history and clinical examination were completed to investigate the offending foods. The evaluation in each patient included: allergy tests, lactose H2 breath test (LHBT) and the HRQoL questionnaire. Five years after the diagnosis of lactose intolerance, a questionnaire on the persistence of gastrointestinal symptoms after lactose ingestion and the diet compliance was distributed. Our results demonstrate an high prevalence of lactose intolerance, more frequent in women; in these patients, bloating and diarrhea are the most reported symptoms. We observe only a significant positive correlation between adverse drug reaction (ADR) and LHBT+ patients, but not an augmented prevalence of food allergy and a negative impact on the HRQoL questionnaire of lactose intolerance. PMID:21614464

Erminia, Ridolo; Ilaria, Baiardini; Tiziana, Meschi; Silvia, Peveri; Antonio, Nouvenne; Pierpaolo, Dall'Aglio; Loris, Borghi

2013-09-01

72

Wireless Medication Management System: Design and performance evaluation  

Microsoft Academic Search

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

Upkar Varshney

2011-01-01

73

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

PubMed Central

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

2013-01-01

74

Evaluation of problem-based learning in medical students’ education  

PubMed Central

Introduction: In traditional medical education systems much interest is placed on the cramming of basic and clinical facts without considering their applicability in the future professional career. The aim of this study is to evaluate a novice medical training method (problem-based learning) as compared to the contemporary teacher-based medical education or traditional methods. Methods: Selection of the study subjects was done through simple sampling and according to the division of medical students introduced from Medical Faculty to the Pediatrics Department with no personal involvement. 120 medical students were assigned to 8 groups of 15 students each. For four months, 4 groups were trained with traditional method and 4 other groups underwent problem-based learning method on selected subject materials. In each method, a pre-course test at the beginning and a post-course test at the end of each course were given to each group. The questionnaire used in this study as the instrument was composed of 39 questions, 37 multiple choice questions and two short answer questions. Three professors of pediatric gastroenterologist took part in the training. Two of these professors were responsible for solving task training method. The third professor used traditional teacher-centered methodology to eliminate any possible bias. Scores obtained from these tests were analyzed using paired t-test and independent t-test. P-values of less than 0.05 were considered as significant. Results: The scores of the students undergoing the traditional method were 14.70±3.03 and 21.20±4.07 in the first and second test, respectively. In problem-based learning, the scores were 15.82±3.29 in the first and 27.52±4.72 in the second test. There was a significant difference between the mean scores of post-course exams of the two groups (p=0.001), while no significant difference was observed between the mean scores of pre-course exams of the groups (p=0.550). Conclusion: It may be concluded that problem-based learning method leads to a significant increase in learning and recalling output compared to the traditional method. Given the evolving medical education in the country's medical schools toward problem-based learning, it is suggested that the grounds be laid so that this change will take place based on thought, principles and problem solving. PMID:25512911

IMANIEH, MOHAMMAD HADI; DEHGHANI, SEYED MOHSEN; SOBHANI, AHMAD REZA; HAGHIGHAT, MAHMOOD

2014-01-01

75

Mediating roles of medication –taking self-efficacy and depressive symptoms on self-reported medication adherence in persons with HIV: A questionnaire survey  

PubMed Central

Summary What is already known about the topic? Highly active antiretroviral therapy has dramatically decreased morbidity and mortality and improved the quality of life in persons with HIVMedication-taking self-efficacy beliefs may predict medication adherence in persons with HIV.Depressive symptoms and perceived social support consistently influence medication-taking self-efficacy beliefs What this paper adds. Depressive symptoms mediated the prediction of medication-taking self-efficacy by perceived social support.Medication adherence self-efficacy mediated the prediction of self-reported medication adherence by perceived social support and depressive symptoms as self-efficacy theory suggests.This study provides researchers with increased understanding of the mediating role of medication-taking self-efficacy beliefs between selected psychological variables and self-reported medication adherence in persons with HIV. Background To date, only a few studies have examined the mediating role of self-efficacy on the relationship between depressive symptoms or perceived social support and medication adherence in persons with HIV. Objectives The purpose of this study was to examine the impact of perceived social support, depressive symptoms and medication-taking self-efficacy on self-reported medication adherence in persons with HIV. A proposed comprehensive model included three mediation hypotheses in order to examine the mediating roles of medication-taking self-efficacy and depressive symptoms Method Baseline data from “Adherence to Protease Inhibitors” were used. The 215 persons with HIV aged 19–61 (mean= 40.7, SD= 7.58) were recruited from multiple sites in Pittsburgh, PA (USA) and through self-referral. The participants were assessed using the Beck Depression Inventory, Interpersonal Support Evaluation List, the Medication Taking Self-Efficacy Scale, and the modified Morisky Self-report Medication Taking Scale. Structural equation modeling (EQS version 6.1) was used. The Satorra-Bentler Scaled ?2 test statistics (S-B ?2), comparative fit index (CFI), and the Standardized Root Mean Squared Residual (SRMR) were used to assess the fit of a comprehensive model including three mediation hypotheses. Results A comprehensive model with the three hypotheses showed a good model fit (S-B ?2 (24, N=215) = 69.06, p<.001; CFI=0.95; SRMR=0.057). Medication adherence self-efficacy fully mediated the prediction of self-reported medication adherence by perceived social support and depressive symptoms. Depressive symptoms partially mediated the prediction of medication-taking self-efficacy by perceived social support Conclusions The findings of this study provide researchers with increased understanding of the mediating role of medication-taking self-efficacy beliefs between selected psychological variables and self-reported medication adherence in persons with HIV. Future studies need to test the moderating effect of gender, ethnicity and risk factors for HIV on this model and the intervention effect of self-efficacy beliefs using longitudinal data. PMID:17949723

Cha, EunSeok; Erlen, Judith A.; Kim, Kevin H.; Sereika, Susan M.; Caruthers, Donna

2008-01-01

76

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

ERIC Educational Resources Information Center

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…

Grohmann, Anna; Kauffeld, Simone

2013-01-01

77

Evaluation of hospital medication inventory policies.  

PubMed

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

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

2014-09-01

78

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

PubMed Central

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

2012-01-01

79

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

PubMed Central

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

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

2014-01-01

80

Using usability heuristics to evaluate patient safety of medical devices  

Microsoft Academic Search

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

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

2003-01-01

81

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

PubMed Central

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

2013-01-01

82

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

PubMed Central

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

2010-01-01

83

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

PubMed Central

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

2012-01-01

84

5 CFR 339.205 - Medical evaluation programs.  

Code of Federal Regulations, 2012 CFR

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

2012-01-01

85

5 CFR 339.205 - Medical evaluation programs.  

Code of Federal Regulations, 2013 CFR

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

2013-01-01

86

5 CFR 339.205 - Medical evaluation programs.  

Code of Federal Regulations, 2010 CFR

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

2010-01-01

87

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

Code of Federal Regulations, 2010 CFR

...UTILIZATION CONTROL Utilization Control: Mental Hospitals Medical, Psychiatric, and...evaluations. (a) Before admission to a mental hospital or before authorization...findings; (3) Medical history; (4) Mental and physical functional capacity;...

2010-10-01

88

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

...UTILIZATION CONTROL Utilization Control: Mental Hospitals Medical, Psychiatric, and...evaluations. (a) Before admission to a mental hospital or before authorization...findings; (3) Medical history; (4) Mental and physical functional capacity;...

2014-10-01

89

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

Code of Federal Regulations, 2011 CFR

...UTILIZATION CONTROL Utilization Control: Mental Hospitals Medical, Psychiatric, and...evaluations. (a) Before admission to a mental hospital or before authorization...findings; (3) Medical history; (4) Mental and physical functional capacity;...

2011-10-01

90

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

Code of Federal Regulations, 2013 CFR

...UTILIZATION CONTROL Utilization Control: Mental Hospitals Medical, Psychiatric, and...evaluations. (a) Before admission to a mental hospital or before authorization...findings; (3) Medical history; (4) Mental and physical functional capacity;...

2013-10-01

91

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

Code of Federal Regulations, 2012 CFR

...UTILIZATION CONTROL Utilization Control: Mental Hospitals Medical, Psychiatric, and...evaluations. (a) Before admission to a mental hospital or before authorization...findings; (3) Medical history; (4) Mental and physical functional capacity;...

2012-10-01

92

73 FR 47103 - Revised Medical Criteria for Evaluating Hearing Loss  

Federal Register 2010, 2011, 2012, 2013

...Revised Medical Criteria for Evaluating Hearing Loss AGENCY: Social Security Administration...that we use to evaluate claims involving hearing loss. We apply these criteria when you...treatment, and methods of evaluating hearing loss, as well as our adjudicative...

2008-08-13

93

42 CFR 456.143 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2010 CFR

...false Content of medical care evaluation studies. 456.143 Section 456.143 Public...Hospitals Ur Plan: Medical Care Evaluation Studies § 456.143 Content of medical care evaluation studies. Each medical care evaluation study...

2010-10-01

94

42 CFR 456.243 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2011 CFR

...false Content of medical care evaluation studies. 456.243 Section 456.243 Public...Hospitals Ur Plan: Medical Care Evaluation Studies § 456.243 Content of medical care evaluation studies. Each medical care evaluation study...

2011-10-01

95

42 CFR 456.143 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2011 CFR

...false Content of medical care evaluation studies. 456.143 Section 456.143 Public...Hospitals Ur Plan: Medical Care Evaluation Studies § 456.143 Content of medical care evaluation studies. Each medical care evaluation study...

2011-10-01

96

42 CFR 456.243 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2010 CFR

...false Content of medical care evaluation studies. 456.243 Section 456.243 Public...Hospitals Ur Plan: Medical Care Evaluation Studies § 456.243 Content of medical care evaluation studies. Each medical care evaluation study...

2010-10-01

97

Executive skills for medical faculty: a workshop description and evaluation.  

PubMed

As the healthcare system continues to change, healthcare professionals will need to assume an increasing number of administrative and management responsibilities. The goal of this article is to describe a two-day workshop on Executive Skills for Medical Faculty and the results of an evaluation conducted one year later. This workshop consisted of specific modules on analyzing time-management skills, determining goals and priorities, improving time-management strategies, assessing leadership styles and skills, and conducting effective meetings. The workshop evaluation consisted of an immediate post-workshop questionnaire administered to all of the participants, and semi-structured interviews, conducted on the telephone, with half of the attendees. Both evaluations were designed to assess perceptions of the workshop's usefulness and areas of individual change. Feedback from the participants immediately after the workshop indicated an overall satisfaction with the workshop content and methodology and a desire to try new time-management strategies. Evaluation of the workshop one year later indicated that the majority of the participants had determined their priorities more clearly, altered their time-management strategies, and planned more effective meetings. Less change was noted in the area of leadership styles and skills. Both the immediate and delayed workshop evaluations indicated that the most useful sessions were those devoted to determining goals and priorities, time management and effective meetings. These results suggest that a two-day workshop can improve health care professionals' administrative and management skills in certain areas. A longer workshop and built-in 'follow-up' activities would enhance the potential for change. PMID:15369902

Steinert, Yvonne; Nasmith, Louise; Daigle, Norma

2003-11-01

98

Medical evaluations on the KC-135 1990 flight report summary  

NASA Technical Reports Server (NTRS)

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

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

1991-01-01

99

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

PubMed Central

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

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

2014-01-01

100

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

PubMed Central

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

2014-01-01

101

Evaluation of web-based, self-administered, graphical food frequency questionnaire.  

PubMed

Computer-administered food frequency questionnaires (FFQs) can address limitations inherent in paper questionnaires by allowing very complex skip patterns, portion size estimation based on food pictures, and real-time error checking. We evaluated a web-based FFQ, the Graphical Food Frequency System (GraFFS). Participants completed the GraFFS, six telephone-administered 24-hour dietary recalls over the next 12 weeks, followed by a second GraFFS. Participants were 40 men and 34 women, aged 18 to 69 years, living in the Columbus, OH, area. Intakes of energy, macronutrients, and 17 micronutrients/food components were estimated from the GraFFS and the mean of all recalls. Bias (second GraFFS minus recalls) was -9%, -5%, +4%, and -4% for energy and percentages of energy from fat, carbohydrate, and protein, respectively. De-attenuated, energy-adjusted correlations (intermethod reliability) between the recalls and the second GraFFS for fat, carbohydrate, protein, and alcohol were 0.82, 0.79, 0.67, and 0.90, respectively; for micronutrients/food components the median was 0.61 and ranged from 0.40 for zinc to 0.92 for beta carotene. The correlations between the two administrations of the GraFFS (test-retest reliability) for fat, carbohydrate, protein, and alcohol were 0.60, 0.63, 0.73, and 0.87, respectively; among micronutrients/food components the median was 0.67 and ranged from 0.49 for vitamin B-12 to 0.82 for fiber. The measurement characteristics of the GraFFS were at least as good as those reported for most paper FFQs, and its high intermethod reliability suggests that further development of computer-administered FFQs is warranted. PMID:24462267

Kristal, Alan R; Kolar, Ann S; Fisher, James L; Plascak, Jesse J; Stumbo, Phyllis J; Weiss, Rick; Paskett, Electra D

2014-04-01

102

Service Learning in Medical Education: Project Description and Evaluation  

ERIC Educational Resources Information Center

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

Borges, Nicole J.; Hartung, Paul J.

2007-01-01

103

Faculty Evaluation of Educational Strategies in Medical Schools.  

ERIC Educational Resources Information Center

This study sought to evaluate faculty opinion of existing medical curricula in two medical schools in different countries in terms of six educational strategies using the "SPICES continuum." Significant differences between existing educational plans of the two medical schools were identified. (LZ)

Das, Mandira; And Others

1994-01-01

104

Evaluation Questionnaire Just as evaluation is important for our students, evaluation is extremely valuable to our faculty. Please print the following  

E-print Network

3 4 5 20. The teacher provided info on studio/class/ensemble policies and expectations. 0 1 2 3 4 5 the following questionnaire about each of your teachers. Forms should be submitted anonymously at the ECMS office, or returned by mail. Ultimately, the teacher will receive this evaluation. Teaching Assessment

Portman, Douglas

105

Association between sleep disorders, hyperacusis and tinnitus: evaluation with tinnitus questionnaires.  

PubMed

Patients with tinnitus are heterogeneous and several factors influence the impact of this symptom on the quality of life. The aim of the study is to evaluate the relationship between age, gender, sleep disorders, hyperacusis and tinnitus annoyance and to demonstrate the utility of tinnitus questionnaires as screening tools for sleep disorders and hyperacusis in patients with tinnitus. 37 consecutive patients (18 males and 19 females) with subjective tinnitus lasting over 3 months were evaluated with a complete interview, otological examination, pure tone audiometry, Italian version of tinnitus sample case history (TSCH) and tinnitus handicap inventory (THI). Statistical analysis was performed with the Wilcoxon's rank sum test, the Spearman's rho non-parametric correlation and the logistic regression analysis. THI grades were slight (16%), mild (32%), moderate (30%), severe (19%) and catastrophic (3%). Based on the answers to TSCH 20 patients reported sleep disorders (54%) and 20 patients reported hyperacusis (54%). 11 patients (30%) reported sleep disorders and hyperacusis. No significant correlation was found between the severity of tinnitus and patients' age and gender. Significant correlation was found between sleep disorders (P = 0.0009) and tinnitus annoyance and between hyperacusis (P = 0.03) and tinnitus annoyance. TSCH and THI may be considered as screening tools in the clinical practice to evidence sleep disorders and hyperacusis in patients with tinnitus. PMID:23571298

Fioretti, Alessandra B; Fusetti, Marco; Eibenstein, Alberto

2013-01-01

106

Psychometric evaluation of the Gambling Self-Efficacy Questionnaire with treatment-seeking pathological gamblers.  

PubMed

Gambling-related self-efficacy has been shown to correspond with treatment success and maintenance of treatment gains. Accordingly, there is a need for gambling assessment measures that have been validated with treatment-seeking individuals. In this study, we reported on the evaluation of a measure of perceived self-efficacy to control gambling behavior in high-risk relapse situations, the Gambling Self-Efficacy Questionnaire (GSEQ; May, Whelan, Steenbergh, & Meyers, 2003). Confirmatory and exploratory factor analyses provided some support for the original single-factor solutions, but also suggested the presence of individual patterns of self-efficacy across high-risk situations. The GSEQ demonstrated convergence with indices of problem-gambling severity and scores on the measure significantly increased across a brief cognitive-behavioral intervention. The sensitivity and specificity were evaluated and the findings supported that an average self-efficacy rating of 70% corresponded with indices of pathological gambling. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:25180557

Winfree, Walter R; Ginley, Meredith K; Whelan, James P; Meyers, Andrew W

2014-12-01

107

78 FR 26681 - Medical Criteria for Evaluating Cystic Fibrosis  

Federal Register 2010, 2011, 2012, 2013

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

2013-05-07

108

Addressing Organizational Issues into the Evaluation of Medical Systems  

Microsoft Academic Search

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

Bonnie Kaplan

1997-01-01

109

[Comprehensive evaluation of medical process by constructed polynory function].  

PubMed

This paper describes the concept of "medical process evaluation" and presents a model which is based on constructed polynory function by using the Fuzzy Set theory. This model frame has been used for the prognostic evaluation of patients recovering from acute myocardial infarction and for the comprehensive evaluation of efficacy in treatments of pneumoconiosis. The results are satisfactory. This model frame can be generalized to other medical process evaluation. PMID:12552670

Fan, F; Wang, X; Fan, Z

1999-06-01

110

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

PubMed Central

Background Missing data may bias the results of clinical trials and other studies. This study describes the response rate, questionnaire responses and financial costs associated with offering participants from a multilingual population the option to complete questionnaires over the telephone. Methods Design: Before and after study of two methods of questionnaire completion. Participants and Setting: Seven hundred and sixty five pregnant women from 25 general practices in two UK inner city Primary Care Trusts (PCTs) taking part in a cluster randomised controlled trial of offering antenatal sickle cell and thalassaemia screening in primary care. Two hundred and four participants did not speak English. Sixty one women were offered postal questionnaire completion only and 714 women were offered a choice of telephone or postal questionnaire completion. Outcome measures: (i) Proportion of completed questionnaires, (ii) attitude and knowledge responses obtained from a questionnaire assessing informed choice. Results The response rate from women offered postal completion was 26% compared with 67% for women offered a choice of telephone or postal completion (41% difference 95% CI Diff 30 to 52). For non-English speakers offered a choice of completion methods the response rate was 56% compared with 71% for English speakers (95% CI Diff 7 to 23). No difference was found for knowledge by completion method, but telephone completion was associated with more positive attitude classifications than postal completion (87 vs 96%, 95% CI diff 0.006 to 15). Compared with postal administration the additional costs associated with telephone administration were £3.90 per questionnaire for English speakers and £71.60 per questionnaire for non English speakers. Conclusion Studies requiring data to be collected by questionnaire may obtain higher response rates from both English and non-English speakers when a choice of telephone or postal administration (and where necessary, an interpreter)is offered compared to offering postal administration only. This approach will, however, incur additional research costs and uncertainty remains about the equivalence of responses obtained from the two methods. PMID:18237377

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

2008-01-01

111

Development and evaluation of pharmaceutical services in the ICU/CCU by medical staffs.  

PubMed

Questionnaires were sent out to the staffs (13 physicians, 52 nurses and 5 medical engineers) of the ICU/CCU at the University of Tokyo Hospital, to evaluate pharmaceutical services by analyzing problems in the services offered. Four components of pharmaceutical services were evaluated: inventory control of drugs, check of drug usage and doses, mixing of injections, and offering drug information. Almost all responses from medical staffs evaluated pharmaceutical services overall as "good". The high response rate (96%) from the nursing staff was attributed to the fact that they were familiar with the pharmacist's role with drug inventory, and mixing injections, when nursing was not available for these tasks. Although 50% of physicians rated the pharmaceutical services of providing drug information as "good", this value was lower than responses on other items of the questionnaires, which suggests some dissatisfaction. The occurrences of drug information obtained by passive offering (121 subjects) was 4 times as common as drug information obtained by active offering (30 subjects). From this finding, and comments on the questionnaires from physicians, it suggests that physicians require more drug information for dosage regimens, and prefer the drug information to be provided more actively. Further, an important comment from physicians and nurses was that the services of pharmacists are not available on all shifts/all days of the week to provide consultation for drug information and mixing of injections. Although having a pharmacist available daily around the clock is desirable and ideal to the medical team, the number of pharmacists under the present system cannot support this. As a solution, we think that it is crucial that pharmacists educate medical staff when they are present to in order to optimize therapy and patient care over time. PMID:15118240

Miyazaki, Norio; Sekine, Yuko; Aoyama, Takao; Yasuno, Nobuhiro; Nakamura, Hitoshi; Yamada, Yasuhiko; Iga, Tatsuji

2004-05-01

112

Recognition of elder abuse by Italian nurses and nursing students: evaluation by the Caregiving Scenario Questionnaire.  

PubMed

Elder abuse appears to be widely underestimated by health professionals. We aimed to evaluate the recognition of elder abuse among Italian nurses and nursing students related to their professional, personal experiences and socio-demographic characteristics. 193 nursing students and 76 nurses attending a post-graduate nursing management master's degree at the University of Bologna (Italy) completed the Caregiving Scenario Questionnaire measuring the ability to recognize elder abuse. Data on age, gender, previous professional and personal experiences as well as nursing school teaching were collected. Regarding abusive items, preventing elder's movements by putting a table over the elder's lap was identified by almost all participants, while locking someone at home was identified by half of them. Neglect was recognized by 25 % of nurses and 20 % of students, respectively. The majority of nurses and students correctly identified non-abusive strategies. Reporting being taught on elder abuse was inversely associated with a good performance in detecting neglect. Italian nurses' and nursing students' uncertainty in identifying abusive strategies, especially neglect, was consistent with results of previous studies in other countries. Standardized education in healthcare core curriculum, reference guidance and training are strongly needed to improve elder abuse recognition in Italy. PMID:23864427

Pelotti, Susi; D'Antone, Elisa; Ventrucci, Costanza; Mazzotti, Maria Carla; Salsi, Giancarlo; Dormi, Ada; Ingravallo, Francesca

2013-12-01

113

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

NASA Technical Reports Server (NTRS)

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

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

2010-01-01

114

Evaluation of a screening questionnaire for Parkinson's disease in a Chinese population.  

PubMed

A questionnaire designed to detect Parkinson's disease (PD) was developed by Tanner et al. in 1990. It consists of nine symptom questions and has been tested in several languages. We investigated the validity of the questionnaire in a Chinese population. Because handwriting is not common for elderly Chinese people, item 2 about "smaller handwriting" may be of no use, thus we also computed the performance of the questionnaire without item 2. The questionnaire was administered face-to-face to all 59 PD patients registered in our hospital and 217 non-neurological outpatients from the same hospital. All 217 outpatients were offered a short interview and examination related to PD. Of the 59 PD patients, 47 participated the study. None of the 217 non-neurological outpatients was diagnosed with parkinsonism. A combination of any three questions yielded the best balance between sensitivity (93.6%) and specificity (88.9%). There was no difference in validity between the questionnaire with and without item 2. This symptom questionnaire is an appropriate instrument to identify PD in a Chinese population. The questionnaire without item 2 is also satisfactory as a screening instrument to detect PD and may be more suitable for areas with a high illiteracy rate. PMID:24060624

Wei, Zhang; Xiaoyuan, Niu; Shengwei, Gao; Zhizong, Hou; Jiyuan, Li; Yang, Li

2014-02-01

115

Evaluating the Effectiveness of Educational Innovations: Using the Study Process Questionnaire To Show that Meaningful Learning Occurs.  

ERIC Educational Resources Information Center

Advocate the use of repeated applications of inventories of approaches to learning as an appropriate technique for the evaluation of educational innovations. Presents three case studies that use the Study Process Questionnaire (J. Biggs, 1987) to show how the measure can be used for innovations in naturalistic settings. (SLD)

Kember, David; And Others

1997-01-01

116

Questionnaire to evaluate the effects of assistive devices and altered working methods in women with rheumatoid arthritis  

Microsoft Academic Search

The objectives of the study were to identify perceived difficulty and reduction of difficulty when using assistive devices and altered working methods in performing daily activities and to detect which activities were unaffected by interventions. Twenty-one women aged 29–65 years with rheumatoid arthritis answered the Evaluation of Daily Activity Questionnaire (EDAQ), which contains 102 items divided into 11 dimensions of

U. Nordenskiöld; G. Grimby; S. Dahlin-Ivanoff

1998-01-01

117

Evaluating the Impact of Intimate Partner Violence on the Perpetrator: The Perceived Consequences of Domestic Violence Questionnaire  

Microsoft Academic Search

Surprisingly, little is known about how IPV perpetrators perceive the conse quences of their violent behavior. This article describes the development and evaluation of the Perceived Consequences of Domestic Violence Questionnaire (PCDVQ). The PCDVQ is a 27 item self report instrument designed to assess the consequences of intimate partner violence (IPV) as perceived by the perpetrator. Data from 124 nontreatment

Denise D. Walker; Clayton Neighbors; Lyungai F. Mbilinyi; Allison ORourke; Joan Zegree; Roger A. Roffman; Jeffrey L. Edleson

2010-01-01

118

Evaluating the Impact of Intimate Partner Violence on the Perpetrator: The Perceived Consequences of Domestic Violence Questionnaire  

ERIC Educational Resources Information Center

Surprisingly, little is known about how IPV perpetrators perceive the consequences of their violent behavior. This article describes the development and evaluation of the Perceived Consequences of Domestic Violence Questionnaire (PCDVQ). The PCDVQ is a 27 item self report instrument designed to assess the consequences of intimate partner violence…

Walker, Denise D.; Neighbors, Clayton; Mbilinyi, Lyungai F.; O'Rourke, Allison; Zegree, Joan; Roffman, Roger A.; Edleson, Jeffrey L.

2010-01-01

119

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

PubMed Central

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

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

2013-01-01

120

A qualitative evaluation of questions and responses from five occupational questionnaires developed to assess exposures.  

PubMed

Questionnaires are increasingly being used in the workplace to assess exposures to chemicals and other agents. Although the literature contains much information on questionnaire design in general, little information is available on the challenges related to questionnaires applied to the occupational setting. Questionnaires on dry cleaning workers, nurses, farmers, car mechanics, and truck drivers were administered to a total of 25 people currently performing one of these jobs. After asking each question, the interviewer probed to identify the difficulties the respondents had in answering the questions. Overall, the respondents were able to answer the questions. Problems were found, however, with particular questions that reduced the effectiveness of the questionnaire. These included the use of unclear terms, questions open to multiple interpretations, difficult computational requirements (e.g., asking for averages for highly variable tasks), ineffective transitions between topics, and overlapping response categories. This type of testing is a crucial part of questionnaire development and can be used to effectively identify potential problems with questions and, therefore, improve them to enhance collection of higher-quality data for assessments of occupational exposures. PMID:12049435

Stewart, Patricia; Rice, Carol; Beatty, Paul; Wilson, Barbara; Stewart, Walter; Blair, Aaron

2002-06-01

121

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

PubMed Central

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

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

2014-01-01

122

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

PubMed

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

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

2012-12-30

123

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

PubMed Central

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

2014-01-01

124

Prospective medical evaluation of 7 dogs presented with fly biting  

PubMed Central

Fly biting describes a syndrome in which dogs appear to be watching something and then snapping at it. Medical work-up of fly biting in dogs has never been reported. The aims of this case series were to characterize fly biting and perform a complete medical evaluation of dogs displaying fly biting. PMID:23729825

Frank, Diane; Bélanger, Marie C.; Bécuwe-Bonnet, Véronique; Parent, Joane

2012-01-01

125

Evaluation of multimegabit networks for medical information delivery  

Microsoft Academic Search

High speed networking is a crucial ingredient in medical information systems. ATM (Asynchronous Transfer Mode) and FDDI (Fiber Distributed Data Interface) networking have overcome their high costs and it is now possible to deploy these technologies widely. However, the impact of these networks on the performance of medical information systems is not well documented. Structured experiments are required to evaluate

Nilesh R. Gohel; Robert A. Whitman

1996-01-01

126

Medical Devices: Principles of Clinical Evaluation of Effectiveness and Safety  

E-print Network

Medical Devices: Principles of Clinical Evaluation of Effectiveness and Safety P1 D11 v2 050521 in trials including ethical issues. However, it goes on to indicate where trials of medical devices need studies (see section 2.3), bias (see section 2.4) and the more important role of the surgeon in device

Oakley, Jeremy

127

Assessing Caregiver Information Needs: A Brief Questionnaire.  

ERIC Educational Resources Information Center

A diagnostic evaluation for a person with suspected Alzheimer's disease is usually initiated by family members whose concerns go beyond strictly medical issues. To determine precisely what questions families want answered, a 15-point questionnaire was developed at a multi-disciplinary geriatric assessment clinic. Caregivers were asked to rate each…

Simonton, Linda J.; Haugland, S. M.

128

75 FR 71632 - Revised Medical Criteria for Evaluating Mental Disorders  

Federal Register 2010, 2011, 2012, 2013

...Revised Medical Criteria for Evaluating Mental Disorders AGENCY: Social Security Administration...other aspects of the proposed listings for mental disorders that we receive during this...aspect of our proposed rules to revise our mental disorders listings: Definitions we...

2010-11-24

129

75 FR 30693 - Revised Medical Criteria for Evaluating Hearing Loss  

Federal Register 2010, 2011, 2012, 2013

...Revised Medical Criteria for Evaluating Hearing Loss AGENCY: Social Security Administration...that we use to evaluate claims involving hearing loss under titles II and XVI of the Social...treatment, and methods of evaluating hearing loss, and public comments we...

2010-06-02

130

Creation of an Innovative Inpatient Medical Procedure Service and a Method to Evaluate House Staff Competency  

PubMed Central

INTRODUCTION Training residents in medical procedures is an area of growing interest. Studies demonstrate that internal medicine residents are inadequately trained to perform common medical procedures, and program directors report residents do not master these essential skills. The American Board of Internal Medicine requires substantiation of competence in procedure skills for all internal medicine residents; however, for most procedures, standards of competence do not exist. OBJECTIVE 1) Create a new and standardized approach to teaching, performing, and evaluating inpatient medical procedures; 2) Determine the number of procedures required until trainees develop competence, by assessing both clinical knowledge and psychomotor skills; 3) Improve patient safety. DESIGN A Medical Procedure Service (MPS), consisting of select faculty who are experts at common inpatient procedures, was established to supervise residents performing medical procedures. Faculty monitor residents’ psychomotor performance, while clinical knowledge is taught through a complementary, comprehensive curriculum. After the completion of each procedure, the trainee and supervising faculty member independently complete online questionnaires. RESULTS During this pilot program, 246 procedures were supervised, with a pooled major complication rate of 3.7%. 123 thoracenteses were supervised, with a pneumothorax rate of 3.3%; this compares favorably with a pooled analysis of the literature. 87% of surveyed house staff felt the procedure service helped in their education of medical procedures. CONCLUSIONS The “see one, do one, teach one” model of procedure education is dangerously inadequate. Through the development of a Medical Procedure Service, and an associated procedure curriculum and a mechanism of evaluation, we hope to reduce the rate of complications and errors related to medical procedures and to determine at what point competency is achieved for these procedures. PMID:15109314

Smith, C Christopher; Gordon, Craig E; Feller-Kopman, David; Huang, Grace C; Weingart, Saul N; Davis, Roger B; Ernst, Armin; Aronson, Mark D

2004-01-01

131

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

ERIC Educational Resources Information Center

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…

Watson, Kathy; Baranowski, Tom; Thompson, Debbe

2006-01-01

132

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

ERIC Educational Resources Information Center

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

Clark, Sheldon B.; Boser, Judith A.

133

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

ERIC Educational Resources Information Center

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),…

Jones, Ted

134

Item response modeling: an evaluation of the children's fruit and vegetable self-efficacy questionnaire  

Technology Transfer Automated Retrieval System (TEKTRAN)

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) procedur...

135

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

Code of Federal Regulations, 2011 CFR

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

2011-10-01

136

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

Code of Federal Regulations, 2010 CFR

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

2010-10-01

137

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

Code of Federal Regulations, 2010 CFR

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

2010-10-01

138

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

Code of Federal Regulations, 2011 CFR

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

2011-10-01

139

76 FR 71045 - Center for Biologics Evaluation and Research Report of Scientific and Medical Literature and...  

Federal Register 2010, 2011, 2012, 2013

...Evaluation and Research Report of Scientific and Medical Literature and...Evaluation and Research Report of Scientific and Medical Literature and...Evaluation and Research (HFM-17...scientific and medical literature...

2011-11-16

140

Development of a Questionnaire Designed To Evaluate the Employee Development Activities at Paradise Valley Community College Center: Politics, Law, and Economics of Higher Education.  

ERIC Educational Resources Information Center

This paper describes the development of a questionnaire for evaluating the activities of the Employee Development Program (EDP) at Paradise Valley Community College Center (PVCCC) in Phoenix (Arizona). Four major goals of the evaluation of the activities of the EDP, and a means for ensuring the content validity of the questionnaire are described.…

Cristiano, Marilyn J.; Nellis, Deo E.

141

A study of evaluation methods for hospital medical care systems.  

PubMed

When we seek to evaluate hospital medical care services, we first collect data regarding the existing system in order to gather information and to develop a method of analysis that we can use for evaluation. We took the OPD system as an example, taking into account systematic OPD services based on queuing theory and computer simulation. As a result of the computer simulation model based on experimental conditions, we were able to offer recommendations for modifications of the present system that could improve patient service. The hospital manager can use this information to aid him in the decision making processes concerning the hospital. A study of the methods for the evaluation of hospital medical care services is important. It is necessary to develop a regional medical care information system as well as a hospital medical care information system. PMID:10120546

Nobukawa, M; Eussen, M E

1992-07-01

142

Development of a questionnaire to evaluate coping strategies for skin problems.  

PubMed

The aim of this work was to develop an instrument (Coping Strategies for Skin Problems Questionnaire) suitable for identifying the coping strategies people use for general skin problems. We analyzed its psychometric properties when applied to a sample of 299 individuals. Factor analysis shows a 6-factor structure referring to the wish to change, problem-solving strategies, the search for information and asking for social support, the ability to distance oneself from the problem and to see the positive aspects of the situation. These factors explain 60.77% of the variance and show an internal consistency higher than 0.67. We analyse the validity of the questionnaire and identify different coping profiles depending on the degree of skin damage as assessed by the participants and their search for health services. According to the psychometric properties obtained, we conclude that our instrument is valid and reliable for use with people presenting skin problems. PMID:19476248

Hernández-Fernaud, Estefanía; Hernández, Bernardo; Ruiz, Cristina; Ruiz, Antonia

2009-05-01

143

Evaluating the organisational climate in Italian public healthcare institutions by means of a questionnaire  

PubMed Central

Background By means of the ICONAS project, the Healthcare Agency of an Italian Region developed, and used a standardised questionnaire to quantify the organisational climate. The aims of the project were (a) to investigate whether the healthcare institutions were interested in measuring climate, (b) to estimate the range of applicability and reliability of the instrument, (c) to analyse the dimensions of climate among healthcare personnel, (d) to assess the differences among employees with different contractual positions. Methods The anonymous questionnaire containing 50 items, each with a scale from 1 to 10, was offered to the healthcare organisations, to be compiled during ad hoc meetings. The data were sent to the central project coordinator. The differences between highly specialised staff (mostly physicians) and other employees were assessed after descriptive statistical analysis of the single items. Both Principal Component Analysis and Factor Analysis were used. Results Ten healthcare organisations agreed to partecipate. The questionnaire was completed by 8691 employees out of 13202. The mean value of organisational climate was 4.79 (range 1–10). There were significant differences among single items and between the 2 groups of employees. Multivariate methods showed: (a) one principal component explained > 40% of the variance, (b) 7 factors summarised the data. Conclusion Italian healthcare institutions are interested in assessing organisational phenomena, especially after the reforms of the nineties. The instrument was found to be applicable and suitable for measuring organisational climate. Administration of the questionnaire leads to an acceptable response rate. Climate can be discribed by means of 7 underlying dimensions. PMID:17519007

Wienand, Ulrich; Cinotti, Renata; Nicoli, Augusta; Bisagni, Miriam

2007-01-01

144

The Amount of Media and Information Literacy Among Isfahan University of Medical Sciences’ Students Using Iranian Media and Information Literacy Questionnaire (IMILQ)  

PubMed Central

Introduction: Media and Information literacy (MIL) enables people to interpret and make informed judgments as users of information and media, as well as to become skillful creators and producers of information and media messages in their own right. The purpose of this research was to determine the amount of Media and Information Literacy among Isfahan University of Medical Sciences’ students using Iranian Media and Information Literacy Questionnaire (IMILQ). Methods: This is an applied analytical survey research in which the data were collected by a researcher made questionnaire, provided based on specialists’ viewpoints and valid scientific works. Its validity and reliability were confirmed by Library and Information Sciences specialists and Cronbach’s alpha (r=0.89) respectively. Statistical population consisted of all students in Isfahan University of Medical Sciences (6000 cases) and the samples were 361. Sampling method was random stratified sampling. Data were analyzed by descriptive and inferential statistics. Results: The findings showed that the mean level of Media and Information Literacy among Isfahan University of Medical Sciences’ students was 3.34±0.444 (higher than average). The highest mean was promotion of scientific degree with 3.84±0.975 and the lowest mean was difficulties in starting research with 2.50±1.08. There was significant difference between educational degree, college type and family’s income and amount of Media and Information Literacy. Conclusion: The results showed that the students didn’t have enough skills in starting the research, defining the research subject as well as confining the research subject. In general, all students and education practitioners should pay special attention to factors affecting in improving Media and Information Literacy as a main capability in using printed and electronic media.

Ashrafi-rizi, Hasan; Ramezani, Amir; Koupaei, Hamed Aghajani; Kazempour, Zahra

2014-01-01

145

Medical Student Performance Evaluation Sandra Student  

E-print Network

opportunities to enhance her clinical and research expertise, Sandra has strengthened her interest in pursuing all students' capabilities to meet standards for: accountability, self-improvement and adaptability to evaluate and formulate reasonable management plans on routine and most complex neurological patients. She

Chisholm, Rex L.

146

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

NASA Astrophysics Data System (ADS)

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.

Mizuno, Norio; Miyajima, Masakatsu

147

Psychometric evaluation of the Gamblers' Beliefs Questionnaire with treatment-seeking disordered gamblers.  

PubMed

Growing evidence for the efficacy of cognitive-behavioral therapy for disordered gambling supports the need for a comprehensive set of gambling-related assessment measures that have been validated with treatment-seeking samples. The Gamblers' Beliefs Questionnaire (GBQ) is a self-report measure that was designed to identify gambling-related cognitive distortions (Steenbergh, Meyers, May, & Whelan, 2002). In this study, the GBQ demonstrated good internal consistency and adequate construct validity in a treatment-seeking sample of disordered gamblers. Additionally, scores on the measure significantly decreased across a brief cognitive-behavioral treatment, providing validity support for use of the GBQ with a clinical population. PMID:25596553

Winfree, Walter R; Ginley, Meredith K; Whelan, James P; Meyers, Andrew W

2015-04-01

148

Implementation and Evaluation of a Medical Informatics Distance Education Program  

Microsoft Academic Search

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

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

2001-01-01

149

42 CFR 456.143 - Content of medical care evaluation studies.  

Code of Federal Regulations, 2013 CFR

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

2013-10-01

150

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

Federal Register 2010, 2011, 2012, 2013

...Drug Evaluation and Research Medical Policy Council; Request...considered by the CDER Medical Policy Council (Council...Drug Evaluation and Research (CDER). These comments...identify and address medical policy issues that...

2013-03-18

151

76 FR 59407 - Center for Biologics Evaluation and Research Report of Scientific and Medical Literature and...  

Federal Register 2010, 2011, 2012, 2013

...Biologics Evaluation and Research Report of Scientific and Medical Literature and Information...report of scientific and medical literature and information...Biologics Evaluation and Research Report of Scientific and Medical Literature and...

2011-09-26

152

Medication Exposure in Pregnancy Risk Evaluation Program: The Prevalence of Asthma Medication Use During Pregnancy  

PubMed Central

Background Asthma is one of the most common chronic diseases in women of reproductive age, occurring in up to 8% of pregnancies. Objective Assess the prevalence of asthma medication use during pregnancy in a large diverse cohort. Methods We identified women aged 15 to 45 years who delivered a live born infant between 2001 and 2007 across 11 U.S. health plans within the Medication Exposure in Pregnancy Risk Evaluation Program (MEPREP). Using health plans’ administrative and claims data, and birth certificate data, we identified deliveries for which women filled asthma medications from 90 days before pregnancy through delivery. Prevalence (%) was calculated for asthma diagnosis and medication dispensing. Results There were 586,276 infants from 575,632 eligible deliveries in the MEPREP cohort. Asthma prevalence among mothers was 6.7%, increasing from 5.5% in 2001 to 7.8% in 2007. A total of 9.7% (n=55,914) of women were dispensed asthma medications during pregnancy. The overall prevalence of maintenance-only medication, rescue-only medication, and combined maintenance and rescue medication was 0.6%, 6.7%, and 2.4% respectively. The prevalence of maintenance-only use doubled during the study period from 0.4% to 0.8%, while rescue-only use decreased from 7.4% to 5.8%. Conclusions In this large population-based pregnancy cohort, the prevalence of asthma diagnoses increased over time. The dispensing of maintenance-only medication increased over time, while rescue-only medication dispensing decreased over time. PMID:23108737

Hansen, Craig; Joski, Peter; Freiman, Heather C.; Andrade, Susan; Toh, Sengwee; Dublin, Sascha; Cheetham, T. Craig; Cooper, William O.; Pawloski, Pamala A.; Li, De-Kun; Beaton, Sarah J.; Scott, Pamela E.; Hammad, Tarek; Davis, Robert

2013-01-01

153

Implementation of evidence-based practice across medical, nursing, pharmacological and allied healthcare professionals: a questionnaire survey in nationwide hospital settings  

PubMed Central

Background Implementation of evidence-based practice (EBP) is regarded as core competence to improve healthcare quality. In the current study, we investigated the EBP of six groups of professionals: physicians, nurses, pharmacists, physical therapists, technicians, and other allied healthcare personnel. Methods A structured questionnaire survey of regional hospitals throughout Taiwan was conducted by post in 2011. Questionnaires were mailed to all healthcare workers of 11 randomly selected hospitals. Linear and logistic regression models were used to examine predictors for implementing EBP. Results In total, 6,160 returned questionnaires, including 645 from physicians, 4,206 from nurses, 430 from pharmacists, 179 from physical therapists, 537 from technicians, and 163 from other allied healthcare professionals, were valid for the analysis. Physicians and pharmacists were more aware of EBP than were the other professional groups (p?medical, nursing, pharmacological, and allied healthcare personnel. There were significant differences in their implementation of EBP. We observed that certain factors were associated with EBP implementation, including personal backgrounds and perceptions toward EBP. The data suggest that strategies for enhancing EBP implementation should differ for various groups of professionals. PMID:24063756

2013-01-01

154

Swedish version of the multi dimensional health assessment questionnaire – translation and psychometric evaluation  

PubMed Central

Background Health assessment measurements for patients with Rheumatoid arthritis (RA) have to be meaningful, valid and relevant. A commonly used questionnaire for patients with RA is the Stanford Health Assessment Questionnaire Disability Index (HAQ), which has been available in Swedish since 1988. The HAQ has been revised and improved several times and the latest version is the Multi Dimensional Health Assessment Questionnaire (MDHAQ). The aim of this study was to translate the MDHAQ to Swedish conditions and to test the validity and reliability of this version for persons with RA. Methods Translation and adaption of the MDHAQ were performed according to guidelines by Guillemin et al. The translated version was tested for face validity and test-retest in a group of 30 patients with RA. Content validity, criterion validity and internal consistency were tested in a larger study group of 83 patients with RA. Reliability was tested with test-retest and Cronbach´s alpha for internal consistency. Two aspects of validity were explored: content and criterion validity. Content validity was tested with a content validity index. Criterion validity was tested with concurrent validity by exploring the correlation between the MDHAQ-S and the AIMS2-SF. Floor and ceiling effects were explored. Results Test-retest with intra-class correlation coefficient (ICC) gave a coefficient of 0.85 for physical function and 0.79 for psychological properties. Reliability test with Cronbach´s alpha gave an alpha of 0.65 for the psychological dimension and an alpha of 0.88 for the physical dimension of the MDHAQ-S. The average sum of the content validity index for each item was of the MDHAQ-S was 0.94. The MDHAQ-S had mainly a moderate correlation with the AIMS2-SF, except for the social dimension of the AIMS2-SF, which had a very low correlation with the MDHAQ-S. Conclusions The MDHAQ-S was considered to be reliable and valid, but further research is needed concerning sensitivity to change. PMID:23734791

2013-01-01

155

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

PubMed Central

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

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

2013-01-01

156

The Medical Education Evaluation Program of the state of Ohio.  

PubMed

In October 1988, seven foreign medical graduates participated in the first administration of the examination devised by the Medical Education Evaluation Program (MEEP) mandated by the State Medical Board of Ohio. The MEEP was established to provide an objective evaluation of an applicant's clinical competencies; passing the MEEP examination was intended to certify that the applicant's clinical skills were comparable to those of a medical student graduating from a school accredited by the Liaison Committee on Medical Education. An applicant who successfully passed the MEEP examination and fulfilled the other Ohio licensure requirements would be eligible to take the Federation Licensing Examination (FLEX) and apply for an unrestricted license to practice medicine in Ohio. The paper describes the origin and development of the MEEP examination and the testing modalities selected (multiple-choice examinations and the use of standardized patients). Four fundamental areas were tested; these are named and described, along with the method for calculating scores for each area and the criteria for passing the different components of the examination. Although the small sample size prohibited meaningful data analysis for the performance of the first group of MEEP candidates, the MEEP examination appears to meet psychometric standards of certifying and licensing examinations, based on data from comparable tests taken by beginning fourth-year medical students in New England and NBME Part III examination examinees. Some potential pitfalls of the MEEP examination are mentioned, as well as the fact that it presents a challenge to boards of medical examiners of other states to implement performance-based assessments of physicians who graduate from non-accredited medical schools. PMID:2751784

Stillman, P L; Madigan, H S; Thompson, D K; Swanson, D B; Julian, E; Regan, M B; Nelson, D V; Philbin, M

1989-08-01

157

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

PubMed Central

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

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

2015-01-01

158

Evaluation of a specific score for air medical evacuation triage.  

PubMed

Age, local resources, and locations have been identified as independent factors indicating the need for immediate air medical evacuation. This preliminary case-control study aimed to evaluate the relevance of a score from 0 to 6 based on these criteria and to identify thresholds. The 3-step scale we obtained may help in prioritizing repatriation requests. PMID:21382568

Duchateau, François-Xavier; Verner, Laurent

2011-01-01

159

Evaluation of an Online Bioterrorism Continuing Medical Education Course  

ERIC Educational Resources Information Center

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

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

2006-01-01

160

Development of a Psychotropic PRN Medication Evaluative Tool  

ERIC Educational Resources Information Center

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

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

2013-01-01

161

Charting the Winds of Change: Evaluating Innovative Medical Curricula.  

ERIC Educational Resources Information Center

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

Friedman, Charles P.; And Others

1990-01-01

162

Measuring changes in self-concept: a qualitative evaluation of outcome questionnaires in people having acupuncture for their chronic health problems  

Microsoft Academic Search

BACKGROUND: Changes in self-concept are an important potential outcome for many interventions for people with long-term conditions. This study sought to identify and evaluate outcome questionnaires suitable for quantifying changes in self-concept in people with long-term conditions, in the context of treatment with acupuncture and Chinese medicine. METHODS: A literature search was followed by an evaluation of three questionnaires: The

Charlotte Paterson

2006-01-01

163

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

PubMed Central

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

2010-01-01

164

Developing Written Questionnaires: Determining if Questionnaires Should be Used  

NSDL National Science Digital Library

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

Daniel R. Zalles

165

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

PubMed Central

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

2013-01-01

166

Forensic medical evaluations of child maltreatment: a proposed research agenda.  

PubMed

Physicians play an important role in the forensic evaluation of suspected child abuse and neglect. There has been considerable progress in the medical field, helping distinguish findings related to maltreatment from other conditions or circumstances. Nevertheless, important questions remain. This article covers several of these questions and proposes a research agenda concerning five main topics: sexual abuse, neglect, fractures, abusive head trauma, and physicians work in interdisciplinary settings. The suggestions are hardly inclusive, but offer suggestions the authors think are priorities, and ones that research could reasonably address. By providing some background to gaps in our knowledge, this paper should be of interest to a broader audience than just medical professionals. PMID:25224781

Dubowitz, Howard; Christian, Cindy W; Hymel, Kent; Kellogg, Nancy D

2014-11-01

167

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

PubMed Central

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

2014-01-01

168

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

PubMed Central

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

2014-01-01

169

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

PubMed Central

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

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

2013-01-01

170

The Depression Coping Questionnaire.  

ERIC Educational Resources Information Center

College students (N=396), chronic pain patients (N=319), and schizophrenic veterans (N=43) completed the Depression Coping Questionnaire (DCQ) and the Beck Depression Inventory (BDI). Factor analysis of the DCQ identified eleven coping responses: social support, problem solving, self-blame/escape, aggression, indulgence, activities, medication,…

Kleinke, Chris L.

171

Strategies against Burnout and Anxiety in Medical Education – Implementation and Evaluation of a New Course on Relaxation Techniques (Relacs) for Medical Students  

PubMed Central

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

Ropohl, Axel; Bräuer, Lars; Paulsen, Friedrich; Burger, Pascal H. M.

2014-01-01

172

The Psychometric Evaluation of a Questionnaire to Measure Attitudes towards Inclusive Education  

ERIC Educational Resources Information Center

In many countries, there has been a development towards the inclusion of students with special educational needs in regular education. Over the past decade, this has resulted in an increased interest in attitudes towards this educational change of those directly involved. This current study aims at the development, psychometric evaluation, and…

de Boer, Anke; Timmerman, Marieke; Pijl, Sip Jan; Minnaert, Alexander

2012-01-01

173

[Evaluation of the nutritional status and feeding patterns of 3-7 year old children --results of a questionnaire].  

PubMed

Questionnaire studies on feeding patterns and nutritional status of 822 pre-school children (age 3-7) in different regions of Poland were performed between June 1999 and January 2000. Nutritional status was evaluated on the basis of anthropometric indices - height, body weight, body mass index (BMI) and BMI z-score. The mode of feeding was evaluated on the basis of recall of 24-hours menus. Average daily food rations and their nutritional value were calculated from the questionnaires data. Quantity and number of meals were also evaluated. In a group of 402 boys the average height was between 75-90 percentiles and body mass (50-75 percentiles). In 420 girls the average height was about the 90 percentile (age 3-4) and between 75-90 percentiles (age 5-7). The study showed that normal BMI z-score was found in 75% of children, underweight in 16.5% overweight and obesity in 8.5%. Feeding patterns showed great than differences. It was found that meat, fat, sweets and sugar content in daily food rations exceeded the recommended for pre-school children, but the vegetables intake was lower than recommended. Vitamins A and C deficiency in average daily rations didn't occur. The fat intake provided 36% of total energy, whereas carbohydrates (without lactose and starch) - about 20%. This can have inhibitory effect on microelements (Fe, Zn) absorption. Attention must be paid to the choice of products and the wrong distribution of total energy intake in daily rations. The habits of snack eating between the meals were reported in 91% of children. These snacks consisted of fruits, chips, french fries, sweets and sandwiches. These products provides 232 kcal +/- 171 kcal/day. PMID:11381151

Weker, H

2000-01-01

174

Quality of life after intensive care - evaluation with EQ-5D questionnaire  

Microsoft Academic Search

Objective. To evaluate health-related quality of life (HR-QOL) and study its determinants in adult patients discharged from an intensive care unit (ICU). Design. Cohort study. Setting. Intensive care unit (ICU), tertiary care hospital, Oporto, Portugal. Patients. Of all the patients discharged over a 2year period, 355 were considered eligible and 275 completed the study. Measurements and results. Patients were interviewed

Cristina Granja; Armando Teixeira-Pinto; Altamiro Costa-Pereira

2002-01-01

175

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

PubMed Central

Summary Objectives To report the career progression of a cohort of UK medical graduates in mid-career, comparing men and women. Design Postal and questionnaire survey conducted in 2010/2011, with comparisons with earlier surveys. Setting UK. Participants In total, 2507 responding UK medical graduates of 1993. Main outcome measures Doctors’ career specialties, grade, work location and working pattern in 2010/2011 and equivalent data in earlier years. Results The respondents represented 72% of the contactable cohort; 90% were working in UK medicine and 7% in medicine outside the UK; 87% were in the UK NHS (87% of men and 86% of women). Of doctors in the NHS, 70.6% of men and 52.0% of women were in the hospital specialties and the great majority of the others were in general practice. Within hospital specialties, a higher percentage of men than women were in surgery, and a higher percentage of women than men were in paediatrics, obstetrics and gynaecology, clinical oncology, pathology and psychiatry. In the NHS, 63% of women and 8% of men were working less-than-full-time (in general practice, 19% of men and 83% of women; and in hospital specialties, 3% of men and 46% of women). Among doctors who had always worked full-time, 94% of men and 87% of women GPs were GP principals; in hospital practice, 96% of men and 93% of women had reached consultant level. Conclusions The 1993 graduates show a continuing high level of commitment to the NHS. Gender differences in seniority lessened considerably when comparing doctors who had always worked full-time. PMID:25408921

Svirko, Elena; Goldacre, Michael J

2014-01-01

176

Digitised audio questionnaire for assessment of informed consent comprehension in a low-literacy African research population: development and psychometric evaluation  

PubMed Central

Objective To develop and psychometrically evaluate an audio digitised tool for assessment of comprehension of informed consent among low-literacy Gambian research participants. Setting We conducted this study in the Gambia where a high illiteracy rate and absence of standardised writing formats of local languages pose major challenges for research participants to comprehend consent information. We developed a 34-item questionnaire to assess participants’ comprehension of key elements of informed consent. The questionnaire was face validated and content validated by experienced researchers. To bypass the challenge of a lack of standardised writing formats, we audiorecorded the questionnaire in three major Gambian languages: Mandinka, Wolof and Fula. The questionnaire was further developed into an audio computer-assisted interview format. Participants The digitised questionnaire was administered to 250 participants enrolled in two clinical trials in the urban and rural areas of the Gambia. One week after first administration, the questionnaire was readministered to half of the participants who were randomly selected. Participants were eligible if enrolled in the parent trials and could speak any of the three major Gambian languages. Outcome measure The primary outcome measure was reliability and validity of the questionnaire. Results Item reduction by factor analysis showed that 21 of the question items have strong factor loadings. These were retained along with five other items which were fundamental components of informed consent. The 26-item questionnaire has high internal consistency with a Cronbach's ? of 0.73–0.79 and an intraclass correlation coefficient of 0.94 (95% CI 0.923 to 0.954). Hypotheses testing also showed that the questionnaire has a positive correlation with a similar questionnaire and discriminates between participants with and without education. Conclusions We have developed a reliable and valid measure of comprehension of informed consent information for the Gambian context, which might be easily adapted to similar settings. This is a major step towards engendering comprehension of informed consent information among low-literacy participants. PMID:24961716

Afolabi, Muhammed O; Bojang, Kalifa; D'Alessandro, Umberto; Ota, Martin O C; Imoukhuede, Egeruan B; Ravinetto, Raffaella; Larson, Heidi J; McGrath, Nuala; Chandramohan, Daniel

2014-01-01

177

A framework for evaluating and utilizing medical terminology mappings.  

PubMed

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

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

178

Forensic evaluation of medical liability cases in general surgery.  

PubMed

Although medical liability (disciplinary, civil and criminal) is increasingly becoming an issue, few studies exist, particularly from the perspective of forensic science, which demonstrate the extent to which medical malpractice occurs, or when it does, the reasons for it. Our aims were to evaluate the current situation concerning medical liability in general surgery (GS) in Portugal, the reasons for claims, and the forensic evaluations and conclusions, as well as the association between these issues and the judicial outcomes. We analysed the Medico-Legal Council (CML) reports of the National Institute of Legal Medicine and Forensic Sciences of Portugal related to GS during 2001-2010. The judicial outcomes of each case were requested from the Public Prosecutor Office (PPO) and the court. Alleged cases of medical liability in GS represented 11.2% of the total cases analysed by the CML. We estimated that in Portugal, 4:100,000 surgeries are subject to litigation. The majority of complaints were due to the patient's death (75.4%), with laparoscopic cholecystectomy surgeries representing 55.2% of cases. In 76.1% of the cases, the CML believed that there was no violation of legesartis and in 55.2% of cases, no causal nexus was found between the medical practice and the alleged harm. The PPO prosecuted physicians in 6.4% of the cases and resulted in one conviction. Finally, the importance of the CML reports as a relevant technical-scientific tool for judicial decision was evident because these reports significantly (p < 0.05) influenced the prosecutor's decision, whether to prosecute or not. PMID:24351525

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

2014-10-01

179

Evaluating community engagement in an academic medical center.  

PubMed

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

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

2014-04-01

180

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

PubMed Central

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

Farzianpour, Fereshteh; Monzavi, Abbas; Yassini, Esmaeil

2011-01-01

181

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

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.…

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

2005-01-01

182

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

Microsoft Academic Search

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

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

2010-01-01

183

Validity and reliability of activities coaching context questionnaire  

PubMed Central

Background: Learning in a clinical environment is an inseparable part of a training program in medical education. To evaluate the quality of training in a clinical environment, a comprehensive questionnaire which is adjusted for local purposes is essential. This study was conducted to determine the validity and reliability of Activities Coaching Context (ACC)-questionnaire from the perspective of residents and students in a clinical learning environment. Methods: This was a cross-sectional study conducted with 65 residents and students of Semnan University of Medical Sciences. The Content Validity of the questionnaire was confirmed by the judgment of a panel of ten experts in medical education. The construct validity of the questionnaire was determined by factor analysis. Data were collected and analyzed by SPSS16. Results: The ratio and index of content validity calculated by experts’ view were quite acceptable (0.31 and 0.7, respectively). Construct validity was examined by factor analysis which confirmed seven first order factors. Cronbach’s Alfa coefficient revealed a high degree of internal consistency (0.932). The reliability of the questionnaire was measured by test - retest (0.9). Conclusions: The ACC questionnaire appeared to be a valid, reliable and also appropriate tool to evaluate the educational quality of a clinical learning environment. PMID:25405107

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

2014-01-01

184

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

PubMed Central

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

2014-01-01

185

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

PubMed Central

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

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

2014-01-01

186

Evaluation of the Accuracy of Smartphone Medical Calculation Apps  

PubMed Central

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

Bierbrier, Rachel; Lo, Vivian

2014-01-01

187

Medical evaluation of children with chronic abdominal pain: impact of diagnosis, physician practice orientation, and maternal trait anxiety on mothers' responses to the evaluation.  

PubMed

This study examined the effects of diagnosis (functional versus organic), physician practice orientation (biomedical versus biopsychosocial), and maternal trait anxiety (high versus low) on mothers' responses to a child's medical evaluation for chronic abdominal pain. Mothers selected for high (n=80) and low (n=80) trait anxiety imagined that they were the mother of a child with chronic abdominal pain described in a vignette. They completed questionnaires assessing their negative affect and pain catastrophizing. Next, mothers were randomly assigned to view one of four video vignettes of a physician-actor reporting results of the child's medical evaluation. Vignettes varied by diagnosis (functional versus organic) and physician practice orientation (biomedical versus biopsychosocial). Following presentation of the vignettes, baseline questionnaires were re-administered and mothers rated their satisfaction with the physician. Results indicated that mothers in all conditions reported reduced distress pre- to post-vignette; however, the degree of the reduction differed as a function of diagnosis, presentation, and anxiety. Mothers reported more post-vignette negative affect, pain catastrophizing, and dissatisfaction with the physician when the physician presented a functional rather than an organic diagnosis. These effects were significantly greater for mothers with high trait anxiety who received a functional diagnosis presented by a physician with a biomedical orientation than for mothers in any other condition. Anxious mothers of children evaluated for chronic abdominal pain may be less distressed and more satisfied when a functional diagnosis is delivered by a physician with a biopsychosocial rather than a biomedical orientation. PMID:19767148

Williams, Sara E; Smith, Craig A; Bruehl, Stephen P; Gigante, Joseph; Walker, Lynn S

2009-12-01

188

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

PubMed Central

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

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

2014-01-01

189

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

PubMed

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 and 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

Mátrai, Zoltán; Kenessey, István; Sávolt, Akos; Ujhelyi, Mihály; Bartal, Alexandra; Kásler, Miklós

2014-01-01

190

Students' evaluation of a team-based course on research and publication ethics: attitude change in medical school graduate students.  

PubMed

In response to a growing need for students to appreciate ethical issues in medical research and publication, a brief team-based learning (TBL) course was presented to graduate students in the medical school of Hallym University in October and November 2007. To gather information as a basis for improving the course, questionnaires were distributed to 19 students and the feedback was evaluated. The questionnaire consisted of four categories: general course content (7 items), changes in attitudes toward research and publication ethics (6 items), the TBL format (6 items), and an open-ended question about the class (1 item). The most positive response had to do with the importance of the material. Students reported that their knowledge about ethical issues increased, and they expressed satisfaction regarding the communication with their tutors within the TBL format. Most students showed positive responses to the subject as well as to TBL. Since this was the first trial offering of this material in the graduate program at this medical school, it may have been novel to the students. The attitude change and the knowledge acquisition reported by students reflect a very positive outcome of this class. After adjustments to improve weaknesses, such as the short time allocation and students' lack of prior background, the outcomes of this TBL course on research and publication ethics provide a good basis for its continuation. PMID:19224000

Kim, Soo Young

2008-01-01

191

Students' Evaluation of a Team-based Course on Research and Publication Ethics: Attitude Change in Medical School Graduate Students  

PubMed Central

In response to a growing need for students to appreciate ethical issues in medical research and publication, a brief team-based learning (TBL) course was presented to graduate students in the medical school of Hallym University in October and November 2007. To gather information as a basis for improving the course, questionnaires were distributed to 19 students and the feedback was evaluated. The questionnaire consisted of four categories: general course content (7 items), changes in attitudes toward research and publication ethics (6 items), the TBL format (6 items), and an open-ended question about the class (1 item). The most positive response had to do with the importance of the material. Students reported that their knowledge about ethical issues increased, and they expressed satisfaction regarding the communication with their tutors within the TBL format. Most students showed positive responses to the subject as well as to TBL. Since this was the first trial offering of this material in the graduate program at this medical school, it may have been novel to the students. The attitude change and the knowledge acquisition reported by students reflect a very positive outcome of this class. After adjustments to improve weaknesses, such as the short time allocation and students' lack of prior background, the outcomes of this TBL course on research and publication ethics provide a good basis for its continuation. PMID:19224000

2008-01-01

192

Techniques to evaluate the quality of medical images  

NASA Astrophysics Data System (ADS)

There is not a perfect agree in the definition of medical image quality from the physician and physicist point of view. The present conference analyzes the standard techniques used to grade image quality. In the first place, an analysis about how viewing conditions related to environment, monitor used or physician experience determines the subjective evaluation is done. After that, the physics point of view is analyzed including the advantage and disadvantage of the main published methods like: Quality Control Tests, Mathematical metrics, Modulation Transfer Function, Noise Power Spectrum, System Response Curve and Mathematical observers. Each method is exemplified with the results of updated papers. We concluded that the most successful methods up to the present have been those which include simulations of the Human Visual System. They have good correlation between the results of the objective metrics and the subjective evaluation made by the observers.

Perez-Diaz, Marlen

2014-11-01

193

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

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…

Smith, Ashlea R.; Davenport, Becky R.

2012-01-01

194

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

ERIC Educational Resources Information Center

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

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

2011-01-01

195

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

PubMed

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

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

2011-01-01

196

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

Microsoft Academic Search

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

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

2000-01-01

197

Development and evaluation of the Seattle Angina questionnaire: A new functional status measure for coronary artery disease  

Microsoft Academic Search

Objectives. This study sought to establish the validity, reproducibility and responsiveness of the Seattle Angina Questionnaire, a 19-item self-administered questionnaire measuring five dimensions of coronary artery disease: physical limitation, anginal stability, anginal frequency, treatment satisfaction and disease perception.Background. Assessing the functional status of patients is becoming increasingly important in both clinical research and quality assurance programs. No current functional status

John A. Spertus; Jennifer A. Winder; Timothy A. Dewhurst; Richard A. Deyo; Janice Prodzinski; Mary McDonnell; Stephan D. Fihn

1995-01-01

198

Evaluating and Predicting Patient Safety for Medical Devices with  

E-print Network

in medical device use account for a large portion of medical errors. Most of these errors are due safety in medical device use is critical for developing interventions to reduce such errors either errors in medical device use. EHTA divides the task space between the external world of the device

Zhang, Jiajie

199

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

PubMed

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

Roberts, Wendy E

2014-04-01

200

Cohort Profile: HAART Observational Medical Evaluation and Research (HOMER) cohort.  

PubMed

Since 1986, antiretroviral therapy (ART) has been available free of charge to individuals living with HIV in British Columbia (BC), Canada, through the BC Centre of Excellence in HIV/AIDS (BC-CfE) Drug Treatment Program (DTP). The Highly Active Antiretroviral Therapy (HAART) Observational Medical Evaluation and Research (HOMER) cohort was established in 1996 to maintain a prospective record of clinical measurements and medication profiles of a subset of DTP participants initiating HAART in BC. This unique cohort provides a comprehensive data source to investigate mortality, prognostic factors and treatment response among people living with HIV in BC from the inception of HAART. Currently over 5000 individuals are enrolled in the HOMER cohort. Data captured include socio-demographic characteristics (e.g. sex, age, ethnicity, health authority), clinical variables (e.g. CD4 cell count, plasma HIV viral load, AIDS-defining illness, hepatitis C co-infection, mortality) and treatment variables (e.g. HAART regimens, date of treatment initiation, treatment interruptions, adherence data, resistance testing). Research findings from the HOMER cohort have featured in numerous high-impact peer-reviewed journals. The HOMER cohort collaborates with other HIV cohorts on both national and international scales to answer complex HIV-specific research questions, and welcomes input from external investigators regarding potential research proposals or future collaborations. For further information please contact the principal investigator, Dr Robert Hogg (robert_hogg@sfu.ca). PMID:24639444

Patterson, Sophie; Cescon, Angela; Samji, Hasina; Cui, Zishan; Yip, Benita; Lepik, Katherine J; Moore, David; Lima, Viviane D; Nosyk, Bohdan; Harrigan, P Richard; Montaner, Julio Sg; Hogg, Robert S; Shannon, Kate; Wood, Evan

2014-03-17

201

Evaluation of various speckle reduction filters on medical ultrasound images.  

PubMed

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

Wu, Shibin; Zhu, Qingsong; Xie, Yaoqin

2013-01-01

202

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

NASA Astrophysics Data System (ADS)

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.

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

2006-02-01

203

75 FR 6401 - Medical Devices Regulated by the Center for Biologics Evaluation and Research; Availability of...  

Federal Register 2010, 2011, 2012, 2013

...No. FDA-2009-M-0513] Medical Devices Regulated by the Center for Biologics Evaluation and Research; Availability of Summaries...for Biologics Evaluation and Research (CBER). This list is intended...for Biologics Evaluation and Research (HFM-17), Food and...

2010-02-09

204

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

PubMed Central

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

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

2014-01-01

205

[Evaluating quality of medical examinations of oil and gas industry workers in medical institutions].  

PubMed

The findings of independent reviews of the quality of periodic medical checkups of employees of oil and gas producing and refining facilities in medical institutions of various forms of ownership have been delivered. Actions to improve the quality of the periodic medical checkups have been proposed. PMID:19566071

Kalinina, M Iu; Lagutina, G N; Spiridonov, V L; Kopylova, O S

2009-01-01

206

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

ERIC Educational Resources Information Center

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

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

2010-01-01

207

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

ERIC Educational Resources Information Center

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…

Watling, Christopher J.; Lingard, Lorelei

2012-01-01

208

Evaluation of Mobile Authoring and Tutoring in Medical Issues  

ERIC Educational Resources Information Center

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

Alepis, Efthymios; Virvou, Maria

2010-01-01

209

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

ERIC Educational Resources Information Center

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

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

2008-01-01

210

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

E-print Network

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

Belohlavek, Radim

211

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

Microsoft Academic Search

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

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

1992-01-01

212

A Psychometric Evaluation of the Group Environment Questionnaire in a Sample of Elite and Regional Level Greek Volleyball Players  

ERIC Educational Resources Information Center

The purpose of this study was to examine the psychometric properties of the Group Environment Questionnaire (GEQ) adapted to the Greek language. The sample consisted of 586 male and female volleyball players of elite and regional level status. Data were analysed from three time points of a competitive season. For each time point, seven competing…

Ntoumanis, Nikos; Aggelonidis, Yannis

2004-01-01

213

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

Microsoft Academic Search

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

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

2008-01-01

214

Page 1 of 7 PERFORMANCE EVALUATION OF LOW RATE WPANS FOR MEDICAL APPLICATIONS  

E-print Network

medical devices, connections are mainly based on the RS-232 port interfaces that are made permanently in the battlefield. The IEEE 1073 working group is currently developing standard specifications for medical devicePage 1 of 7 PERFORMANCE EVALUATION OF LOW RATE WPANS FOR MEDICAL APPLICATIONS Nada Golmie, David

215

Natural language processing to extract medical problems from electronic clinical documents: Performance evaluation  

Microsoft Academic Search

In this study, we evaluate the performance of a Natural Language Processing (NLP) application designed to extract medical problems from narrative text clinical documents. The documents come from a patients electronic medical record and medical problems are pro- posed for inclusion in the patients electronic problem list. This application has been developed to help maintain the problem list and make

Stéphane Meystre; Peter J. Haug

2006-01-01

216

[Monitoring of medical activity within the framework of its complex evaluation].  

PubMed

The significance of high quality of initial information on medical activity as an object of management is emphasized. The author analyzes difficulties associated with obtaining necessary data and their processing for analysis. For improving the informative value of data on medical activity, methods of information obtaining based on the monitoring principle should be used. A scheme of medical activity monitoring, carried out for evaluating medical activity, is presented. The author emphasizes the necessity of high quality of initial information. PMID:11515128

Kudrin, V S

2001-01-01

217

Evaluating the impact of pain management (PM) education on physician practice patterns--a continuing medical education (CME) outcomes study.  

PubMed

California Assembly Bill AB487 mandates that all practicing physicians are required to obtain 12 h of Continuing Medical Education in Pain Management and End of Life Care before the year 2006 in order to renew their state license to practice medicine. In order to determine the effectiveness of this bill in influencing the practice of medicine, we conducted the first of five planned annual Pain Management seminars and utilized physician questionnaires to determine possible practice changes as a result of this seminar. Eighty-one physicians representing 17 multiple specialties of medicine enrolled in this seminar. The topics included: management of malignant and non-malignant pain, pharmacology and management of side effects of opiate and non-opiate analgesics, and adjunctive therapies including depression management and spirituality issues. Physicians were asked to respond to an immediate post-seminar questionnaire and were subsequently queried 4 months following the conference. Fifty-one out of 81 physician registrants responded to an immediate post-attendance questionnaire, and 31 responded to the 4-month follow-up questionnaire. Responses included: [Please see text]. This audience represents the most motivated group of practitioners electing to receive Pain Management Education long before the mandated deadline. Sixty-seven percent expressed an interest in changing their practice following this intensive educational experience. Ninety percent responding to the follow-up evaluation indicated that their practices had changed, suggesting that this seminar series is effective in altering physician practice patterns (supported by Cancer Center Support Grant CA 33572 and Sarnat Foundation). PMID:20204577

Leong, L; Ninnis, J; Slatkin, N; Rhiner, M; Schroeder, L; Pritt, B; Kagan, J; Ball, T; Morgan, R

2010-06-01

218

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

Microsoft Academic Search

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 17-item scale (AFQ-Y) and an 8-item short form (AFQ-Y8). A multimethod psychometric approach provides

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

2008-01-01

219

78 FR 23940 - Use of International Standard ISO-10993, “Biological Evaluation of Medical Devices Part 1...  

Federal Register 2010, 2011, 2012, 2013

...HEALTH AND HUMAN SERVICES Food and Drug Administration...Standard ISO-10993, ``Biological Evaluation of Medical...Guidance for Industry and Food and Drug Administration...SUMMARY: The Food and Drug Administration...Standard ISO-10993, `Biological Evaluation of...

2013-04-23

220

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

PubMed

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

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

2014-11-27

221

Evaluation of doctoral nursing education in Japan by students, graduates, and faculty: a comparative study based on a cross-sectional questionnaire survey.  

PubMed

Evaluation of doctoral education in nursing is needed with the rapid increase in doctoral nursing programs in Japan. This study aimed to compare the evaluations of doctoral nursing education by students, graduates, and faculty. All 46 doctoral nursing programs in Japan were target settings. 127 students who had been in the doctoral program, 24 graduates and 87 faculty members had responded to the survey. A questionnaire with 17 items for program evaluation, 12 items for faculty evaluation, 9 items for resource evaluation, and 3 for overall evaluations was distributed in November and December 2008. Responses to 1 program evaluation item, 2 faculty evaluation items and 4 resource evaluation items indicated significant differences among evaluators. While 79.2% of graduates responded positively that the number of faculty members was sufficient to facilitate learning, only 36.1% of faculty members and 49.6% of students responded affirmatively. Graduates' ratings were the most positive and faculty members were the least positive, especially for infrastructure or equipment such as libraries, computers, and the number of technical and support staff. The significant differences among the evaluators suggested that having evaluators in various roles is important to evaluate the quality of doctoral nursing education. PMID:21665333

Nagata, Satoko; Gregg, Misuzu F; Miki, Yuko; Arimoto, Azusa; Murashima, Sachiyo; Kim, Mi Ja

2012-05-01

222

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

ERIC Educational Resources Information Center

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…

Newton, Alice Whittier; Vandeven, Andrea Marie

2010-01-01

223

Evaluation of Information Literacy Skill Development in First Year Medical Students  

ERIC Educational Resources Information Center

Medical practitioners need the skills to find relevant information and evaluate its authenticity, validity, and reliability. The learning of information literacy has been embedded in the University of Western Australia (UWA) medical course since 2000. The purpose of this study was to evaluate the effectiveness of the enhanced information literacy…

Carr, Sandra; Iredell, Helena; Newton-Smith, Carol; Clark, Catherine

2011-01-01

224

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

NASA Astrophysics Data System (ADS)

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

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

2013-04-01

225

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

PubMed Central

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

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

2011-01-01

226

Rural Allied Medical Business Occupations (RAMBO). Final Evaluation Report.  

ERIC Educational Resources Information Center

A partnership was formed to address the crisis that rural health care facilities in rural Nebraska face in attracting and hiring trained health care workers. The Rural Allied Medical Business Occupations (RAMBO) project trained economically disadvantaged individuals in high technology medical fields. Five objectives were outlined in the project:…

Smith, Gloria

227

Evaluation of MEMS materials of construction for implantable medical devices  

Microsoft Academic Search

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

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

2002-01-01

228

78 FR 19725 - Merchant Mariner Medical Evaluation Program  

Federal Register 2010, 2011, 2012, 2013

...Guard in making medical fitness determinations for issuance...or reach the Docket Management Facility by that date...visiting the Docket Management Facility in Room W12-140...Transportation to use the Docket Management Facility. Privacy Act...Guard in making medical fitness determinations for...

2013-04-02

229

Evaluation of Psychological Factors in Medical School Admissions Decisions.  

ERIC Educational Resources Information Center

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

Jones, Bonnie J.; Borges, Nicole J.

230

Questionnaire Design: Carry-Over Effects of Overall Acceptance Question Placement and Pre-evaluation Instructions on Overall Acceptance Scores in Central Location Tests.  

PubMed

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

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

2015-02-01

231

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

PubMed Central

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

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

2013-01-01

232

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

NSDL National Science Digital Library

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

2011-06-01

233

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

PubMed

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

Forrest, David V

2011-01-01

234

[Medication systems in hospitals and their evaluation by professional groups].  

PubMed

This study was aimed at analyzing the medication systems in hospitals based on the opinions of 107 professionals. With regard to medical prescriptions in the institutions, 74.8 percent were handwritten and 50.4 percent of the medication distribution systems were in individualized doses. Concerning the causes of medication errors, 91 percent were associated with the professionals. For 61.7 percent, the system was adequate, but had shortcomings. Few professionals suggested changes that would favor their work. The conclusion is that the culture of attributing responsibility to the professional for the error, as well as the practice of punishment without a substantial change of the cause that led to it, persists. PMID:16323598

Cassiani, Silvia Helena De Bortoli; Teixeira, Thalyta Cardoso Alux; Opitz, Simone Perufo; Linhares, Josilene Cristina

2005-09-01

235

Clinical evaluation of chirp-coded excitation in medical ultrasound  

Microsoft Academic Search

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

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

2003-01-01

236

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

NASA Technical Reports Server (NTRS)

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

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

1991-01-01

237

The Bath Adolescent Pain Questionnaire (BAPQ): development and preliminary psychometric evaluation of an instrument to assess the impact of chronic pain on adolescents.  

PubMed

Chronic pain causes significant problems in the lives of many adolescents, considerably affecting their physical, psychological and social functioning. The assessment of the multidimensional impact of chronic pain is an essential clinical task. This study reports on the development and psychometric evaluation of the Bath Adolescent Pain Questionnaire (BAPQ); an assessment tool designed specifically for use with adolescents who experience chronic pain. A sample of 222 adolescents (11-18 years) experiencing chronic pain completed the 109-item draft inventory. Participants were recruited from two different UK clinics. All participants responded to items using a 5-point frequency scale. Psychometric evaluation of the data resulted in a reduced inventory length of 61 items. Internal consistency of all seven questionnaire subscales was established using Cronbach's alpha. Comparative validity was undertaken by comparison of all individual subscales with existing validated measures (SCAS, CDI-S, FDI, Brief FAM. PCS and CASAFS). The temporal reliability of each inventory subscale was established using a sub-sample of 30 adolescent participants over a 17-day period. Psychometric evaluation of the data suggests the inventory yields both a reliable and valid assessment of the impact of chronic pain on the lives of adolescents. The BAPQ may offer a comprehensive way to assess the widespread deleterious impact of adolescent chronic pain in both a research and clinical setting. Further investigation is needed on the predictive validity of the subscales. Additional data from samples of patients with diagnoses that are not musculoskeletal in origin would be of great assistance. PMID:16202524

Eccleston, Christopher; Jordan, Abbie; McCracken, Lance M; Sleed, Michelle; Connell, Hannah; Clinch, Jacqui

2005-11-01

238

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

PubMed

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

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

2007-01-01

239

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

Microsoft Academic Search

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

Robert Holloway; Kathryn Nesbit; Donald Bordley; Katia Noyes

2004-01-01

240

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

241

Designing and evaluating alcohol problem community interventions: Quasi-lessons from the experience of medical trials  

Microsoft Academic Search

This paper is a review of past community-based medical experiments in light of the growing interest in similar projects focused on the prevention of alcoholrelated problems. It begins by questioning the appropriateness of the medical metaphor for designing alcohol prevention programs and suggests a few alternatives. The paper then discusses the logic of program design, implementation, and evaluation of alcohol

Michael Hennessy

1991-01-01

242

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

ERIC Educational Resources Information Center

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…

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

2004-01-01

243

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

ERIC Educational Resources Information Center

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…

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

2003-01-01

244

Quantitative images quality evaluation of digital medical imaging systems using mutual information  

Microsoft Academic Search

Information about image quality of medical images is important for imaging system assessment in order to promote the development and manufacturing of state-of-the-art imaging systems. In this paper, we present a method for evaluating physical performance of digital medical imaging systems using mutual information which is a concept from information theory. To validate the proposed method, computer simulations were performed,

Du-Yih Tsai; Eri Matsuyama; Yongbum Lee

2011-01-01

245

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

ERIC Educational Resources Information Center

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

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

2012-01-01

246

Evaluation of a Program to Teach Medical Students about Alcoholism.  

ERIC Educational Resources Information Center

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

Siegal, Harvey A.; And Others

1986-01-01

247

Evaluation of a Lecture Recording System in a Medical Curriculum  

ERIC Educational Resources Information Center

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…

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

2010-01-01

248

STARPAHC space-oriented medical evaluation. [telemedicine system  

NASA Technical Reports Server (NTRS)

Development of the STARPAHC telemedicine system is documented. Using STARPAHC assessment results and monitoring experience, on board and ground based flight medical system monitoring requirements and operational procedures were developed for use with the Space Transportation System during OFT and mature operation phases of the shuttle.

1979-01-01

249

A Brief Guide to Questionnaire Development  

NSDL National Science Digital Library

This comprehensive guide leads the user step-by-step through questionnaire creation. Topics include preliminary considerations, writing the questionnaire items, issues that may come up when giving the questionnaire, statistical considerations, and references for further reading. This resource is intended for novice and professional evaluators.

Frary, Robert

250

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

PubMed Central

Background: Many of the studies have investigated the prevalence and nature of self-medication. It is a common type of self-care behavior among the populace of various countries. World Health Organization promotes the practice of self-medication for effective and quick relief of symptoms without medical consultations to reduce the burden on health-care services, which are often understaffed and inaccessible in rural and remote areas. Aim: The aim of the study was to determine the extent and pattern of self-medication among the population (patients) attending pharmacies at study sites and to note the association of self-medication variables with demographic factors. Subjects and Methods: The present study was a community based cross sectional study aimed to gather information about the prevalence of self-medication in the rural town of Sahaswan, Uttar Pradesh from June 2012 to July 2012. The sample size comprised of 600 respondents. Data were collected through a prepared questionnaire. All descriptive data were coded, entered and analyzed using the statistical package for Social sciences program version 17.0 (Chicago, IL, USA). Descriptive data analysis was conducted and reported as frequencies and percentage. Results: The percentage of patients who were seeking self-medication was approximately 50% (300/600). Most of the patients were seeking self-medication for headache and other pain (23.3% [140/600]), fever (14.5% [87/600]), urinary tract infections (9.7% [58/600]) and respiratory tract infections (11.7% [70/600]). The drugs most commonly purchased for practicing self-medication were non-steroidal anti-inflammatory drugs (25.3% [152/600]), medications used for gastro intestinal problems (20.8% [125/600]) and antibiotics (16.7% [100/600]). Conclusion: Prevalence of self-medication was high primarily among illiterate males aged above 15 years with a low income. Patient health awareness programs, assistance by community pharmacists and pharmacist continuing education are necessary for controlling self-medication. There is a need for planning interventions to promote rational self-medication through mass medias such as newspaper, magazine and TV. PMID:25184092

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

2014-01-01

251

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

E-print Network

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

Kaushik, Pallavi

2005-01-01

252

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

Code of Federal Regulations, 2013 CFR

...conducting medical care evaluation studies in the hospital; (2) Documents for each study— (i) Its results; and...Analyzes its findings for each study; and (4) Takes action as...admissions or continued stay cases; (ii) Recommend...

2013-10-01

253

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

Code of Federal Regulations, 2012 CFR

...conducting medical care evaluation studies in the hospital; (2) Documents for each study— (i) Its results; and...Analyzes its findings for each study; and (4) Takes action as...admissions or continued stay cases; (ii) Recommend...

2012-10-01

254

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

PubMed Central

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

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

2014-01-01

255

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

PubMed

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

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

2014-03-01

256

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

PubMed Central

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

Hörchner, Rogier; Schweitzer, Dave

2013-01-01

257

Wavelet-based compression of medical images: filter-bank selection and evaluation  

Microsoft Academic Search

Wavelet-based image coding algorithms (lossy and lossless) use a fixed perfect reconstruction filter-bank built into the algorithm\\u000a for coding and decoding of images. However, no systematic study has been performed to evaluate the coding performance of wavelet\\u000a filters on medical images. We evaluated the best types of filters suitable for medical images in providing low bit rate and\\u000a low computational

A. Saffor; A. R. bin Ramli; K. H. Ng

2003-01-01

258

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

PubMed Central

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

Becker, Daniel E

2009-01-01

259

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

SciTech Connect

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.

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

260

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

PubMed

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

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

2008-01-01

261

The Survey Questionnaire  

ERIC Educational Resources Information Center

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

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

2007-01-01

262

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

PubMed Central

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

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

2012-01-01

263

Evaluating parallel relational databases for medical data analysis.  

SciTech Connect

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

Rintoul, Mark Daniel; Wilson, Andrew T.

2012-03-01

264

Evaluating the reliability of Persian version of ankylosing spondylitis quality of life (ASQoL) questionnaire and related clinical and demographic parameters in patients with ankylosing spondylitis.  

PubMed

Ankylosing spondylitis quality of life (ASQoL) is an instrument for assessing quality of life (QoL). The aims of this study were to assess the reliability of Persian version of ASQoL questionnaire and evaluation of QoL status and related factors in ankylosing spondylitis (AS). One hundred and sixty-three Iranian patients with AS who fulfilled modified New York criteria were enrolled. Patients were evaluated using questionnaires including demographic and clinical variables, Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI), fatigue, Bath AS Metrology Index, pain and ASQoL. Reliability and validity of Persian version of ASQoL were evaluated by test-re-test agreement, internal consistency and correlation with specific scales. Relationship of parameters with ASQoL was analyzed by multiple regression. Age, disease duration and ASQoL score (mean ± SD) were 37.74 ± 9.88, 14.49 ± 8.47 and 8.02 ± 5.28 years, respectively. Test-re-test reproducibility for ASQoL was good as assessed by intra-class correlation coefficient (ICC: 0.97, P < 0.001). Internal consistency was high (Cronbach's alpha: 0.91). Convergent validity was confirmed by correlation of ASQoL score with specific scales (BASFI, r = 0.74, BASDAI, r = 0.6, fatigue, r = 0.56, depression, r = 0.24, intermalleolar distance, r = -0.44 and educational level, r = -0.37). Persian version of ASQoL is a valid and reliable scale to assess QoL in AS. Function, fatigue, mood, hip mobility and education are the factors which should be noted to achieve the best QoL. PMID:24170319

Fallahi, Sasan; Jamshidi, Ahmad Reza; Bidad, Katayoon; Qorbani, Mostafa; Mahmoudi, Mahdi

2014-06-01

265

Psychometric study of the Persian short-form eight-item Parkinson’s disease questionnaire (PDQ-8) to evaluate health related quality of life (HRQoL)  

PubMed Central

Background To assess validation and reliability of the Persian version of the short-form 8-item Parkinson’s disease questionnaire (PDQ-8) and to compare its psychometric properties with that of the long-form questionnaire (PDQ-39) in order to evaluate the health-related quality of life (HRQoL) in patients with Parkinson’s disease (PD). Methods This cross-sectional study was conducted on 114 non-demented idiopathic PD (IPD) patients consecutively recruited from an outpatient referral movement disorder clinic. Patients were interviewed to fill in the Persian version of PDQ-39 and PDQ-8 questionnaires and clinical examination was performed to measure disease severity indices. Results The Cronbach’s alpha coefficient of the entire PDQ-8 was 0.740 (95% CI: 0.661-0.806). Replacement of PDQ-8 items with other questions with the highest internal consistency within each dimension of the original PDQ-39 did not improve Cronbach’s alpha coefficient [0.723 (95% CI: 0.639-0.794)]. The scores from both PDQ-8 and PDQ-39 had significant correlation with the Hoehn & Yahr (rPDQ-8?=?0.376, rPDQ-39?=?0.442), and Schwab & England (rPDQ-8?=?-0.503, rPDQ-39?=?-0.598) disease severity scales and disease duration (rPDQ-8?=?0.342, rPDQ-39?=?0.396). Conclusions Persian version of the short-form PDQ (PDQ-8) was shown to be a valid and reliable instrument to assess disease-specific HRQoL in a PD population when used independently. Although the PDQ-8 items were not necessarily those with the highest internal consistency in the components of PDQ-39, they entirely showed proper psychometric properties especially in mental and behavioral aspects. PDQ-8 is a practical and informative instrument in daily clinical practice where clinicians are in shortage of time and when a validated self-reported brief questionnaire is of value. PMID:24885477

2014-01-01

266

How we do it: evaluation of nurse-led ENT services in the UK: a preliminary descriptive postal questionnaire survey.  

PubMed

There has been a steady growth in the volume and range of nurse led services in ENT practise in the UK. There was very little consistency in the titles of the nurses providing nurse led services but those nurses working in advanced practice roles now require courses, diplomas, degrees and study days related to ENT. Locally or nationally agreed practice guidelines can define nursing practice boundaries and ensure accountability. Monitoring and evaluation of nurse led services also requires attention. PMID:17184468

Duvvi, S; Gollapalli, R; Sankar, V; Walker, T; Kumar, B N; Reddy, K T V

2006-12-01

267

77 FR 7549 - Revised Medical Criteria for Evaluating Visual Disorders  

Federal Register 2010, 2011, 2012, 2013

...notation, such as counts fingers (CF) or no light perception (NLP), to evaluate your vision loss. This...HM (hand motion only), LP or LPO (light perception or light perception only), or NLP (no light...

2012-02-13

268

Medical beam monitor—Pre-clinical evaluation and future applications  

NASA Astrophysics Data System (ADS)

Future medical ion beam applications for cancer therapy which are based on scanning technology will require advanced beam diagnostics equipment. For a precise analysis of beam parameters we want to resolve time structures in the range of microseconds to nanoseconds. A prototype of an advanced beam monitor was developed by the University of Applied Sciences Wiener Neustadt and its research subsidiary Fotec in co-operation with CERN RD42, Ohio State University and the Jožef Stefan Institute in Ljubljana. The detector is based on polycrystalline Chemical Vapor Deposition (pCVD) diamond substrates and is equipped with readout electronics up to 2 GHz analog bandwidth. In this paper we present the design of the pCVD-detector system and results of tests performed in various particle accelerator based facilities. Measurements performed in clinical high energy photon beams agreed within 1.2% with results obtained by standard ionization chambers.

Frais-Kölbl, Helmut; Griesmayer, Erich; Schreiner, Thomas; Georg, Dietmar; Pernegger, Heinz

2007-10-01

269

Evaluation of responses of an air medical helicopter program during a comprehensive emergency response drill  

Microsoft Academic Search

IntroductionParticipation of air medical service programs in emergency response drills can reveal important information regarding preparedness. This article reviews one program's participation in a drill, the evaluation methods used to assess the program's response, and the findings of the drill evaluation.

Karyl J. Burns; Kenneth Robinson; Eric G. Lowe

2007-01-01

270

77 FR 5734 - New Medical Criteria for Evaluating Language and Speech Disorders  

Federal Register 2010, 2011, 2012, 2013

...0960-AG21 New Medical Criteria for Evaluating Language and Speech Disorders AGENCY: Social...whether to propose new rules for evaluating language and speech disorders. The new rules would apply to disability claims involving language and speech disorders in adults and...

2012-02-06

271

Automated medical information system of the Los Alamos Scientific Laboratory  

SciTech Connect

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

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

1980-01-01

272

Evaluating Task Performance for a Unidirectional Controlled Language Medical Speech Translation System  

Microsoft Academic Search

We present a task-level evaluation of the French to English version of MedSLT, a medium-vocabulary unidirectional con- trolled language medical speech transla- tion system designed for doctor-patient diagnosis interviews. Our main goal was to establish task performance levels of novice users and compare them to expert users. Tests were carried out on eight medical students with no previous expo- sure

Nikos Chatzichrisafis; Pierrette Bouillon; Manny Rayner; Marianne Santaholma; Marianne Starlander; Beth Ann Hockey

2006-01-01

273

Evaluation of an Instrument To Predict Successful Medical Researchers.  

ERIC Educational Resources Information Center

An instrument to measure the 13 personal characteristics of productive researchers described by C. J. Bland and others (1986, 1990) was developed and evaluated. The total eligible sample was 404 full-time assistant professor faculty members in the tenure track at Case Western Reserve University in Cleveland (Ohio). A random sample of 100…

Hekelman, Francine P.; And Others

274

Technologies for the Pseudonymization of Medical Data: A Legal Evaluation  

E-print Network

research directions currently pursued for privacy protection in e-health and evaluates common on privacy systems and researchers in identifying the gaps of current approaches for privacy protection as a basis for further research. I. INTRODUCTION Privacy is one of the fundamental issues in health care

275

Revised medical criteria for evaluating genitourinary disorders. Final rules.  

PubMed

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

2014-10-10

276

Conversion of Questionnaire Data  

SciTech Connect

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

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

2011-01-01

277

Evaluating the quality of interaction between medical students and nurses in a large teaching hospital  

PubMed Central

Background Effective health care depends on multidisciplinary collaboration and teamwork, yet little is known about how well medical students and nurses interact in the hospital environment, where physicians-in-training acquire their first experiences as members of the health care team. The objective of this study was to evaluate the quality of interaction between third-year medical students and nurses during clinical rotations. Methods We surveyed 268 Indiana University medical students and 175 nurses who worked at Indiana University Hospital, the School's chief clinical training site. The students had just completed their third year of training. The survey instrument consisted of 7 items that measured "relational coordination" among members of the health care team, and 9 items that measured psychological distress. Results Sixty-eight medical students (25.4%) and 99 nurses (56.6%) completed the survey. The relational coordination score (ranked 1 to 5, low to high), which provides an overall measure of interaction quality, showed that medical students interacted with residents the best (4.16) and with nurses the worst (2.98; p < 0.01). Conversely, nurses interacted with other nurses the best (4.36) and with medical students the worst (2.68; p < 0.01). Regarding measures of psychological distress (ranked 0 to 4, low to high), the interpersonal sensitivity score of medical students (1.56) was significantly greater than that of nurses (1.03; p < 0.01), whereas the hostility score of nurses (0.59) was significantly greater than that of medical students (0.39; p < 0.01). Conclusion The quality of interaction between medical students and nurses during third-year clinical rotations is poor, which suggests that medical students are not receiving the sorts of educational experiences that promote optimal physician-nurse collaboration. Medical students and nurses experience different levels of psychological distress, which may adversely impact the quality of their interaction. PMID:16638142

Nadolski, Gregory J; Bell, Mary A; Brewer, Barbara B; Frankel, Richard M; Cushing, Herbert E; Brokaw, James J

2006-01-01

278

[Comprehensive evaluation of medical system by using generalized fuzzy set theory].  

PubMed

Based on the theory of generalized fuzzy set, a comprehensive evaluation model has been built, which provides residuals estimate, evaluate function and test methods needed. Verified by the prognosis of 30 patients with myocardial infarction in a motion experiment during rehabilitation, its coincidence rate was found to be above 90%. This model can be developed and applied to medical system and other systems for evaluations as well. PMID:11791293

Fan, Z

2001-12-01

279

The MPC&A Questionnaire  

SciTech Connect

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

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

2011-01-01

280

Performance evaluation based on cluster validity indices in medical imaging  

NASA Astrophysics Data System (ADS)

Exploratory data-driven methods such as unsupervised clustering are considered to be hypothesis-generating procedures, and are complementary to the hypothesis-led statistical inferential methods in functional magnetic resonance imaging (fMRI). The major problem with clustering of real bioimaging data is that of deciding how many clusters are present. This motivates the application of cluster validity techniques in order to quantitatively evaluate the results of the clustering algorithm. In this paper, we apply three different cluster validity techniques, namely, Kim's index, Calinski Harabasz index, and the intraclass index to the evaluation of the clustering results of fMRI data. The benefits and major limitations of these cluster validity techniques are discussed based on the achieved results of several datasets.

Lange, Oliver; Meyer-Bäse, Anke; Wismüller, Axel

2006-04-01

281

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

PubMed

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

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

2014-06-01

282

[SIGAPS: a software package for the evaluation of medical publications].  

PubMed

The "système d'interrogation, de gestion et d'analyse des publications scientifiques" (System for Identification, Management and Analysis of Scientific Publications), or SIGAPS, is an innovative tool of French design that enables the identification and analysis of bibliographic references produced by a given researcher or unit using the Medline database (PubMed). This evaluation takes into account the author's rank of signature and the impact factor of the journal of publication within the discipline in question. The limits are those of the impact factor. Analyses produced by SIGAPS enable financial assessment to be made by hospitals. PMID:25209819

Derancourt, C; Devos, P; Moore, N; Rouvillain, J-L

2014-01-01

283

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

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

2014-01-01

284

Hospice and palliative medicine: curriculum evaluation and learner assessment in medical education.  

PubMed

Major efforts have been pursued to improve palliative care education for physicians at all levels of their training. Such changes include the incorporation of palliative care curriculum and guidelines, an established process for competency-based evaluation and certification, faculty development, innovative educational experiences, the improvement of textbooks, and the establishment of accredited palliative medicine fellowships. Hospice and palliative medicine (HPM) has been clearly defined as a subspecialty and a crucial area of medical education. As innovative curricular approaches have become available to educate medical and other interprofessional trainees, this article aims to describe different models and methods applied in curriculum evaluation, tailoring such approaches to the field of palliative medicine. A stepwise process of curriculum development and evaluation is described, focusing on available curriculum evaluation competency-based tools for each level of learners. As HPM evolves and its educational programs grow, curriculum evaluation will provides invaluable feedback to institutions and programs in many ways. PMID:22268408

Sanchez-Reilly, Sandra; Ross, Jeanette S

2012-01-01

285

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

PubMed Central

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

Arbuckle, Luk; Jonker, Elizabeth; Anderson, Kevin

2012-01-01

286

Commentary: Accurate medical student performance evaluations and professionalism assessment: "Yes, we can!".  

PubMed

In this issue, Brenner and colleagues report a correlation between the frequency of negative comments in the "dean's letter" and future problems during a psychiatry residency program. Their study makes an important contribution to the body of literature on factors that predict professionalism-related performance issues during residency and suggests the importance of dependable data that can be used to predict and hopefully intervene early in the training of future physicians across all specialties. As we think about the implications of this study, important issues involving the standardization of medical student performance evaluations (MSPEs) and the assessment of professionalism are raised. Despite the Association of American Medical Colleges' 2002 guidelines for MSPEs, subsequent studies have revealed that considerable inconsistencies among the evaluations still remain. To enhance the accuracy and usefulness of the MSPEs in predicting "problem residents," improved standardization is necessary. Moreover, Brenner's findings call for the development of more vigorous assessment of professionalism in undergraduate medical education, as well as more accurate reporting of these assessments to residency programs. Longitudinal assessment of professionalism with robust tools allows for the identification and possible remediation of students early in their undergraduate training. Insofar as unprofessional behavior in medical school is predictive not only of problems during residency but also of later disciplinary action against the practicing physician by state medical boards, it is the obligation of the medical school to the residency program and to society to identify and report these behaviors. PMID:20592502

Green, Marianne; Zick, Amanda; Thomas, John X

2010-07-01

287

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

PubMed Central

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

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

2013-01-01

288

Spectral analysis for evaluation of myocardial tracers for medical imaging  

SciTech Connect

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.

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

2000-10-11

289

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

PubMed Central

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

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

2014-01-01

290

A questionnaire-based evaluation of the veterinary cordon fence separating wildlife and livestock along the boundary of the Kruger National Park, South Africa.  

PubMed

Veterinary cordon fences are used in Southern Africa to separate wildlife from domestic animals in order to prevent transmission of infectious diseases. Such fences are a control method recognized by the World Organization for Animal Health (OIE) for establishing disease-free zones in beef exporting countries. However, few studies have evaluated the ecological impact of these physical barriers or their effectiveness at a multispecies level. We examined the permeability of one such barrier, along 357 km of the western and southern boundary of the Kruger National Park (KNP) during 2007. Information was gathered using a semi-structured questionnaire implemented among 32 teams of fence maintenance workers. Data were analyzed to identify (a) the main causes of fence damage, (b) the seasonality, location and duration of fence repairs, (c) high permeability areas for elephant (Loxodonta africana), kudu (Tragelaphus strepsiceros), impala (Aepyceros melampus), buffalo (Syncerus caffer) and warthog (Phacochoerus africanus), and (d) the influence of fence electrification, rivers and elephant damage on the frequency of observation of wildlife species outside the KNP estimated during the year. Human and elephant damage were the most common reasons for fence repairs. Elephant and buffalo were the most and least common large mammal species reported observed outside the KNP (1076 and 162 reports/year), respectively. Cattle incursions into the KNP were also reported in 44% of the fence sections. Electrification of the fence was an important factor explaining differences in estimated wildlife species observations outside the KNP during the year. Correlations between estimations of observed species suggested that fence gaps created by elephants might be used by the other wildlife species. Estimated annual counts of kudu, impala and buffalo, but not warthog, were found to correlate with elephant observations. Negative binomial regression models were developed to explore the relationships between observed estimations of different wildlife species outside the KNP the fence, electrification of fence sections and the presence of watercourses, suggesting that kudu, impala and buffalo could use elephant induced fence damage to leave the KNP. The questionnaire was able to evaluate fence integrity and identify sections where integrity was sub-optimal for separating wildlife from domestic livestock species. If combined with more quantitative methods and applied on a routine basis, it could provide an efficient and cost-effective method for monitoring the effectiveness of physical barriers to contain wildlife within protected areas such as is the case with veterinary cordon fences in Southern Africa. PMID:21536336

Jori, F; Brahmbhatt, D; Fosgate, G T; Thompson, P N; Budke, C; Ward, M P; Ferguson, K; Gummow, B

2011-07-01

291

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

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

2011-01-01

292

Ethical and professional considerations providing medical evaluation and care to refugee asylum seekers.  

PubMed

A significant number of asylum seekers who largely survived torture live in the United States. Asylum seekers have complex social and medical problems with significant barriers to health care access. When evaluating and providing care for survivors, health providers face important challenges regarding medical ethics and professional codes. We review ethical concerns in regard to accountability, the patient-physician relationship, and moral responsibilities to offer health care irrespective of patient legal status; competing professional responsibility toward society and the judiciary system; concerns about the consistency of asylum seekers' claims; ethical concerns surrounding involving trainees and researching within the evaluation setting; and the implication of broader societal views towards rights and social justice. We discuss contributing factors, including inadequate and insufficient provider training, varying and inadequate institutional commitment, asylum seekers' significant medical and social problems, and the broader health and social system issues. We review existing resources to address these concerns and offer suggestions. PMID:23767428

Asgary, Ramin; Smith, Clyde L

2013-01-01

293

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

PubMed Central

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

2012-01-01

294

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

PubMed

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

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

2012-01-01

295

The medical evaluation of the sexually abused child.  

PubMed

The diagnosis of suspected sexual abuse is nearly always based on a description of abuse provided by the child. The physician should invite a child to describe his or her sexual victimization in detail if such a "disclosure" interview has not already occurred, if the child seems ready to describe the abuse, and if a child protective services worker has not yet been notified of the suspected abuse. If an allegedly abused child has already been carefully interviewed, however, the physician should instead obtain information from the child's parents or other appropriate adults to determine how best to address the questions being raised. Nonspecific behavioral or somatic complaints unaccompanied by a specific description of sexual abuse should generate a differential diagnosis for further investigation. The goals of the physical examination of the sexually abused child are to identify abnormalities that warrant further diagnostic efforts or treatment, to obtain specimens to screen the patient for sexually transmitted infections, and to make observations and take specimens that may corroborate the patient's history of victimization. These goals should be met in the context of a standard, complete physical examination. The advisability of postcoital contraception should be discussed with every postmenarcheal victim seen within 72 hours after a rape. Because gonorrhea and chlamydial infections are the most prevalent STDs seen after sexual abuse and are often asymptomatic, universal screening for these infections is recommended. Parents of all abused children should be given an opportunity to make an informed choice about HIV screening. Because the risk of acquiring STDs is low, routine antibiotic prophylaxis is not recommended for sexually abused children. Physicians must report all cases of suspected sexual abuse to states' child protective services agencies. Failure to do so can incur legal penalties. Reporting sexual assaults of children to local law enforcement officials is strongly advised. The long-term impact of sexual abuse on children's psychological adjustment is unpredictable. In the short term, children's circumstances vary widely. Some show no evidence of psychological distress. Others have severe, pervasive difficulty. Office counseling by the empathetic and knowledgeable primary care physician, short-term crisis counseling, a more formal psychological evaluation, and longer-term psychotherapy may be recommended for individual children, depending on the nature and severity of each child's symptoms, his or her parents' preference, and the availability of services in the child's community. PMID:2199918

Paradise, J E

1990-08-01

296

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

ERIC Educational Resources Information Center

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

Stevens, Ronald H.; And Others

1989-01-01

297

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

E-print Network

studies Primary Research Question: Is the Headroom Method a useful tool for device developers? DoesThe Headroom Method of early economic evaluation of medical devices: A useful tool for device Life Year] Headroom Determines the maximum reimbursable price of the new device Can the manufacturer

Oakley, Jeremy

298

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

ERIC Educational Resources Information Center

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…

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

2012-01-01

299

An Evaluation of a Medical School Smoking Policy: A Student Research Project  

ERIC Educational Resources Information Center

A medical school at a Southeastern university implemented a tobacco free policy to promote a healthy environment for its employees, patients, and visitors. Eighteen months post policy implementation, undergraduate students in the Department of Health Education and Promotion evaluated the satisfaction, awareness, and perceived…

Decker, Jesse; Ronay, Ashley; Telfer, Megan; Becker, Craig M.; Cremeens, Jennifer; Swinker, Marian

2012-01-01

300

A Methodology for Evaluation of Boundary Detection Algorithms on Medical Images  

Microsoft Academic Search

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

Vikram Chalana; Yongmin Kim

1997-01-01

301

Integrating and Evaluating Geriatrics in Medical School: A Novel Approach for the Challenge  

ERIC Educational Resources Information Center

Brown Medical School developed a comprehensive curriculum in which enriched aging content increased from 22 to 80 hours in preclerkship courses and was also added for clerkships, residencies, and nongeriatrician physicians. Innovative evaluation strategies are also described. Highlights include "treasure hunts" in the anatomy laboratory, a…

Besdine, Richard W.; Shield, Renee R.; McNicoll, Lynn; Campbell, Susan E.; Wetle, Terrie

2011-01-01

302

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

PubMed

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

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

303

Evaluation of Medical Expert Systems: A Case Study in Performance Assessment  

PubMed Central

A number of methods for critically evaluating the performance of medical expert systems in practice are surveyed. To illustrate the concepts involved, clinical evaluation of the performance of a computer-based decision aid for patients having transient ischemic attacks is discussed in some detail. Two factors are identified as crucial in the rapid development and testing of this system: the availability of a domain-independent expert system generator, and the existence of a database of relevant patient records.

Reggia, James A.

1985-01-01

304

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

Microsoft Academic Search

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

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

2011-01-01

305

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

NSDL National Science Digital Library

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

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

2001-06-01

306

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

NASA Technical Reports Server (NTRS)

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

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

2003-01-01

307

The Importance of Professional Activity to Personnel Decisions for Medical Technologists in Academia.  

ERIC Educational Resources Information Center

Criteria related to merit evaluations of medical technology faculty were evaluated, based on a survey of members of the American Society for Medical Technology's scientific section on education. Questionnaire responses were obtained from 27 academic institutions. Criteria included publications, institutional committee activity, research, clinical…

Miller, Sharon; Kimball, Olive M.

308

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

PubMed Central

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

2014-01-01

309

Development and Examination of a Rubric for Evaluating Point-of-Care Medical Applications for Mobile Devices.  

PubMed

The rapid development and updates of mobile medical resource applications (apps) highlight the need for an evaluation tool to assess the content of these resources. The purpose of the study was to develop and test a new evaluation rubric for medical resource apps. The evaluation rubric was designed using existing literature and through a collaborative effort between a hospital and an academic librarian. Testing found scores ranging from 23% to 88% for the apps. The evaluation rubric proved able to distinguish levels of quality within each content component of the apps, demonstrating potential for standardization of medical resource app evaluations. PMID:25611442

Butcher, Robyn; MacKinnon, Martin; Gadd, Kathleen; LeBlanc-Duchin, Denise

2015-01-01

310

Questionnaire Design: Asking Questions with a Purpose  

NSDL National Science Digital Library

This short document guides the user through the stages of creating and implementing an effective questionnaire. The types of questions and how they should be worded are addressed, and many good examples of the different types of questions that could go into a questionnaire are presented. This resource is intended for novice evaluators.

Taylor-Powell, Ellen

1998-05-01

311

Wesleyan University Student Questionnaire.  

ERIC Educational Resources Information Center

This questionnaire assesses marijuana use practices in college students. The 30 items (multiple choice or free response) are concerned with personal and demographic data, marijuana smoking practices, use history, effects from smoking marijuana, present attitude toward the substance, and use of other drugs. The Questionnaire is untimed and…

Haagen, C. Hess

312

Developing questionnaires for educational research: AMEE Guide No. 87  

PubMed Central

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

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

2014-01-01

313

[Development and evaluation of the medical imaging distribution system with dynamic web application and clustering technology].  

PubMed

It has been noted that the downtime of medical informatics systems is often long. Many systems encounter downtimes of hours or even days, which can have a critical effect on daily operations. Such systems remain especially weak in the areas of database and medical imaging data. The scheme design shows the three-layer architecture of the system: application, database, and storage layers. The application layer uses the DICOM protocol (Digital Imaging and Communication in Medicine) and HTTP (Hyper Text Transport Protocol) with AJAX (Asynchronous JavaScript+XML). The database is designed to decentralize in parallel using cluster technology. Consequently, restoration of the database can be done not only with ease but also with improved retrieval speed. In the storage layer, a network RAID (Redundant Array of Independent Disks) system, it is possible to construct exabyte-scale parallel file systems that exploit storage spread. Development and evaluation of the test-bed has been successful in medical information data backup and recovery in a network environment. This paper presents a schematic design of the new medical informatics system that can be accommodated from a recovery and the dynamic Web application for medical imaging distribution using AJAX. PMID:17344636

Yokohama, Noriya; Tsuchimoto, Tadashi; Oishi, Masamichi; Itou, Katsuya

2007-01-20

314

Ionizing Radiation Exposure among Kidney Transplant Recipients Due to Medical Imaging during the Pretransplant Evaluation  

PubMed Central

Summary Background and objectives Kidney transplant recipients are at increased risk for malignancies. One recognized risk for malignancy is ionizing radiation. The purpose of this study was to determine, among kidney transplant recipients, the medical imaging procedures that contribute to radiation exposure and their cumulative radiation exposure, as a result of their pretransplant evaluation. Design, setting, participants, & measurements Medical records of patients who received a first, kidney-alone transplant during 2008 at a single transplant center were examined. This study identified medical imaging procedures that were performed as prerequisites for deceased donor wait-listing or receipt of live donor kidney transplants and to maintain active status on the wait list. Frequencies of medical imaging procedures and cumulative effective doses of radiation were calculated. Results Among the 172 kidney transplant recipients, 905 procedures were performed. Seventy patients (40.7%) were exposed to low dose (0–20 mSv), 51 (29.7%) were exposed to moderate dose (>20–50 mSv), 28 (16.3%) were exposed to high dose (>50–100 mSv), and 23 (13.4%) were exposed to very high dose (>100 mSv) cumulative effective radiation. Nuclear stress tests accounted for 82.9% of the total radiation exposure. In multivariate analysis, older age, diabetes, and black race were associated with exposure to >20 mSv radiation during the pretransplant evaluation. Conclusions Kidney transplant recipients are exposed to large amounts of ionizing radiation from medical imaging during the pretransplant evaluation. The effects of radiation upon malignancy risk and strategies to reduce this radiation exposure warrant further investigation. PMID:23393106

Nguyen, Kim N.; Weng, Francis L.

2013-01-01

315

Can UK healthcare workers remotely support medical education in the developing world?: Focus group evaluation  

PubMed Central

Objectives To evaluate the feasibility of providing regular, live, text-based teaching to medical students and junior doctors in Somaliland using a dedicated case-based medical education website (www.MedicineAfrica.com). Design Review of MedicineAfrica database for details of teaching sessions held in Somaliland from December 2008-October 2010 and evaluation of user experiences through focus groups. Setting King's College Hospital, London, UK and Ahmoud University, Borama, Somaliland. Participants Final year medical students, newly graduated interns and second year interns at Ahmoud University, Borama, Somaliland. Main outcome measures Qualitative and quantitative user rating of online case-based tutorials in the context of pre-existing educational opportunities available to them. Results Regular online teaching sessions are received enthusiastically by students and junior doctors and are reported to improve their clinical practice. Conclusions Despite technological limitations in Somaliland, a live text-based teaching service can be delivered effectively and streamlined with local curricula. This represents an alternative to traditional static teaching methodologies currently used in international medical education. PMID:22908028

Bowen, JST; Southgate, RJ; Ali, AM; Little, SJ; Liakos, A; Greaves, F; Strachan, JM; Baraco, AFH; Adem, G; Abdillahi, M; Handuleh, J; Reed, K; Walker, F; Zeron, J; Strachan, M; Bowen, S; Hellyer, T; Hersheson, J; Whitwell, S; Fyfe, M; Phillips, JC; Trim, C; Johnson, O; Leather, AJM; Al-Hadithy, N; Finlayson, AET

2012-01-01

316

Creation and evaluation cycle of a distance module for nursing undergraduates, named "medication administration".  

PubMed

The objective of this study was to describe the creation cycle of the module "medication administration" and to evaluate it. It is an evaluation research, using the Engagement Theory as a methodological/theoretical approach carried out in two phases: the first related to the creation of the module and the second to its evaluation by specialists using the instrument based on the Model of Analytical Appreciation of Hypermedia Systems. The creation cycle of the module followed the following steps: gathering the objectives of the module, organization of the content, selection of the media, creation of the classes and activation of the learning process. It was evaluated by contents specialists, informatics specialists and nursing students. The evaluation of the distribution and the accessibility of the contents, the utilization of images, the clarity and ease of execution of the program were positive. The module was considered appropriate to be used with nursing students. PMID:18392535

Telles Filho, Paulo Celso Prado; Cassiani, Silvia Helena De Bortoli

2008-01-01

317

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

PubMed Central

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

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

2010-01-01

318

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

PubMed

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

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

2010-01-01

319

The validity of a questionnaire-based epidemiological study of occupational dermatosis.  

PubMed

The aim of this study was to evaluate the validity of a questionnaire and medical anamnesis to identify persons with dermatitis in an occupational setting. The design was a clinical epidemiological cross-sectional study. The study was performed between the second and fourth week of January 2001. A questionnaire was followed a week later by a medical occupational interview and a clinical dermatological examination, including a comprehensive patch test with potential workplace chemicals. The anamnesis and the clinical examination were made independently by occupational and dermatological physicians, and the skin examination was performed blinded to anamnestic data. The setting was the mother plants of a Danish-based international company producing wind turbine systems. The study population was a workplace cohort, highly exposed to epoxy resin systems and other chemicals, and totalled 724 production workers at 4 facilities. The rate of participation was 84.7%. Using enquete questions of current skin rash against the clinical presence of dermatitis, we found a sensitivity of 22% and a specificity of 89%, compared to 45% and 87%, respectively, when the anamnestic work history, taken by an occupational physician, was the screening parameter. Using 'workplace periodic prevalence' of dermatitis, we found sensitivities in the range of 63-76% by a questionnaire and 70-83% by medical anamnesis. Questionnaire screening by skin symptoms gave the highest values for redness, a sensitivity of 33% and a specificity of 76%, and decreasing validity parameters as more symptoms were added to the list of screening questions. We found that the use of a questionnaire and medical anamnesis were problematic, when the purpose was screening for contact dermatitis and allergy, in this industrial cohort manufacturing reinforced plastic products. But these instruments might be useful for epidemiological surveillance, when the questionnaire has been validated in the given occupational setting. PMID:17026696

Carstensen, Ole; Rasmussen, Kurt; Pontén, Ann; Gruvberger, Birgitta; Isaksson, Marléne; Bruze, Magnus

2006-11-01

320

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

PubMed Central

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

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

2012-01-01

321

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

PubMed Central

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

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

2014-01-01

322

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

PubMed Central

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

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

2013-01-01

323

The Shorter PROMIS Questionnaire  

Microsoft Academic Search

There is both a theoretical and clinical need to develop a questionnaire that assesses a range of addictive behaviours. The Shorter PROMIS Questionnaire (SPQ) is a 16-scale self-report instrument assessing the use of nicotine, recreational drugs, prescription drugs, gambling, sex, caffeine, food bingeing, food starving, exercise, shopping, work, relationships dominant and submissive, and compulsive helping dominant and submissive. Clinical cut-off

George Christo; Susan L Jones; Samantha Haylett; Geoffrey M Stephenson; Robert M. H Lefever; Robin Lefever

2003-01-01

324

Design, Evaluation and Validation, and Analysis of a Five-Dimensional Leadership Questionnaire for a Project Leader in an International Scientific Research Environment  

E-print Network

The basic goal of the study is to develop a five dimensional leadership questionnaire for a project leader in an international scientific research laboratory and to verify statistically the independency of the individual questions from each other to ensure low overlap in content and meaning by achieving low correlation coefficients. This leadership questionnaire is designed to examine the behavior, personality, and character attributes of a project or experiment team leader in an international scientific research laboratory as perceived by her/his team members during the planning, design, implementation, and execution of the project itself. The leadership questionnaire is applied to a sample of about 40 participants from different international scientific research laboratories. This sample should represent in age, rank, and profession the whole population of employees and team members currently working in different international scientific research laboratories dealing with physics, informatics, and engineeri...

Wilfinger, Roman

2008-01-01

325

Student Perspectives of Imaging Anatomy in Undergraduate Medical Education  

ERIC Educational Resources Information Center

Radiological imaging is gaining relevance in the acquisition of competencies in clinical anatomy. The aim of this study was to evaluate the perceptions of medical students on teaching/learning of imaging anatomy as an integrated part of anatomical education. A questionnaire was designed to evaluate the perceptions of second-year students…

Machado, Jorge Americo Dinis; Barbosa, Joselina Maria Pinto; Ferreira, Maria Amelia Duarte

2013-01-01

326

The PRCI study: design of a randomized clinical trial to evaluate a coping intervention for medical waiting periods used by women undergoing a fertility treatment  

PubMed Central

Background Many medical situations necessitate a stressful period of waiting for potentially threatening test results. The medical waiting period is often associated with negative anticipatory anxiety and rumination about the outcome of treatment. Few evidence-based self-help coping interventions are available to assist individuals manage these periods. Theory and research suggest that positive reappraisal coping strategies may be particularly useful for this type of unpredictable and uncontrollable stressful context. The objective of this study is to investigate the effects of a Positive Reappraisal Coping Intervention (PRCI) on psychological well-being of women waiting for the outcome of their fertility treatment cycle. Methods/Design In a three-armed randomized controlled trial, the effectiveness of the PRCI will be tested. Consecutive patients undergoing in vitro fertilisation in a Dutch university hospital and meeting selection criteria will be invited to participate. Those who agree will be randomized to one of three experimental groups (N=372). The PRCI Intervention group will receive the intervention that comprises an explanatory leaflet and the 10 statements designed to promote positive reappraisal coping, to be read at least once in the morning, once in the evening. To capture the general impact of PRCI on psychological wellbeing patients will complete questionnaires before the waiting period (pre-intervention), on day ten of the 14-day waiting period (intervention) and six weeks after the start of the waiting period (post-intervention). To capture the specific effects of the PRCI during the waiting period, patients will also be asked to monitor daily their emotions and reactions during the 14-day waiting period. The primary outcome is general anxiety, measured by the Hospital Anxiety and Depression Scale. Secondary outcomes are positive and negative emotions during the waiting period, depression, quality of life, coping and treatment outcome. During recruitment for the RCT it was decided to add a fourth non-randomized group, a PRCI Control group that received the PRCI and completed the questionnaires but did not complete daily monitoring. Discussion Positive reappraisal is one of the few ways of coping that has been shown to be associated with increased wellbeing during unpredictable and uncontrollable situations like medical waiting periods. A simple evidence based self-help intervention could facilitate coping during this common medical situation. This RCT study will evaluate the value of a self-help coping intervention designed for medical waiting periods in women undergoing fertility treatment. Trial registration The study is registered at the Clinical Tials.gov (NCT01701011). PMID:24004640

2013-01-01

327

A reference data set for the evaluation of medical image retrieval systems.  

PubMed

Content-based image retrieval is starting to become an increasingly important factor in medical imaging research and image management systems. Several retrieval systems and methodologies exist and are used in a large variety of applications from automatic labelling of images to diagnostic aid and image classification. Still, it is very hard to compare the performance of these systems as the used databases often contain copyrighted or private images and are thus not interchangeable between research groups, also for patient privacy. Most of the currently used databases for evaluating systems are also fairly small which is partly due to the high cost in obtaining a gold standard or ground truth that is necessary for evaluation. Several large image databases, though without a gold standard, start to be available publicly, for example by the NIH (National Institutes for Health). This article describes the creation of a large medical image database that is used in a teaching file containing more than 8,700 varied medical images. The images are anonymised and can be exchanged free of charge and copyright. Ground truth (a gold standard) has been obtained for a set of 26 images being selected as query topics for content-based query by image example. To reduce the time for the generation of ground truth, pooling methods well known from the text or information retrieval field have been used. Such a database is a good starting point for comparing the current image retrieval systems and to measure the retrieval quality, especially within the context of teaching files, image case databases and the support of teaching. For a comparison of retrieval systems for diagnostic aid, specialised image databases, including the diagnosis and a case description will need to be made available, as well, including gold standards for a proper system evaluation. A first evaluation event for image retrieval is foreseen at the 2004 CLEF conference (Cross Language Evaluation Forum) to compare text-and content-based access mechanism to images. PMID:15294308

Müller, Henning; Rosset, Antoine; Vallée, Jean-Paul; Terrier, François; Geissbuhler, Antoine

2004-09-01

328

Evaluating medical marijuana dispensary policies: spatial methods for the study of environmentally-based interventions.  

PubMed

In 1996, California was the first state to pass a Compassionate Use Act allowing for the legal use of marijuana for medical purposes. Here we review several current policy and land use environmental interventions designed to limit problems related to the influx of medical marijuana dispensaries across California cities. Then we discuss the special challenges, solutions, and techniques used for studying the effects of these place-based policies. Finally, we present some of the advanced spatial analytic techniques that can be used to evaluate the effectiveness of environmental interventions, such as those related to reducing problems associated with the proliferation of medical marijuana dispensaries. Further, using data from a premise survey of all the dispensaries in Sacramento, this study will examine what characteristics and practices of these dispensaries are related to crime within varying distances from the dispensaries (e.g., 100, 250, 500, and 1,000 feet). We find that some security measures, such as security cameras and having a door man outside, implemented by medical marijuana dispensary owners might be effective at reducing crime within the immediate vicinity of the dispensaries. PMID:22821130

Freisthler, Bridget; Kepple, Nancy J; Sims, Revel; Martin, Scott E

2013-03-01

329

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

PubMed Central

Background Medication nonadherence has a significant impact on the health and wellbeing of individuals with chronic disease. Several mobile medication management applications are available to help users track, remember, and read about their medication therapy. Objective The objective of this study was to explore the usability and usefulness of existing medication management applications for older adults. Methods We recruited 35 participants aged 50 and over to participate in a 2-hour usability session. The average age ranged from 52-78 years (mean 67 years) and 71% (25/35) of participants were female. Each participant was provided with an iPad loaded with four medication management applications: MyMedRec, DrugHub, Pillboxie, and PocketPharmacist. These applications were evaluated using the 10 item System Usability Scale (SUS) and visual analog scale. An investigator-moderated 30-minute discussion followed, and was recorded. We used a grounded theory (GT) approach to analyze qualitative data. Results When assessing mobile medication management applications, participants struggled to think of a need for the applications in their own lives. Many were satisfied with their current management system and proposed future use only if cognition and health declined. Most participants felt capable of using the applications after a period of time and training, but were frustrated by their initial experiences with the applications. The early experiences of participants highlighted the benefits of linear navigation and clear wording (eg, “undo” vs “cancel”) when designing for older users. While there was no order effect, participants attributed their poor performance to the order in which they tried the applications. They also described being a part of a technology generation that did not encounter the computer until adulthood. Of the four applications, PocketPharmacist was found to be the least usable with a score of 42/100 (P<.0001) though it offered a drug interaction feature that was among the favorite features of participants. The usability scores for MyMedRec (56/100), DrugHub (57/100), and Pillboxie (52/100) were not significantly different and participants preferred MyMedRec and DrugHub for their simple, linear interfaces. Conclusions With training, adults aged 50 and over can be capable and interested in using mHealth applications for their medication management. However, in order to adopt such technology, they must find a need that their current medication management system cannot fill. Interface diversity and multimodal reminder methods should be considered to increase usability for older adults. Lastly, regulation or the involvement of older adults in development may help to alleviate generation bias and mistrust for applications. PMID:25099993

Gates, Allison

2014-01-01

330

Evaluation of My Medication Passport: a patient-completed aide-memoire designed by patients, for patients, to help towards medicines optimisation  

PubMed Central

Objectives A passport-sized booklet, designed by patients for patients to record details about their medicines, has been developed as part of a wider project focusing on improving prescribing in the elderly (‘ImPE’). We undertook an evaluation of ‘My Medication Passport’ to gain an understanding of its value to patients and how it may be used in communications about medicines. Setting The Passport was launched in secondary care with the initial users being older people discharged home after an admission to one of the four North West London participating Trusts. The uptake subsequently spread to other (community) locations and other age groups. Participants We recruited more than 200 patients from a cohort who had been given a passport as part of the improvement projects at one of four sites. Of them, 63% (133) completed the structured telephone questionnaire including 27% for whom English was not their first language. Approximately half of the respondents were male and 40% were over 70?years of age. Results More than half of the respondents had found their medication passport useful or helpful in some way; 42% through sharing details from it with others (most frequently family, carer or doctor) or using it as a platform for conversations with healthcare professionals. One-third of those questioned carried the passport with them at all times. Conclusions My Medication Passport has been positively evaluated; we have a better understanding of how it is used by patients, what they are recording and how it can be an aid to dialogue about medicines with family, carers and healthcare professionals. Further development and spread is underway including an App for smartphones that will be subject to wider evaluation to include feedback from clinicians. PMID:25138809

Barber, Susan; Thakkar, Kandarp; Marvin, Vanessa; Franklin, Bryony Dean; Bell, Derek

2014-01-01

331

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

NSDL National Science Digital Library

Although there are a number of medical schools in the Caribbean islands, very few reports have come out so far in the literature regarding the efficacy of small-group teaching. The introduction of small-group teaching in the gross anatomy laboratory one and a half years ago at St. Matthew's University (SMU) on Grand Cayman appears to have had a significant positive impact on the academic achievement of students in anatomy. This study surveyed the responses of the students to the small-group learning method in gross anatomy at SMU using a structured questionnaire. The results show that our students prefer this small-group learning method over a completely self-directed method in the gross anatomy lab because the study materials were carefully chosen and the study objectives were demonstrated by the resource person. However, teacher-centered teaching was deliberately avoided by fostering problem-solving skills in the anatomy lab sessions. Another aim of the small-group teaching at SMU was to develop the interpersonal and communication skills of the students, which are important in their later education and career.

Dr. Lap Ki Chan (The University of Hong Kong)

2008-01-01

332

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

ERIC Educational Resources Information Center

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…

Alfici, C.; And Others

333

Development and Evaluation of a Questionnaire for Assessment of Determinants of Weight Disorders among Children and Adolescents: The Caspian-IV Study  

PubMed Central

Background: Little experience exists on valid and reliable tools for assessment of the determinants of underweight and overweight in children and adolescents living in the Middle-East and North Africa (MENA). This study aimed to develop a valid and wideranging questionnaire for assessment of these parameters in a nationwide sample of Iranian children and adolescents. Methods: This national study was conducted in 31 provinces in Iran. The first phase consisted of focus group discussion with 275 children and adolescents and their parents. After a qualitative content analysis, the initial items were extracted. In the next step, the face validity was assessed by expert panelists using the quantitative method of the Impact Score. To assess the content validity, the content validity rate (CVR) and the content validity index (CVI) were determined. The internal consistency was examined by Cronbach alpha, and its test-retest reliability was determined. The socio-demographic variables, perinatal factors, lifestyle factors, family history, knowledge and attitude were assessed. Dietary intakes were assessed by a validated 168-item semi-quantitative food frequency questionnaire. A validated questionnaire for quality of life was filled in anonymously. Results: A team of expert researchers conducted the data analysis of 576 interviews by using qualitative content analysis method. The analysis process began by determining the semantic units about the concepts studied. The initial questionnaire was developed in four domains by including Likert scale questions. In the face validity step, all questions of the primary questionnaire obtained a score of more than 1.5. In the phase of CVR assessment, 6 questions obtained a score of less than 0.62, and were omitted. The rest of questions were assessed for CVI, and got a score of more than 0.75. Cronbach's alpha coefficient of the whole questionnaire was 0.97, and the Pearson correlation coefficient of the test-retest phase was 0.94. Conclusion: The developed questionnaire is a valid and reliable tool for assessment of the determinants of weight disorders in a nationally representative sample of children and adolescents in the MENA. PMID:23112896

Kelishadi, Roya; Majdzadeh, Reza; Motlagh, Mohammad-Esmaeil; Heshmat, Ramin; Aminaee, Tahereh; Ardalan, Gelayol; Esmaillzadeh, Ahmad; Azadbakht, Leila; Poursafa, Parinaz; Movahedian, Mahsa; Baraz, Shahram

2012-01-01

334

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

PubMed Central

Objective We describe a novel, crowdsourcing method for generating a knowledge base of problem–medication pairs that takes advantage of manually asserted links between medications and problems. Methods Through iterative review, we developed metrics to estimate the appropriateness of manually entered problem–medication links for inclusion in a knowledge base that can be used to infer previously unasserted links between problems and medications. Results Clinicians manually linked 231?223 medications (55.30% of prescribed medications) to problems within the electronic health record, generating 41?203 distinct problem–medication pairs, although not all were accurate. We developed methods to evaluate the accuracy of the pairs, and after limiting the pairs to those meeting an estimated 95% appropriateness threshold, 11?166 pairs remained. The pairs in the knowledge base accounted for 183?127 total links asserted (76.47% of all links). Retrospective application of the knowledge base linked 68?316 medications not previously linked by a clinician to an indicated problem (36.53% of unlinked medications). Expert review of the combined knowledge base, including inferred and manually linked problem–medication pairs, found a sensitivity of 65.8% and a specificity of 97.9%. Conclusion Crowdsourcing is an effective, inexpensive method for generating a knowledge base of problem–medication pairs that is automatically mapped to local terminologies, up-to-date, and reflective of local prescribing practices and trends. PMID:22582202

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

2012-01-01

335

New Tools for Systematic Evaluation of Teaching Qualities of Medical Faculty: Results of an Ongoing Multi-Center Survey  

PubMed Central

Background Tools for the evaluation, improvement and promotion of the teaching excellence of faculty remain elusive in residency settings. This study investigates (i) the reliability and validity of the data yielded by using two new instruments for evaluating the teaching qualities of medical faculty, (ii) the instruments' potential for differentiating between faculty, and (iii) the number of residents' evaluations needed per faculty to reliably use the instruments. Methods and Materials Multicenter cross-sectional survey among 546 residents and 629 medical faculty representing 29 medical (non-surgical) specialty training programs in the Netherlands. Two instruments—one completed by residents and one by faculty—for measuring teaching qualities of faculty were developed. Statistical analyses included factor analysis, reliability and validity exploration using standard psychometric methods, calculation of the numbers of residents' evaluations needed per faculty to achieve reliable assessments and variance components and threshold analyses. Results A total of 403 (73.8%) residents completed 3575 evaluations of 570 medical faculty while 494 (78.5%) faculty self-evaluated. In both instruments five composite-scales of faculty teaching qualities were detected with high internal consistency and reliability: learning climate (Cronbach's alpha of 0.85 for residents' instrument, 0.71 for self-evaluation instrument, professional attitude and behavior (0.84/0.75), communication of goals (0.90/0.84), evaluation of residents (0.91/0.81), and feedback (0.91/0.85). Faculty tended to evaluate themselves higher than did the residents. Up to a third of the total variance in various teaching qualities can be attributed to between-faculty differences. Some seven residents' evaluations per faculty are needed for assessments to attain a reliability level of 0.90. Conclusions The instruments for evaluating teaching qualities of medical faculty appear to yield reliable and valid data. They are feasible for use in medical residencies, can detect between-faculty differences and supply potentially useful information for improving graduate medical education. PMID:22022486

Arah, Onyebuchi A.; Hoekstra, Joost B. L.; Bos, Albert P.; Lombarts, Kiki M. J. M. H.

2011-01-01

336

Evaluating the quality of informed consent and contemporary clinical practices by medical doctors in South Africa: An empirical study  

PubMed Central

Background Informed consent is a legal and ethical doctrine derived from the principle of respect for autonomy. Generally two rights derived from autonomy are accorded legal protection. The constitutional right to bodily integrity followed by the right to bodily well-being, protected by professional negligence rules. Therefore healthcare professionals treating patients' without valid consent may be guilty of infringing patients' rights. Many challenges are experienced by doctors obtaining informed consent in complex multicultural societies like South Africa. These include different cultural ethos, multilingualism, poverty, education, unfamiliarity with libertarian rights based autonomy, and power asymmetry between doctors and patients. All of which could impact on the ability of doctors to obtain legally valid informed consent. Methods The objective of this study was to evaluate whether the quality of informed consent obtained by doctors practicing in South Africa is consistent with international ethical standards and local regulations. Responses from 946 participants including doctors, nurses and patients was analyzed, using a semi-structured self-administered questionnaire and person triangulation in selected public hospitals in Durban, KwaZulu-Natal, South Africa. Results The median age of 168 doctors participating was 30 years with 51% females, 28% interns, 16% medical officers, 26% registrars, 30% consultant/specialists. A broad range of clinical specialties were represented. Challenges to informed consent practice include language difficulties, lack of interpreters, workload, and time constraints. Doctors spent 5-10 minutes on consent, disclosed most information required to patients, however knowledge of essential local laws was inadequate. Informed consent aggregate scores (ICAS) showed that interns/registrars scored lower than consultants/specialists. ICAS scores were statistically significant by specialty (p = 0.005), with radiologists and anaesthetists scoring lowest, while internists, GPs and obstetricians/gynaecologists scored highest. Comparative ICAS scores showed that professional nurses scored significantly lower than doctors (p ? 0.001). Conclusions This study shows that though doctors had general knowledge of informed consent requirements, execution in practice was inadequate, with deficiency in knowledge of basic local laws and regulations. Remedying identified deficiencies may require a 'corps' of interpreters in local hospitals to assist doctors in dealing with language difficulties, and continuing education in medical law and ethics to improve informed consent practices and overall quality of healthcare service delivery. PMID:24564932

2013-01-01

337

Questionnaire Design for Student Measurement of Teaching Effectiveness.  

ERIC Educational Resources Information Center

The design and use of questionnaires in course and faculty evaluation are discussed and the literature reviewed. Problems of questionnaire construction and interpretation of results are described and a questionnaire developed at the Faculty of Engineering at the University of Waterloo is given as an example. (Author/MSE)

McBean, Edward A.; Al-Nassri, Sabah

1982-01-01

338

Evaluation of Knowledge, Practices, and Possible Barriers among Healthcare Providers regarding Medical Waste Management in Dhaka, Bangladesh  

PubMed Central

Background Improper handling of medical wastes, which is common in Bangladesh, could adversely affect the hospital environment and community at large, and poses a serious threat to public health. We aimed to assess the knowledge and practices regarding medical waste management (MWM) among healthcare providers (HCPs) and to identify possible barriers related to it. Material/Methods A cross-sectional study was carried out during June to September, 2012 including 1 tertiary, 3 secondary, and 3 primary level hospitals in Dhaka division, Bangladesh through 2-stage cluster sampling. Data were collected from 625 HCPs, including 245 medical doctors, 220 nurses, 44 technologists, and 116 cleaning staff who were directly involved in MWM using a self-administered (researcher-administered for cleaning staff), semi-structured questionnaire. Results Nearly one-third of medical doctors and nurses and two-thirds of technologists and cleaning staff had inadequate knowledge, and about half of medical doctors (44.0%) and cleaning staff (56.0%) had poor practices. HCPs without prior training on MWM were more likely to have poor practices compared to those who had training. Lack of personal protective equipment, equipment for final disposal, MWM-related staff, proper policy/guideline, and lack of incinerator were identified as the top 5 barriers. Conclusions Strengthening and expansion of ongoing educational programs/training is necessary to improve knowledge and practices regarding MWM. The government should take necessary steps and provide financial support to eliminate the possible barriers related to proper MWM. PMID:25488747

Sarker, Mohammad Abul Bashar; Harun-Or-Rashid, Md.; Hirosawa, Tomoya; Hai, Md. Shaheen Bin Abdul; Siddique, Md. Ruhul Furkan; Sakamoto, Junichi; Hamajima, Nobuyuki

2014-01-01

339

Discrepancies in Mother and Child Perceptions of Spina Bifida Medical Responsibilities During the Transition to Adolescence: Associations With Family Conflict and Medical Adherence  

PubMed Central

Objective This study investigated mother–child discrepancies over perceptions of who is responsible for spina bifida (SB) medical tasks in relation to family conflict and medical adherence.?Method?140 youth with SB and their mothers completed questionnaires regarding who is responsible for specific SB medical tasks, family conflict, and medical adherence. An observational measure was also used to assess family conflict.?Results?Although children viewed themselves as more responsible for medical management than mothers did, mother–child discrepancies were not associated with family conflict or medical adherence. Interaction effects revealed that adherence was better when family conflict was low and when parents were responsible for medical tasks.?Conclusions?Parental involvement in SB medical care is essential for optimal medical adherence during adolescence. The presence of family conflict also plays an influential role on SB medical adherence. Future research should evaluate the relations between discrepancies, family conflict, and medical adherence across time. PMID:23843631

Psihogios, Alexandra M.

2013-01-01

340

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

PubMed

The objective of this study was to screen for acromegaly by application of a simple questionnaire in patients seen at primary health care units. A total of 17,000 patients of both genders >18 and <70 years seen by general practitioner were interviewed. Patients with known pituitary disease and pregnant women were excluded. A simple questionnaire was applied to the patients: Has your shoe size increased over the last 5 years? Did you have to change your wedding ring or ring over the last 5 years because it became tight? In one patient, the diagnosis of acromegaly was suspected by the physician. Among the remaining patients, 178 (1%) responded positively to one of the items of the questionnaire and were submitted to IGF-1 measurement. Five patients had persistently elevated IGF-1 and inadequate suppression of GH in the OGTT (without other conditions associated with GH or IGF-1 elevation). One of these patients presented a normal pituitary upon magnetic resonance imaging and adenoma was detected in the other four; two presented the typical facies and two others reported changes in physiognomy (confirmed by the comparison of photographs), in addition to the enlargement of extremities. The present investigation suggests a much higher prevalence of acromegaly in the adult population than that reported traditionally. We propose that screening based on phenotypic alterations is cost-effective since these changes occur early and almost universally in acromegaly and are uncommon in the general population. PMID:21380935

Rosario, Pedro Weslley; Calsolari, Maria Regina

2012-06-01

341

Development, Implementation, and Evaluation of a Computerized Self-Administered Diet History Questionnaire for Use in Studies of American Indian and Alaskan Native People  

PubMed Central

Collection of dietary intake in epidemiologic studies involves using methods that are comprehensive yet appropriate for the population being studied. Here we describe a diet history questionnaire (DHQ) that was developed using an audio self-administered computer-assisted interview technique. The DHQ was developed for use in a cohort of American Indians and Alaskan Natives with tribal input and area-specific modules to incorporate local food availability. The DHQ includes 54 main food group questions, specific food items within the main food group, and food preparation and general eating practice questions. The questionnaire was programmed to be self-administered using a computer with a touch screen. The average time for the first 6,604 participants to complete the questionnaire was 36 minutes. Almost 100% of participants had complete DHQ data and the average number of food items selected was 70. The methods developed for collection of dietary data appear to be appropriate for the targeted population and may have usefulness for other populations where collecting dietary data in a self-administered format is desirable. PMID:18155994

Slattery, Martha L.; Murtaugh, Maureen A.; Schumacher, Mary Catherine; Johnson, Jennifer; Edwards, Sandra; Edwards, Roger; Benson, Joan; Tom-Orme, Lillian; Lanier, Anne P.

2008-01-01

342

Decision-analytic modeling to evaluate benefits and harms of medical tests: uses and limitations.  

PubMed

The clinical utility of medical tests is measured by whether the information they provide affects patient-relevant outcomes. To a large extent, effects of medical tests are indirect in nature. In principle, a test result affects patient outcomes mainly by influencing treatment choices. This indirectness in the link between testing and its downstream effects poses practical challenges to comparing alternate test-and-treat strategies in clinical trials. Keeping in mind the broader audience of researchers who perform comparative effectiveness reviews and technology assessments, the authors summarize the rationale for and pitfalls of decision modeling in the comparative evaluation of medical tests by virtue of specific examples. Modeling facilitates the interpretation of test performance measures by connecting the link between testing and patient outcomes, accounting for uncertainties and explicating assumptions, and allowing the systematic study of tradeoffs and uncertainty. The authors discuss challenges encountered when modeling test-and-treat strategies, including but not limited to scarcity of data on important parameters, transferring estimates of test performance across studies, choosing modeling outcomes, and obtaining summary estimates for test performance data. PMID:19734441

Trikalinos, Thomas A; Siebert, Uwe; Lau, Joseph

2009-01-01

343

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

344

An evaluation of the professional, social and demographic profile and quality of life of physicians working at the Prehospital Emergency Medical System (SAMU) in Brazil  

PubMed Central

OBJECTIVE: To describe the profile of physicians working at the Prehospital Emergency Medical System (SAMU) in Brazil and to evaluate their quality of life. METHODS: Both a semi-structured questionnaire with 57 questions and the SF-36 questionnaire were sent to research departments within SAMU in the Brazilian state capitals, the Federal District and inland towns in Brazil. RESULTS: Of a total of 902 physicians, including 644 (71.4%) males, 533 (59.1%) were between 30 and 45 years of age and 562 (62.4%) worked in a state capital. Regarding education level, 45.1% had graduated less than five years before and only 43% were specialists recognized by the Brazilian Medical Association. Regarding training, 95% did not report any specific training for their work at SAMU. The main weaknesses identified were psychiatric care and surgical emergencies in 57.2 and 42.9% of cases, respectively; traumatic pediatric emergencies, 48.9%; and medical emergencies, 42.9%. As for procedure-related skills, the physicians reported difficulties in pediatric advanced support (62.4%), airway surgical access (45.6%), pericardiocentesis (64.4%) and thoracentesis (29.9%). Difficulties in using an artificial ventilator (43.3%) and in transcutaneous pacing (42.2%) were also reported. Higher percentages of young physicians, aged 25-30 years (26.7 vs 19.0%; p<0.01), worked exclusively in prehospital care (18.0 vs 7.7%; p<0.001), with workloads >48 h per week (12.8 vs 8.6%; p<0.001), and were non-specialists with the shortest length of service (<1 year) at SAMU (30.1 vs 18.2%; p<0.001) who were hired without having to pass public service exams* (i.e., for a temporary job) (61.8 vs 46.2%; p<0.001). Regarding quality of life, the pain domain yielded the worst result among physicians at SAMU. CONCLUSIONS: The doctors in this sample were young and within a few years of graduation, and they had no specific training in prehospital emergencies. Deficiencies were mostly found in pediatrics and psychiatry, with specific deficiencies in the handling of essential equipment and in the skills necessary to adequately attend to prehospital emergencies. A disrespectful labor scenario was also found; the evaluation of quality of life showed a notable presence of pain on the SF-36 among physicians at SAMU and especially among doctors who had worked for a longer length of time at SAMU. PMID:25318091

Tallo, Fernando Sabia; de Campos Vieira Abib, Simone; Baitello, André Luciano; Lopes, Renato Delascio

2014-01-01

345

49 CFR 391.47 - Resolution of conflicts of medical evaluation.  

Code of Federal Regulations, 2011 CFR

...prior to his/her determination, the medical history of the driver and an agreed-upon statement... (6) The applicant must submit the medical history and statement of work provided to the medical specialist under paragraph...

2011-10-01

346

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

Federal Register 2010, 2011, 2012, 2013

...Information Collection (Report of Medical Examination for Disability...claimants prior to undergoing a VA medical examination for disability...other forms of information technology. Title: Report of Medical Examination for...

2011-05-11

347

Increasing medical team cohesion and leadership behaviors using a 360-degree evaluation process.  

PubMed

Current national health care issues of affordability, quality, and accessibility have prompted the development of Accountable Care Organizations (ACOs) and Patient-Centered Medical Homes (PCMHs). Components of ACOs and PCMHs call for increased capacities in areas of teamwork, engagement, and physician leadership skills and behaviors. Three hundred sixty degree feedback evaluation processes have been established in corporate environments as effective for increasing capacities in these areas. Recently, health care organizations have begun to adopt the use of such tools with positive outcomes. This article presents a case study of the development and implementation of a 360-degree evaluation process at a family medicine clinic. We also discuss the challenges, successes, and lessons learned along the way. PMID:22533214

Tumerman, Marc; Carlson, Leanne M Hedberg

2012-02-01

348

Performance evaluation of unified medical language system®'s synonyms expansion to query PubMed  

PubMed Central

Background PubMed is the main access to medical literature on the Internet. In order to enhance the performance of its information retrieval tools, primarily non-indexed citations, the authors propose a method: expanding users' queries using Unified Medical Language System' (UMLS) synonyms i.e. all the terms gathered under one unique Concept Unique Identifier. Methods This method was evaluated using queries constructed to emphasize the differences between this new method and the current PubMed automatic term mapping. Four experts assessed citation relevance. Results Using UMLS, we were able to retrieve new citations in 45.5% of queries, which implies a small increase in recall. The new strategy led to a heterogeneous 23.7% mean increase in non-indexed citation retrieved. Of these, 82% have been published less than 4 months earlier. The overall mean precision was 48.4% but differed according to the evaluators, ranging from 36.7% to 88.1% (Inter rater agreement was poor: kappa = 0.34). Conclusions This study highlights the need for specific search tools for each type of user and use-cases. The proposed strategy may be useful to retrieve recent scientific advancement. PMID:22376010

2012-01-01

349

From biomarkers to medical tests: the changing landscape of test evaluation.  

PubMed

Regulators and healthcare payers are increasingly demanding evidence that biomarkers deliver patient benefits to justify their use in clinical practice. Laboratory professionals need to be familiar with these evidence requirements to better engage in biomarker research and decisions about their appropriate use. This paper by a multidisciplinary group of the European Federation of Clinical Chemistry and Laboratory Medicine describes the pathway of a laboratory assay measuring a biomarker to becoming a medically useful test. We define the key terms, principles and components of the test evaluation process. Unlike previously described linearly staged models, we illustrate how the essential components of analytical and clinical performances, clinical and cost-effectiveness and the broader impact of testing assemble in a dynamic cycle. We highlight the importance of defining clinical goals and how the intended application of the biomarker in the clinical pathway should drive each component of test evaluation. This approach emphasizes the interaction of the different components, and that clinical effectiveness data should be fed back to refine analytical and clinical performances to achieve improved outcomes. The framework aims to support the understanding of key stakeholders. The laboratory profession needs to strengthen collaboration with industry and experts in evidence-based medicine, regulatory bodies and policy makers for better decisions about the use of new and existing medical tests. PMID:24076255

Horvath, Andrea R; Lord, Sarah J; StJohn, Andrew; Sandberg, Sverre; Cobbaert, Christa M; Lorenz, Stefan; Monaghan, Phillip J; Verhagen-Kamerbeek, Wilma D J; Ebert, Christoph; Bossuyt, Patrick M M

2014-01-01

350

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

PubMed

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

Riley, William T; Keberlein, Pamela; Sorenson, Gigi; Mohler, Sailor; Tye, Blake; Ramirez, A Susana; Carroll, Mark

2014-07-15

351

Usage and Attitudes of Physicians in Japan Concerning Traditional Japanese Medicine (Kampo Medicine): A Descriptive Evaluation of a Representative Questionnaire-Based Survey  

PubMed Central

Kampo medicine has been the primary medical model in Japan until the mid 1800s, regained a prominent role in today's Japanese medical system. Today, 148 herbal Kampo formulas can be prescribed under the national health insurance system, allowing physicians to integrate Kampo in their daily practice. This article aims to provide information about the extent to which Kampo is now used in clinics throughout Japan and about physician's current attitudes toward Kampo. We used the results of a 2008 survey that was administered to physicians throughout Japan (n = 684). The data showed that 83.5% of physicians currently use Kampo in the clinic, although the distribution of physicians who use Kampo differ widely depending on the specialty and provided a breakdown of Kampo usage by specialty. It will be interesting to see how each specialty incorporates Kampo into its respective field as Kampo continues to play a pertinent role in Japanese medical system. PMID:22319543

Moschik, E. C.; Mercado, C.; Yoshino, T.; Matsuura, K.; Watanabe, K.

2012-01-01

352

Evaluations of the psychometric properties of the Recovery-Stress Questionnaire for Athletes among a sample of young French table tennis players.  

PubMed

This study used confirmatory factor analyses (CFAs) among a sample of young French table tennis players to test: (a) original 19-factor structure, (b) 14-factor structure recently suggested in literature, and (c) hierarchical factor structure of the Recovery-Stress Questionnaire for Athletes (RESTQ-Sport). 148 table tennis players completed the RESTQ-Sport and other self-report questionnaires between one to five occasions with a delay of 1 mo. between each completion. Results of CFAs showed: (a) evidence for relative superiority of the original model in comparison to an alternative model recently proposed in literature, (b) a good fit of the data for the 67-item 17-factor model of the RESTQ-Sport, and (c) an acceptable fit of the data for the hierarchical model of the RESTQ-Sport. Correlations between RESTQ-Sport subscales and burnout and motivation subscales also provided evidence for criterion-related validity of the RESTQ-Sport. This study provided support for reliability and validity of the RESTQ-Sport. PMID:24897893

Martinent, Guillaume; Decret, Jean-Claude; Isoard-Gautheur, Sandrine; Filaire, Edith; Ferrand, Claude

2014-04-01

353

Screening Questionnaires for Parkinsonism: A Systematic Review  

PubMed Central

Parkinson’s disease (PD) is a common, treatable movement disorder that often remains undiagnosed despite clinically manifest symptoms. Screening for parkinsonism could lead to improved detection and earlier treatment, and facilitate research studies of PD prevalence. In order to determine the feasibility of screening, this study evaluated the validity of previously developed screening questionnaires. We systematically searched online databases PubMed and EMBASE for English-language studies published between 1980 and 2009. In each database a “Parkinson(s) disease” or “parkinsonism” term was combined with a screening term (“screening instrument,” screening questionnaire,” “screen” or “prevalence survey”) and a validity term (“validation,” “sensitivity” and “specificity”). Included studies reported the psychometric properties of at least one self-report questionnaire for parkinsonism. Twenty-seven studies met the inclusion criteria. From these studies, 9 screening questionnaires were identified. Sensitivity and specificity estimates varied widely. Sensitivity estimates were as high as 100% when questionnaires were tested among previously diagnosed PD patients and included a high number of parkinsonism-specific items, but were as low as 48% when tested among early cases in a community-based sample. Specificity estimates were lower, ranging from 22–100%. An older sample, presence of multiple co-morbid conditions and lower literacy led to lower specificity estimates. Higher specificity estimates were seen when the screening questionnaires were administered by a physician. Screening questionnaires can detect symptomatic parkinsonism. However, the performance of these questionnaires varied based on the individual items, study sample, and method of administration. The performance of screening questionnaires in the detection of early or mild parkinsonism was modest. PMID:21930414

Dahodwala, Nabila; Siderowf, Andrew; Baumgarten, Mona; Abrams, Aaron; Karlawish, Jason

2011-01-01

354

Technology Evaluation: Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety  

Microsoft Academic Search

The authors develop a typology of clinicians' workarounds when using barcoded medication administration (BCMA) systems. Authors then identify the causes and possible consequences of each workaround. The BCMAs usually consist of handheld devices for scanning machine-readable barcodes on patients and medications. They also interface with electronic medication administration records. Ideally, BCMAs help confirm the five “rights” of medication administration: right

Ross Koppel; Tosha B. Wetterneck; Joel Leon Telles; Ben-Tzion Karsh

2008-01-01

355

Evaluation of the photoneutron field produced in a medical linear accelerator.  

PubMed

The doses and spectra of photoneutrons produced in a medical linear accelerator with photon energies of 10 and 15 MV were evaluated. The Monte Carlo code, MCNPX, was used to simulate the transport of these photoneutrons around the head for 10 and 15 MV photons. The fully-described geometry of the accelerator head was used in this calculation. The photoneutron energy spectra and doses for various photon field sizes were calculated at each of 20 positions. The results indicate that the maximum dose equivalents are observed in 20 x 20 cm(2) case among photon fields. It was found the neutron average energy at isocenter for a 0 x 0 cm(2) field is 0.38 MeV for 10 MV and is 0.45 MeV for 15 MV. The neutron doses at 10 positions around the head in the treatment room of the operation facility at 10 and 15 MV were measured using the bubble detectors. Measurements were compared with the calculations under the same geometry in the experiment. It was found that the majority of the calculated results agreed to within the standard deviations of the measurements. These above results can be applied in the verification of maximum allowed neutron leakage percentage of treatment dose defined in the IEC. We have been employing them to derive the empirical formula for neutron dose equivalent level at the maze entrance of medical accelerator treatment rooms in a study that is still underway. PMID:17077093

Kim, H S; Park, Y H; Koo, B C; Kwon, J W; Lee, J-S; Choi, H S

2007-01-01

356

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

PubMed

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

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

2014-12-01

357

Evaluating interactive computer-based scenarios designed for learning medical technology.  

PubMed

The use of medical equipment is growing in healthcare, resulting in an increased need for resources to educate users in how to manage the various devices. Learning the practical operation of a device is one thing, but learning how to work with the device in the actual clinical context is more challenging. This paper presents a computer-based simulation prototype for learning medical technology in the context of critical care. Properties from simulation and computer games have been adopted to create a visualization-based, interactive and contextually bound tool for learning. A participatory design process, including three researchers and three practitioners from a clinic for infectious diseases, was adopted to adjust the form and content of the prototype to the needs of the clinical practice and to create a situated learning experience. An evaluation with 18 practitioners showed that practitioners were positive to this type of tool for learning and that it served as a good platform for eliciting and sharing knowledge. Our conclusion is that this type of tools can be a complement to traditional learning resources to situate the learning in a context without requiring advanced technology or being resource-demanding. PMID:24898339

Persson, Johanna; Dalholm, Elisabeth Hornyánszky; Wallergård, Mattias; Johansson, Gerd

2014-11-01

358

Content Analysis of Research in Undergraduate Medical Education.  

ERIC Educational Resources Information Center

Analysis of 773 journal articles on undergraduate medical education found curriculum, teaching, and student assessment most frequently discussed, with 45% reporting research activities. Research studies were generally conducted in a naturalistic environment; were evaluative or comparative; used observation, testing, or questionnaires for data…

Dimitroff, Alexandra; Davis, Wayne K.

1996-01-01

359

Factors influencing paediatric nurses' responses to medication administration  

Microsoft Academic Search

ObjectiveTo evaluate the importance of contextual and policy factors on nurses' judgement about medication administration practice.DesignA questionnaire survey of responses to a number of factorial vignettes in June 2004. These vignettes considered a combination of seven contextual and policy factors that were thought to influence nurses' judgements relating to medication administration.Participants185 (67% of eligible) clinical paediatric nursing staff returned completed

Leigh Davis; Robert S Ware; Damhnat McCann; Samantha Keogh; Karen Watson

2010-01-01

360

Evaluation of commercial serologic test reagents for immunoidentification of medically important aspergilli.  

PubMed

We evaluated commercial serodiagnostic test reagents from Greer Laboratories (GL), Lenoir, NC; Immuno-mycologics, Inc. (IMI), Norman, OK; and Scott Laboratories (SL), Fiskville, RI; for their ability to detect Aspergillus spp. exoantigens and group them in their proper series. We detected 87 culture extracts from coded cultures of Aspergillus groups and heterologous fungi against anti-A. fumigatus, A. flavus, A. nidulans, A. niger, and A. terreus sera in the presence of their corresponding antigens. Parallel control studies were performed using serological reagents from both laboratories. The IMI reagents accurately grouped all the isolates. The A. nidulans and A. terreus reactions, however, were significantly weaker than those noted with the control reagents. GL and SL do not supply A. nidulans and A. terreus reagents. Their available reagents correctly grouped the A. fumigatus, A. flavus, and A. niger isolates. Our results indicate that the commercial serodiagnostic reagents for aspergillosis can be effectively used to accurately immunoidentify the medically important Aspergillus spp. PMID:3126020

Sekhon, A S; Standard, P G; Kaufman, L; Garg, A K

1987-11-01

361

Wavelet-based compression of medical images: filter-bank selection and evaluation.  

PubMed

Wavelet-based image coding algorithms (lossy and lossless) use a fixed perfect reconstruction filter-bank built into the algorithm for coding and decoding of images. However, no systematic study has been performed to evaluate the coding performance of wavelet filters on medical images. We evaluated the best types of filters suitable for medical images in providing low bit rate and low computational complexity. In this study a variety of wavelet filters are used to compress and decompress computed tomography (CT) brain and abdomen images. We applied two-dimensional wavelet decomposition, quantization and reconstruction using several families of filter banks to a set of CT images. Discreet Wavelet Transform (DWT), which provides efficient framework of multi-resolution frequency was used. Compression was accomplished by applying threshold values to the wavelet coefficients. The statistical indices such as mean square error (MSE), maximum absolute error (MAE) and peak signal-to-noise ratio (PSNR) were used to quantify the effect of wavelet compression of selected images. The code was written using the wavelet and image processing toolbox of the MATLAB (version 6.1). This results show that no specific wavelet filter performs uniformly better than others except for the case of Daubechies and bi-orthogonal filters which are the best among all. MAE values achieved by these filters were 5 x 10(-14) to 12 x 10(-14) for both CT brain and abdomen images at different decomposition levels. This indicated that using these filters a very small error (approximately 7 x 10(-14)) can be achieved between original and the filtered image. The PSNR values obtained were higher for the brain than the abdomen images. For both the lossy and lossless compression, the 'most appropriate' wavelet filter should be chosen adaptively depending on the statistical properties of the image being coded to achieve higher compression ratio. PMID:12956184

Saffor, A; bin Ramli, A R; Ng, K H

2003-06-01

362

Evaluation of a web-based ECG-interpretation programme for undergraduate medical students  

PubMed Central

Background Most clinicians and teachers agree that knowledge about ECG is of importance in the medical curriculum. Students at Karolinska Institutet have asked for more training in ECG-interpretation during their undergraduate studies. Clinical tutors, however, have difficulties in meeting these demands due to shortage of time. Thus, alternative ways to learn and practice ECG-interpretation are needed. Education offered via the Internet is readily available, geographically independent and flexible. Furthermore, the quality of education may increase and become more effective through a superior educational approach, improved visualization and interactivity. Methods A Web-based comprehensive ECG-interpretation programme has been evaluated. Medical students from the sixth semester were given an optional opportunity to access the programme from the start of their course. Usage logs and an initial evaluation survey were obtained from each student. A diagnostic test was performed in order to assess the effect on skills in ECG interpretation. Students from the corresponding course, at another teaching hospital and without access to the ECG-programme but with conventional teaching of ECG served as a control group. Results 20 of the 32 students in the intervention group had tested the programme after 2 months. On a five-graded scale (1- bad to 5 – very good) they ranked the utility of a web-based programme for this purpose as 4.1 and the quality of the programme software as 3.9. At the diagnostic test (maximal points 16) by the end of the 5-month course at the 6th semester the mean result for the students in the intervention group was 9.7 compared with 8.1 for the control group (p = 0.03). Conclusion Students ranked the Web-based ECG-interpretation programme as a useful instrument to learn ECG. Furthermore, Internet-delivered education may be more effective than traditional teaching methods due to greater immediacy, improved visualisation and interactivity. PMID:18430256

Nilsson, Mikael; Bolinder, Gunilla; Held, Claes; Johansson, Bo-Lennart; Fors, Uno; Östergren, Jan

2008-01-01

363

Hints for Designing Effective Questionnaires  

NSDL National Science Digital Library

The purpose of this article is to offer tips in designing quality questionnaires and on avoiding common errors. Some of the more prevalent problems in questionnaire development are identified and suggestions of ways to avoid them are offered.

Frary, Robert

364

Evaluating medical residents as managers of care: a critical appraisal of assessment methods  

PubMed Central

Introduction The increasing demands for effective and efficient health care delivery systems worldwide have resulted in an expansion of the desired competencies that physicians need to possess upon graduation. Presently, medical residents require additional professional competencies that can prepare them to practice adequately in a continuously changing health care environment. Recent studies show that despite the importance of competency-based training, the development and evaluation of management competencies in residents during residency training is inadequate. The aim of this literature review was to find out which assessment methods are currently being used to evaluate trainees’ management competencies and which, if any, of these methods make use of valid and reliable instruments. Methods In September 2012, a thorough search of the literature was performed using the PubMed, Cochrane, Embase®, MEDLINE®, and ERIC databases. Additional searches included scanning the references of relevant articles and sifting through the “related topics” displayed by the databases. Results A total of 25 out of 178 articles were selected for final review. Four broad categories emerged after analysis that best reflected their content: 1) measurement tools used to evaluate the effect of implemented curricular interventions; 2) measurement tools based on recommendations from consensus surveys or conventions; 3) measurement tools for assessing general competencies, which included care-management; and 4) measurement tools focusing exclusively on care-management competencies. Conclusion Little information was found about (validated) assessment tools being used to measure care-management competence in practice. Our findings suggest that a combination of assessment tools should be used when evaluating residents’ care-management competencies. PMID:24600299

Busari, Jamiu O; Stammen, Lorette A; Gennissen, Lokke M; Moonen, Rob M

2014-01-01

365

Preliminary development and psychometric evaluation of an unmet needs measure for adolescents and young adults with cancer: the Cancer Needs Questionnaire - Young People (CNQ-YP)  

PubMed Central

Background Adolescents and young adult (AYA) cancer survivors may have unique physical, psychological and social needs due to their cancer occurring at a critical phase of development. The aim of this study was to develop a psychometrically rigorous measure of unmet need to capture the specific needs of this group. Methods Items were developed following a comprehensive literature review, focus groups with AYAs, and feedback from health care providers, researchers and other professionals. The measure was pilot tested with 32 AYA cancer survivors recruited through a state-based cancer registry to establish face and content validity. A main sample of 139 AYA cancer patients and survivors were recruited through seven treatment centres and invited to complete the questionnaire. To establish test-retest reliability, a sub-sample of 34 participants completed the measure a second time. Exploratory factor analysis was performed and the measure was assessed for internal consistency, discriminative validity, potential responsiveness and acceptability. Results The Cancer Needs Questionnaire - Young People (CNQ-YP) has established face and content validity, and acceptability. The final measure has 70 items and six factors: Treatment Environment and Care (33 items); Feelings and Relationships (14 items); Daily Life (12 items); Information and Activities (5 items); Education (3 items); and Work (3 items). All domains achieved Cronbach's alpha values greater than 0.80. Item-to-item test-retest reliability was also high, with all but four items reaching weighted kappa values above 0.60. Conclusions The CNQ-YP is the first multi-dimensional measure of unmet need which has been developed specifically for AYA cancer patients and survivors. The measure displays a strong factor structure, and excellent internal consistency and test-retest reliability. However, the small sample size has implications for the reliability of the statistical analyses undertaken, particularly the exploratory factor analysis. Future studies with a larger sample are recommended to confirm the factor structure of the measure. Longitudinal studies to establish responsiveness and predictive validity should also be undertaken. PMID:22284545

2012-01-01

366

Evaluation of a Steam Autoclave for Sterilizing Medical Waste at a University Health Center  

Microsoft Academic Search

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

A. Linscott

2004-01-01

367

Use of NBME and USMLE Examinations to Evaluate Medical Education Programs.  

ERIC Educational Resources Information Center

Criteria are presented for determining whether licensure and/or achievement test results should be used for making various types of comparisons and judgments about medical education programs. The United States Medical Licensing Examination (USMLE) and National Board of Medical Examiners tests (NBME) are then considered as data sources. (Author/MSE)

Williams, Reed G.

1993-01-01

368

Evaluating Learning among Undergraduate Medical Students in Schools with Traditional and Problem-Based Curricula  

ERIC Educational Resources Information Center

This study aimed to assess knowledge and skills in a respiratory physiology course in traditional versus problem-based learning (PBL) groups in two different medical schools. Two different undergraduate medical schools were selected for this study. The first medical school followed the traditional [lecture-based learning (LBL)] curriculum, and the…

Meo, Sultan Ayoub

2013-01-01

369

Validation of an Internet Questionnaire for Risk Assessment in Preconception Care  

Microsoft Academic Search

Aim: Validation of a self-administered Internet questionnaire for preconception risk assessment. Methods: Women with an appointment at the outpatient clinics for preconception care or fertility at the Erasmus Medical Center Rotterdam were requested to fill out the online questionnaire prior to attendance. Subsequently, the items of the questionnaire were verified by history taking during the first or next appointment. Agreement

A. P. Landkroon; S. de Weerd; E. van Vliet-Lachotzki; E. A. P. Steegers

2010-01-01

370

Feasibility results of an electromagnetic compatibility test protocol to evaluate medical devices to radio frequency identification exposure  

PubMed Central

Background The use of radio frequency identification (RFID) systems in healthcare is increasing, and concerns for electromagnetic compatibility (EMC) pose one of the biggest obstacles for widespread adoption. Numerous studies have demonstrated that RFID systems can interfere with medical devices; however, the majority of past studies relied on time-consuming and burdensome test schemes based on ad hoc test methods applied to individual RFID systems. Methods This paper presents the results of using an RFID simulator that allows for faster evaluation of RFID-medical device EMC against a library of RFID test signals at various field strengths. Results The results of these tests demonstrate the feasibility and adequacy of simulator testing and can be used to support its incorporation into applicable consensus standards. Conclusions This work can aid the medical device community in better assessing the risks associated with medical device exposure to RFID. PMID:25086451

2014-01-01

371

Survey and Questionnaire Tutorial  

NSDL National Science Digital Library

What are the important factors to consider when designing a survey? Would it be best conducted via telephone? Or would it be better to have a face-to-face meeting? These are but a few of the topics covered on this site created as a public service by the StatPac group. Visitors can elect to download the entire report on survey design here, or they can just click through the topics that interest them. Each topic includes a brief discussion of its relative importance, and the areas covered include questionnaire length, time considerations, question wording, and sampling methods. It's a thoughtful and helpful resource overall, and it's one that might be put to good use in an introductory statistics course in college.

372

Evaluation of bone density in infancy and adolescence. Review of medical literature and personal experience.  

PubMed

The evolution of medical and surgical therapies allows the increased survival rate of a growing number of children affected by rare pathologies. In this light osteoporotic disease is also of orthopaedic interest as it is sometimes the outward manifestation of serious pathologies (i.e. osteogenesis imperfecta). Sometimes, even in infancy and adolescence, osteoporosis is associated with complications due to fractures; in other cases it seems to have no immediate consequence. Nevertheless it must be considered as a fracture risk factor in adulthood as it negatively affects the achievement of peak bone mass. The evaluation of variations in bone mass that take place during growth is thus of particular importance in order to guarantee a level of bone health suitable for the next phase. These remarks compose the premise of a study on bone resistance carried out on a study population of between 6 and 18 years of age in the city of Pavia. To determine the resistance of the bone an ultrasound device was employed (Omnisense™ , Sunlight Medical Ltd, Tel Aviv, Israel) in two skeletal sites, distal radius and midshaft of tibia. The analysis of our results and a review of the relevant literature indicate that the median values of normality, against which we compare the measurements of the patients under examination, depend not only on age, sex, skeletal sites, race, and even ethnic group. The introduction of this new parameter, to be kept in mind when interpreting the results, invites us to be very prudent in determining the diagnostic threshold values in paediatric age. As with anthropometric data (weight, height, cranial circumference) it is possible to suggest an interpretation of the patient's SOS values comparing them with the 'centile curves' typical to the region the child belongs to. Of course, further studies are required to understand what are the variables involved and to determine the extension of the geographical area to be examined to obtain suitable reference curves. PMID:22460013

Pedrotti, Luisella; Bertani, Barbara; Tuvo, Gabriella; Barone, Francesca; Crivellari, Ilaria; Lucanto, Stefano; Redento, Mora

2010-05-01

373

Evaluation of bone density in infancy and adolescence. Review of medical literature and personal experience  

PubMed Central

The evolution of medical and surgical therapies allows the increased survival rate of a growing number of children affected by rare pathologies. In this light osteoporotic disease is also of orthopaedic interest as it is sometimes the outward manifestation of serious pathologies (i.e. osteogenesis imperfecta). Sometimes, even in infancy and adolescence, osteoporosis is associated with complications due to fractures; in other cases it seems to have no immediate consequence. Nevertheless it must be considered as a fracture risk factor in adulthood as it negatively affects the achievement of peak bone mass. The evaluation of variations in bone mass that take place during growth is thus of particular importance in order to guarantee a level of bone health suitable for the next phase. These remarks compose the premise of a study on bone resistance carried out on a study population of between 6 and 18 years of age in the city of Pavia. To determine the resistance of the bone an ultrasound device was employed (Omnisense™ , Sunlight Medical Ltd, Tel Aviv, Israel) in two skeletal sites, distal radius and midshaft of tibia. The analysis of our results and a review of the relevant literature indicate that the median values of normality, against which we compare the measurements of the patients under examination, depend not only on age, sex, skeletal sites, race, and even ethnic group. The introduction of this new parameter, to be kept in mind when interpreting the results, invites us to be very prudent in determining the diagnostic threshold values in paediatric age. As with anthropometric data (weight, height, cranial circumference) it is possible to suggest an interpretation of the patient’s SOS values comparing them with the ‘centile curves’ typical to the region the child belongs to. Of course, further studies are required to understand what are the variables involved and to determine the extension of the geographical area to be examined to obtain suitable reference curves. PMID:22460013

Pedrotti, Luisella; Bertani, Barbara; Tuvo, Gabriella; Barone, Francesca; Crivellari, Ilaria; Lucanto, Stefano; Redento, Mora

2010-01-01

374

Evaluation of the consultation program in Shiraz University of Medical Sciences  

PubMed Central

Introduction: Consultation and guidance is a process of learning which is done through the relationship between two individuals. In this mutual relationship, the ounsellor, through his scientific and occupational skills and qualification, tries to help the students using the methods corresponding to their needs. The main objective of this study was to provide a framework for the management of the advisors’ plans in the university based on the analysis of different schools. Methods: This research is a cross-sectional and descriptive-analytic study. Data were collected both qualitatively (centralized groups at the presence of advisors in universities) and quantitatively (self-assessment of teachers and students' evaluation). Sampling was done randomly from all students of Shiraz University of Medical Sciences. All the teachers who were advisor took part in this study. Results: This study was conducted in eight schools of Shiraz University of Medical Sciences simultaneously and 974 students and 125 teachers took part in it. At the time of data collection, 25.5 percent of the students declared that the advisors have provided allocated time to them and 45.4 percent believed that the advisors helped the students to understand the importance of the courses. Conclusion: The emergence of weaknesses and strengths of the academic advising program and the guidance through teacher's self assessment, not only may be the sign of realization of programmed objectives, but also may be the starting point for qualitative improvement of the situation. Moreover, in order to improve the advisory services and guidance, it is necessary to regard consultation as a scientific subject which needs training. PMID:25512915

REZAEE, RITA; NABEIEI, PARISA; SAGHEB, MOHAMMAD MAHDI

2014-01-01

375

Clogging evaluation of porous asphalt concrete cores in conjunction with medical x-ray computed tomography  

NASA Astrophysics Data System (ADS)

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.

Su, Yu-Min; Hsu, Chen-Yu; Lin, Jyh-Dong

2014-03-01

376

DRUG STUDY QUESTIONNAIRE PROGRAM DIRECTOR:______________________________________ DATE:_____________________________  

E-print Network

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

Acton, Scott

377

Psychometric Normalization of a Hyperacusis Questionnaire  

Microsoft Academic Search

Clinical hyperacusis consists of a marked intolerance to ordinary environmental sounds, while hearing thresholds are quite often normal. Hyperacusis appears to be a subjective phenomenon, which is not easily defined or quantified by objective measurements. In order to create a tool suitable to quantify and evaluate various hyperacusis symptoms, a questionnaire screening several aspects of auditory symptomatology has been constructed.

S. Khalfa; S. Dubal; E. Veuillet; F. Perez-Diaz; R. Jouvent; L. Collet

2002-01-01

378

Selective Mutism Questionnaire: Measurement Structure and Validity  

ERIC Educational Resources Information Center

The psychometric properties of the Selective Mutism Questionnaire (SMQ) are evaluated using a clinical sample of children with selective mutism (SM). The study shows that SMQ is useful in determining the severity of a child's nonspeaking behaviors, the scope of these behaviors and necessary follow up assessment.

Letamendi, Andrea M.; Chavira, Denise A.; Hitchcock, Carla A.; Roesch, Scott C.; Shipon-Blum, Elisa; Stein, Murray B.

2008-01-01

379

Evaluating mastery of biostatistics for medical researchers: need for a new assessment tool.  

PubMed

Research training has enabled academic clinicians to contribute significantly to the body of medical research literature. Biostatistics represents a critical methodological skill for such researchers, as statistical methods are increasingly a necessary part of medical research. However, there is no validated knowledge and skills assessment for graduate level biostatistics for academic medical researchers. In this paper, I review graduate level statistical competencies and existing instruments intended to assess physicians' ability to read the medical literature and for undergraduate statistics for their alignment with core competencies necessary for successful use of statistics. This analysis shows a need for a new instrument to assess biostatistical competencies for medical researchers. PMID:22212227

Enders, Felicity

2011-12-01

380

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

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…

Brand, Lance G.

2011-01-01

381

A Discrete Choice Conjoint Experiment to Evaluate Parent Preferences for Treatment of Young, Medication Naive Children with ADHD  

ERIC Educational Resources Information Center

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…

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

382

Improving medication adherence in diabetes type 2 patients through Real Time Medication Monitoring: a Randomised Controlled Trial to evaluate the effect of monitoring patients' medication use combined with short message service (SMS) reminders  

PubMed Central

Background Innovative approaches are needed to support patients' adherence to drug therapy. The Real Time Medication Monitoring (RTMM) system offers real time monitoring of patients' medication use combined with short message service (SMS) reminders if patients forget to take their medication. This combination of monitoring and tailored reminders provides opportunities to improve adherence. This article describes the design of an intervention study aimed at evaluating the effect of RTMM on adherence to oral antidiabetics. Methods/Design Randomised Controlled Trial (RCT) with two intervention arms and one control arm involving diabetes type 2 patients with suboptimal levels of adherence to oral antidiabetics (less than 80% based on pharmacy refill data). Patients in the first intervention arm use RTMM including SMS reminders and a personal webpage where they can monitor their medication use. Patients in the second intervention arm use RTMM without SMS reminders or webpage access. Patients in the control arm are not exposed to any intervention. Patients are randomly assigned to one of the three arms. The intervention lasts for six months. Pharmacy refill data of all patients are available from 11 months before, until 11 months after the start of the intervention. Primary outcome measure is adherence to oral antidiabetics calculated from: 1) data collected with RTMM, as a percentage of medication taken as prescribed, and as percentage of medication taken within the correct time interval, 2) refill data, taking the number of days for which oral antidiabetics are dispensed during the study period divided by the total number of days of the study period. Differences in adherence between the intervention groups and control group are studied using refill data. Differences in adherence between the two intervention groups are studied using RTMM data. Discussion The intervention described in this article consists of providing RTMM to patients with suboptimal adherence levels. This system combines real time monitoring of medication use with SMS reminders if medication is forgotten. If RTMM proves to be effective, it can be considered for use in various patient populations to support patients with their medication use and improve their adherence. Trial registration Netherlands Trial Register NTR1882 PMID:21219596

2011-01-01

383

Evaluation of an internet-based aftercare program to improve vocational reintegration after inpatient medical rehabilitation: study protocol for a cluster-randomized controlled trial  

PubMed Central

Background Mental disorders are the main reasons for rising proportions of premature pension in most high-income countries. Although inpatient medical rehabilitation has increasingly targeted work-related stress, there is still a lack of studies on the transfer of work-specific interventions into work contexts. Therefore, we plan to evaluate an online aftercare program aiming to improve vocational reintegration after medical rehabilitation. Methods Vocationally strained patients (n = 800) aged between 18 and 59 years with private internet access are recruited in psychosomatic, orthopedic and cardiovascular rehabilitation clinics in Germany. During inpatient rehabilitation, participants in stress management group training are cluster-randomized to the intervention or control group. The intervention group (n = 400) is offered an internet-based aftercare with weekly writing tasks and therapeutic feedback, a patient forum, a self-test and relaxation exercises. The control group (n = 400) obtains regular e-mail reminders with links to publicly accessible information about stress management and coping. Assessments are conducted at the beginning of inpatient rehabilitation, the end of inpatient rehabilitation, the end of aftercare, and 9 months later. The primary outcome is a risk score for premature pension, measured by a screening questionnaire at follow-up. Secondary outcome measures include level of vocational stress, physical and mental health, and work capacity at follow-up. Discussion We expect the intervention group to stabilize the improvements achieved during inpatient rehabilitation concerning stress management and coping, resulting in an improved vocational reintegration. The study protocol demonstrates the features of internet-based aftercare in rehabilitation. Trial registration International Standard Randomised Controlled Trial Number Register (ISRCTN:ISRCTN33957202) PMID:23351836

2013-01-01

384

Musculoskeletal education in general practice: a questionnaire survey.  

PubMed

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

Wise, E M; Walker, D J; Coady, D A

2014-07-01

385

The pornography craving questionnaire: psychometric properties.  

PubMed

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

Kraus, Shane; Rosenberg, Harold

2014-04-01

386

Medical evaluation of children with chronic abdominal pain: Impact of diagnosis, physician practice orientation, and maternal trait anxiety on mothers’ responses to the evaluation  

Microsoft Academic Search

This study examined the effects of diagnosis (functional versus organic), physician practice orientation (biomedical versus biopsychosocial), and maternal trait anxiety (high versus low) on mothers’ responses to a child’s medical evaluation for chronic abdominal pain. Mothers selected for high (n=80) and low (n=80) trait anxiety imagined that they were the mother of a child with chronic abdominal pain described in

Sara E. Williams; Craig A. Smith; Stephen P. Bruehl; Joseph Gigante; Lynn S. Walker

2009-01-01

387

[Medical technology and medical education].  

PubMed

The education of medical professionals is divided into medical studies, postgraduate training leading to the qualification as a specialist, and continuing professional development. During education, all scientific knowledge and practical skills are to be acquired, which enable the physician to practice responsibly in a specialized medical area. In the present article, relevant curricula are analyzed regarding the consideration of medical device-related topics, as the clinical application of medical technology has reached a central position in modern patient care. Due to the enormous scientific and technical progress, this area has become as important as pharmacotherapy. Our evaluation shows that medical device-related topics are currently underrepresented in the course of medical education and training and should be given greater consideration in all areas of medical education. Possible solutions are presented. PMID:20700785

von Mallek, D; Biersack, H-J; Mull, R; Wilhelm, K; Heinz, B; Mellert, F

2010-08-01

388

Chronic Obstructive Pulmonary Disease Illness and Medication Beliefs are Associated with Medication Adherence.  

PubMed

Abstract Almost half of patients with COPD do not adhere to their medications. Illness and medication beliefs are important determinants of adherence in other chronic diseases. Using the framework of the Common Sense Model of Self-Regulation (CSM), we determined associations between potentially modifiable beliefs and adherence to COPD medications in a cohort of English- and Spanish-speaking adults with COPD from New York and Chicago. Medication adherence was assessed using the Medication Adherence Report Scale. Illness and medication beliefs along CSM domains were evaluated using the Brief Illness Perception Questionnaire (B-IPQ) and the Beliefs about Medications Questionnaire (BMQ). Unadjusted analysis (with Cohen's d effect sizes) and multiple logistic regression were used to assess the relationship between illness and medication beliefs with adherence. The study included 188 participants (47% Black, 13% Hispanics); 109 (58%) were non-adherent. Non-adherent participants were younger (p < 0.001), more likely to be Black or Hispanic (p = 0.001), to have reported low income (p = 0.02), and had fewer years of formal education (p = 0.002). In unadjusted comparisons, non-adherent participants reported being more concerned about their COPD (p = 0.011; Cohen's d = 0.43), more emotionally affected by the disease (p = 0.001; Cohen's d = 0.54), and had greater concerns about COPD medications (p < 0.001, Cohen's d = 0.81). In adjusted analyses, concerns about COPD medications independently predicted non-adherence (odds ratio: 0.52, 95% confidence interval: 0.36-0.75). In this cohort of urban minority adults, concerns about medications were associated with non-adherence. Future work should explore interventions to influence patient adherence by addressing concerns about the safety profile and long-term effects of COPD medications. PMID:24960306

Krauskopf, Katherine; Federman, Alex D; Kale, Minal S; Sigel, Keith M; Martynenko, Melissa; O'Conor, Rachel; Wolf, Michael S; Leventhal, Howard; Wisnivesky, Juan P

2014-06-24

389

Cost-effectiveness analysis: problems and promise for evaluating medical technology  

NASA Astrophysics Data System (ADS)

Although using limited financial resources in the most beneficial way, in principle, a laudable goal, actually developing standards for measuring the cost-effectiveness of medical technologies and incorporating them into the coverage process is a much more difficult proposition. Important methodological difficulties include determining how to compare a technology to its leading alternative, defining costs, incorporating patient preferences, and defining health outcomes. In addition, more practical questions must be addressed. These questions include: who does the analysis? who makes the decisions? which technologies to evaluate? what resources are required? what is the political and legal environment? how much is a health outcome worth? The ultimate question that must be answered is what is a health outcome worth? Cost-effectiveness analysis cannot answer this question; it only enables comparison of cost-effectiveness ratios across technologies. In order to determine whether a technology should be covered, society or individual insurers must determine how much they are willing to pay for the health benefits. Conducting cost-effectiveness analysis will not remove the need to make difficult resource allocation decisions; however, explicitly examining the tradeoffs involved in these decisions should help to improve the process.

Juday, Timothy R.

1994-12-01

390

Lost in Translation? Psychometric Properties and Construct Validity of the English Essen Climate Evaluation Schema (EssenCES) Social Climate Questionnaire  

ERIC Educational Resources Information Center

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…

Tonkin, Matthew; Howells, Kevin; Ferguson, Eamonn; Clark, Amanda; Newberry, Michelle; Schalast, Norbert

2012-01-01

391

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

392

A questionnaire-based evaluation of the veterinary cordon fence separating wildlife and livestock along the boundary of the Kruger National Park, South Africa  

Microsoft Academic Search

Veterinary cordon fences are used in Southern Africa to separate wildlife from domestic animals in order to prevent transmission of infectious diseases. Such fences are a control method recognized by the World Organization for Animal Health (OIE) for establishing disease-free zones in beef exporting countries. However, few studies have evaluated the ecological impact of these physical barriers or their effectiveness

F. Jori; D. Brahmbhatt; G. T. Fosgate; P. N. Thompson; C. Budke; M. P. Ward; K. Ferguson; B. Gummow

2011-01-01

393

Levonorgestrel-Releasing Intrauterine System vs. Usual Medical Treatment for Menorrhagia: An Economic Evaluation Alongside a Randomised Controlled Trial  

PubMed Central

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

Sanghera, Sabina; Roberts, Tracy Elizabeth; Barton, Pelham; Frew, Emma; Daniels, Jane; Middleton, Lee; Gennard, Laura; Kai, Joe; Gupta, Janesh Kumar

2014-01-01

394

Remote collection of questionnaires.  

PubMed

Rheumatoid arthritis (RA) is an autoimmune inflammatory disease associated with rapid loss of function and radiographic damage. Treatment is targeted to achieve low disease activity/remission, as measured by various pooled indices comprised of laboratory measures, patient-derived, and physician-derived measures. Outside clinical trials, it can be difficult to obtain all these components at the time of the visit to provide immediate guidance. Subsequently, several pooled indices of patient reported outcomes (PROs) have been developed and shown to be equally and sometimes more effective as traditional assessor- and laboratory-derived measures in detecting treatment group and predicting long-term outcomes. With growing use of electronic medical record (EMR) and technology, many of these PROs can now be obtained remotely and directly incorporated into EMR to facilitate target to treat approach. Remotely collecting PROs through the internet allows better data capture, easier incorporation into EMR, and more frequent monitoring of patient's disease activity in between clinic visits for quicker assessment of adverse events and therapeutic efficacy. Adapting remotely collected PROs into clinical trials, clinical care, and long-term database has the potential for restructuring medical care while reducing costs and improving quality of care to achieve disease remission. PMID:25365110

Sargious, A; Lee, S J

2014-01-01

395

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

ERIC Educational Resources Information Center

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…

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

2012-01-01

396

An Evaluation of Depressed Mood in Two Classes of Medical Students  

ERIC Educational Resources Information Center

Objective: To assess depression rates in contemporary medical students. Method: The Beck Depression Inventory (BDI) was administered anonymously to two medical school classes at matriculation, the end of first year, and the end of second year. Results: Median scores for both classes were low at all points. The proportion of students scoring in the…

Levine, Ruth E.; Litwins, Stephanie D.; Frye, Ann W.

2006-01-01

397

Evaluation of an instructional program for improving medication compliance for chronically mentally ill outpatients  

Microsoft Academic Search

Outpatient medication adherence is a major problem, especially for patients repeatedly hospitalized for psychiatric disorders. This study included 39 such patients who were receiving case management services from a community mental health center. Patients were matched and randomly assigned to receive in a single session either (1) information regarding medication and its benefits, (2) guidelines for assuring adherence which encompassed

Nathan H. Azrin; Gordon Teichner

1998-01-01

398

An Evaluation of Stimulant Medication on the Reinforcing Effects of Play  

ERIC Educational Resources Information Center

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…

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

2008-01-01

399

Medical surveillance for respirator users.  

PubMed

The Occupational Safety and Health Administration has changed the content and frequency of medical assessments required by the Respiratory Protection Standard. The revised Standard contains a mandatory questionnaire to be used for preplacement evaluation of all users. The requirement for periodic reevaluations has been replaced by a requirement to reevaluate users when they experience difficulty with respirator use, or when their workplace changes in such a way as to significantly impact the physiologic stresses of the job. The experience of medical surveillance programs for respirator users suggests that routine surveillance is not necessary. The frequency of disease sufficiently debilitating to preclude respirator use found through medical surveillance is low; adverse outcomes experienced by respirator users, although potentially tragic, are not outcomes for which medical surveillance plays a preventive role. In an effort to better use resources once spent on repetitive examination of asymptomatic respirator users without compromising their health, this article proposes an approach for addressing symptomatic respirator users in which the respirator components are evaluated before the user is subjected to medical investigations. PMID:10570505

Muhm, J M

1999-11-01

400

Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between Hospital Discharge and Primary Care Follow-Up.  

PubMed

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

Armor, Becky L; Wight, Avery J; Carter, Sandra M

2014-10-13

401

Paper to Electronic Questionnaires: Effects on Structured Questionnaire Forms  

NASA Technical Reports Server (NTRS)

With the use of computers, paper questionnaires are being replaced by electronic questionnaires. The formats of traditional paper questionnaires have been found to effect a subject's rating. Consequently, the transition from paper to electronic format can subtly change results. The research presented begins to determine how electronic questionnaire formats change subjective ratings. For formats where subjects used a flow chart to arrive at their rating, starting at the worst and middle ratings of the flow charts were the most accurate but subjects took slightly more time to arrive at their answers. Except for the electronic paper format, starting at the worst rating was the most preferred. The paper and electronic paper versions had the worst accuracy. Therefore, for flowchart type of questionnaires, flowcharts should start at the worst rating and work their way up to better ratings.

Trujillo, Anna C.

2009-01-01

402

[Root cause analysis: evaluation of medication errors at a university hospital].  

PubMed

The objectives of this study were to identify and analyze the types of medication errors observed in doses prepared and administered differently from those prescribed. It is a descriptive study using the root cause analysis method, in which a secondary analysis of data from a previously existing investigation was performed. In the study, 74 medication errors were identified during medication preparation and administration by the nursing staff. Dose errors (24.3%), schedule errors (22.9%) and unauthorized medication administration errors (13.5%) were the most frequent. Hence, medication errors were identified, and root cause analysis was performed, leading to the identification of multiple factors that contributed to error occurrence. Strategies and recommendations were presented for the prevention of errors. PMID:20394231

Teixeira, Thalyta Cardoso Alux; de Cassiani, Silvia Helena Bortoli

2010-03-01

403

"Alcohol and nicotine" ? Concept and evaluation of an interdisciplinary elective course with OSPE in preclinical medical education  

PubMed Central

In the last decade, increasing interest has been paid to interdisciplinary and practical courses in the medical education in Germany. This report describes the implementation and outcome of a preclinical interdisciplinary elective course with a team-teaching concept developed by lecturers in medical psychology, anatomy, physiology and biochemistry. The practical orientation of the course led to the implementation of a final interdisciplinary OSPE to ensure fair consideration of the different disciplines involved in grading. Individual OSPE results correlate well with the fact that different skills are required in medical psychology compared to those required in anatomy, physiology and biochemistry. Student course evaluation and lecturers` experience indicate the success of this elective course. Its concept can be well adapted to other interdisciplinary courses. PMID:24575160

Bergelt, Corinna; Lauke, Heidrun; Petersen-Ewert, Corinna; Jücker, Manfred; Bauer, Christiane K.

2014-01-01

404

Evaluating the Medical Kit System for the International Space Station(ISS) - A Paradigm Revisited  

NASA Technical Reports Server (NTRS)

Medical capabilities aboard the International Space Station (ISS) have been packaged to help astronaut crew medical officers (CMO) mitigate both urgent and non-urgent medical issues during their 6-month expeditions. Two ISS crewmembers are designated as CMOs for each 3-crewmember mission and are typically not physicians. In addition, the ISS may have communication gaps of up to 45 minutes during each orbit, necessitating medical equipment that can be reliably operated autonomously during flight. The retirement of the space shuttle combined with ten years of manned ISS expeditions led the Space Medicine Division at the NASA Johnson Space Center to reassess the current ISS Medical Kit System. This reassessment led to the system being streamlined to meet future logistical considerations with current Russian space vehicles and future NASA/commercial space vehicle systems. Methods The JSC Space Medicine Division coordinated the development of requirements, fabrication of prototypes, and conducted usability testing for the new ISS Medical Kit System in concert with implementing updated versions of the ISS Medical Check List and associated in-flight software applications. The teams constructed a medical kit system with the flexibility for use on the ISS, and resupply on the Russian Progress space vehicle and future NASA/commercial space vehicles. Results Prototype systems were developed, reviewed, and tested for implementation. Completion of Preliminary and Critical Design Reviews resulted in a streamlined ISS Medical Kit System that is being used for training by ISS crews starting with Expedition 27 (June 2011). Conclusions The team will present the process for designing, developing, , implementing, and training with this new ISS Medical Kit System.

Hailey, Melinda J.; Urbina, Michelle C.; Hughlett, Jessica L.; Gilmore, Stevan; Locke, James; Reyna, Baraquiel; Smith, Gwyn E.

2010-01-01

405

Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial  

PubMed Central

Introduction. We describe our experience of using the Medical Research Council framework on complex interventions to guide the development and evaluation of an intervention to prevent obesity by modifying infant feeding behaviours. Methods. We reviewed the epidemiological evidence on early life risk factors for obesity and interventions to prevent obesity in this age group. The review suggested prevention of excess weight gain in bottle-fed babies and appropriate weaning as intervention targets; hence we undertook systematic reviews to further our understanding of these behaviours. We chose theory and behaviour change techniques that demonstrated evidence of effectiveness in altering dietary behaviours. We subsequently developed intervention materials and evaluation tools and conducted qualitative studies with mothers (intervention recipients) and healthcare professionals (intervention deliverers) to refine them. We developed a questionnaire to assess maternal attitudes and feeding practices to understand the mechanism of any intervention effects. Conclusions. In addition to informing development of our specific intervention and evaluation materials, use of the Medical Research Council framework has helped to build a generalisable evidence base for early life nutritional interventions. However, the process is resource intensive and prolonged, and this should be taken into account by public health research funders. This trial is registered with ISRTCN: 20814693 Baby Milk Trial. PMID:25143830

Griffin, Simon; Hardeman, Wendy; Kinmonth, Ann Louise; Ong, Ken K.

2014-01-01

406

Scaling of the revised Oswestry low back pain questionnaire  

Microsoft Academic Search

Page SJ, Shawaryn MA, Cernich AN, Linacre JM. Scaling of the revised Oswestry low back pain questionnaire. Arch Phys Med Rehabil 2002;83:1579-84. Objective: To evaluate the measurement properties of the Revised Oswestry Disability Questionnaire (RODQ) by using rating scale analyses. Design: Calibration of item responses by using a data set. Setting: Four outpatient therapy clinics in the northeastern United States.

Stephen J. Page; Marla A. Shawaryn; Alison N. Cernich; John M. Linacre

2002-01-01

407

Evaluating learning among undergraduate medical students in schools with traditional and problem-based curricula.  

PubMed

This study aimed to assess knowledge and skills in a respiratory physiology course in traditional versus problem-based learning (PBL) groups in two different medical schools. Two different undergraduate medical schools were selected for this study. The first medical school followed the traditional [lecture-based learning (LBL)] curriculum, and the second medical school followed the PBL curriculum. Sixty first-year male medical students (30 students from each medical school) volunteered; they were apparently healthy and of the same age, sex, nationality, and regional and cultural background. Students were taught respiratory physiology according to their curriculum for a period of 2 wk. At the completion of the study period, knowledge was measured based on a single best multiple-choice question examination, and skill was measured based on the objective structured practical examination in the lung function laboratory (respiratory physiology). A Student's t-test was applied for the analysis of the data, and the level of significance was set at P < 0.05. Students belonging to the PBL curriculum obtained a higher score in the multiple-choice question examination (P = 0.001) and objective structured practical examination (P = 0.0001) compared with traditional (LBL) students. Students in the PBL group obtained significantly higher knowledge and skill scores in the respiratory physiology course compared with students in the traditional (LBL) style of medical schools. PMID:24022771

Meo, Sultan Ayoub

2013-09-01

408

Good agreement between questionnaire and administrative databases for health care use and costs in patients with osteoarthritis  

PubMed Central

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

2011-01-01

409

Is a medical humanities test needed in the National Medical Licensing Examination of Korea? Opinions of medical students and physician writers (secondary publication).  

PubMed

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

Hwang, Kun

2014-01-01

410

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

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

2014-01-01

411

Evaluating Medication Use in Pregnancy and Lactation: What Every Pharmacist Should Know  

PubMed Central

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

Burkey, Betsy Walters; Holmes, Amy P.

2013-01-01

412

Test-Retest Reliability of the Parent Behavior Importance Questionnaire-Revised and the Parent Behavior Frequency Questionnaire-Revised  

ERIC Educational Resources Information Center

This study evaluated the test-retest reliability of two parenting measures: the Parent Behavior Importance Questionnaire-Revised (PBIQ-R) and Parent Behavior Frequency Questionnaire-Revised (PBFQ-R). These self-report parenting behavior assessment measures may be utilized as pre- and post-parent education program measures, with parents as well as…

Mowder, Barbara A.; Shamah, Renee

2011-01-01

413

Creation of an innovative inpatient medical procedure service and a method to evaluate house staff competency  

Microsoft Academic Search

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

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

414

Towards effective evaluation and reform in medical education: a cognitive and learning sciences perspective  

Microsoft Academic Search

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

Vimla L. Patel; Nicole A. Yoskowitz; Jose F. Arocha

2009-01-01

415

Description and Evaluation of an Innovative Course on Learning and Study Skills for the First Year Medical Students  

Microsoft Academic Search

DURAK, H.?., TÖRÜN, S.E., SAYINER, A. and KANDILO?LU, G. Description and Evalua- tion of an Innovative Course on Learning and Study Skills for the First Year Medical Students. Tohoku J. Exp. Med., 2006, 210 (3), 231-237 ?? The purpose of this study is to share educational structure and evaluation results of an innovative course on effective learning and study skills

Halil Ibrahim Durak; Sila Elif Törün; Abdullah Sayiner; Gülsen Kandiloglu

2006-01-01

416

Long-term Efficacy and Safety of Questionnaire-based Initiation of Urgency Urinary Incontinence Treatment  

PubMed Central

Objectives To determine the longer-term efficacy and safety of initiating treatment for urgency-predominant urinary incontinence (UUI) in women diagnosed using a simple questionnaire rather than an extensive evaluation. Study Design Women completing a 12-week randomized controlled trial of fesoterodine therapy for UUI diagnosed by questionnaire were invited to participate in a 9-month open label continuation study. UUI and voiding episodes were collected using voiding diaries. Participant satisfaction was measured by questionnaire. Safety was assessed by measurement of post void residual volume and adverse event monitoring; if necessary, women underwent specialist evaluation. Longitudinal changes in UUI and voiding episodes were evaluated using linear mixed models adjusting for baseline. Results Of the 567 women completing the randomized trial, 498 (87.8%) took at least one dose of medication during this open label study. Compared to the enrollment visit in the randomized trial, fesoterodine was associated with a reduction in total incontinence episodes/day and urgency incontinence episodes/day at the end of the open label study [adjusted mean (standard error (SE)) 4.6 (0.12) to 1.2 (0.13) and 3.9 (0.11) to 0.9 (0.11) respectively, p-value<.0001 for both]. Most women were satisfied with treatment (89%, 92%, and 93% at 3, 6, and 9 months). Twenty-six women experienced 28 serious adverse events, one of which was considered possibly treatment-related. Twenty-two women had specialist evaluation: 5 women’s incontinence was misclassified by the 3IQ; none experienced harm due to misclassification. Conclusions Using a simple validated questionnaire to diagnose and initiate treatment for UUI in community dwelling women is safe and effective, allowing timely treatment by primary care practitioners. PMID:23659987

HESS, Rachel; HUANG, Alison J.; RICHTER, Holly E.; GHETTI, Chiara C.; SUNG, Vivian W.; BARRETT-CONNOR, Elizabeth; GREGORY, W. Thomas; PINKERTON, JoAnn V.; BRADLEY, Catherine S.; KRAUS, Stephen R.; ROGERS, Rebecca G.; SUBAK, Leslee L.; JOHNSON, Karen C.; ARYA, Lily A.; SCHEMBRI, Michael; BROWN, Jeanette S.

2014-01-01

417

PARTI: JOB DESCRIPTION Weighted Job Questionnaire (WJQ) Custom  

E-print Network

computers using Event Business Management System (EBMS). · Produces and sends contracts and event plansPARTI: JOB DESCRIPTION Weighted Job Questionnaire (WJQ) Custom Meeting, Event and Conference Services Current Position Classification: Department's Position Title: Event Planning Assistant Evaluating

418

Motivation for Traumatic Brain Injury Rehabilitation Questionnaire (MOT-Q)  

Microsoft Academic Search

A Likert scale questionnaire was developed to assess motivation for postacute rehabilitation by traumatic brain injury patients. Items were designed to reflect head-injured individuals’ statements about their attitudes toward head injury rehabilitation. Factors such as denial of illness, anger, compliance with treatment, and medical information seeking behavior were used to assess unfavorable and favorable components of motivation. Reliability was assessed

Alexander B Chervinsky; Alexander K Ommaya; Madison deJonge; Jack Spector; Karen Schwab; Andres M Salazar

1998-01-01

419

77 FR 49830 - Proposed Collection, Comments Requested: FBI National Academy Post-Course Questionnaire for...  

Federal Register 2010, 2011, 2012, 2013

...1110-0021] Proposed Collection, Comments Requested: FBI National Academy Post-Course Questionnaire for Graduates and FBI National Academy Post- Course Questionnaire for Supervisors of Graduates; FBI National Academy Level III Evaluation;...

2012-08-17

420

76 FR 12979 - Submission for OMB Review: Comment Request; Questionnaire Cognitive Interviewing and Pretesting...  

Federal Register 2010, 2011, 2012, 2013

...common evaluation method is the cognitive interview, in which a questionnaire...interviews. When possible, cognitive interviews are conducted in...intended mode of administration. Cognitive interviewing provides useful...outcomes of questionnaire development, contracting for...

2011-03-09

421

The entry of underrepresented minority students into US medical schools: an evaluation of recent trends.  

PubMed Central

OBJECTIVES: Recent challenges to affirmative action suggest the need to reassess the status of the admission of underrepresented minority students to US medical schools. METHODS: The Association of American medical colleges provided US medical school enrollment data and characteristics. Five measures of underrepresented minority enrolled and an overall performance scale were constructed for each school. Multivariate regression identified significant overall performance predictors. Predicted and observed values were compared. RESULTS: Underrepresented minority enrollment increased by 43% after 1986, peaked at 2014 in 1994, did not increase in 1995, and decreased by 5% in 1996. Enrollment was associated with increasing federal research funding and with percentage of underrepresented minorities in the sources population P < .001). The 1996 decline was almost entirely limited to public medical schools. Those in California, Texas, Mississippi, and Louisiana accounted for 18% of 1995 enrollment but 44% of the 1996 decline. CONCLUSIONS: Recent gains in medical school enrollment of underrepresented minorities are being reversed, particularly at public institutions. Implications exist for the health of poor, minority, and underserved communiti