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  1. Pattern of burns identified in the Pediatrics Emergency Department at King Abdul-Aziz Medical City: Riyadh

    PubMed Central

    Alharthy, Nesrin; Al Mutairi, Mohammad; AlQueflie, Sulaiman; Nefesa, Aminah Bin; Manie, Najd Bin; Nafesa, Salahaldin Bin; Al Zahrani, Fawaz Saeed

    2016-01-01

    Objectives: The objective of the study was to report the incidence of pediatric burn injuries and describe the pattern and the trend of pediatrics burns seen in King Abdul-Aziz Medical City. Materials and Methods: Retrospective cross-sectional study. Data collected through chart review of pediatrics patients aged 1-month to 14 years who presented with a burn injury to the pediatric emergency department during the year 2013. Burn patients were divided into two groups based on the percentage of total body surface area (TBSA) burned: Either <10% or more than 10%. Variables were compared between the two groups to identify the risk factors associated with more than 10% body surface area involvement. Results: Burn incidence rate was 4.9 patients/1000/year. Children with burns on more than 10% TBSA accounted for 16% incidence (0.8/1000 emergency department patients). The burn injury severity ranged from 1% TBSA to 37%, with a mean of 5%. The proportion of male and female burn patients was 54.1% and 45.9%, respectively. Children between 1 and 3 years of age sustained the majority (48.6%) of burn injuries. Scald burns were found to be the most common cause of injury. Hot water and beverages were considered root for most of the scald burn injuries. As children advance in age, scald injury becomes less likely, and they are more obviously subjected to flame burn injuries. Burn injuries sustained at home were 35% compared to 2.7% occurring outside the home. None of the study variables were good predictors for severe burn injuries affecting more than 10% TBSA. Conclusion: The incidence and the severity of burn injuries remain high at the national level. Burn injuries continue to affect the pediatric population, predominantly, young children, which indicate the need for increasing parent educational programs and government regulations. Because we reported scald burns as the most common causes of burn injury, which are consistent with previous national reports, we recommend having

  2. Dysmenorrhea among female medical students in King Abdulaziz University: Prevalence, Predictors and outcome

    PubMed Central

    Ibrahim, Nahla Khamis; AlGhamdi, Manar Saleh; Al-Shaibani, Alanoud Nawaf; AlAmri, Fatima Ali; Alharbi, Huda Abdulrahman; Al-Jadani, Arwa Kheder; Alfaidi, Raghad Ahmed

    2015-01-01

    Objective: To determine the prevalence, predictors and outcome of dysmenorrhea among female medical students in King Abdulaziz University (KAU), Jeddah, Saudi Arabia. Methods: A cross-sectional study was conducted among 435 medical students at KAU, Jeddah selected through stratified random sample method. A pre-constructed, validated, self-administered questionnaire was used to collect personal and socio-demographic information. Data about menstrual history, stress, smoking were also collected. The severity of dysmenorrhea was scored by the “Visual Analogue Scale (VAS)”. Descriptive and analytical statistics were conducted. Results: The prevalence of dysmenorrhea was 60.9%. Logistic regression showed that heavy period was the first predictor of dysmenorrhea (aOR=1.94; 95% CI: 1.29- 2.91), followed by stress (aOR=1.90; 95% C.I.: 1.19-3.07). The prevalence of severe dysmenorrhea among the sufferers was 38.6%. Depressed mood was the commonest (80.8%) symptom accompanying dysmenorrhea. Regarding the outcome of dysmenorrhea, 67.5% of the sufferes reported emotional instability, while 28.3% reported absenteeism from the university. Conclusions: A high prevalence of dysmenorrhea was prevalent among medical students in King Abdulaziz University (KAU), Health promotion, screening programs, and stress management courses are recommended. PMID:26870088

  3. Prevalence and predictors of irritable bowel syndrome among medical students and interns in King Abdulaziz University, Jeddah

    PubMed Central

    Ibrahim, Nahla Khamis Ragab; Battarjee, Wijdan Fahad; Almehmadi, Samia Ahmed

    2013-01-01

    Background Irritable bowel syndrome (IBS) is a frequent, costly, and potentially disabling gastrointestinal disorder. Medical education is among the most challenging and the most stressful education, and this may predispose to high rates of IBS. Objective To determine the prevalence and predictors of IBS among medical students and interns in King Abdulaziz University, Jeddah, Saudi Arabia. Methods A cross-sectional study was conducted among 597 medical students and interns selected by multistage stratified random sample method in 2012. A confidential, anonymous, and self-administered questionnaire was used to collect personal and sociodemographic data, level of emotional stress, and food hypersensitivity during the past 6 months. Rome III Criteria and the Standardized Hospital Anxiety and Depression Scale were also used. Results The prevalence of IBS was 31.8%. Multiple logistic regression analysis revealed that the first predictor of IBS was female gender (aOR=2.89; 95.0% CI: 1.65–5.05). The second predictor was presence of morbid anxiety (aOR=2.44; 95.0% CI: 1.30–4.55). Living in a school dormitory, emotional stress during 6 months preceding the study, and the academic year were the next predictors. Conclusions High prevalence of IBS prevailed among medical students and interns. Female gender, morbid anxiety, living in school dormitory, emotional stress, and higher educational level (grade) were the predictors of IBS. Screening of medical students for IBS, psychological problems, and reducing stress by stress management are recommended. PMID:24054184

  4. Perceptions of clinical years’ medical students and interns towards assessment methods used in King Abdulaziz University, Jeddah

    PubMed Central

    Ibrahim, Nahla Khamis; Al-Sharabi, Budoor Mohammed; Al-Asiri, Rasha Abdullah; Alotaibi, Najat Abdullah; Al-Husaini, Wejdan Ibrahim; Al-Khajah, Hussa Adel; Rakkah, Reem Mohammad; Turkistani, Afnan Mohammed

    2015-01-01

    Objectives: The study was done to determine the perception of clinical years’ medical students and interns about assessment methods used in Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. Methods: A cross sectional study was conducted during the educational year 2012/2013. A multistage stratified random sample method was used to select 600 senior medical students (4th-6th) and interns. Perception of medical students and interns about different assessment formats was inquired using 3 points Likert scale. Results: About two-fifths of participants agreed that assessment methods are comprehensive, reflecting what they taught, and challenging them. MCQs were the commonest (56.8%) preferred written assessment format. OSCE (74.1%) and OSPE (70.6%) were seen as good tools for assessing clinical competencies. Students had good perceptions towards peer assessment, log-book and open book exams. Males preferred peer assessment method more than females, with a statistical significant difference (χ2 = 6.43, p< 0.05). Conclusion: Assessment plan needs further improvements and should be designed prospectively along with learning outcomes, as only about 40 % of participants agreed with assessment items. The current development of the faculty Assessment Unit will provide much help. This will lead to better preparation of medical students for their future responsibility as tomorrow’s doctors. PMID:26430398

  5. Knowledge and Attitudes towards Complementary and Alternative Medicine among Senior Medical Students in King Abdulaziz University, Saudi Arabia.

    PubMed

    Alzahrani, Sami H; Bashawri, Jamil; Salawati, Emad M; Bakarman, Marwan A

    2016-01-01

    Objectives. This study assessed the knowledge and attitudes regarding complementary and alternative medicine (CAM) in medical students in Saudi Arabia. Furthermore, it evaluated their views on the incorporation of CAM in their medical syllabus. Methods. The study was conducted by selecting a cross-sectional sample of senior medical students in the Faculty of Medicine. A validated and reliable self-administered questionnaire was used to explore the knowledge, attitude, and benefits of CAM. It was distributed to a sample of 273 students. Results. The study included 242 students, making the response rate 88.6%. Only two-thirds of students (62.4%) were aware of acupuncture principles and only 17.4% recognized that chiropractic is associated with pain management. The knowledge of common herbs such as St. John's Wort, Echinacea, and Ginkgo biloba was limited among the students. Older students had a positive CAM attitude compared to younger students (p = 0.027). Conclusion. Students attitudes toward CAM learning were encouraging regardless of their limited knowledge on the subject. A high percentage of students agreed that CAM in combination with conventional therapy is beneficial in treating unusual cases, but the choice of CAM should be based on evidence. Furthermore, medical students are still reluctant to have CAM practitioners in their referral network. PMID:27066102

  6. Knowledge and Attitudes towards Complementary and Alternative Medicine among Senior Medical Students in King Abdulaziz University, Saudi Arabia

    PubMed Central

    Bashawri, Jamil; Bakarman, Marwan A.

    2016-01-01

    Objectives. This study assessed the knowledge and attitudes regarding complementary and alternative medicine (CAM) in medical students in Saudi Arabia. Furthermore, it evaluated their views on the incorporation of CAM in their medical syllabus. Methods. The study was conducted by selecting a cross-sectional sample of senior medical students in the Faculty of Medicine. A validated and reliable self-administered questionnaire was used to explore the knowledge, attitude, and benefits of CAM. It was distributed to a sample of 273 students. Results. The study included 242 students, making the response rate 88.6%. Only two-thirds of students (62.4%) were aware of acupuncture principles and only 17.4% recognized that chiropractic is associated with pain management. The knowledge of common herbs such as St. John's Wort, Echinacea, and Ginkgo biloba was limited among the students. Older students had a positive CAM attitude compared to younger students (p = 0.027). Conclusion. Students attitudes toward CAM learning were encouraging regardless of their limited knowledge on the subject. A high percentage of students agreed that CAM in combination with conventional therapy is beneficial in treating unusual cases, but the choice of CAM should be based on evidence. Furthermore, medical students are still reluctant to have CAM practitioners in their referral network. PMID:27066102

  7. Star City, Russia Medical Operations

    NASA Technical Reports Server (NTRS)

    Chandler, Michael R.; Senter, Cedric H.; Roden, Sean K.; Gilmore, Stevan; Powers, William E.; Alexander, David J.

    2004-01-01

    Since the beginning of the NASA/Mir missions, NASA has had astronauts in training at the Gagarin Cosmonaut Training Center (GCTC), also known as Star City, with crewmembers currently there to train for the International Space Station missions. Agreements have been reached with all International Partners that allow the crewmember's parent agency to provide a flight surgeon to oversee crewmember health and safety during training away from home. NASA Medical Operations through the Bioastronautics Contract employs flight surgeons to provide medical support for U.S. crewmembers and their support staff. This poster presentation reviews the aspects of NASA medical operations at Star City.

  8. Effects of passive smoking on students at College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh

    PubMed Central

    Alanazi, Abdullah; Al Enezi, Farhan; Alqahtani, Mohammd Mesfer; Alshammari, Turki Faleh; Ansari, Mumtaz Ahmed; Al-Oraibi, Saleh; Qureshi, Shoeb

    2015-01-01

    Background: Despite the recent campaigns to eliminate smoking, the rates are still increasing world-wide. Exposure to passive smoking (PS) is associated with morbidity and mortality from awful diseases. Although many college students smoke, little is known about their exposure to PS, common places and sources of exposures in Saudi Arabia. Aim: The aim of the following study is to identify prevalence and magnitude of PS among college students, exposure time, locations, sources of exposure, investigate the effects and make recommendations. Materials and Methods: A cross-sectional study was performed to identify factors associated with PS exposure among students of College of Applied Medical Sciences, Riyadh. Results: Out of 61 students included in the study, 91.8% were found exposed to PS. Exposure in Hospitality venues (Estirah) was the most common followed by other areas. Among the sources of exposure, the highest was among friends and the least were parents and guests. The frequency of highest exposure per month was >15 times and the lowest was 10-15 times. Levels of annoyance varied between 18% and 37.7%, respectively. Since the values obtained for different markers in the pulmonary function test are more than the predicted values, the observed spirometry is normal. The percent oxygen saturation in hemoglobin and blood pressure of PS were in normal range. Conclusion: Since the properties of mainstream smoke and environmental tobacco smoke are quite different, risk extrapolation from active to PS is uncertain, especially during a short period. Nevertheless, it can be deteriorating during a longer duration, hence; the administrators, policy makers and tobacco control advocates may endorse policies to restrict smoking in shared areas, particularly working environment. PMID:25810644

  9. City emergency medical services system issues

    NASA Astrophysics Data System (ADS)

    Persse, David E.; Bradley, Richard N.

    2003-09-01

    The City of Houston is continuously improving its preparedness for disasters and terrorism. This preparation requires strong and clear leadership. This includes a designated individual to lead the region"s preparation in the health and medical arena. An effective leader requires an effective command and control center. Real-time information on the situation is imperative.

  10. Duplicate Medical Records: A Survey of Twin Cities Healthcare Organizations

    PubMed Central

    McClellan, Molly A.

    2009-01-01

    Duplicate medical records occur when a single patient is associated with more than one medical record number. This causes a dangerous and expensive issue for hospitals and health information technology. A survey was constructed to gather qualitative information from Twin Cities healthcare organizations. The goal was to determine baseline information regarding the recognition of the problems surrounding duplicate medical record creation and organizational strategies for resolutions. The survey demonstrated that all organizations acknowledged the importance and patient safety issue regarding the creation of duplicates but the strategies and solutions are varied. As defined in the Minnesota Alliance for Patient Safety5, the ultimate goal of this survey was to favorably impact patient safety. The deidentified results were disseminated to all participating organizations along with recommendations for system improvements in order to raise awareness of the issue and promote patient safety. PMID:20351892

  11. Irritable bowel syndrome among nurses working in King Abdulaziz University Hospital, Jeddah, Saudi Arabia

    PubMed Central

    Ibrahim, Nahla Khamis; Al-Bloushy, Randa Ibrahim; Sait, Salma Hani; Al-Azhary, Hatoon Wahid; Al Bar, Nusaybah Hussain; Mirdad, Ghazal A.

    2016-01-01

    Background Irritable bowel syndrome (IBS) is a highly prevalent gastrointestinal disorder that can cause disability and economic burden. Nurses are a vital part of the medical team and their well-being is an important issue. Yet, few studies have been done concerning IBS among nurses. Objectives To determine the prevalence, severity, and predictors of IBS among nurses working at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Materials and methods A cross-sectional study was conducted among 229 nurses who fulfilled the eligibility criteria. They were selected by stratified random sampling during 2014–2015. A validated, confidential, self-administered data collection sheet was used for collection of personal and sociodemographic data. Rome III Criteria, IBS Severity Scoring System (IBS-SSS), Hospital Anxiety and Depression Scale (HADS), and Pittsburgh Sleep Quality Index (PSQI) were included. Both descriptive and inferential statistics were done. A multiple logistic regression analysis was done to determine the predictors of IBS. Results The prevalence of IBS among nurses was 14.4%, and IBS-Mixed type was the commonest variety (54.5%). Positive family history of IBS, working in outpatient clinics, having day shift, poor sleep quality, and high anxiety and depression scale scores were significantly associated with IBS. After controlling for confounding factors in regression analysis, the predictors of IBS were food hypersensitivity (aOR=4.52; 95% CI: 1.80−11.33), morbid anxiety (aOR=4.34; 95% CI: 1.49–12.67), and positive family history of IBS (aOR=3.38; 95% CI: 1.12–13.23). Conclusion The prevalence of IBS was 14.4%. Food hypersensitivity, morbid anxiety, and family history were the predictors of IBS. Screening and management of IBS, food hypersensitivity, and psychological problems among nurses are recommended. PMID:27032964

  12. City of Faith Medical and Research Center, Tulsa, Oklahoma.

    PubMed

    1984-01-01

    The gold towers of the City of Faith command the viewer's attention as they soar into the Tulsa sky. Built by Evangelist Oral Roberts, the City of Faith combines a 60-story clinic and diagnostic center, a 30-story full-service hospital and a 20-story research center on one 80-acre site adjacent to the Oral Roberts University campus. Due in part to their futuristic architectural features, the campus and the City of Faith are one of the top tourist attractions in Oklahoma. Construction began in early 1978. The clinic, first opened in June 1981 with nine physicians, is now staffed with more than 80, all with faculty appointments to the Oral Roberts School of Medicine. The hospital accepted its first patient in November, 1981 and is currently certified for 294 beds (final plans call for a total of 777). The research center began operations last June and focuses on cancer, heart disease, arthritis, diabetes and geriatrics. Built entirely through contributions from followers of the Oral Roberts Ministries, the debt-free City of Faith is expected to cost more than $500 million when completed in 1988. PMID:10267423

  13. REPORT ON PARA MEDICAL CURRICULA AT LOS ANAGELES CITY COLLEGE.

    ERIC Educational Resources Information Center

    WHALEN, PAUL L.

    AT THE TIME OF THIS REPORT, LOS ANGELES CITY COLLEGE OFFERED PROGRAMS LEADING TO EMPLOYMENT IN 13 HEALTH RELATED AND PARAMEDICAL OCCUPATIONS. REVIEW OF THESE PROGRAMS AND RELEVANT LITERATURE LED TO NINE RECOMMENDATIONS FOR INCREASING THE EFFECTIVENESS OF THE PROGRAMS--(1) CONSTRUCTION OF A SPECIAL FACILITY FOR ALLIED HEALTH SERVICES EDUCATION, (2)…

  14. Antibiotics self-medication among medical and nonmedical students at two prominent Universities in Benghazi City, Libya

    PubMed Central

    Ghaieth, Mohamed F.; Elhag, Sara R. M.; Hussien, Mamoun E.; Konozy, Emad H. E.

    2015-01-01

    Background: Trivial use of antibiotics is a major reason for the spread of antibiotics resistance. The aim behind undertaking this investigation was to study the prevalence antibiotics self-medication among university students in Benghazi city. Methods: A questionnaire-based cross-sectional, survey was conducted at both Libyan International Medical University and Benghazi University. A total of 665 copies of questionnaires was distributed. A total of 363 forms were completed and returned (response rate 55%). Remaining responses were either with no antibiotics use history within the past 1 year or were provided incomplete. Results: Among the respondents, 45% were males and 55% females. Males practiced self-medication more compared to females. Approximately, 43% and 46% from medical and nonmedical students, respectively, were antibiotics self-medicated. A total of 153 students (42%) out of total respondents administered antibiotics for symptoms related to respiratory problems, among which 74 students (48%) took antibiotics based on doctor's prescription. Among the respondents, 94 students (27%) who had antibiotics, were covered under medical insurance, and 19 (29%) of the medically insured students had antibiotics without doctor's prescription. About 14% of students did not complete their antibiotics course. Of these, 57% were medical students, and 43% were nonmedical students. The rate of self-medication among higher classes was more as compared to lower classes. About 58% of students overdosed the antibiotic, while 15% had antibiotics for <3 days, for treatment of ailments such as acne, toothache, diarrhea, earache, and tonsillitis. About 75% of students purchased the antibiotics in consultation with a pharmacist. Conclusion: Self-medication is a frequent problem among university students in Benghazi city. There is a need for an immediate intervention to address this malpractice among both students and medical practitioners. PMID:25883514

  15. Pediatric nerve agent poisoning: medical and operational considerations for emergency medical services in a large American city.

    PubMed

    Foltin, George; Tunik, Michael; Curran, Jennifer; Marshall, Lewis; Bove, Joseph; van Amerongen, Robert; Cherson, Allen; Langsam, Yedidyah; Kaufman, Bradley; Asaeda, Glenn; Gonzalez, Dario; Cooper, Arthur

    2006-04-01

    Most published recommendations for treatment of pediatric nerve agent poisoning are based on standard resuscitation doses for these agents. However, certain medical and operational concerns suggest that an alternative approach may be warranted for treatment of children by emergency medical personnel after mass chemical events. (1) There is evidence both that suprapharmacological doses may be warranted and that side effects from antidote overdosage can be tolerated. (2) There is concern that many emergency medical personnel will have difficulty determining both the age of the child and the severity of the symptoms. Therefore, the Regional Emergency Medical Advisory Committee of New York City and the Fire Department, City of New York, Bureau of Emergency Medical Services, in collaboration with the Center for Pediatric Emergency Medicine of the New York University School of Medicine and the Bellevue Hospital Center, have developed a pediatric nerve agent antidote dosing schedule that addresses these considerations. These doses are comparable to those being administered to adults with severe symptoms and within limits deemed tolerable after inadvertent nerve agent overdose in children. We conclude that the above approach is likely a safe and effective alternative to weight-based dosing of children, which will be nearly impossible to attain under field conditions. PMID:16651913

  16. Mexico City's Petroleos Mexicanos explosion: disaster management and air medical transport.

    PubMed

    Urquieta, Emmanuel; Varon, Joseph

    2014-01-01

    Mexico City is the largest metropolitan area in the Americas and 1 of the largest in the world; its geographic location and uncontrolled population and industrial growth make this metropolis prone to natural and human-made disasters. Mass casualty disaster responses in Mexico City tend to have complications from multiple logistical and operational challenges. This article focuses on the experiences and lessons learned from an explosion that occurred in a government building in Mexico City and the current status of mass casualty disaster risks and response strategies in Mexico City as well as air medical evacuation, which is a critical component and was shown to be extremely useful in the evacuation of 15 critically ill and polytraumatized patients (Injury Severity Score > 15). Several components of the public and privately owned emergency medical services and health care systems among Mexico City pose serious logistical and operational complications, which finally will be addressed by a joint emergency preparedness council to unify criteria in communications, triage, and incident/disaster command post establishment. PMID:25441528

  17. St. Luke's Medical Center Global City--Global Trigger Tool (GTT) Project.

    PubMed

    Dizon, Alejandro C; Macaraig, Victor J; Magpusao, Eulalia C

    2016-01-01

    The Global Trigger Tool (GTT) was developed by the Institute of Healthcare Improvement (IHI), to identify and measure the rate of adverse events over time in a healthcare facility. It is a sampling methodology that utilizes "triggers" in the detection of random adverse events and harms and it also measures the adverse events overtime. The Quality and Patient Safety Group of St. Luke's Medical Center--Global City initiated the implementation of the Global Trigger Tool as a proactive solution using retrospective information gathered to address the growing challenge that adverse events and harms impose in the institution with the ultimate goat of improving patient safety. St. Luke's Medical Center Global City is the first and only hospital in the Philippines to implementand utilize the Global Trigger Tool. PMID:27180470

  18. "The City of the Hospital": On Teaching Medical Students to Write.

    PubMed

    Hellerstein, David J

    2015-12-01

    "The City of the Hospital" is a creative nonfiction writing workshop for medical students, which the author has conducted annually since 2002. Part of the required preclinical Narrative Medicine curriculum at the Columbia University College of Physicians and Surgeons, this six-week intensive workshop includes close readings of literary works and in-class assignments that are then edited by fellow class members and rewritten for final submission. Over the years, students have produced a wide range of compelling essays and stories, and they describe the class as having an effect that lasts throughout their further medical training. This special section includes selected works from class members. PMID:26179365

  19. Enhancing medication adherence among inner-city children with asthma: results from pilot studies.

    PubMed

    Bartlett, Susan J; Lukk, Peter; Butz, Arlene; Lampros-Klein, Francine; Rand, Cynthia S

    2002-02-01

    Despite the availability of effective treatments that aid in controlling asthma symptoms, inner-city children with asthma have high rates of morbidity and are frequent users of emergency department services. The goal of these studies was to pilot test an intervention that used social learning strategies (e.g., goal-setting, monitoring, feedback, reinforcement, and enhanced self-efficacy) and targeted known barriers to individualize a family-based asthma action plan. Participants were 15 children with asthma, aged 7-12 years, who had been prescribed at least one daily inhaled steroid. The children and their mothers lived in inner-city Baltimore and all were African-American. Participants received up to five visits in their home by a nurse. Electronic monitors were installed on the children's MDI to provide immediate feedback on medication adherence to the families and validate medication use. At baseline, only 28.6% of the children were using their medications as prescribed. Within four weeks, the number of children who were using their medications appropriately doubled from 28.6% at baseline to 54.1% (90% increase; p = 0.004), while underutilization decreased from 51.2% to 25.4% (100% decrease; p = 0.02). The number of children with no medication use at all dropped from 28.3% at baseline to 15.1% by week 5 (87% decrease; p = 0.009). Thus, within four weeks, more than half the children were using their inhaled steroids appropriately. In addition, the rate of underutilization decreased and that of nonutilization was cut in half. Our initial data suggest that an individualized, home-based intervention can significantly enhance adherence to the daily use of inhaled steroids in inner-city children with asthma. Nevertheless, adherence to daily inhaled steroid therapy remains a significant problem in this group. PMID:11883739

  20. Pattern of medical waste management: existing scenario in Dhaka City, Bangladesh

    PubMed Central

    Hassan, M Manzurul; Ahmed, Shafiul Azam; Rahman, K Anisur; Biswas, Tarit Kanti

    2008-01-01

    Background Medical waste is infectious and hazardous. It poses serious threats to environmental health and requires specific treatment and management prior to its final disposal. The problem is growing with an ever-increasing number of hospitals, clinics, and diagnostic laboratories in Dhaka City, Bangladesh. However, research on this critical issue has been very limited, and there is a serious dearth of information for planning. This paper seeks to document the handling practice of waste (e.g. collection, storage, transportation and disposal) along with the types and amount of wastes generated by Health Care Establishments (HCE). A total of 60 out of the existing 68 HCE in the study areas provided us with relevant information. Methods The methodology for this paper includes empirical field observation and field-level data collection through inventory, questionnaire survey and formal and informal interviews. A structured questionnaire was designed to collect information addressing the generation of different medical wastes according to amount and sources from different HCE. A number of in-depth interviews were arranged to enhance our understanding of previous and existing management practice of medical wastes. A number of specific questions were asked of nurses, hospital managers, doctors, and cleaners to elicit their knowledge. The collected data with the questionnaire survey were analysed, mainly with simple descriptive statistics; while the qualitative mode of analysis is mainly in narrative form. Results The paper shows that the surveyed HCE generate a total of 5,562 kg/day of wastes, of which about 77.4 per cent are non-hazardous and about 22.6 per cent are hazardous. The average waste generation rate for the surveyed HCE is 1.9 kg/bed/day or 0.5 kg/patient/day. The study reveals that there is no proper, systematic management of medical waste except in a few private HCE that segregate their infectious wastes. Some cleaners were found to salvage used sharps

  1. Quantitative assessment of medical waste generation in the capital city of Bangladesh

    SciTech Connect

    Patwary, Masum A. O'Hare, William Thomas Street, Graham Maudood Elahi, K. Hossain, Syed Shahadat Sarker, Mosharraf H.

    2009-08-15

    There is a concern that mismanagement of medical waste in developing countries may be a significant risk factor for disease transmission. Quantitative estimation of medical waste generation is needed to estimate the potential risk and as a basis for any waste management plan. Dhaka City, the capital of Bangladesh, is an example of a major city in a developing country where there has been no rigorous estimation of medical waste generation based upon a thorough scientific study. These estimates were obtained by stringent weighing of waste in a carefully chosen, representative, sample of HCEs, including non-residential diagnostic centres. This study used a statistically designed sampling of waste generation in a broad range of Health Care Establishments (HCEs) to indicate that the amount of waste produced in Dhaka can be estimated to be 37 {+-} 5 ton per day. The proportion of this waste that would be classified as hazardous waste by World Health Organisation (WHO) guidelines was found to be approximately 21%. The amount of waste, and the proportion of hazardous waste, was found to vary significantly with the size and type of HCE.

  2. Toward an Instructional Philosophy: "A Theoretical Framework for Teaching and Training at Salman Bin Abdulaziz University (SAU)"

    ERIC Educational Resources Information Center

    Qandile, Yasine A.; Al-Qasim, Wajeeh Q.

    2014-01-01

    The purpose of this study is to construct a clear instructional philosophy for Salman bin Abdulaziz University as a fundamental basis for teaching and training as well as a theoretical framework for curriculum design and development. The study attempts to answer the main questions about pertaining to the basic structure of contemporary higher…

  3. Concerns and Professional Development Needs of Faculty at King Abdul-Aziz University in Saudi Arabia in Adopting Online Teaching

    ERIC Educational Resources Information Center

    Kamal, Bakor

    2013-01-01

    The purpose of this study was to investigate concerns regarding the adoption of online teaching as expressed by faculty and instructors in six departments in the College of Arts and Humanities at King Abdulaziz University. Additionally, it investigated faculty professional development needs in adopting online teaching. The data in this study were…

  4. Selected demographic, social and work characteristics of the Australian general medical practitioner workforce: comparing capital cities with regional areas.

    PubMed

    Wilkinson, D

    2000-12-01

    The aim of the present study was to compare selected characteristics of the Australian general medical practitioner workforce in capital cities and regional areas. Data were derived from the 1996 Census of Population and Housing. Characteristics included age, sex, full- or part-time work, place of birth and change in residential address. Analyses were performed for each state and territory in Australia, the statistical division containing each capital city and all other statistical divisions in each state and territory. Of the 26,359 general medical practitioners identified, 68% were male. More female than male general medical practitioners were aged < 45 years (74 vs 52%, respectively; P < 0.0001). The proportion of general medical practitioners aged < 35 years was higher in capital cities (30%) than regional areas (24%; P < 0.0001). Overall, 32% of the general medical practitioner workforce was female and almost 50% of those aged < 35 years were female. The proportion of female general medical practitioners was higher in capital cities than regional areas, by up to 30%. While 13% of male general medical practitioners reported part-time work, 42% of females also reported part-time work and these figures were similar in capital cities and regional areas. Approximately 40% of the Australian general medical practitioner workforce was born outside Australia and while fewer migrants have entered in recent years they were more likely to be living in regional areas than the capitals. The census provides useful medical workforce data. The regional workforce tends to be made up of more males and is older than in capital cities. Monitoring trends in these characteristics could help to evaluate initiatives aimed at addressing regional workforce issues. PMID:11894793

  5. Complementary and Alternative Medication Use and Adherence to Inhaled Corticosteroid Among Inner-city Asthmatics

    PubMed Central

    Roy, Angkana; Lurslurchachai, Linda; Halm, Ethan A.; Li, Xiu-Min; Wisnivesky, Juan P.

    2009-01-01

    Background Complementary and alternative medicines (CAM) are used widely by patients with chronic diseases such as asthma. However, it is unclear whether use of CAM is associated with decreased adherence to inhaled corticosteroids (ICS), a key component of asthma management. Methods We surveyed 326 adults with persistent asthma receiving care at two inner-city outpatient clinics. Patients were asked about CAM use for treatment of asthma in the prior six months. Medication adherence was assessed using the Medication Adherence Report Scale, a validated self-report measure. Univariate and multiple regression analyses were used to assess the relationship between CAM use, adherence to ICS, and medication and disease beliefs. Results Overall, 25% (95% CI: 20–30%) of patients reported CAM use. Of those who used CAM, 39% (95% CI: 19–59%) discussed it with their physician, and 21% (95% CI: 12–31%) used CAM in place of prescribed asthma therapy. Univariate analyses showed that CAM use was associated with decreased ICS adherence and increased asthma morbidity. In multivariable analysis, CAM use was associated with lower ICS adherence (odds ratio [OR]: 0.5, 95% CI: 0.3–0.9) after adjusting for age, gender, race/ethnicity, education, years since diagnosis, language, and co-morbidities. CAM users were also more likely to worry about side effects of ICS (p=0.01). Conclusion CAM use was associated with decreased ICS adherence among inner-city asthmatics. Medication beliefs such as worry about ICS side effects may in part mediate this relationship. CAM use may be a marker for decreased adherence to ICS, particularly among patients with poor asthma control. PMID:20306816

  6. EXAMINING THE RELATIONSHIP BETWEEN THE PHYSICAL AVAILABILITY OF MEDICAL MARIJUANA AND MARIJUANA USE ACROSS FIFTY CALIFORNIA CITIES

    PubMed Central

    Freisthler, Bridget; Gruenewald, Paul J.

    2014-01-01

    Background The purpose of the current study is to assess statistical associations between individual demographic and personality characteristics, the city-level physical availability of medical marijuana (as measured through densities per roadway mile of storefront dispensaries and delivery services), and the incidence and prevalence of marijuana use. Method Individual level data on marijuana use were collected during a telephone survey of 8,853 respondents living in 50 mid-size cities in California. Data on medical marijuana dispensaries and delivery services were obtained via six different websites and official city lists. Three outcome variables pertaining to lifetime, past year use, and frequency of past year use were analyzed using random effects logistic models (for lifetime and past year use) and random effects tobit models (for frequency of past 365-day use). Results The current study finds that the total physical availability of medical marijuana through dispensaries and delivery services per roadway mile at the city-level is positively related to current marijuana use and greater frequency of use, controlling for a variety of demographic and personality characteristics. As expected, current physical availability of medical marijuana was unrelated to lifetime use. Conclusions Regulations on the number and densities of marijuana outlets may be a sufficient means to restrain overall levels of marijuana use within cities. However, alternative use of delivery services may also provide easy access to marijuana and mitigate these effects. PMID:25156224

  7. Experience of establishment of multiple mini structure interview as part of student admission policy at Faculty of Medicine, King Abdulaziz University, 2011-2012.

    PubMed

    El Says, Faten; Ayuob, Nasra; Fahmy, Abdel Rhman; El Fayez, Fayza; Hasanian, Mohamed; El Deek, Basem

    2013-01-01

    Faculty of Medicine (FOM), King Abdulaziz University (KAU), requested for international recognition by the Laison Committee of Canadian Medical Education (LCME) during the period 2008-2010. Selection of medical students was a must standard in LCME. After obtaining a written permission from higher administration at KAU, a committee for the establishment of multiple-mini-interview (MMI) was formed and they conducted workshops to train faculty members at FOM on such process. The interviews were set up in a manner similar to that of an objective-structured clinical evaluation (OSCE), with the applicant moving from one station to another. The applicant was either asked to discuss a scenario or respond to direct questions. The interviewers used a standardized scoring form to rate candidates. When the data were analyzed, it was found that the performance of men students was insignificantly higher than that of women students in stations concerned with personnel character and professionalism. The performance of women students was significantly higher in all other stations (those considered motivation, morals and bioethics, team work and communication skills and behaviors). The women's overall performance was significantly higher than men. PMID:23581900

  8. Medically indigent women seeking abortion prior to legalization: New York City, 1969-1970.

    PubMed

    Belsky, J E

    1992-01-01

    If the efforts now underway to limit access to abortion services in the United States are successful, their greatest impact will be on women who lack the funds to obtain abortions elsewhere. There is little published information, however, about the experience of medically indigent women who sought abortions under the old, restrictive state laws. This article details the psychiatric evaluation of 199 women requesting a therapeutic abortion at a large municipal hospital in New York City under a restrictive abortion law. Thirty-nine percent had tried to abort the pregnancy. Fifty-seven percent had concrete evidence of serious psychiatric disorder. Forty-eight percent had been traumatized by severe family disruption, gross emotional deprivation or abuse during childhood. Seventy-nine percent lacked emotional support from the man responsible for the pregnancy, and the majority were experiencing overwhelming stress from the interplay of multiple problems exacerbated by their unwanted pregnancy. PMID:1628716

  9. The Sociology of the Deceased Harvard Medical Unit at Boston City Hospital.

    PubMed

    Tishler, Peter V

    2015-12-01

    Many graduates of the Harvard Medical Unit (HMU) at Boston City Hospital, in either the clinical training/residency program or the research program at the Thorndike Memorial Laboratory, contributed in major ways to the HMU and constantly relived their HMU experiences. The HMU staff physicians, descending from founder and mentor physicians Francis W. Peabody, Soma Weiss, and George R. Minot, were dedicated to the teaching, development, and leadership of its clinical and research trainees, whose confidence and dedication to patient care as a result of their mentorship led many to lifelong achievements as clinicians, teachers, and mentors. Their experience also led to a lifelong love of the HMU (despite its loss), camaraderie, happiness, and intense friendships with their associates. PMID:26604868

  10. The Sociology of the Deceased Harvard Medical Unit at Boston City Hospital

    PubMed Central

    Tishler, Peter V.

    2015-01-01

    Many graduates of the Harvard Medical Unit (HMU) at Boston City Hospital, in either the clinical training/residency program or the research program at the Thorndike Memorial Laboratory, contributed in major ways to the HMU and constantly relived their HMU experiences. The HMU staff physicians, descending from founder and mentor physicians Francis W. Peabody, Soma Weiss, and George R. Minot, were dedicated to the teaching, development, and leadership of its clinical and research trainees, whose confidence and dedication to patient care as a result of their mentorship led many to lifelong achievements as clinicians, teachers, and mentors. Their experience also led to a lifelong love of the HMU (despite its loss), camaraderie, happiness, and intense friendships with their associates. PMID:26604868

  11. Innovative Information Systems in the Intensive Care Unit, King Saud Medical City in Saudi Arabia.

    PubMed

    Al Saleem, Nouf; Al Harthy, Abdulrahman

    2015-01-01

    The purpose of this paper is to discuss the experience of implementing innovative information technology to improve the quality of services in one of the largest Intensive Care Units in Saudi Arabia. The Intensive Care Units in King Saud Medical City (ICU-KSMC) is the main ICU in the kingdom that represents the Ministry of Health. KSMC's ICU is also considered one of the largest ICU in the world as it consists of six units with 129 beds. Leaders in KSMC's ICU have introduced and integrated three information technologies to produce powerful, accurate, and timely information systems to overcome the challenges of the ICU nature and improve the quality of service to ensure patients' safety. By 2015, ICU in KSMC has noticed a remarkable improvement in: beds' occupation and utilization, staff communication, reduced medical errors, and improved departmental work flow, which created a healthy professional work environment. Yet, ICU in KSMC has ongoing improvement projects that include future plans for more innovative information technologies' implementation in the department. PMID:26152977

  12. Measuring Empathy Levels among Kurdish Medical Students in Erbil City, Iraq

    PubMed Central

    Raof, Awring M.; Yassin, Bervian A.

    2016-01-01

    Objectives: Empathy is a crucial attribute within the physician-patient relationship. This study aimed to evaluate the empathy levels of students in the College of Medicine at Hawler Medical University (HMU) in Erbil city, Iraq. Methods: This cross-sectional study took place between January and May 2015 and included all medical undergraduates enrolled at HMU (n = 989). The validated self-administered English language version of the Jefferson Scale of Physician Empathy-Student Version (JSPE-SV) was used to measure empathy levels. Students reported their conformity to each statement of the 20-item questionnaire on a 7-point Likert scale. Levels of empathy were considered directly relative to their final score. Results: A total of 927 students completed the questionnaire (response rate: 93.7%). The male-to-female ratio was 0.72:1 and the mean age was 21.3 ± 1.4 years. The mean empathy score was 101.9 ± 19.2. Female students had significantly higher empathy (P = 0.023) and more frequently chose people-oriented specialties (P = 0.001) than males. First-year students reported the highest mean score (112.9 ± 20.1) while fourth-year students had the lowest (92.7 ± 16.0). There was a significant decline in mean scores between first- and second-year male students (P = 0.020) and first- and fourth-year male students (P = 0.050). Students who chose people-oriented specialties had significantly higher scores than those who chose technology-oriented specialties (P = 0.002). Conclusion: The studied cohort of HMU students demonstrated low empathy levels. As such, the inclusion of empathy instruction in medical school curricula is recommended to promote professionalism and patient welfare. PMID:26909215

  13. From Public to Private Care The Historical Trajectory of Medical Services in a New York City Jail

    PubMed Central

    2009-01-01

    Over the past 25 years, incarceration rates in the United States have more than tripled. Providing health care services for this growing number of inmates poses immense medical and public health challenges. Focusing on the administrative and financial shifts in health care delivery, I examined the history of medical services in one of the nation's largest correctional facilities, Rikers Island in New York City. Over time, medical services at Rikers have become increasingly privatized. This trend toward privatization is mirrored nationwide and coincides with the rising prevalence of incarceration. PMID:19372534

  14. Knowledge about missed contraceptive pills among married women at King Abdulaziz University Hospital

    PubMed Central

    Iftikhar, Rahila; Aba Al Khail, Bahaa Abdulrahman

    2015-01-01

    Background Oral contraceptive pills (OCPs) are one of the most reliable methods of contraception. However, lack of knowledge about oral contraceptive use and inconsistent pill-taking might result in decreased efficacy. The study reported here aimed to explore women’s knowledge about oral contraceptive use and assess the factors associated with knowledge about OCPs among users. Methods This cross-sectional survey was conducted at King Abdulaziz University Hospital, Jeddah, Saudi Arabia between April and June 2014. We included married, non-pregnant women >18 years old who had used a combined 21-day OCP for at least 3 months prior to recruitment. A questionnaire was used to collect the participants’ demographic information. It also assessed their knowledge about OCPs. Data were entered into and analyzed using SPSS software. Results A total of 357 women were recruited. Of these, 57.7% reported they knew what to do after missing one or two pills, but only 18.3% knew exactly what to do after missing more than two pills consecutively. Postgraduate women had a significantly higher knowledge score than illiterate women (P=0.002) and those who had completed at least primary education (P=0.001). Conversely, there was no difference in knowledge scores between Saudi and expatriate women (P=0.2). Monthly incomes (P=0.2) and mode of OCP selection (P=0.2) were also not significantly associated with knowledge scores. Conclusion Women had poor knowledge about OCP use. Appropriate measures should be taken to educate women about proper oral contraceptive use. PMID:25792813

  15. Perceived stress and associated factors among medical students

    PubMed Central

    Saeed, Abdalla A.; Bahnassy, Ahmed A.; Al-Hamdan, Nasser A.; Almudhaibery, Faisal S.; Alyahya, Anisah Z.

    2016-01-01

    Background: Stress and its psychological manifestations are currently a major source of concern. Medical education poses challenging and potentially threatening demands for students throughout the world. Objectives: To determine the prevalence and factors associated with perceived stress in medical students in the College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, King Fahad Medical City, Riyadh, Saudi Arabia. Materials and Methods: This was a cross-sectional study on all medical students of batches 9, 10, and 11, which constituted all the enrolled students. Data were collected using a questionnaire based on the Kessler10 psychological distress instrument with a total score ranging from 10 to 50 points in addition to some sociodemographic characteristics. Appropriate statistical test procedures were used to study the magnitude of stress and its risk factors. Results: Mean stress score of the eighty participants was 26.03 ± 9.7. Students with severe stress constituted 33.8%, and 30% were well. Severe stress was significantly associated with female gender and junior level. Nervousness, feeling hopeless, feeling restless, and depressed were the most important factors affecting students’ stress scores. Factor analysis revealed three hidden factors for stress in this group, namely, depression, nervousness, and age. Conclusion: Stress in medical students is prevalent and significantly associated with the female gender and the junior level. Implementation of coping programs is necessary. PMID:27625584

  16. Patients’ Perceptions Towards the Participation of Medical Students in their Care

    PubMed Central

    Ghobain, Mohammed Al; Alghamdi, Abdullah; Arab, Ala; Alaem, Nora; Aldress, Turki; Ruhyiem, Mead

    2016-01-01

    Objectives: Patient interaction is a vital part of healthcare training. This study aimed to investigate patients’ perceptions of the participation of medical students in their care. Methods: This descriptive cross-sectional study was conducted between October 2014 and March 2015 among 430 patients admitted to the medical and surgical wards at the King Abdulaziz Medical City, Riyadh, Saudi Arabia. An Arabic questionnaire was designed to assess the demographic characteristics of the patients and their perceptions of students’ participation in their medical care. Results: A total of 416 patients completed the survey (response rate: 97%). Overall, 407 patients (98%) acknowledged the educational benefit of involving medical students in their care. A total of 368 patients (88%) had no objection to a medical student being involved in their care. Of these, 98% were willing to be asked about their medical history by medical students, 89% would permit physical examinations by medical students and 39% preferred that the gender of the medical student match their own. Education level (P <0.003), a positive prior experience with a medical student (P <0.001) and perception of the medical students’ attitudes (P <0.001) had a significant effect on patients’ acceptance of medical students participating in their care. Conclusion: In general, the patients had a positive perception of medical students, with most patients acknowledging the educational benefit of student participation in patient care. As patients’ perceptions of students’ professionalism, confidence and respect for privacy were significantly related to acceptance of care, education on these aspects should be a priority in medical curricula. PMID:27226915

  17. Integrating Mobile Phones into the EFL Foundation Year Classroom in King Abdulaziz University/KSA: Effects on Achievement in General English and Students' Attitudes

    ERIC Educational Resources Information Center

    Khrisat, Abdulhafeth A.; Mahmoud, Salameh Saleem

    2013-01-01

    This study investigates the effect of ten teaching English as a foreign language (TEFL) oriented features of mobile phones in the English language classroom on the achievement of foundation-year students in King Abdulaziz University (KAU) in General English. The study also explores students' attitudes towards this new method of teaching. The study…

  18. Characterization of Staphylococcus aureus Isolates That Colonize Medical Students in a Hospital of the City of Cali, Colombia

    PubMed Central

    Collazos Marín, Luis Fernando; Estupiñan Arciniegas, Gina; Chavez Vivas, Monica

    2015-01-01

    Introduction. Nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA) represents a risk for the spread of bacteria. This study characterized the S. aureus isolated from medical students, who were in their clinical rotation at a hospital in the city of Cali. Materials and Methods. 216 students participated in the study and 63 isolates of S. aureus were evaluated for susceptibility and PCR amplification of agr and mecA genes. The origin of MRSA isolates was established by analyzing agr polymorphisms. Results. A total of 29.2% of students were colonized by S. aureus and nasal carriage rate was 23.6% and 14.3% MRSA. Three agr groups (agr II, and agr III) were identified; the agr I group was the most common, with a 35% prevalence; this group is from community origin. Conclusion. The present study demonstrates that medical students carry S. aureus strains, with the threat of spreading them both to community and hospital environments. PMID:26495001

  19. Nonadherence to antihypertensive medications and associated factors in general medicine clinics

    PubMed Central

    Al Ghobain, Mohammed; Alhashemi, H; Aljama, A; Bin Salih, S; Assiri, Z; Alsomali, A; Mohamed, Gamal

    2016-01-01

    Objectives Nonadherence to antihypertensive medications has not been assessed in the Saudi population. The aim of this study was to address and evaluate the magnitude of nonadherence among hypertensive patients and the risk factors associated with it. Methods A cross-sectional survey was conducted on hypertensive patients who attended the general internal medicine clinics at King Abdulaziz Medical City, Riyadh, Saudi Arabia, using a questionnaire that was modified after reviewing the literature. Hypertensive patients were labeled as nonadherent if they missed their medications for a total of 7 days during the previous month. Results A total of 302 patients participated in the study, of whom 63% were females with a mean age of 64 years, and 64% were illiterate. The prevalence of nonadherence to medications among hypertensive patients was found to be 12.3%. Poor disease knowledge was reported in 80% of patients, while 66% of the patients had poor monitoring of their disease. Younger age (≤65 years), poor monitoring, and uncontrolled blood pressure (BP ≥140/90 mmHg) were the predictor factors associated with nonadherence (odds ratio [OR] =2.04, P=0.025; OR=2.39, P=0.004; and OR=2.86, P=0.003, respectively). Conclusion Nonadherence to antihypertensive medications is lower than that previously reported in the literature. Younger age, uncontrolled BP, and poor monitoring are the main risk factors associated with nonadherence. PMID:27536073

  20. [Factors associated with self-medication for toothache: analysis using pharmacy personnel in the city of Recife, PE].

    PubMed

    Silva, Rafaella Arcoverde; Marques, Flávia Duarte; de Goes, Paulo Sávio Angeiras

    2008-04-01

    This paper aims to describe the factors associated with self-medication related to toothache in the city of Recife, Pernambuco, Brazil. The investigation was designed as a cross-sectional study. The sample was random selected among the pharmacies registered in the Regional Pharmacy Council of Pernambuco and distributed over the Health Districts. The level of knowledge of the pharmacy personnel about self-medication related to toothache was analyzed. One hundred and seventy nine professionals from 120 establishments were interviewed. The data were collected by means of a questionnaire. According to the results, 67.0% of the interviewees had attended individuals relating orofacial pain in the last six months, among them 91.6% relating toothache; 83.7% male and 73.3% female personnel had indicated medications for toothache without prescription; personnel with high-school level indicated more medications without prescription (48.6%) The study concludes that to buy pain relievers without prescription including for toothache is common and reinforces the need of informing the population about the correct use of these medicaments. PMID:21936174

  1. The Use of Mobile Phone and Medical Apps among General Practitioners in Hangzhou City, Eastern China

    PubMed Central

    Liu, Ying; Ren, Wen; Qiu, Yan; Liu, Juanjuan; Yin, Pei

    2016-01-01

    Background Mobile phones and mobile phone apps have expanded new forms of health professionals’ work. There are many studies on the use of mobile phone apps for different specialists. However, there are no studies on the current use of mobile phone apps among general practitioners (GPs). Objective The objective of the study was to investigate the extent to which GPs own smartphones with apps and use them to aid their clinical activities. Methods A questionnaire survey of GPs was undertaken in Hangzhou, Eastern China. Data probing GPs’ current use of medical apps in their clinical activities and factors influencing app use were collected and analyzed Results 125 GPs participated in the survey. 90.4% of GPs owned a mobile phone, with 48.7% owning an iPhone and 47.8% owning an Android phone. Most mobile phone owners had 1-3 medical-related apps, with very few owning more than 4. There was no difference in number of apps between iPhone and Android owners (χ2=1.388, P=0.846). 36% of GPs reported using medical-related apps on a daily basis. The majority of doctors reported using apps to aid clinical activities less than 30 minutes per day. Conclusions A high level of mobile phone ownership and usage among GPs was found in this study, but few people chose medical-related apps to support their clinical practice. PMID:27220417

  2. Medical response to the Great East Japan Earthquake in Ishinomaki City

    PubMed Central

    2011-01-01

    Problem The Ishinomaki Red Cross Hospital is the only designated disaster hospital in the Ishinomaki Medical Zone, Japan that was undamaged from the Great East Japan Earthquake in March 2011. The tsunami completely destroyed a large part of the Ishinomaki Medical Zone. Context The Ishinomaki Red Cross Hospital was designed with the capability to respond to disasters. An instruction manual for responding to disasters had been developed and was exercised through drills. Action In accordance with the manual, the hospital disaster task force was established. The Ishinomaki Zone Joint Relief Team coordinated medical support from organizations such as physicians associations, dental associations, self-defence forces medical teams, pharmacists associations, the Japanese Red Cross and relief teams from hospitals all over the country. In three days, the joint relief team directly visited all emergency shelters to make an initial assessment and to collect information about the number and state of health of evacuees, provision of food and drinking-water and the availability of electricity, water and sewerage. Outcome Initial assessment revealed that 35 emergency shelters lacked a sufficient food supply and that 100 shelters had unsanitary conditions. The joint relief team provided the Miyagi Prefecture government and the Ishinomaki municipal government with information about emergency shelters that did not have sufficient food supply. As of 30 September, the activities of the joint relief team were completed, and there was no outbreak of communicable diseases in the Ishinomaki Medical Zone. A total of 328 shelters with 46 480 evacuees were managed by the Ishinomaki Zone Joint Relief Team. Discussion Advanced preparation to quickly establish an initial response system, expertise, and decision-making ability and the ability to get things done are required for disaster response management. PMID:23908895

  3. Substance Use, Depression and Mental Health Functioning in Patients Seeking Acute Medical Care in an Inner-City ED

    PubMed Central

    Walton, Maureen A.; Barry, Kristin L.; Cunningham, Rebecca M.; Chermack, Stephen T.; Blow, Frederic C.

    2012-01-01

    The study investigated the behavioral health of a consecutive sample of 5,641 adult emergency department (ED) patients aged 19 through 60 presenting for medical care in a large, inner-city hospital emergency department. Twenty-three percent met criteria for major depression; average mental health functioning, as measured by the mental health component of the SF-12, was half of a standard deviation lower than in the general population; 15% met criteria for alcohol or drug abuse/dependence in the past year. Comorbidity was high. These behavioral health disorders may complicate treatment and diagnosis of the chief presenting complaint. These findings, coupled with the high rates of these disorders, suggest the importance of screening and either beginning appropriate treatment or offering appropriate referral for such disorders in ED settings. PMID:21086057

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

    PubMed

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

    2010-12-01

    It is extremely important that physicians are aware of cancer screening precise indications. We sought to explore its knowledge among Mexican medical students and internal medicine residents. Students and residents completed a questionnaire-based survey about breast, cervical, colon, and prostate cancer screening. Four hundred fifty-one individuals answered the survey: 64.52% students and 35.48% residents. Mean knowledge score was 63.97 ± 14.97. Residents scored higher than students (p = 0.0001). No difference in the education concerning cervical and colon cancer screening was found. Knowledge of screening guidelines is suboptimal among medical students and residents. Further efforts should be targeted to educational and training programs in this country. PMID:20221811

  5. Prevalence and Predictors of Self-Medication with Antibiotics in Al Wazarat Health Center, Riyadh City, KSA

    PubMed Central

    Al Rasheed, Abdulrahman; Yagoub, Umar; Alkhashan, Hesham; Abdelhay, Osama; Alawwad, Ahmad; Al Aboud, Aboud; Al Battal, Saad

    2016-01-01

    Background. Antibiotics are responsible for most dramatic improvement in medical therapy in history. These medications contributed significantly to the decreasing mortality and morbidity when prescribed based on evidence of microbial infection. Objective. The aim of this study was to determine the prevalence and predictors of self-prescription with antibiotics in Al Wazarat Health Center, Riyadh City, Kingdom of Saudi Arabia. Material and Methods. Cross-sectional study was conducted in Al Wazarat Health Center between February 2014 and November 2014. Respondents were randomly selected using a multistage clustered random sampling technique. Data was entered into SPSS version 21 and analyzed. Descriptive statistics and multiple logistic regression models were applied. Results. A total of 681 patients have participated in this study with a response rate of 92%. The prevalence of self-prescription with antibiotics in Al Wazarat Health Center was 78.7%. Amoxicillin was the most used self-prescribed antibiotic with prevalence of (22.3%). Friend advice on self-prescription of antibiotics use (p = 0.000) and pharmacy near to the participants (p = 0.002) were the most common predictors for self-prescription with antibiotics. Conclusion. The level of self-prescribing antibiotics is relatively high among participants. Health education on the appropriate use of antibiotics is highly recommended. The proper use of treatment guidelines for antibiotic therapy will significantly reduce self-prescription with antibiotics. PMID:26881218

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

    PubMed Central

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

    2013-01-01

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

  7. Physician house call services for medically needy, inner-city residents.

    PubMed Central

    Reuler, J B; Bax, M J; Sampson, J H

    1986-01-01

    To increase access to services, a non-profit, voluntary health agency was developed to provide on-site services to residents of hotels and night shelters in the Skid Road area of Portland, Oregon. From a hotel-based clinic site, volunteer physicians, nurses, and medical students make house calls. During the first 18 months, 1,184 evaluations were made, and 21 hotels and two shelters visited. Volunteers were well accepted by residents and served as members of case management teams. The additional benefits of such a program vis-a-vis extension of local government's mission and student education are discussed. PMID:3740339

  8. Exploring Factors Affecting Undergraduate Medical Students' Study Strategies in the Clinical Years: A Qualitative Study

    ERIC Educational Resources Information Center

    Al Kadri, Hanan M. F.; Al-Moamary, Mohamed S.; Elzubair, Margaret; Magzoub, Mohi Eldien; AlMutairi, Abdulrahman; Roberts, Christopher; van der Vleuten, Cees

    2011-01-01

    The aim of this study is to explore the effects of clinical supervision, and assessment characteristics on the study strategies used by undergraduate medical students during their clinical rotations. We conducted a qualitative phenomenological study at King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, Saudi…

  9. Genome Sequence of a Multidrug-Resistant Strain of Stenotrophomonas maltophilia with Carbapenem Resistance, Isolated from King Abdullah Medical City, Makkah, Saudi Arabia

    PubMed Central

    Abdel-Haleem, Alyaa M.; Rchiad, Zineb; Khan, Babar K.; Abdallah, Abdallah M.; Naeem, Raeece; Nikhat Sheerin, Shalam; Solovyev, Victor; Ahmed, Abdalla

    2015-01-01

    The emergence and spread of multidrug-resistant (MDR) bacteria have been regarded as major challenges among health care-associated infections worldwide. Here, we report the draft genome sequence of an MDR Stenotrophomonas maltophilia strain isolated in 2014 from King Abdulla Medical City, Makkah, Saudi Arabia. PMID:26472828

  10. Genome Sequence of a Multidrug-Resistant Strain of Stenotrophomonas maltophilia with Carbapenem Resistance, Isolated from King Abdullah Medical City, Makkah, Saudi Arabia.

    PubMed

    Abdel-Haleem, Alyaa M; Rchiad, Zineb; Khan, Babar K; Abdallah, Abdallah M; Naeem, Raeece; Nikhat Sheerin, Shalam; Solovyev, Victor; Ahmed, Abdalla; Pain, Arnab

    2015-01-01

    The emergence and spread of multidrug-resistant (MDR) bacteria have been regarded as major challenges among health care-associated infections worldwide. Here, we report the draft genome sequence of an MDR Stenotrophomonas maltophilia strain isolated in 2014 from King Abdulla Medical City, Makkah, Saudi Arabia. PMID:26472828

  11. Work-Related Psychosocial Hazards Among Emergency Medical Responders (EMRs) in Mansoura City

    PubMed Central

    Khashaba, Eman Omar; El-Sherif, Mona Abdel Fattah; Ibrahim, Adel Al-Wehedy; Neatmatallah, Mostafa Ahmed

    2014-01-01

    Purpose: This research was done to assess levels of psychosocial stress and related hazards [(burnout, depression, and posttraumatic stress disorder (PTSD)] among emergency medical responders (EMRs). Materials and Methods: A comparative cross-sectional study was conducted upon (140) EMRs and a comparative group composed of (140) nonemergency workers. The groups studied were subjected to semistructured questionnaire including demographic data, survey for job stressors, Maslach burn out inventory (MBI), Beck depression inventory (BDI), and Davidson Trauma scale for PTSD. Results: The most severe acute stressors among EMRs were dealing with traumatic events (88.57%), followed by dealing with serious accidents (87.8%) and young victims (87.14%). Chronic stressors were more commonly reported among EMRs with statistically significant differences (P < 0.05) except for social support with colleagues and supervisors. EMRs had statistically significant higher levels of emotional exhaustion (EE) (20%) and depersonalization (DP) (9.3%) compared with comparative group (4.3%, 1.4% respectively). Also, there was no statistically significant difference between two groups as regards lower personal achievement or depression symptoms (P > 0.05). There was increased risk of PTSD for those who had higher stress levels from death of colleagues [odds ratio (OR) [95% confidence interval (CI)] = 2.2 (0.7-7.6), exposure to verbal or physical assault OR (95% CI) = 1.6 (0.5-4.4) and dealing with psychiatric OR (95% CI) 1.4 (0.53.7) (P > 0.05) Conclusion: EMRs group had more frequent exposure to both acute and chronic work-related stressors than comparative group. Also, EMRs had higher levels of EE, DP, and PTSD compared with comparative group. EMRs are in need for stress management program for prevention these of stress related hazards on health and work performance. PMID:24963227

  12. Patient demographic and health factors associated with frequent use of emergency medical services in a mid-sized city

    PubMed Central

    Knowlton, Amy; Weir, Brian W.; Hughes, Brenna S.; Southerland, RJ Hunter; Schultz, Cody W.; Sarpatwari, Ravi; Wissow, Lawrence; Links, Jonathan; Fields, Julie; McWilliams, Junette; Gaasch, Wade

    2014-01-01

    Objectives To optimize healthcare utilization, health outcomes, and costs, research is needed to improve an understanding of frequent users of emergency health services. Frequent use of emergency services is associated with high costs of healthcare and may be indicative of challenges accessing, or poor outcomes of, healthcare. We identified patient demographics and health factors related to frequent use of the emergency medical services (EMS) system of a mid-sized city. Study findings will aid in the development of targeted interventions to improve population health. Methods We reviewed 9-1-1 call dispatch data and Baltimore City Fire Department EMS records in 2008–10. Frequent use was defined as six or more EMS incidents in the 23 month period. Analyses used census data to compare demographics of EMS users to their population distribution; and examined differences in demographics and health problems of frequent EMS users compared to non-frequent users. Results Frequent EMS users (n=1,969) had a range of 6–199 EMS incidents (mean 11.2) during the observation period; and though they accounted for only 1.5% of EMS users, they were involved in 12.0% of incidents. Frequent users, as compared to non-frequent users and to the population, were more likely to be male, African American, or 45 years or older. Of frequent users, the modal age group was 45–54 years, accounting for 29.7% of frequent users, which represented twice this age group’s population distribution. Furthermore, this age group had the greatest overrepresentation of males (63.0% of frequent users), and was the peak age group for substance abuse related incidents (28.0% of frequent users’ incidents in this age group). Frequent users compared to non-frequent users had lower levels of trauma related incidents (5.1% versus 16.7%) and higher levels of medical incidents (94.8% versus 82.9%). As proportions of EMS incidents among frequent versus non-frequent users, respiratory, mental health, and seizure

  13. The Development of a Motivational Interviewing Intervention to Promote Medication Adherence among Inner-City, African-American Adolescents with Asthma

    PubMed Central

    Riekert, Kristin A.; Borrelli, Belinda; Bilderback, Andrew; Rand, Cynthia S.

    2010-01-01

    Objectives To develop and assess the feasibility of a motivational interviewing (MI) based asthma self-management program for inner-city, African-American, adolescents with asthma. Methods 37 African-American adolescents (age 10-15 years) recently seen in an inner-city emergency department for asthma and prescribed an asthma controller medication participated in the newly developed program consisting of 5 home visits. Adolescents and their caregivers completed phone-based surveys before and after the intervention. Results 95% of the adolescents completed all 5 sessions; 89% of caregivers and 76% of adolescents believed other families would benefit from the intervention. Caregivers were more likely to report 100% adherence post-intervention compared to pre-intervention and reported a trend for adolescents taking greater responsibility for their asthma. There were no pre-post differences in adolescent-reported medication adherence, but adolescents did reported increased motivation and readiness to adhere to treatment. Caregivers and adolescents each reported statistically significant increases in their asthma quality of life. Conclusions The findings from this pilot study suggest that MI is a feasible and promising approach for increasing medication adherence among inner-city adolescents with asthma and is worthy of further evaluation in a randomized trial. PMID:20371158

  14. Level of Physical Activity of Physicians Among Residency Training Program At Prince Sultan Military Medical City, Riyadh, KSA 2014

    PubMed Central

    AL Reshidi, Fayez Saud

    2016-01-01

    Introduction Physical exercise is a crucial component in maintaining a healthy life. Unfortunately, the prevalence of adequate physical activity among young physicians is low. Additionally, there was a few research estimating lifestyle habits and other preventive health measurements especially during their residency-training program despite the importance of this topic. Objectives The aim of this research is to determine the level of physical activity and the main barriers of being physically active among physicians at Prince Sultan Military Medical City (PSMMC). Methods An analytical cross-sectional study was adopted targeting the physicians of residency training program in different specialties at PSMMC, Riyadh, KSA. Data was collected using of short form of the International Physical Activity Questionnaire (IPAQ). Results The study showed that 68.4% of the participants had low level of physical activity (≤600-MET min/week). High physical activity level was more reported among male physicians compared to female physicians (4.3% versus 1.3%). The most frequent barriers of practicing physical activities among males were limited exercise facilities at home (71.7%), not suitable weather (69%) and the first priority is not for exercise (67.2%) whereas among females were no enough time to exercise (69.3%), lack of suitable places to exercise nearby (68%), the first priority is not for exercise (66.7%) Conclusion Most of the physicians especially female residents reported low level of physical exercise due to many barriers. Overcoming these barriers may contribute to a further increase in the level of physical activity among them. PMID:27004056

  15. Effect of course coordinator behavior and motivation on students’ achievement: Results from five curriculum blocks of two undergraduate student cohorts at King Saud bin Abdulaziz University of Health Sciences

    PubMed Central

    Al-Alwan, Ibrahim; Baig, Lubna Ansari; Badri, Motasim; Magzoub, Mohi Eldin; Alyousif, Sarah

    2015-01-01

    Objective: The purpose of the study was to assess the relationship between students’ perception of course/block coordinators performance and attributes with students’ assessment scores in respective courses. Methods: This retrospective data based study was conducted at the College of Medicine, King Saud bin Abdulaziz University of Health Sciences (KSAU-HS). It was started in March 2013 and completed in June 2013 after the graduation of the fourth cohort. Exam score of 3rd and 4th cohort of students from the courses taught in the last two years of medical school were correlated with faculty and block evaluation done by the students. Scores from mid-block MCQs, portfolio scores, OSCEs and end-of-block MCQs were obtained. Results: The Mean scores of all the assessments for all five blocks were not significantly different for both batches. There was significant difference between block coordinators for students’ score on portfolio, midterm exam and the final written exam. The students’ Score in OSCE had significantly strong correlation with quality of station monitors, coverage of content and flow between stations. Student’s perception of the commitment and motivation of the coordinator was strongly correlated with block organization, availability of clinical cases, performance of block coordinator, cooperation with students, and organization of clinical activities. Conclusions: Block coordinator’s motivation and commitment affects quality of block organization and student`s success. Faculty training programs should include block management competencies and components identified through self-determination theory for improving the intrinsic motivation for students success. PMID:26101511

  16. Adherence to medication treatment: a qualitative study of facilitators and barriers among a diverse sample of HIV+ men and women in four US cities.

    PubMed

    Remien, Robert H; Hirky, A Elizabeth; Johnson, Mallory O; Weinhardt, Lance S; Whittier, David; Le, Giang Minh

    2003-03-01

    Most studies examining HIV antiretroviral medication treatment adherence involve quantitative surveys. Although these studies have identified factors associated with medical adherence, no single variable or combination of variables is sufficiently consistent to apply to any individual or group of people. Using qualitative methods, an ethnically diverse sample (N=110) of HIV+ women, men who have sex with men, and male injecting drug users in four U.S. cities were interviewed in depth to elicit their experiences, perspectives, and life contexts regarding knowledge, attitudes, beliefs, and experiences with HIV medication adherence. Most described multiple influences on medication-taking behavior, describing adherence as a dynamic phenomenon that changes over time with their changing beliefs, attitudes, emotions, and daily and larger life events. Prevalent themes include ambivalence toward HIV medication and intentional nonadherence, usually to address physical side effects. Factors from different domains (e.g., cognitive, emotional, interpersonal) can have compensatory influences on behavioral outcomes. Findings are discussed in terms of social action theory, contributing to our theoretical understanding of the phenomenon of adherence. PMID:14534391

  17. Working environment and specialty of choice chosen by the dental students at Prince Sattam Bin Abdulaziz University, Saudi Arabia: A cross-sectional study

    PubMed Central

    Sam, George; Alghmlas, Abdullah Saud; Alrashed, Muath I.; Alaskar, Ziyad A.

    2016-01-01

    Objectives: This cross-sectional study was conducted to explore the specialty chosen by the dental students for postgraduate studies and the future aspirations of students in a Saudi Arabia dental college. Materials and Methods: Of the total number of 120 questionnaires that were distributed, 107 subjects responded with selective responses and a response rate of 89%. A descriptive survey was conducted using one of the questionnaires among the students of dentistry at the dental college, Prince Sattam Bin Abdulaziz University, Al-Kharj among male students (men's college) for a period of 2 months. The data were analyzed using the statistical software program, predictive analytics software Statistics version 22.0 (SPSS Inc., Chicago, IL, USA). Results: A hundred and seven of the 120 students took part in the study. A passion for orthodontics (42.9%) was reported to be the most important factor that influenced the decision to pursue specialty training in orthodontics followed by intellectual stimulation/challenge (25%). The decision to pursue orthodontics was made by 32.1% of the respondents while in dental school; 35.7% took the decision after completing dental school during private practice and 14.3% during a dental residency, whereas 3.6% had already decided before initiating their dental school studies. Working in a private practice environment was preferred by 11 residents (39.3%). Only four residents indicated that they would most likely be practicing in an academic setting while 10 were undecided. Conclusions: The zest for nonclinical specialties is less among students at Prince Sattam Bin Abdulaziz University's dental college, Saudi Arabia. PMID:27195220

  18. Understanding awareness of pharmacist-led medication therapy management among primary care physicians in New York City using qualitative methods: part I.

    PubMed

    Arya, Vibhuti; Pinto, Sharrel; Singer, Jesse; Khan, Tasmiya

    2013-01-01

    Pharmacist-led medication therapy management (MTM) programs have been shown to be an effective method of optimizing patient therapy for multiple disease states through improved clinical outcomes and decreased healthcare costs. Physicians have recognized pharmacists' ability to identify and prevent prescription errors, and educate patients about safe and appropriate medication use. Pharmacist interventions may help ease the burden of chronic disease among primary care providers and pave the way for a team-based approach in caring for underserved patients with heavy disease burdens. The New York City Department of Health and Mental Hygiene performed a qualitative study to obtain a better understanding of the perceptions related to pharmacist-led MTM programs among primary care physicians in New York City. Key findings from our study suggest that educating physicians on MTM and the role of pharmacists in the healthcare team is crucial to building trusting relationships for collaborative patient care. Key concerns among physicians included demonstrated pharmacist competency, integration of documentation systems, impact on workload, and effective collaboration between physicians and pharmacists. In this article, we describe our study rationale, design, and preliminary findings. A more detailed report and potential impact of our findings will be provided in Part II of this article. PMID:24228367

  19. Acute post-disaster medical needs of patients with diabetes: emergency department use in New York City by diabetic adults after Hurricane Sandy

    PubMed Central

    Lee, David C; Gupta, Vibha K; Carr, Brendan G; Malik, Sidrah; Ferguson, Brandy; Wall, Stephen P; Smith, Silas W; Goldfrank, Lewis R

    2016-01-01

    Objective To evaluate the acute impact of disasters on diabetic patients, we performed a geospatial analysis of emergency department (ED) use by New York City diabetic adults in the week after Hurricane Sandy. Research design and methods Using an all-payer claims database, we retrospectively analyzed the demographics, insurance status, and medical comorbidities of post-disaster ED patients with diabetes who lived in the most geographically vulnerable areas. We compared the patterns of ED use among diabetic adults in the first week after Hurricane Sandy's landfall to utilization before the disaster in 2012. Results In the highest level evacuation zone in New York City, postdisaster increases in ED visits for a primary or secondary diagnosis of diabetes were attributable to a significantly higher proportion of Medicare patients. Emergency visits for a primary diagnosis of diabetes had an increased frequency of certain comorbidities, including hypertension, recent procedure, and chronic skin ulcers. Patients with a history of diabetes visited EDs in increased numbers after Hurricane Sandy for a primary diagnosis of myocardial infarction, prescription refills, drug dependence, dialysis, among other conditions. Conclusions We found that diabetic adults aged 65 years and older are especially at risk for requiring postdisaster emergency care compared to other vulnerable populations. Our findings also suggest that there is a need to support diabetic adults particularly in the week after a disaster by ensuring access to medications, aftercare for patients who had a recent procedure, and optimize their cardiovascular health to reduce the risk of heart attacks. PMID:27547418

  20. Safety, efficacy and acceptability of outpatient mifepristone-misoprostol medical abortion through 70 days since last menstrual period in public sector facilities in Mexico City.

    PubMed

    Sanhueza Smith, Patricio; Peña, Melanie; Dzuba, Ilana G; García Martinez, María Laura; Aranguré Peraza, Ana Gabriela; Bousiéguez, Manuel; Shochet, Tara; Winikoff, Beverly

    2015-02-01

    Extensive evidence exists regarding the efficacy and acceptability of medical abortion through 63 days since last menstrual period (LMP). In Mexico City's Secretariat of Health (SSDF) outpatient facilities, mifepristone-misoprostol medical abortion is the first-line approach for abortion care in this pregnancy range. Recent research demonstrates continued high rates of complete abortion through 70 days LMP. To expand access to legal abortion services in Mexico City (where abortion is legal through 12 weeks LMP), this study sought to assess the efficacy and acceptability of the standard outpatient approach through 70 days in two SSDF points of service. One thousand and one women seeking pregnancy termination were enrolled and given 200 mg mifepristone followed by 800 μg misoprostol 24-48 hours later. Women were asked to return to the clinic one week later for evaluation. The great majority of women (93.3%; 95% CI: 91.6-94.8) had complete abortions. Women with pregnancies ≤ 8 weeks LMP had significantly higher success rates than women in the 9th or 10th weeks (94.9% vs. 90.5%; p = 0.01). The difference in success rates between the 9th and 10th weeks was not significant (90.0% vs. 91.2%; p = 0.71). The majority of women found the side effects (82.9%) and the use of misoprostol (84.4%) to be very acceptable or acceptable. This study provides additional evidence supporting an extended outpatient medical abortion regimen through 10 weeks LMP. PMID:25702071

  1. HMO development in an academic medical center: the rise and fall of a prepaid health program in New York city.

    PubMed

    Bosch, S J; Deuschle, K W

    1993-08-01

    Through a documented case study the authors identify the critical factors that impede the introduction of prepaid medical care as part of education and practice within a prestigious and well established academic medical center. The inherent conflicts between individual fee-for-service practice and population-based prepaid practice and the resistance to innovations in medical care organization as they surfaced in that center, are presented. The need for a clear understanding of the complexities of HMO development and of an appreciation for the importance of a planning process in which all interested parties are involved, is emphasized. A clear commitment by policy makers, administrators and providers is highlighted as fundamental for the implementation of a system where practitioners are motivated to assume responsibility for the comprehensive care of a defined population that prepays for their services. The rewards as well as the difficulties for institutionalizing commitment to this form of health care delivery and impacting on medical education are discussed. PMID:8408749

  2. [Teen-Age Medical Center and Walk-In Counseling Center (Model Cities). End of Contract Report.

    ERIC Educational Resources Information Center

    Galt, Lester

    This paper presents the objectives and results of an experimental program, the Teen Age Medical Service, in Minneapolis, Minnesota. The first objective of this program was to experiment with new ways of delivering additional, more extensive, and continuous personal services while maintaining the emergency and episodic services that have…

  3. Value of systematic intervention for chronic obstructive pulmonary disease in a regional Japanese city based on case detection rate and medical cost

    PubMed Central

    Tawara, Yuichi; Senjyu, Hideaki; Tanaka, Kenichiro; Tanaka, Takako; Asai, Masaharu; Kozu, Ryo; Tabusadani, Mitsuru; Honda, Sumihisa; Sawai, Terumitsu

    2015-01-01

    Objective We established a COPD taskforce for early detection, diagnosis, treatment, and intervention. We implemented a pilot intervention with a prospective and longitudinal design in a regional city. This study evaluates the usefulness of the COPD taskforce and intervention based on COPD case detection rate and per capita medical costs. Method We distributed a questionnaire to all 8,878 inhabitants aged 50–89 years, resident in Matsuura, Nagasaki Prefecture in 2006. Potentially COPD-positive persons received a pulmonary function test and diagnosis. We implemented ongoing detection, examination, education, and treatment interventions, performed follow-up examinations or respiratory lessons yearly, and supported the health maintenance of each patient. We compared COPD medical costs in Matsuura and in the rest of Nagasaki Prefecture using data from 2004 to 2013 recorded by the association of Nagasaki National Health Insurance Organization, assessing 10-year means and annual change. Results As of 2014, 256 people have received a definitive diagnosis of COPD; representing 31% of the estimated total number of COPD patients. Of the cases detected, 87.5% were mild or moderate in severity. COPD medical costs per patient in Matsuura were significantly lower than the rest of Nagasaki Prefecture, as was rate of increase in cost over time. Conclusion The COPD program in Matsuura enabled early detection and treatment of COPD patients and helped to lower the associated burden of medical costs. The success of this program suggests that a similar program could reduce the economic and human costs of COPD morbidity throughout Japan. PMID:26347397

  4. Knowledge of First Aid Skills Among Students of a Medical College in Mangalore City of South India

    PubMed Central

    Joseph, N; Kumar, GS; Babu, YPR; Nelliyanil, M; Bhaskaran, U

    2014-01-01

    Background: The adequate knowledge required for handling an emergency without hospital setting at the site of the accident or emergency may not be sufficient as most medical schools do not have formal first aid training in the teaching curriculum. Aim: The aim of this study is to assess the level of knowledge of medical students in providing first aid care. Subjects and Methods: This cross-sectional study was conducted during May 2011 among 152 medical students. Data was collected using a self-administered questionnaire. Based on the scores obtained in each condition requiring first aid, the overall knowledge was graded as good, moderate and poor. Results: Only 11.2% (17/152) of the total student participants had previous exposure to first aid training. Good knowledge about first aid was observed in 13.8% (21/152), moderate knowledge in 68.4% (104/152) and poor knowledge in 17.8% (27/152) participants. Analysis of knowledge about first aid management in select conditions found that 21% (32/152) had poor knowledge regarding first aid management for shock and for gastro esophageal reflux disease and 20.4% (31/152) for epistaxis and foreign body in eyes. All students felt that first aid skills need to be taught from the school level onwards and all of them were willing to enroll in any formal first aid training sessions. Conclusion: The level of knowledge about first aid was not good among majority of the students. The study also identified the key areas in which first aid knowledge was lacking. There is thus a need for formal first aid training to be introduced in the medical curriculum. PMID:24761231

  5. Tomorrow's City.

    ERIC Educational Resources Information Center

    Jones, Emrys

    1979-01-01

    Examines several simple models of cities, discussing possible future changes in city design. The concepts of the megalopolis, linear city, tower block, imploded or miniaturized city, and dispersed city are described. (CS)

  6. Characterizing Adults Receiving Primary Medical Care in New York City: Implications for Using Electronic Health Records for Chronic Disease Surveillance

    PubMed Central

    Romo, Matthew L.; Lurie-Moroni, Elizabeth; Perlman, Sharon E.; Newton-Dame, Remle; Thorpe, Lorna E.; McVeigh, Katharine H.

    2016-01-01

    Introduction Electronic health records (EHRs) from primary care providers can be used for chronic disease surveillance; however, EHR-based prevalence estimates may be biased toward people who seek care. This study sought to describe the characteristics of an in-care population and compare them with those of a not-in-care population to inform interpretation of EHR data. Methods We used data from the 2013–2014 New York City Health and Nutrition Examination Survey (NYC HANES), considered the gold standard for estimating disease prevalence, and the 2013 Community Health Survey, and classified participants as in care or not in care, on the basis of their report of seeing a health care provider in the previous year. We used χ2 tests to compare the distribution of demographic characteristics, health care coverage and access, and chronic conditions between the 2 populations. Results According to the Community Health Survey, approximately 4.1 million (71.7%) adults aged 20 or older had seen a health care provider in the previous year; according to NYC HANES, approximately 4.7 million (75.1%) had. In both surveys, the in-care population was more likely to be older, female, non-Hispanic, and insured compared with the not-in-care population. The in-care population from the NYC HANES also had a higher prevalence of diabetes (16.7% vs 6.9%; P < .001), hypercholesterolemia (35.7% vs 22.3%; P < .001), and hypertension (35.5% vs 26.4%; P < .001) than the not-in-care population. Conclusion Systematic differences between in-care and not-in-care populations warrant caution in using primary care data to generalize to the population at large. Future efforts to use primary care data for chronic disease surveillance need to consider the intended purpose of data collected in these systems as well as the characteristics of the population using primary care. PMID:27126554

  7. Using an electronic medical record system to describe injury epidemiology and health care utilization at an inner-city hospital in Indiana.

    PubMed

    Odero, Wilson W; Tierney, William M; Einterz, Robert M; Mungai, Simon

    2004-12-01

    Injuries are a major public health problem worldwide. In the USA, injuries cause 146, 400 deaths annually, with 31 million non-fatal injury visits to emergency departments (EDs). EDs thus represent an important source of injury data. The primary objective of the current study was to describe the epidemiology of injury-related ED visits and assess injury-related utilization of health care resources in an inner-city hospital in Indiana, using data stored in a computerized medical record system. It involved a retrospective review of the records for injury visits to EDs and injury admissions over a 3-year period. The variables extracted and analysed included patients' demographics, external cause of injury, diagnosis, length of stay, ED and hospital charges. A total of 60,470 injury-related ED visits were made, the majority of patients were male (61.6%), uninsured (63.1%), treated in ED and discharged (98.4%). The leading causes of injury were falls (18.8%), motor vehicle crashes (18.4%), assaults (17.6%), being struck (11.2%) and overexertion (10.6). Firearms caused most injury deaths (32.4%; n = 314); motor vehicle crashes were the leading cause of hospitalization (26.6%; n = 642) and also the most expensive to treat as inpatients (mean charge $19,190). The mean charge per patient treated and discharged was $150 compared to $11,116 for patients admitted. These findings demonstrate the value of computerized medical records in capturing and storing E-coded injury data. The system generates data that can be used for epidemiological surveillance and injury prevention at the local level, and for assessment of impact of specific injuries on health care resources. PMID:15903162

  8. [Self-assessment of post-traumatic stress reactions in the wake of the September 11, 2001, terrorist attacks in New York City. A survey among medical students].

    PubMed

    Strenge, H

    2003-03-01

    The present paper describes psychological sequelae of the September 11 terrorist attacks in New York City in a cohort of 174 medical students (104 females, 70 men, age 18 to 37 years) in their first academic year at the University of Kiel,Germany. For self-report of traumatic stress reactions,the Revised Impact of Event Scale (IES-R) was administered 6 and 9 weeks after the disaster. The students reported weak to moderate levels of distress, the average IES-R scores on the intrusion and avoidance subscales were 11.1 (SD 6.2) and 10.6 (SD 6.4), respectively, and 5.2 (SD 4.1) for the hyperarousal scale. All symptoms had clearly faded at 9 weeks. Students with traumatic life events indicated significantly higher scores in some avoidance items. The current data suggest that the IES-R can be used as a screening measure in future research of trauma-related stress reactions also in people exposed to catastrophes by media coverage. PMID:12627243

  9. The Concordance between Myocardial Perfusion Imaging and Coronary Angiography in Detecting Coronary Artery Disease: A Retrospective Study in a Tertiary Cardiac Center at King Abdullah Medical City

    PubMed Central

    Aboul-Enein, Fatma; Alharthi, Hail T.

    2016-01-01

    Background. Coronary artery disease (CAD) is considered as the leading cause of the cardiovascular fatalities worldwide. CAD is diagnosed by many modalities of imaging such as myocardial perfusion imaging (MPI) and coronary angiography (CAG). Methods. A retrospective cross-sectional study was conducted that included all patients referred to the KAMC (King Abdullah Medical City) nuclear cardiology lab from its opening until the end of May 2014 (a period of 17 months). A total of 228 patient reports with a history of conducting either CAG or MPI or both were used in this study and statistically analyzed. Results. An analysis of the MPI results revealed that 78.5% of the samples were abnormal. On the other hand, 26.75% of the samples revealed that they were subjected to CAG and MPI. There was a significant and fair agreement between MPI and CAG by using all the agreement coefficients (kappa = 0.237, phi = 0.310, and P value = 0.043). The sensitivity, specificity, and accuracy of MPI with reference to CAG were 97.8%, 20%, and 78.69%, respectively. In addition, positive predictive and negative predictive values were 78.95% and 75%, respectively. Conclusion. In a tertiary referral center, there was a significant agreement between MPI and CAG and a high accuracy of MPI. MPI was a noninvasive diagnostic test that could be used as a gatekeeper for CAG. PMID:27429833

  10. Education Cities

    ERIC Educational Resources Information Center

    Shaked, Haim

    2014-01-01

    In recent years, several cities in Israel have labeled themselves "Education Cities," concentrating on education as their central theme. Employing qualitative techniques, this article aims to describe, define, and conceptualize this phenomenon as it is being realized in three such cities. Findings show that Education Cities differ from…

  11. Medical Aspects of Deafness. Proceedings of National Forum IV, Council of Organizations Serving the Deaf (Atlantic City, New Jersey, March 3-5, 1971).

    ERIC Educational Resources Information Center

    Hicks, Doin, Ed.

    Medical aspects of deafness discussed are physicians, prevention, diagnosis, and habilitation. In speeches on physicians, Louis Z. Cooper expresses need for services for deaf victims of the 1964 rubella epidemic; Jerald M. Jordan discusses the doctor-deaf patient relationship; and Hilde S. Schlesinger critically views prevention, diagnosis, and…

  12. A Survey on the Users’ Satisfaction with the Hospital Information Systems (HISs) based on DeLone and McLean’s Model in the Medical-Teaching Hospitals in Isfahan City

    PubMed Central

    Saghaeiannejad-Isfahani, Sakineh; Jahanbakhsh, Maryam; Habibi, Mahboobeh; Mirzaeian, Razieh; Nasirian, Mansoreh; Rad, Javad Sharifi

    2014-01-01

    Background and purpose: The user’s satisfaction with information system in fact denotes the extent the user is satisfied with the system’s achievement in fulfilling his/her information requirements. This study tries to explore the users’ satisfaction with hospital information systems (HISs) based on DeLone and McLean’s model focusing on the medical-teaching hospitals of Isfahan city. Methodology: This study which was applied and descriptive-analytical in nature was carried out in the medical-teaching hospitals of Isfahan city in 2009. Research population consisted of the system users from which a sample was selected using random sampling method. The size of the sample was 228. Data collection instrument was a self-developed questionnaire produced based on the satisfaction criterion in the DeLone and McLean’s model. Its content validity was assessed based on the opinions given by the computer sciences professionals with its estimated Cronbach’s alpha found to be 92.2%. The data were analyzed using SPSS software. Findings: As the findings of the study showed, the differences among the mean scores obtained for the satisfaction with different kinds of HISs in use in the hospitals were statistically significant (p value≤0.05). Generally, Kowsar System (old version) and Pouya Samaneh Diva system gained the highest and lowest mean scores for the criterion in question, respectively. The overall mean score for the satisfaction was 54.6% for different types of systems and 55.6% among the hospitals. Conclusion: Given the findings of the study, it can be argued that based on the used model, the level of users’ satisfaction with the systems in question was relatively good. However, to achieve the total optimum condition, when designing the system, the factors affecting the enhancement of the users’ satisfaction and the type of hospital activity and specialty must be given special consideration. PMID:25132711

  13. Mexico City

    Atmospheric Science Data Center

    2013-04-18

    ... Mexico City has one of the world's most serious air pollution problems. The city is located atop a high plain at an altitude of ... as the orange and red areas, and mountainous areas appear light blue and green. The position of the clouds within the 70-degree image are ...

  14. City Play.

    ERIC Educational Resources Information Center

    Dargan, Amanda; Zeitlin, Steve

    2000-01-01

    Today, fewer city blocks preserve the confidence of lifestyle and urban geography that sustain traditional games and outdoor play. Large groups of children choosing sides and organizing Red Rover games are no longer commonplace. Teachers must encourage free play; urban planners must build cities that are safe play havens. (MLH)

  15. A collaborative clinical and population-based curriculum for medical students to address primary care needs of the homeless in New York City shelters : Teaching homeless healthcare to medical students.

    PubMed

    Asgary, Ramin; Naderi, Ramesh; Gaughran, Margaret; Sckell, Blanca

    2016-06-01

    Background Millions of Americans experience homelessness annually. Medical providers do not receive adequate training in primary care of the homeless.Methods Starting in 2012, a comprehensive curriculum was offered to medical students during their family medicine or ambulatory clerkship, covering clinical, social and advocacy, population-based, and policy aspects. Students were taught to: elicit specific social history, explore health expectations, and assess barriers to healthcare; evaluate clinical conditions specific to the homeless and develop plans for care tailored toward patients' medical and social needs; collaborate with shelter staff and community organizations to improve disease management and engage in advocacy efforts. A mixed methods design was used to evaluate students' knowledge, attitudes, and skills including pre- and post-curriculum surveys, debriefing sessions, and observed clinical skills.Results The mean age of the students (n = 30) was 26.5 years; 55 % were female. The overall scores improved significantly in knowledge, attitude, and self-efficacy domains using paired t‑test (p < 0.01). Specific skills in evaluating mental health, substance abuse, and risky behaviours improved significantly (p < 0.05). In evaluation of communication skills, the majority were rated as having 'outstanding rapport with patients.'Conclusions Comprehensive and ongoing clinical component in shelter clinics, complementary teaching, experienced faculty, and working relationship and collaboration with community organizations were key elements. PMID:27277430

  16. The establishment of the School of Public Health at the State University of New York, Downstate Medical Center: the first nationally accredited school of public health in a public university in New York City.

    PubMed

    Imperato, Pascal James; LaRosa, Judith H; Kavaler, Florence; Benker, Karen; Schechter, Leslie

    2011-02-01

    Studies, College of Nursing, College of Health Related Professions, and the University Hospital of Brooklyn. From the very beginning of the planning phase for an MPH program and through the ultimate accreditation of the School of Public Health in 2010, broad participation was solicited from all major units in the medical center. Thus, the MPH program became a center-wide initiative and not merely that of the College of Medicine's Department of Preventive Medicine and Community Health. This broad participation has been continuously maintained through the involvement of leaders of other medical center academic units and the University Hospital of Brooklyn in the program's and then the school's standing and ad hoc committees, and in other activities as well. Similarly, community representation has been maintained, some through formal linkages relevant to the practical field experiences required of all students. In October 2010, the Board of Councilors of CEPH accredited the SUNY Downstate School of Public Health for a 5-year period through 31 December 2015. The accreditation of the school was a major milestone for Downstate, Brooklyn, and New York City. The SUNY Downstate School of Public Health is the first CEPH accredited school of public health in the history of Brooklyn, and only the second such school in New York City. It is also the first CEPH accredited school of public health at a publicly supported university in New York City. The school has already had a major impact on improving the health and well-being of the people of Brooklyn through its numerous collaborative community-based health promotion and disease prevention programs. PMID:21107896

  17. Lessons from Epidemiologic Research about Risk Factors, Modifiers, and Progression of Late Onset Alzheimer’s Disease in New York City at Columbia University Medical Center

    PubMed Central

    Devanand, Devangere; Lee, Joseph; Luchsinger, Jose; Manly, Jennifer; Marder, Karen; Mayeux, Richard; Scarmeas, Nikolaos; Schupf, Nicole; Stern, Yaakov

    2014-01-01

    This review summarizes the findings and importance of 12 articles from research at Columbia University in New York City that were among the most cited in the literature between 2006 and 2011. The 12 articles summarized in this review made important contributions to the field of Alzheimer’s disease in the last 5 years. Four of the articles established the Mediterranean diet as a food consumption pattern that may prevent Alzheimer’s disease in addition to physical activity. Two of the articles advanced our knowledge of predictors of conversion from mild cognitive impairment to dementia. Four of the articles provided important knowledge of risk factors for the progression of Alzheimer’s disease and its complications. Lastly, one of the articles laid the theoretical framework for the study of cognitive reserve, an important modifier of the manifestation of Alzheimer’s disease. These studies have advanced our knowledge about risk factors, modifiers, and progression of late onset Alzheimer’s disease. PMID:22836187

  18. Effect of particulate matter air pollution on hospital admissions and medical visits for lung and heart disease in two southeast Idaho cities.

    PubMed

    Ulirsch, Gregory V; Ball, Louise M; Kaye, Wendy; Shy, Carl M; Lee, Carolyn V; Crawford-Brown, Douglas; Symons, Michael; Holloway, Tracey

    2007-08-01

    Few, if any, published time series studies have evaluated the effects of particulate matter air exposures by combining hospital admissions with medical visit data for smaller populations. We investigated the relationship between daily particulate matter (<10 microm in aerometric diameter or PM10) exposures with admissions and medical visits (emergency room, urgent care, and family practice) for respiratory and cardiovascular disease in Pocatello and Chubbuck, Idaho (population about 60,000), from November 1994 through March 2000. Within generalized linear models, time, weather, influenza, and day-of-week effects were controlled. In single-pollutant models, respiratory disease admissions and visits increased (7.1-15.4% per 50 microg/m3 PM10) for each age group analyzed, with the highest increases in two groups, children and especially the elderly. Statistical analyses suggest that the results probably did not occur by chance. Sensitivity analyses did not provide strong evidence that the respiratory disease effect estimates were sensitive to reasonable changes in the final degrees of freedom choice for time and weather effects. No strong evidence of confounding by NO2 and SO2 was found from results of multi-pollutant models. Ozone and carbon monoxide data were not available to include multi-pollutant models, but evidence suggests that they were not a problem. Unexpectedly, evidence of an association between PM10 with cardiovascular disease was not found, possibly due to the lifestyles of the mostly Mormon study population. Successful time series analyses can be performed on smaller populations if diverse, centralized databases are available. Hospitals that offer urgent or other primary care services may be a rich source of data for researchers. Using data that potentially represented a wide-range of disease severity, the findings provide evidence that evaluating only hospital admissions or emergency room visit effects may underestimate the overall morbidity due to

  19. Medical insurance policy organized by Chinese government and the health inequity of the elderly: longitudinal comparison based on effect of New Cooperative Medical Scheme on health of rural elderly in 22 provinces and cities

    PubMed Central

    2014-01-01

    Background The alarming progression of the aging trend in China attracts much attention in the country and abroad. In 2003, the Chinese central government launched the New Cooperative Medical Scheme (NCMS) to resolve the inequity problem of health in regions with inadequate infrastructure and relative poverty. The rural elderly are the main beneficiaries of this policy; the improvement of their health through the medical insurance policy require exploration. Methods This study used data obtained from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) conducted in 2005 and 2008. Elderly people living in rural areas and aged 60 and above were screened for the investigation. A total of 8658 and 9904 elderly people were selected from 2005 and 2008, respectively. By establishing models and employing multi-logistic analysis, stereotype logistic analysis, we examined the effect of NCMS organized by Chinese government on three domains of the health of the rural elderly. Results A total of 948 and 6361 elderly people participated in NCMS in 2005 (n = 8658) and 2008 (n = 9904), respectively. With regard to the independent variables, the number of participants in NCMS increased, whereas province distribution, gender, and years of education only slightly changed. As for the dependent variables, the rural elderly in 2005 had poor general health but good psychological health. Differences were found between different moods. Old people who engage in much outdoor activity can take care of themselves. After three-year promotion of NCMS, the differences between 2005 and 2008 indicate that the physical function of the rural elderly worsen, whereas the general health and psychological health improves. Conclusions (1) In the 2005 data and 2008 data, result shows that NCMS participation can promote the self-rated quality and health change of the elderly. (2) After three years, the alleviation effect on anxiety and loneliness changed from insignificant to significant

  20. City 2020+

    NASA Astrophysics Data System (ADS)

    Schneider, C.; Buttstädt, M.; Merbitz, H.; Sachsen, T.; Ketzler, G.; Michael, S.; Klemme, M.; Dott, W.; Selle, K.; Hofmeister, H.

    2010-09-01

    This research initiative CITY 2020+ assesses the risks and opportunities for residents in urban built environments under projected demographic and climate change for the year 2020 and beyond, using the City of Aachen as a case study. CITY 2020+ develops scenarios, options and tools for planning and developing sustainable future city structures. We investigate how urban environment, political structure and residential behavior can best be adapted, with attention to the interactions among structural, political, and sociological configurations and with their consequences on human health. Demographers project that in the EU-25-States by 2050, approximately 30% of the population will be over age 65. Also by 2050, average tem¬peratures are projected to rise by 1 to 2 K. Combined, Europe can expect enhanced thermal stress and higher levels of particulate matter. CITY 2020+ amongst other sub-projects includes research project dealing with (1) a micro-scale assessment of blockages to low-level cold-air drainage flow into the city centre by vegetation and building structures, (2) a detailed analysis of the change of probability density functions related to the occurrence of heat waves during summer and the spatial and temporal structure of the urban heat island (UHI) (3) a meso-scale analysis of particulate matter (PM) concentrations depending on topography, local meteorological conditions and synoptic-scale weather patterns. First results will be presented specifically from sub-projects related to vegetation barriers within cold air drainage, the assessment of the UHI and the temporal and spatial pattern of PM loadings in the city centre. The analysis of the cold air drainage flow is investigated in two consecutive years with a clearing of vegetation stands in the beginning of the second year early in 2010. The spatial pattern of the UHI and its possible enhancement by climate change is addressed employing a unique setup using GPS devices and temperature probes fixed to

  1. Academic, social and cultural factors influencing medical school grade performance.

    PubMed

    Alfayez, S F; Strand, D A; Carline, J D

    1990-05-01

    Studies of medical student performance have focused on various factors, including premedical academics, maturity, familial background and support, and personal experiences with illness. Most studies have been conducted in countries with highly developed educational systems and similar cultural and social systems. It is not clear that these findings can be applied to developing countries, where the educational and cultural experiences may be very different, and where medical instruction is carried out in a non-native language. Information was obtained from a survey of 153 fifth- and sixth-year medical students at King Abdulaziz University in Saudi Arabia. The survey measured premedical educational, social and cultural experiences that might affect medical school performance. Men performed as well as women in the medical school despite heavy familial and social commitments. Women's performance seems to be more influenced by changes in living environment. Achievement in premedical years was correlated positively with grade performance in medical school. Competence in the high-school English courses was related to medical school performance. Interest in the study of medicine prior to medical school was not related to performance. Other motivations, such as social gains, financial benefits or family wish, were related to lower performance. Current interest in clinical medicine correlated negatively with performance. Students motivated by the presence of chronic ill health in their families performed significantly lower. Factors influencing medical school performance in developed countries had similar impact on medical students in a developing country. Social factors, unique to the country, also play a role in medical student performance. PMID:2355866

  2. City Geology.

    ERIC Educational Resources Information Center

    Markle, Sandra

    1989-01-01

    This article provides information on the evolution of the building material, concrete, and suggests hands-on activities that allow students to experience concrete's qualities, test the heat absorbency of various ground surface materials, discover how an area's geology changes, and search for city fossils. A reproducible activity sheet is included.…

  3. Medical Telemetry

    NASA Technical Reports Server (NTRS)

    1978-01-01

    Telemetry is the process whereby physiological or other data is acquired by instruments, translated into radio signals and j sent to a receiving station where the signals are decoded and recorded. Extensively used in I space operations, it is finding new Earth applications, among them transmission of medical data between emergency vehicles and hospitals. For example, transmission of an electrocardiogram from an ambulance to a hospital enables a physician to read the telemetered EKG and advise ambulance attendants on emergency procedures. Central Medical Emergency Dispatch (CMED) operates as a regional emergency medical communications center for Cleveland, Ohio and Cuyahoga County. The CMED system includes radio and telephone communications from hospital-to-hospital and from ambulance-to-hospital, but for improved emergency life support CMED sought to add a county-wide telemetry capability. The problem was that there were only eight radio frequencies available for telemetry and there were more than 30 potential users in Cleveland alone. NASA's Lewis Research Center volunteered its expert assistance. The Center's engineers studied the systems of other telemetry using cities, surveyed area hospitals to assure compatibility of telemetry equipment, and advised what types of equipment would be needed in emergency vehicles and at the various hospitals. The Lewis plan suggested that CMED be designated the central coordinating agency for the Cuyahoga County system, monitoring all telemetry frequencies and, when requested, assigning one not in use or one to be used at a sufficient distance that it would create no interference problem.

  4. Elevations U.S. Veterans Hospital, Jefferson Barracks, Medical Officer in ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Elevations - U.S. Veterans Hospital, Jefferson Barracks, Medical Officer in Charge Residence, VA Medical Center, Jefferson Barracks Division 1 Jefferson Barracks Drive, Saint Louis, Independent City, MO

  5. Ototoxic Medications (Medication Effects)

    MedlinePlus

    ... Toggle navigation Careers Certification Publications Events Advocacy Continuing Education Practice Management Research Home / Information for the Public / Hearing and Balance Ototoxic Medications ( ...

  6. Learning Cities as Healthy Green Cities: Building Sustainable Opportunity Cities

    ERIC Educational Resources Information Center

    Kearns, Peter

    2012-01-01

    This paper discusses a new generation of learning cities we have called EcCoWell cities (Economy, Community, Well-being). The paper was prepared for the PASCAL International Exchanges (PIE) and is based on international experiences with PIE and developments in some cities. The paper argues for more holistic and integrated development so that…

  7. Box City Curriculum.

    ERIC Educational Resources Information Center

    Center for Understanding the Built Environment, Prairie Village, KS.

    This curriculum packet contains two lesson plans about cities and architecture intended for use with students in upper elementary grades and middle schools. The first lesson plan, "City People, City Stories" (Jan Ham), states that understanding architecture and cities must begin with an understanding of the people of the city. The children create…

  8. City scale pollen concentration variability

    NASA Astrophysics Data System (ADS)

    van der Molen, Michiel; van Vliet, Arnold; Krol, Maarten

    2016-04-01

    Pollen are emitted in the atmosphere both in the country-side and in cities. Yet the majority of the population is exposed to pollen in cities. Allergic reactions may be induced by short-term exposure to pollen. This raises the question how variable pollen concentration in cities are in temporally and spatially, and how much of the pollen in cities are actually produced in the urban region itself. We built a high resolution (1 × 1 km) pollen dispersion model based on WRF-Chem to study a city's pollen budget and the spatial and temporal variability in concentration. It shows that the concentrations are highly variable, as a result of source distribution, wind direction and boundary layer mixing, as well as the release rate as a function of temperature, turbulence intensity and humidity. Hay Fever Forecasts based on such high resolution emission and physical dispersion modelling surpass traditional hay fever warning methods based on temperature sum methods. The model gives new insights in concentration variability, personal and community level exposure and prevention. The model will be developped into a new forecast tool to serve allergic people to minimize their exposure and reduce nuisance, coast of medication and sick leave. This is an innovative approach in hay fever warning systems.

  9. Clean Cities Fact Sheet

    SciTech Connect

    Not Available

    2004-01-01

    This fact sheet explains the Clean Cities Program and provides contact information for all coalitions and regional offices. It answers key questions such as: What is the Clean Cities Program? What are alternative fuels? How does the Clean Cities Program work? What sort of assistance does Clean Cities offer? What has Clean Cities accomplished? What is Clean Cities International? and Where can I find more information?

  10. Prevalence of methicillin-resistant Staphylococcus aureus nasal colonization among medical students in Jeddah, Saudi Arabia

    PubMed Central

    Zakai, Shadi A.

    2015-01-01

    Objectives: To identify Methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage status among medical students during their clinical rotations. Methods: This cross-sectional study detected the prevalence of MRSA among medical students at King Abdulaziz University (KAU), Jeddah, Saudi Arabia, using molecular approaches. Nasal swabs were collected from 150 internship and sixth-year medical students between September 2014 and January 2015, and compared with the control group of 32 third-year medical students who were not exposed to clinical work. Polymerase chain reaction (PCR) screening was performed to identify Staphylococcus aureus (S. aureus) nuc gene, and an additional PCR was performed on S. aureus positive samples to detect the presence of mecA gene. Results: Out of 150 students screened, 38 were nasal carriers of S. aureus. The prevalence of methicillin-sensitive S. aureus (MSSA) carriers was 18.7% (n=28), whereas 10 students (6.7%) were mecA-positive, representing MRSA carriers. Interns carry MRSA more than 6th year students and students who were not exposed to clinical work (p<0.05), while MSSA is found more in students who were not exposed to clinical work (p<0.01). Conclusion: We found MRSA carriers among medical students at KAU, which showed a possible contribution of this group to transmit infection to hospitalized patients. Medical students must receive sufficient knowledge regarding control measures to avoid spread of this infection in hospitals. PMID:26108584

  11. Medical Transcriptionists

    MedlinePlus

    ... equipment or software that is connected to their computer. However, technological advances have changed the way medical ... this section Medical transcriptionists must be comfortable using computers. Medical transcriptionists typically need postsecondary education. Prospective medical ...

  12. Medical marijuana

    MedlinePlus

    ... this page: //medlineplus.gov/ency/patientinstructions/000899.htm Medical marijuana To use the sharing features on this page, ... have legalized marijuana for medical use. How Does Medical Marijuana Work? Medical marijuana may be: Smoked Vaporized Eaten ...

  13. Factors potentially influencing academic performance among medical students

    PubMed Central

    Al Shawwa, Lana; Abulaban, Ahmad A; Abulaban, Abdulrhman A; Merdad, Anas; Baghlaf, Sara; Algethami, Ahmed; Abu-shanab, Joullanar; Balkhoyor, Abdulrahman

    2015-01-01

    Background Studies are needed to examine predictors of success in medical school. The aim of this work is to explore factors that potentially influence excellence of medical students. Methods The study was conducted in the Medical Faculty of King Abdulaziz University during October 2012. A self-administered questionnaire was used. Medical students with a grade point average (GPA) ≥4.5 (out of 5) were included and compared to randomly selected medical students with a GPA <4.5, who were available at the time of the study. Results A total of 359 undergraduate students participated in the study. 50.4% of the sample was students with a GPA ≥4.5. No statistically significant difference regarding the time spent on outings and social events was found. However, 60.7% of high GPA students spend less than 2 hours on social networking per day as compared to 42.6% of the lower GPA students (P<0.01). In addition, 79% of high GPA students prefer to study alone (P=0.02), 68.0% required silence and no interruptions during studying time (P=0.013), and 47% revise their material at least once before an exam (P=0.02). Conclusion Excellent medical students have many different characteristics. For example, they do not use social networking for prolonged periods of time, and they have strong motivation and study enjoyment. Further studies are needed to examine whether these differences have a real impact on GPA or not. PMID:25674033

  14. Satisfaction of medical students with simulation based learning

    PubMed Central

    Agha, Sajida; Alhamrani, Asma Y.; Khan, Muhammad A.

    2015-01-01

    Objectives: To evaluate medical students’ satisfaction with simulation based learning strategy (SBL). Methods: A cross-sectional survey was conducted between October and November 2013 at the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. All third and fourth year medical students (n=185) both males and females were included. A self-developed questionnaire on the effect of SBL was used. Items included were related to knowledge, skill, environment, resources, and faculty. The questionnaire was validated by an expert reviewer, and the reliability was calculated for all the questionnaire items. Responses were measured on a 5 point Likert-type scale, and statistical analysis was carried out. Results: The response rate for this study was 62% (n=115). The alpha coefficient for all items was 0.73. Overall, respondents from both years’ students were satisfied with teaching strategy, use of mannequins, and learning environment. The challenges reported were lack of skill-laboratories facilities, students’ cooperation, allocated time for skill-laboratories, and knowledge of instructor. There was a small, but significant difference between the satisfaction scores among genders (p=0.001). Whereas no difference was identified between the participants’ scores on satisfaction with SBL and year of education (p=0.62). Conclusion: Although there were few challenges, most of the students were satisfied that SBL improved their knowledge retention, skills, and communication. PMID:25987117

  15. The City as Classroom.

    ERIC Educational Resources Information Center

    Bailey, Stephen K.

    The author gives a rationale for utilizing the city as a place to learn. The city has many problems and although logistics require that we conduct most education in the school building, the author argues for putting out best brains to the task of bringing the city to the classroom and to exploiting the city as a classroom when appropriate.…

  16. Medical marijuana

    MedlinePlus

    ... Possession of marijuana is illegal under federal law. Medical marijuana refers to using marijuana to treat certain medical ... Medical marijuana may be: Smoked Vaporized Eaten Taken as a liquid extract Marijuana leaves and buds contain substances ...

  17. Abortion - medical

    MedlinePlus

    Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion ... A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last ...

  18. Abortion - medical

    MedlinePlus

    Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion ... The pregnancy is harmful to the woman's health (therapeutic abortion). The pregnancy resulted after a traumatic event ...

  19. Jerusalem: City of Dreams, City of Sorrows

    ERIC Educational Resources Information Center

    Ricks, Thomas

    2011-01-01

    Jerusalem is more than an intriguing global historical city; it is a classroom for liberal learning and international understanding. It had never been a city of one language, one religion and one culture. Looking at the origins of Jerusalem's name indicates its international and multicultural nature. While Israelis designate Jerusalem as their…

  20. What Is Clean Cities?

    SciTech Connect

    Not Available

    2007-08-01

    This Clean Cities Program fact sheet describes the purpose and scope of this DOE program. Clean Cities facilitates the use of alternative and advanced fuels and vehicles to displace petroleum in the transportation sector.

  1. International Space Station Aeromedical Support in Star City, Russia

    NASA Technical Reports Server (NTRS)

    Cole, Richard; Chamberlin, Blake; Dowell, Gene; Castleberry, Tarah; Savage, Scott

    2010-01-01

    The Space Medicine Division at Johnson Space Center works with the International Space Station s international partners (IP) to accomplish assigned health care tasks. Each IP may assign a flight surgeon to support their assigned crewmembers during all phases of training, in-flight operations, and postflight activities. Because of the extensive amount of astronaut training conducted in Star City; NASA, in collaboration with its IPs, has elected to keep a flight surgeon assigned to NASA s Star City office to provide support to the U.S., Canadian, Japanese, and European astronauts during hazardous training activities and provide support for any contingency landings of Soyuz spacecraft in Kazakhstan. The physician also provides support as necessary to the Mission Control Center in Moscow for non-Russian crew-related activities. In addition, the physician in Star City provides ambulatory medical care to the non-Russian-assigned personnel in Star City and visiting dependents. Additional work involves all medical supplies, administration, and inventory. The Star City physician assists in medical evacuation and/or in obtaining support from western clinics in Moscow when required care exceeds local resources. Overall, the Russians are responsible for operations and the medical care of the entire crew when training in Star City and during launch/landing operations. However, they allow international partner flight surgeons to care for their crewmembers as agreed to in the ISS Medical Operations Requirements Document. Medical support focuses on pressurized, monitored, and other hazardous training activities. One of the most important jobs is to act as a medical advocate for the astronauts and to reduce the threat that these hazardous activities pose. Although the Russians have a robust medical system, evacuation may be needed to facilitate ongoing medical care. There are several international medical evacuation companies that provide this care.

  2. CITY III Director's Guide.

    ERIC Educational Resources Information Center

    Envirometrics, Inc., Washington, DC.

    CITY III is a computer-assisted simulation game which allows the participants to make decisions affecting various aspects of the economic, governmental, and social sectors of a simulated urban area. The game director selects one of five possible starting city configurations, may set a number of conditions in the city before the start of play, and…

  3. Aerospace Medical Support in Russia

    NASA Technical Reports Server (NTRS)

    Castleberry, Tara; Chamberlin, Blake; Cole, Richard; Dowell, Gene; Savage, Scott

    2011-01-01

    This slide presentation reviews the role of the flight surgeon in support of aerospace medical support operations at the Gagarin Cosmonaut Training Center (GCTC), also known as Star City, in Russia. The flight surgeon in this role is the medical advocate for non-russian astronauts, and also provides medical care for illness and injury for astronauts, family members, and guests as well as civil servants and contractors. The flight surgeon also provides support for hazardous training. There are various photos of the area, and the office, and some of the equipment that is used.

  4. Medical Malpractice in Wuhan, China

    PubMed Central

    He, Fanggang; Li, Liliang; Bynum, Jennifer; Meng, Xiangzhi; Yan, Ping; Li, Ling; Liu, Liang

    2015-01-01

    Abstract Medical disputes in China are historically poorly documented. In particular, autopsy-based evaluation and its impact on medical malpractice claims remain largely unstudied. This study aims to document autopsy findings and medical malpractice in one of the largest cities of China, Wuhan, located in Hubei Province. A total of 519 autopsies were performed by the Department of Forensic Medicine, Wuhan University School of Medicine, Wuhan, China, over a 10-year period between 2004 and 2013. Of these cases, 190 (36.6%) were associated with medical malpractice claims. Joint evaluation by forensic pathologists and clinicians confirmed that 97 (51.1%) of the 190 claims were approved medical malpractice cases. The percentage of approved malpractice cases increased with patient age and varied according to medical setting, physician specialty, and organ system. The clinico-pathological diagnostic discrepancy was significantly different among various physician specialties (P = 0.031) and organ systems (P = 0.000). Of those cases involved in malpractice claims, aortic dissection, coronary heart disease, and acute respiratory infection were most common. Association between incorrect diagnosis and malpractice was significant (P = 0.001). This is the first report on China's medical malpractice and findings at autopsy which reflects the current state of health care services in one of the biggest cities in China. PMID:26559306

  5. Cardiovascular Health Issues in Inner City Populations.

    PubMed

    Nayyar, Dhruv; Hwang, Stephen W

    2015-09-01

    Inner city populations in high-income countries carry a disproportionately high burden of cardiovascular disease. Although low individual socioeconomic status has long been associated with higher morbidity and mortality from cardiovascular disease, there is a growing body of evidence that area-level socioeconomic status may also have a major effect on cardiovascular outcomes. A lack of supermarkets, limited green space, and high rates of violent crime in inner city neighbourhoods result in poor dietary intake and low rates of physical activity among residents. The physical and social environments of inner city neighbourhoods may also contribute to high rates of comorbid mental illness in disadvantaged urban populations. Mental illness may lead to the clustering of cardiovascular risk factors through its impact on health behaviours, effects of psychiatric medications, and sequelae of substance abuse. Individuals residing in disadvantaged neighbourhoods experience reduced access to both primary preventive and acute in-hospital cardiovascular care. This may be driven by financial disincentives for caring for patients with low socioeconomic status, as well as system capacity issues in the inner city, and patient-level differences in health-seeking behaviours. Small-scale studies of interventions to improve individual-level health behaviours and access to care in the inner city have demonstrated some success in improving cardiovascular outcomes through the use of mobile clinics, health coaching, and case management approaches. There is a need for further research into community-wide interventions to improve the cardiovascular health of inner city populations. PMID:26321435

  6. Medication Errors

    MedlinePlus

    ... to reduce the risk of medication errors to industry and others at FDA. Additionally, DMEPA prospectively reviews ... List of Abbreviations Regulations and Guidances Guidance for Industry: Safety Considerations for Product Design to Minimize Medication ...

  7. [The role of the pharmacist in dispensing medication in Adult Psychosocial Care Centers in the city of São Paulo, Capital of the State of São Paulo, Brazil].

    PubMed

    Zanella, Carolina Gomes; Aguiar, Patricia Melo; Storpirtis, Sílvia

    2015-02-01

    The objective of this study was to evaluate the role of the pharmacist in dispensing medication by conducting cross-sectional exploratory-descriptive research in eight Adult Psychosocial Care Centers (CAPS) in São Paulo. The pharmacists responsible for each of the dispensing units studied filled out a semi-structured questionnaire about the service provided. Two Adult CAPS units were selected from each of the North, South, Eastand West regions of São Paulo. The central region has no Adult CAPS, and was therefore not included in the study. Most of the respondents were aged between 35 and 40 years and were predominantly female. It was found that half of the respondents performed only 25% of dispensations and few conducted an analysis of all prescriptions before dispensing medication. All respondents contacted the prescriber if any medication-related problems a rose. However, few pharmaceutical interventions were commonly performed. Furthermore, one respondent indicated that all his/her functions in the pharmacy could be delegated to another professional. These findings reveal the pressing need for actions that ensure the ongoing training of pharmacists to enable them to be clinically prepared to deal with patients with mental disorders. PMID:25715126

  8. Medical Appointments

    MedlinePlus

    ... trouble concentrating, stomach problems or emotional issues like anxiety. New or increasing side effects or reactions to your medications. Again, for how long? How serious are they? Medication compliance: How well you’ve been taking your medications. Have you missed doses? If so, ...

  9. MEDICAL "DEPRIVATION."

    ERIC Educational Resources Information Center

    SUCHMAN, EDWARD A.

    THE SOCIAL AND MEDICAL PROBLEM TODAY HAS SHIFTED FROM PROVIDING FOR THE EMERGENCY MEDICAL NEEDS OF THE INDIGENT SICK TO RAISING THE LEVEL OF LOWER CLASS PARTICIPATION IN THE BENEFITS OF MODERN MEDICINE. GREATER ATTENTION IS BEING FOCUSED ON MEDICAL DEPRIVATION SUFFERED BY LARGE SEGMENTS OF THE POPULATION WHO DO NOT SHARE EQUALLY IN MEDICAL…

  10. Mexico City Aerosol Transect

    NASA Astrophysics Data System (ADS)

    Lewandowski, P. A.; Eichinger, W. E.; Prueger, J.; Holder, H. L.

    2007-12-01

    A radiative impact study was conducted in Mexico City during MILAGRO/MIRAGE campaign in March of 2006. On a day when the predominant wind was from the north to the south, authors measured radiative properties of the atmosphere in six locations across the city ranging from the city center, through the city south limits and the pass leading out of the city (causing pollutants to funnel through the area). A large change in aerosol optical properties has been noticed. The aerosol optical depth has generally increased outside of the city and angstrom coefficient has changed significantly towards smaller values. Aerosol size distribution was calculated using SkyRadPack. The total optical depths allowed coincidental lidar data to calculate total extinction profiles for all the locations for 1064nm.

  11. Understand Your Medication

    MedlinePlus

    ... each(function(i){ var city = $(this).find('city').text(); var state = $(this).find('state').text(); var date = $(this).find('date').text(); if ((city != "") && (state != "")){ var citystate = ' | ' + city + ', ' + state; } else ...

  12. Managing Your COPD Medications

    MedlinePlus

    ... each(function(i){ var city = $(this).find('city').text(); var state = $(this).find('state').text(); var date = $(this).find('date').text(); if ((city != "") && (state != "")){ var citystate = ' | ' + city + ', ' + state; } else ...

  13. 26. 'CITY HOSPITAL, BLACKWELL'S ISLAND.' (Source: New York City Department ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    26. 'CITY HOSPITAL, BLACKWELL'S ISLAND.' (Source: New York City Department of Public Finance, Real Estate Owned by the City of New York under Jurisdiction of the Department of Public Charities, 1909.) - Island Hospital, Roosevelt Island, New York County, NY

  14. Salt Lake City, Utah

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Salt Lake City, Utah, will host the 2002 Winter Olympic Games. The city is located on the southeastern shore of the Great Salt Lake and sits to the west of the Wasatch Mountains, which rise more than 3,500 meters (10,000 feet) above sea level. The city was first settled in 1847 by pioneers seeking relief from religious persecution. Today Salt Lake City, the capital of Utah, is home to more than 170,000 residents. This true-color image of Salt Lake City was acquired by the Enhanced Thematic Mapper Plus (ETM+), flying aboard Landsat 7, on May 26, 2000. The southeastern tip of the Great Salt Lake is visible in the upper left of the image. The furrowed green and brown landscape running north-south is a portion of the Wasatch Mountains, some of which are snow-capped (white pixels). The greyish pixels in the center of the image show the developed areas of the city. A number of water reservoirs can be seen east of the mountain range. Salt Lake City International Airport is visible on the northwestern edge of the city. About 20 miles south of the airport is the Bingham Canyon Copper Mine (tan pixels), the world's largest open pit excavation. See also this MODIS image of Utah. Image courtesy NASA Landsat7 Science Team and USGS Eros Data Center

  15. The Industrial City

    ERIC Educational Resources Information Center

    Mohl, Raymond

    1976-01-01

    This article, the sixth installment in Environment's "Looking Back" series, traces the woes of America's industrialized cities to the movement that developed cities primarily as centers for industrial enterprise rather than as places for people to live. Today's social ills, from pollution to poverty, developed from that movement. (BT)

  16. Walkout in Crystal City

    ERIC Educational Resources Information Center

    Barrios, Greg

    2009-01-01

    When students take action, they create change that extends far beyond the classroom. In this article, the author, who was a former teacher from Crystal City, Texas, remembers the student walkout that helped launch the Latino civil rights movement 40 years ago. The Crystal City student walkout remains a high point in the history of student activism…

  17. CITY III Player's Manual.

    ERIC Educational Resources Information Center

    Envirometrics, Inc., Washington, DC.

    CITY III is a computer-assisted simulation game in which participants make decisions affecting the economic, governmental, and social conditions of a simulated urban area. In CITY III, the computer stores all the relevant statistics for the area, updates data when changes are made, and prints out yearly reports. The computer also simulates…

  18. CITY III Operator's Manual.

    ERIC Educational Resources Information Center

    Envirometrics, Inc., Washington, DC.

    CITY III is a computer-assisted simulation game of an urban system involving player operation of and interaction with economic, social, and government components. The role of operator in the game is to take the handwritten inputs (decisions) from the CITY III participants, process them, and return output which initiates the next round of…

  19. Innovation and the City

    ERIC Educational Resources Information Center

    Kleiman, Neil; Forman, Adam; Ko, Jae; Giles, David; Bowles, Jonathan

    2013-01-01

    With Washington trapped in budget battles and partisan gridlock, cities have emerged as the best source of government innovation. Nowhere is this more visible than in New York City. Since taking office in 2002, Mayor Bloomberg has introduced a steady stream of innovative policies, from a competition to recruit a new applied sciences campus and a…

  20. Jackson Park Hospital Green Building Medical Center

    SciTech Connect

    Dorsey, William; Vasquez, Nelson

    2010-05-01

    Jackson Park Hospital completed the construction of a new Medical Office Building on its campus this spring. The new building construction has adopted the City of Chicago's recent focus on protecting the environment, and conserving energy and resources, with the introduction of green building codes. Located in a poor, inner city neighborhood on the South side of Chicago, Jackson Park Hospital has chosen green building strategies to help make the area a better place to live and work.

  1. Learning strategies of medical students in the surgery department, Jeddah, Saudi Arabia

    PubMed Central

    Alzahrani, Hasan A; Alzahrani, Owiss H

    2012-01-01

    Objectives To identify medical students’ perceptions of their learning strategies including, learning habits, resources, and preferred teaching methods, in the Department of Surgery (DOS) of the King Abdulaziz University-Faculty of Medicine (KAU-FoM), in Jeddah, Saudi Arabia. Methods A cross-sectional descriptive study which was designed to identify students’ perceptions of their learning in the DOS of the KAU-FoM. A questionnaire was administered to a random group of 549 medical students, to explore student perceptions of their learning strategies including methods of learning and learning resources. Results The majority believed that clinical session attendance is always important compared with lectures (88.9% vs 21.9%). Nevertheless, clinical sessions were selected as the third source of learning after learning from assigned textbooks and previous examination model answers. The majority (74.1%) believed that self-instruction at home is the preferred method of learning. Conclusion Student perspectives should be taken into consideration prior to any future reforms of curriculum. Reforms should adopt a “think globally; act locally” educational strategy based on learner needs. PMID:23762005

  2. Self-medication in Central Saudi Arabia

    PubMed Central

    Aljadhey, Hisham; Assiri, Ghada A.; Mahmoud, Mansour A.; Al-Aqeel, Sinaa; Murray, Michael

    2015-01-01

    Objectives: To determine the prevalence of self-medication and assess the knowledge, attitudes, and perception of consumers toward self-medication. Methods: This cross-sectional survey was conducted over 4 weeks in May 2011 in Riyadh city, Kingdom of Saudi Arabia. Community pharmacies within 5 areas of the city (North, South, West, East, and Middle) were randomly selected for the study. All consumers were approached to participate in the study, with the exception of those buying cosmetic and medicinal equipments. A validated self-administered questionnaire was used to collect the data. Results: A total of 538 out of 707 consumers attending community pharmacies in Riyadh city, agreed to participate in the study. Most responders were male (73%), 23-33 years old (35%), and college graduates (42%). A total of 285 medications were bought without a prescription. Of these, 149 (49%) medications should be dispensed by prescription only, and 155 (51%) were over the counter medications. The most common prescription medications dispensed without prescriptions were antibiotics (22%) and analgesics/antipyretics (19%). The most common reasons for buying medications without a prescription were that the symptoms were too minor to visit a doctor (54%), time saving (40%), and minor illnesses for which the participants knew the required treatment (40%). Overall, most participants had poor knowledge, and negative perceptions regarding self-medication. More than 68% of participants did not know whether the medicine they bought is a prescription-only or over the counter medication. Conclusion: Irresponsible self-medication is common in Saudi Arabia. Future studies should focus on improving the consumers’ awareness of self-medication and the proper use of medications. PMID:25737176

  3. Cardiac Medications

    MedlinePlus

    ... Diovan) What the Medication Does Rather than lowering levels of angiotensin II (as ACE inhibitors do) angiotensin II receptor blockers prevent this chemical from having any effects on the heart and blood vessels. This keeps blood pressure from rising. Reason for Medication Used to treat or improve ...

  4. Medication reviews.

    PubMed

    Blenkinsopp, Alison; Bond, Christine; Raynor, David K

    2012-10-01

    Recent years have seen a formalization of medication review by pharmacists in all settings of care. This article describes the different types of medication review provided in primary care in the UK National Health Service (NHS), summarizes the evidence of effectiveness and considers how such reviews might develop in the future. Medication review is, at heart, a diagnostic intervention which aims to identify problems for action by the prescriber, the clinician conducting the review, the patient or all three but can also be regarded as an educational intervention to support patient knowledge and adherence. There is good evidence that medication review improves process outcomes of prescribing including reduced polypharmacy, use of more appropriate medicines formulation and more appropriate choice of medicine. When 'harder' outcome measures have been included, such as hospitalizations or mortality in elderly patients, available evidence indicates that whilst interventions could improve knowledge and adherence they did not reduce mortality or hospital admissions with one study showing an increase in hospital admissions. Robust health economic studies of medication reviews remain rare. However a review of cost-effectiveness analyses of medication reviews found no studies in which the cost of the intervention was greater than the benefit. The value of medication reviews is now generally accepted despite lack of robust research evidence consistently demonstrating cost or clinical effectiveness compared with traditional care. Medication reviews can be more effectively deployed in the future by targeting, multi-professional involvement and paying greater attention to medicines which could be safely stopped. PMID:22607195

  5. Great cities look small.

    PubMed

    Sim, Aaron; Yaliraki, Sophia N; Barahona, Mauricio; Stumpf, Michael P H

    2015-08-01

    Great cities connect people; failed cities isolate people. Despite the fundamental importance of physical, face-to-face social ties in the functioning of cities, these connectivity networks are not explicitly observed in their entirety. Attempts at estimating them often rely on unrealistic over-simplifications such as the assumption of spatial homogeneity. Here we propose a mathematical model of human interactions in terms of a local strategy of maximizing the number of beneficial connections attainable under the constraint of limited individual travelling-time budgets. By incorporating census and openly available online multi-modal transport data, we are able to characterize the connectivity of geometrically and topologically complex cities. Beyond providing a candidate measure of greatness, this model allows one to quantify and assess the impact of transport developments, population growth, and other infrastructure and demographic changes on a city. Supported by validations of gross domestic product and human immunodeficiency virus infection rates across US metropolitan areas, we illustrate the effect of changes in local and city-wide connectivities by considering the economic impact of two contemporary inter- and intra-city transport developments in the UK: High Speed 2 and London Crossrail. This derivation of the model suggests that the scaling of different urban indicators with population size has an explicitly mechanistic origin. PMID:26179988

  6. Great cities look small

    PubMed Central

    Sim, Aaron; Yaliraki, Sophia N.; Barahona, Mauricio; Stumpf, Michael P. H.

    2015-01-01

    Great cities connect people; failed cities isolate people. Despite the fundamental importance of physical, face-to-face social ties in the functioning of cities, these connectivity networks are not explicitly observed in their entirety. Attempts at estimating them often rely on unrealistic over-simplifications such as the assumption of spatial homogeneity. Here we propose a mathematical model of human interactions in terms of a local strategy of maximizing the number of beneficial connections attainable under the constraint of limited individual travelling-time budgets. By incorporating census and openly available online multi-modal transport data, we are able to characterize the connectivity of geometrically and topologically complex cities. Beyond providing a candidate measure of greatness, this model allows one to quantify and assess the impact of transport developments, population growth, and other infrastructure and demographic changes on a city. Supported by validations of gross domestic product and human immunodeficiency virus infection rates across US metropolitan areas, we illustrate the effect of changes in local and city-wide connectivities by considering the economic impact of two contemporary inter- and intra-city transport developments in the UK: High Speed 2 and London Crossrail. This derivation of the model suggests that the scaling of different urban indicators with population size has an explicitly mechanistic origin. PMID:26179988

  7. City Lights of Europe

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Growth in 'mega-cities' is altering the landscape and the atmosphere in such a way as to curtail normal photosynthesis. By using data from The Defense Meteorological Satellite Program's Operational Linescan System, researchers have been able to look at urban sprawl by monitoring the emission of light from cities at night. By overlaying these 'light maps' onto other data such as soil and vegetation maps, the research shows that urbanization can have a variable but measurable impact on photosynthetic productivity. For more information, read Bright Lights, Big City Image by the NASA GSFC Scientific Visualization Studio

  8. [THE DIVERGENCE OF MEDICAL DEMOGRAPHIC SITUATION IN RUSSIA].

    PubMed

    Belov, K B; Rogovina, A G

    2015-01-01

    The factors impacting demographic situation in largest cities are discussed. The transformation of correlation relationships ofvariation offertility and total mortality ofpopulation with intensity of its aging, labor payment, supply with physicians and capacity of medical institutions is analyzed PMID:26987169

  9. City College of New York CITY FACTS, 2000-2001.

    ERIC Educational Resources Information Center

    City Univ. of New York, NY. City Coll.

    CITY FACTS is an annual publication of the City College of New York's (CCNY's) Institutional Research Office. It contains four main sections: Executive Summary and Commentary on CITY FACTS Tables, Student Data over the Past Decade, Employee and Financial Data, and Reference Sources. A brief commentary on each of the City Facts tables is included…

  10. The Sustainable City.

    ERIC Educational Resources Information Center

    Gangloff, Deborah

    1995-01-01

    Focuses on methods to make cities more sustainable through the processes of energy efficiency, pollution and waste reduction, capture of natural processes, and the merger of ecological, economic, and social factors. (LZ)

  11. The sustainable city

    SciTech Connect

    Gangloff, D.

    1995-05-01

    Natural marshes are replacing expensive man-made sewage treatment plants. Leaves that once wound up in landfills are now enhancing soils. Ecological landscaping is cooling entire communities and reducing energy use. In coming to view our cities as ecosystems, we are learning to apply the concepts and principles that have sustained rural forests and farms for generations. The question now is, how can those concepts be applied to cities, and how can individual citizens - as well as community leaders - act to improve the sustainability of the places they call home. This article discusses the following topics in reference to developing cities which can sustain themselves: energy efficiency; pollution and waste reduction; capturing natural processes (taking advantage of species that thrive in and benefit the city); merging ecological, economic, and social factors. 6 figs.

  12. Cincinnati; Our Convention City

    ERIC Educational Resources Information Center

    Borchin, Anna

    1970-01-01

    During Easter week, 1971, Cincinnati will be the hostess of the 50th anniversary convention of the Catholic Library Association. Items of historical interest concerning the city are briefly described. (NH)

  13. Noise in Mexico City

    NASA Astrophysics Data System (ADS)

    Beristain, Sergio

    2001-05-01

    Mexico City is known to be the largest city in the world, inhabited by some 20 percent of the national population, so noise pollution is not strange to it, particularly in view of the fact that industry is not concentrated, but rather spread throughout the city. The international airport also lies within the city limits, in the midst of residential areas. The heavy traffic during rush hours in the morning and in the evening and the activities of the populace, together with special events, produce a noise problem that is difficult to assess and to solve. Nevertheless, with educational programs begun several years ago and noise campaigns planned for the near future, in addition to existing regulations, the problem is not completely out of control. This paper presents a discussion of the general noise problem and describes how authorities and institutions are dealing with it.

  14. City sewer collectors biocorrosion

    NASA Astrophysics Data System (ADS)

    Ksiażek, Mariusz

    2014-12-01

    This paper presents the biocorrosion of city sewer collectors impregnated with special polymer sulphur binders, polymerized sulphur, which is applied as the industrial waste material. The city sewer collectors are settled with a colony of soil bacteria which have corrosive effects on its structure. Chemoautotrophic nitrifying bacteria utilize the residues of halites (carbamide) which migrate in the city sewer collectors, due to the damaged dampproofing of the roadway and produce nitrogen salts. Chemoorganotrophic bacteria utilize the traces of organic substrates and produce a number of organic acids (formic, acetic, propionic, citric, oxalic and other). The activity of microorganisms so enables the origination of primary and secondary salts which affect physical properties of concretes in city sewer collectors unfavourably.

  15. Sinking coastal cities

    NASA Astrophysics Data System (ADS)

    Erkens, G.; Bucx, T.; Dam, R.; de Lange, G.; Lambert, J.

    2015-11-01

    In many coastal and delta cities land subsidence now exceeds absolute sea level rise up to a factor of ten. A major cause for severe land subsidence is excessive groundwater extraction related to rapid urbanization and population growth. Without action, parts of Jakarta, Ho Chi Minh City, Bangkok and numerous other coastal cities will sink below sea level. Land subsidence increases flood vulnerability (frequency, inundation depth and duration of floods), with floods causing major economic damage and loss of lives. In addition, differential land movement causes significant economic losses in the form of structural damage and high maintenance costs for (infra)structure. The total damage worldwide is estimated at billions of dollars annually. As subsidence is often spatially variable and can be caused by multiple processes, an assessment of subsidence in delta cities needs to answer questions such as: what are the main causes? What is the current subsidence rate and what are future scenarios (and interaction with other major environmental issues)? Where are the vulnerable areas? What are the impacts and risks? How can adverse impacts be mitigated or compensated for? Who is involved and responsible to act? In this study a quick-assessment of subsidence is performed on the following mega-cities: Jakarta, Ho Chi Minh City, Dhaka, New Orleans and Bangkok. Results of these case studies will be presented and compared, and a (generic) approach how to deal with subsidence in current and future subsidence-prone areas is provided.

  16. Learning Cities on the Move

    ERIC Educational Resources Information Center

    Kearns, Peter

    2015-01-01

    The modern Learning City concept emerged from the work of OECD on lifelong learning with streams of Learning Cities and Educating Cities having much in common but having little contact with each other. While the early development of Learning Cities in the West has not been sustained, the present situation is marked by the dynamic development of…

  17. Medical Imaging.

    ERIC Educational Resources Information Center

    Barker, M. C. J.

    1996-01-01

    Discusses four main types of medical imaging (x-ray, radionuclide, ultrasound, and magnetic resonance) and considers their relative merits. Describes important recent and possible future developments in image processing. (Author/MKR)

  18. Medical Scientists

    MedlinePlus

    ... scientists typically have a Ph.D., usually in biology or a related life science. Some medical scientists ... specialize in this field seek to understand the biology of aging and investigate ways to improve the ...

  19. Medical Acoustics

    NASA Astrophysics Data System (ADS)

    Beach, Kirk; Dunmire, Barbrina

    Medical acoustics can be subdivided into diagnostics and therapy. Diagnostics are further separated into auditory and ultrasonic methods, and both employ low amplitudes. Therapy (excluding medical advice) uses ultrasound for heating, cooking, permeablizing, activating and fracturing tissues and structures within the body, usually at much higher amplitudes than in diagnostics. Because ultrasound is a wave, linear wave physics are generally applicable, but recently nonlinear effects have become more important, even in low-intensity diagnostic applications.

  20. 1978 U.C. Medical School Graduates: Practice Setting Preferences, Other Career Plans, and Personal Characteristics.

    ERIC Educational Resources Information Center

    Cuca, Janet Melei

    1980-01-01

    The medical practice setting preferences, in terms of demography, of 1978 U.S. medical school graduates are reported along with their career plans and other individual characteristics. Characteristics of graduates preferring inner city, small city and town/rural settings are highlighted. (JMD)

  1. Sinking Coastal Cities

    NASA Astrophysics Data System (ADS)

    Erkens, G.; Stuurman, R.; De Lange, G.; Bucx, T.; Lambert, J.

    2014-12-01

    In many coastal cities land subsidence now exceeds absolute sea level rise up to a factor of ten. Without action, parts of Jakarta, Ho Chi Minh City, Bangkok and numerous other coastal cities will continue to sink, even below sea level. The ever increasing industrial and domestic demand for water in these cities results in excessive groundwater extraction, causing severe subsidence. In addition, coastal cities are often faced with larger natural subsidence, as they are built on thick sequences of soft soil. The impacts of subsidence are further exacerbated by climate-induced sea level rise. Land subsidence results in two types damage: foremost it increases flood vulnerability (frequency, inundation depth and duration of floods), with floods causing major economic damage and loss of lives. Secondly, differential land movement causes significant economic losses in the form of structural damage and high maintenance costs of roads and transportation networks, sewage systems, buildings and foundations. The total damage worldwide is estimated at billions of dollars annually. To survey the extent of groundwater associated subsidence, we conducted a quick-assessment of subsidence in a series of mega-cities (Jakarta, Ho Chi Minh City, Dhaka, New Orleans and Bangkok). For each city research questions included: what are the main causes, how much is the current subsidence rate and what are predictions, where are the vulnerable areas, what are the impacts and risks, how can adverse impacts can be mitigated or compensated for, and what governmental bodies are involved and responsible to act? Using the assessment, this paper discusses subsidence modelling and measurement results from the selected cities. The focus is on the importance of delayed settlement after increases in hydraulic heads, the role of the subsurface composition for subsidence rates and best practice solutions for subsiding cities. For the latter, urban (ground)water management, adaptive flood risk management

  2. Medical Device Safety

    MedlinePlus

    ... Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products Medical Devices Home Medical Devices Medical Device Safety Medical Device Safety Share Tweet Linkedin Pin it More sharing ...

  3. Fasa University Medical School: a novel experience in medical education

    PubMed Central

    RONAGHY, HOSSAIN A.; NASR, KHOSROW

    2014-01-01

    Introduction: In early 1970`s a combination of a shortage and misdistribution of health services and growing public dissatisfaction about the health care available, along with increasing expectations, has put great strain on the mind of the staff of the Department of Medicine Shiraz University School of Medicine. The purpose of this report is to give an account of what was originally planned and what has happened since the start of Fasa Medical School in April 1978. Methods: This is a case report about an experience in medical education in Iran. At the time, two major problems were facing our country. The first was gross mal-distribution of these healthcare facilities, which were mostly concentrated in Tehran and big cities of Iran, and the second problem was continuous exodus of Iranian Medical graduates to the Western countries. Results: The main idea of creating Fasa Medical School was to create a system in which primary care in small villages are provided by VHW with the middle level health workers of “Behdar Roustaee” to be supported by local physicians who  reside in small towns. Conclusion: For Fasa Medical School, education was emphasized on community based, student centered, and problem based medical education located in the community and based on teamwork and cooperation. PMID:25512919

  4. Earth's City Lights

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This image of Earth's city lights was created with data from the Defense Meteorological Satellite Program (DMSP) Operational Linescan System (OLS). Originally designed to view clouds by moonlight, the OLS is also used to map the locations of permanent lights on the Earth's surface. The brightest areas of the Earth are the most urbanized, but not necessarily the most populated. (Compare western Europe with China and India.) Cities tend to grow along coastlines and transportation networks. Even without the underlying map, the outlines of many continents would still be visible. The United States interstate highway system appears as a lattice connecting the brighter dots of city centers. In Russia, the Trans-Siberian railroad is a thin line stretching from Moscow through the center of Asia to Vladivostok. The Nile River, from the Aswan Dam to the Mediterranean Sea, is another bright thread through an otherwise dark region. Even more than 100 years after the invention of the electric light, some regions remain thinly populated and unlit. Antarctica is entirely dark. The interior jungles of Africa and South America are mostly dark, but lights are beginning to appear there. Deserts in Africa, Arabia, Australia, Mongolia, and the United States are poorly lit as well (except along the coast), along with the boreal forests of Canada and Russia, and the great mountains of the Himalaya. The Earth Observatory article Bright Lights, Big City describes how NASA scientists use city light data to map urbanization. Image by Craig Mayhew and Robert Simmon, NASA GSFC, based on DMSP data

  5. Universities Scale Like Cities

    PubMed Central

    van Raan, Anthony F. J.

    2013-01-01

    Recent studies of urban scaling show that important socioeconomic city characteristics such as wealth and innovation capacity exhibit a nonlinear, particularly a power law scaling with population size. These nonlinear effects are common to all cities, with similar power law exponents. These findings mean that the larger the city, the more disproportionally they are places of wealth and innovation. Local properties of cities cause a deviation from the expected behavior as predicted by the power law scaling. In this paper we demonstrate that universities show a similar behavior as cities in the distribution of the ‘gross university income’ in terms of total number of citations over ‘size’ in terms of total number of publications. Moreover, the power law exponents for university scaling are comparable to those for urban scaling. We find that deviations from the expected behavior can indeed be explained by specific local properties of universities, particularly the field-specific composition of a university, and its quality in terms of field-normalized citation impact. By studying both the set of the 500 largest universities worldwide and a specific subset of these 500 universities -the top-100 European universities- we are also able to distinguish between properties of universities with as well as without selection of one specific local property, the quality of a university in terms of its average field-normalized citation impact. It also reveals an interesting observation concerning the working of a crucial property in networked systems, preferential attachment. PMID:23544062

  6. Medical migration.

    PubMed

    Loefler, I J

    2001-10-01

    The issue of professional migration, however emotional it may have become, ought not to be regarded in moralizing terms. The history of western medicine is the history of migrating physicians. A doctor who moves from a locality to another to take up a new assignment there cannot be said to have "abandoned his patients". This emotional bond has become the victim of specialization and of depersonalization of medical services and not of medical migration, brain drain or otherwise. The primary reason for medical migration is not financial; the desire to migrate usually begins with the desire to learn. Professionals crave in the first line for professional satisfaction. The migration of medical manpower cannot be stopped with administrative measures and will not be stopped by exhortations and appeals, moralization and condemnations. Brain drain is a global phenomenon and has always been so. A country which loses its professionals, its doctors, should examine the social relationships within the profession and should investigate whether the opportunities for deriving professional satisfaction from everyday work exist or whether these have been thwarted by the hierarchy, conservatism, cronyism and the general lack of comprehension of what good medical care is about. PMID:11593497

  7. Medical Renaissance.

    PubMed

    Toledo-Pereyra, Luis H

    2015-06-01

    The Medical Renaissance started as the regular Renaissance did in the early 1400s and ended in the late 1600s. During this time great medical personalities and scholar humanists made unique advances to medicine and surgery. Linacre, Erasmus, Leonicello and Sylvius will be considered first, because they fit the early classic Renaissance period. Andreas Vesalius and Ambroise Paré followed thereafter, making outstanding anatomical contributions with the publication of the "Human Factory" (1543) by Vesalius, and describing unique surgical developments with the publication of the "The Apologie and Treatise of Ambroise Paré." At the end of the Renaissance and beginning of the New Science, William Harvey, noted British medical doctor and cardiovascular researcher, discovered the general circulation. He published his findings in "The Motu Cordis" in 1628 (Figure 1). The Medical Renaissance, in summary, included a great number of accomplished physicians and surgeons who made especial contributions to human anatomy; Vesalius assembled detailed anatomical information; Paré advanced surgical techniques; and Harvey, a medical genius, detailed the circulatory anatomy and physiology. PMID:26065591

  8. Antidepressants and Youth Suicide in New York City, 1999-2002

    ERIC Educational Resources Information Center

    Leon, Andrew C.; Marzuk, Peter M.; Tardiff, Kenneth; Bucciarelli, Angela; Piper, Tinka Markham; Galea, Sandro

    2006-01-01

    Objective: To determine the proportion of youth suicides in New York City from 1999 to 2002 in which antidepressants were detected at autopsy. Method: This is a medical examiner surveillance study of suicides in New York City among those younger than 18 years of age. The outcome measure is serum toxicology for antidepressants. Results: From 1999…

  9. Centralization vs. decentralization in medical school libraries.

    PubMed

    Crawford, H

    1966-07-01

    Does the medical school library in the United States operate more commonly under the university library or the medical school administration? University-connected medical school libraries were asked to indicate (a) the source of their budgets, whether from the central library or the medical school, and (b) the responsibility for their acquisitions and cataloging. Returns received from sixtyeight of the seventy eligible institutions showed decentralization to be much the most common: 71 percent of the libraries are funded by their medical schools; 79 percent are responsible for their own acquisitions and processing. The factor most often associated with centralization of both budget and operation is public ownership. Decentralization is associated with service to one or two rather than three or more professional schools. Location of the medical school in a different city from the university is highly favorable to autonomy. Other factors associated with these trends are discussed. PMID:5945568

  10. Medical school dean as a turnaround agent.

    PubMed

    Sachs, Benjamin P; Krane, N Kevin; Kahn, Marc J

    2008-08-01

    Taking on the role as a new medical school Dean in a new city after Hurricane Katrina posed many challenges. To facilitate turnaround, 3 principles were applied: hit the ground running, promote community involvement, and gain a common vision for the future. This article describes Tulane University's process for implementing change and expands on its vision for the future. PMID:18703920

  11. A six step approach for developing computer based assessment in medical education.

    PubMed

    Hassanien, Mohammed Ahmed; Al-Hayani, Abdulmoneam; Abu-Kamer, Rasha; Almazrooa, Adnan

    2013-01-01

    Assessment, which entails the systematic evaluation of student learning, is an integral part of any educational process. Computer-based assessment (CBA) techniques provide a valuable resource to students seeking to evaluate their academic progress through instantaneous, personalized feedback. CBA reduces examination, grading and reviewing workloads and facilitates training. This paper describes a six step approach for developing CBA in higher education and evaluates student perceptions of computer-based summative assessment at the College of Medicine, King Abdulaziz University. A set of questionnaires were distributed to 341 third year medical students (161 female and 180 male) immediately after examinations in order to assess the adequacy of the system for the exam program. The respondents expressed high satisfaction with the first Saudi experience of CBA for final examinations. However, about 50% of them preferred the use of a pilot CBA before its formal application; hence, many did not recommend its use for future examinations. Both male and female respondents reported that the range of advantages offered by CBA outweighed any disadvantages. Further studies are required to monitor the extended employment of CBA technology for larger classes and for a variety of subjects at universities. PMID:23581891

  12. Ultrafine particles in cities.

    PubMed

    Kumar, Prashant; Morawska, Lidia; Birmili, Wolfram; Paasonen, Pauli; Hu, Min; Kulmala, Markku; Harrison, Roy M; Norford, Leslie; Britter, Rex

    2014-05-01

    Ultrafine particles (UFPs; diameter less than 100 nm) are ubiquitous in urban air, and an acknowledged risk to human health. Globally, the major source for urban outdoor UFP concentrations is motor traffic. Ongoing trends towards urbanisation and expansion of road traffic are anticipated to further increase population exposure to UFPs. Numerous experimental studies have characterised UFPs in individual cities, but an integrated evaluation of emissions and population exposure is still lacking. Our analysis suggests that the average exposure to outdoor UFPs in Asian cities is about four-times larger than that in European cities but impacts on human health are largely unknown. This article reviews some fundamental drivers of UFP emissions and dispersion, and highlights unresolved challenges, as well as recommendations to ensure sustainable urban development whilst minimising any possible adverse health impacts. PMID:24503484

  13. Building functional cities.

    PubMed

    Henderson, J Vernon; Venables, Anthony J; Regan, Tanner; Samsonov, Ilia

    2016-05-20

    The literature views many African cities as dysfunctional with a hodgepodge of land uses and poor "connectivity." One driver of inefficient land uses is construction decisions for highly durable buildings made under weak institutions. In a novel approach, we model the dynamics of urban land use with both formal and slum dwellings and ongoing urban redevelopment to higher building heights in the formal sector as a city grows. We analyze the evolution of Nairobi using a unique high-spatial resolution data set. The analysis suggests insufficient building volume through most of the city and large slum areas with low housing volumes near the center, where corrupted institutions deter conversion to formal sector usage. PMID:27199420

  14. Reproducing in cities.

    PubMed

    Mace, Ruth

    2008-02-01

    Reproducing in cities has always been costly, leading to lower fertility (that is, lower birth rates) in urban than in rural areas. Historically, although cities provided job opportunities, initially residents incurred the penalty of higher infant mortality, but as mortality rates fell at the end of the 19th century, European birth rates began to plummet. Fertility decline in Africa only started recently and has been dramatic in some cities. Here it is argued that both historical and evolutionary demographers are interpreting fertility declines across the globe in terms of the relative costs of child rearing, which increase to allow children to outcompete their peers. Now largely free from the fear of early death, postindustrial societies may create an environment that generates runaway parental investment, which will continue to drive fertility ever lower. PMID:18258904

  15. Finding the Lost City

    NASA Technical Reports Server (NTRS)

    1993-01-01

    Nicholas Clapp, a filmmaker and archeology enthusiast, had accumulated extensive information concerning Ubar, the fabled lost city of ancient Arabia. When he was unable to identify its exact location, however, he turned to the Jet Propulsion Laboratory (JPL) for assistance in applying orbital remote sensing techniques. JPL scientists searched NASA's shuttle imaging radar, as well as Landsat and SPOT images and discovered ancient caravan tracks. This enabled them to prepare a map of the trails, which converged at a place known as Ash Shisr. An expedition was formed, which found structures and artifacts from a city that predates previous area civilization by a thousand years. Although it will take time to validate the city as Ubar, the discovery is a monumental archeological triumph.

  16. Medical genetics

    SciTech Connect

    Jorde, L.B.; Carey, J.C.; White, R.L.

    1995-10-01

    This book on the subject of medical genetics is a textbook aimed at a very broad audience: principally, medical students, nursing students, graduate, and undergraduate students. The book is actually a primer of general genetics as applied to humans and provides a well-balanced introduction to the scientific and clinical basis of human genetics. The twelve chapters include: Introduction, Basic Cell Biology, Genetic Variation, Autosomal Dominant and Recessive Inheritance, Sex-linked and Mitochondrial Inheritance, Clinical Cytogenetics, Gene Mapping, Immunogenetics, Cancer Genetics, Multifactorial Inheritance and Common Disease, Genetic Screening, Genetic Diagnosis and Gene Therapy, and Clinical Genetics and Genetic Counseling.

  17. Medical leasing.

    PubMed

    Holden, Elizabeth A

    2012-01-01

    Leases for medical space can have far-reaching (and sometimes unintentional) consequences for the future of the practice and the costs of the business. In order to prevent hardship and expense down the line, it is especially important to review the lease to make sure that it reflects the practice's goals, needs, and structure. This article provides a number of provisions that are especially crucial to review and negotiate when leasing medical space, including use restrictions, assignment and subleasing clauses, build-out terms, and legal compliance requirements. PMID:22594070

  18. Inner City Asthma

    PubMed Central

    Togias, Alkis

    2014-01-01

    SYNOPSIS The inner city has long been recognized as an area of high asthma morbidity and mortality. A wide range of factors interact to create this environment. These factors include well-recognized asthma risk factors that are not specific to the inner city, the structure and delivery of health care, the location and function of the urban environment, and social inequities. This article will review these facets and discuss successful and unsuccessful interventions in order to understand what is needed to solve this problem. PMID:25459579

  19. Medical genetics

    SciTech Connect

    Nora, J.J.; Fraser, F.C.

    1989-01-01

    This book presents a discussion of medical genetics for the practitioner treating or counseling patients with genetic disease. It includes a discussion of the relationship of heredity and diseases, the chromosomal basis for heredity, gene frequencies, and genetics of development and maldevelopment. The authors also focus on teratology, somatic cell genetics, genetics and cancer, genetics of behavior.

  20. Glaucoma medications.

    PubMed

    Chae, Bora; Cakiner-Egilmez, Tulay; Desai, Manishi

    2013-01-01

    Glaucoma is a common eye condition that affects millions of individuals worldwide, making it the second-leading cause of blindness. Because glaucoma is associated with increased IOP level, the primary goal in treatment of glaucoma includes lowering IOP to prevent further progression of the disease. While various surgical interventions exist, medical therapy is currently the first line of treatment. Medical treatment of glaucoma includes topical beta-blockers, alpha-2 agonists, prostaglandins, parasympathomimetics and CAIs. Anti-glaucoma agents help reduce IOP by affecting the production of aqueous humor or increasing the outflow of aqueous through the trabecular or uveoscleral pathway. Choosing an appropriate medical regimen can be challenging and various factors such as efficacy, safety, cost and patient compliance must be considered. First-line treatment is often topical beta-blockers or prostaglandin analogs. However, beta-blocking agents can be associated with systemic side effects and need to be used cautiously in patients with serious concomitant cardiopulmonary disease. Alpha-2 agonists and parasympathomimetics are often considered second- or third-line treatment options but good adjunctive agents. Oral CAIs are often indicated for patients with elevated IOP in an acute setting or for patients resistant to other glaucoma medications and patients who are not good surgical candidates. PMID:23505792

  1. Medical problems of musicians.

    PubMed

    Lockwood, A H

    1989-01-26

    Surveys of performing musicians indicate that almost half of them experience playing-related medical problems, some of which threaten or end their careers. Overuse injuries involving the muscle--tendon unit are the most common problem, with symptoms ranging from mild pain while the musician is playing to pain severe enough to preclude any use of the affected hand. String players are the most commonly affected, and percussionists the least. The most important predisposing characteristic is the use of repetitive movements during long hours of practice, but awkward body positions mandated by the shape and weight of the instrument, the technical difficulty of the repertoire, and unfamiliar instruments may also play a part. Women are more commonly affected than men. Rest is the cornerstone of therapy. Neural impingement syndromes affecting the median or ulnar nerves or the thoracic outlet affect many musicians. Focal dystonias may involve part or all of a hand or the muscles forming the embouchure (the position of the lips in wind players). These are very resistant to therapy and may terminate or drastically alter a career. Stress, especially performance anxiety, may impede performance. Beta-adrenergic blocking agents prevent the symptoms of performance anxiety and are frequently used by musicians without medical supervision. A recognition of the unique problems of musician-patients has led to the formation of successful specialty clinics in a number of cities. PMID:2643048

  2. Big-City Rules

    ERIC Educational Resources Information Center

    Gordon, Dan

    2011-01-01

    When it comes to implementing innovative classroom technology programs, urban school districts face significant challenges stemming from their big-city status. These range from large bureaucracies, to scalability, to how to meet the needs of a more diverse group of students. Because of their size, urban districts tend to have greater distance…

  3. Utah: Salt Lake City

    Atmospheric Science Data Center

    2014-05-15

    ... mountains surrounding Salt Lake City are renowned for the dry, powdery snow that results from the arid climate and location at the ... should be used with the red filter placed over your left eye. The canyons and peaks of the Uinta and Wasatch Mountains are ...

  4. Model Cities Training Program.

    ERIC Educational Resources Information Center

    Tennessee Univ., Chattanooga.

    The Model Cities Training Program, the first in the country, is a 10-session course to be conducted in seminar form under the direction of the University of Tennessee at Chattanooga. The objective is to enable the 50 members of the Community Development Administration Board of Directors to: acquire knowledge of the structure of the Model Cities…

  5. India's Cities in Crisis.

    ERIC Educational Resources Information Center

    Bryjak, George J.

    1984-01-01

    Indian cities are growing rapidly due to natural increase and migration from rural areas. This has caused huge pollution problems and has resulted in overcrowded schools and hospitals. Conflict between religious groups has increased; so has crime. India is modernizing, but not fast enough. (CS)

  6. Summer in the City

    ERIC Educational Resources Information Center

    Gewertz, Catherine

    2005-01-01

    This article describes the different experiences of the participants in an Outward Bound-sponsored "urban expedition" to New York City that was designed to make them better teachers by examining their beliefs and biases. The participants in this "urban expedition" came from schools that work with Outward Bound USA, the Garrison, New York,…

  7. Clean Cities Tools

    SciTech Connect

    2014-12-19

    The U.S. Department of Energy's Clean Cities offers a large collection of Web-based tools on the Alternative Fuels Data Center. These calculators, interactive maps, and data searches can assist fleets, fuels providers, and other transportation decision makers in their efforts to reduce petroleum use.

  8. America's Most Literate Cities.

    ERIC Educational Resources Information Center

    Miller, Jack

    This study assessed factors related to literacy and literate behavior, rating the most and least literate U.S. cities. Data came from the U.S. Census Bureau, Audit Bureau of Circulations, American Booksellers Association, Yellow Pages, American Library Directory, and National Directory of Magazines. Thirteen measures were combined to form five…

  9. City Kids Go Green.

    ERIC Educational Resources Information Center

    Taylor, Tricia

    1993-01-01

    Describes Outward Bound Urban Resources Initiative, a six-week summer course whose goal is to work with urban youth to develop solutions for local environmental problems. Among the activities described include converting city lots into parks, neighborhood cleanup, and tree planting. (MDH)

  10. City Forms, Country Forms.

    ERIC Educational Resources Information Center

    Guadadiello, Anthony S.

    1983-01-01

    The program for artistically talented in the Jersey City Public Schools primarily serves a disadvantaged population. Among its activities are field trips to the countryside and to local neighborhoods. Students get new visual experiences which they can compare to familiar ones and are encouraged to use in their artwork. (CS)

  11. Making Cities Green.

    ERIC Educational Resources Information Center

    Goldstein, Neil B.; Engel, Jane

    1981-01-01

    Describes several examples of urban parks and the renewal of city open spaces. Community groups interested in getting funding from government or private sources must cope with budget restrictions by making effective, innovative use of available money. Government agencies with funds allocated for urban improvements are mentioned. (AM)

  12. City model enrichment

    NASA Astrophysics Data System (ADS)

    Smart, Philip D.; Quinn, Jonathan A.; Jones, Christopher B.

    The combination of mobile communication technology with location and orientation aware digital cameras has introduced increasing interest in the exploitation of 3D city models for applications such as augmented reality and automated image captioning. The effectiveness of such applications is, at present, severely limited by the often poor quality of semantic annotation of the 3D models. In this paper, we show how freely available sources of georeferenced Web 2.0 information can be used for automated enrichment of 3D city models. Point referenced names of prominent buildings and landmarks mined from Wikipedia articles and from the OpenStreetMaps digital map and Geonames gazetteer have been matched to the 2D ground plan geometry of a 3D city model. In order to address the ambiguities that arise in the associations between these sources and the city model, we present procedures to merge potentially related buildings and implement fuzzy matching between reference points and building polygons. An experimental evaluation demonstrates the effectiveness of the presented methods.

  13. Bug City: Beetles [Videotape].

    ERIC Educational Resources Information Center

    1998

    "Bug City" is a video series created to help children learn about insects and other small critters. All aspects of bug life are touched upon including body structure, food, habitat, life cycle, mating habits, camouflage, mutualism (symbiosis), adaptations, social behavior, and more. Each program features dramatic microscopic photography, fun…

  14. Bug City: Ants [Videotape].

    ERIC Educational Resources Information Center

    1998

    "Bug City" is a video series created to help children (grades 1-6) learn about insects and other small critters. All aspects of bug life are touched upon including body structure, food, habitat, life cycle, mating habits, camouflage, mutualism (symbiosis), adaptations, social behavior, and more. Each program features dramatic microscopic…

  15. New City, New Challenges

    ERIC Educational Resources Information Center

    Matthews, Frank

    2010-01-01

    After eight years at the helm of the City College of New York, where Dr. Gregory Williams grew enrollment at the minority-serving institution by 60 percent, instituted more rigorous admissions standards and launched the college's first capital campaign that raised more than $300 million, last fall he became the 27th president of the University of…

  16. Atlantic City memories.

    PubMed

    Epstein, Franklin H

    2008-04-01

    Fifty years ago, the Atlantic City meetings, held the first week in May of every year, were attended by all the elite of American academic medicine and all who wanted to join that group. Part of the magic of those meetings was that professors and neophytes took each other seriously and talked to each other. PMID:18382726

  17. [City and County Records.

    ERIC Educational Resources Information Center

    Combs, Judith O.; And Others

    Six papers presented at the Institute were concerned with city and county records. They are: "EWEB and Its Records," which discusses the history, laws and records of the Eugene Water and Electric Board (EWEB);""Police Records: Eugene, Oregon," classifies police records, other than administrative, into three general categories: (1) case or…

  18. Accepted into Education City

    ERIC Educational Resources Information Center

    Asquith, Christina

    2006-01-01

    Qatar's Education City, perhaps the world's most diverse campus, is almost entirely unknown in the United States, but represents the next step in the globalization of American higher education--international franchising. Aided by technology such as online libraries, distance learning and streaming video, U.S. universities offer--and charge tuition…

  19. The Plains City Story

    ERIC Educational Resources Information Center

    van Olphen, Marcela; Rios, Francisco; Berube, William; Dexter, Robin; McCarthy, Robert

    2006-01-01

    This case study portrays a contemporary phenomenon that affects many U.S. school districts. Specifically, the authors address the challenges that the superintendent of the Plains City school district faced as a result of a change in the demographic distribution of his district. The gradual development of the pig farming industry in Plains City…

  20. Bug City: Bees [Videotape].

    ERIC Educational Resources Information Center

    1998

    "Bug City" is a video series created to help children learn about insects and other small critters. All aspects of bug life are touched upon including body structure, food, habitat, life cycle, mating habits, camouflage, mutualism (symbiosis), adaptations, social behavior, and more. Each program features dramatic microscopic photography, fun…

  1. Nature in the City.

    ERIC Educational Resources Information Center

    Ferbert, Mary Lou

    1981-01-01

    Describes a science program developed by the Cleveland Museum of Natural History, "Nature in the City," in which students and teachers learn together about the natural community surrounding their school. Includes program's rationale, list of "adventures," and methods. Discusses strategies of Sherlock Holmes'"adventure" focusing on animal tracks…

  2. CITIES ARE CHANGING.

    ERIC Educational Resources Information Center

    RAVITZ, MEL

    THE EFFECT OF PHYSICAL AND SOCIAL CHANGES IN LARGE CITIES ARE DISCUSSED. POPULATION GROWTH IN THE LAST FEW YEARS HAS OCCURRED PRIMARILY IN THE SUBURBS. URBAN RENEWAL HAS REALIGNED AND RELOCATED THE RACES AND THE SOCIAL CLASSES, AND FREEWAY CONSTRUCTION HAS CREATED INTERURBAN STRIPS. CASUALTIES OF THESE CHANGES ARE CROWDING THE MIDDLE NEIGHBORHOODS…

  3. Sinking coastal cities

    NASA Astrophysics Data System (ADS)

    Erkens, Gilles; Bucx, Tom; Dam, Rien; De Lange, Ger; Lambert, John

    2014-05-01

    In many coastal and delta cities land subsidence now exceeds absolute sea level rise up to a factor of ten. Without action, parts of Jakarta, Ho Chi Minh City, Bangkok and numerous other coastal cities will sink below sea level. Land subsidence increases flood vulnerability (frequency, inundation depth and duration of floods), with floods causing major economic damage and loss of lives. In addition, differential land movement causes significant economic losses in the form of structural damage and high maintenance costs. This effects roads and transportation networks, hydraulic infrastructure - such as river embankments, sluice gates, flood barriers and pumping stations -, sewage systems, buildings and foundations. The total damage worldwide is estimated at billions of dollars annually. Excessive groundwater extraction after rapid urbanization and population growth is the main cause of severe land subsidence. In addition, coastal cities are often faced with larger natural subsidence, as they are built on thick sequences of soft soil. Because of ongoing urbanization and population growth in delta areas, in particular in coastal megacities, there is, and will be, more economic development in subsidence-prone areas. The impacts of subsidence are further exacerbated by extreme weather events (short term) and rising sea levels (long term).Consequently, detrimental impacts will increase in the near future, making it necessary to address subsidence related problems now. Subsidence is an issue that involves many policy fields, complex technical aspects and governance embedment. There is a need for an integrated approach in order to manage subsidence and to develop appropriate strategies and measures that are effective and efficient on both the short and long term. Urban (ground)water management, adaptive flood risk management and related spatial planning strategies are just examples of the options available. A major rethink is needed to deal with the 'hidden' but urgent

  4. [THE CENTURY OF WAGNER PERM STATE MEDICAL UNIVERSITY].

    PubMed

    Tuev, A V; Khlynova, O V

    2016-01-01

    Perm City is the large industrial, scientific, educational and cultural center in Volga Federal District. Also it is one of the oldest and the most attractive Ural cities. Higher medical education on the West Ural was founded in 1916. The main stages of the development of Perm State Medical University are lightened in the article. Perm State Medical University is the peculiar school of experts of different medical specialties, scientific and educational personnel, specialists of the middle range of the health care system. The history of the university is full of historical, professional and creative traditions. 2016 year is the century of the higher medical education on the West Ural and the anniversary year for Perm State Medical University by E.A. Wagner. PMID:27301135

  5. Class attendance and cardiology examination performance: a study in problem-based medical curriculum

    PubMed Central

    Bamuhair, Samira S; Al Farhan, Ali I; Althubaiti, Alaa; ur Rahman, Saeed; Al-Kadri, Hanan M

    2016-01-01

    Background and aims Information on the effect of students’ class attendance on examination performance in a problem-based learning medical curriculum is limited. This study investigates the impact of different educational activities on students’ academic performance in a problem-based learning curriculum. Methods This is a retrospective cohort study conducted on the cardiology block at the College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. All students who undertook the cardiology block during the academic year 2011–2012 were included. The students’ attendance was measured using their overall attendance percentage. This percentage is a product of their attendance of many activities throughout the block. The students’ performance was assessed by the final mark obtained, which is a product of many assessment elements. Statistical correlation between students’ attendance and performance was established. Results A total of 127 students were included. The average lecture attendance rate for the medical students in this study was found to be 86%. A significant positive correlation was noted between the overall attendance and the accumulated students’ block mark (r=0.52; P<0.001). Students’ attendance to different education activities was correlated to their final mark. Lecture attendance was the most significant predictor (P<0.001), that is, 1.0% increase in lecture attendance has predicted a 0.27 increase in students’ final block mark. Conclusion Class attendance has a positive effect on students’ academic performance with stronger effect for lecture attendance compared to attendance in other teaching modalities. This suggests that lecture attendance is critical for learning even when a problem-based learning medical curriculum is applied. PMID:26929658

  6. New York City's Education Battles

    ERIC Educational Resources Information Center

    Meyer, Peter

    2008-01-01

    When Bloomberg gave his first State of the City address, in January, 2002, he announced his intention to seek mayoral control of the schools and abolish the infamous New York City Board of Education, which he called "a rinky-dink candy store." He joined a long list of New York mayors, educators, and business leaders who believed that the city's…

  7. Medical tourism.

    PubMed

    Reed, Christie M

    2008-11-01

    Searches of the literature or Internet using the term "medical tourism" produce two sets of articles: travel for the purpose of delivering health care or travel for the purpose of seeking health care. The first usage primarily appears in the medical literature and is beyond the scope of this article, which focuses on travel to seek health care. Still, there are some aspects these two topics have in common: both are affected by ease and speed of international travel and communication associated with globalization, and both raise questions about continuity of care as well as issues related to cultural, language, and legal differences; both also raise questions about ethics. This article describes some of the motivating factors, contributing elements, and challenges in elucidating trends, as well as implications for clinicians who provide pretravel advice and those who care for ill returning travelers. PMID:19061760

  8. Medical manslaughter.

    PubMed

    Lyons, B

    2013-01-01

    On November 29, 2011 Dr Conrad Murray was sentenced to four years in prison after being convicted of the involuntary manslaughter of Michael Jackson. Expert witness statements indicated that Murray's actions were an "extreme departure from the standard of care", particularly with regard to (1) inappropriately treating insomnia with a surgical anaesthetic (propofol); (2) failing to acquire sufficiently informed consent; (3) administering propofol without the necessary monitoring equipment; (4) delaying contacting the emergency services; and (5) making ineffective resuscitation efforts. Further medical evidence argued that Murray's care of Jackson contained "17 egregious violations", defined as acts that posed a foreseeable danger to the patient's life. These deficiencies, it was stated, constituted gross negligence. Such events might seem remote from daily medical practice in Ireland. However, medical errors resulting in patient death are reported to be unfortunately frequent, even if such fatalities are rarely as dramatic, or as public, as that of Michael Jackson. Medical care is not necessarily straightforward, and any treatment outcome is dependent on clinician skill, the nature of the intervention, and on the pathological condition of the patient. Regardless of these latter two factors, a poor outcome still may occur through physician omissions or the commission of errors or violations. Merry and McCall Smith distinguish between errors and violations on the following basis: (1) errors are not deliberate, and result in unintentional actions and consequences; (2) violations, on the other hand, entail a deliberate deviation from accepted rules or norms. It was alleged that much of Dr Murray's professional conduct in this case fell into the latter category. PMID:23472376

  9. Medical Applications

    NASA Astrophysics Data System (ADS)

    Boccara, A. Claude; Mordon, Serge

    2015-10-01

    In re-listening to the lectures of Charles Townes shortly after the invention of the laser (e.g., in the Boston Science Museum), one can already have a realistic vision of the potentialities of this new tool in the field of medical therapy, as evidenced by the use of the laser in ophthalmology to cure retinal detachment in the 1960's. Since then, applications have flourished in the domain of therapy. We will thus illustrate here only some of the main fields of application of medical lasers. On the opposite, the use of lasers in medical imaging is, with one exception in ophthalmology, still at the development level. It is becoming a diagnostic tool in addition to high performance imaging facilities that are often very expensive (such as CT scan, Magnetic Resonance Imaging (MRI) and nuclear imaging). Even if progress is sometimes slow, one can now image with light inside the human body, in spite of the strong scattering of light by tissues, in the same way as a pathologist sees surgical specimens.

  10. Do medical cannabis laws encourage cannabis use?

    PubMed

    Gorman, Dennis M; Charles Huber, J

    2007-05-01

    Medical cannabis is a contentious issue in the United States, with many fearing that introduction of state laws will increase use among the general population. The present study examined whether the introduction of such laws affects the level of cannabis use among arrestees and emergency department patients. Using the Arrestee Drug Abuse Monitoring system, data from adult arrestees for the period 1995-2002 were examined in three cities in California (Los Angeles, San Diego, San Jose), one city in Colorado (Denver), and one city in Oregon (Portland). Data were also analysed for juvenile arrestees in two of the California cities and Portland. Data on emergency department patients from the Drug Abuse Warning Network for the period 1994-2002 were examined in three metropolitan areas in California (Los Angeles, San Diego, San Francisco), one in Colorado (Denver), and one in Washington State (Seattle). The analysis followed an interrupted time-series design. No statistically significant pre-law versus post-law differences were found in any of the ADAM or DAWN sites. Thus, consistent with other studies of the liberalization of cannabis laws, medical cannabis laws do not appear to increase use of the drug. One reason for this might be that relatively few individuals are registered medical cannabis patients or caregivers. In addition, use of the drug by those already sick might "de-glamorise" it and thereby do little to encourage use among others. PMID:17689362

  11. Traces of medical activity in Ephesus.

    PubMed

    Angeletti, L R

    1989-01-01

    Ephesus was an important city of Asia Minor, existing as an exchange point between Egypt and the Greek-Roman world. As it was the birthplace of famous physicians and situated between Kos-Knidos and Pergamon, it is surprising that no medical buildings have been clearly identified in this area. In the upper old Hellenistic city, two pillars include, on the southern face, a youth with a goat and Hermes, respectively. On the internal faces, reliefs of tripods, an omphalos, a mortar and a twined snake may refer to mantic and/or pharmacy and medicine. Near the pillars, a temple for sacrifices dedicated to Hera and a statue of Apollo manteion in the Prytaneoion have been found. Because both the Apollo and Hermes myths are closely related to medicine, the pillars may be a sign of medical activity in that part of the city. This activity may be related to both mantic in the direction of the temple and practice in the direction of a building which has not yet been identified. This interpretation is confirmed by an inscription on the Museion-Church of Virgin Mary: a physician from the Mouseion is referred to as a practitioner near the supreme priest (hieros): thus, the pillars may be an indication of both sacred and medical activities in that part of the city. PMID:11640093

  12. Martian City Map

    NASA Technical Reports Server (NTRS)

    2004-01-01

    30 May 2004 Seasonal frost can enhance the view from orbit of polar polygonal patterns on the surface of Mars. Sometimes these patterns look something like a city map, or the view from above a city lit-up at night. This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows an example from the south polar region near 80.7oS, 70.6oW. Polar polygons on Mars are generally believed, though not proven, to be the result of freeze/thaw cycles of ice occurring within the upper few meters (several yards) of the martian subsurface. The image shown here covers an area about 3 km (1.9 mi) across; sunlight illuminates the scene from the upper left.

  13. Garden City, Kansas

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Center pivot irrigation systems create red circles of healthy vegetation in this image of croplands near Garden City, Kansas. This image was acquired by Landsat 7's Enhanced Thematic Mapper plus (ETM+) sensor on September 25, 2000. This is a false-color composite image made using near infrared, red, and green wavelengths. The image has also been sharpened using the sensor's panchromatic band. Image provided by the USGS EROS Data Center Satellite Systems Branch

  14. [Medical writers in medical research].

    PubMed

    Burcharth, Jakob; Pommergaard, Hans-Christian; Danielsen, Anne Kjærgaard; Rosenberg, Jacob

    2013-08-19

    Larger research units often comprise persons of several professions in order to secure a high level of efficiency and quality in the different tasks. In Denmark, employees with special competencies within the field of writing and publication are rarely used in research units. The purpose of this study was to present the advantages and challenges associated with the involvement of medical writers in academic environments. PMID:23952980

  15. 76 FR 73595 - Healthcare Technology, Policy & Trade Mission: Mexico City, Mexico, May 13-16, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... healthcare information technologies (IT), medical devices, and other medical technology. The mission will... International Trade Administration Healthcare Technology, Policy & Trade Mission: Mexico City, Mexico, May 13-16... Commercial Service (CS) is organizing an executive-led healthcare technology policy and trade mission...

  16. Human diffusion and city influence.

    PubMed

    Lenormand, Maxime; Gonçalves, Bruno; Tugores, Antònia; Ramasco, José J

    2015-08-01

    Cities are characterized by concentrating population, economic activity and services. However, not all cities are equal and a natural hierarchy at local, regional or global scales spontaneously emerges. In this work, we introduce a method to quantify city influence using geolocated tweets to characterize human mobility. Rome and Paris appear consistently as the cities attracting most diverse visitors. The ratio between locals and non-local visitors turns out to be fundamental for a city to truly be global. Focusing only on urban residents' mobility flows, a city-to-city network can be constructed. This network allows us to analyse centrality measures at different scales. New York and London play a central role on the global scale, while urban rankings suffer substantial changes if the focus is set at a regional level. PMID:26179991

  17. Human diffusion and city influence

    PubMed Central

    Lenormand, Maxime; Gonçalves, Bruno; Tugores, Antònia; Ramasco, José J.

    2015-01-01

    Cities are characterized by concentrating population, economic activity and services. However, not all cities are equal and a natural hierarchy at local, regional or global scales spontaneously emerges. In this work, we introduce a method to quantify city influence using geolocated tweets to characterize human mobility. Rome and Paris appear consistently as the cities attracting most diverse visitors. The ratio between locals and non-local visitors turns out to be fundamental for a city to truly be global. Focusing only on urban residents' mobility flows, a city-to-city network can be constructed. This network allows us to analyse centrality measures at different scales. New York and London play a central role on the global scale, while urban rankings suffer substantial changes if the focus is set at a regional level. PMID:26179991

  18. Computerized medication administration records decrease medication occurrences.

    PubMed

    Wilson, A L; Hill, J J; Wilson, R G; Nipper, K; Kwon, I W

    1997-04-01

    Studies have demonstrated that medication errors occur at a number of locations in the continuum between ordering of drug therapy and administration of the medication. Computer management of patient medication profiles offers the opportunity to enhance communication between pharmacists and nurses, and to decrease medication errors and delays in delivery of therapy. A number of authors have postulated that computerization of medication profiles would enhance medication delivery accuracy and timeliness, but no study has demonstrated this improvement. We report the results of a retrospective analysis undertaken to assess the improvements resulting from sharing a computerized medication record. We used a broader definition of medication occurrences that includes the more traditional definition, and averted errors, delays in delivery of medications and information, and disagreements between pharmacy and nursing medication profiles. We compared medication occurrences reported through an existing internal system between two periods; the first when separate pharmacy and nursing medication records were used, and the second period when a shared medication record was used by pharmacy and nursing. Average medication occurrences per admission decreased from 0.1084 to 0.0658 (p < 0.01). Medication occurrences per dose decreased from 0.0005 to 0.0003 (p < 0.01). The use of a shared medication record by pharmacy and nursing led to a statistically significant decrease in medication occurrences. Information shared between the two professions allowed timely resolution of discrepancies in medication orders, leading to better execution of drug therapy, decreased medication occurrences, and increased efficiency. PMID:10166241

  19. [Medical nanodevices].

    PubMed

    Sugimachi, Masaru; Sunagawa, Kenji

    2006-02-01

    Development of implantable medical nanodevices enables us continuous automatic treatment of patients from inside of their body. Bionic devices, interfacing with neural systems and substituting native functions, such as bionic pacemaker, bionic pressure controller are candidates to miniaturize. For such miniaturization, efforts to reduce size of power supply (e.g., biological fuel cell) and to establish reliable high-throughput, low power telecommunication (e.g., spread spectrum telecommunication) are required. Simple devices such as pacemakers would benefit from miniaturization by lowering invasion and by developing a new usage such as ventricular resynchronization. PMID:16454192

  20. Medical electromechatronics

    NASA Astrophysics Data System (ADS)

    Osipov, Y. M.; Syryamkin, V. I.; Osipov, O. Y.

    2015-11-01

    The first part of the article presentsdevices of rehabilitation electromechatronics.As a research work, the author's team has performed sketch and technical developments on this subject, which are protected by patents of the Russian Federation. The second part providesan overview of medical robotic surgery, which is ideal for imperfections removing.It also describes capabilities of the author's team in development of active driveline based "iron" hands.Scalpels never tremble in the iron hands, which are not afraid of the aftershocks and never get tired.They can perform operations during not less than 48 consecutive hours.

  1. Medical clip

    NASA Technical Reports Server (NTRS)

    Baucom, R. M. (Inventor)

    1983-01-01

    An X-ray transparent and biological inert medical clip for treating aneurisms and the like is described. A graphite reinforced composite film is molded into a unitary structure having a pair of hourglass-like cavities hinged together with a pair of jaws for grasping the aneurism extending from the wall of one cavity. A silicone rubber pellet is disposed in the other cavity to exert a spring force through the hinge area to normally bias the jaws into contact with each other.

  2. [The physician in the Greek city].

    PubMed

    Koelbing, H M

    1989-01-01

    In the cities of ancient Greece, as well as later in Rome, the doctor's responsibility was already a controversial subject. The practice of healing was not subject to any official regulation: no protection of good physicians, no punishment of malpractice. While physicians often lead an itinerant life, cities endeavoured to secure the presence of a good one by appointing him town or public physician on the basis of a one-year contract. This did not mean, however, a "health service" free of charge for patients. The variety of healing persons including midwives and medicals slaves is reviewed. Some short texts which were added in later times to the "Works of Hippocrates" ("Physician", "Precepts", "Decorum") provide us with some information on a physician's daily life (see also H.M. Koelbing, The Hippocratic physician at his patient's bedside, in Practitioner 224, 1980, 551-554). From Hippocrates ("Prognostic") to the hellenistic period ("Decorum"), we note an important change as to the revelation of a bad prognosis: Hippocrates advocates the blunt information of the patient when there is no hope for him; but his follower in a later century takes into consideration the patient's psychology. He hides the cruel truth from him while informing openly his relatives and near friends. This is the first time in history we come across the principle of the doctor's double truth, strongly, advocated e.g. by Thomas Percival in his "Medical Ethics" (1803), but much disputed today. PMID:2673940

  3. MEDICAL REVIEW AND ADVISORY BOARD

    PubMed Central

    Sadusk, Joseph F.

    1955-01-01

    The Medical Review and Advisory Board has been established as a committee of the Commission on Professional Welfare of the California Medical Association to make studies and recommendations toward solution of the growing problems of professional liability insurance and malpractice actions in California. The members of the Board are: Joseph F. Sadusk, Jr., Oakland, Chairman; Wilbur Bailey, M.D., Los Angeles, vice-chairman; Howard W. Bosworth, M.D., Los Angeles; H. I. Burtness, M.D., Santa Barbara; Paul W. Frame, Jr., M.D., Sacramento; Verne G. Ghormley, M.D., Fresno; Carl M. Hadley, M.D., San Bernardino; Joseph J. O'Hara, M.D., San Diego; William F. Quinn, M.D., Los Angeles; Rees B. Rees, M.D., San Francisco; and Bernard Silber, M.D., Redwood City; Mr. Rollen Waterson, 564 Market Street, San Francisco 4, is executive secretary, and Mr. Howard Hassard is legal counsel. PMID:13260939

  4. Medical imaging

    SciTech Connect

    Chapman, D.

    1996-09-01

    There are a number of medically related imaging programs at synchrotron facilities around the world. The most advanced of these are the dual energy transvenous coronary angiography imaging programs, which have progressed to human imaging for some years. The NSLS facility will be discussed and patient images from recent sessions from the NSLS and HASYLAB will be presented. The effort at the Photon Factory and Accumulator Ring will also be briefly covered, as well as future plans for the new facilities. Emphasis will be on the new aspects of these imaging programs; this includes imaging with a peripheral venous injection of the iodine contrast agent, imaging at three photon energies, and the potential of a hospital-based compact source. Other medical programs to be discussed, are the multiple energy computed tomography (MECT) project at the NSLS and plans for a MECT program at the ESRF. Recently, experiments performed at the NSLS to image mammography phantoms using monochromatic beam have produced very promising results. This program will be discussed as well as some new results from imaging a phantom using a thin Laue crystal analyzer after the object to eliminate scatter onto the detector. {copyright} {ital 1996 American Institute of Physics.}

  5. Medical robotics.

    PubMed

    Ferrigno, Giancarlo; Baroni, Guido; Casolo, Federico; De Momi, Elena; Gini, Giuseppina; Matteucci, Matteo; Pedrocchi, Alessandra

    2011-01-01

    Information and communication technology (ICT) and mechatronics play a basic role in medical robotics and computer-aided therapy. In the last three decades, in fact, ICT technology has strongly entered the health-care field, bringing in new techniques to support therapy and rehabilitation. In this frame, medical robotics is an expansion of the service and professional robotics as well as other technologies, as surgical navigation has been introduced especially in minimally invasive surgery. Localization systems also provide treatments in radiotherapy and radiosurgery with high precision. Virtual or augmented reality plays a role for both surgical training and planning and for safe rehabilitation in the first stage of the recovery from neurological diseases. Also, in the chronic phase of motor diseases, robotics helps with special assistive devices and prostheses. Although, in the past, the actual need and advantage of navigation, localization, and robotics in surgery and therapy has been in doubt, today, the availability of better hardware (e.g., microrobots) and more sophisticated algorithms(e.g., machine learning and other cognitive approaches)has largely increased the field of applications of these technologies,making it more likely that, in the near future, their presence will be dramatically increased, taking advantage of the generational change of the end users and the increasing request of quality in health-care delivery and management. PMID:21642033

  6. 78 FR 49292 - American Medical Alert Corporation, DBA Tunstall, Clovis, New Mexico; Amended Certification...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-13

    ... Employment and Training Administration American Medical Alert Corporation, DBA Tunstall, Clovis, New Mexico..., applicable to workers of American Medical Alert Corporation, doing business as Tunstall, Long Island City... of American Medical Alert Corporation, doing business as Tunstall, Clovis, New Mexico, who...

  7. Large cities are less green

    NASA Astrophysics Data System (ADS)

    Oliveira, Erneson A.; Andrade, José S.; Makse, Hernán A.

    2014-02-01

    We study how urban quality evolves as a result of carbon dioxide emissions as urban agglomerations grow. We employ a bottom-up approach combining two unprecedented microscopic data on population and carbon dioxide emissions in the continental US. We first aggregate settlements that are close to each other into cities using the City Clustering Algorithm (CCA) defining cities beyond the administrative boundaries. Then, we use data on CO2 emissions at a fine geographic scale to determine the total emissions of each city. We find a superlinear scaling behavior, expressed by a power-law, between CO2 emissions and city population with average allometric exponent β = 1.46 across all cities in the US. This result suggests that the high productivity of large cities is done at the expense of a proportionally larger amount of emissions compared to small cities. Furthermore, our results are substantially different from those obtained by the standard administrative definition of cities, i.e. Metropolitan Statistical Area (MSA). Specifically, MSAs display isometric scaling emissions and we argue that this discrepancy is due to the overestimation of MSA areas. The results suggest that allometric studies based on administrative boundaries to define cities may suffer from endogeneity bias.

  8. Securing water for the cities.

    PubMed

    Satterthwaite, D

    1993-01-01

    Many cities in developing countries have grown so much that they can no longer provide adequate, sustainable water. Over pumping in Dakar and Mexico City has forced those cities to obtain water from ever more distant sources. In Dakar, the result has been saltwater intrusion. Overpumping has caused Mexico City to sink, in some areas by as much as 9 m, resulting in serious damage to buildings and sewage and drainage pipes. Other cities facing similar water problems are coastal cities in Peru (e.g., Lima), La Rioja and Catamarca in Argentina, cities in Northern Mexico, and cities in dry areas of Africa. For some cities, the problem is not so much ever more distant water supplies but insufficient funds to expand supplies. Bangkok and Jakarta both face saltwater intrusion into their overdrawn aquifers. Even through agriculture is the dominant user of water in most countries, demand concentrated in a small area exhausts local and regional sources and pollutes rivers, lakes, and coasts with untreated human and industrial waste. Most cities in Africa and Asia do not have a sewerage system. Further, most cities do not have the drains to deal with storm water and external floodwater, causing frequent, seasonal flooding. The resulting stagnant water provides breeding grounds for insect vectors of diseases (e.g., malaria). The problems in most cities are a result of poor management, not lack of water. Reducing leaks in existing piped distribution systems from the usual 60% loss of water to leaks to 12% would increase the available water 2-fold. Another way to address water shortages would be commercial, industrial, and recreational use of minimally treated waste water, such as is the case in Madras and Mexico City. Political solutions are needed to resolve inadequate water supply and waste management. PMID:12287008

  9. Career choices among medical students in Bangladesh

    PubMed Central

    Ahmed, SM Moslehuddin; Majumdar, Md Anwarul Azim; Karim, Rezina; Rahman, Sayeeda; Rahman, Nuzhat

    2011-01-01

    Introduction Information regarding career choices of medical students is important to plan human resources for health, design need-based educational programs, and ensure equitable and quality health care services in a country. Aim The aim of the study is to identify career choices, nature of career, intended practice locations, and reasons for career choices of Bangladesh medical students. Method First-, third-, and fifth-year students of Bangladesh Medical College and Uttara Adhunik Medical College completed a self-report questionnaire on career choices, nature of career, intended practice locations, and reasons for career choices. The students were requested to choose three long-term choices from the given specialties. Results A total of 132 students responded (46 males and 86 females) and response rate was 75%. The popular choices (first choice) among males and females were medical specialty, surgical specialty, obstetrics and gynecology, and general practice. For first, second, and third choices altogether, male students chose surgical specialties and female students preferred medical specialties. The leading reasons for selecting a specialty were personal interest and wide job opportunity. More than 67% of respondents wanted to join private services and about 90% chose major cities as practice locations. About 43% of respondents expressed willingness to practice medicine in Bangladesh, whereas 51% of total respondents wanted to practice abroad. Discussion Majority of students intended to specialize in established clinical specialties and subsequently practice in major cities, and more than half wanted to immigrate to other countries. Basic medical subjects and service-oriented (lifestyle-related) and preventive/social medical specialties were found to be less attractive. If this pattern continues, Bangladesh will suffer a chronic shortage of health personnel in certain specialties and in rural areas. Conclusions Reorientation of health care and medical

  10. Medical alert bracelet (image)

    MedlinePlus

    People with diabetes should always wear a medical alert bracelet or necklace that emergency medical workers will ... People with diabetes should always wear a medical alert bracelet or necklace that emergency medical workers will ...

  11. Medication Use during Pregnancy

    MedlinePlus

    ... medications that are necessary. What Medications Can Cause Birth Defects? We know that taking certain medications during pregnancy ... may visit the FDA Pregnancy Registry website. National Birth Defects Prevention Study: Medications and Birth Defects The Centers ...

  12. The Medical Home

    MedlinePlus

    ... 5 Things to Know About Zika & Pregnancy The Medical Home KidsHealth > For Parents > The Medical Home Print ... home" for your child. What Does the Term "Medical Home" Mean? A medical home isn't a ...

  13. CityGML - Interoperable semantic 3D city models

    NASA Astrophysics Data System (ADS)

    Gröger, Gerhard; Plümer, Lutz

    2012-07-01

    CityGML is the international standard of the Open Geospatial Consortium (OGC) for the representation and exchange of 3D city models. It defines the three-dimensional geometry, topology, semantics and appearance of the most relevant topographic objects in urban or regional contexts. These definitions are provided in different, well-defined Levels-of-Detail (multiresolution model). The focus of CityGML is on the semantical aspects of 3D city models, its structures, taxonomies and aggregations, allowing users to employ virtual 3D city models for advanced analysis and visualization tasks in a variety of application domains such as urban planning, indoor/outdoor pedestrian navigation, environmental simulations, cultural heritage, or facility management. This is in contrast to purely geometrical/graphical models such as KML, VRML, or X3D, which do not provide sufficient semantics. CityGML is based on the Geography Markup Language (GML), which provides a standardized geometry model. Due to this model and its well-defined semantics and structures, CityGML facilitates interoperable data exchange in the context of geo web services and spatial data infrastructures. Since its standardization in 2008, CityGML has become used on a worldwide scale: tools from notable companies in the geospatial field provide CityGML interfaces. Many applications and projects use this standard. CityGML is also having a strong impact on science: numerous approaches use CityGML, particularly its semantics, for disaster management, emergency responses, or energy-related applications as well as for visualizations, or they contribute to CityGML, improving its consistency and validity, or use CityGML, particularly its different Levels-of-Detail, as a source or target for generalizations. This paper gives an overview of CityGML, its underlying concepts, its Levels-of-Detail, how to extend it, its applications, its likely future development, and the role it plays in scientific research. Furthermore, its

  14. [MEDICAL CANNABIS].

    PubMed

    Naftali, Timna

    2016-02-01

    The cannabis plant has been known to humanity for centuries as a remedy for pain, diarrhea and inflammation. Current research is inspecting the use of cannabis for many diseases, including multiple sclerosis, epilepsy, dystonia, and chronic pain. In inflammatory conditions cannabinoids improve pain in rheumatoid arthritis and:pain and diarrhea in Crohn's disease. Despite their therapeutic potential, cannabinoids are not free of side effects including psychosis, anxiety, paranoia, dependence and abuse. Controlled clinical studies investigating the therapeutic potential of cannabis are few and small, whereas pressure for expanding cannabis use is increasing. Currently, as long as cannabis is classified as an illicit drug and until further controlled studies are performed, the use of medical cannabis should be limited to patients who failed conventional better established treatment. PMID:27215115

  15. The dynamics of city formation*

    PubMed Central

    Henderson, J. Vernon; Venables, Anthony J.

    2013-01-01

    This paper examines city formation in a country whose urban population is growing steadily over time, with new cities required to accommodate this growth. In contrast to most of the literature there is immobility of housing and urban infrastructure, and investment in these assets is taken on the basis of forward-looking behavior. In the presence of these fixed assets cities form sequentially, without the population swings in existing cities that arise in current models, but with swings in house rents. Equilibrium city size, absent government, may be larger or smaller than is efficient, depending on how urban externalities vary with population. Efficient formation of cities with internalization of externalities involves local government intervention and borrowing to finance development. The paper explores the institutions required for successful local government intervention. PMID:25089087

  16. Constructing cities, deconstructing scaling laws

    PubMed Central

    Arcaute, Elsa; Hatna, Erez; Ferguson, Peter; Youn, Hyejin; Johansson, Anders; Batty, Michael

    2015-01-01

    Cities can be characterized and modelled through different urban measures. Consistency within these observables is crucial in order to advance towards a science of cities. Bettencourt et al. have proposed that many of these urban measures can be predicted through universal scaling laws. We develop a framework to consistently define cities, using commuting to work and population density thresholds, and construct thousands of realizations of systems of cities with different boundaries for England and Wales. These serve as a laboratory for the scaling analysis of a large set of urban indicators. The analysis shows that population size alone does not provide us enough information to describe or predict the state of a city as previously proposed, indicating that the expected scaling laws are not corroborated. We found that most urban indicators scale linearly with city size, regardless of the definition of the urban boundaries. However, when nonlinear correlations are present, the exponent fluctuates considerably. PMID:25411405

  17. University City Core Plan.

    ERIC Educational Resources Information Center

    Philadelphia City Planning Commission, PA.

    A redevelopment plan for an urban core area of about 300 acres was warranted by--(1) unsuitable building conditions, (2) undesirable land usage, and (3) faulty traffic circulation. The plan includes expansion of two universities and creation of a regional science center, high school, and medical center. Guidelines for proposed land use and zoning…

  18. Digging the city

    SciTech Connect

    Paulson, S.L.

    1996-02-01

    For city dwellers and commuters, major construction and repair projects by underground utilities have traditionally meant torn-up streets, detours, snarled traffic, flaring tempers and other urban headaches. For store and business owners, utility projects also have frequently been harmful to the bottom line. Customer parking often is curtailed and deliveries are missed because of street excavations, and business hours may even have to be cut because of interruptions in utility service. But natural gas utilities in major cities across the country are working hard to change that reality. Their effort has two major focuses: community-relations programs that anticipate problems and ease tensions between the utility and local residents and business owners, and new technologies that drastically limit the amount of excavation that needs to be done in repairing or replacing gas distribution lines. The paper describes a case study in the community-relations side of the equation which involved a recent project by Pacific Gas and Electric Co. (PG and E) in the congested streets of San Francisco`s famed Chinatown.

  19. Immunosuppressive Medications

    PubMed Central

    2016-01-01

    Immunosuppressive agents are commonly used in the nephrologist’s practice in the treatment of autoimmune and immune-mediated diseases and transplantation, and they are investigational in the treatment of AKI and ESRD. Drug development has been rapid over the past decades as mechanisms of the immune response have been better defined both by serendipity (the discovery of agents with immunosuppressive activity that led to greater understanding of the immune response) and through mechanistic study (the study of immune deficiencies and autoimmune diseases and the critical pathways or mutations that contribute to disease). Toxicities of early immunosuppressive agents, such as corticosteroids, azathioprine, and cyclophosphamide, stimulated intense investigation for agents with more specificity and less harmful effects. Because the mechanisms of the immune response were better delineated over the past 30 years, this specialty is now bestowed with a multitude of therapeutic options that have reduced rejection rates and improved graft survival in kidney transplantation, provided alternatives to cytotoxic therapy in immune-mediated diseases, and opened new opportunities for intervention in diseases both common (AKI) and rare (atypical hemolytic syndrome). Rather than summarizing clinical indications and clinical trials for all currently available immunosuppressive medications, the purpose of this review is to place these agents into mechanistic context together with a brief discussion of unique features of development and use that are of interest to the nephrologist. PMID:26170177

  20. Medical muddle.

    PubMed

    Gartrell, Nanette

    2014-01-01

    Nanette Gartrell, MD, is a psychiatrist and researcher whose investigations have documented the mental health and psychological well-being of lesbian, gay, bisexual, and transgender (LGBT) people over the past four decades. Nanette is the principal investigator of an ongoing longitudinal study of lesbian families in which the children were conceived by donor insemination. Now in its 27th year, this project has been cited internationally in the debates over equality in marriage, foster care, and adoption. Previously on the faculty at Harvard Medical School and the University of California, San Francisco, Nanette is currently a Visiting Distinguished Scholar at the Williams Institute, UCLA School of Law. In 2013, Nanette received the Association of Women Psychiatrists Presidential Commendation Award for "selfless and enduring vision, leadership, wisdom, and mentorship in the fields of women's mental health, ethics, and gender research." At the age of 63, Nanette experienced a 3 ½ month period of intractable, incapacitating dizziness for which there was never a clear diagnosis. PMID:24400630

  1. Immunosuppressive Medications.

    PubMed

    Wiseman, Alexander C

    2016-02-01

    Immunosuppressive agents are commonly used in the nephrologist's practice in the treatment of autoimmune and immune-mediated diseases and transplantation, and they are investigational in the treatment of AKI and ESRD. Drug development has been rapid over the past decades as mechanisms of the immune response have been better defined both by serendipity (the discovery of agents with immunosuppressive activity that led to greater understanding of the immune response) and through mechanistic study (the study of immune deficiencies and autoimmune diseases and the critical pathways or mutations that contribute to disease). Toxicities of early immunosuppressive agents, such as corticosteroids, azathioprine, and cyclophosphamide, stimulated intense investigation for agents with more specificity and less harmful effects. Because the mechanisms of the immune response were better delineated over the past 30 years, this specialty is now bestowed with a multitude of therapeutic options that have reduced rejection rates and improved graft survival in kidney transplantation, provided alternatives to cytotoxic therapy in immune-mediated diseases, and opened new opportunities for intervention in diseases both common (AKI) and rare (atypical hemolytic syndrome). Rather than summarizing clinical indications and clinical trials for all currently available immunosuppressive medications, the purpose of this review is to place these agents into mechanistic context together with a brief discussion of unique features of development and use that are of interest to the nephrologist. PMID:26170177

  2. Smart cities of the future

    NASA Astrophysics Data System (ADS)

    Batty, M.; Axhausen, K. W.; Giannotti, F.; Pozdnoukhov, A.; Bazzani, A.; Wachowicz, M.; Ouzounis, G.; Portugali, Y.

    2012-11-01

    Here we sketch the rudiments of what constitutes a smart city which we define as a city in which ICT is merged with traditional infrastructures, coordinated and integrated using new digital technologies. We first sketch our vision defining seven goals which concern: developing a new understanding of urban problems; effective and feasible ways to coordinate urban technologies; models and methods for using urban data across spatial and temporal scales; developing new technologies for communication and dissemination; developing new forms of urban governance and organisation; defining critical problems relating to cities, transport, and energy; and identifying risk, uncertainty, and hazards in the smart city. To this, we add six research challenges: to relate the infrastructure of smart cities to their operational functioning and planning through management, control and optimisation; to explore the notion of the city as a laboratory for innovation; to provide portfolios of urban simulation which inform future designs; to develop technologies that ensure equity, fairness and realise a better quality of city life; to develop technologies that ensure informed participation and create shared knowledge for democratic city governance; and to ensure greater and more effective mobility and access to opportunities for urban populations. We begin by defining the state of the art, explaining the science of smart cities. We define six scenarios based on new cities badging themselves as smart, older cities regenerating themselves as smart, the development of science parks, tech cities, and technopoles focused on high technologies, the development of urban services using contemporary ICT, the use of ICT to develop new urban intelligence functions, and the development of online and mobile forms of participation. Seven project areas are then proposed: Integrated Databases for the Smart City, Sensing, Networking and the Impact of New Social Media, Modelling Network Performance

  3. Big City Education: Its Challenge to Governance.

    ERIC Educational Resources Information Center

    Haskew, Laurence D.

    This chapter traces the migration from farms to cities and the later movement from cities to suburbs and discusses the impact of the resulting big city environment on the governance of big city education. The author (1) suggests how local, State, and Federal governments can improve big city education; (2) discusses ways of planning for the future…

  4. Kid-Friendly Cities Report Card, 2001.

    ERIC Educational Resources Information Center

    Polansky, Lee S., Ed.

    2001-01-01

    This report examines the health and wellbeing of children in the United States' largest cities, covering every city with a population of 100,000 or more, as well as the largest cities in states without any cities of this size. Research shows that many cities are becoming more child-friendly, with better access to good education, jobs, and health…

  5. Salt Lake City, Utah

    NASA Technical Reports Server (NTRS)

    2001-01-01

    The 2002 Winter Olympics are hosted by Salt Lake City at several venues within the city, in nearby cities, and within the adjacent Wasatch Mountains. This simulated natural color image presents a late spring view of north central Utah that includes all of the Olympic sites. The image extends from Ogden in the north, to Provo in the south; and includes the snow-capped Wasatch Mountains and the eastern part of the Great Salt Lake.

    This image was acquired on May 28, 2000 by the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) on NASA's Terra satellite. With its 14 spectral bands from the visible to the thermal infrared wavelength region, and its high spatial resolution of 15 to 90 meters (about 50 to 300 feet), ASTER will image Earth for the next 6 years to map and monitor the changing surface of our planet.

    ASTER is one of five Earth-observing instruments launched December 18,1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of Economy, Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products. Dr. Anne Kahle at NASA's Jet Propulsion Laboratory, Pasadena, California, is the U.S. Science team leader; Bjorn Eng of JPL is the project manager. ASTER is the only high resolution imaging sensor on Terra. The Terra mission is part of NASA's Earth Science Enterprise, a long-term research and technology program designed to examine Earth's land, oceans, atmosphere, ice and life as a total integrated system.

    The broad spectral coverage and high spectral resolution of ASTER will provide scientists in numerous disciplines with critical information for surface mapping, and monitoring dynamic conditions and temporal change. Example applications are: monitoring glacial advances and retreats; monitoring potentially active volcanoes; identifying crop stress; determining cloud morphology and physical properties; wetlands evaluation; thermal pollution

  6. City Planning Unit: Grade 6.

    ERIC Educational Resources Information Center

    Dalton, William Edward

    Described is a project designed to make government lessons and economics more appealing to sixth-grade students by having them set up and run a model city. General preparation procedures and set-up of the project, specific lesson plans, additional activities, and project evaluation are examined. An actual 3-dimensional model city was set up on…

  7. Chicago, Illinois: The Windy City

    ERIC Educational Resources Information Center

    McIntosh, Phyllis

    2008-01-01

    Once famous mainly for stockyards and steel mills, Chicago now boasts more top-rated five-star restaurants than any other city in the United States and has been voted by various publications as one of the "Top 10 U.S. Destinations," one of the "Best Walking Cities" in the United States, and one of the "Ten Best Places to…

  8. Social Planning for Small Cities.

    ERIC Educational Resources Information Center

    Meyers, James

    Derived mainly from publications by the League of California Cities, this guide to social planning for small cities presents the following: (1) social planning definitions; (2) a checklist of social planning concerns (provision for: adequate income and economic opportunity; optimal environmental conditions for basic material needs; optimal health…

  9. Knowledge Infrastructures for Solar Cities

    ERIC Educational Resources Information Center

    Vanderburg, Willem H.

    2006-01-01

    The evolution of contemporary cities into solar cities will be affected by the decisions of countless specialists according to an established intellectual and professional division of labor. These specialists belong to groups responsible for advancing and applying a body of knowledge, and jointly, these bodies of knowledge make up a knowledge…

  10. Educating Cities in Latin America

    ERIC Educational Resources Information Center

    Messina, Graciela; Valdés-Cotera, Raúl

    2013-01-01

    This article considers the development of educating cities from a political perspective, illustrating in detail the diversity of organisations and individuals involved and the challenges they are facing. Bearing in mind that educating cities were established from the 1990s onwards in Europe and spread to other continents from there, the purpose of…

  11. New York City: Musically Speaking.

    ERIC Educational Resources Information Center

    Aiex, Nola Kortner

    New York City as a subject has fascinated generations of artists, writers, and musicians. However, the glamorous image of the city has changed over the years, and in the 1960s, popular music, in particular, began to reflect a utopia/dystopia dichotomy in relation to New York. During the past twenty years, six popular singer-songwriters who have…

  12. "Learning City" Summer Migrant Program.

    ERIC Educational Resources Information Center

    Presson, Johnny E.; Baker, Wilbur L.

    "Learning City" is the theme of a summer education project that provides a unique teaching atmosphere for migrant children. For 2 summers, 130 students have participated in this program that sustains and enforces reading and math skills, as well as helps develop self-concept. Industries in Learning City are the various branches of study: reading…

  13. CHED Events: Salt Lake City

    NASA Astrophysics Data System (ADS)

    Wink, Donald J.

    2009-03-01

    The Division of Chemical Education (CHED) Committee meetings planned for the Spring 2009 ACS Meeting in Salt Lake City will be in the Marriott City Center Hotel. Check the location of other CHED events, the CHED Social Event, the Undergraduate Program, Sci-Mix, etc. because many will be in the Salt Palace Convention Center.

  14. Educating cities in Latin America

    NASA Astrophysics Data System (ADS)

    Messina, Graciela; Valdés-Cotera, Raúl

    2013-09-01

    This article considers the development of educating cities from a political perspective, illustrating in detail the diversity of organisations and individuals involved and the challenges they are facing. Bearing in mind that educating cities were established from the 1990s onwards in Europe and spread to other continents from there, the purpose of this article is to demonstrate how this proposal was adopted in Latin America. After discussing the basic aims of educating cities, the paper focuses on the Latin American experience, giving examples of existing projects within the educating cities initiative. The authors are particularly interested in the contrast between the political intentions of educating cities on the one hand and the social, economic, political and cultural world on the other hand. They observe that in this context there is a danger of the individual being forgotten, which contradicts the actual intention of the educating city concept. They also discuss the problem of who should carry out the realisation of educating cities and how the various stakeholders might coordinate their actions. Contemplating new directions at the end of their paper, the authors sum up a number of guidelines and offer recommendations for action in developing educating cities.

  15. Medical marketplace

    NASA Astrophysics Data System (ADS)

    Moretti, Michael

    1991-08-01

    Solid state lasers are the real highlight of my talk today, and were really the star of the year. In every application area I can think of, people have tried with some success to introduce corturiercial solid state products. I'll go into more detail, but aside from solid state, a very significant event happened in Deceniber when one of the laser angioplasty companies (Advanced Interventional Systens) received FDA clearance to begin marketing the excimer for coronary applications (Figure 1) . This is the first time to my knowledge that an excimer has ever been cleared for a medical application in the United States. It's an event that we didn't really expect to happen so soon. It's extremely significant and we'll see where it goes from here. The system needs to be road-tested a bit but to get past the FDA is the major obstacle. Looking back to solid state laser the importance of solid state lasers is as researchers become more involved with the excimer and conduct more clinical studies in ophthalmology, they realize that it's not going to be a panacea for all refractive surgery or other ophthalmolic applications. In many cases it looks like the solid state laser may be the laser of choice in certain types of surgery; most notably perhaps in refractive surgery. We've all read about the success of the excimer at least in capturing the press's attention for corneal sculpting and vision correction. Well, it could be that actually the next generation will be a solid state laser, so let's keep an open mind here.

  16. Archaeoastronomy and Calendar Cities

    NASA Astrophysics Data System (ADS)

    Campion, Nicholas

    2016-02-01

    The use of astronomy for collective purposes, both religious and political, is apparent in the earliest astronomical records, from the evidence for Palaeolithic lunar calendars to megalithic monuments and Mesopotamian celestial-omen reports. This paper will consider the application of the heavens to the organisation of the ‘Cosmic State’, the human polity modelled on the assumption of a close relationship between society on the one hand and planetary and stellar patterns on the other. I will also examine the foundation of Baghdad within the tradition of celestial town planning and argue that the city may be seen as a ‘talisman’, designed to connect heaven to Earth and ensure peace, stability and political success by harmonising time and space.

  17. "Medical bookmarks--a virtual medical library".

    PubMed

    Vassallo, D J; Rowe, M

    2002-06-01

    How does one go about finding specific medical information on the internet? Medical Bookmarks is the name of an easily remembered website (http://www.medical-bookmarks.org.uk) set up as a virtual library by the librarian at the Royal Hospital Haslar. It is specifically designed to give easy access to all the important medical sites on the internet, doing away with the need to remember the exact addresses of other websites, and as such it is relevant to civilian and military doctors in both industrialised and developing nations. It also interlinks sites of particular relevance to military doctors, including military medical sites and a NATO Defence Medical Services site. PMID:12174565

  18. The training and expectations of medical students in Mozambique

    PubMed Central

    Sousa, Fernando; Schwalbach, João; Adam, Yussuf; Gonçalves, Luzia; Ferrinho, Paulo

    2007-01-01

    Background This paper describes the socio-economic profile of medical students in the 1998/99 academic year at the Universidade Eduardo Mondlane (UEM) Medical Faculty in Maputo. It aims to identify their social and geographical origins in addition to their expectations and difficulties regarding their education and professional future. Methods The data were collected through a questionnaire administered to all medical students at the faculty. Results Although most medical students were from outside Maputo City and Maputo Province, expectations of getting into medical school were already associated with a migration from the periphery to the capital city, even before entering medical education. This lays the basis for the concentration of physicians in the capital city once their term of compulsory rural employment as junior doctors is completed. The decision to become a doctor was taken at an early age. Close relatives, or family friends seem to have been an especially important variable in encouraging, reinforcing and promoting the desire to be a doctor. The academic performance of medical students was dismal. This seems to be related to several difficulties such as lack of library facilities, inadequate financial support, as well as poor high school preparation. Only one fifth of the students reported receiving financial support from the Mozambican government to subsidize their medical studies. Conclusion Medical students seem to know that they will be needed in the public sector, and that this represents an opportunity to contribute to the public's welfare. Nevertheless, their expectations are, already as medical students, to combine their public sector practice with private medical work in order to improve their earnings. PMID:17445263

  19. Healthy Cities: a guide to the literature.

    PubMed Central

    Kenzer, M

    2000-01-01

    The author reviews the literature on attempts by city governments, international agencies, and nongovernmental and community organizations to improve city life around the world through Healthy Cities projects. PMID:10968770

  20. Impact of medical informatics on medical education.

    PubMed

    Hou, S M

    1999-11-01

    In recent years, medical informatics has become a well-recognized branch of medicine. It is a multidisciplinary science that combines information technology and various specialties of medicine. The impact of medical informatics on medical education is advancing along with the rapid developments in computer science. Departments of medical informatics or similar divisions have appeared in schools of medicine in Taiwan in the past 5 years. At National Taiwan University College of Medicine, we offer curricula in basic computer concepts, network concepts, operating systems, word processing, database and data processing, computer media resources, multimedia computer statistics, intelligent health information systems, medical diagnostic support systems, and electronic medical record systems. Distance learning has also been favorably accepted on this campus. Recently, we proposed the concept of a virtual medical campus, which will break the physical barriers of time and space. We expect this revolution to influence every aspect of medicine, especially medical education. PMID:10705693

  1. Medical imaging.

    PubMed Central

    Kreel, L.

    1991-01-01

    There is now a wide choice of medical imaging to show both focal and diffuse pathologies in various organs. Conventional radiology with plain films, fluoroscopy and contrast medium have many advantages, being readily available with low-cost apparatus and a familiarity that almost leads to contempt. The use of plain films in chest disease and in trauma does not need emphasizing, yet there are still too many occasions when the answer obtainable from a plain radiograph has not been available. The film may have been mislaid, or the examination was not requested, or the radiograph had been misinterpreted. The converse is also quite common. Examinations are performed that add nothing to patient management, such as skull films when CT will in any case be requested or views of the internal auditory meatus and heal pad thickness in acromegaly, to quote some examples. Other issues are more complicated. Should the patient who clinically has gall-bladder disease have more than a plain film that shows gall-stones? If the answer is yes, then why request a plain film if sonography will in any case be required to 'exclude' other pathologies especially of the liver or pancreas? But then should cholecystography, CT or scintigraphy be added for confirmation? Quite clearly there will be individual circumstances to indicate further imaging after sonography but in the vast majority of patients little or no extra information will be added. Statistics on accuracy and specificity will, in the case of gall-bladder pathology, vary widely if adenomyomatosis is considered by some to be a cause of symptoms or if sonographic examinations 'after fatty meals' are performed. The arguments for or against routine contrast urography rather than sonography are similar but the possibility of contrast reactions and the need to limit ionizing radiation must be borne in mind. These diagnostic strategies are also being influenced by their cost and availability; purely pragmatic considerations are not

  2. Medication adherence among adult patients on hemodialysis.

    PubMed

    Alkatheri, Abdulmalik M; Alyousif, Sarah M; Alshabanah, Najla; Albekairy, Abdulkareem M; Alharbi, Shemylan; Alhejaili, Fayze F; Alsayyari, Abdullah A; Qandil, Abeer Ma; Qandil, Amjad M

    2014-07-01

    Medication adherence was assessed in 89 patients on hemodialysis (HD) at the King Abdul Aziz Medical City using an Arabic version of the Morisky Medication Adherence Scale (MASS-8). The results of the study revealed that 31.46% and 40.45% of the participants showed low and medium adherence, respectively, while 28.09% showed high medication adherence. Accordingly, 71.91% of the patients visiting the dialysis unit were considered medication non-adherent. While being of older age (P = 0.012), being married (P = 0.012) increased the level of adherence, being of medium level of education (P = 0.024) decreased adherence levels. On the other hand, gender, presence of a care-giver, number of members in the household and employment status seems to have no effect on the level of medication adherence. These results call upon the practitioners in HD units to develop intervention programs that can increase the level of medication adherence. PMID:24969185

  3. Fatal gunshot injuries in Benin City, Nigeria.

    PubMed

    Akhiwu, Wilson O; Igbe, Alex P

    2013-10-01

    An upsurge in gun violence in recent times in our environment necessitated this study, which aims to document the patterns of fatal gunshot injuries with the hope of finding a solution to this problem. The study was a retrospective analysis of cases of fatal gunshot injuries on which autopsies were carried out over the 5-year period from January 1998 to December 2002 at Police Medical Services, Benin City - a Nigerian ancient town located in the South-South zone of the country. Most cases of medico-legal death in Benin City and environs are referred to the Police Pathologist at the center for autopsy. A total of 210 cases representing 27.2% of all medico-legal deaths during the study period were reviewed. Males were far more affected than females (M:F = 10.7:1). The intent for the fatal gunshots was murder (88.5%), excusable homicide (4.8%), accident (4.3%) and suicide (0.5%). In 1.9% of the deaths, the circumstances were not clear. Armed robbers, thugs and assassins accounted for 88.1% of the fatal shots, while the Police accounted for 9.0%. The trunk was affected much more than the head, neck and limbs. There is a need to improve security in the country and reduce poverty. Illegal firearms should also be removed from circulation. An improvement in emergency health services will reduce deaths from gunshots. PMID:23842480

  4. Medical alert bracelet (image)

    MedlinePlus

    People with diabetes should always wear a medical alert bracelet or necklace that emergency medical workers will be able to find. Medical identification products can help ensure proper treatment in an ...

  5. Asthma Medications and Pregnancy

    MedlinePlus

    ... Asthma: Associated Conditions Asthma and Pregnancy Asthma Medications Asthma Medications Make an Appointment Refer a Patient Ask ... make sure you are using it correctly. Other Asthma Related Medication Treatment Annual influenza vaccine (flu shot) ...

  6. Medical Examination and Poor Relief in Early Modern Germany

    PubMed Central

    Hammond, Mitchell Lewis

    2011-01-01

    Summary This article investigates the role of the medical examination in municipal poor relief programmes between 1570 and 1620. Documents from the city of Nördlingen, a community of approximately 10,000 people in 1600, suggest that municipal facilities addressed a range of serious illnesses for a wide spectrum of the population. Practitioners were influenced by their Galenic medical milieu but ultimately focused on a range of practical resource questions rather than the diagnosis of an individual's disease.

  7. The ecological future of cities.

    PubMed

    McDonnell, Mark J; MacGregor-Fors, Ian

    2016-05-20

    The discipline of urban ecology arose in the 1990s, primarily motivated by a widespread interest in documenting the distribution and abundance of animals and plants in cities. Today, urban ecologists have greatly expanded their scope of study to include ecological and socioeconomic processes, urban management, planning, and design, with the goal of addressing issues of sustainability, environmental quality, and human well-being within cities and towns. As the global pace of urbanization continues to intensify, urban ecology provides the ecological and social data, as well as the principles, concepts and tools, to create livable cities. PMID:27199416

  8. The backbone of a city

    NASA Astrophysics Data System (ADS)

    Scellato, S.; Cardillo, A.; Latora, V.; Porta, S.

    2006-03-01

    Recent studies have revealed the importance of centrality measures to analyze various spatial factors affecting human life in cities. Here we show how it is possible to extract the backbone of a city by deriving spanning trees based on edge betweenness and edge information. By using as sample cases the cities of Bologna and San Francisco, we show how the obtained trees are radically different from those based on edge lengths, and allow an extended comprehension of the “skeleton” of most important routes that so much affects pedestrian/vehicular flows, retail commerce vitality, land-use separation, urban crime and collective dynamical behaviours.

  9. China's Medical Education and Interventional Neuroradiology Training.

    PubMed

    Lv, Xianli; He, Hongwei; Wu, Zhongxue

    2015-11-01

    China's medical education system is complex and consists of degree programs lasting from 3 to 8 years, the inconsistency across previous educational backgrounds is a challenge when implementing residency training objectives and contents. Only in several advanced medical universities, education for interventional neuroradiology (INR) is a part of a rotation in the 2-year training for neurosurgery. Advanced INR techniques are confined to big cities such as Beijing, Shanghai and Guangzhou, where most of the Chinese INRs have their 6 to 12 months fellowship to major medical centers. With a tremendous economic growth in the region, we expect that INR practice will evolve at an equally rapid pace, and information presented in this chapter may soon become obsolete. PMID:26079783

  10. The Solar America Cities Awards

    SciTech Connect

    R. Nahan

    2009-03-01

    This publication is an ongoing effort to support outreach activities through the Solar America Cities program. The two-page fact sheet offers an overview of the SAC program and lists specific resources for more information on developing solar programs.

  11. Cities lead on climate change

    NASA Astrophysics Data System (ADS)

    Pancost, Richard D.

    2016-04-01

    The need to mitigate climate change opens up a key role for cities. Bristol's year as a Green Capital led to great strides forward, but it also revealed that a creative and determined partnership across cultural divides will be necessary.

  12. New Federalism, Taxes, and Cities.

    ERIC Educational Resources Information Center

    Kaplan, Marshall

    1982-01-01

    Discusses how recent changes in federal policies have adversely affected cities. Modifications of the state block grant system, tax laws, reductions in federal support for welfare programs, and a massive federal debt have all hurt urban economies. (AM)

  13. Deer Tracks in the City?

    ERIC Educational Resources Information Center

    Quigley, Cassie Fay; Beeman-Cadwallader, Nicole; Riggs, Morgan; Rodriguez, Antonia; Buck, Gayle

    2009-01-01

    "Why would a deer print be in the city?" wondered a student. She had noticed the track near a grocery store that morning with her mother. She was familiar with deer and had noticed their prints on a trip to a local museum; however, she had never seen a deer in the city before this experience. As she retold the story to her classmates, her question…

  14. Learning Environment in Medical Schools Adopting Different Educational Strategies

    ERIC Educational Resources Information Center

    Al Rukban, Mohammad Othman; Khalil, Mahmoud Salah; Al-Zalabani, Abdulmohsen

    2010-01-01

    Faculty of Medicine, King Fahad Medical City (KFMC) has adopted a problem based learning (PBL) curriculum. This study investigates the educational environment in the school; it also compares the educational environment prevailing in problem based learning curriculum with that of conventional and outcome based curricula. A cross sectional study…

  15. Network Structure and City Size

    PubMed Central

    Levinson, David

    2012-01-01

    Network structure varies across cities. This variation may yield important knowledge about how the internal structure of the city affects its performance. This paper systematically compares a set of surface transportation network structure variables (connectivity, hierarchy, circuity, treeness, entropy, accessibility) across the 50 largest metropolitan areas in the United States. A set of scaling parameters are discovered to show how network size and structure vary with city size. These results suggest that larger cities are physically more inter-connected. Hypotheses are presented as to why this might obtain. This paper then consistently measures and ranks access to jobs across 50 US metropolitan areas. It uses that accessibility measure, along with network structure variables and city size to help explain journey-to-work time and auto mode share in those cities. A 1 percent increase in accessibility reduces average metropolitan commute times by about 90 seconds each way. A 1 percent increase in network connectivity reduces commute time by 0.1 percent. A 1 percent increase in accessibility results in a 0.0575 percent drop in auto mode share, while a 1 percent increase in treeness reduces auto mode share by 0.061 percent. Use of accessibility and network structure measures is important for planning and evaluating the performance of network investments and land use changes. PMID:22253764

  16. Achieving Energy Independence by Reviving America's Cities.

    ERIC Educational Resources Information Center

    Goldstein, Neil; Winterer, Amey

    1982-01-01

    Discusses how it is in our nation's energy interest that cities and city living prosper and that movement of people out of cities and into nonurban areas be reversed. However, national energy policy itself favors suburban sprawl-type development and works against city revival. (AM)

  17. Sustainable Development of the Learning City

    ERIC Educational Resources Information Center

    Juceviciene, Palmira

    2010-01-01

    Kaunas is the second largest city in Lithuania and has strong links with its large rural hinterland. Working from the ideas and examples in "Learning Cities for a Learning Century," (Longworth, 1999) and through contact with other cities that have already implemented lifelong learning concepts, the city has, since 2001, started out on the journey…

  18. The State of the Cities, 1998.

    ERIC Educational Resources Information Center

    Department of Housing and Urban Development, Washington, DC. Office of Policy Development and Research.

    This second annual report on the condition of U.S. cities outlines the challenges for cities if the United States is to reach its full potential in the 21st century. Data from many sources reveal three major findings: (1) cities are fiscally and economically the strongest they have been in a decade; (2) cities still face the triple threat of…

  19. How To Save Our Shrinking Cities.

    ERIC Educational Resources Information Center

    Rybcznski, Witold; Linneman, Peter D.

    1999-01-01

    Explores solutions to the problem of shrinking cities, population declines in urban areas. Consolidation and de-annexation are not desirable alternatives, but for many shrinking cities no other workable alternative can be seen. The reality is that many cities will continue to shrink. Radical redesign can make cities better and smaller. (SLD)

  20. The Experience of Living in Cities

    ERIC Educational Resources Information Center

    Milgram, Stanley

    1970-01-01

    Suggests that human adaptations to urban overload create characteristic qualities of city life that can be measured. Studies are cited which offer insights into (1) the behavior patterns of city-dwellers, (2) their perception of social responsibility, (3) the "atmosphere" of great cities, (4) the tempo of life, and (5) cognitive maps of cities.…

  1. The Medical Passport

    ERIC Educational Resources Information Center

    Ineson, Sue; Seeling, Stephen S.

    2005-01-01

    A Working Group on Medical Passports was established in 2002 by the International Association of Medical Regulatory Authorities. The goal of this group was to develop a fast-track registration process for highly qualified medical practitioners wishing to move from one jurisdiction to another. A "medical passport" would be available only to…

  2. Evaluation of medical waste incinerators in Alexandria.

    PubMed

    Labib, Ossama A; Hussein, Ahmed H; El-Shall, Waffaa I; Zakaria, Adel; Mohamed, Mona G

    2005-01-01

    Medical establishments play important roles in different activities by using of modern technology to serve the humans and the environment through different departments in the establishment and its firms. Medical wastes are considered as a hazardous waste because they contain toxic materials, infectious, or non-infectious wastes and they are considered as a hazard to millions of patients, health care workers, and visitors. Treatment processes for medical wastes comprise autoclaving, microwaving, chemical disinfection, irradiation, plasma system, and incineration. Incineration is a thermal process, which destroys most of the waste including microorganisms. Combustion process must be under controlled conditions to convert wastes containing hazardous materials into mineral residues and gases. Hospital waste incinerators may emit a number of pollutants depending on the waste being incinerated. These pollutants include particulate matter, acid gases, toxic metals, and toxic organic compounds products of incomplete combustion, e.g., dioxins, furans, and carbon monoxide, as well as sulfur oxides and nitrogen oxides. So, there should be a reduction of emissions of most of these pollutants by air pollution control devices. This study was conducted in 51 medical establishments (ME) in Alexandria. To evaluate its incinerators. It was found that only 31.4% of total ME have their own incinerators to treat their medical waste. Also, the incinerators conditions were poor with incomplete combustion. So, the study recommend handling of all medical wastes of ME in Alexandria by the company which is responsible now for management of domestic solid wastes of the city. PMID:16900615

  3. STS-3 medical report

    NASA Technical Reports Server (NTRS)

    Pool, S. L. (Editor); Johnson, P. C., Jr. (Editor); Mason, J. A. (Editor)

    1982-01-01

    The medical operations report for STS-3, which includes a review of the health of the crew before, during, and immediately after the third Shuttle orbital flight is presented. Areas reviewed include: health evaluation, medical debriefing of crewmembers, health stabilization program, medical training, medical 'kit' carried in flight, tests and countermeasures for space motion sickness, cardiovascular profile, biochemistry and endocrinology results, hematology and immunology analyses, medical microbiology, food and nutrition, potable water, shuttle toxicology, radiological health, and cabin acoustic noise. Environmental effects of shuttle launch and landing medical information management, and management, planning, and implementation of the medical program are also dicussed.

  4. Rethinking the medical in the medical humanities.

    PubMed

    O'Neill, Desmond; Jenkins, Elinor; Mawhinney, Rebecca; Cosgrave, Ellen; O'Mahony, Sarah; Guest, Clare; Moss, Hilary

    2016-06-01

    To clinicians there are a number of striking features of the ever-evolving field of the medical humanities. The first is a perception of a predominantly unidirectional relationship between medicine and the humanities, generally in terms of what the arts and humanities have to offer medicine. The second is the portrayal of medical practice in terms of problems and negativities for which the medical humanities are seen to pose the solution rather than viewing medicine as an active and positive contributor to an interdisciplinary project. Paradigms that fail to recognise the contributions of medicine and its practitioners (including students) to the medical humanities, this paper argues, will continue to struggle with definition and acceptance. This paper explores the possibilities for advancing the medical humanities through recognition of the contribution of medicine to the humanities and the importance of engaging with the arts, culture and leisure pursuits of doctors and medical students. Our research shows the richness of cultural engagement of medical students, their broad range of cultural interests and their ability to contribute to research and scholarship in the medical humanities. Mutual recognition of strengths, weaknesses and differences of scholarly approach is critical to successful development of the enterprise. Recognising and building on the interests, sympathies and contributions of medicine and its practitioners to the medical humanities is a fundamental component of this task. Future directions might include introductory courses for humanities scholars in aspects of healthcare and medicine. PMID:26944516

  5. The Use of Psychotropic Medication with Adults with Learning Disabilities: Survey Findings and Implications for Services

    ERIC Educational Resources Information Center

    Chapman, Melanie; Gledhill, Paul; Jones, Phillip; Burton, Mark; Soni, Saroj

    2006-01-01

    This paper describes the findings of a survey into prescribing of psychotropic medication with adults with learning disabilities in a British city. A self-completion questionnaire was sent to staff in dispersed housing and community learning disability teams to gather information about the number of people prescribed psychoactive medication, the…

  6. Association between Lifestyle and School Attendance in Japanese Medical Students: A Pilot Study

    ERIC Educational Resources Information Center

    Tanaka, Masaaki; Watanabe, Yasuyoshi

    2012-01-01

    Objective: Lifestyle factors are thought to be associated with students' academic performance. Whether lifestyle factors were associated with medical students' school attendance was determined. Design: Cross-sectional design. Setting: The study group consisted of 157 healthy second-year medical students attending Osaka City University Graduate…

  7. The Copper Balance of Cities

    PubMed Central

    Kral, Ulrich; Lin, Chih-Yi; Kellner, Katharina; Ma, Hwong-wen; Brunner, Paul H

    2014-01-01

    Material management faces a dual challenge: on the one hand satisfying large and increasing demands for goods and on the other hand accommodating wastes and emissions in sinks. Hence, the characterization of material flows and stocks is relevant for both improving resource efficiency and environmental protection. This article focuses on the urban scale, a dimension rarely investigated in past metal flow studies. We compare the copper (Cu) metabolism of two cities in different economic states, namely, Vienna (Europe) and Taipei (Asia). Substance flow analysis is used to calculate urban Cu balances in a comprehensive and transparent form. The main difference between Cu in the two cities appears to be the stock: Vienna seems close to saturation with 180 kilograms per capita (kg/cap) and a growth rate of 2% per year. In contrast, the Taipei stock of 30 kg/cap grows rapidly by 26% per year. Even though most Cu is recycled in both cities, bottom ash from municipal solid waste incineration represents an unused Cu potential accounting for 1% to 5% of annual demand. Nonpoint emissions are predominant; up to 50% of the loadings into the sewer system are from nonpoint sources. The results of this research are instrumental for the design of the Cu metabolism in each city. The outcomes serve as a base for identification and recovery of recyclables as well as for directing nonrecyclables to appropriate sinks, avoiding sensitive environmental pathways. The methodology applied is well suited for city benchmarking if sufficient data are available. PMID:25866460

  8. Brigham City Hydro Generation Project

    SciTech Connect

    Ammons, Tom B.

    2015-10-31

    Brigham City owns and operates its own municipal power system which currently includes several hydroelectric facilities. This project was to update the efficiency and capacity of current hydro production due to increased water flow demands that could pass through existing generation facilities. During 2006-2012, this project completed efficiency evaluation as it related to its main objective by completing a feasibility study, undergoing necessary City Council approvals and required federal environmental reviews. As a result of Phase 1 of the project, a feasibility study was conducted to determine feasibility of hydro and solar portions of the original proposal. The results indicated that the existing Hydro plant which was constructed in the 1960’s was running at approximately 77% efficiency or less. Brigham City proposes that the efficiency calculations be refined to determine the economic feasibility of improving or replacing the existing equipment with new high efficiency equipment design specifically for the site. Brigham City completed the Feasibility Assessment of this project, and determined that the Upper Hydro that supplies the main culinary water to the city was feasible to continue with. Brigham City Council provided their approval of feasibility assessment’s results. The Upper Hydro Project include removal of the existing powerhouse equipment and controls and demolition of a section of concrete encased penstock, replacement of penstock just upstream of the turbine inlet, turbine bypass, turbine shut-off and bypass valves, turbine and generator package, control equipment, assembly, start-up, commissioning, Supervisory Control And Data Acquisition (SCADA), and the replacement of a section of conductors to the step-up transformer. Brigham City increased the existing 575 KW turbine and generator with an 825 KW turbine and generator. Following the results of the feasibility assessment Brigham City pursued required environmental reviews with the DOE and

  9. Alcohol, drugs, and urban violence in a small city trauma center.

    PubMed

    Buss, T F; Abdu, R; Walker, J R

    1995-01-01

    Substance abuse and urban trauma go hand in hand. But research focuses on large cities served by major academic medical centers. Do small cities face the same problems? Two hundred thirty-three urban trauma inpatients from a metro area of 250,000 were studied using patient interviews and medical records. As in large cities, one half used alcohol or drugs when attacked. Seventy percent were likely to be young, male, poor African-Americans. Only 3% were gang members, but demographic characteristics failed to explain substance abuse as they have for larger cities. A culture of violence pervades the small city, as it does in large urban ghettos. Two fifths were repeat urban trauma victims. Two fifths witnessed assaults in the past year. One third carried a knife or gun. Fifteen percent used a weapon on another person in the last year. Contextual variables, like being hurt in a bar, were related to drinking and drugs. The best predictor of present substance abuse and urban trauma was medical history of substance abuse. The need for (a) toxicology screens for all trauma victims, (b) referrals to substance abuse programs, (c) targeting at-risk populations for prevention, and (d) eliminating environments fostering violence and substance abuse is supported. PMID:7623393

  10. Community service as an integral component of undergraduate medical education: facilitating student involvement.

    PubMed Central

    Fisher, H. M.

    1995-01-01

    Urban poverty, of which New York City has the highest incidence, is associated with unmet needs and inappropriate use of emergency rooms and hospitals. Community-based medical practitioners can ameliorate these situations. Medical students from New York City-area schools often are willing to help. The New York Academy of Medicine instituted an Urban Health Initiative to coordinate student and faculty involvement in community service and to emphasize the social responsibilities of medicine. The experience may provide a model for integrating community service into medical school curricula. PMID:7581316

  11. Medical narratives in electronic medical records.

    PubMed

    Tange, H J; Hasman, A; de Vries Robbé, P F; Schouten, H C

    1997-08-01

    In this article, we describe the state of the art and directions of current development and research with respect to the inclusion of medical narratives in electronic medical-record systems. We used information about 20 electronic medical-record systems as presented in the literature. We divided these systems into 'classical' systems that matured before 1990 and are now used in a broad range of medical domains, and 'experimental' systems, more recently developed and, in general, more innovative. In the literature, three major challenges were addressed: facilitation of direct data entry, achieving unambiguous understandability of data, and improvement of data presentation. Promising approaches to tackle the first and second challenge are the use of dynamic data-entry forms that anticipate sensible input, and free-text data entry followed by natural-language interpretation. Both these approaches require a highly expressive medical terminology. How to facilitate the access to medical narratives has not been studied much. We found facilitating examples of presenting this information as fluent prose, of optimising the screen design with fixed position cues, and of imposing medical narratives with a structure of indexable paragraphs that can be used in flowsheets. We conclude that further study is needed to develop an optimal searching structure for medical narratives. PMID:9476152

  12. Telemedicine: medical, legal and ethical perspectives.

    PubMed

    Clark, Peter A; Capuzzi, Kevin; Harrison, Joseph

    2010-12-01

    Technological innovations in medical care have led to the development of telemedicine programs in both rural and urban environments. The necessity for telemedicine has increased immensely as more cost-effective treatment options have become available for both patients and physicians through the addition of telecommunication technologies to medical practice. The development of telemedicine systems began as a means of providing access to health care resources for individuals living in isolated rural areas, grew into advanced medical intervention techniques for soldiers on the battlefield, and have become prevalent in urban medical centers both as a resource to the underserved populations and as a platform for physicians off-site to conduct patient consults remotely. Urban telemedicine systems, as monitored in the Mercy Health System (Philadelphia, Pennsylvania) and AtlantiCare Regional Medical Center (Atlantic City, New Jersey), display the enormous benefits of telemedicine as a form of preliminary analysis of patients for the treatment of various medical conditions including chronic disease, mental health disorders and stroke. However, the initiation of telemedicine programs requires new protocols and safeguards to be initiated to protect patient confidentiality/privacy, ensure the appropriate licensure of physicians practicing across state borders, and educate patients on the use of new technological systems. Telemedicine represents the progression of medicine in the presence of improving communication technologies and should be instituted in all urban medical centers. This conclusion is based upon the ethical responsibility to treat all persons with dignity and respect, which in this case, mandates the provision of the most cost-effective, beneficial medical care for all populations. PMID:21119593

  13. Antidiabetic medications and polypharmacy.

    PubMed

    Peron, Emily P; Ogbonna, Kelechi C; Donohoe, Krista L

    2015-02-01

    Polypharmacy, or the use of multiple medications, is a serious concern for providers who care for older adults, as polypharmacy is associated with medication nonadherence, drug-drug interactions, drug-disease interactions, and adverse drug events. Multiple medications, high chronic disease burden, and age-related physiologic changes make management of older adults with diabetes increasingly difficult. Given high medication burden and potential for increased medication sensitivity in this patient population, it is prudent that providers are aware of potential risks and benefits of antidiabetic medications and implement shared decision-making practices to ensure appropriate care for older adults with diabetes. PMID:25453298

  14. Medical spa marketing.

    PubMed

    Sadick, Neil S; Dinkes, Adam; Oskin, Larry

    2008-07-01

    Medical spas are different. We are not just selling medical and dermatology services; we are offering clients viable new solutions to their skin care, body care, and hair care challenges. Traditional medical marketing becomes blurred today, as the expansion and acceptance of medical spas helps you to effectively compete with traditional skin care clinics, salons, and spas, while offering more therapeutic treatments from professionally licensed doctors, nurses, aestheticians, massage therapists, spa professionals, and medical practitioners. We recommend that you make the choice to successfully and competitively become a market-driven medical spa with an annual strategic plan, rather than an operationally driven business. PMID:18555955

  15. STS-1 medical report

    NASA Technical Reports Server (NTRS)

    Pool, S. L. (Editor); Johnson, P. C., Jr. (Editor); Mason, J. A. (Editor)

    1981-01-01

    The report includes a review of the health of the crew before, during and immediately after the first Shuttle orbital flight (April 12-14, 1981). Areas reviewed include: health evaluation, medical debriefing of crewmembers, health stabilization program, medical training, medical kit carried inflight; tests and countermeasures for space motion sickness, cardiovascular profile, biochemistry and endocrinology results; hematology and immunology analyses; medical microbiology; food and nutrition; potable water; shuttle toxicology; radiological health; cabin acoustical noise. Also included is information on: environmental effects of Shuttle launch and landing, medical information management; and management, planning and implementation of the medical program.

  16. Patient Dumping in New York City, 1877–1917

    PubMed Central

    2011-01-01

    Although the term “patient dumping” was rarely used before the 1960s, the practice started much earlier. In the late 1870s, the New York Times began to report that private hospitals were using ambulances to shift poor, moribund patients to Bellevue, the city's preeminent public facility. Many trips had serious medical consequences. Private hospitals also instructed ambulances to take critically ill patients directly to Bellevue regardless of the distance. Efforts to combat such practices took various forms. When transfers resulted in death, Manhattan coroners held inquests. In 1902, the Commissioner of Charities issued an order requiring that he be sent a full report from the superintendent of any hospital in which a patient transferred from another facility died within three days after admission. Four years later, the city passed an ordinance imposing a severe penalty on any hospital official who transferred an ill patient. Those reforms were only partially effective at deterring such transfers. PMID:21421951

  17. Patient dumping in New York City, 1877-1917.

    PubMed

    Abel, Emily

    2011-05-01

    Although the term "patient dumping" was rarely used before the 1960s, the practice started much earlier. In the late 1870s, the New York Times began to report that private hospitals were using ambulances to shift poor, moribund patients to Bellevue, the city's preeminent public facility. Many trips had serious medical consequences. Private hospitals also instructed ambulances to take critically ill patients directly to Bellevue regardless of the distance. Efforts to combat such practices took various forms. When transfers resulted in death, Manhattan coroners held inquests. In 1902, the Commissioner of Charities issued an order requiring that he be sent a full report from the superintendent of any hospital in which a patient transferred from another facility died within three days after admission. Four years later, the city passed an ordinance imposing a severe penalty on any hospital official who transferred an ill patient. Those reforms were only partially effective at deterring such transfers. PMID:21421951

  18. City planning as preventive medicine.

    PubMed

    Corburn, Jason

    2015-08-01

    The health and well-being of rapidly growing urban populations is a global health issue. Cities in the global north and south are faced with rising health inequities - or avoidable differences in health determinants and outcomes based on place, social status and ethnicity. This commentary suggests that focusing only on treatment interventions in cities is likely to fail because populations will be forced to go back into the urban living and working conditions that likely made them sick in the first place. City planning as preventive medicine includes taking a relational and systems approach to urban health, requiring health assessments for all urban policy making, promoting neighborhood health centers as engines of community economic development and gathering place-based health indicator data to track progress and adapt interventions over time as conditions change. PMID:25937591

  19. Doctor-Patient Communication Failure: The Special Case of the Inner-city Clinic.

    ERIC Educational Resources Information Center

    Scotland, Dawn D.

    Drawing on personal observations and on a study of patient reactions, this paper considers the problem of doctor/patient communication failure in the inner city clinic. It first discusses the role of dialect variation in communication failure, causes of communication failure in the medical interview, factors contributing to doctor/patient…

  20. Diabetes Control among Vietnamese Patients in Ho Chi Minh City: An Observational Cross-Sectional Study

    ERIC Educational Resources Information Center

    Yokokawa, Hirohide; Khue, Nguyen Thy; Goto, Aya; Nam, Tran Quang; Trung, Tran The; Khoa, Vo Tuan; Ngoc, Nguyen Thi Boi; Minh, Pham Nghiem; Vinh, Nguyen Quang; Okayama, Akira; Yasumura, Seiji

    2010-01-01

    The objective of this study was to assess the extent of diabetic control and its associated factors among Vietnamese patients with diabetes mellitus (DM). The study was conducted among 652 outpatients who were recruited at a public general hospital (People Hospital 115) and a private clinic (Medic Center) in Ho Chi Minh City, Vietnam. Median age…

  1. Communication between medical practitioners and dancers.

    PubMed

    Lai, Ruanne Y J; Krasnow, Donna; Thomas, Martin

    2008-01-01

    The purpose of this study was to investigate patterns of communication between professional and pre-professional dancers and medical practitioners. One survey was developed and randomly conducted among family physicians, sports medicine physicians, chiropractors, physical therapists, and registered massage therapists. A second survey involved volunteer ballet and modern dancers in professional dance training programs, college and university dance programs, and independent dance artists. One hundred and ninety questionnaires were distributed to medical practitioners, and 50 were returned. Of 380 questionnaires given to dancers, 202 were returned. The dancers were 18 to 49 years old, with a majority between the ages of 18 and 20. They averaged more than 10 years of dance training. All of the questionnaires were distributed in a single large Canadian city. The data shows that medical practitioners rarely communicated with each other concerning a common (dance) patient. They also failed to communicate, in most cases, with the dancers' teachers, choreographers, and directors. This was not disconcerting to injured dancers, who tended to believe that such communication was not important to their recovery. Significantly, dancers did not fully understand the nature of their injuries when they sought medical advice, and they did not press the medical practitioners for additional information. Both groups generally believed that dancers would benefit by learning more about human anatomy. PMID:19618578

  2. Improving Medication Management among At-risk Older Adults

    PubMed Central

    Martin, Delinda; Kripalani, Sunil; DuPapau, V.J.

    2013-01-01

    Low health literacy is common among Medicare recipients and affects their understanding of complex medication regimens. Interventions are needed to improve medication use among older adults, while addressing low health literacy. Community-dwelling older adults in this study were enrolled in an inner-city adult day center. They completed a baseline measure of health literacy, medication self-efficacy, and medication adherence. They were provided with a personalized, illustrated daily medication schedule (PictureRx™). Six weeks later, their medication self-efficacy and adherence were assessed. Among the 20 participants in this pilot project, 70% had high likelihood of limited health literacy and took an average of 13.2 prescription medications. Both self-efficacy and medication adherence increased significantly after provision of the PictureRx cards (p<0.001 and p<0.05, respectively). Al participants rated the PictureRx cards as very helpful in terms of helping them remember the medication’s purpose and dosing. Illustrated daily medication schedules improve medication self-efficacy and adherence among at-risk, community-dwelling older adults. PMID:22587641

  3. Using Medications Safely

    MedlinePlus

    ... health systems play an important role in preventing medication errors. To make sure you use medicines safely and effectively, ASHP recommends that you: Keep a list of all medications that you take (prescribed drugs, nonprescription medicines, herbal ...

  4. Smoking cessation medications

    MedlinePlus

    ... do occur: Headaches, problems sleeping, sleepiness, and strange dreams. Constipation, intestinal gas, nausea, and changes in taste. ... Smokeless tobacco - medications; Medications for stopping tobacco References American Cancer Society. Guide to quitting smoking. Last revised ...

  5. Medical X-Rays

    MedlinePlus

    ... Diagnostic X-Ray Equipment Compliance Program Guidance Manual CP 7386.003 Field Compliance Testing of Diagnostic (Medical) ... and Exporting Electronic Products Compliance Program Guidance Manual CP 7386.003 Field Compliance Testing of Diagnostic (Medical) ...

  6. Medical Issues in Adoption

    MedlinePlus

    ... to Know About Zika & Pregnancy Medical Issues in Adoption KidsHealth > For Parents > Medical Issues in Adoption Print ... or emotional abuse of the child continue Agency Adoptions If you adopt through an agency, you might ...

  7. Ending pregnancy with medications

    MedlinePlus

    ... to the medicines that are used to end pregnancy. Take any medicines that should not be used with a medical abortion. Do not have access to a doctor or an emergency room. Getting Ready for a Medical Abortion The ...

  8. Medical Care during Pregnancy

    MedlinePlus

    ... 5 Things to Know About Zika & Pregnancy Medical Care During Pregnancy KidsHealth > For Parents > Medical Care During ... médica durante el embarazo The Importance of Prenatal Care Millions of American women give birth every year, ...

  9. Medical Device Safety

    MedlinePlus

    A medical device is any product used to diagnose, cure, or treat a condition, or to prevent disease. They range ... may need one in a hospital. To use medical devices safely Know how your device works. Keep instructions ...

  10. General Medical Surveillance Program

    NASA Technical Reports Server (NTRS)

    1993-01-01

    Background on the General Medical Surveillance Program at LeRC is presented. The purpose of the General Medical Surveillance Program at LeRC is outlined, and the specifics of the program are discussed.

  11. Medications to Treat Cushing's

    MedlinePlus

    ... Medical Professionals Cushing’s Patient Pamphlets Clinical Trials CSRF Forums Books Links Glossary News & Events About CSRF Mission ... from Patients Coping with Cushing's Patient Stories Patient Forum Resources Resource List Glossary Cushing's Doctors For Medical ...

  12. Polymyositis: Medical Management

    MedlinePlus

    ... print email share facebook twitter google plus linkedin Medical Management Polymyositis (PM) is a highly treatable disease. ... Polymyositis (PM) Signs and Symptoms Diagnosis Causes/Inheritance Medical Management Research Find MDA in your Community Grants ...

  13. Medical Device Safety

    MedlinePlus

    A medical device is any product used to diagnose, cure, or treat a condition, or to prevent disease. They ... may need one in a hospital. To use medical devices safely Know how your device works. Keep ...

  14. Understanding Medical Research

    MedlinePlus

    ... you hear about the results of a new medical research study. Sometimes the results of one study ... when reading or listening to reports of new medical findings. Some questions that can help you evaluate ...

  15. Emergency Medical Services

    MedlinePlus

    ... need help right away, you should use emergency medical services. These services use specially trained people and ... emergencies, you need help where you are. Emergency medical technicians, or EMTs, do specific rescue jobs. They ...

  16. Dermatomysitis: Medical Management

    MedlinePlus

    ... print email share facebook twitter google plus linkedin Medical Management Dermatomysitis (DM) is a highly treatable disease. ... Dermatomyositis (DM) Signs and Symptoms Diagnosis Causes/Inheritance Medical Management Research Living With Dermatomyositis (DM) News Not ...

  17. Medical Issues: Equipment

    MedlinePlus

    ... Pool Living With SMA Medical Issues Palliative Breathing Orthopedics Nutrition Equipment Daily Life At School At Home ... Diagnosed Living With SMA Medical Issues Palliative Breathing Orthopedics Nutrition Equipment Daily Life Grief & Loss Community & Local ...

  18. Marijuana: modern medical chimaera.

    PubMed

    Lamarine, Roland J

    2012-01-01

    Marijuana has been used medically since antiquity. In recent years there has been a resurgence of interest in medical applications of various cannabis preparations. These drugs have been cited in the medical literature as potential secondary treatment agents for severe pain, muscle spasticity, anorexia, nausea, sleep disturbances, and numerous other uses. This article reviews the research literature related to medical applications of various forms of cannabis. Benefits related to medical use of cannabinoids are examined and a number of potential risks associated with cannabis use, both medical and recreational, are considered. There is a clearly identified need for further research to isolate significant benefits from the medical application of cannabinoids and to establish dosage levels, appropriate delivery mechanisms and formulations, and to determine what role, if any, cannabinoids might play in legitimate medical applications. It is also imperative to determine if reported dangers pose a significant health risks to users. PMID:22873011

  19. HIV Medication Adherence

    MedlinePlus

    HIV Treatment HIV Medication Adherence (Last updated 3/1/2016; last reviewed 3/1/2016) Key Points Medication adherence means sticking ... exactly as prescribed. Why is adherence to an HIV regimen important? Adherence to an HIV regimen gives ...

  20. Understanding Medical Words

    MedlinePlus

    ... MRI (Magnetic Resonance Imaging), a test that uses images of your body Medical Dictionary: A direct link to the MedlinePlus.gov medical dictionary Go to medlineplus.gov/medicalwords/ Summer 2009 Issue: Volume 4 Number 3 Page Backcover

  1. Medical Treatments for Fibroids

    MedlinePlus

    ... Clinical Trials Resources and Publications Medical Treatments for Fibroids Skip sharing on social media links Share this: ... suggest medical treatments to reduce the symptoms of fibroids or to stop the growth of fibroids. These ...

  2. Medication for older patients.

    PubMed

    2016-09-01

    A growing body of literature documents multiple morbidities and multiple medication use among older people with intellectual disabilities. In Ireland in 2012, 8.6% of all medication-related adverse events were reported from the disability sector. PMID:27581916

  3. Your Medical Records

    MedlinePlus

    ... to get records for non-emergency situations (like switching to a new doctor), it's best to give ... Your Medical Care Health Insurance Basics Finding Low-Cost Medical Care Health Insurance: Cracking the Code Questions ...

  4. Inhaled Asthma Medications

    MedlinePlus

    ... metered – dose inhaler (MDI), which uses a chemical propellant to push the medication out of the inhaler. ... powder inhalers (DPIs) deliver medication without using chemical propellants, but they require a strong and fast inhalation. ...

  5. Medical research. Fools' gold.

    PubMed

    Hacking, John

    2004-04-01

    London, Oxford and Cambridge receive an unequal share of research and development funds. Eight other cities are working with the government to raise their own status generally. New regional centres of excellence would reduce the disparities. PMID:15077526

  6. Conducting the Medical History

    ERIC Educational Resources Information Center

    Finkel, Martin A.; Alexander, Randell A.

    2011-01-01

    A key portion of the medical evaluation of child sexual abuse is the medical history. This differs from interviews or histories obtained by other professionals in that it is focuses more on the health and well-being of the child. Careful questions should be asked about all aspects of the child's medical history by a skilled, compassionate,…

  7. Mission Medical Information System

    NASA Technical Reports Server (NTRS)

    Johnson-Throop, Kathy A.; Joe, John C.; Follansbee, Nicole M.

    2008-01-01

    This viewgraph presentation gives an overview of the Mission Medical Information System (MMIS). The topics include: 1) What is MMIS?; 2) MMIS Goals; 3) Terrestrial Health Information Technology Vision; 4) NASA Health Information Technology Needs; 5) Mission Medical Information System Components; 6) Electronic Medical Record; 7) Longitudinal Study of Astronaut Health (LSAH); 8) Methods; and 9) Data Submission Agreement (example).

  8. Marijuana: Modern Medical Chimaera

    ERIC Educational Resources Information Center

    Lamarine, Roland J.

    2012-01-01

    Marijuana has been used medically since antiquity. In recent years there has been a resurgence of interest in medical applications of various cannabis preparations. These drugs have been cited in the medical literature as potential secondary treatment agents for severe pain, muscle spasticity, anorexia, nausea, sleep disturbances, and numerous…

  9. Medical Assisting Program Guide.

    ERIC Educational Resources Information Center

    Georgia Univ., Athens. Dept. of Vocational Education.

    This guide presents the standard curriculum for technical institutes in Georgia. The curriculum addresses the minimum competencies for a medical assisting program. The program guide is designed to relate primarily to the development of those skills needed by individuals in the medical assisting field, such as medical law and ethics, typing,…

  10. Medics in Primary School

    ERIC Educational Resources Information Center

    Press, Colin

    2003-01-01

    Some time ago a flyer on "Medics in Primary School" came the author's way. It described a programme for making placements in primary schools available to medical students. The benefits of the program to medical students and participating schools were highlighted, including opportunities to develop communication skills and demystify medicine. It…

  11. The Integrated Medical Model

    NASA Technical Reports Server (NTRS)

    Butler, Douglas J.; Kerstman, Eric

    2010-01-01

    This slide presentation reviews the goals and approach for the Integrated Medical Model (IMM). The IMM is a software decision support tool that forecasts medical events during spaceflight and optimizes medical systems during simulations. It includes information on the software capabilities, program stakeholders, use history, and the software logic.

  12. Bug City: Flies & Mosquitoes [Videotape].

    ERIC Educational Resources Information Center

    1998

    "Bug City" is a video series created to help children (grades 1-6) learn about insects and other small critters. All aspects of bug life are touched upon, including body structure, food, habitat, life cycle, mating habits, camouflage, mutualism (symbiosis), adaptations, social behavior, and more. Each program features dramatic microscopic…

  13. Bug City: Aquatic Insects [Videotape].

    ERIC Educational Resources Information Center

    1998

    "Bug City" is a video series created to help children learn about insects and other small critters. All aspects of bug life are touched upon including body structure, food, habitat, life cycle, mating habits, camouflage, mutualism (symbiosis), adaptations, social behavior, and more. Each program features dramatic microscopic photography, fun…

  14. City Lights in Modern Times.

    ERIC Educational Resources Information Center

    O'Toole, Patricia

    1979-01-01

    City Lights Books of San Francisco has served as a literary meeting place, as a bookstore that concentrates on serious literature--especially poetry, as a publisher of significant voices such as those of Allen Ginsberg and Charles Bukowski, and as an institution with a political conscience. (JMD)

  15. Project WISH: The Emerald City

    NASA Technical Reports Server (NTRS)

    Oz, Hayrani; Dunne, Jim; Butchar, Stan; George, Tommy; Hellstrom, Rob; Kringen, Tricia; Owens, George; Perrea, Mike; Semeraro, Paul; Thorndike, Phil

    1992-01-01

    Phase 3 of Project WISH saw the evolution of the Emerald City (E-City) from a collection of specialized independent analyses and ideas to a working structural design integrated with major support systems and analyses. Emphasis was placed on comparing and contrasting the closed and open cycle gas core nuclear rocket engines to further determine the optimum propulsive system for the E-City. Power and thermal control requirements were then defined and the question of how to meet these requirements was addressed. Software was developed to automate the mission/system/configuration analysis so changes dictated by various subsystem constraints could be managed efficiently and analyzed interactively. In addition, the liquid hydrogen propellant tank was statically designed for minimum mass and shape optimization using a finite element modeling package called SDRC I-DEAS. Spoke and shaft cross-sectional areas were optimized on ASTROS (Automated Structural Optimization System) for mass minimization. A structural dynamic analysis of the optimal structure also conducted using ASTROS enabled a study of the modes, frequencies, displacements, and accelerations of the E-City. Finally, the attitude control system design began with an initial mass moment of inertia analysis and was then designed and optimized using linear quadratic regulator control theory.

  16. Building Inclusive Cities and Communities

    ERIC Educational Resources Information Center

    Freiler, Christa

    2008-01-01

    Canada prides itself on being an inclusive country. Immigrants from all over the world arrive in Canada's cities with their families because they feel welcome and safe. According to research, engagement towards social inclusion increased among Canadians during the last 30 last years. These changing values resulted in the creation of official…

  17. The Literature of City Magazines.

    ERIC Educational Resources Information Center

    Wiley, Rob

    The research literature on city magazines can be divided into five primary sources: books on magazines, popular magazines/journals and newspapers, business magazines, scholarly journals, and unpublished theses. "The New Yorker," founded in 1925 specifically for a sophisticated, metropolitan audience, is considered a precursor of the current glossy…

  18. Jamaicans in New York City.

    ERIC Educational Resources Information Center

    Foner, Nancy

    1984-01-01

    Discusses reasons behind the large influx of Jamaicans into New York City, and discusses their attitudes, experiences, and plans. Predicts that despite the hardships Jamaicans encounter in New York (cold weather, prejudice, and crime), economic opportunities available will cause most of them to stay rather than return to their native land. (GC)

  19. Bug City: Ladybugs & Fireflies [Videotape].

    ERIC Educational Resources Information Center

    1998

    "Bug City" is a video series created to help children (grades 1-6) learn about insects and other small critters. All aspects of bug life are touched upon, including body structure, food, habitat, life cycle, mating habits, camouflage, mutualism (symbiosis), adaptations, social behavior, and more. Each program features dramatic microscopic…

  20. Youth and the City Streets.

    ERIC Educational Resources Information Center

    Husby, Lynn; Brendtro, Larry

    1992-01-01

    This "Voices of Pioneers" section of the journal highlights the work of Jane Addams, who founded the settlement house movement in America with the establishment of Hull House in Chicago in 1899. Presents excerpts from Addams' book "The Spirit of Youth and the City Streets (1909)" to illustrate her views on guns, stealing, rebellion, and drugs. (NB)

  1. Inner City Human Factors Evaluation.

    ERIC Educational Resources Information Center

    Griffith, Albert R.

    This evaluation examines the degree to which human factors support, relate to, or impede the successful achievements of Polaroid's Inner City mission to provide on-the-job training for the career development of disadvantaged workers. The program is cited as a model for industry-based career education. Background information is provided on the…

  2. Heritage contribution in sustainable city

    NASA Astrophysics Data System (ADS)

    Rostami, R.; Khoshnava, S. M.; Lamit, H.

    2014-02-01

    The concept of sustainability has been an integral part of development work since the late 1970s. Sustainability is no longer a buzzword but a reality that must be addressed by cities all over the world. Increasing empirical evidence indicates that city sustainability is not just related to technical issues, such as carbon emissions, energy consumption and waste management, or on the economic aspects of urban regeneration and growth, but also it covers social well-being of different groups living within increasingly cosmopolitan towns and cities. Heritage is seen as a major component of quality of life, features that give a city its unique character and provide the sense of belonging that lies at the core of cultural identity. In other words, heritage by providing important social and psychological benefits enrich human life with meanings and emotions, and raise quality of life as a key component of sustainability. The purpose of this paper, therefore, is to examine the role that built cultural heritage can play within sustainable urban development.

  3. Kansas City Plots Next Steps

    ERIC Educational Resources Information Center

    Finkel, Ed

    2012-01-01

    Kansas City (Missouri) Public Schools is at a crossroads. The district has struggled for decades with poor academic achievement, dwindling enrollment and budget, and short-term superintendents--27 in the past 40 years. Most recently, after a two-year stint during which he helped the district get its financial house in order, closing nearly half of…

  4. Policymaking in European healthy cities.

    PubMed

    de Leeuw, Evelyne; Green, Geoff; Spanswick, Lucy; Palmer, Nicola

    2015-06-01

    This paper assesses policy development in, with and for Healthy Cities in the European Region of the World Health Organization. Materials for the assessment were sourced through case studies, a questionnaire and statistical databases. They were compiled in a realist synthesis methodology, applying theory-based evaluation principles. Non-response analyses were applied to ascertain the degree of representatives of the high response rates for the entire network of Healthy Cities in Europe. Further measures of reliability and validity were applied, and it was found that our material was indicative of the entire network. European Healthy Cities are successful in developing local health policy across many sectors within and outside government. They were also successful in addressing 'wicked' problems around equity, governance and participation in themes such as Healthy Urban Planning. It appears that strong local leadership for policy change is driven by international collaboration and the stewardship of the World Health Organization. The processes enacted by WHO, structuring membership of the Healthy City Network (designation) and the guidance on particular themes, are identified as being important for the success of local policy development. PMID:26069314

  5. Sioux City Riverbank Filtration Study

    NASA Astrophysics Data System (ADS)

    Mach, R.; Condon, J.; Johnson, J.

    2003-04-01

    The City of Sioux City (City) obtains a large percentage of their drinking water supply from both a horizontal collector well system and vertical wells located adjacent to the Missouri River. These wells are set in either the Missouri Alluvium or the Dakota Sandstone aquifer. Several of the collector well laterals extend out beneath the Missouri River, with the laterals being over twenty feet below the river channel bottom. Due to concerns regarding ground water under direct surface water influence, the Iowa Department of Natural Resources (IDNR) required the City to expand their water treatment process to deal with potential surface water contaminant issues. With the extensive cost of these plant upgrades, the City and Olsson Associates (OA) approached the IDNR requesting approval for assessing the degree of natural riverbank filtration for water treatment. If this natural process could be ascertained, the level of treatment from the plant could be reduced. The objective of this study was to quantify the degree of surface water (i.e. Missouri River) filtration due to the underlying Missouri River sediments. Several series of microscopic particulate analysis where conducted, along with tracking of turbidity, temperature, bacteria and a full scale particle count study. Six particle sizes from six sampling points were assessed over a nine-month period that spanned summer, fall and spring weather periods. The project was set up in two phases and utilized industry accepted statistical analyses to identify particle data trends. The first phase consisted of twice daily sample collection from the Missouri River and the collector well system for a one-month period. Statistical analysis of the data indicated reducing the sampling frequency and sampling locations would yield justifiable data while significantly reducing sampling and analysis costs. The IDNR approved this modification, and phase II included sampling and analysis under this reduced plant for an eight

  6. Marco (Medical Record Communications) - System Concept, Design and Evaluation

    PubMed Central

    Moffatt, P. H.; Heisler, B. D.; Mela, W. D.; Alpert, J. J.; Goldstein, H.M.

    1978-01-01

    MARCO, an interfacility communication system, has been designed to promote safe relevant health care delivery to the inner city pediatric patient receiving care in a network consisting of Boston City Hospital and its affiliated Neighborhood Health Centers. This application of computer technology to communication of medical information compiled on an individual patient in multiple locations has implications for private group practice as well as other urban networks similar to our own. This paper provides the MARCO system concept, the system design and evaluation of its success after two years of operation.

  7. Clean Cities Now Vol. 16.1

    SciTech Connect

    2012-05-01

    Biannual newsletter for the U.S. Department of Energy's Clean Cities initiative. The newsletter includes feature stories on advanced vehicle deployment, idle reduction, and articles on Clean Cities coalition successes across the country.

  8. Clean Cities Now Vol. 17, No. 1

    SciTech Connect

    2013-05-24

    Biannual newsletter for the U.S. Department of Energy's Clean Cities initiative. The newsletter includes feature stories on advanced vehicle deployment, idle reduction, and articles on Clean Cities coalition successes across the country.

  9. ARIZONA CITIES WITH 1990 & 2000 POPULATION TOTALS

    EPA Science Inventory

    Point locations represent cities with Census 2000 population totals and 1990 Census population totals. Cities represent Census Designated Place (CDP) as classified by the US Bureau of the Census. CDP comprise densely settled concentrations of population that are identifiable by...

  10. HAWAII CITIES WITH 1990 & 2000 POPULATION TOTALS

    EPA Science Inventory

    Point locations represent cities with Census 2000 population totals and 1990 Census population totals. Cities represent Census Designated Place (CDP) as classified by the US Bureau of the Census. CDP comprise densely settled concentrations of population that are identifiable by...

  11. CALIFORNIA CITIES WITH 1990 & 2000 POPULATION TOTALS

    EPA Science Inventory

    Point locations represent cities with Census 2000 population totals and 1990 Census population totals. Cities represent Census Designated Place (CDP) as classified by the US Bureau of the Census. CDP comprise densely settled concentrations of population that are identifiable by...

  12. NEVADA CITIES WITH 1990 & 2000 POPULATION TOTALS

    EPA Science Inventory

    Point locations represent cities with Census 2000 population totals and 1990 Census population totals. Cities represent Census Designated Place (CDP) as classified by the US Bureau of the Census. CDP comprise densely settled concentrations of population that are identifiable by...

  13. Clean Cities Program Contacts (Fact Sheet)

    SciTech Connect

    Not Available

    2012-03-01

    This fact sheet provides contact information for program staff of the U.S. Department of Energy's Clean Cities program, as well as contact information for the nearly 100 local Clean Cities coalitions across the country.

  14. Visiting Holocaust-Related Sites with Medical Students as an Aid in Teaching Medical Ethics.

    PubMed

    González-López, Esteban; Ríos-Cortés, Rosa

    2016-05-01

    During the Nazi period numerous doctors and nurses played a nefarious role. In Germany they were responsible for the sterilization and killing of disabled persons. Furthermore, the Nazi doctors used concentration camp inmates as guinea pigs in medical experiments for military or racial purposes. A study of the collaboration of doctors with National Socialism exemplifies behavior that must be avoided. Combining medical teaching with lessons from the Holocaust could be a way to transmit Medical Ethics to doctors, nurses and students. The authors describe a study tour with medical students to Poland, to the largest Nazi extermination camp, Auschwitz, and to the city of Krakow. The tour is the final component of a formal course entitled: "The Holocaust, a Reflection from Medicine" at the Autónoma University of Madrid, Spain. Visiting sites related to the Holocaust, the killing centers and the sites where medical experiments were conducted has a singular meaning for medical students. Tolerance, non-discrimination, and the value of human life can be both learnt and taught at the very place where such values were utterly absent. PMID:27430079

  15. [Shortening undergraduate medical training: now and for all medical schools in Chile?].

    PubMed

    Reyes B, Humberto

    2016-01-01

    In Chile, undergraduate medical education starts after High School, it lasts seven years, with the final two dedicated to a rotary internship, taking to an M.D. degree that allows the graduate to enter working activities. The country needs more M.D.s in primary care, but there is also a shortage of specialists, mainly out of the main cities. In recent decades, post graduate programs leading to specialty titles have become competitively adopted by a large proportion of medical graduates. This is the case at the Pontificia Universidad Católica de Chile, stimulating its faculties and medical students to develop a collaborative review of their teaching programs, leading to a curricular reform with a new graduate profile and a new curriculum oriented to learning objectives, that will allow to obtain the M.D. degree in six instead of seven years of undergraduate education. This new program awakened expectations in other universities in Chile, that will have to face the attraction of this shortened program for future candidates to enter medical schools. However, any shortening of medical school careers should first consider the local conditions in quality of applicants, number of accepted students, the training of teachers in integrated teaching programs, the availability of adequate campuses. Furthermore, for students with different academic backgrounds and diverse personal and familial interests, the seven years programs may still be necessary to gain the expertise required to become medical doctors. PMID:26998976

  16. Therapeutic Antioxidant Medical Gas

    PubMed Central

    Nakao, Atsunori; Sugimoto, Ryujiro; Billiar, Timothy R; McCurry, Kenneth R

    2009-01-01

    Medical gases are pharmaceutical gaseous molecules which offer solutions to medical needs and include traditional gases, such as oxygen and nitrous oxide, as well as gases with recently discovered roles as biological messenger molecules, such as carbon monoxide, nitric oxide and hydrogen sulphide. Medical gas therapy is a relatively unexplored field of medicine; however, a recent increasing in the number of publications on medical gas therapies clearly indicate that there are significant opportunities for use of gases as therapeutic tools for a variety of disease conditions. In this article, we review the recent advances in research on medical gases with antioxidant properties and discuss their clinical applications and therapeutic properties. PMID:19177183

  17. Jackson Park Hospital Green Building Medical Center

    SciTech Connect

    William Dorsey; Nelson Vasquez

    2010-03-31

    Jackson Park Hospital completed the construction of a new Medical Office Building on its campus this spring. The new building construction has adopted the City of Chicago's recent focus on protecting the environment, and conserving energy and resources, with the introduction of green building codes. Located in a poor, inner city neighborhood on the South side of Chicago, Jackson Park Hospital has chosen green building strategies to help make the area a better place to live and work. The new green building houses the hospital's Family Medicine Residency Program and Specialty Medical Offices. The residency program has been vital in attracting new, young physicians to this medically underserved area. The new outpatient center will also help to allure needed medical providers to the community. The facility also has areas designated to women's health and community education. The Community Education Conference Room will provide learning opportunities to area residents. Emphasis will be placed on conserving resources and protecting our environment, as well as providing information on healthcare access and preventive medicine. The new Medical Office Building was constructed with numerous energy saving features. The exterior cladding of the building is an innovative, locally-manufactured precast concrete panel system with integral insulation that achieves an R-value in excess of building code requirements. The roof is a 'green roof' covered by native plantings, lessening the impact solar heat gain on the building, and reducing air conditioning requirements. The windows are low-E, tinted, and insulated to reduce cooling requirements in summer and heating requirements in winter. The main entrance has an air lock to prevent unconditioned air from entering the building and impacting interior air temperatures. Since much of the traffic in and out of the office building comes from the adjacent Jackson Park Hospital, a pedestrian bridge connects the two buildings, further

  18. Empirical synchronized flow in oversaturated city traffic.

    PubMed

    Kerner, Boris S; Hemmerle, Peter; Koller, Micha; Hermanns, Gerhard; Klenov, Sergey L; Rehborn, Hubert; Schreckenberg, Michael

    2014-09-01

    Based on a study of anonymized GPS probe vehicle traces measured by personal navigation devices in vehicles randomly distributed in city traffic, empirical synchronized flow in oversaturated city traffic has been revealed. It turns out that real oversaturated city traffic resulting from speed breakdown in a city in most cases can be considered random spatiotemporal alternations between sequences of moving queues and synchronized flow patterns in which the moving queues do not occur. PMID:25314485

  19. Empirical synchronized flow in oversaturated city traffic

    NASA Astrophysics Data System (ADS)

    Kerner, Boris S.; Hemmerle, Peter; Koller, Micha; Hermanns, Gerhard; Klenov, Sergey L.; Rehborn, Hubert; Schreckenberg, Michael

    2014-09-01

    Based on a study of anonymized GPS probe vehicle traces measured by personal navigation devices in vehicles randomly distributed in city traffic, empirical synchronized flow in oversaturated city traffic has been revealed. It turns out that real oversaturated city traffic resulting from speed breakdown in a city in most cases can be considered random spatiotemporal alternations between sequences of moving queues and synchronized flow patterns in which the moving queues do not occur.

  20. The Nurse's Medication Day

    PubMed Central

    Jennings, Bonnie Mowinski; Sandelowski, Margarete; Mark, Barbara

    2014-01-01

    The medication administration stage of the medication-use process is especially vulnerable to error because errors are least likely to be caught before reaching the patient. Medication administration, however, remains poorly understood. In this article we describe medication administration as observed in an ethnographic study conducted on one medical and one surgical unit. A central finding was that medication administration entailed a complex mixture of varied and often competing demands that temporally structured the nurses' entire workday. Articulation work was evident in time management strategies nurses used to handle demands from institutional policies, technical devices, patients, the physical environment, and the medications themselves. The average number of doses of medication per patient was more than double the number policy groups have indicated. Medication administration is neither simply the giving of drugs nor does it have clearly defined temporal boundaries. Because of its inseparability from other nurses' work, medication administration inherently entails interruption, thereby calling into question the current emphasis on reducing interruptions as a tactic to decrease medication errors. PMID:21693688

  1. The medicalization of life

    PubMed Central

    Illich, Ivan

    1975-01-01

    Two contributions from Dr Ivan Illich follow. The first, in which he sets out his primary thesis of the medicalization of life, is a section from Dr Illich's book `Medical Nemesis'. (It is reprinted with the permission of the author and his publishers, Messrs Calder and Boyars.) The second is a transcript of the paper which Dr Illich read at the conference organized by the London Medical Group on iatrogenic disease. Both are ultimately addressed to the recipients of medical care, the general public, although the second paper is specifically addressed to young doctors and medical students. For Dr Illich the world is suffering from too much medical interference, and a medical edifice has been built which is one of the threats to the real life of human beings - a threat which so far has been disguised as care. PMID:809583

  2. Inflight medical kits.

    PubMed

    Rayman, R B

    1998-10-01

    Great controversy surrounds the issue of United States (US) air carrier inflight medical kits. Although there are four medications mandated by the Federal Aviation Administration (FAA) that appeared to be adequate as determined by a 1988 survey, there is now a renewed call to review the medical kit contents with an eye toward making them more robust. This has been prompted by several well publicized inflight medical events and the fact that overseas airlines have a very wide array of pharmaceuticals and supplies. Consequently, the Aerospace Medical Association (AsMA) convened a Task Force of physicians across the major specialties to put forward recommendations regarding medication, medical supplies, and automatic external defibrillators (AEDs). These deliberations were based upon a survey of AsMA physician members. PMID:9773906

  3. Whither medical humanities?

    PubMed

    Singh, Navjeevan

    2012-01-01

    Understanding the medical humanities (MH) and their role in medical education is in its infancy in India. Students are initiated into professional (medical) education too early in life, usually at the expense of a basic grounding in the humanities, resulting in warped intellectual growth. The author, arguing against the wholesale import of foreign systems, advocates free inquiry by medical educators to evolve a humanities programme for medical students derived from our own cultural context. This essay describes the early experiences of efforts to make a beginning at the University College of Medical Sciences, Delhi. The author reviews the various strategies used and the challenges of introducing the subject to the current generation of medical students. PMID:22864074

  4. Medical device error.

    PubMed

    Goodman, Gerald R

    2002-12-01

    This article discusses principal concepts for the analysis, classification, and reporting of problems involving medical device technology. We define a medical device in regulatory terminology and define and discuss concepts and terminology used to distinguish the causes and sources of medical device problems. Database classification systems for medical device failure tracking are presented, as are sources of information on medical device failures. The importance of near-accident reporting is discussed to alert users that reported medical device errors are typically limited to those that have caused an injury or death. This can represent only a fraction of the true number of device problems. This article concludes with a summary of the most frequently reported medical device failures by technology type, clinical application, and clinical setting. PMID:12400632

  5. 49 CFR 372.221 - Twin Cities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 5 2014-10-01 2014-10-01 false Twin Cities. 372.221 Section 372.221... ZONES, AND TERMINAL AREAS Commercial Zones § 372.221 Twin Cities. For the purpose of determining... following combinations of cities shall be considered as a single municipality: (a) Having a population...

  6. 49 CFR 372.221 - Twin Cities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 5 2012-10-01 2012-10-01 false Twin Cities. 372.221 Section 372.221... ZONES, AND TERMINAL AREAS Commercial Zones § 372.221 Twin Cities. For the purpose of determining... following combinations of cities shall be considered as a single municipality: (a) Having a population...

  7. 49 CFR 372.221 - Twin Cities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 5 2011-10-01 2011-10-01 false Twin Cities. 372.221 Section 372.221... ZONES, AND TERMINAL AREAS Commercial Zones § 372.221 Twin Cities. For the purpose of determining... following combinations of cities shall be considered as a single municipality: (a) Having a population...

  8. Research Review: City and Regional Magazines.

    ERIC Educational Resources Information Center

    Hynds, Ernest C.

    1994-01-01

    Argues that city magazines have vast unexplored potential as agenda setters, investigative reporters, and advocates of improved cities. Traces the historical development of city magazines, reviews the limited research in the field, and suggests research approaches that the magazines could use to expand their services to readers, advertisers,…

  9. The city and its need for technology

    NASA Technical Reports Server (NTRS)

    Berkowitz, B. L.

    1978-01-01

    An experimental program has been undertaken to explore the process of identifying and transferring newer technology for the benefit of the city. This paper describes the nature of the problems involved in the experiment, some of the areas of supposed commonality with other cities and some of the prerequisites for any city to become involved with technological innovation.

  10. Clean Cities Now, Vol. 18, No. 2

    SciTech Connect

    2015-01-19

    This is version 18.2 of Clean Cities Now, the official biannual newsletter of the Clean Cities program. Clean Cities is an initiative designed to reduce petroleum consumption in the transportation sector by advancing the use of alternative and renewable fuels, fuel economy improvements, idle-reduction measures, and new technologies, as they emerge.

  11. Demythologizing the Inner-City Child.

    ERIC Educational Resources Information Center

    Granger, Robert C., Ed.; Young, James C., Ed.

    This collection of papers from a conference sponsored by Georgia State University addresses a variety of issues and myths regarding inner-city children. Chapters deal with: (1) the educational theory of W.E.B. DuBois; (2) the explicit and implicit meaning of demythologizing the inner-city child; (3) the education of inner-city children; (4)…

  12. Creating Smart-er Cities: An Overview

    ERIC Educational Resources Information Center

    Allwinkle, Sam; Cruickshank, Peter

    2011-01-01

    The following offers an overview of what it means for cities to be "smart." It draws the supporting definitions and critical insights into smart cities from a series of papers presented at the 2009 Trans-national Conference on Creating Smart(er) Cities. What the papers all have in common is their desire to overcome the all too often…

  13. 49 CFR 372.221 - Twin Cities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Harrison, Ind. (6) Junction City, Ark.-La. (7) Kansas City, Mo.-Kansas City, Kans. (8) Minneapolis-St. Paul, Minn. (9) St. Louis, Mo.-East St. Louis, Ill. (10) Texarkana, Ark.-Tex. (11) Texhoma, Tex.-Okla....

  14. The Politics of City Planning Simulations.

    ERIC Educational Resources Information Center

    Kolson, Kenneth

    This research paper presents an analysis of the computer simulation, SimCity, used for an urban city planning class. The data were gathered by actual use of the simulation and an electronic mail network was employed to secure impressions from users of the simulation. SimCity (developed by Maxis) provides the player with rules of human factors,…

  15. Making Cities Skilled. Civic Bulletin No. 40

    ERIC Educational Resources Information Center

    Glaeser, Edward L.

    2006-01-01

    Throughout history, cities that have been centers of great learning have usually also taken their place as economic powerhouses. Here in America, economists have long noticed that educated cities--that is, cities with a greater percentage of knowledgeable and skilled residents--have fared better economically than their unskilled counterparts, but…

  16. 33 CFR 100.911 - Bay City Airshow, Bay City, MI.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Bay City Airshow, Bay City, MI. 100.911 Section 100.911 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.911 Bay City Airshow, Bay City, MI....

  17. 33 CFR 100.919 - International Bay City River Roar, Bay City, MI.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false International Bay City River Roar, Bay City, MI. 100.919 Section 100.919 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Bay City River Roar, Bay City, MI. (a) Regulated Area. A regulated area is established to include...

  18. 33 CFR 100.911 - Bay City Airshow, Bay City, MI.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Bay City Airshow, Bay City, MI. 100.911 Section 100.911 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.911 Bay City Airshow, Bay City, MI....

  19. 33 CFR 100.919 - International Bay City River Roar, Bay City, MI.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false International Bay City River Roar, Bay City, MI. 100.919 Section 100.919 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Bay City River Roar, Bay City, MI. (a) Regulated Area. A regulated area is established to include...

  20. 33 CFR 100.911 - Bay City Airshow, Bay City, MI.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Bay City Airshow, Bay City, MI. 100.911 Section 100.911 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.911 Bay City Airshow, Bay City, MI....

  1. 33 CFR 100.919 - International Bay City River Roar, Bay City, MI.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false International Bay City River Roar, Bay City, MI. 100.919 Section 100.919 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Bay City River Roar, Bay City, MI. (a) Regulated Area. A regulated area is established to include...

  2. 33 CFR 100.911 - Bay City Airshow, Bay City, MI.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Bay City Airshow, Bay City, MI. 100.911 Section 100.911 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.911 Bay City Airshow, Bay City, MI....

  3. 33 CFR 100.919 - International Bay City River Roar, Bay City, MI.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false International Bay City River Roar, Bay City, MI. 100.919 Section 100.919 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Bay City River Roar, Bay City, MI. (a) Regulated Area. A regulated area is established to include...

  4. 76 FR 18753 - City of Springfield, Illinois, City Water, Light and Power; Notice of Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission City of Springfield, Illinois, City Water, Light and Power; Notice of Filing Take notice that on March 24, 2011, The City of Springfield, Illinois, City Water, Light and...

  5. 77 FR 55787 - Proposed Flood Elevation Determinations for the City of Carson City, NV

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-11

    ... . SUPPLEMENTARY INFORMATION: On November 29, 2011, FEMA published a proposed rulemaking at 76 FR 73537, proposing... City of Carson City, NV AGENCY: Federal Emergency Management Agency, DHS. ACTION: Proposed rule... concerning proposed flood elevation determinations for the City of Carson City, Nevada. DATES:...

  6. 33 CFR 100.919 - International Bay City River Roar, Bay City, MI.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false International Bay City River Roar, Bay City, MI. 100.919 Section 100.919 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Bay City River Roar, Bay City, MI. (a) Regulated Area. A regulated area is established to include...

  7. 33 CFR 100.911 - Bay City Airshow, Bay City, MI.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Bay City Airshow, Bay City, MI. 100.911 Section 100.911 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.911 Bay City Airshow, Bay City, MI....

  8. Extreme Rainfall In A City

    NASA Astrophysics Data System (ADS)

    Nkemdirim, Lawrence

    Cities contain many structures and activities that are vulnerable to severe weather. Heavy precipitation cause floods which can damage structures, compromise transportation and water supply systems, and slow down economic and social activities. Rain induced flood patterns in cities must be well understood to enable effective placement of flood control and other regulatory measures. The planning goal is not to eliminate all floods but to reduce their frequency and resulting damage. Possible approaches to such planning include probability based extreme event analysis. Precipitation is normally the most variable hydrologic element over a given area. This variability results from the distribution of clouds and in cloud processes in the atmosphere, the storm path, and the distribution of topographical features on the ground along path. Some studies suggest that point rainfall patterns are also affected by urban industrial effects hence some agreement that cities are wetter than the country surrounding them. However, there are still questions regarding the intra- urban distribution of precipitation. The sealed surfaces, urban structures, and the urban heat anomaly increase convection in cities which may enhance the generation of clouds. Increased dust and gaseous aerosols loads are effective condensation and sublimation nuclei which may also enhance the generation of precipitation. Based on these associations, the greatest amount of convection type rainfall should occur at city center. A study of summer rainfall in Calgary showed that frequencies of trace amounts of rainfall and events under 0.2mm are highest downtown than elsewhere. For amounts greater than than 0.2 mm, downtown sites were not favored. The most compelling evidence for urban-industrial precipitation enhancement came from the Metromex project around St. Loius, Missouri where maximum increases of between 5 to 30 per cent in summer rainfall downwind of the city was linked to urbanization and

  9. 19. SECOND FLOOR, CITY COMMISSION CHAMBERS, DETAIL OF ARCH WITH ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    19. SECOND FLOOR, CITY COMMISSION CHAMBERS, DETAIL OF ARCH WITH MURAL ON RIGHT OF BENCH, SHOWING PIONEERS AND ATLANTIC CITY SEAL - City Hall, Atlantic & Tennessee Avenues, Atlantic City, Atlantic County, NJ

  10. Health problems in a city-county workhouse.

    PubMed Central

    Derro, R A

    1978-01-01

    This study was part of a continuing effort to define the health profile of a city-county workhouse inmate population. To supplement data previously obtained on the health status of inmates on admission, all subsequent encounters for medical problems were recorded and analyzed. Of 491 inmates examined on admission, 312 subsequently made 1,257 visit for medical care. The rate of clinic use was two to three times higher than rates reported in national surveys. Of 1,549 problem encounters, trauma, musculoskeletal complaints, skin disorders, and diseases of the eyes, ears, nose, and throat accounted for 52.3 percent. Dental disease, trauma, and other musculoskeletal disorders comprised 66.3 percent of problems that required referral of patients to the city-county hospital. A significant relationship was seen between depression as determined by a self-rating questionnaire and numbers of visits and problem encounters, as well as several frequently encountered problems. The results of this study have implications for health services in correctional institutions with similar inmate populations. The provision of limited but onsite dental services is advisable. Athletic activities and work details should be closely supervised. Physicians and nurses should be skilled in the evaluation and management of minor trauma and other musculoskeletal disorders. Algorithms are appropriate aids in the management of common but minor medical problems. These measures and proposals are designed also to deal with the problem of overuse of clinic services. However, the measures do not diminish and, in some instances, they increase access to care for medical and dental health needs. PMID:684150

  11. The Esri 3D city information model

    NASA Astrophysics Data System (ADS)

    Reitz, T.; Schubiger-Banz, S.

    2014-02-01

    With residential and commercial space becoming increasingly scarce, cities are going vertical. Managing the urban environments in 3D is an increasingly important and complex undertaking. To help solving this problem, Esri has released the ArcGIS for 3D Cities solution. The ArcGIS for 3D Cities solution provides the information model, tools and apps for creating, analyzing and maintaining a 3D city using the ArcGIS platform. This paper presents an overview of the 3D City Information Model and some sample use cases.

  12. Differences and similarities in the regulation of medical practice between early modern Vienna and Osijek.

    PubMed

    Atalic, Bruno

    2012-09-01

    This paper evaluates the regulation of medical practice from the sixteenth to the eighteenth centuries in two Habsburg cities, Vienna and Osijek, in the light of the spread of medical knowledge and practice from the centre to the periphery of the Habsburg Monarchy. Although both cities were part of the Habsburg Monarchy for much of the early modern period, there were more differences than similarities between them. This may be explained by appealing to a variety of factors, including geographical position, population structure, religion, government type, and professional organisations, all of which contributed to making medical practice very different in the two cities. The divergence occurred in spite of a central agenda for ensuring uniformity of medical practice throughout the Habsburg Monarchy. Although the legislation governing medical practice was the same in both cities, it was more strictly implemented in Vienna than in Osijek. In consequence, Osijek was the setting for some unique patterns of medical practice not to be found in the Habsburg capital. PMID:22580020

  13. Jail-based providers' perceptions of challenges to routine HIV testing in New York City jails.

    PubMed

    Sabharwal, Charulata J; Muse, Kathy Hunt; Alper, Howard; Begier, Elizabeth; McNeill, Michele; Galeta, Ghairunisa; Huang, Katy; Franklin, Woodman; Parvez, Farah

    2010-10-01

    About 25% of New York City jail inmates are tested for HIV despite a universal offer of rapid testing at medical intake. Health care workers were surveyed to examine provider-related challenges to testing at medical intake. Of the 291 eligible staff, 215 (73.9%) responded. Most (87.0%) felt confident recommending rapid HIV testing; however, only 85.5% of medical professionals and 70.8% of nurses felt confident providing negative rapid HIV test results. Identified barriers are those common to other medical settings (insufficient staffing, inadequate privacy or space, and ''too much'' paperwork) and those specific to correctional settings (limited time for medical intake and competing Department of Correction priorities). Staff have been given extended training to address their lack of confidence with key aspects of the HIV testing process, including providing negative results. PMID:20881145

  14. Knowledge, attitude, and barriers towards the use of evidence based practice among senior dental and medical students in western Saudi Arabia

    PubMed Central

    Bahammam, Maha A.; Linjawi, Amal I.

    2014-01-01

    Objectives: To investigate the knowledge, attitude, and barriers using evidence based practice (EBP) by future Saudi dentists and physicians. Methods: A questionnaire adapted from an EBP questionnaire was distributed to dental and medical final year students and new graduates at King Abdulaziz University, Jeddah, Saudi Arabia during the 2012 to 2013 academic year. The questionnaire consisted of 14 multiple-choice questions, and 2 open ended questions and was divided into 5 sections assessing different categories. Data were grouped as dental (DS) and medical (MS) students. Descriptive and group comparison statistics were conducted. Results: Out of 400, 297 students responded (DS=207, MS=90) with a 74% response rate. The students’ knowledge and attitude were low with no significant difference between the 2 groups. Students’ knowledge and attitudes towards EBP were assessed: EBP course attendance (DS=40.1%, MS=13.3%; p=0.000), reading journals (DS=6.3%, MS=3.3%; p=0.313), awareness of EBP components (DS=7.7%, MS=0%; p=0.332), and awareness towards the strongest evidence for EBP (DS=58.9%, MS=53.3%; p=0.370). More than half of the students in both groups did not use EBP in their treatment (DS=85%, MS=84.4%; p=0.842). The greatest reported barriers were; “EBP is difficult to understand” (DS=88.9%, MS=72.2%; p=0.000), and no time (DS=54.6%, MS=46.7%; p=0.210). Conclusion: The reported knowledge and attitudes among the junior health care physicians is considered below the required competency standards. These findings highlight the urgent need for changes in the current educational strategies to assure successful implementation of EBP in Saudi Arabia. PMID:25316471

  15. The first massive astronomical observation event in Mexico City

    NASA Astrophysics Data System (ADS)

    Espinosa, Mariana; Hernandez, Xavier

    2011-06-01

    On the night of the 20th of February 2008 there was a total eclipse of the moon visible from Mexico City, with a total duration from 19:42 hrs to 23:09 hrs. At the Instituto de Astronomía, UNAM, we took this opportunity to organise a massive astronomical party on the central plaza of the city, the Zocalo. Over a period of about 6 hrs. we set up a huge astro-party, with free use of over 100 telescopes, where we estimate over 40,000 persons looked through an astronomical telescope at the moon and Saturn, most for the first time in their lives. Numerous stands including a children's games, an Astronomy conference room, and the free distribution of Astronomical material were organised. Here we describe some of the issues associated with the planning and implementation of the event. Coordination issues were complex, involving interaction with divers and numerous authorities, city, national, police, traffic, medical assistance in readiness, aide from other universities, and amateur astronomical societies, which supplied most of the telescopes. An extensive publicity campaign was launched with several weeks of anticipation, and although we had no way of estimating the public response, we were ready with over 800 volunteers at the Zócalo on the 20th of February. The public response was massive and overwhelmingly positive, thousands swarmed the square in a completely peaceful and well organised interaction between Astronomy and society at large, over many complementary levels

  16. The medical alumni story.

    PubMed

    Lim, K H

    2005-07-01

    The Medical Alumni is unique in being the oldest alumni association with medical, dental and pharmacy graduates from our seminal medical school, that has now evolved into the faculties of medicine in 2 countries, namely Malaysia and Singapore. Founded in 1923, the medical alumni association has undergone several name changes with its evolution and activism. After the Japanese Occupation, it was given its present name in 1947, comprising 3 branches working under a common Constitution operating in 2 separate countries. It is also unique in being the only association recognised by the Registrar of Societies with membership in 2 countries. Following the development of medical professional and academic bodies, the medical alumni wound down its medico-political activities to concentrate on providing social and mutual support for its members and its alma mater. PMID:16010406

  17. Medical education in Malaysia.

    PubMed

    Lim, Victor K E

    2008-01-01

    Malaysia has a long history of medical education, with Singapore becoming the first medical school to serve the region after its foundation in 1905. The first school to be established in Kuala Lumpur after independence from the British was the Faculty of Medicine at the University of Malaya in 1963. Whilst today there are 21 public and private medical schools, all offering a 5 year undergraduate programme, some private schools have diversified by developing international collaboration and conduct twinning or credit-transfer programmes. All medical schools require accreditation by the National Accreditation Board and the Malaysian Medical Council. Although the criteria for accreditation is comprehensive and covers a broad range of areas of assessment, it is debatable whether it always matches the needs of the country. The dramatic increase in medical schools in the last two decades has posed challenges in terms of maintenance of quality, physical infrastructure and suitably qualified faculty. PMID:18464135

  18. Skylab medical technology utilization

    NASA Technical Reports Server (NTRS)

    Stonesifer, J. C.

    1974-01-01

    To perform the extensive medical experimentation on man in a long-term, zero-g environment, new medical measuring and monitoring equipment had to be developed, new techniques in training and operations were required, and new methods of collecting and analyzing the great amounts of medical data were developed. Examples of technology transfers to the public sector resulted from the development of new equipment, methods, techniques, and data. This paper describes several of the examples that stemmed directly from Skylab technology.

  19. Medical waste management plan.

    SciTech Connect

    Lane, Todd W.; VanderNoot, Victoria A.

    2004-12-01

    This plan describes the process for managing research generated medical waste at Sandia National Laboratories/California. It applies to operations at the Chemical and Radiation Detection Laboratory (CRDL), Building 968, and other biosafety level 1 or 2 activities at the site. It addresses the accumulation, storage, treatment and disposal of medical waste and sharps waste. It also describes the procedures to comply with regulatory requirements and SNL policies applicable to medical waste.

  20. [Perspectives in medical liability].

    PubMed

    Pizarro W, Carlos

    2008-04-01

    The progressive increase of medical negligence law suits requires an updated analysis of the current situation of medical liability in Chile. The application of a new criminal procedure will avoid criminal prosecution of doctors, transferring to the civil courts the pecuniary sanctions for malpractice. Medical negligence and damage inflicted by doctors that require compensation are explained. The most likely evolution of medical liability is proposed, through an increase in civil liability insurance and the necessary standardization of rules applicable to professional liability. PMID:18769798

  1. Cannabinoids: Medical implications.

    PubMed

    Schrot, Richard J; Hubbard, John R

    2016-01-01

    Herbal cannabis has been used for thousands of years for medical purposes. With elucidation of the chemical structures of tetrahydrocannabinol (THC) and cannabidiol (CBD) and with discovery of the human endocannabinoid system, the medical usefulness of cannabinoids has been more intensively explored. While more randomized clinical trials are needed for some medical conditions, other medical disorders, like chronic cancer and neuropathic pain and certain symptoms of multiple sclerosis, have substantial evidence supporting cannabinoid efficacy. While herbal cannabis has not met rigorous FDA standards for medical approval, specific well-characterized cannabinoids have met those standards. Where medical cannabis is legal, patients typically see a physician who "certifies" that a benefit may result. Physicians must consider important patient selection criteria such as failure of standard medical treatment for a debilitating medical disorder. Medical cannabis patients must be informed about potential adverse effects, such as acute impairment of memory, coordination and judgment, and possible chronic effects, such as cannabis use disorder, cognitive impairment, and chronic bronchitis. In addition, social dysfunction may result at work/school, and there is increased possibility of motor vehicle accidents. Novel ways to manipulate the endocannbinoid system are being explored to maximize benefits of cannabinoid therapy and lessen possible harmful effects. PMID:26912385

  2. Examining causes of the urban (inner city) asthma epidemic: Implementing new management strategies.

    PubMed

    Szefler, Stanley J

    2016-01-01

    Asthma in the inner city contributes to high morbidity and mortality, and, in school children, reduced school attendance and alteration in academic performance. There is a need to improve asthma care in the inner city by reducing asthma exacerbations. Methods are currently available to predict and prevent seasonal exacerbations of asthma. In addition, new medications are being developed that will be effective in improving pulmonary function and reducing asthma exacerbations. School-centered asthma programs can also be helpful to assist children and clinicians in applying asthma treatment plans and assuring optimal adherence to these plans. PMID:26831839

  3. Chorasmia Medical School from the beginning until the Mongol invasion

    PubMed Central

    Golshani, Seyyed Alireza; Seddigh, Fatemeh; Pirouzan, Hadi; Daneshfard, Babak

    2015-01-01

    In research on the history of medicine, less attention is paid to the subject of historical geography. Considering the importance of this subject in the history of science, this paper discusses one of the most important science centers in the world. This outstanding medical research center was located in Gorganch city, Chorasmia area, in the Eastern part of the Islamic. Chorasmia medical school was one of the important Iranian medical schools before the Mongols’ attack. Its history (305-1231 A.D.) can be divided into three eras; Ale Iraq, Ale Ma'mun, and era of the Khwarazmian dynasty. This geographical area in the Northeast of Iran has escaped the notice of researchers in recent studies. The presence of great Persian physicians and scientists throughout history in this area indicates its scientific importance. The present article focuses on Chorasmia Medical School since its establishment until the Mongols’ attack. PMID:27350864

  4. Medical Learning from the Special Olympics World Games 2015.

    PubMed

    Rubin, Aaron L; Woodward, Thad; Harrison, Levi; Simon, Lauren; Rodriquez, Janet

    2016-01-01

    The Special Olympics World Games (SOWG) were held in Los Angeles, CA, during the summer of 2015. Medical care for 26 sporting events spread over six major venues across the city was provided to more than 6,000 athletes and 3,000 delegates from 170 countries. Education on care for individuals with intellectual and developmental disabilities and athletes with additional medical issues was provided in addition to the usual sports medicine care. This required coordination between major medical providers as well as law enforcement, fire rescue, transportation, public health, and the organizers of the games. This article reviews the planning, training, and outcomes of the medical care and the Healthy Athletes program for the SOWG 2015. PMID:27172076

  5. [Croatian Medical Association--Branch Zagreb].

    PubMed

    Kaić, Zvonimir; Sain, Snjezana; Gulić, Mirjana; Mahovlić, Vjekoslav; Krznarić, Zeljko

    2014-01-01

    inevitably reflected in their overall function. The Branch Zagreb supports the harmonious development of health care throughout the territory of the Republic of Croatia. Cities of Zagreb and Mainz, are cities--friends and the CMA Branch Zagreb works together and exchanges visits with mem- bers of the Medical Society of Mainz for years. Next year professional and scientific cooperation between the Branch Za- greb of CMA and the Medical Society of Mainz will mark four decades. PMID:25648015

  6. FEASIBILITY STUDY FOR POTASSIUM IODIDE (KI) DISTRIBUTION IN NEW YORK CITY.

    SciTech Connect

    MOSS, STEVEN

    2005-04-29

    The New York City Department of Health and Mental Hygiene (DOHMH), Bureau of Environmental Science and Engineering, Office of Radiological Health (ORH) [as the primary local technical consultant in the event of a radiological or nuclear incident within the boundaries of New York City] requested the assistance of Brookhaven National Laboratory (BNL) with the development of a Feasibility Study for Potassium Iodide (KI) distribution in the unlikely event of a significant release of radioactive iodine in or near New York City. Brookhaven National Laboratory had previously provided support for New York City with the development of the radiological/nuclear portions of its All Hazards Emergency Response Plans. The work is funded by Medical and Health Research Association (MHRA) of New York City, Inc., under a work grant by the Federal Centers for Disease Control (CDC) for Public Health Preparedness and Response for Bioterrorism. This report is part of the result of that effort. The conclusions of this report are that: (1) There is no credible radiological scenario that would prompt the need for large segments of the general population of New York City to take KI as a result of a projected plume exposure to radioiodine reaching even the lowest threshold of 5 rem to the thyroid; and (2) KI should be stockpiled in amounts and locations sufficient for use by first responders/emergency responders in response to any localized release of radioiodine.

  7. Urban air pollution & its assessment in Lucknow City--the second largest city of North India.

    PubMed

    Lawrence, Alfred; Fatima, Nishat

    2014-08-01

    Investigations were carried out during the summer season (March-June 2012) to observe the quality of indoor air by monitoring the levels of some selected air pollutants at 15 different houses covering the urban areas of Lucknow City. Concentrations of CO2, CO, PM10, PM2.5, SO2 and NO2 were monitored indoors and outdoors simultaneously and I/O ratios were calculated. Regression analysis for I/O relationship was performed to assess the contribution of outdoor sources to indoor air quality. Air Quality Index (AQI) for indoor air was also calculated to have an idea about the quality of indoor air and their health effects. In collaboration with the medical college doctors of the city, we surveyed 197 persons to find out different diseases/symptoms being faced due to indoor air pollution. Results of the study revealed that the average levels of PM10 and PM2.5 were above the permissible limits laid by WHO at densely populated and roadside sites with 189 μg/m(3) (PM2.5 76 μg/m(3)) and 226 μg/m(3) (PM2.5 91 μg/m(3)) respectively. Correlation analysis showed positive results. At sites like Alambagh and Chowk, the indoor AQI range was alarming with the values of 302 and 209. Survey results also showed that 46% of urban people suffered from acute respiratory infections like bronchial asthma, headache, depression and dizziness and these people were mostly from Roadside colonies. PMID:24315412

  8. Seasonal Risk Factors for Asthma Exacerbations among Inner City Children

    PubMed Central

    Teach, Stephen J.; Gergen, Peter J.; Szefler, Stanley J.; Mitchell, Herman E.; Calatroni, Agustin; Wildfire, Jeremy; Bloomberg, Gordon; Kercsmar, Carolyn; Liu, Andrew H.; Makhija, Melanie; Matsui, Elizabeth; Morgan, Wayne; O'Connor, George; Busse, William W.

    2015-01-01

    Background Exacerbations of asthma remain common even in children and adolescents despite optimal medical management. Identification of host risk factors for exacerbations is incomplete, particularly for seasonal episodes. Objective Define host risk factors for asthma exacerbations unique to their season of occurrence. Methods This is a retrospective analysis of patients aged 6-20 years who comprised the control groups of the Asthma Control Evaluation trial and the Inner City Anti-IgE Therapy for Asthma trial. Univariate and multivariate models were constructed to determine if patient demographic and historical factors, allergic sensitization, fractional exhaled nitric oxide, spirometric measurements, asthma control, and treatment requirements were associated with seasonal exacerbations. Results The analysis included 400 patients (54.5% male; 59.0% African American; median age 13 years). Exacerbations occurred in 37.5% of participants over the periods of observation and were most common in the fall (28.8% of participants). In univariate analysis, impaired pulmonary function was significantly associated with greater odds of exacerbations for all seasons, as was an exacerbation in the previous season for all seasons except spring. In multivariate analysis, exacerbation in the previous season was the strongest predictor in fall and winter while a higher requirement for inhaled corticosteroids was the strongest predictor in spring and summer. The multivariate models had the best predictive power for fall exacerbations (30.5% variance attributed). Conclusions Among a large cohort of inner city children with asthma, patient risk factors for exacerbations vary by season. Thus, individual patient information may be beneficial in strategies to prevent these seasonal events. Clinical Implications Inner city children remain at risk for asthma exacerbations despite appropriate therapy. Because their risk factors vary by season, strategies to prevent them may need to differ as

  9. Access to Medical Records.

    ERIC Educational Resources Information Center

    Cooper, Nancy

    Although confidentiality with regard to medical records is supposedly protected by the American Medical Associaton's principles of Ethics and the physician-patient privilege, there are a number of laws that require a physician to release patient information to public authorities without the patient's consent. These exceptions include birth and…

  10. History of Medical Physics.

    ERIC Educational Resources Information Center

    Laughlin, John S.

    1983-01-01

    Traces the development of basic radiation physics that underlies much of today's medical physics and looks separately at the historical development of two major subfields of medical physics: radiation therapy and nuclear medicine. Indicates that radiation physics has made important contributions to solving biomedical problems in medical…

  11. Skylab medical program overview

    NASA Technical Reports Server (NTRS)

    Johnson, R. S.

    1977-01-01

    The following major medical subsystems in Skylab are outlined: (1) operational equipment; (2) life science experiments; (3) medical operations; and (4) operational experience. Throughout the Skylab flight program, alterations in equipment and procedures were made for each succeeding mission to capitalize on the flight experience of the previous mission.

  12. Administering Eye Medications.

    ERIC Educational Resources Information Center

    Morris, Sara; Michael, Nancy, Ed.

    This module on administering eye medications is intended for use in inservice or continuing education programs for persons who administer medications in long-term care facilities. Instructor information, including teaching suggestions, and a listing of recommended audiovisual materials and their sources appear first. A brief discussion follows of…

  13. [Ethics in medical journals.

    PubMed

    Lifshitz, Alberto

    2013-01-01

    The title of this reflection evokes several contents that may encompass from ethics in research; fraud in science; ethics in medical advertising and relations between sponsors and science; and, finally, papers related to ethic content. This paper is limited to the ethic responsibilities of the medical writers or "scriptwriters." PMID:24290007

  14. Control with anorexiant medications.

    PubMed Central

    Volume, C. I.; Farris, K. B.

    1998-01-01

    OBJECTIVE: To show why women are still seeking anorexiant medications despite current concerns over their use. DESIGN: In-depth interviews using grounded theory methodology. SETTING: Participants chose where they were to be interviewed. PARTICIPANTS: Women older than 18 years who had previously taken or were currently taking anorexiant medications for the purpose of losing weight. METHOD: Nine women completed two semistructured in-depth interviews during which they described their experiences from the time they began pharmacologic therapy for obesity until they discontinued the medications. Interview data were compiled and analyzed until saturation was reached. MAIN OUTCOME FINDINGS: Control was an important factor for the women. Their previous lack of control was due to frustration with failed dieting attempts and feeling pressure from others to lose weight. Prescription medications controlled physiologic hunger while the women sought to lose weight. Increased control over hunger and a decrease in weight gave participants confidence to continue their weight-loss efforts without the medications. Once the medications were discontinued, the women were able to maintain weight control through various lifestyle modifications. CONCLUSIONS: Anorexiant medications provide some women with a perception of control that helps them lose weight and not regain it. Health care professionals should be aware of their patients' struggles with weight loss and understand the importance of these medications for some patients. PMID:9839060

  15. Medical Knowledge Bases.

    ERIC Educational Resources Information Center

    Miller, Randolph A.; Giuse, Nunzia B.

    1991-01-01

    Few commonly available, successful computer-based tools exist in medical informatics. Faculty expertise can be included in computer-based medical information systems. Computers allow dynamic recombination of knowledge to answer questions unanswerable with print textbooks. Such systems can also create stronger ties between academic and clinical…

  16. Medication and Reading Disability.

    ERIC Educational Resources Information Center

    Humphries, Laurie L.

    1981-01-01

    The clinical syndrome which relates most frequently to the reading-disabled child is the attention deficity disorder. The child psychiatrist will generally resort to medication only when behavioral management techniques have failed. The two most frequently used medications are Ritalin and Dexedrine, central nervous system stimulants. (JN)

  17. Emergency Medical Technician.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This document, which is designed for use in developing a tech prep competency profile for the occupation of emergency medical technician, lists technical competencies and competency builders for 18 units pertinent to the health technologies cluster in general and 4 units specific to the occupation of emergency medical technician. The following…

  18. Commercial Crew Medical Ops

    NASA Technical Reports Server (NTRS)

    Heinbaugh, Randall; Cole, Richard

    2016-01-01

    Provide commercial partners with: center insight into NASA spaceflight medical experience center; information relative to both nominal and emergency care of the astronaut crew at landing site center; a basis for developing and sharing expertise in space medical factors associated with returning crew.

  19. Medical Veteran Utilization Manual.

    ERIC Educational Resources Information Center

    Nathan (Robert R.) Associates, Inc., Washington, DC.

    This manual is intended to encourage policy makers, administrators, and personnel officers in hospitals and other health facilities to recruit and hire the thousands of well-trained, experienced men and women who leave the military medical services each year. The document lists the advantages to the medical institution when employing medically…

  20. Medical Services Assistant Curriculum.

    ERIC Educational Resources Information Center

    Leeman, Phyllis A.

    Designed to develop 12th-grade multiple competencies courses, this curriculum prepares the student to assist a physician, dentist, or other health professional with the management of a medical office and to perform basic health services procedures. Course descriptions are provided for the two courses in the curriculum: medical services assistant…

  1. Medical Training Aid

    NASA Technical Reports Server (NTRS)

    1992-01-01

    Dr. Steven S. Saliterman developed his Dynacath Critical Care Patient Simulator as a training system for medical personnel involved in critical care management and hemodynamic monitoring. The system incorporates NASA simulation technology and allows hospitals and medical manufacturers to conduct training away from the patient's bedside. Dr. Saliterman was formerly employed by Ames Research Center and Johnson Space Center.

  2. Medical Practice Makes Perfect

    NASA Technical Reports Server (NTRS)

    1998-01-01

    Cedaron Medical Inc., was founded in 1990 as a result of a NASA SBIR (Small Business Innovative Research) grant from Johnson Space Center to develop a Hand Testing and Exercise Unit for use in space. From that research came Dexter, a comprehensive workstation that creates a paperless environment for medical data management.

  3. Using medical interpreters.

    PubMed

    Hart, Dionne; Bowen, Juan; DeJesus, Ramona; Maldonado, Alejandro; Jiwa, Fatima

    2010-04-01

    Research has demonstrated that appropriate use of interpreters in clinical encounters improves outcomes and decreases adverse events. This article reviews both the medical reasons for working with trained medical interpreters and the related laws, and offers practical tips for working effectively with interpreters. PMID:20481167

  4. Medical Laboratory Technician.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This document, which is designed for use in developing a tech prep competency profile for the occupation of medical laboratory technician, lists technical competencies and competency builders for 18 units pertinent to the health technologies cluster in general and 8 units specific to the occupation of medical laboratory technician. The following…

  5. Medical Information Systems.

    ERIC Educational Resources Information Center

    Smith, Kent A.

    1986-01-01

    Description of information services from the National Library of Medicine (NLM) highlights a new system for retrieving information from NLM's databases (GRATEFUL MED); a formal Regional Medical Library Network; DOCLINE; the Unified Medical Language System; and Integrated Academic Information Management Systems. Research and development and the…

  6. Medical School Hotline

    PubMed Central

    Lee, Winona K

    2016-01-01

    This article is part of an ongoing series describing various components of the John A. Burns School of Medicine (JABSOM) medical education curricula, activities, and initiatives relevant to the Liaison Committee on Medical Education (LCME) accreditation standards.1 JABSOM's LCME visit will take place in early 2017. This article provides an overview of JABSOM's diversity/pipeline programs and partnerships. PMID:27437165

  7. Restoring medical professionalism.

    PubMed

    Bernat, James L

    2012-08-21

    The essence of medical professionalism is placing dedication to the welfare of patients above physicians' personal or proprietary interests. Medicine has become deprofessionalized as a consequence of socioeconomic factors leading to increasing commercialization and perverse financial incentives converting it into a business, the presence of unmanaged conflicts of interest, challenges to medical authority by insurance companies and the consumerism movement, and by gradual changes in the attitudes of physicians. Organized medicine has responded by making explicit its standards of professionalism and its dedication to preserving them. Medical educators have studied the means to develop professional attitudes and behaviors among medical students and residents. Modeling the characteristics of professional behavior by virtuous physicians remains the most effective method to instill professional behaviors in trainees. Restoring professionalism may be abetted by changes in physicians' financial incentives through innovative models of health care delivery, by physicians reducing their conflicts of interest, and by medical societies rejecting a guild identity. PMID:22915177

  8. Medical education in Greece.

    PubMed

    Georgantopoulou, Catherine

    2009-01-01

    This paper aims to present an overview of current medical education in Greece. Greece has a centuries-long tradition in practising and teaching medicine. Medical training, although rigorous, is particularly humane. All Medical Schools in Modern Greece are currently, undergoing a series of changes in an effort to modernize training. The medical education system is also getting harmonized to European Standards for Higher Education, relating to Undergraduate, Postgraduate and Continuous Medical Education of doctors. A specific strength of the Greek educational system is its ethos that emphasises good working conditions and excellent support and supervision at all levels. The current overhauls in Higher Education occupy students, academics and the society at large. Political issues, such as accountability, regulation and autonomy of academia are generating debate. The two-cycle, Bachelor-Master, Undergraduate Model, as described in the Bologna Declaration is still to be implemented. Quality control measures are currently introduced in all academic sectors. PMID:19253151

  9. [Implantable medical devices].

    PubMed

    Crickx, B; Arrault, X

    2008-01-01

    Medical devices have been individualized to include a category of implantable medical devices, "designed to be totally implanted in the human body or to replace an epithelial surface or a surface of the eye, through surgery, and remain in place after the intervention" (directive 93/42/CEE and decree of 20 April 206). Each implantable medical device has a common name and a commercial name for precise identification of the model (type/references). The users' service and the implanting physician should be clearly identified. There are a number of rules concerning health traceability to rapidly identify patients exposed to risks in which the implantable medical devices of a particular batch or series were used and to monitor the consequences. The traceability data should be preserved 10 years and the patient's medical file for 20 years. PMID:18442666

  10. Style in medical journals.

    PubMed Central

    Adams Smith, D E

    1983-01-01

    A study of medical journals from 1962 showed a constant preoccupation with style. Editors and contributors on both sides of the Atlantic revile unnecessary obscurity and complexity and the use of jargon, barbarisms, vogue words, and weak impersonal constructions. They bewail the pompous use of verbiage and the "medspeak" typified by acronyms and neologisms created by affixation. Suggestions for possible causes of poor medical style range from editorial demands for compression and a general ignorance of the principles of good writing to faulty logic and the subordination of communication to status seeking. The consequences of bad writing may include the fragmentation of knowledge, an increase in the importance of abstracting services, a trend towards free glossy medical newspapers, and, as remedial measures, workshops and courses in medical writing. Some implications for English language teachers working with foreign medical graduates and preclinical students are discussed. PMID:6414596

  11. Medical Engineering Education for Engineers Working in Small & Medium Sized Enterprise

    NASA Astrophysics Data System (ADS)

    Nagai, Chiaki; Moriwaki, Toshimichi

    Medical device industry is expected to be one of the growing fields in coming years, because a large amount of medical bill expenditure becomes pressing matters to overcome in Japan‧s rapidly aging society. Authors have developed medical engineering programs for SMe‧s to meet these demand by the government grant under academia-industry collaboration in this region and were successful to put these programs into practice. We have two medical engineering education programs in Kobe-Kansai region, one is by graduate school of Kobe University, and the other is non degree program by Kobe City Industrial Promotion Foundation. Present situation of these education are described.

  12. Anaglyph, Salt Lake City, Utah

    NASA Technical Reports Server (NTRS)

    2002-01-01

    The 2002 Winter Olympics are hosted by Salt Lake City at several venues within the city, in nearby cities, and within the adjacent Wasatch Mountains. This anaglyph image provides a stereoscopic map view of north central Utah that includes all of these Olympic sites. In the south, next to Utah Lake, Provo hosts the ice hockey competition. In the north, northeast of the Great Salt Lake, Ogden hosts curling and the nearby Snowbasin ski area hosts the downhill events. In between, southeast of the Great Salt Lake, Salt Lake City hosts the Olympic Village and the various skating events. Further east, across the Wasatch Mountains, the Park City ski resort hosts the bobsled, ski jumping, and snowboarding events. The Winter Olympics are always hosted in mountainous terrain. This view shows the dramatic landscape that makes the Salt Lake City region a world-class center for winter sports.

    The stereoscopic effect of this anaglyph was created by first draping a Landsat satellite image over a Shuttle Radar Topography Mission digital elevation model and then generating two differing perspectives, one for each eye. When viewed through special glasses, the result is a vertically exaggerated view of Earth's surface in its full three dimensions. Anaglyph glasses cover the left eye with a red filter and cover the right eye with a blue filter.

    Landsat has been providing visible and infrared views of the Earth since 1972. SRTM elevation data matches the 30-meter (98-foot) resolution of most Landsat images and will substantially help in analyzing the large and growing Landsat image archive, managed by the U.S. Geological Survey (USGS).

    Elevation data used in this image was acquired by the Shuttle Radar Topography Mission (SRTM) aboard the Space Shuttle Endeavour, launched on Feb. 11, 2000. SRTM used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. SRTM

  13. Medical Student Health Promotion: The Increasing Role of Medical Schools

    ERIC Educational Resources Information Center

    Estabrook, Kristi

    2008-01-01

    Objective: The author proposes courses of action for medical schools to increase positive health promotion among medical students. Method: This article will review the current literature on medical student health care. Strategies of action for medical schools are proposed for increasing student wellness. Results: Medical schools can positively…

  14. Zinder: a city running dry.

    PubMed

    Price, T

    1993-01-01

    In the West African Sahel lies the old Hausa city of Zinder, Niger. Since the last few decades, it has constantly faced considerable population growth (19,300-119,8000 between 1960 and 1980) while its acute problems with the water supply are increasing. The dry regional climate compounds the problems. In the past, Zinder was a trade center between northern and sub-Saharan Africa as well as being the colonial capital of Niger (1911-26). Its economic and political position has fallen greatly with independence. Lower than average rainfall and the disastrous droughts of the 1970s and 1980s have seriously diminished the region's economic base, e.g., the average annual rainfall in 1930-60 was 535 mm, but by the 1980s, it was only 355 mm. Zinder sits on an elevated, rocky hill which is encircled by dry river valleys and there are no major permanent bodies of water in the vicinity. Impenetrable layers of stone prevent the digging of wells within the city, so the city depends on wells in nearby valleys. The reduced rainfall hinders replenishment of the aquifer, resulting in a drop in the availability of water for daily consumption from 6500 to 3500 sq m. Per capita water consumption in Zinder is much lower than the national average (55 1/day vs. about 100 1/day). The drought in 1992 caused per capita consumption to fall to 29 1/day, just barely above the minimal standards for private use in urban areas of 20 1/person/day. To further compound the problem, 20 villages in Zinder's environs, some villages with a population of 5000, people, rely on the same water system. Zinder serves as a refuge for the regional population in drought years and during the yearly dry season. Promised international financing cannot resolve Zinder's problems at a realistic cost. PMID:12287010

  15. Project WISH: The Emerald City

    NASA Technical Reports Server (NTRS)

    1991-01-01

    Project WISH (Wandering Interplanetary Space Harbor) is a three-year design effort currently being conducted at The Ohio State University. Its goal is the design of a space oasis to be used in the exploration of the solar system during the midtwenty-first century. This spacecraft, named Emerald City, is to conduct and provide support for missions to other planetary bodies with the purpose of exploration, scientific study, and colonization. It is to sustain a crew of between 500 and 1000 people at a time, and be capable of traveling from a nominal orbit to the planets in reasonably short flight times. Such a ship obviously presents many technical and design challenges, some of which were examined through the course of Project WISH. This year, Phase 2 (1990-1991) of Project WISH was carried out. The basic design of the Emerald City resulting from Phase 1 (1989-1990) was taken and improved upon through more detailed analysis and revision. At the core of this year's study were orbital mechanics, propulsion, attitude control, and human factors. Throughout the year, these areas were examined and information was compiled on their technologies, performances, and relationships. Then, using the data obtained through these studies, two specific missions were designed: an envelope mission from a nominal orbit of 4 AU to Saturn and a single point design for a specific mission from the Earth to Mars. The latter was designed in view of the special interest that Mars is attracting for near-future space exploration. The mission to Saturn has all the first six planets within its flight envelope in less than or equal to a 3-year flight time at any time upon demand, and it has Uranus in its flight envelope most of the time upon demand. These mission studies provided data on the approximate size, weight, number of engines, and other important design values that would be required for the Emerald City.

  16. Topography Restoration of Historic City Research

    NASA Astrophysics Data System (ADS)

    ho, L. Sung; soo, H. Dong

    2015-08-01

    The preservation of historic cities requires a balance between conservation and development because the urban structures of the old and new city are interwoven on same space. Existing restoration plans rely on old records and excavation reports and are based on the present topography. However, historic cities have undergone significant natural and anthropogenic topographic changes such as alluvial sediment accumulation and uneven terrain construction. Therefore, considering only the present topography is misleading. Thus, to understand a historic city's structure more appropriately, it is necessary to comprehend the ancient geographic environment. This study provides an analysis and GIS visualization of the ancient topography of a historic city, Sabi capital city of the Baekje Dynasty, which collapsed 1,500 years ago.

  17. Tracking Diabetes: New York City's A1C Registry

    PubMed Central

    Chamany, Shadi; Silver, Lynn D; Bassett, Mary T; Driver, Cynthia R; Berger, Diana K; Neuhaus, Charlotte E; Kumar, Namrata; Frieden, Thomas R

    2009-01-01

    Context: In December 2005, in characterizing diabetes as an epidemic, the New York City Board of Health mandated the laboratory reporting of hemoglobin A1C laboratory test results. This mandate established the United States’ first population-based registry to track the level of blood sugar control in people with diabetes. But mandatory A1C reporting has provoked debate regarding the role of public health agencies in the control of noncommunicable diseases and, more specifically, both privacy and the doctor-patient relationship. Methods: This article reviews the rationale for adopting the rule requiring the reporting of A1C test results, experience with its implementation, and criticisms raised in the context of the history of public health practice. Findings: For many decades, public health agencies have used identifiable information collected through mandatory laboratory reporting to monitor the population's health and develop programs for the control of communicable and noncommunicable diseases. The registry program sends quarterly patient rosters stratified by A1C level to more than one thousand medical providers, and it also sends letters, on the provider's letterhead whenever possible, to patients at risk of diabetes complications (A1C level >9 percent), advising medical follow-up. The activities of the registry program are similar to those of programs for other reportable conditions and constitute a joint effort between a governmental public health agency and medical providers to improve patients’ health outcomes. Conclusions: Mandatory reporting has proven successful in helping combat other major epidemics. New York City's A1C Registry activities combine both traditional and novel public health approaches to reduce the burden of an epidemic chronic disease, diabetes. Despite criticism that mandatory reporting compromises individuals’ right to privacy without clear benefit, the early feedback has been positive and suggests that the benefits will

  18. Russian medical care in the 1990s: a user's perspective.

    PubMed

    Brown, J V; Rusinova, N L

    1997-10-01

    This article examines medical utilization patterns and attitudes toward the medical care system among the citizens of Russia's second largest city, St. Petersburg. It focuses upon the extent to which both attitudes towards and usage of medical care institutions have changed in the immediate post-Soviet period. A particular concern has been to determine the degree to which utilization and perceptions vary across the socioeconomic status hierarchy. The data were collected in two stages: a mass survey (N = 1500) conducted in mid 1992 and intensive follow-up interviews (N = 44) conducted in late 1994. The findings indicate that urban Russians were very critical of their medical care system at the end of the Soviet period. Most feel that the system has deteriorated even further since the end of 1991, and they are particularly worried about the emergency care system and about hospital conditions. Although people believe that the system now includes more alternatives, very few have changed their medical utilization patterns to take advantage of these new possibilities. This is more a product of their perceived high cost than of principled opposition to "pay" medicine. The analysis also demonstrates the extent to which medical utilization differs by socioeconomic status. lower status individuals tend to utilize the formal medical care system. High status individuals seek help from a variety of sources and, in particular, rely much more heavily on informal connections to the medical care system. The medical help-seeking strategies of higher status groups have proven to be reasonably adaptable to the post-Soviet medical marketplace, while for others finding good quality medical care remains more problematic. PMID:9381239

  19. Analysis of development levels in the cities of Tehran province regarding health infrastructural index: the strategy of standardized score and Morris’ inequality index

    PubMed Central

    Javani, Ali; Abolhallaje, Masoud; Raadabadi, Mehdi; Rezaee Dehaghi, Hanieh; Nazari, Aslan; Nazari, Hamed; Chatrouz, Azadeh

    2015-01-01

    Background: One of the main indexes of development is health index or the degree to which a society enjoys health and therapeutic services. The present study was done with the aim to analyze development levels in cities in Tehran regarding health infrastructural index using the standardized score and Morris’ model. Methods: This is a descriptive and pragmatic study which ranks 14 cities in Tehran province using the standardized score and Morris’ models based on 10 selected health indexes. The required data were gathered using a researcher-made information list and the information gathered from the Statistics Center and Tehran University of Medical Sciences. The data were analyzed using Excel software. Results: The development coefficient in the studied cities varies from 0.595 to -0.379 so that Rey city has the highest level of development and Pishva city has the lowest level of development among the studied cities. The more number of the cities (43%) was among the rather undeveloped group and none of the cities (0%) was in the rather developed group. Conclusion: Regarding the findings, there is a big gap and difference regarding enjoying health and therapeutic infrastructural indexes among the cities in Tehran province. Therefore, it is suggested that development-oriented plans consistentent with development levels should be implemented in these cities. PMID:26913267

  20. New Medical Device Evaluation.

    PubMed

    Ikeda, Koji

    2016-01-01

    In this presentation, as a member of the Harmonization by Doing (HBD) project, I discuss the significance of regulatory science in global medical device development and our experience in the international collaboration process for medical devices. In Japan, most innovative medical therapeutic devices were previously developed and exported by foreign-based companies. Due to this device lag, Japanese had minimal opportunities for receiving treatment with innovative medical devices. To address this issue, the Japanese government has actively accepted foreign clinical trial results and promoted global clinical trials in projects such as HBD. HBD is a project with stakeholders from academia, regulatory authorities, and industry in the US and Japan to promote global clinical trials and reduce device lags. When the project started, medical device clinical trials were not actively conducted in Japan at not just hospitals but also at medical device companies. We started to identify issues under the concept of HBD. After 10 years, we have now become key members in global clinical trials and able to obtain approvals without delay. Recently, HBD has started promoting international convergence. Physicians and regulatory authorities play central roles in compiling guidelines for the clinical evaluation of medical device development, which will be a more active field in the near future. The guidelines compiled will be confirmed with members of academia and regulatory authorities in the United Sates. PMID:27040333

  1. BENJAMIN FRANKLIN'S MEDICAL IMPRINTS.

    PubMed

    CANTU, J Q

    1965-01-01

    The printing house of Benjamin Franklin produced several works of a medical nature in Colonial America at a time when very few medical treatises were being written or printed. Benjamin Franklin was also indirectly responsible for the founding of the first medical library in this country. For these reasons he was, in addition to his many other talents, an early contributor to American medical literature. Included in this bibliography are all the known medical books, pamphlets, and broadsides in English with Benjamin Franklin's name in the imprint, issued in America. These eighteen titles span the years 1732 to 1765 and are presented chronologically with indications of their relation to the practice and practitioners of Colonial medicine. Benjamin Franklin's press produced as wide a variety of contributions as did his versatile life, and the early history of medicine in this country bears the influence of both.I am pleased with your scheme of a Medical Library at the Hospital, and I fancy I can procure you some donations among my medical friends here, if you will send me a catalogue of what books you already have. Enclosed I send you the only book of the kind in my possession here, having just received it as a present from the author.-Benjamin Franklin to Dr. Cadwallader Evans, London, May 5, 1767 (1). PMID:14223741

  2. Benjamin Franklin's Medical Imprints

    PubMed Central

    Cantu, Jane Quale

    1965-01-01

    The printing house of Benjamin Franklin produced several works of a medical nature in Colonial America at a time when very few medical treatises were being written or printed. Benjamin Franklin was also indirectly responsible for the founding of the first medical library in this country. For these reasons he was, in addition to his many other talents, an early contributor to American medical literature. Included in this bibliography are all the known medical books, pamphlets, and broadsides in English with Benjamin Franklin's name in the imprint, issued in America. These eighteen titles span the years 1732 to 1765 and are presented chronologically with indications of their relation to the practice and practitioners of Colonial medicine. Benjamin Franklin's press produced as wide a variety of contributions as did his versatile life, and the early history of medicine in this country bears the influence of both. I am pleased with your scheme of a Medical Library at the Hospital, and I fancy I can procure you some donations among my medical friends here, if you will send me a catalogue of what books you already have. Enclosed I send you the only book of the kind in my possession here, having just received it as a present from the author.—Benjamin Franklin to Dr. Cadwallader Evans, London, May 5, 1767 (1). PMID:14223741

  3. Exploration Medical Capability

    NASA Technical Reports Server (NTRS)

    Watkins, Sharmila; Baumann, David; Wu, Jimmy; Barsten, Kristina

    2010-01-01

    Exploration Medical Capability (ExMC) is an element of NASA's Human Research Program (HRP). ExMC's goal is to address the risk of the Inability to Adequately Recognize or Treat an Ill or Injured Crewmember. This poster highlights the approach ExMC has taken to address this goal and our current areas of interest. The Space Medicine Exploration Medical Condition List (SMEMCL) was created to identify medical conditions of concern during exploration missions. The list was derived from space flight medical incidents, the shuttle medical checklist, the International Space Station medical checklist, and expert opinion. The conditions on the list were prioritized according to mission type by a panel comprised of flight surgeons, physician astronauts, engineers, and scientists. From the prioritized list, the ExMC element determined the capabilities needed to address the medical conditions of concern. Where such capabilities were not currently available, a gap was identified. The element s research plan outlines these gaps and the tasks identified to achieve the desired capabilities for exploration missions. This poster is being presented to inform the audience of the gaps and tasks being investigated by ExMC and to encourage discussions of shared interests and possible future collaborations.

  4. Medical marijuana: Medical necessity versus political agenda

    PubMed Central

    Clark, Peter A.; Capuzzi, Kevin; Fick, Cameron

    2011-01-01

    Summary Marijuana is classified by the Drug Enforcement Agency (DEA) as an illegal Schedule I drug which has no accepted medical use. However, recent studies have shown that medical marijuana is effective in controlling chronic non-cancer pain, alleviating nausea and vomiting associated with chemotherapy, treating wasting syndrome associated with AIDS, and controlling muscle spasms due to multiple sclerosis. These studies state that the alleviating benefits of marijuana outweigh the negative effects of the drug, and recommend that marijuana be administered to patients who have failed to respond to other therapies. Despite supporting evidence, the DEA refuses to reclassify marijuana as a Schedule II drug, which would allow physicians to prescribe marijuana to suffering patients. The use of medical marijuana has continued to gain support among states, and is currently legal in 16 states and the District of Columbia. This is in stark contrast to the federal government’s stance of zero-tolerance, which has led to a heated legal debate in the United States. After reviewing relevant scientific data and grounding the issue in ethical principles like beneficence and nonmaleficence, there is a strong argument for allowing physicians to prescribe marijuana. Patients have a right to all beneficial treatments and to deny them this right violates their basic human rights. PMID:22129912

  5. Medical marijuana: medical necessity versus political agenda.

    PubMed

    Clark, Peter A; Capuzzi, Kevin; Fick, Cameron

    2011-12-01

    Marijuana is classified by the Drug Enforcement Agency (DEA) as an illegal Schedule I drug which has no accepted medical use. However, recent studies have shown that medical marijuana is effective in controlling chronic non-cancer pain, alleviating nausea and vomiting associated with chemotherapy, treating wasting syndrome associated with AIDS, and controlling muscle spasms due to multiple sclerosis. These studies state that the alleviating benefits of marijuana outweigh the negative effects of the drug, and recommend that marijuana be administered to patients who have failed to respond to other therapies. Despite supporting evidence, the DEA refuses to reclassify marijuana as a Schedule II drug, which would allow physicians to prescribe marijuana to suffering patients. The use of medical marijuana has continued to gain support among states, and is currently legal in 16 states and the District of Columbia. This is in stark contrast to the federal government's stance of zero-tolerance, which has led to a heated legal debate in the United States. After reviewing relevant scientific data and grounding the issue in ethical principles like beneficence and nonmaleficence, there is a strong argument for allowing physicians to prescribe marijuana. Patients have a right to all beneficial treatments and to deny them this right violates their basic human rights. PMID:22129912

  6. The carbon emissions of Chinese cities

    NASA Astrophysics Data System (ADS)

    Wang, H.; Zhang, R.; Liu, M.; Bi, J.

    2012-07-01

    As increasing urbanization has become a national policy priority for economic growth in China, cities have become important players in efforts to reduce carbon emissions. However, their efforts have been hampered by the lack of specific and comparable carbon emission inventories. Comprehensive carbon emission inventories for twelve Chinese cities, which present both a relatively current snapshot and also show how emissions have changed over the past several years, were developed using a bottom-up approach. Carbon emissions in most Chinese cities rose along with economic growth from 2004 to 2008. Yet per capita carbon emissions varied between the highest and lowest emitting cities by a factor of nearly 7. Average contributions of sectors to per capita emissions for all Chinese cities were 65.1% for industrial energy consumption, 10.1% for industrial processes, 10.4% for transportation, 7.7% for household energy consumption, 4.2% for commercial energy consumption and 2.5% for waste processing. However, these shares are characterized by considerable variability due to city-specific factors. The levels of per capita carbon emissions in China's cities were higher than we anticipated before comparing them with the average of ten cities in other parts of the world. This is mainly due to the major contribution of the industry sector in Chinese cities.

  7. Clean Cities Annual Metrics Report 2006

    SciTech Connect

    Bergeron, P.; Putsche, V.

    2007-07-01

    Report summarizes Clean Cities coalition accomplishments, including membership, funding, sales of alternative fuel blends, deployment of AFVs and HEVs, idle reduction initiatives, and fuel economy activities.

  8. Kennedy Space Center Medical Operations and Medical Kit

    NASA Technical Reports Server (NTRS)

    Scarpa, Philip

    2011-01-01

    This slide presentation reviews the emergency medical operations at Kennedy Space center, the KSC launch and landing contingency modes, the triage site, the medical kit, and the medications available.

  9. Self-Medication

    PubMed Central

    Lottier, William I.

    1978-01-01

    Self-medication and drug interaction have been a problem in recent years. Pharmacists in ethical pharmacies and neighborhood establishments can best monitor these problems through use of patient profile records and consultations. The pharmacist should advise the public on over-the-counter (OTC) purchases. Auxiliary labels are recommended for use on containers to prevent drug interactions. Members of the black community have some specific problems with respect to self medications. These are addressed in this article. Self-medication, under supervision, is proper and can be controlled. PMID:712861

  10. Medical image file formats.

    PubMed

    Larobina, Michele; Murino, Loredana

    2014-04-01

    Image file format is often a confusing aspect for someone wishing to process medical images. This article presents a demystifying overview of the major file formats currently used in medical imaging: Analyze, Neuroimaging Informatics Technology Initiative (Nifti), Minc, and Digital Imaging and Communications in Medicine (Dicom). Concepts common to all file formats, such as pixel depth, photometric interpretation, metadata, and pixel data, are first presented. Then, the characteristics and strengths of the various formats are discussed. The review concludes with some predictive considerations about the future trends in medical image file formats. PMID:24338090

  11. Travel Medical Kit.

    PubMed

    Terry, Anne C; Haulman, N Jean

    2016-03-01

    "The traveler's medical kit is an essential tool for both the novice and expert traveler. It is designed to treat travel-related illness and injury and to ensure preexisting medical conditions are managed appropriately. Travelers are at increased risk for common gastrointestinal issues during travel. Respiratory illnesses make up approximately 8% of the ailments present in returned international travelers. Approximately 12% of travelers experience a travel-related skin condition. First aid treatment for minor injuries is essential to all travel medical kits. The complexity ranges from a small, simple case for the urban traveler to a larger, extensive case for wilderness travel." PMID:26900112

  12. Origins of Medical Informatics

    PubMed Central

    Collen, Morris F.

    1986-01-01

    Medical informatics is a new knowledge domain of computer and information science, engineering and technology in all fields of health and medicine, including research, education and practice. Medical informatics has evolved over the past 30 years as medicine learned to exploit the extraordinary capabilities of the electronic digital computer to better meet its complex information needs. The first articles on this subject appeared in the 1950s, the number of publications rapidly increased in the 1960s and medical informatics was identified as a new specialty in the 1970s. PMID:3544507

  13. Medical and trauma evacuations.

    PubMed

    Neri, Myles; De Jongh, Rene

    2004-02-01

    Evacuating ill or injured expatriates on international assignments from globally challenging locations is a potent source of concern for individuals who are involved before, during, and after overseas assignments. It is essential to minimize the risk for such evacuations and to make the evacuations proceed as smoothly and safely as possible. The first half of this article addresses the planning and processes that are required to make inevitable medical evacuations as safe and smooth as possible. The second half reviews the non-medical consequences that medical and security evacuations can have for employees, dependents, and employers. PMID:15043365

  14. Exploration Medical System Demonstration

    NASA Technical Reports Server (NTRS)

    Rubin, D. A.; Watkins, S. D.

    2014-01-01

    BACKGROUND: Exploration class missions will present significant new challenges and hazards to the health of the astronauts. Regardless of the intended destination, beyond low Earth orbit a greater degree of crew autonomy will be required to diagnose medical conditions, develop treatment plans, and implement procedures due to limited communications with ground-based personnel. SCOPE: The Exploration Medical System Demonstration (EMSD) project will act as a test bed on the International Space Station (ISS) to demonstrate to crew and ground personnel that an end-to-end medical system can assist clinician and non-clinician crew members in optimizing medical care delivery and data management during an exploration mission. Challenges facing exploration mission medical care include limited resources, inability to evacuate to Earth during many mission phases, and potential rendering of medical care by non-clinicians. This system demonstrates the integration of medical devices and informatics tools for managing evidence and decision making and can be designed to assist crewmembers in nominal, non-emergent situations and in emergent situations when they may be suffering from performance decrements due to environmental, physiological or other factors. PROJECT OBJECTIVES: The objectives of the EMSD project are to: a. Reduce or eliminate the time required of an on-orbit crew and ground personnel to access, transfer, and manipulate medical data. b. Demonstrate that the on-orbit crew has the ability to access medical data/information via an intuitive and crew-friendly solution to aid in the treatment of a medical condition. c. Develop a common data management framework that can be ubiquitously used to automate repetitive data collection, management, and communications tasks for all activities pertaining to crew health and life sciences. d. Ensure crew access to medical data during periods of restricted ground communication. e. Develop a common data management framework that

  15. City-Level Energy Decision Making. Data Use in Energy Planning, Implementation, and Evaluation in U.S. Cities

    SciTech Connect

    Aznar, Alexandra; Day, Megan; Doris, Elizabeth; Mathur, Shivani; Donohoo-Vallett, Paul

    2015-07-08

    The Cities-LEAP technical report, City-Level Energy Decision Making: Data Use in Energy Planning, Implementation, and Evaluation in U.S. Cities, explores how a sample of cities incorporates data into making energy-related decisions. This report provides the foundation for forthcoming components of the Cities-LEAP project that will help cities improve energy decision making by mapping specific city energy or climate policies and actions to measurable impacts and results.

  16. Roles of Nurses in Home Medical Care.

    PubMed

    Tomiyama, Miyuki

    2016-01-01

    Some patients of advanced age with heart failure (HF) require repeated hospital care. In an aging society, the importance of medical and social care support systems for patients with HF further increases. In Onomichi-city, a comprehensive community care system has been in place since its introduction in 1997. The system is called "Onomichi Type". This is an interprofessional care system in which a variety of healthcare professionals, with common basic knowledge of disease prevention, treatment and welfare, collaborate with other care professionals. These professionals gain shared knowledge in regard to care management, and fulfill their respective roles at Care Conferences held during a patient's hospital stay. Elderly patients also often have multiple comorbidities and take a lot of medicines. Some patients might forget to take their medicine, whereas others might take an overdose. Thus, sharing a patient's complete medical information with pharmacists is also necessary. We began to collaborate with pharmacists in hospitals and at pharmacies in 2014. The pharmacist plays a great role in providing comprehensive community medical care. PMID:27477730

  17. Changing medical students' attitudes toward older adults.

    PubMed

    Gonzales, Ernest; Morrow-Howell, Nancy; Gilbert, Pat

    2010-01-01

    Given the growth in the number of older adults and the ageist attitudes many in the health care profession hold, interventions aimed at improving health professionals' attitudes toward older adults are imperative. Vital Visionaries is an intergenerational art program designed to improve medical students' attitudes toward older adults. Participants met for four 2-hour sessions at local art museums to create and discuss art. Three hundred and twenty-eight individuals (112 treatment group, 96 comparison, 120 older adults) in eight cities participated in the program and evaluation. Participants completed pre-and postsurveys that captured their attitude toward older adults, perception of commonality with older adults, and career plans. Findings suggest that medical students' attitudes toward old adults were positive at pretest. However, Vital Visionary students became more positive in their attitudes toward older adults at posttest (p < .001), with a moderate effect size, G = .60, and they felt they had more in common with older adults at posttest (p < .001), with a moderate effect size, G = .64. The program did not influence their career plans (p = .35). Findings from this demonstration project suggest that socializing medical students with healthy older adults through art programs can foster positive attitudes and enhance their sense of commonality with older adults. PMID:20730650

  18. Adherence to Antihypertensive Medications in Iranian Patients

    PubMed Central

    Behnood-Rod, Azin; Rabbanifar, Omid; Pourzargar, Pirouz; Rai, Alireza; Saadat, Zahra; Saadat, Habibollah; Moharamzad, Yashar; Morisky, Donald E.

    2016-01-01

    Introduction. Appropriate adherence to medication is still a challenging issue for hypertensive patients. We determined adherence to antihypertensive(s) and its associated factors among 280 Iranian patients. Methods. They were recruited consecutively from private and university health centers and pharmacies in four cities. The validated Persian version of the 8-item Morisky Medication Adherence Scale (MMAS-8) was administered to measure adherence. Results. Mean (±SD) overall MMAS-8 score was 5.75 (±1.88). About half of the sample (139 cases, 49.6%) showed low adherence (MMAS-8 score < 6). There was a negative linear association between the MMAS-8 score and systolic BP (r = −0.231, P < 0.001) as well as diastolic BP (r = −0.280, P < 0.001). In linear regression model, overweight/obesity (B = −0.52, P = 0.02), previous history of admission to emergency services due to hypertensive crisis (B = −0.79, P = 0.001), and getting medication directly from drugstore without refill prescription in hand (B = −0.51, P = 0.04) were factors recognized to have statistically significant association with the MMAS-8 score. Conclusion. Antihypertensive adherence was unsatisfactory. We suggest that health care providers pay special attention and make use of the aforementioned findings in their routine visits of hypertensive patients to recognize those who are vulnerable to poor adherence. PMID:27069676

  19. Adherence to Antihypertensive Medications in Iranian Patients.

    PubMed

    Behnood-Rod, Azin; Rabbanifar, Omid; Pourzargar, Pirouz; Rai, Alireza; Saadat, Zahra; Saadat, Habibollah; Moharamzad, Yashar; Morisky, Donald E

    2016-01-01

    Introduction. Appropriate adherence to medication is still a challenging issue for hypertensive patients. We determined adherence to antihypertensive(s) and its associated factors among 280 Iranian patients. Methods. They were recruited consecutively from private and university health centers and pharmacies in four cities. The validated Persian version of the 8-item Morisky Medication Adherence Scale (MMAS-8) was administered to measure adherence. Results. Mean (±SD) overall MMAS-8 score was 5.75 (±1.88). About half of the sample (139 cases, 49.6%) showed low adherence (MMAS-8 score < 6). There was a negative linear association between the MMAS-8 score and systolic BP (r = -0.231, P < 0.001) as well as diastolic BP (r = -0.280, P < 0.001). In linear regression model, overweight/obesity (B = -0.52, P = 0.02), previous history of admission to emergency services due to hypertensive crisis (B = -0.79, P = 0.001), and getting medication directly from drugstore without refill prescription in hand (B = -0.51, P = 0.04) were factors recognized to have statistically significant association with the MMAS-8 score. Conclusion. Antihypertensive adherence was unsatisfactory. We suggest that health care providers pay special attention and make use of the aforementioned findings in their routine visits of hypertensive patients to recognize those who are vulnerable to poor adherence. PMID:27069676

  20. The history of organized medical transport in Minneapolis: 1867-1930.

    PubMed

    Thielen, Scott D

    2010-03-01

    When Minneapolis officially became a city in 1867, there were no hospitals or ambulance services within its limits. Four years later, in 1871, the first hospital in the city, Cottage Hospital, opened its doors to the public, shifting medical care from the family home to the hospital. The need then developed for organized medical transport. The period between 1880 and 1890 marked the beginning of limited ambulance service in Minneapolis. Over the next 40 years, many public and private institutions developed their own transport services. During that same time, skilled medical transport in which physicians and/or nurses went along on calls began, and the transport of patients transitioned from horse and wagon to motorized ambulances. These developments would set the stage for future innovations in Minneapolis' emergency medical system and ultimately improve patient care and survival. PMID:20429176

  1. Prevalence of stress in junior doctors during their internship training: a cross-sectional study of three Saudi medical colleges’ hospitals

    PubMed Central

    Abdulghani, Hamza Mohammad; Irshad, Mohammad; Al Zunitan, Mohammed A; Al Sulihem, Ali A; Al Dehaim, Muhammed A; Al Esefir, Waleed A; Al Rabiah, Abdulaziz M; Kameshki, Rashid N; Alrowais, Nourah Abdullah; Sebiany, Abdulaziz; Haque, Shafiul

    2014-01-01

    Background Medical science is perceived as a stressful educational career, and medical students experience monstrous stress during their undergraduate studies, internship, and residency training, which affects their cognitive function, practical life, and patient care. In the present study, an assessment of the prevalence of self-perceived stress among new medical graduates during their internship training has been performed, and correlations of self-perceived stress with sex, marital status, and clinical rotations have been evaluated. Patients and methods Interns of the King Khalid, King Abdulaziz, and King Fahd University hospitals in Saudi Arabia were invited to complete a stress inventory known as the Kessler 10, which is used for stress measurement. Apart from stress evaluation, the questionnaire collected personal data, such as age, sex, and marital status, in addition to information relevant to hospital training, assigned duties, and clinical training rotations. Results Our results showed that nearly 73.0% of interns were under stressed conditions. Most of the interns were affected by a severe level of stress (34.9%), followed by mild (19.3%) and moderate (18.8%) levels of stress. The stress level was significantly higher (84.0%) among female interns in comparison with male interns (66.5%) (odds ratio =2.64; confidence interval =1.59–4.39; P<0.0002). There were statistically significant differences between the percentages of male and female interns (P≤0.047) at mild, moderate, and severe stress levels. Marital status had no role in causing stress. The highest stress level was reported by interns during the clinical rotations of medicine (78.8%), followed by surgery (74.7%), pediatrics (72.4%), obstetrics and gynecology (70.1%), and emergency (58.3%). The prevalence of stress among the interns and their corresponding clinical rotations in all three hospitals had significant linear correlations (r≥0.829, P≤0.041). Conclusion We found a significantly

  2. Elizabeth City State University: Elizabeth City, North Carolina (Data)

    DOE Data Explorer

    Stoffel, T.; Andreas, A.

    1985-09-25

    The Historically Black Colleges and Universities (HBCU) Solar Radiation Monitoring Network operated from July 1985 through December 1996. Funded by DOE, the six-station network provided 5-minute averaged measurements of direct normal, global, and diffuse horizontal solar irradiance. The data were processed at NREL to improve the assessment of the solar radiation resources in the southeastern United States. Historical HBCU data available online include quality assessed 5-min data, monthly reports, and plots. In January 1997 the HBCU sites became part of the CONFRRM solar monitoring network and data from the two remaining active stations, Bluefield State College and Elizabeth City State University, are collected by the NREL Measurement & Instrumentation Data Center (MIDC).

  3. An overview of the medical informatics curriculum in medical schools.

    PubMed Central

    Espino, J. U.; Levine, M. G.

    1998-01-01

    As medical schools incorporate medical informatics into their curriculum the problems of implementation arise. Because there are no standards regarding a medical informatics curriculum, medical schools are implementing the subjects in various ways. A survey was undertaken to amass an overview of the medical informatics curriculum nationally. Of the responding schools, most have aspects of medical informatics incorporated into current courses and utilize existing faculty. Literature searching, clinical decision-making, and Internet are the basic topics in the current curricula. The trend is for medical informatics to be incorporated throughout all four years of medical school. Barriers are the difficulties in faculty training, and slow implementation. PMID:9929263

  4. A Status Report on Hunger and Homelessness in America's Cities, 2000: A 25-City Survey.

    ERIC Educational Resources Information Center

    Lowe, Eugene T.

    To assess the status of hunger and homelessness in U.S. cities during the year 2000, the U.S. Conference of Mayors surveyed 25 major cities whose mayors were members of its Task Force on Hunger and Homelessness. The survey sought information and estimates from each city on emergency food supplies and services, the causes of hunger and…

  5. Building a City: A Spin Off Project. Part II of Students Discovering Cities.

    ERIC Educational Resources Information Center

    Weiler, Adele

    1988-01-01

    Discusses "Students Discovering Cities" and related activities, explaining how the program evolved into a city planning project for fourth graders in West Jordan, Utah. Describes the final stage of the project in which students "built" their city inside the school gymnasium, complete with streets, lights, cardboard buildings, and green spaces.…

  6. Gods of the City? Reflecting on City Building Games as an Early Introduction to Urban Systems

    ERIC Educational Resources Information Center

    Bereitschaft, Bradley

    2016-01-01

    For millions of gamers and students alike, city building games (CBGs) like SimCity and the more recent Cities: Skylines present a compelling initial introduction to the world of urban planning and development. As such, these games have great potential to shape players' understanding and expectations of real urban patterns and processes. In this…

  7. School-based Management of Chronic Asthma Among Inner-city African-American Schoolchildren in Dallas, Texas.

    ERIC Educational Resources Information Center

    McEwen, Melanie; Johnson, Pauline; Neatherlin, Jacque; Millard, Mark W.; Lawrence, Gretchen

    1998-01-01

    Examined the efficacy of a school-based asthma management program to prevent exacerbation of symptoms in inner-city, African-American students. Students visited the school clinic twice daily for treatment with inhaled anti-inflammatory medication and measurement of respiratory peak flow rates. Regular use of inhaled anti-inflammatory medication…

  8. USAAA Conference in Park City Utah: The Autism Epidemic a Mystery? Only if One Ignores All the Science

    ERIC Educational Resources Information Center

    Stoller, K. Paul

    2006-01-01

    This article is a synopsis of a presentation offered by the author at the recent United States Autism and Asperger Association Conference in Park City, Utah. During the USAAA conference, the author voices his concerns over the current autism epidemic. He opines that the failure of the medical profession and many governmental and other public…

  9. Income Inequality and Risk of Suicide in New York City Neighborhoods: A Multilevel Case-Control Study

    ERIC Educational Resources Information Center

    Miller, Jeffrey R.; Piper, Tinka Markham; Ahern, Jennifer; Tracy, Melissa; Tardiff, Kenneth J.; Vlahov, David; Galea, Sandro

    2005-01-01

    Evidence on the relationship between income inequality and suicide is inconsistent. Data from the New York City Office of the Chief Medical Examiner for all fatal injuries was collected to conduct a multilevel case-control study. In multilevel models, suicide decedents (n = 374) were more likely than accident controls (n = 453) to reside in…

  10. Medical dosimetry in Hungary

    NASA Astrophysics Data System (ADS)

    Turák, O.; Osvay, M.; Ballay, L.

    2012-09-01

    Radiation exposure of medical staff during cardiological and radiological procedures was investigated. The exposure of medical staff is directly connected to patient exposure. The aim of this study was to determine the distribution of doses on uncovered part of body of medical staff using LiF thermoluminescent (TL) dosimeters in seven locations. Individual Kodak film dosimeters (as authorized dosimetry system) were used for the assessment of medical staff's effective dose. Results achieved on dose distribution measurements confirm that wearing only one film badge under the lead apron does not provide enough information on the personal dose. The value of estimated annual doses on eye lens and extremities (fingers) were in good correlation with international publications.

  11. Smoking cessation medications

    MedlinePlus

    ... should not be used for people who: Are under age 18. Are pregnant. Have a history of medical ... with nicotine patches, gums, sprays or lozenges. Children under age 18 should not take this drug. Most people ...

  12. American Podiatric Medical Association

    MedlinePlus

    ... of the winners. Learn More about The National Advertisement Advertisement @APMA Tweets by @APMA Follow @APMA Featured Webinars ... plans for his term in office. Watch now! Advertisement © 2016 American Podiatric Medical Association, Inc. All rights ...

  13. [Medical Equipment Maintenance Methods].

    PubMed

    Liu, Hongbin

    2015-09-01

    Due to the high technology and the complexity of medical equipment, as well as to the safety and effectiveness, it determines the high requirements of the medical equipment maintenance work. This paper introduces some basic methods of medical instrument maintenance, including fault tree analysis, node method and exclusive method which are the three important methods in the medical equipment maintenance, through using these three methods for the instruments that have circuit drawings, hardware breakdown maintenance can be done easily. And this paper introduces the processing methods of some special fault conditions, in order to reduce little detours in meeting the same problems. Learning is very important for stuff just engaged in this area. PMID:26904890

  14. Medications for Memory Loss

    MedlinePlus

    ... memory loss, confusion, and problems with thinking and reasoning) of Alzheimer's disease. As Alzheimer’s progresses, brain cells ... the latest Alzheimer's medications available today, and the clinical trials that may bring us closer to new ...

  15. Deregulating mandatory medical prescription.

    PubMed

    Mitchell, C N

    1986-01-01

    This Article links the legal evolution of mandatory medical prescription since 1900 to the police-power's prohibition of alcohol and the opiates as well as to the self-interested monopolization of new drugs by physicians. The Article advances a theory of professionalization consistent with the evidence that mandatory prescription is not in the public interest. The Article suggests that the supremacy of self-medication is consistent with competition policy, the medical profession's fiduciary duty to clients, reduced medical costs and improved health. The author analyzes the consequences of regulating drug production, testing, marketing and consumtion by granting decision-making authority to the lowest-cost risk avoider, suggesting this as a plausible basis for legal reform. PMID:3327377

  16. Surgery, Hospitals, and Medications

    MedlinePlus

    Patient Education Sheet Sjögren’s, Surgery, Hospitals, and Medications The SSF thanks Lynn Petruzzi, RN, MSN, for this Patient Education Sheet. Educate your healthcare givers! • Tell your surgeon, ...

  17. Medications for Arrhythmia

    MedlinePlus

    ... colored labels and stick them on your medicine bottles to simplify your routine. For example, blue can ... easier to take. Purchase timer caps for pill bottles to remind you when to take medication. Also, ...

  18. Medications and Blood Pressure

    MedlinePlus

    ... colored labels and stick them on your medicine bottles to simplify your routine. For example, blue can ... easier to take. Purchase timer caps for pill bottles to remind you when to take medication. Also, ...

  19. Medications for Inducing Ovulation

    MedlinePlus

    ... pregnant because their ovaries do not release (ovulate) eggs. Fertility specialists may use medications that work on ... not ovulate regularly, and 2) to cause multiple eggs to develop and be released at one time. ...

  20. Medical marijuana: legal considerations.

    PubMed

    Schouten, J T

    1999-01-01

    In 1998, Washington State passed a law, Initiative 692 (I-692), that gives individuals who are charged with possession of marijuana for medical purposes a possible affirmative defense. The law lets these individuals provide a note from their doctor or a copy of their medical records stating they have a condition that may benefit from the use of marijuana. I-692 does not legalize the medical use of marijuana and does not affect Federal law, which makes obtaining, possessing, and growing marijuana illegal. The Washington law limits the amount of marijuana a patient can possess to a 60-day supply and defines the conditions for which medical marijuana may be used. These conditions include HIV, cancer, multiple sclerosis, and epilepsy. PMID:11366751

  1. Medical futility and nursing.

    PubMed

    Taylor, C

    1995-01-01

    Defining medical futility is central to the efforts of clinicians and ethicists who seek to identify the limits of patient autonomy. This article is a critique of current efforts to define and then use policies of medical futility to justify refusing requests for treatment and care that have no perceived medical benefit. After exploring the current definitions of medical futility in the bioethics and clinical literature, comparisons of the advantages and disadvantages of the following three options are provided: allowing patients to decide all but physiologic futility, allowing clinicians to decide futility, and pursuing negotiated compromise. The third option--negotiated compromise--is recommended. A role is developed for nurses in preventing and resolving conflict about futile treatment. PMID:8530119

  2. Your Pet's Medications

    MedlinePlus

    ... commonly used types of medications in dogs and cats, but is by no means a complete list ... from a viral infection. Examples in dogs and cats include penicillin, trimethoprim-sulfa, cephalexin and enrofloxacin. Non- ...

  3. Medications (for IBS)

    MedlinePlus Videos and Cool Tools

    ... discomfort, usually if the symptoms occur soon after eating. Examples include dicyclomine (Bentyl), and hyoscyamine (Levsin). Read ... who specializes in motility or stress-related gastrointestinal disorders. More complex medication regimens, and specialized motility and/ ...

  4. Medically Unexplained Symptoms

    MedlinePlus

    WRIISC War Related Illness and Injury Study Center Office of Public Health Department of Veterans Affairs MEDICALLY UNEXPLAINED SYMPTOMS ... showed that CFS was more common in Gulf War Veterans than non- Gulf War Veterans ( Kang et ...

  5. Occupational Medical Program

    1993-12-08

    The Occupational Medical Program (OMP) oversees all Idaho National Engineering Laboratory (INEL) health care, and provides services to all managing and operating (M&O) contractors at the INEL and for the Department of Energy Idaho Office (DOE-ID). The evolution of the automated OMP at the INEL is guided by the U.S. Department of Energy (DOE) directives and regulations. The OMP is developing a multiyear plan for the computerization of patient and demographics, epidemiology, medical records, andmore » surveillance. This plan will require the following six development phases: Employee Demographic Phase, Patient Surveillance Certification and Restrictions Phase, Electronic Notification Phase, Epidemiology-Industrial Hygiene/Radiation Exposure/OMP Integration Phase, Medical Scheduling Phase, and Medical Records Phase.« less

  6. Pain medications - narcotics

    MedlinePlus

    ... medlineplus.gov/ency/article/007489.htm Pain medications - narcotics To use the sharing features on this page, please enable JavaScript. Narcotics are also called opioid pain relievers. They are ...

  7. Understanding Medical Research

    MedlinePlus

    ... hear about the results of a new medical research study. Sometimes the results of one study seem ... a randomized controlled clinical trial? Where was the research done? If a new treatment was being tested, ...

  8. Psychotropic Medications for Children.

    ERIC Educational Resources Information Center

    Cordoba, Oscar A.; And Others

    1983-01-01

    Reviews the clinical conditions and medications used with children who have emotional and behavioral problems including hyperactivity, enuresis, anxiety, depression, mental retardation, and Tourette's Syndrome. Discusses the role of the social worker, ethical issues, and training needs. (JAC)

  9. Catastrophic medical expenditure risk.

    PubMed

    Flores, Gabriela; O'Donnell, Owen

    2016-03-01

    We propose a measure of household exposure to particularly onerous medical expenses. The measure can be decomposed into the probability that medical expenditure exceeds a threshold, the loss due to predictably low consumption of other goods if it does and the further loss arising from the volatility of medical expenses above the threshold. Depending on the choice of threshold, the measure is consistent with a model of reference-dependent utility with loss aversion. Unlike the risk premium, the measure is only sensitive to particularly high expenses, and can identify households that expect to incur such expenses and would benefit from subsidised, but not actuarially fair, insurance. An empirical illustration using data from seven Asian countries demonstrates the importance of taking account of informal insurance and reveals clear differences in catastrophic medical expenditure risk across and within countries. In general, risk is higher among poorer, rural and chronically ill populations. PMID:26812650

  10. American Medical Association

    MedlinePlus

    ... Network JAMA JAMA Cardiology JAMA Dermatology JAMA Facial Plastic Surgery JAMA Internal Medicine JAMA Neurology JAMA Oncology ... Medical Association) JAMA Cardiology JAMA Dermatology JAMA Facial Plastic Surgery JAMA Internal Medicine JAMA Neurology JAMA Oncology ...

  11. Medications: Myths Versus Facts

    MedlinePlus

    ... supplements can take a toll on your body’s chemistry and alter the effectiveness of some medications. One ... Privacy Policy Popular Articles 1 Understanding Blood Pressure Readings 2 Sodium and Salt 3 Low Blood Pressure ...

  12. The coming medical apocalypse.

    PubMed

    Washburn, E R

    1999-01-01

    Is there a medical apocalypse in our future? Will it happen soon? No one can say for sure, but five ominous trends suggest that a medical meltdown could occur at any time. These trends are: (1) The practice of providing medical care becoming too complex from both a business and a legal perspective; (2) Less money being spent on medical care without any corresponding reduction in services provided, creating long-term operating deficits; (3) Investor-owned, for-profit corporations changing the focus of medicine by putting shareholder concerns ahead of patient care; (4) Employment-linked health care insurance creating a growing uninsured population, adding extra financial stress to our hospitals; and, (5) Providers losing faith in their future and becoming increasingly demoralized about practicing the healing arts. These dangerous trends are considered, along with some suggestions that physician executives and organizations might take to protect themselves. PMID:10387269

  13. Medical Issues: Orthopedics

    MedlinePlus

    ... support & care > living with sma > medical issues > orthopedics Orthopedics In SMA, muscle weakness can cause several complications. ... difficulty sitting, standing, or performing normal daily activities. Orthopedic Considerations Doctors and therapists classify individuals with SMA ...

  14. Anorexia nervosa - medical complications.

    PubMed

    Mehler, Philip S; Brown, Carrie

    2015-01-01

    In contrast to other mental health disorders, eating disorders have a high prevalence of concomitant medical complications. Specifically, patients suffering from anorexia nervosa (AN) have a litany of medical complications which are commonly present as part of their eating disorders. Almost every body system can be adversely, affected by this state of progressive malnutrition. Moreover, some of the complications can have permanent adverse effects even after there is a successful program of nutritional rehabilitation and weight restoration. Within this article we will review all body systems affected by AN. There is also salient information about both, how to diagnose these medical complications and which are the likely ones to result in permanent sequelae if not diagnosed and addressed early in the course of AN. In a subsequent article, the definitive medical treatment for these complications will be presented in a clinically practical manner. PMID:25834735

  15. When Medication Is Prescribed

    MedlinePlus

    ... or combination of medications for the patient. Selective serotonin reuptake inhibitors (SSRIs): citalopram (brand name: Celexa) escitalopram ( ... brand names: Paxil, Pexeva) sertraline (brand name: Zoloft) Serotonin and norepinephrine reuptake inhibitors (SNRIs): venlafaxine (brand name: ...

  16. Alzheimer's Disease Medications

    MedlinePlus

    ... Referral Center Alzheimer's Disease Education and Referral Center Alzheimer's Disease Education and Referral Center Home About Alzheimer’s ... Plan National Alzheimer's Project Act (NAPA) About ADEAR Alzheimer's Disease Medications Fact Sheet Treatment for Mild to ...

  17. Understanding Medical Words

    MedlinePlus

    ... Bar Home Current Issue Past Issues Understanding Medical Words Past Issues / Summer 2009 Table of Contents For ... Medicine that teaches you about many of the words related to your health care Do you have ...

  18. Medical Library Association

    MedlinePlus

    ... 11th, 2016 Patricia Flatley Brennan, registered nurse, informatician, industrial engineer, and renowned researcher is appointed as Director of the National Library of Medicine Tweets Copyright © 2016 Medical Library Association. ...

  19. Hay Fever Medications

    MedlinePlus

    ... and fall hay fever symptoms. While avoiding the allergens that trigger symptoms is the best way to ... before you first come into contact with spring allergens, the medication can prevent the release of histamine ...

  20. Emergency Medical Services

    MedlinePlus

    ... and need help right away, you should use emergency medical services. These services use specially trained people ... facilities. You may need care in the hospital emergency room (ER). Doctors and nurses there treat emergencies, ...

  1. The Challenge of Urbanization. The World's Large Cities.

    ERIC Educational Resources Information Center

    United Nations New York, NY. Dept. of Economic and Social Information and Policy Analysis.

    This publication concentrates on city problems and special city planning issues in the world's large cities, pinpointing their demographic characteristics, economic structure, available social services, and infrastructures, as well as current issues facing city planners. Profiles of 100 large cities across the world, from Abidjan to Yangon, make…

  2. On Creating the "City" as a Collective Resource.

    ERIC Educational Resources Information Center

    Healy, Patsy

    2002-01-01

    Explores multiple meanings of "city," discussing different approaches to imagining cities; how concepts of "city" are currently mobilized in urban governance; how a richer array of concepts may be mobilized and attached to the strategic governance capacity to shape evolving city futures; and the role of ongoing debates about the "city" as a…

  3. Uncertainties in city greenhouse gas inventories

    NASA Astrophysics Data System (ADS)

    Wattenbach, Martin; Redweik, Richard; Luedtke, Stefan; Deng-Beck, Chang; Ross, Lutz; Nagel, Claus

    2015-04-01

    In 1993 mayors from 50 cities in 20 countries gathered at the UN in New York under the umbrella of the International Council for Local Environmental Initiatives (ICLEI) to issue a declaration aimed at cutting carbon dioxide emissions from cities. By today 465 cities report their GHG emissions in ICLEIs carbonn Cities Climate Registry (cCR) . Many cities worldwide are on the route to implement the combined new standard for city-based GHG accounting and reporting, named the Global Protocol for Community-Scale GHG Emissions (GPC). These extensive data sources offer the unique chance to better understand, manage and reduce city GHG emissions. However, many cities are already reporting or have reported their GHG emission in non GPC conform tools. This heterogeneous data source raises the question on how these data could be potentially transferred to a GPC conform level. For the transfer process it is very important to understand and quantify the potential losses of information and increase or decrease in uncertainty due to class conversions and associated recalculations of GHG data. Here we compare existing GHG reports from different sources based on the use of different tools. We look at data from the carbonn Registry by ICLEI, the CDP, C40 and the Ecoregion tool. Using examples of existing data form cities in Europe we demonstrate potential information losses and inconsistencies leading to increased uncertainty. We also illustrate the potential mapping schemes for the data structures and identify uncertainties from using alternative mappings. In conclusion it is essential to develop consistent data structures in order to allow the use of city GHG data for time series analysis and city intercomparison.

  4. STS-2 medical report

    SciTech Connect

    Pool, S.L.; Johnson, P.C., Jr.; Mason, J.A.

    1982-05-01

    All medically related activities of the Space Transportation System 2 flight are described, ranging from preflight to postflight. Several medical problems occured during the flight. There was marginal operation on-board potable water system caused by a malfunctioning fuel cell. Work and rest cycles by the crew were altered to maximize the scientific data acquisition. Inadequate time was allocated for food preparation and consumption. There was low water intake by the crew because of the water shortage.

  5. Medical rare book provenance.

    PubMed Central

    Overmier, J A; Sentz, L

    1987-01-01

    Provenance is defined as the record of a book's ownership history. Its value and uses are explored. A survey of provenance practices in medical school rare book libraries found that only 21% of the reporting libraries maintain this important file. Examples of the uses and value of a provenance file in a medical rare book collection are presented. Decisions necessary to institute and maintain such a file are outlined and discussed. PMID:3828606

  6. [Medical accountability: current elements].

    PubMed

    Bergoignan-Esper, Claudine

    2014-01-01

    In 2002, a new law significantly modified the legal treatment of medical accidents in France, encouraging dialogue and conciliation rather than litigation. Specific structures were created to settle disputes without recourse to the judiciary system. A mechanismfor national solidarity was also created in order to indemnfy some victims. More than ten years later the number of court cases has diminished but vigilance is still required, notably because of the increasingly large sums awarded to victims of medical accidents. PMID:26753401

  7. Physicians: Choosing Your Medical Specialty

    MedlinePlus

    ... A Text size Email How to Choose a Medical Specialty Choosing a medical specialty is a career- ... most challenging aspects of patient care. “Choosing a Medical Specialty”—A Guide on What to Expect from ...

  8. Effects of Medications on Voice

    MedlinePlus

    ... Meeting Calendar Find an ENT Doctor Near You Effects of Medications on Voice Effects of Medications on Voice Patient Health Information News ... replacement therapy post-menopause may have a variable effect. An inadequate level of thyroid replacement medication in ...

  9. Rationing medical education.

    PubMed

    Walsh, Kieran

    2016-03-01

    The purpose of this paper is to discuss the role of rationing in medical education. Medical education is expensive and there is a limit to that which governments, funders or individuals can spend on it. Rationing involves the allocation of resources that are limited. This paper discussed the pros and cons of the application of rationing to medical education and the different forms of rationing that could be applied. Even though some stakeholders in medical education might be taken aback at the prospect of rationing, the truth is that rationing has always occurred in one form or another in medical education and in healthcare more broadly. Different types of rationing exist in healthcare professional education. For example rationing may be implicit or explicit or may be based on macro-allocation or micro-allocation decisions. Funding can be distributed equally among learners, or according to the needs of individual learners, or to ensure that overall usefulness is maximised. One final option is to allow the market to operate freely and to decide in that way. These principles of rationing can apply to individual learners or to institutions or departments or learning modes. Rationing is occurring in medical education, even though it might be implicit. It is worth giving consideration to methods of rationing and to make thinking about rationing more explicit. PMID:27358649

  10. The Secret Kappa Lambda Society of Hippocrates (and the Origin of the American Medical Association's Principles of Medical Ethics).

    PubMed Central

    Ambrose, Charles T.

    2005-01-01

    This paper relates the neglected history of an idealistic, secret medical fraternity which existed briefly in Lexington, Kentucky, during the first half of the 19th century. It was created for students in the Medical Department at Transylvania University, the fifth US medical school, founded in 1799. One goal of the fraternity was to counter the widespread dissension and often violent quarrels among doctors that characterized American medicine of that period. And to that end, it was among the first to promote Thomas Percival's code of medical ethics in this country. Branches of the fraternity were established in Philadelphia and New York City, where members became influential in local medical politics but in time encountered hostility from rival physicians. The secret character of the fraternity branches was publicized and maligned during an anti-Masonic movement in this country in the 1830s, which soon led to the demise of the Philadelphia group. The New York branch remained active through the 1860s. Members of both branches were among those who in 1847 established the American Medical Association and devised its Principles of Medical Ethics. PMID:16197729

  11. [The movement to establish a Christian medical school proposed by medical missionary "John C. Berry"].

    PubMed

    Fuseda, Tetsuya

    2014-12-01

    John C. Berry (1847-1936) came to Japan in 1872, worked as a medical missionary for the American Board of Commissioners for Foreign Missions (ABCFM . He attempted to influence Japanese medical education toward a more Christian-influenced approach. In early Meiji, the Japanese government adopted the German language and principles for its national medical program. This promoted a tendency towards the adoption of German concepts in Japanese medical education. The director of of Doshisha, Niijima, was concerned about such a tendency, which he considered rather science-oriented or skeptical and atheistic, according to his writings. The tradition of corruption among Japanese doctors also deeply disappointed him. Niijima sought the type of medical institution in which the students would learn Western medicine based on a moral base of Christianity, presumably in Kyoto, to take advantage of the foundation of Doshisha, which had already been built. Missionaries in Japan, especially Berry, supported Niijima's intentions. During his visit to the U.S. he promoted a mission statement in support of Niijima's idea in order to raise funds among Christian communities. This project produced a resolution among the Christian community in Philadelphia to establish an interdenominational foundation for establishing such a medical institution and it encouraged other cities to follow. However, the American Board of Missionaries in Japan disagreed with the idea of its being interdenominational, and then, along with other struggles such as the lack of funding in light of the economic slowdown, and the widespread social rejection of Christianity in Japan, the project fell apart and was suspended. PMID:25854104

  12. Computer-Based Medical System

    NASA Technical Reports Server (NTRS)

    1998-01-01

    SYMED, Inc., developed a unique electronic medical records and information management system. The S2000 Medical Interactive Care System (MICS) incorporates both a comprehensive and interactive medical care support capability and an extensive array of digital medical reference materials in either text or high resolution graphic form. The system was designed, in cooperation with NASA, to improve the effectiveness and efficiency of physician practices. The S2000 is a MS (Microsoft) Windows based software product which combines electronic forms, medical documents, records management, and features a comprehensive medical information system for medical diagnostic support and treatment. SYMED, Inc. offers access to its medical systems to all companies seeking competitive advantages.

  13. The Economic Geography of Medical Marijuana Dispensaries in California

    PubMed Central

    Morrison, Chris; Gruenewald, Paul J.; Freisthler, Bridget; Ponicki, William R.; Remer, Lillian G.

    2014-01-01

    Background The introduction of laws that permit the use of marijuana for medical purposes has led to the emergence of a medical marijuana industry in some US states. This study assessed the spatial distribution of medical marijuana dispensaries according to estimated marijuana demand, socioeconomic indicators, alcohol outlets and other socio-demographic factors. Method Telephone survey data from 5,940 residents of 39 California cities were used to estimate social and demographic correlates of marijuana demand. These individual-level estimates were then used to calculate aggregate marijuana demand (i.e. market potential) for 7,538 census block groups. Locations of actively operating marijuana dispensaries were then related to the measure of demand and the socio-demographic characteristics of census block groups using multilevel Bayesian conditional autoregressive logit models. Results Marijuana dispensaries were located in block groups with greater marijuana demand, higher rates of poverty, alcohol outlets, and in areas just outside city boundaries. For the sampled block groups, a 10% increase in demand within a block group was associated with 2.4% greater likelihood of having a dispensary, and a 10% increase in the city-wide demand was associated with a 6.7% greater likelihood of having a dispensary. Conclusion High demand for marijuana within individual block groups and within cities is related to the location of marijuana dispensaries at a block-group level. The relationship to low income, alcohol outlets and unincorporated areas indicates that dispensaries may open in areas that lack the resources to resist their establishment. PMID:24439710

  14. The "Inner City" Is My Blues

    ERIC Educational Resources Information Center

    Davis, Danne E.

    2008-01-01

    In this article, the author shares that what she knows about the inner city does not stem from the location of her childhood. Rather, she knows about the inner city through the vernacular of her peers who use it to entitle courses; name proposals, scholarly presentations, and research foci; refer to practicum settings where numerous prospective…

  15. Toward 2025 in the Massillon City Schools

    ERIC Educational Resources Information Center

    O'Neill, Adrienne

    2007-01-01

    Fred Blosser, Superintendent of Massillon City Schools, asked Adrienne O'Neill, Ed.D., President of the Stark Education Partnership, to conduct a study of curriculum, instruction, and professional development in the Massillon City Schools. A white paper was requested that would contain a critical analysis of curriculum, instruction, professional…

  16. Clean Cities Now, Vol. 18, No. 1

    SciTech Connect

    2014-04-30

    The Spring 2014 edition of the semi-annual newsletter for the U.S. Department of Energy's Clean Cities initiative. The newsletter includes feature stories on deployment of alternative fuels and advanced vehicles, and articles on Clean Cities coalition successes across the country.

  17. New York City's Charter Schools Overall Report

    ERIC Educational Resources Information Center

    Hoxby, Caroline M.; Murarka, Sonali

    2007-01-01

    This multi-year study reports on results for New York City Charter Schools through the 2005-2006 school year. As independent entities within the public sector, charter schools vary in their policies and practices. Policies that are unusual in traditional public schools but fairly common among New York City's charter schools include long school…

  18. Public Education in New York City.

    ERIC Educational Resources Information Center

    Landes, Rosalind

    One of the major concerns of the First National City Bank's Public Affairs Committee is the cost and quality of urban education. The Bank's Regional Economics Section inquired into various aspects of public education in New York City. While the study is considered as a tentative exploration of a complex subject, questions concerning businessmen…

  19. Prague: The City Is the Museum.

    ERIC Educational Resources Information Center

    Meilach, Dona Z.

    2001-01-01

    States that Prague, the capital of the Czech-Republic, is a virtual art museum because of the number of architectural styles and other artworks throughout the city. Explores the various architectural styles that are present in the city from the Gothic monasteries and churches to examples of contemporary styles. (CMK)

  20. The Bicentennial 2 Jersey City History Quiz

    ERIC Educational Resources Information Center

    Rosser, Donald

    1978-01-01

    The Jersey City Education Association is celebrating its centennial year--100 years of service to educators. Here are questions and answers that describe the development of both the city and the educational system from 1633 to the present. (Editor/RK)