﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Al-Khalisi, Nabil
TI THE IRAQI MEDICAL BRAIN DRAIN: A CROSS-SECTIONAL STUDY
SO INTERNATIONAL JOURNAL OF HEALTH SERVICES
VL 43
IS 2
BP 363
EP 378
DI 10.2190/HS.43.2.j
PD 2013
PY 2013
AB This study aims to explore the independent predictors of physicians'
   emigration from Iraq and the emigration temporal trends of Iraqi
   doctors. We used a convenience sample of Iraqi physicians, extracting
   their e-mail addresses from public records of Iraqi Medical Association
   websites and asking them to complete an online survey. Of the 1,395
   Iraqi physicians contacted, 599 responded and 567 were eligible for
   inclusion. Of these, 202 reside in Iraq and the rest live abroad.
   Doctors abroad describe better work atmospheres, job satisfaction, and
   training quality. The majority live in English-speaking countries. Of
   these, 60 percent left Iraq for security reasons, 99 percent left when
   they were juniors, and 66 percent of those completed their specialty
   training and settled abroad forever. Of doctors abroad, 17 percent want
   to return to Iraq, while 50 percent of doctors in Iraq want to leave.
   Iraqi doctors' rate of emigration peaked in 2006; these figures have
   since declined, but remain relatively high. Iraq has lost many of its
   doctors, and emigration is ongoing. The predictors of emigration shifted
   from financial issues during the 1990s to security and training concerns
   after 2003. The mass exodus will impact the health care system in the
   long term.
Z8 0
ZR 0
ZA 0
ZB 4
TC 21
ZS 0
Z9 21
U1 0
U2 7
SN 0020-7314
EI 1541-4469
UT WOS:000318786600010
PM 23821910
ER

PT J
AU Flores, G.
   Lin, H.
TI Factors predicting severe childhood obesity in kindergarteners
SO INTERNATIONAL JOURNAL OF OBESITY
VL 37
IS 1
BP 31
EP 39
DI 10.1038/ijo.2012.168
PD JAN 2013
PY 2013
AB BACKGROUND: Severe obesity has increased >300% in US children since
   1976, and is associated with multiple cardiovascular risk factors and
   high adult obesity rates.
   OBJECTIVE: The objective of this study was to identify predictors of
   severe obesity in kindergarteners.
   METHODS: Multivariable logistic regression and recursive partitioning
   analysis (RPA) were used to identify prenatal/pregnancy, infant, and
   early childhood predictors of severe kindergarten obesity (body mass
   index (BMI) >= 99th percentile) in the Early Childhood Longitudinal
   Study Birth Cohort, a nationally representative longitudinal study that
   followed children from birth through kindergarten.
   RESULTS: For the 6800 children, the severe kindergarten obesity
   prevalence was 5.7%, with higher adjusted odds for crossing the 85th
   percentile of BMI at 2 years old (odds ratio (OR), 8.0; 95% confidence
   interval (CI), 4.1-15.7), preschool age (OR, 7.9; 95% CI, 4.9-12.8) and
   9 months old (OR, 1.8; 95% CI, 1.2-2.6); maternal severe obesity (OR,
   3.4; 95% CI, 1.9-5.8) and gestational diabetes (OR, 2.9; 95% CI,
   1.5-5.5); drinking tea or coffee between meals/before bedtime at 2 years
   old (OR, 3.3; 95% CI, 1.3-8.5); Latino (OR, 2.3; 95% CI, 1.4-3.7) and
   multiracial (OR, 2.3; 95% CI, 1.1-4.8) race/ethnicity; and drinking
   sugary beverages at kindergarten age at least weekly (OR, 2.3; 95% CI,
   1.4-3.7). Ever-attending center-based daycare (OR, 0.3; 95% CI,
   0.1-0.9), eating fruit at least weekly at kindergarten age (OR, 0.3; 95%
   CI, 0.1-0.7), and maternal history of a prior newborn birth weight >=
   4000 g (OR, 0.1; 95% CI, 0.02-0.6) were associated with reduced odds of
   severe obesity. RPA identified low severe obesity prevalence (1.9%) for
   non-85th BMI-percentile preschool crossers and high severe obesity
   (56-80%) for predictor clusters which included crossing the 85th BMI
   percentile at earlier ages, low parental education, specific maternal
   age cutoffs, preschooler bedtime rules, and outside walking/play
   frequency for 9-month-olds.
   CONCLUSIONS: Certain parental, prenatal/pregnancy, infant, and early
   childhood factors, both alone and in combination, are potent predictors
   of severe obesity in kindergarteners. International Journal of Obesity
   (2013) 37, 31-39; doi: 10.1038/ijo.2012.168; published online 13
   November 2012
ZR 1
TC 45
Z8 0
ZA 0
ZS 0
ZB 14
Z9 46
U1 0
U2 67
SN 0307-0565
EI 1476-5497
UT WOS:000313358100004
PM 23147114
ER

PT J
AU MacCann, C.
   Roberts, R. D.
TI Just as smart but not as successful: obese students obtain lower school
   grades but equivalent test scores to nonobese students
SO INTERNATIONAL JOURNAL OF OBESITY
VL 37
IS 1
BP 40
EP 46
DI 10.1038/ijo.2012.47
PD JAN 2013
PY 2013
AB OBJECTIVE: The obesity epidemic in industrialized nations has important
   implications for education, as research demonstrates lower academic
   achievement among obese students. The current paper compares the test
   scores and school grades of obese, overweight and normal-weight students
   in secondary and further education, controlling for demographic
   variables, personality, ability and well-being confounds.
   PARTICIPANTS: This study included 383 eighth-grade students (49% female;
   study 1) and 1036 students from 24 community colleges and universities
   (64% female, study 2), both drawn from five regions across the United
   States.
   MEASURES: In study 1, body mass index (BMI) was calculated using
   self-reports and parent reports of weight and height. In study 2, BMI
   was calculated from self-reported weight and height only. Both samples
   completed age-appropriate assessments of mathematics, vocabulary and the
   personality trait conscientiousness. Eighth-grade students additionally
   completed a measure of life satisfaction, with both self-reports and
   parent reports of their grades from the previous semester also obtained.
   Higher education students additionally completed measures of positive
   and negative affect, and self-reported their grades and college entrance
   scores.
   RESULTS: Obese students receive significantly lower grades in middle
   school (d = 0.83), community college (d = 0.34) and university (d =
   0.36), but show no statistically significant differences in intelligence
   or achievement test scores. Even after controlling for demographic
   variables, intelligence, personality and well-being, obese students
   obtain significantly lower grades than normal-weight students in the
   eighth grade (d = 0.39), community college (d = 0.42) and university (d
   = 0.31).
   CONCLUSION: Lower grades may reflect peer and teacher prejudice against
   overweight and obese students rather than lack of ability among these
   students. International Journal of Obesity (2013) 37, 40--46; doi:
   10.1038/ijo.2012.47; published online 24 April 2012
RI Roberts, Richard/CAE-8461-2022; MacCann, Carolyn/AAH-7101-2021
OI MacCann, Carolyn/0000-0001-7789-6368
ZA 0
ZB 9
ZS 2
Z8 0
TC 45
ZR 0
Z9 46
U1 0
U2 39
SN 0307-0565
EI 1476-5497
UT WOS:000313358100005
PM 22531092
ER

PT J
AU Mitchell, J. A.
   Pate, R. R.
   Beets, M. W.
   Nader, P. R.
TI Time spent in sedentary behavior and changes in childhood BMI: a
   longitudinal study from ages 9 to 15 years
SO INTERNATIONAL JOURNAL OF OBESITY
VL 37
IS 1
BP 54
EP 60
DI 10.1038/ijo.2012.41
PD JAN 2013
PY 2013
AB OBJECTIVE: To determine if time spent in objectively measured sedentary
   behavior is associated with a change in body mass index (BMI) between
   ages 9 and 15 years, adjusting for moderate-to-vigorous physical
   activity (MVPA).
   DESIGN: Prospective observational study of children at ages 9 (2000), 11
   (2002), 12 (2003) and 15 years (2006). Longitudinal quantile regression
   was used to model the influence of predictors on changes at the 10th,
   25th, 50th, 75th and 90th BMI percentiles over time.
   SUBJECTS: Participants were enrolled in the National Institute of Child
   Health and Human Development (NICHD) Study of Early Child Care and Youth
   Development and include both boys and girls (n = 789).
   MEASUREMENTS: Objectively measured BMI (kgm(-2)) was the outcome
   variable and objectively measured sedentary behavior was the main
   predictor. Adjustment was also made for MVPA, gender, race, maternal
   education, hours of sleep and healthy eating index.
   RESULTS: Increases in BMI were observed at all percentiles, with the
   greatest increase observed at the 90th BMI percentile. Spending more
   time in sedentary behavior (h per day) was associated with additional
   increases in BMI at the 90th, 75th and 50th BMI percentiles, independent
   of MVPA and the other covariates (90th percentile 0.59, 95% confidence
   interval (95% CI): 0.19-0.98 kgm(-2); 75th percentile 0.48, 95% CI:
   0.25-0.72 kgm(-2); and 50th percentile 0.19, 95% CI: 0.05-0.33 kgm(-2)).
   No associations were observed between sedentary behavior and changes at
   the 25th and 10th BMI percentiles.
   CONCLUSION: Sedentary behavior was associated with greater increases in
   BMI at the 90th, 75th and 50th BMI percentiles between ages 9 and 15
   years, independent of MVPA. Preventing an increase in sedentary behavior
   from childhood to adolescence may contribute to reducing the number of
   children classified as obese. International Journal of Obesity (2013)
   37, 54-60; doi: 10.1038/ijo.2012.41; published online 20 March 2012
RI Mitchell, Jonathan A/A-8723-2011; Mitchell, Jonathan/
OI Mitchell, Jonathan/0000-0003-3765-2419
TC 163
ZB 51
Z8 2
ZS 2
ZA 0
ZR 0
Z9 165
U1 0
U2 80
SN 0307-0565
EI 1476-5497
UT WOS:000313358100007
PM 22430304
ER

PT J
AU Weintraub, Y.
   Singer, S.
   Alexander, D.
   Hacham, S.
   Menuchin, G.
   Lubetzky, R.
   Steinberg, D. M.
   Pinhas-Hamiel, O.
TI Enuresis-an unattended comorbidity of childhood obesity
SO INTERNATIONAL JOURNAL OF OBESITY
VL 37
IS 1
BP 75
EP 78
DI 10.1038/ijo.2012.108
PD JAN 2013
PY 2013
AB OBJECTIVE: Obstructive sleep apnea (OSA), attention
   deficit/hyperactivity disorder (ADHD), type 2 diabetes mellitus and
   psychopathological problems co-occur at increased rates among both obese
   and enuretic children. We hypothesized that the prevalence of enuresis
   will be increased in obese children and adolescents.
   DESIGN: A cross-sectional study.
   SUBJECTS: 281 children and adolescents aged 7-18 years, who completed a
   questionnaire regarding enuresis, medical conditions and
   sociodemographic parameters; 158 were normal weight, 37 overweight (85th
   <= BMI (body mass index) < 95th percentiles) and 86 obese (BMI >= 95th
   percentile).
   MAIN OUTCOME MEASURE(S): Occurrence of enuresis among obese children and
   adolescents.
   RESULTS: Enuresis was reported in 14 (8.8%) normal weight, 6 (16%)
   overweight and 26 (30%) obese youth. Odds ratio (OR) = 6.5, 95%
   confidence interval (CI) = 2.67-15.78 for enuresis among obese compared
   with normal weight (P<0.0001). Each increment of one BMI-Z score unit
   was associated with an increased risk of enuresis, OR of 2.14, 95% CI
   (1.46-3.12), P = 0.00008. Male gender (OR 2.84, 95% CI (1.10-5.58), P =
   0.028), first-degree relative with current/past enuresis (OR 4.24, 95%
   CI (1.62-11.08), P = 0.003), voiding dysfunction symptoms (OR 3.067, 95%
   CI (1.05-9.00), P = 0.041) and ADHD (OR 2.31, 95% CI (0.99-5.34), P =
   0.051) increased the risk of enuresis. OSA-related symptoms, academic
   achievements in school, sharing a bedroom, family size relative to
   number of rooms in home, parental education, family status and religious
   observance were not found to increase the risk for enuresis.
   CONCLUSIONS: Obese children are at increased risk for enuresis. Enuresis
   should be clarified during the primary workup of every obese child and
   adolescent. International Journal of Obesity (2013) 37, 75-78; doi:
   10.1038/ijo.2012.108; published online 17 July 2012
RI Pinhas-Hamiel, Orit/K-5198-2013
ZB 8
ZA 0
Z8 2
ZS 3
TC 34
ZR 0
Z9 35
U1 0
U2 9
SN 0307-0565
UT WOS:000313358100010
PM 22828939
ER

PT J
AU Rappaport, E. B.
   Daskalakis, C.
   Sendecki, J. A.
TI Using routinely collected growth data to assess a school-based obesity
   prevention strategy
SO INTERNATIONAL JOURNAL OF OBESITY
VL 37
IS 1
BP 79
EP 85
DI 10.1038/ijo.2012.126
PD JAN 2013
PY 2013
AB BACKGROUND: Studies of school-based anti-obesity interventions have
   yielded inconsistent results. Using growth screening data from a school
   administrative database, we re-evaluated an obesity prevention strategy
   that was previously reported to have a beneficial effect on weight
   status of a sample of students in grades 5-7.
   METHODS: Ten K-8 schools (five control and five intervention)
   participated in a 2-year cluster-randomized trial of a multicomponent
   nutrition education intervention. We obtained student height and weight
   data for 6 consecutive school years and imputed missing baseline and
   follow-up measurements (53% and 55%, respectively) and defined the
   target population based on the intent-to-treat principle. We analyzed
   changes in body mass index (BMI) Z-scores via mixed-effects linear
   regression and in the prevalence of overweight/obesity via conditional
   logistic regression. We also assessed incidence and remission of
   overweight/obesity and long-term effects.
   RESULTS: We analyzed data for 8186 (96%) K-8 students in the 10 schools
   (4511 in intervention; 3675 in control). From baseline to the end of the
   intervention period, mean increases in BMI Z-score were 0.10 and 0.09 in
   the control and intervention groups, respectively (P = 0.671). The
   prevalence of overweight/obesity increased by 3% in both groups (P =
   0.926). There was no significant intervention effect on the incidence or
   remission of overweight/obesity. Among 5469 students who attended study
   schools during both years of the intervention, there was no significant
   intervention effect. Furthermore, there was no long-term effect among
   students with up to 2 years of data beyond the end of the intervention.
   CONCLUSION: Using routinely collected data for the entire target
   population, we failed to confirm earlier findings of an intervention
   effect observed in a subset of students in grades 5-7. Volunteer bias in
   the prior evaluation and/or measurement error in the routinely collected
   data are potential reasons for the discrepant findings. International
   Journal of Obesity (2013) 37, 79-85; doi: 10.1038/ijo.2012.126;
   published online 4 September 2012
ZR 0
ZA 0
ZB 2
TC 13
Z8 0
ZS 0
Z9 13
U1 0
U2 17
SN 0307-0565
EI 1476-5497
UT WOS:000313358100011
PM 22945605
ER

PT J
AU Luque, Amneris E
   van Keken, Adjuah
   Winters, Paul
   Keefer, Michael C
   Sanders, Mechelle
   Fiscella, Kevin
TI Barriers and Facilitators of Online Patient Portals to Personal Health
   Records Among Persons Living With HIV: Formative Research.
SO JMIR research protocols
VL 2
IS 1
BP e8
EP e8
DI 10.2196/resprot.2302
PD 2013 Jan 22
PY 2013
AB BACKGROUND: Federal meaningful use standards are promoting adoption of
   online portals to personal health records (PHRs). However, relatively
   little is known regarding barriers and facilitators for vulnerable
   groups such as persons living with human immunodeficiency virus (PLWH).
   OBJECTIVE: The objective of this study was to assess barriers and
   facilitators to use of online PHRs among PLWH.
   METHODS: We conducted formative research using a written waiting room
   survey among 120 PLWH regarding barriers and facilitators of portal PHR
   use. We supplemented findings with data collected from a PLWH focus
   group, where some members had personal experience with use of a portal.
   RESULTS: The survey had 90 respondents. Eight PLWH participated in the
   focus group. Most patients (77/90, 86%) reported having at least some
   experience using the Internet and most expressed interest in features
   offered by the portal. Notably, 70% (63/90) expressed some interest in
   being taught how to use it to communicate with their provider. Focus
   group themes reinforced these findings, but also voiced concern
   regarding access to private computers.
   CONCLUSIONS: Many PLWH in our sample have experience using computers and
   most are interested in PHR features. However, computer or broadband
   access and privacy are important barriers.
RI Fiscella, Kevin Anthony/AFO-3350-2022
OI Fiscella, Kevin Anthony/0000-0003-3613-8012
ZS 0
ZB 2
ZR 0
Z8 0
TC 26
ZA 0
Z9 26
U1 1
U2 3
SN 1929-0748
UT MEDLINE:23612564
PM 23612564
ER

PT J
AU Nagle, Brian J
   Usita, Paula M
   Edland, Steven D
TI United States medical students' knowledge of Alzheimer disease.
SO Journal of educational evaluation for health professions
VL 10
BP 4
EP 4
DI 10.3352/jeehp.2013.10.4
PD 2013 May 27
PY 2013
AB PURPOSE: A knowledge gap exists between general physicians and
   specialists in diagnosing and managing Alzheimer disease (AD). This gap
   is concerning due to the estimated rise in prevalence of AD and cost to
   the health care system. Medical school is a viable avenue to decrease
   the gap, educating future physicians before they specialize. The purpose
   of this study was to assess the knowledge level of students in their
   first and final years of medical school.
   METHODS: Fourteen participating United States medical schools used
   e-mail student rosters to distribute an online survey of a quantitative
   cross-sectional assessment of knowledge about AD; 343 students
   participated. Knowledge was measured using the 12-item University of
   Alabama at Birmingham AD Knowledge Test for Health Professionals.
   General linear models were used to examine the effect of demographic
   variables and previous experience with AD on knowledge scores.
   RESULTS: Only 2.5% of first year and 68.0% of final year students
   correctly scored ten or more items on the knowledge scale. Personal
   experience with AD predicted higher knowledge scores in final year
   students (P= 0.027).
   CONCLUSION: Knowledge deficiencies were common in final year medical
   students. Future studies to identify and evaluate the efficacy of AD
   education programs in medical schools are warranted. Identifying and
   disseminating effective programs may help close the knowledge gap.
RI B, Naveen/AAF-3652-2019
TC 23
ZB 3
Z8 0
ZS 0
ZR 0
ZA 0
Z9 23
U1 0
U2 0
SN 1975-5937
UT MEDLINE:23750313
PM 23750313
ER

PT J
AU Creutzfeldt, Johan
   Hedman, Leif
   Heinrichs, LeRoy
   Youngblood, Patricia
   Fellander-Tsai, Li
TI Cardiopulmonary Resuscitation Training in High School Using Avatars in
   Virtual Worlds: An International Feasibility Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 1
AR e9
DI 10.2196/jmir.1715
PD JAN 2013
PY 2013
AB Background: Approximately 300,000 people suffer sudden cardiac arrest
   (SCA) annually in the United States. Less than 30% of out-of-hospital
   victims receive cardiopulmonary resuscitation (CPR) despite the American
   Heart Association training over 12 million laypersons annually to
   conduct CPR. New engaging learning methods are needed for CPR education,
   especially in schools. Massively multiplayer virtual worlds (MMVW) offer
   platforms for serious games that are promising learning methods that
   take advantage of the computer capabilities of today's youth (ie, the
   digital native generation).
   Objective: Our main aim was to assess the feasibility of cardiopulmonary
   resuscitation training in high school students by using avatars in MMVM.
   We also analyzed experiences, self-efficacy, and concentration in
   response to training.
   Methods: In this prospective international collaborative study, an
   e-learning method was used with high school students in Sweden and the
   United States. A software game platform was modified for use as a
   serious game to train in emergency medical situations. Using MMVW
   technology, participants in teams of 3 were engaged in virtual-world
   scenarios to learn how to treat victims suffering cardiac arrest. Short
   debriefings were carried out after each scenario. A total of 36 high
   school students (Sweden, n=12; United States, n=24) participated. Their
   self-efficacy and concentration (task motivation) were assessed. An exit
   questionnaire was used to solicit experiences and attitudes toward this
   type of training. Among the Swedish students, a follow-up was carried
   out after 6 months. Depending on the distributions, t tests or
   Mann-Whitney tests were used. Correlation between variables was assessed
   by using Spearman rank correlation. Regression analyses were used for
   time-dependent variables.
   Results: The participants enjoyed the training and reported a
   self-perceived benefit as a consequence of training. The mean rating for
   self-efficacy increased from 5.8/7 (SD 0.72) to 6.5/7 (SD 0.57, P<.001).
   In the Swedish follow-up, it subsequently increased from 5.7/7 (SD 0.56)
   to 6.3/7 (SD 0.38, P=.006). In the Swedish group, the mean concentration
   value increased from 52.4/100 (SD 9.8) to 62.7/100 (SD 8.9, P=.05); in
   the US group, the concentration value increased from 70.8/100 (SD 7.9)
   to 82.5/100 (SD 4.7, P<.001). We found a significant positive
   correlation (P<.001) between self-efficacy and concentration scores.
   Overall, the participants were moderately or highly immersed and the
   software was easy to use.
   Conclusions: By using online MMVWs, team training in CPR is feasible and
   reliable for this international group of high school students (Sweden
   and United States). A high level of appreciation was reported among
   these adolescents and their self-efficacy increased significantly. The
   described training is a novel and interesting way to learn CPR teamwork,
   and in the future could be combined with psychomotor skills training. (J
   Med Internet Res 2013;15(1):e9) doi:10.2196/jmir.1715
OI Fellander-Tsai, Li/0000-0003-0693-6080
ZR 0
ZA 0
ZS 2
TC 30
ZB 2
Z8 1
Z9 32
U1 1
U2 61
SN 1438-8871
UT WOS:000315113200016
PM 23318253
ER

PT J
AU Maloney, Stephen
   Chamberlain, Michael
   Morrison, Shane
   Kotsanas, George
   Keating, Jennifer L.
   Ilic, Dragan
TI Health Professional Learner Attitudes and Use of Digital Learning
   Resources
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 1
DI 10.2196/jmir.2094
PD JAN 2013
PY 2013
AB Background: Web-based digital repositories allow educational resources
   to be accessed efficiently and conveniently from diverse geographic
   locations, hold a variety of resource formats, enable interactive
   learning, and facilitate targeted access for the user. Unlike some other
   learning management systems (LMS), resources can be retrieved through
   search engines and meta-tagged labels, and content can be streamed,
   which is particularly useful for multimedia resources.
   Objective: The aim of this study was to examine usage and user
   experiences of an online learning repository (Physeek) in a population
   of physiotherapy students. The secondary aim of this project was to
   examine how students prefer to access resources and which resources they
   find most helpful.
   Methods: The following data were examined using an audit of the
   repository server: (1) number of online resources accessed per day in
   2010, (2) number of each type of resource accessed, (3) number of
   resources accessed during business hours (9 am to 5 pm) and outside
   business hours (years 1-4), (4) session length of each log-on (years
   1-4), and (5) video quality (bit rate) of each video accessed. An online
   questionnaire and 3 focus groups assessed student feedback and
   self-reported experiences of Physeek.
   Results: Students preferred the support provided by Physeek to other
   sources of educational material primarily because of its efficiency.
   Peak usage commonly occurred at times of increased academic need (ie,
   examination times). Students perceived online repositories as a
   potential tool to support lifelong learning and health care delivery.
   Conclusions: The results of this study indicate that today's health
   professional students welcome the benefits of online learning resources
   because of their convenience and usability. This represents a transition
   away from traditional learning styles and toward technological learning
   support and may indicate a growing link between social immersions in
   Internet-based connections and learning styles. The true potential for
   Web-based resources to support student learning is as yet unknown. (J
   Med Internet Res 2013; 15(1): e7) doi: 10.2196/jmir.2094
RI Maloney, Stephen/; Ilic, Dragan/I-2437-2014
OI Maloney, Stephen/0000-0003-2612-5162; Ilic, Dragan/0000-0001-5127-9185
ZA 0
TC 27
Z8 0
ZS 1
ZB 0
ZR 0
Z9 28
U1 0
U2 46
SN 1438-8871
UT WOS:000315113200013
PM 23324800
ER

PT J
AU Thackeray, Rosemary
   Crookston, Benjamin T.
   West, Joshua H.
TI Correlates of Health-Related Social Media Use Among Adults
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 1
AR e21
DI 10.2196/jmir.2297
PD JAN 2013
PY 2013
AB Background: Sixty percent of Internet users report using the Internet to
   look for health information. Social media sites are emerging as a
   potential source for online health information. However, little is known
   about how people use social media for such purposes.
   Objectives: The purpose of this study was two-fold: (1) to establish the
   frequency of various types of online health-seeking behaviors, and (2)
   to identify correlates of 2 health-related online activities, social
   networking sites (SNS) for health-related activities and consulting
   online user-generated content for answers about health care providers,
   health facilities, or medical treatment.
   Methods: The study consisted of a telephone survey of 1745 adults who
   reported going online to look for health-related information. Four
   subscales were created to measure use of online resources for (1) using
   SNS for health-related activities; (2) consulting online rankings and
   reviews of doctors, hospitals or medical facilities, and drugs or
   medical treatments; (3) posting a review online of doctors, hospitals or
   medical facilities, and drugs or medical treatments, and (4) posting a
   comment or question about health or medical issues on various social
   media. Univariate and multivariate logistic regression analyses were
   performed.
   Results: Respondents consulted online rankings or reviews (41.15%), used
   SNS for health (31.58%), posted reviews (9.91%), and posted a comment,
   question, or information (15.19%). Respondents with a chronic disease
   were nearly twice as likely to consult online rankings (odds ratio [OR]
   2.09, 95% CI 1.66-2.63, P<.001). Lower odds of consulting online reviews
   were associated with less formal education (OR 0.49, 95% CI 0.37-0.65,
   P<.001) and being male (OR 0.71, 95% CI 0.57-0.87, P<.001). Respondents
   with higher incomes were 1.5 times as likely to consult online rankings
   or reviews (OR 1.49, 95% CI 0.10-2.24, P=.05), than respondents with a
   regular provider (OR 2.05, 95% CI 1.52-2.78, P<.001), or living in an
   urban/suburban location (OR 1.61, 95% CI 1.17-2.22, P<.001). Older
   respondents were less likely to use SNS for health-related activities
   (OR 0.96, 95% CI 0.95-0.97, P<.001), as were males (OR 0.70, 95% CI
   0.56-0.87, P<.001), whereas respondents with a regular provider had
   nearly twice the likelihood of using SNS for health-related activities
   (OR 1.89, 95% CI 1.43-2.52, P<.001).
   Conclusions: People are using social media for seeking health
   information. However, individuals are more likely to consume information
   than they are to contribute to the dialog. The inherent value of
   "social" in social media is not being captured with online health
   information seeking. People with a regular health care provider, chronic
   disease, and those in younger age groups are more likely to consult
   online rankings and reviews and use SNS for health-related activities.
   (J Med Internet Res 2013;15(1):e21) doi: 10.2196/jmir.2297
OI Crookston, Benjamin/0000-0003-3110-9562
Z8 0
ZR 0
ZS 0
ZB 18
ZA 0
TC 159
Z9 160
U1 5
U2 92
SN 1438-8871
UT WOS:000315113200026
PM 23367505
ER

PT J
AU Eisenberg, Daniel
   Hunt, Justin
   Speer, Nicole
TI Mental Health in American Colleges and Universities Variation Across
   Student Subgroups and Across Campuses
SO JOURNAL OF NERVOUS AND MENTAL DISEASE
VL 201
IS 1
BP 60
EP 67
DI 10.1097/NMD.0b013e31827ab077
PD JAN 2013
PY 2013
AB We estimated the prevalence and correlates of mental health problems
   among college students in the United States. In 2007 and 2009, we
   administered online surveys with brief mental health screens to random
   samples of students at 26 campuses nationwide. We used sample
   probability weights to adjust for survey nonresponse. A total of 14,175
   students completed the survey, corresponding to a 44% participation
   rate. The prevalence of positive screens was 17.3% for depression, 4.1%
   for panic disorder, 7.0% for generalized anxiety, 6.3% for suicidal
   ideation, and 15.3% for nonsuicidal self-injury. Mental health problems
   were significantly associated with sex, race/ethnicity, religiosity,
   relationship status, living on campus, and financial situation. The
   prevalence of conditions varied substantially across the campuses,
   although campus-level variation was still a small proportion of overall
   variation in student mental health. The findings offer a starting point
   for identifying individual and contextual factors that may be useful to
   target in intervention strategies.
ZS 8
ZB 55
ZA 0
ZR 0
Z8 1
TC 364
Z9 368
U1 9
U2 130
SN 0022-3018
EI 1539-736X
UT WOS:000313028900011
PM 23274298
ER

PT J
AU Naftel, Robert P.
   Safiano, Nicole A.
   Falola, Michael I.
   Shannon, Chevis N.
   Wellons, John C., III
   Johnston, James M., Jr.
TI Technology preferences among caregivers of children with hydrocephalus
   Clinical article
SO JOURNAL OF NEUROSURGERY-PEDIATRICS
VL 11
IS 1
BP 26
EP 36
DI 10.3171/2012.9.PEDS12208
PD JAN 2013
PY 2013
AB Object. The Internet and social media are powerful disseminators of
   medical information, providing new portals for patient care. The authors
   of this study evaluated current technology hardware, Internet, and
   social media use and their socioeconomic relationships among caregivers
   of children with hydrocephalus.
   Methods. A written survey was completed in the neurosurgical clinics at
   the University of Alabama at Birmingham by 300 parents of children with
   shunted hydrocephalus between October 26, 2010, and July 26, 2011.
   Results. Computer use (94.6%), Internet use (91.7%), smartphone use
   (56.9%), and Internet research on hydrocephalus (81.9%) were prevalent.
   However, for each of these four utilizations there was significantly
   lower access by caregivers of minority races (p = 0.04, 0.03, 0.002, and
   < 0.0001, respectively), lower income (p = 0.02, 0.01, < 0.0001, and <
   0.0001, respectively), and lower level of education (p = 0.001, 0.002, <
   0.0001, and 0.001, respectively). Personal use of social media was
   prevalent (95.1% of all Internet users) with use being more prevalent
   among less-educated than higher-educated caregivers (p = 0.017).
   Hydrocephalus-related social media use (59.5% of Internet users) was not
   associated with socioeconomic factors. For hydrocephalus education on
   the Internet, caregivers chose information websites such as Wikipedia or
   the Hydrocephalus Association as preferred platforms; these preferences
   were followed by use of social media websites. Facebook and YouTube were
   the preferred social media platforms for personal and
   hydrocephalus-related use. Parents indicate moderate skepticism about
   the trustworthiness of the Internet; only 21.7% always trust the online
   sources. Most parents (89.8%) say that they would visit
   neurosurgeon-recommended websites. Of Internet-using caregivers, 28.6%
   use the Internet or social media to find hydrocephalus support groups,
   and 34.8% have used the Internet to communicate with other caregivers
   who have children with similar conditions.
   Conclusions. Technology hardware, the Internet, and social media are
   widely used with some skepticism by parents of children with shunted
   hydrocephalus. Caregivers are interested in physician-recommended
   Internet resources. Socioeconomic factors including race, income, and
   level of education reveal a disparity in access to some of these
   resources, although all groups have relatively high use. Unlike typical
   technology use, social media use is breaking down the digital divide
   among ethnic and socioeconomic groups.
   (http://thejns.org/doi/abs/10.3171/2012.9.PEDS12208)
OI Johnston, James/0000-0001-8564-1808
ZB 6
ZS 1
ZR 0
ZA 0
TC 32
Z8 0
Z9 33
U1 0
U2 18
SN 1933-0707
EI 1933-0715
UT WOS:000312951700005
PM 23092227
ER

PT J
AU Li, Ran
   Buxey, Kenneth
   Ashrafi, Akbar
   Drummond, Katharine J.
TI Assessment of the Role of a Student-Led Surgical Interest Group in
   Surgical Education
SO JOURNAL OF SURGICAL EDUCATION
VL 70
IS 1
BP 55
EP 58
DI 10.1016/j.jsurg.2012.08.002
PD JAN-FEB 2013
PY 2013
AB BACKGROUND: We describe the development of a medical student surgical
   interest group, its initial evaluation, and future plans. The Surgical
   Students Society of Melbourne was formed in August 2008 by a group of
   senior medical students from the University of Melbourne. The Surgical
   Students Society of Melbourne seeks to provide additional surgical
   teaching and professional development for students interested in a
   career in surgery. It also aims to provide junior doctors with
   leadership and teaching opportunities to meet the requirements of the
   Royal Australasian College of Surgeons for application to the Surgical
   Education and Training program. Its program also addresses contemporary
   workforce issues, such as women in surgery and rural surgery. The
   society runs a weekly teaching program during the semester and
   procedural and careers workshops throughout the year.
   METHODS: A survey of students attending the teaching program was
   conducted by means of written and online questionnaires.
   RESULTS: The results suggest that the society has been successful in
   augmenting surgical education and providing opportunities to improve
   procedural skills, but also highlighted areas of the program that may be
   improved, including aspects of surgical professional development and
   role modeling.
   CONCLUSIONS: The Surgical Students Society initiative was generally very
   well received by students and shows great potential as a means for
   augmenting surgical education at the medical student level. (J Surg
   70:55-58. (C) 2012 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.)
RI Buxey, Kenneth/T-6041-2019; Li, Ran/
OI Li, Ran/0000-0001-8194-5070
ZB 0
ZA 0
ZR 0
TC 18
Z8 0
ZS 0
Z9 18
U1 0
U2 5
SN 1931-7204
UT WOS:000314559200010
PM 23337671
ER

PT J
AU Pereira, Erlick A. C.
   Dean, Benjamin J. F.
TI British Surgeons' Experiences of a Mandatory Online Workplace Based
   Assessment Portfolio Resurveyed Three Years On
SO JOURNAL OF SURGICAL EDUCATION
VL 70
IS 1
BP 59
EP 67
DI 10.1016/j.jsurg.2012.06.019
PD JAN-FEB 2013
PY 2013
AB INTRODUCTION: An online portfolio, the Intercollegiate Surgical
   Curriculum Programme (ISCP; http://www.iscp.ac.uk), became mandatory for
   British surgical trainees 5 years ago, alongside a compulsory 125 pound
   (US$200) annual fee. We previously demonstrated widespread
   dissatisfaction with its 2008 ver. 5. Here we evaluate and contrast user
   satisfaction with ver. 8.
   DESIGN, SETTING, AND PARTICIPANTS: A total of 359 users across all
   surgical specialties and UK regions were randomly sampled and surveyed
   in 2011 by online questionnaire regarding ISCP, elogbook
   (http://www.elogbook.org.uk), and results compared with 539 users
   surveyed in 2008. Likert 5-point rating scales were largely used and
   data analyzed using chi(2) tests.
   RESULTS: Seventy-nine percent used ISCP and 38% elogbook
   (http://www.elogbook.org); 201 responders (56%) evaluated ISCP ver. 8;
   31% had registered for at least 1 year, and 59% for 3 years or more.
   Modal ratings were "average" throughout, with the following percentages
   of responders rating "poor" or worse vs "good" or better the following
   domains: registration 12% vs 35%; induction procedure 41% vs. 15%;
   workplace based assessments 36% vs 22%; peer assessment tool 34% vs 25%;
   recording meetings 34% vs 19%; Helpdesk 11% vs 40%; user friendliness
   29% vs 24%. Trainees were neutral about ISCP's impact upon training and
   44% thought that ISCP was needed. Statistically significant (p < 0.05)
   improvements were seen in user satisfaction with ISCP throughout all
   domains comparing ver. 8 (2011) to ver. 5 (2008).
   CONCLUSIONS: The performance of ISCP has improved in the 4 years since
   its inception with proportionately less negative feedback. British
   surgeons remain dissatisfied with several of its tools, in particular
   its workplace-based assessments. Half a decade on, these assessments
   remain without appropriate evidence of validity despite increasing
   demands upon trainees to complete quotas of them. With reduced permitted
   training hours, the growing online bureaucratic burden continues to
   demoralize busy surgical trainers and trainees. (J Surg 70:59-67. (C)
   2012 Association of Program Directors in Surgery. Published by Elsevier
   Inc. All rights reserved.)
RI Pereira, Erlick/AAB-5335-2020; Dean, Benjamin/H-8437-2014; Dean, Benjamin/
OI Pereira, Erlick/0000-0003-0452-4023; Dean, Benjamin/0000-0002-8969-8868
ZR 0
TC 40
ZS 1
Z8 0
ZA 0
ZB 0
Z9 41
U1 1
U2 13
SN 1931-7204
EI 1878-7452
UT WOS:000314559200011
PM 23337672
ER

PT J
AU Kumar, Avinash B.
   Hata, J. Steven
   Bayman, Emine O.
   Krishnan, Sundar
TI Implementing a Hybrid Web-Based Curriculum for an Elective Medical
   Student Clerkship in a Busy Surgical Intensive Care Unit (ICU): Effect
   on Test and Satisfaction Scores
SO JOURNAL OF SURGICAL EDUCATION
VL 70
IS 1
BP 109
EP 116
DI 10.1016/j.jsurg.2012.06.026
PD JAN-FEB 2013
PY 2013
AB OBJECTIVE: To determine whether a hybrid traditional and web-based
   curriculum improves test scores and enrollment among senior medical
   students in an elective critical care rotation.
   DESIGN AND SETTING: Retrospective study in a surgical ICU at a major
   academic center.
   SUBJECTS: One hundred twenty-one fourth year medical students completing
   an elective ICU clerkship between 2007 and 2010.
   INTERVENTIONS: Pre-test and post-test during a 4-week rotation.
   METHODS: We implemented a hybrid curriculum that involved both
   traditional teaching methods and a new online core curriculum that
   incorporating audio, video, and text using screen capture technology.
   The curriculum was hosted on a secure online portal called ICON
   (Desire2Learn Inc., Ontario, Canada). The core curriculum covered topics
   that were considered essential to meet the didactic objectives of the
   rotation.
   MEASUREMENTS AND EVALUATIONS: A pre-test was administered online on day
   1 of the rotation. A post-test was administered on the second to last
   day of the rotation. Both tests were composed of 20 questions randomly
   chosen from a question bank of 100 questions. The tests are managed
   (administering, grading, and reporting) exclusively online.
   RESULTS: One hundred twenty-one medical students have successfully
   completed the clerkship since implementing the new curriculum. Each
   group of students showed an improvement in the mean post-test score by
   at least 17%+ to 10%. The satisfaction scores of the clerkship improved
   consistently from 2007 and is currently rated at 4.31 +/- 0.85 (on a
   5-point scale). The rotation is in the top 25th percentile of all
   clinical clerkships offered at the University of Iowa.
   CONCLUSION: A systematically implemented hybrid web-based critical care
   curriculum can improve knowledge based test scores and overall clerkship
   satisfaction scores in a busy surgical ICU. (J Surg 70:109-116. (C) 2013
   Association of Program Directors in Surgery. Published by Elsevier Inc.
   All rights reserved.)
RI Hata, J./ABI-1484-2020; Krishnan, Sundar/; Bayman, Emine O/
OI Krishnan, Sundar/0000-0001-7382-2396; Bayman, Emine
   O/0000-0003-2615-0915
ZS 0
ZB 1
Z8 0
ZR 0
ZA 0
TC 11
Z9 11
U1 0
U2 12
SN 1931-7204
UT WOS:000314559200018
PM 23337679
ER

PT J
AU Jaffer, Usman
   Vaughan-Huxley, Eyston
   Standfield, Nigel
   John, Nigel W.
TI Medical Mentoring Via the Evolving World Wide Web
SO JOURNAL OF SURGICAL EDUCATION
VL 70
IS 1
BP 121
EP 128
DI 10.1016/j.jsurg.2012.06.024
PD JAN-FEB 2013
PY 2013
AB OBJECTIVES: Mentoring, for physicians and surgeons in training, is
   advocated as an essential adjunct in work-based learning, providing
   support in career and non-career related issues. The World Wide Web
   (WWW) has evolved, as a technology, to become more interactive and
   person centric, tailoring itself to the individual needs of the user.
   This changing technology may open new avenues to foster mentoring in
   medicine.
   DESIGN, SYSTEMATIC REVIEW, MAIN OUTCOME MEASURES: A search of the
   MEDLINE database from 1950 to 2012 using the PubMed interface, combined
   with manual cross-referencing was performed using the following
   strategy: ("mentors" [MeSH Terms] OR "mentors" [All Fields] OR "mentor"
   [All Fields]) AND ("internet"[MeSH Terms] OR "internet" [All Fields])
   AND ("medicine" [MeSH Terms] OR "medicine" [All Fields]) AND ("humans"
   [MeSH Terms] AND English[lang]). Abstracts were screened for relevance
   (UJ) to the topic; eligibility for inclusion was simply on screening for
   relevance to online mentoring and web-based technologies.
   RESULTS: Forty-five papers were found, of which 16 were relevant. All
   studies were observational in nature. To date, all medical mentoring
   applications utilizing the World Wide Web have enjoyed some success
   limited by Web 1.0 and 2.0 technologies.
   CONCLUSIONS: With the evolution of the WWW through 1.0, 2.0 and 3.0
   generations, the potential for meaningful tele- and distance mentoring
   has greatly improved. Some engagement has been made with these
   technological advancements, however further work is required to fully
   realize the potential of these technologies. (J Surg 70:121-128. (C)
   2012 Association of Program Directors in Surgery. Published by Elsevier
   Inc. All rights reserved.)
RI John, Nigel/H-2876-2013; John, Nigel/ABC-8011-2020
OI John, Nigel/0000-0001-5153-182X; John, Nigel/0000-0001-5153-182X
TC 17
ZB 3
ZS 1
Z8 0
ZA 0
ZR 0
Z9 18
U1 1
U2 20
SN 1931-7204
EI 1878-7452
UT WOS:000314559200020
PM 23337681
ER

PT J
AU Rapaport, Hannah
   Loomis, Judyta
   Kagetsu, Nolan J.
   Ghesani, Munir
   C-Tagme, Gloria Jorge
   Abiri, Michael M.
   Silberzweig, James E.
TI Megaconference: A Radical Approach to Radiology Resident Education With
   Full-Day Weekly Conferences
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 10
IS 1
BP 51
EP 56
DI 10.1016/j.jacr.2012.08.011
PD JAN 2013
PY 2013
AB Purpose: The aim of this study was to assess the value and educational
   experience of instituting a weekly full-day educational conference
   format for radiology residents.
   Methods: Two independent diagnostic radiology residency programs in a
   single urban health care network instituted a new teaching model in
   which residents from both programs participated in a weekly joint
   conference day. This format replaced independently held, but frequently
   teleconferenced, 1-hour daily conferences at both programs. Residents'
   and faculty members' perceptions of the educational experience were
   assessed using anonymous online surveys. Written board examination
   scores and number of resident dictations were compared before and after
   the change.
   Results: After 6 months, 30% and 53.3% of residents reported positive
   and neutral overall impressions, respectively. A survey return rate of
   63.3% was achieved from 49 residents. Of 34 faculty members who
   responded, 50% reported increased preparation for conferences. The
   overall number of resident dictations modestly increased in the year
   after implementation of the format change, by 3.1%. There was no
   statistically significant change in the mean written board examination
   after the change in format compared with 3 years before the change.
   Conclusions: Conference interruptions, cancellations, and tardiness were
   essentially eliminated with the new model. Individual conference quality
   was reported to have improved as the result of the more formal format
   and larger audience size. Residents maintained productivity and exposure
   to case volume despite the loss of a single clinical day. Although
   residents' perceptions of the new model were predominantly positive or
   neutral, downsides included fewer cases per resident in case conferences
   and a less intimate conference setting.
OI Kagetsu, Nolan/0000-0001-8515-1278; Ghesani, Munir/0000-0002-1044-0136
ZA 0
ZR 0
ZB 0
TC 3
ZS 0
Z8 0
Z9 3
U1 0
U2 3
SN 1546-1440
UT WOS:000313478300014
PM 23290675
ER

PT J
AU Charbonneau, Deborah H.
   McGlone, Jonathan
TI Faculty experiences with the National Institutes of Health (NIH) public
   access policy, compliance issues, and copyright practices
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 101
IS 1
BP 21
EP 25
DI 10.3163/1536-5050.101.1.004
PD JAN 2013
PY 2013
AB Objectives: The research assessed faculty awareness of the National
   Institutes of Health (NIH) public access policy and faculty experiences
   with the copyright terms in their author agreements with publishers.
   Methods: During the fall of 2011, 198 faculty members receiving funding
   from NIH at a large urban academic institution were invited to
   participate in an anonymous online survey. A total of 94 faculty members
   responded to the survey, representing a response rate of 47%.
   Results: Thirty percent of the survey respondents were either unaware of
   or not familiar with the NIH policy. Further, a significant number of
   faculty members (97.8%) indicated that they usually signed their
   copyright forms "as is." The findings show that time, confusing
   instructions, and unclear journal policies are challenges experienced by
   NTH-funded faculty in complying with the federal mandate.
   Conclusion: There is a need to educate faculty with respect to the value
   of retaining their copyrights and self-archiving their publications to
   help advance public access and open access scholarship.
OI Charbonneau, Deborah H./0000-0002-3130-5769
ZS 0
ZA 0
ZB 1
ZR 0
TC 10
Z8 0
Z9 11
U1 0
U2 100
SN 1536-5050
UT WOS:000315124900004
PM 23405043
ER

PT J
AU Lord, Linda K.
   Brandt, Jennifer C.
   Newhart, Daniel W.
TI Identifying the Needs of Veterinary Students and Recent Alumni in
   Establishing a Student Service Center
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 40
IS 2
BP 192
EP 198
DI 10.3138/jvme.1212-106R
PD 2013
PY 2013
AB Quality service for students has been identified as an important theme
   of higher education. In pursuing the aim of service quality, educational
   providers have long recognized that perceptions of service transcend the
   area of quality teaching and encompass the students' overall experience
   within the university. This article investigates the types of services
   that would be most beneficial to students, from the perspective of both
   current students and recent alumni. A cross-sectional survey of all
   students was conducted using an online survey. A separate survey was
   also conducted of alumni from the last five graduating classes. From
   these surveys, 94.0% of student respondents and 91.9% of alumni
   respondents strongly agreed with the statement "It is important for the
   OSU CVM (Ohio State University College of Veterinary Medicine) to
   provide on-site comprehensive student services.'' Both groups ranked job
   postings for postgraduation employment, fourth-year off-site rotation
   opportunities, and financial planning/budgeting among their top ranked
   preferred services. In addition, requests for continued or enhanced
   interviewing/communication skills training; individual mental,
   emotional, and spiritual counseling; and individual and group tutoring
   were predominant themes identified from the qualitative data as well as
   the Likert-scale questions. The findings from the study sheds light on
   the need for comprehensive services for veterinary students beyond those
   services traditionally provided in an academic setting, such as tutoring
   and course advising.
TC 2
ZS 0
ZB 0
ZR 0
ZA 0
Z8 0
Z9 2
U1 0
U2 11
SN 0748-321X
UT WOS:000319363600014
PM 23709113
ER

PT J
AU Rees, Charlotte E.
   Monrouxe, Lynn V.
   McDonald, Laura A.
TI Narrative, emotion and action: analysing 'most memorable'
   professionalism dilemmas
SO MEDICAL EDUCATION
VL 47
IS 1
BP 80
EP 96
DI 10.1111/j.1365-2923.2012.04302.x
PD JAN 2013
PY 2013
AB OBJECTIVES Although previous studies have explored medical learners'
   'most memorable' experiences, these have typically focused on patient
   deaths or mistakes. Drawing on multiple theoretical perspectives to
   understand the interplay between narrative, emotion and action, this
   paper aims to explore the whats and hows of written narratives of most
   memorable professionalism dilemmas: what types of dilemma are most
   memorable? When and where do they take place? How do students act? What
   characteristics relate to these dilemmas? How are dilemmas narrated?
   METHODS A total of 680 students from 29 of 32 UK medical schools
   provided a written narrative of their most memorable dilemma as part of
   their responses to an online questionnaire exploring the impact of
   professionalism dilemmas on moral distress. We employed quantitative
   thematic and discourse analysis of all narratives using Linguistic
   Inquiry Word Count software (LIWC) and conducted a narrative analysis of
   one exemplar.
   RESULTS The most common themes across all narratives concerned dilemmas
   that related to issues of patient care with reference to the actions of
   health care professionals or students, student abuse, and consent and
   intimate examination. A total of 41.1% of experiences had occurred over
   6 months previously and 80.1% had taken place in hospital settings.
   Overall, 54.9% of narrators reported having done something in the face
   of their dilemma, although only 13.2% described taking obvious or direct
   action. Numerous characteristics were related to most memorable dilemmas
   (e. g. narratives citing intimate examinations were more likely to take
   place in surgical settings). A total of 92.6% of narratives included
   negative emotion talk and numerous significant relationships emerged
   between types of emotion talk and most memorable dilemmas (e. g. more
   anger talk in abuse narratives). Our narrative analysis of one exemplar
   illustrates the richness of emotion talk and more subtle devices to
   establish emotional tone.
   DISCUSSION Findings extend previous research into issues related to
   professionalism by exploring relationships between narrative, emotion
   and action in the context of written narratives of most memorable
   dilemmas. We encourage medical educators to help students construct
   coherent and emotionally integrated narratives to make sense of negative
   professionalism dilemmas.
RI Monrouxe, Lynn/H-6770-2012; Monrouxe, Lynn/AAG-9817-2019; Rees, Charlotte/
OI Monrouxe, Lynn/0000-0002-4895-1812; Rees, Charlotte/0000-0003-4828-1422
ZR 0
Z8 0
ZA 0
ZB 3
ZS 0
TC 81
Z9 81
U1 0
U2 57
SN 0308-0110
EI 1365-2923
UT WOS:000313752000016
PM 23278828
ER

PT J
AU Forgie, Sarah Edith
   Duff, Jon P.
   Ross, Shelley
TI Twelve tips for using Twitter as a learning tool in medical education
SO MEDICAL TEACHER
VL 35
IS 1
BP 8
EP 14
DI 10.3109/0142159X.2012.746448
PD 2013
PY 2013
AB Background: Twitter is an online social networking service, accessible
   from any Internet-capable device. While other social networking sites
   are online confessionals or portfolios of personal current events,
   Twitter is designed and used as a vehicle to converse and share ideas.
   For this reason, we believe that Twitter may be the most likely
   candidate for integrating social networking with medical education.
   Aims: Using current research in medical education, motivation and the
   use of social media in higher education, we aim to show the ways Twitter
   may be used as a learning tool in medical education.
   Method: A literature search of several databases, online sources and
   blogs was carried out examining the use of Twitter in higher education.
   Results: We created 12 tips for using Twitter as a learning tool and
   organized them into: the mechanics of using Twitter, suggestions and
   evidence for incorporating Twitter into many medical education contexts,
   and promoting research into the use of Twitter in medical education.
   Conclusion: Twitter is a relatively new social medium, and its use in
   higher education is in its infancy. With further research and thoughtful
   application of media literacy, Twitter is likely to become a useful
   adjunct for more personalized teaching and learning in medical
   education.
RI Aston, Sam/F-9699-2010; Forgie, Sarah/AAI-5540-2021; Ross, Shelley/; Forgie, Sarah/
OI Ross, Shelley/0000-0001-9581-3191; Forgie, Sarah/0000-0001-8073-5389
ZB 13
ZS 3
ZR 0
Z8 0
TC 105
ZA 1
Z9 109
U1 2
U2 91
SN 0142-159X
EI 1466-187X
UT WOS:000312954300009
PM 23259608
ER

PT J
AU Berk, Ronald A.
TI Top five flashpoints in the assessment of teaching effectiveness
SO MEDICAL TEACHER
VL 35
IS 1
BP 15
EP 26
DI 10.3109/0142159X.2012.732247
PD 2013
PY 2013
AB Background: Despite thousands of publications over the past 90 years on
   the assessment of teaching effectiveness, there is still confusion,
   misunderstanding, and hand-to-hand combat on several topics that seem to
   pop up over and over again on listservs, blogs, articles, books, and
   medical education/teaching conference programs. If you are measuring
   teaching performance in face-to-face, blended/hybrid, or online courses,
   then you are probably struggling with one or more of these topics or
   flashpoints.
   Aim: To decrease the popping and struggling by providing a
   state-of-the-art update of research and practices and a "consumer's
   guide to trouble-shooting these flashpoints."
   Methods: Five flashpoints are defined, the salient issues and research
   described, and, finally, specific, concrete recommendations for moving
   forward are proffered. Those flashpoints are: (1) student ratings vs.
   multiple sources of evidence; (2) sources of evidence vs. decisions:
   which come first?' (3) quality of "home-grown" rating scales vs.
   commercially-developed scales; (4) paper-and-pencil vs. online scale
   administration; and (5) standardized vs. unstandardized online scale
   administrations. The first three relate to the sources of evidence
   chosen and the last two pertain to online administration issues.
   Results: Many medical schools/colleges and higher education in general
   fall far short of their potential and the available technology to
   comprehensively assess teaching effectiveness. Specific recommendations
   were given to improve the quality and variety of the sources of evidence
   used for formative and summative decisions and their administration
   procedures.
   Conclusions: Multiple sources of evidence collected through online
   administration, when possible, can furnish a solid foundation from which
   to infer teaching effectiveness and contribute to fair and equitable
   decisions about faculty contract renewal, merit pay, and promotion and
   tenure.
Z8 0
ZS 1
ZB 1
ZR 0
ZA 0
TC 22
Z9 24
U1 0
U2 64
SN 0142-159X
EI 1466-187X
UT WOS:000312954300010
PM 23102151
ER

PT J
AU Rasmussen, Andrew
   Lewis, Melanie
   White, Jonathan
TI The application of wiki technology in medical education
SO MEDICAL TEACHER
VL 35
IS 2
BP 109
EP 114
DI 10.3109/0142159X.2012.733838
PD 2013
PY 2013
AB Background, aims and methods: Recent years have seen the introduction of
   web-based technologies such as the 'wiki', which is a webpage whose
   content can be edited in real time using a web browser. This article
   reviews the current state of knowledge about the use of wikis in
   education, and considers whether wiki technology has features that might
   prove useful in medical education.
   Results: Advantages and challenges of the technology are discussed, and
   recommendations for use are provided. We believe that wiki technology
   offers a number of potential benefits for administrators, students and
   instructors, including the ability to share information online, to
   construct knowledge together, to facilitate collaboration and to enable
   social learning and peer feedback.
   Conclusions: We believe that with proper planning and instructional
   design, wiki technology can be usefully employed in medical education.
   We intend to continue to study the impact of wiki technology in our own
   programme, and we encourage others to evaluate the application of wiki
   technology in other areas of medical education.
OI White, Jonathan/0000-0001-5254-506X
Z8 0
ZA 0
TC 15
ZS 1
ZB 0
ZR 0
Z9 16
U1 0
U2 21
SN 0142-159X
EI 1466-187X
UT WOS:000316560800013
PM 23102056
ER

PT J
AU Archer, Julian
   Swanwick, Tim
   Smith, Daniel
   O'Keeffe, Catherine
   Cater, Nerys
TI Developing a multisource feedback tool for postgraduate medical
   educational supervisors
SO MEDICAL TEACHER
VL 35
IS 2
BP 145
EP 154
DI 10.3109/0142159X.2012.733839
PD 2013
PY 2013
AB Purpose: Supervisors play a key role in the development of postgraduate
   medical trainees both in the oversight of their day-to-day clinical
   practice but also in the support of their learning experiences. In the
   UK, there has been a clear distinction made between these two
   activities. In this article, we report on the development of a web-based
   multisource feedback (MSF) tool for educational supervisors in the
   London Deanery, an organisation responsible for 20% of the UK's doctors
   and dentists in training.
   Methods: A narrative review of the literature generated a question
   framework for a series of focus groups. Data were analysed using an
   interpretative thematic approach and the resulting instrument piloted
   online. Instrument performance was analysed using a variety of tools
   including factor analysis, generalisability theory and analysis of
   performance in the first year of implementation.
   Results: Two factors were initially identified. Three questions
   performed inadequately and were subsequently discarded. Educational
   supervisors scored well, generally rating themselves lower than they
   were by their trainees. The instrument was launched in July 2010,
   requiring five respondents to generate a summated report, with further
   validity evidence collated over the first year if implementation.
   Conclusions: Arising out of a robust development process, the London
   Deanery MSF instrument for educational supervisors is a tool that
   demonstrates considerable evidence of validity and can provide
   supervisors with useful evidence of their effectiveness.
OI Smith, Daniel Thomas/0000-0003-1215-5811; Archer,
   Julian/0000-0001-9983-9655
TC 4
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
Z9 4
U1 0
U2 7
SN 0142-159X
EI 1466-187X
UT WOS:000316560800019
PM 23102057
ER

PT J
AU Kim, Kyong-Jee
   Kee, Changwon
TI Evaluation of an e-PBL model to promote individual reasoning
SO MEDICAL TEACHER
VL 35
IS 3
BP E978
EP E983
DI 10.3109/0142159X.2012.717185
PD 2013
PY 2013
AB Aim: Medical educators should promote the development of student
   clinical reasoning toward independence in clinical settings. The
   objective of this study was to evaluate an online problem-based learning
   (e-PBL) model designed to promote student individual reasoning in
   supplement to traditional PBL.
   Methods: Twelve e-PBL modules were added to the fully problem-based
   curriculum for Year 2 at Sungkyunkwan University School of Medicine
   (SKKUSOM). In this e-PBL, students worked on the problems individually
   in an online setting, followed by face-to-face discussions in a
   colloquium. The cases were presented using interactive multimedia to
   enhance the authenticity of the case and stimulate student interest in
   learning. A formative evaluation study was conducted to determine
   student satisfaction with e-PBL and its effectiveness as perceived by
   the students using both quantitative and qualitative methods. A cohort
   of Year 2 students at SKKUSOM (n = 38) took part in this study.
   Results: Students perceived e-PBL significantly more positively after
   they had taken a module in terms of its ability to foster
   problem-solving skills and its ability to allow them to learn in ways
   suited to individual learning styles. Additionally, student survey and
   interview revealed that a vast majority of students were satisfied with
   the overall learning process in e-PBL and perceived it positively in
   fostering knowledge acquisition and clinical reasoning. Moreover,
   students found the cases realistic and engaging.
   Conclusions: The results show the potential of e-PBL to enhance
   traditional PBL by promoting the development of individual reasoning in
   a flexible online-learning environment and offering cases in an
   interactive multimedia format, which warrants further investigation into
   its impact on student learning outcomes.
RI Kim, Kyong-Jee/K-1278-2012; Kee, Changwon/
OI Kim, Kyong-Jee/0000-0002-1936-5128; Kee, Changwon/0000-0002-7419-0316
Z8 0
TC 4
ZS 0
ZA 0
ZR 0
ZB 0
Z9 4
U1 4
U2 37
SN 0142-159X
EI 1466-187X
UT WOS:000317928300001
PM 22938685
ER

PT J
AU Leclercq, Wouter Kg
   Keulers, Bram J
   Houterman, Saskia
   Veerman, Margot
   Legemaate, Johan
   Scheltinga, Marc R
TI A survey of the current practice of the informed consent process in
   general surgery in the Netherlands.
SO Patient safety in surgery
VL 7
IS 1
BP 4
EP 4
DI 10.1186/1754-9493-7-4
PD 2013 Jan 21
PY 2013
AB Additional non-English language abstract (in Dutch)
   BACKGROUND: A properly conducted surgical informed consent process (SIC)
   allows patients to authorize an invasive procedure with full
   comprehension of relevant information including involved risks. Current
   practice of SIC may differ from the ideal situation. The aim of this
   study is to evaluate whether SIC practiced by Dutch general surgeons and
   residents is adequate with involvement of all required elements.
   METHODS: All members of the Dutch Society of Surgery received an online
   multiple choice questionnaire evaluating various aspects of SIC.
   RESULTS: A total of 453 questionnaires obtained from surgeons and
   residents representing >95% of all Dutch hospitals were eligible for
   analysis (response rate 30%). Knowledge on SIC was limited as only 55%
   was familiar with all three basic elements ('assessment of
   preconditions', 'provision of information' and 'stage of consent').
   Residents performance was inferior compared to surgeons regarding most
   aspects of daily practice of SIC. One in 6 surgeons (17%) had faced a
   SIC-related complaint in the previous five years possibly illustrating
   suboptimal SIC implementation in daily surgical practice.
   CONCLUSIONS: The quality of the current SIC process is far from optimal
   in the Netherlands. Surgical residents require training aimed at
   improving awareness and skills. The SIC process is ideally supported
   using modern tools including web-based interactive programs. Improvement
   of the SIC process may enhance patient satisfaction and may possibly
   reduce the number of complaints.
   ACHTERGROND: Het doel van het preoperatieve informed consent proces
   (surgical informed consent, SIC) is om patienten een weloverwogen en
   welgeinformeerde keuze te laten maken over hun operatieve ingreep. De
   hedendaagse praktijk betreffende SIC staat mogelijk ver van de ideale
   situatie af. Doel van deze studie is om de dagelijkse praktijk van
   chirurgen en chirurgen in opleiding betreffende SIC te evalueren en te
   zien of deze voldoet aan de daarvoor gestelde eisen. METHODE: Alle
   chirurgen en andere leden van de Nederlandse Vereniging voor Heelkunde
   ontvingen een online multiple-choice vragenlijst betreffende de
   belangrijkste aspecten van SIC. RESULTATEN: In totaal waren er 453
   bruikbare reacties uit meer dan 95% van alle Nederlandse ziekenhuizen
   (respons 30%). De kennis over SIC blijkt zeer beperkt. Slechts 55% van
   de chirurgen bleek bekend met de drie basiselementen van SIC
   ('beoordelen van de competentie van een patient', 'verstrekken van
   informatie' and 'adequaat vastleggen van de toestemming van de
   patient'). De dagelijkse praktijk liet behoorlijke verschillen tussen
   alle respondenten zien, maar chirurgen in opleiding scoorden significant
   slechter vergeleken met chirurgen. 17% van alle chirurgen kreeg de
   afgelopen vijf jaar te maken met een klacht betreffende SIC, wat zou
   kunnen wijzen op een suboptimale implementatie van SIC in de dagelijkse
   praktijk.
   CONCLUSIE: De kwaliteit van het preoperatieve informed consent proces is
   in Nederland verre van goed. Chirurgen in opleiding scoorden minder goed
   dan chirurgen en dienen beter geschoold te worden. Het hele SIC proces
   zou geformaliseerd moeten worden in protocollen. Moderne hulpmiddelen
   zoals interactieve softwareprogramma's kunnen hierbij mogelijk helpen.
   Door het verbeteren van het SIC proces kan de patiententevredenheid
   verhoogd worden terwijl het aantal klachten mogelijk wordt verminderd.
OI Legemaate, Johan/0000-0002-7061-3991; Leclercq,
   Wouter/0000-0003-1159-1857
Z8 0
ZR 0
ZB 6
TC 29
ZS 0
ZA 0
Z9 29
U1 0
U2 1
SN 1754-9493
UT MEDLINE:23336609
PM 23336609
ER

PT J
AU Oechsner, Wolfgang
   Geiler, Sandra
   Huber-Lang, Markus
TI The impact of a dedicated training program for oral examiners at a
   medical school in Germany: a survey among participants from operative
   and non-operative disciplines.
SO Patient safety in surgery
VL 7
IS 1
BP 22
EP 22
DI 10.1186/1754-9493-7-22
PD 2013 Jul 03
PY 2013
AB BACKGROUND: Oral examinations have been a crucial format in ancient and
   modern assessment to evaluate and guarantee quality of medical education
   and thereby to secure patient safety. To achieve a high level of quality
   in the oral part of the final examination of medical students, a
   training program for oral examiners at the Medical Faculty of Ulm
   (Germany) has been established since 2007.However, little is known about
   the attitude of the examiners in regard to the impact of this training
   program and of oral examinations as instruments to ensure patient
   safety.
   METHODS: All 367 academic clinicians from operative and non-operative
   disciplines, attending the one-day examiner training program at the
   University of Ulm between 2007 and 2012 have been asked to answer an
   online survey (EvaSys 5.0). Focus of the survey was to find out in which
   respect the examiners profited from the trainings, if the training
   effects were discipline-dependent, and to which degree the oral
   examinations could contribute to patient safety. Statistical analysis
   was performed using the t-test for independent samples. Results were
   considered statistically significant when p<0.05.
   RESULTS: A total of 63 participants answered the survey, but in 4 cases
   the questionnaire was not fully completed (with single items missing).
   More than half of the study participants (n=34/59; 58%) have experienced
   (at least sometimes or rarely) candidates that they deemed incompetent
   and perhaps even dangerous to the patients' health who nevertheless
   passed the oral exam successfully. The majority of participants were
   convinced that oral examinations using concrete clinical cases could
   significantly contribute to patient safety, if grading is based on clear
   criteria and if examinations as well as grading are performed more
   critically. The impact of the training program was rated significantly
   stronger by surgeons than by non-surgeons in several categories. These
   categories included "strengths and weaknesses of oral examinations",
   "reliability", "validity", "competence in grading", "critical grading",
   and "departmental improvements" concerning oral examinations.
   CONCLUSIONS: In respect to patient safety, it seems crucial to prevent
   incompetent candidates from passing the oral examination. The present
   study indicates the importance to continue and to develop our examiner
   trainings, with main emphasis on concrete clinical problems and a
   criteria-based critical grading system for oral examinations. Since the
   impact of the training was particularly high for colleagues from the
   operative disciplines, the training program should be offered especially
   in surgical departments.
RI Huber-Lang, Markus/AAJ-2209-2020
ZB 1
ZR 0
ZS 1
Z8 0
ZA 0
TC 3
Z9 3
U1 0
U2 0
SN 1754-9493
UT MEDLINE:23822855
PM 23822855
ER

PT J
AU Puhl, Rebecca M.
   Peterson, Jamie Lee
   Luedicke, Joerg
TI Weight-Based Victimization: Bullying Experiences of Weight Loss
   Treatment-Seeking Youth
SO PEDIATRICS
VL 131
IS 1
BP E1
EP E9
DI 10.1542/peds.2012-1106
PD JAN 2013
PY 2013
AB OBJECTIVE: Few studies have comprehensively examined weight-based
   victimization (WBV) in youth, despite its serious consequences for their
   psychosocial and physical health. Given that obese and treatment-seeking
   youth may be highly vulnerable to WBV and its negative consequences, the
   current study provides a comprehensive assessment of WBV in a weight
   loss treatment-seeking sample.
   METHODS: Adolescents (aged 14-18 years; N = 361) enrolled in 2 national
   weight loss camps were surveyed. An in-depth assessment of WBV was
   conducted by using an online survey, in which participants indicated the
   duration, typical locations, frequent perpetrators, and forms of WBV
   they had experienced.
   RESULTS: Findings indicate that 64% of the study participants reported
   WBV at school, and the risk of WBV increased with body weight. Most
   participants reported WBV enduring for 1 year (78%), and 36% were
   teased/bullied for 5 years. Peers (92%) and friends (70%) were the most
   commonly reported perpetrators, followed by adult perpetrators,
   including physical education teachers/sport coaches (42%), parents
   (37%), and teachers (27%). WBV was most frequently reported in the form
   of verbal teasing (75%-88%), relational victimization (74%-82%),
   cyberbullying (59%-61%), and physical aggression (33%-61%). WBV was
   commonly experienced in multiple locations at school.
   CONCLUSIONS: WBV is a prevalent experience for weight loss
   treatment-seeking youth, even when they are no longer overweight. Given
   the frequent reports of WBV from adult perpetrators in addition to
   peers, treatment providers and school personnel can play an important
   role in identifying and supporting youth who may be at risk for
   pervasive teasing and bullying. Pediatrics 2013;131:e1-e9
RI Puhl, Rebecca/ABE-9260-2021
ZB 23
ZR 0
ZA 0
ZS 3
TC 135
Z8 0
Z9 136
U1 0
U2 85
SN 0031-4005
EI 1098-4275
UT WOS:000313012400001
PM 23266918
ER

PT J
AU Toussaint, Kimberly A.
   Watson, Kristin
   Marrs, Joel C.
   Sturpe, Deborah A.
   Anderson, Sarah L.
   Haines, Stuart T.
TI Prevalence of and Factors That Influence Board Certification Among
   Pharmacy Practice Faculty at United States Colleges and Schools of
   Pharmacy
SO PHARMACOTHERAPY
VL 33
IS 1
BP 105
EP 111
DI 10.1002/phar.1171
PD JAN 2013
PY 2013
AB Board certification is a means of demonstrating expertise above the
   minimum licensing standards. For many health care professionals, this
   credential is a necessity. As pharmacists become involved in more
   advanced patient care services, board certification becomes an essential
   component to ensuring quality care. The prevalence of United States
   pharmacy practice faculty members who are board certified, however, is
   unknown. In addition, to our knowledge, factors that serve to motivate
   or discourage faculty from obtaining board certification have not been
   previously described; thus, 900 pharmacy practice faculty members listed
   in the American Association of Colleges of Pharmacy (AACP) online
   directory were invited to complete an online survey regarding motivators
   and barriers for board certification. In addition, a list of
   board-certified pharmacists, obtained from the Board of Pharmacy
   Specialties, was used to check the board certification status of all
   pharmacy practice faculty members listed in the AACP directory. In 2011,
   the prevalence of board certification among the 2867 pharmacy practice
   faculty members was 37% (1063 pharmacists), with the highest prevalence
   found among assistant professors (39.4%). A total of 322 faculty members
   (36% response rate) completed the survey; of these, 308 self-identified
   as pharmacy practice faculty, and their responses were included in the
   analysis. Current board certification in pharmacy specialties was
   reported by 163 respondents (52.9%); 14 (4.5%) were previously
   certified. Among the 308 respondents, the most common perceived reason
   why pharmacy practice faculty become board certified was the desire to
   be recognized as an expert in the field (71.5%). Those who were
   currently board certified indicated personal growth as the most
   important reason (60.1%). Those previously certified indicated no
   perceived benefit as the most common reason for not recertifying
   (71.4%). Among those never certified, no perceived need (52.0%) or
   benefit (44.8%) were the most common reasons for not becoming certified;
   however, a majority of those never certified (68%) stated that they
   would become board certified if there was no associated cost and they
   were confident they would pass. To increase the prevalence of board
   certification in pharmacy practice faculty at U.S. schools and colleges
   of pharmacy, the benefits of this credential must be addressed at each
   institution. Steps should be taken to assist and encourage board
   certification.
RI Anderson, Sarah L./H-6377-2019; Marrs, Joel/R-5776-2019; Haines, Stuart T/J-9607-2019
OI Anderson, Sarah L./0000-0002-8420-9527; Marrs, Joel/0000-0003-0392-3866;
   Haines, Stuart T/0000-0001-8217-1871
TC 13
ZS 1
ZA 0
ZB 2
ZR 0
Z8 0
Z9 13
U1 0
U2 7
SN 0277-0008
UT WOS:000313523400016
PM 23307551
ER

PT J
AU Hanus, Josef
   Nosek, Tomas
   Zahora, Jiri
   Bezrouk, Ales
   Masin, Vladimir
TI On-line integration of computer controlled diagnostic devices and
   medical information systems in undergraduate medical physics education
   for physicians
SO PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS
VL 29
IS 1
BP 83
EP 90
DI 10.1016/j.ejmp.2011.12.002
PD JAN 2013
PY 2013
AB We designed and evaluated an innovative computer-aided-learning
   environment based on the on-line integration of computer controlled
   medical diagnostic devices and a medical information system for use in
   the preclinical medical physics education of medical students. Our
   learning system simulates the actual clinical environment in a hospital
   or primary care unit. It uses a commercial medical information system
   for on-line storage and processing of clinical type data acquired during
   physics laboratory classes. Every student adopts two roles, the role of
   'patient' and the role of 'physician'. As a 'physician' the student
   operates the medical devices to clinically assess 'patient' colleagues
   and records all results in an electronic 'patient' record. We also
   introduced an innovative approach to the use of supportive education
   materials, based on the methods of adaptive e-learning. A survey of
   student feedback is included and statistically evaluated.
   The results from the student feedback confirm the positive response of
   the latter to this novel implementation of medical physics and
   informatics in preclinical education. This approach not only
   significantly improves learning of medical physics and informatics
   skills but has the added advantage that it facilitates students'
   transition from preclinical to clinical subjects. (C) 2011 Associazione
   Italiana di Fisica Medica. Published by Elsevier Ltd. All rights
   reserved.
RI Zahora, Jiri/A-7387-2017; Masin, Vladimir/E-4923-2017; Hanus, Josef/C-3892-2017; Bezrouk, Aleš/A-6654-2017
OI Zahora, Jiri/0000-0001-7607-1364; Masin, Vladimir/0000-0003-2413-3732;
   Hanus, Josef/0000-0001-8854-1378; Bezrouk, Aleš/0000-0002-2397-3847
ZB 0
ZA 0
Z8 0
ZS 0
ZR 0
TC 10
Z9 10
U1 0
U2 18
SN 1120-1797
EI 1724-191X
UT WOS:000315366700010
PM 22200603
ER

PT J
AU Emond, Yvette
   de Groot, Jos
   Wetzels, Wendy
   van Osch, Liesbeth
TI Internet guidance in oncology practice: determinants of health
   professionals' Internet referral behavior
SO PSYCHO-ONCOLOGY
VL 22
IS 1
BP 74
EP 82
DI 10.1002/pon.2056
PD JAN 2013
PY 2013
AB Background Many cancer patients turn to the Internet to obtain
   information on their disease. This digital quest is often motivated by a
   perceived discrepancy between the information received from health
   professionals and patients' actual informational needs. This discrepancy
   may be reduced by supplementing standard patient education with reliable
   online information sources. This study investigates health
   professionals' opinions, cognitions, and behavior regarding referring
   cancer patients to Internet-based information. Methods Online and
   written questionnaires were distributed among Dutch oncology nurses and
   medical specialists, measuring perception of patients' informational
   needs, prompted and unprompted Internet referral, and socio-cognitive
   factors regarding referral behavior. Results Health professionals
   (N?=?130) positively appraised Internet use among cancer patients.
   Despite recognizing patients' needs for additional information (84%) and
   need for referral to reliable websites (67%), only 20% frequently
   referred patients to Internet-based information. Prompted Internet
   referral was higher (64%). Motives for nonreferral included
   unfamiliarity with websites and uncertainty about information quality.
   Intentions towards future referral were moderate to high. To translate
   intentions into referral, health professionals need reminder tools and
   information on reliability and content of websites. Cognitive
   determinants of referral behavior included professionals' attitude,
   self-efficacy, and intentions regarding referral. Conclusions
   Recognition of patients' information needs does not culminate in
   Internet referral among health professionals in cancer care. High
   intentions to change, however, indicate good prospects for future
   referral. This study yields valuable insights into behavioral
   determinants of health professionals' Internet referral behavior.
   Targeting determinants and barriers in future interventions will provide
   opportunities for optimization of educational practices. Copyright (c)
   2011 John Wiley & Sons, Ltd.
RI Emond, Yvette/G-9227-2016
Z8 0
ZB 1
TC 11
ZR 0
ZS 0
ZA 0
Z9 11
U1 0
U2 12
SN 1057-9249
UT WOS:000313132100010
PM 21957030
ER

PT J
AU Curran, J. A.
   Murphy, A. L.
   Sinclair, D.
   McGrath, P.
TI Factors influencing rural and urban emergency clinicians' participation
   in an online knowledge exchange intervention
SO RURAL AND REMOTE HEALTH
VL 13
IS 1
AR 2175
PD JAN-MAR 2013
PY 2013
AB Introduction: Rural emergency departments (EDs) generally have limited
   access to continuing education and are typically staffed by clinicians
   without pediatric emergency specialty training. Emergency care of
   children is complex and the majority of children receive emergency care
   in non-pediatric tertiary care centers. In recent decades, there has
   been a call to action to improve quality and safety in the emergency
   care of children. Of the one million ED visits by children in Ontario in
   2005-2006, one in three visited more than once in a year and one in 15
   returned to the ED within 72 hours of the index visit. This study
   explored factors influencing rural and urban ED clinicians'
   participation in a Web-based knowledge exchange intervention that
   focused on best practice knowledge about pediatric emergency care. The
   following questions guided the study: (i) What are the individual,
   context of practice or knowledge factors which impact a clinician's
   decision to participate in a Web-based knowledge exchange intervention?;
   (ii) What are clinicians' perceptions of organizational expectations
   regarding knowledge and information sources to be used in practice?; and
   (iii) What are the preferred knowledge sources of rural and urban
   emergency clinicians?
   Methods: A Web-based knowledge exchange intervention, the Pediatric
   Emergency Care Web Based Knowledge Exchange Project, for rural and urban
   ED clinicians was developed. The website contained 12 pediatric
   emergency practice learning modules with linked asynchronous discussion
   forums. The topics for the modules were determined through a needs
   assessment and the module content was developed by known experts in the
   field. A follow-up survey was sent to a convenience sample of 187
   clinicians from nine rural and two urban Canadian EDs participating in
   the pediatric emergency Web-based knowledge exchange intervention study.
   Results: The survey response rate was 56% (105/187). Participation in
   the knowledge exchange intervention was related to individual
   involvement in research activities (chi(2) = 5.23, p = 0.019),
   consultation with colleagues from other EDs (chi(2) = 6.37, p = 0.01)
   and perception of organizational expectations to use research evidence
   to guide practice (chi(2) = 5.52, p = 0.015). Most clinicians (95/105 or
   92%) reported relying on colleagues from their own ED as a primary
   knowledge source. Urban clinicians were more likely than their rural
   counterparts to perceive that use of research evidence to guide practice
   was an expectation. Rural clinicians were more likely to rely on
   physicians from their own ED as a preferred knowledge source.
   Conclusion: The decision made by emergency clinicians to participate in
   a Web-based knowledge exchange intervention was influenced by a number
   of individual and contextual factors. Differences in these factors and
   preferences for knowledge sources require further characterization to
   enhance engagement of rural ED clinicians in online knowledge exchange
   interventions.
OI Curran, Janet/0000-0001-9977-0467; Murphy, Andrea/0000-0001-5093-6681;
   McGrath, Patrick/0000-0002-9568-2571
ZR 0
ZA 0
Z8 0
ZB 0
TC 6
ZS 0
Z9 6
U1 1
U2 10
SN 1445-6354
UT WOS:000322364800017
PM 23374031
ER

PT J
AU Buhi, Eric R.
   Klinkenberger, Natalie
   Hughes, Shana
   Blunt, Heather D.
   Rietmeijer, Cornelis
TI Teens' Use of Digital Technologies and Preferences for Receiving STD
   Prevention and Sexual Health Promotion Messages: Implications for the
   Next Generation of Intervention Initiatives
SO SEXUALLY TRANSMITTED DISEASES
VL 40
IS 1
BP 52
EP 54
DI 10.1097/OLQ.0b013e318264914a
PD JAN 2013
PY 2013
AB This study examined teens' digital device ownership, online activities,
   and usage/frequency of communication modalities. Teens with a current
   sexually transmitted disease were more likely to report willingness to
   use a text messaging service to have sexual health questions answered.
   Next-generation sexually transmitted disease prevention initiatives must
   use newer communication technologies to maximize effectiveness.
RI Walsh-Buhi, Eric R./C-5106-2011
OI Walsh-Buhi, Eric R./0000-0002-1690-5352
ZR 0
TC 13
Z8 0
ZS 0
ZA 0
ZB 2
Z9 13
U1 0
U2 41
SN 0148-5717
UT WOS:000312557700010
PM 23250302
ER

PT J
AU Salas, Rachel E.
   Gamaldo, Alyssa
   Collop, Nancy A.
   Gulyani, Seema
   Hsu, Melanie
   David, Paula M.
   Rao, Aruna
   Gamaldo, Charlene E.
TI A step out of the dark: Improving the sleep medicine knowledge of
   trainees
SO SLEEP MEDICINE
VL 14
IS 1
BP 105
EP 108
DI 10.1016/j.sleep.2012.09.013
PD JAN 2013
PY 2013
AB Objective: Over 40-million Americans are undiagnosed, misdiagnosed, or
   untreated for sleep disorders. Despite the growing need to integrate
   sleep medicine knowledge into the medical education curriculum,
   educational leaders have struggled to incorporate contemporary medical
   topics such as sleep medicine into the already packed curricula. We set
   out to examine the efficacy of an online, self-paced, sleep medicine
   learning module as an educational tool for medical students.
   Methods: We studied 87 Johns Hopkins medical students. Participants were
   randomly assigned to the sham module (SM, n = 40) or learning module
   (LM, n = 47). The efficacy of the tool was assessed based on changes in
   performance (pre- and post-module completion) on a validated sleep
   knowledge questionnaire (the Dartmouth Sleep Knowledge and Attitude
   Survey).
   Results: Improvement in overall sleep knowledge, as measured by the
   Dartmouth Sleep Knowledge and Attitude Survey, was significantly higher
   in the LM group compared to the SM group (F(1,84) = 9.71, p < .01,
   eta(2) = 0.10). Although the SM group's improvement was significantly
   lower than the LM group, within-subject comparisons did show improvement
   from their pre- to post-assessment scores as well.
   Conclusion: A self-paced learning module is an effective educational
   tool for delivering sleep medicine knowledge to medical students. (C)
   2012 Elsevier B. V. All rights reserved.
OI Salas, MD, MEd, Rachel Marie E./0000-0002-3945-3336
ZS 0
TC 14
ZA 0
ZR 0
ZB 1
Z8 0
Z9 14
U1 0
U2 5
SN 1389-9457
UT WOS:000313727100018
PM 23127578
ER

PT J
AU Cowan, R. E.
   Nash, M. S.
   Anderson, K. D.
TI Exercise participation barrier prevalence and association with exercise
   participation status in individuals with spinal cord injury
SO SPINAL CORD
VL 51
IS 1
BP 27
EP 32
DI 10.1038/sc.2012.53
PD JAN 2013
PY 2013
AB Study design: Pass-code protected web survey.
   Objectives: Defining exercise participation barrier prevalence and
   association with exercise participation status in adults with spinal
   cord injury (SCI).
   Setting: World-wide web.
   Methods: Individuals >= 18 years with ShCI in the United States
   completed a pass-code protected website survey (N = 180). Odds ratios
   (OR) and OR 95% confidence interval (95% CI) assessed association
   between barrier presence and exercise participation.
   Results: No differences existed between exercisers and non-exercisers
   with respect to age, gender, injury level, injury duration, education
   level, or employment status. A larger percentage of non-exercisers
   reported household annual incomes <$7,500. The five most prevalent
   barriers were not associated with participation status (all OR 95% CI
   included 1). Low prevalence (<= 13%) characterized four of the five
   barriers most strongly related to being a non-exerciser. Identifying too
   lazy, too difficult, or no interest as a barrier decreased odds of being
   an exerciser by 86%, 83%, and 71%, respectively. Not liking exercise
   decreased the odds of being an exerciser by 90%.
   Conclusion: Highly prevalent barriers were not associated with exercise
   participation status, whereas low prevalence barriers were strongly
   related to being a non-exerciser. Internal barriers had the strongest
   association with exercise participation status. The possible association
   between socioeconomic factors and exercise participation may be
   underappreciated. The most effective interventions to increase exercise
   participation may be multifocal approaches to enhance internal
   perceptions about and motivation to exercise, increase knowledge of how
   and where to exercise, while also reducing program and transportation
   financial costs. Spinal Cord (2013) 51, 27-32; doi: 10.1038/sc.2012.53;
   published online 15 May 2012
RI Anderson, Kim/ABA-2258-2020; Anderson, Kimberly/AAB-6460-2022; Anderson, Kim/AFS-0131-2022; Cowan, Rachel/
OI Anderson, Kim/0000-0001-9252-161X; Anderson, Kim/0000-0001-9252-161X;
   Cowan, Rachel/0000-0002-3320-0653
TC 49
ZR 0
Z8 0
ZB 11
ZS 1
ZA 0
Z9 49
U1 0
U2 14
SN 1362-4393
UT WOS:000313208400006
PM 22584283
ER

PT J
AU Malempati, Harsha
   Wadey, Veronica M. R.
   Paquette, Scott
   Kreder, Hans J.
   Massicotte, Eric M.
   Rampersaud, Raja
   Fisher, Charles
   Dvorak, Marcel F.
   Fehlings, Michael G.
   Backstein, David
   Yee, Albert
TI Spinal Surgery Fellowship Education in Canada Evaluation of Trainee and
   Supervisor Perspectives on Cognitive and Procedural Competencies
SO SPINE
VL 38
IS 1
BP 83
EP 91
DI 10.1097/BRS.0b013e3182640f69
PD JAN 1 2013
PY 2013
AB Study Design. A cross-sectional survey of spine surgery fellowship
   educators and trainees.
   Objective. To determine educator and trainee perspectives on the
   relative importance of core cognitive and procedural competencies in
   fellowship training. To determine perceptions of confidence in
   competencies by trainees near the end of their fellowship. Finally, to
   determine potential differences comparing surgeons by background
   specialty training (neurosurgical or orthopedic) of their views on
   competencies.
   Summary of Background Data. Spine surgery is a growing subspecialty with
   increasing collaboration among specialists of varied specialty
   backgrounds involved in education. With the recent implementation of
   competency-based curricula during specialty training, opportunities may
   exist in enhancing fellowship education.
   Methods. A questionnaire on cognitive and procedural competencies was
   administered (online and paper) to fellowship educators and trainees
   across Canada. A follow-up questionnaire was administered to
   nonresponders 3 months later. Survey results were summarized using
   qualitative and descriptive statistics with comparative analyses
   performed.
   Results. Of the identified respondents, the response rate was 91%,
   (15/17 fellow trainees; 47/51 educators). Twelve of the 13 core
   cognitive skill categories were rated as being important to acquire by
   the end of fellowship. Trainees were not comfortable performing, and
   requested additional training in 8 of the 29 less common and technically
   demanding procedural skills. There were different perceptions on the
   relative importance of competencies comparing trainees by specialty
   background as well as different perceptions on the types of competencies
   where additional training was desired to achieve competency (P < 0.05).
   Fellowship educators and trainees possessed similar perceptions on the
   relative importance of core cognitive and procedural competencies
   required for successful training.
   Conclusion. Background specialty influenced the perceptions of both
   fellowship educators and trainees. This study identified potential gaps
   or perceived deficiencies in the competency of current fellows.
   Improvements in spine fellowship education should target these areas
   through developing evidence-based curriculum changes.
RI Wadey, Veronica/AAM-9985-2021; Dvorak, Marcel/; Fehlings, Michael/
OI Wadey, Veronica/0000-0002-9086-7227; Dvorak, Marcel/0000-0002-9404-8448;
   Fehlings, Michael/0000-0002-5722-6364
ZS 1
ZA 0
TC 11
ZR 0
Z8 0
ZB 3
Z9 11
U1 0
U2 5
SN 0362-2436
EI 1528-1159
UT WOS:000312946800022
PM 22718224
ER

PT J
AU Hafford, Melanie L.
   Van Sickle, Kent R.
   Willis, Ross E.
   Wilson, Todd D.
   Gugliuzza, Kristine
   Brown, Kimberly M.
   Scott, Daniel J.
TI Ensuring competency: Are fundamentals of laparoscopic surgery training
   and certification necessary for practicing surgeons and operating room
   personnel?
SO SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
VL 27
IS 1
BP 118
EP 126
DI 10.1007/s00464-012-2437-7
PD JAN 2013
PY 2013
AB Certification in fundamentals of laparoscopic surgery (FLS) is required
   by the American board of surgery for graduating residents. This study
   aimed to evaluate the feasibility and need for certifying practicing
   surgeons and to assess proficiency of operating room (OR) personnel.
   Through a patient safety and health care delivery effectiveness grant,
   investigators at four state medical schools received funding for FLS
   certification of all attending surgeons and OR personnel credentialed in
   laparoscopy. Data were voluntarily collected under an institutional
   review board-approved protocol. Surgeons performed a single repetition
   of the FLS tasks oriented to the FLS proficiency-based curriculum and
   online cognitive materials and were encouraged to self-practice. The FLS
   certification examination was administered 2 months later under standard
   conditions. Operating room nurses and scrub technicians were enrolled in
   a curriculum with cognitive materials and a multistation skills
   practicum. Baseline and completion questionnaires were administered.
   Performance was assessed using signed-rank and chi(2) analysis.
   The study aimed to enroll 99 surgeons. Subsequently, 87 surgeons
   completed at least one portion of the curriculum, 72 completed the
   entire curriculum (73 % compliance), 83 completed the baseline skills
   assessment, and 27 (33 %) failed. The self-reported practice time was
   3.7 +/- A 2.5 h. At certification (n = 76), skills performance had
   improved from 317 +/- A 102.9 to 402 +/- A 54.2 (p < 0.0001). One
   surgeon (1.3 %) failed the skills certification, and nine (11.8 %)
   failed the cognitive exam. Remediation was completed by six surgeons. Of
   the 64 enrolled OR personnel, 22 completed the curriculum (34 %
   compliance). All achieved proficiency at skills, and 60 % passed the
   cognitive exam.
   This study demonstrated that FLS certification for practicing surgeons
   and proficiency verification for OR personnel are feasible. A baseline
   skills failure rate of 33 % and a certification failure rate of 13 %
   suggest that FLS certification may be necessary to ensure surgeon
   competency. Fortunately, with only moderate practice, significant
   improvement can be achieved.
CT Annual Meeting of the
   Society-of-American-Gastrointestinal-and-Endoscopic-Surgeons (SAGES) /
   15th World Congress of Endoscopic Surgery / Foregut Session
CY MAR 06-10, 2012
CL San Diego, CA
SP Soc Amer Gastrointestinal & Endoscop Surg
ZB 12
TC 50
ZR 0
ZS 0
Z8 0
ZA 0
Z9 50
U1 0
U2 10
SN 0930-2794
EI 1432-2218
UT WOS:000312884500017
PM 22773236
ER

PT J
AU Vita, Swaroop
   Coplin, Heidi
   Feiereisel, Kristen B.
   Garten, Sarajane
   Mechaber, Alex J.
   Estrada, Carlos
TI Decreasing the Ceiling Effect in Assessing Meeting Quality at an
   Academic Professional Meeting
SO TEACHING AND LEARNING IN MEDICINE
VL 25
IS 1
BP 47
EP 54
DI 10.1080/10401334.2012.741543
PD JAN 1 2013
PY 2013
AB Background: The psychometric properties of evaluations at academic
   meetings have not been well studied. Purpose: To explore the ceiling
   effect in the evaluation of quality of a professional meeting and
   whether a change in the scale labels would decrease the ceiling effect.
   Methods: Cross-sectional study at two national meetings (2009-2010),
   attendees completed the evaluation on paper forms or online (5-point
   Likert scale). Results: Of 1,064 evaluations, the mean session ratings
   was higher among respondents to the paper version in 2009 (4.2; 95%
   confidence interval [CI], 4.1 to 4.3) as compared to online responders
   in 2009 (3.0; 95% CI, 2.9 to 3.1) or online responders in 2010 (3.0; 95%
   CI, 2.9 to 3.1)(p < 0.001). Conclusion: A ceiling effect was present in
   the evaluation of an academic meeting. A change in the evaluation scale
   labels decreased the ceiling effect and increased evaluation
   variability.
TC 7
ZB 0
Z8 0
ZR 0
ZS 0
ZA 0
Z9 7
U1 0
U2 5
SN 1040-1334
UT WOS:000313680600009
PM 23330894
ER

PT J
AU Bergold, Martin
   Strametz, Reinhard
   Weinbrenner, Susanne
   Khan, Khalid S
   Zamora, Javier
   Moll, Peter
   Weberschock, Tobias
CA EbM Unity
TI [Evidence-based Medicine online for young doctors - a randomised
   controlled trial].
FT Evidenzbasierte Medizin online zum arztlichen Berufsstart- eine
   randomisiert-kontrollierte Studie.
SO Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
VL 107
IS 1
BP 36
EP 43
DI 10.1016/j.zefq.2012.11.018
PD 2013
PY 2013
AB INTRODUCTION: Evidence-based Medicine (EbM) was originally developed as
   a teaching tool for young doctors, but in Germany the last surveys among
   residents in 2009 and 2011 demonstrated that, across all topics, the
   largest deficits were seen in the field of EbM. One reason may be a
   deficit in customised offers for continuing medical education in EbM. In
   a randomised controlled trial with a wait-control design we investigated
   a possible gain in knowledge and the acceptance of an online course in
   EbM for first-year residents.
   METHODS: All first-year residents at the Hospital of the Goethe
   University in Frankfurt received the offer to voluntarily take part in
   an online EbM course. The tutored course consisted of five modules
   according to the five steps of EbM, each module being complemented by
   practical tasks. The participants were randomised via telephone to the
   course right away or after a three-month waiting period. The primary
   endpoint (i.e., knowledge) was tested via two sets of 13 multiple choice
   questions before and after the course and after 6 and 12 months. The
   participants were asked to subjectively evaluate the course by using an
   A-F grading system and to semiquantitatively assess its level of
   difficulty; they were also asked to evaluate the usefulness of its
   content in their clinical setting.
   RESULTS: 114 out of the 120 randomised participants took part. After 3
   months the immediate intervention group (n=58) achieved a median of 10
   (95% confidence interval 10 to 11) correct answers following the course,
   whereas the waiting intervention group only received a median of 4 (95%
   confidence interval 4 to 5) correct answers after the three month
   waiting period (p≤0.0001). The median gain in knowledge for both groups
   throughout the course was 5 correct answers (p≤0.0001), and this proved
   to remain constant within a twelve month period. Six months after the
   course, this course was rated as clinically useful by 96.4% of the
   participants, and 38.1% stated that they would volunteer again in
   further teaching activities. The course received a median grade of B.
   DISCUSSION AND CONCLUSIONS: A German online EbM course for first-year
   residents leads to a remarkable and sustainable gain in knowledge, is
   well marked, and its contents were regarded as clinically relevant. This
   tutored practical course is applicable to various settings and could
   provide an important contribution to EbM residency programs.
RI Zamora, Javier/B-1722-2009; Arvanitis, Theodoros N/C-9210-2009; Khan, Khalid S/AAT-8824-2020; Zamora, Javier/AEO-0608-2022; Strametz, Reinhard/AAK-3234-2020
OI Zamora, Javier/0000-0003-4901-588X; Arvanitis, Theodoros
   N/0000-0001-5473-135X; Khan, Khalid S/0000-0001-5084-7312; Zamora,
   Javier/0000-0003-4901-588X; Strametz, Reinhard/0000-0002-9920-8674
ZS 0
ZB 1
TC 6
Z8 0
ZA 0
ZR 0
Z9 6
U1 0
U2 1
EI 2212-0289
UT MEDLINE:23415342
PM 23415342
ER

PT J
AU Lyamin, A. V.
   Neznanov, N. G.
   Martynikhin, I. A.
   Martynikhin, A. V.
TI Circadian rhythm, jetlag and chronic fatigue regarded in the light of
   online studying at university
SO ZHURNAL NEVROLOGII I PSIKHIATRII IMENI S S KORSAKOVA
VL 113
IS 12
BP 97
EP 99
PD 2013
PY 2013
RI Neznanov, Nikolai/U-1562-2017; Lyamin, Andrey/L-7635-2016
OI Lyamin, Andrey/0000-0002-7387-0694
Z8 0
ZA 0
ZB 0
ZS 0
ZR 0
TC 0
Z9 0
U1 0
U2 2
SN 1997-7298
UT WOS:000330753600017
PM 24430044
ER

PT J
AU Brynolf, Anne
   Johansson, Stefan
   Appelgren, Ester
   Lynoe, Niels
   Bonamy, Anna-Karin Edstedt
TI Virtual colleagues, virtually colleagues-physicians' use of Twitter: a
   population-based observational study
SO BMJ OPEN
VL 3
IS 7
AR e002988
DI 10.1136/bmjopen-2013-002988
PD 2013
PY 2013
AB Objective To investigate potential violations of patient confidentiality
   or other breaches of medical ethics committed by physicians and medical
   students active on the social networking site Twitter.
   Design Population-based cross-sectional observational study.
   Setting The social networking site Twitter (Swedish-speaking users,
   n=298819).
   Population Physicians and medical students (Swedish-speaking users,
   n=237) active on the social networking site Twitter between July 2007
   and March 2012.
   Main outcome measure Postings that reflect unprofessional behaviour and
   ethical breaches among physicians and medical students.
   Results In all, 237 Twitter accounts were established as held by
   physicians and medical students and a total of 13780 tweets were
   analysed by content. In all, 276 (1.9%) tweets were labelled as
   unprofessional'. Among these, 26 (0.2%) tweets written by 15 (6.3%)
   physicians and medical students included information that could violate
   patient privacy. No information on the personal ID number or names was
   disclosed, but parts of the patient documentation or otherwise specific
   indicatory information on patients were found. Unprofessional tweets
   were more common among users writing under a pseudonym and among medical
   students.
   Conclusions In this study of physicians and medical students on Twitter,
   we observed potential violations of patient privacy and other breaches
   of medical ethics. Our findings underline that every physician and
   medical student has to consider his or her presence on social networking
   sites. It remains to be investigated if the introduction of social
   networking site guidelines for medical professionals will improve
   awareness.
RI Bonamy, Anna-Karin E/B-7106-2012; Appelgren, Ester/ABE-3864-2021; Johansson, Stefan/
OI Bonamy, Anna-Karin E/0000-0003-4552-9912; Appelgren,
   Ester/0000-0003-1428-9477; Johansson, Stefan/0000-0001-8832-6918
ZR 0
Z8 0
TC 21
ZB 4
ZA 0
ZS 1
Z9 21
U1 0
U2 9
SN 2044-6055
UT WOS:000329805500055
PM 23883885
ER

PT J
AU Loos, A.T.
TI Health literacy missouri: evaluating a social media program at a health
   literacy organization
SO Journal of Consumer Health on the Internet
VL 17
IS 4
BP 389
EP 96
DI 10.1080/15398285.2013.836940
PD 2013
PY 2013
AB This study evaluated the current social media program at Health Literacy
   Missouri, focusing on the four platforms upon which it has the strongest
   presence. Retrospective data were collected by counting the number of
   fans, followers, likes, wall posts/reposts, and tweets/retweets on
   Facebook, Twitter, LinkedIn, and a blog. These metrics were then
   compared with benchmarks for social media use in other not-for-profit
   organizations and placed in the context of other statewide health
   literacy organizations. Health Literacy Missouri meets most, but not
   all, benchmarks and leads other statewide health literacy organizations
   in its adoption of social media.
ZA 0
Z8 0
ZR 0
ZS 0
ZB 1
TC 2
Z9 2
U1 0
U2 0
SN 1539-8285
UT INSPEC:15081254
ER

PT J
AU Lyons, Tierney
   Warlick, Stefanie
TI Health sciences information literacy in CMS environments: learning from
   our peers
SO ELECTRONIC LIBRARY
VL 31
IS 6
BP 770
EP 780
DI 10.1108/EL-06-2012-0063
PD 2013
PY 2013
AB Purpose - With academic institutions' adoption of Course/Learning
   Management Systems (CMS), librarians are increasingly providing content
   through this delivery method. This study aims to identify practical
   information for librarians considering CMS content development or
   re-evaluation of online offerings.
   Design/methodology/approach - Academic libraries with health sciences
   information literacy programs within CMS were examined through a
   literature review and then queried through an online survey. Trends and
   issues identified within the literature were utilized to develop the
   survey. Collected data was analyzed to determine how librarians
   incorporafe CMS into information literacy. Analysis focused on
   strategies used in development and delivery, benefits and challenges of
   CMS and pairing its content with traditional instruction methods.
   Findings - An overarching theme is the ease and accessibility of CMS,
   especially for distance learners and those with time restrictions.
   However, although online tools and learning spaces are readily available
   and beneficial, librarians maintain in-person instruction. A shift from
   primarily positive published reports by early adopters to more
   constructive feedback that stems from longer-term CMS experience is
   identified. Assessment practices of online library instruction need
   additional attention to provide a more robust approach.
   Originality/value - This unique examination of the last ten years of
   publications focusing on information literacy librarians' CMS activity
   is paired with a broad, updated examination of current trends. It
   identifies best practices related to time commitment, faculty
   relationships, and assessment for implementation in CMS environments and
   the importance of utilizing blended learning strategies.
RI Lyons, Tierney/AAU-5403-2021
OI Lyons, Tierney/0000-0002-4765-7670
ZB 1
TC 5
ZS 0
ZR 0
ZA 0
Z8 0
Z9 6
U1 0
U2 20
SN 0264-0473
EI 1758-616X
UT WOS:000327281800007
ER

PT J
AU Tan, Amy
   Ross, Shelley Paige
   Duerksen, Kimberley
TI Death is not always a failure: outcomes from implementing an online
   virtual patient clinical case in palliative care for family medicine
   clerkship
SO MEDICAL EDUCATION ONLINE
VL 18
AR 22711
DI 10.3402/meo.v18i0.22711
PD 2013
PY 2013
AB Background: The dying patient is a reality of medicine. Medical
   students, however, feel unprepared to effectively manage the complex
   end-of-life (EOL) management issues of the dying patient and want
   increased experiential learning in Palliative Care.
   Aims: To address the need for more formal curriculum in EOL care, we
   developed and implemented an online virtual patient (VP) clinical case
   in Palliative Care into the 2010-2011 Year Three Family Medicine
   Clerkship rotation curriculum.
   Methods: A mixed-method design was used to measure the change in
   knowledge and perceived preparedness level in EOL care before and after
   completing the online VP case. A survey collected qualitative
   descriptions of the students' educational experience of using this case.
   Results: Ninety five percent (130/137) of the students voluntarily
   consented to have their results analyzed. The group knowledge score (n =
   127) increased significantly from a pre-course average of 7.69/16 +/-
   2.27, to a post-course average of 10.02/16 +/- 2.39 (p <0.001). The
   students' self-assessed comfort level increased significantly with all
   aspects of EOL management from pre-course to post-course (p <0.001).
   Nearly, 91.1% of the students rated the VP realism as 'Good to
   Excellent', 86% rated the case as educationally beneficial. Nearly 59.3%
   of students felt emotionally engaged with the VP. Qualitative feedback
   found that the case content was very useful and realistic, but that the
   interface was sometimes awkward to navigate.
   Conclusions: The online VP case in Palliative Care is a useful teaching
   tool that may help to address the need for increased formal Palliative
   Care experience in medical school training programs.
OI Ross, Shelley/0000-0001-9581-3191
ZB 0
ZR 0
ZA 0
ZS 0
TC 19
Z8 1
Z9 20
U1 0
U2 15
SN 1087-2981
UT WOS:000327534700001
ER

PT B
AU Harrell, Lisa
BA Harrell, L
TI ONLINE COURSE INTERACTION
SO LEARNER CENTERED APPROACH TO ONLINE EDUCATION
BP 67
EP 116
PD 2013
PY 2013
ZS 0
ZA 0
ZB 0
TC 0
Z8 0
ZR 0
Z9 0
U1 0
U2 1
BN 978-1-62396-292-0; 978-1-62396-293-7
UT WOS:000326709300006
ER

PT C
AU dos Santos, Marcelo
   Fujino, Asa
BE Law, MY
   Boonn, WW
TI Developing an Interactive and MIRC-Compliant Radiology Teaching File
   System
SO MEDICAL IMAGING 2013: ADVANCED PACS-BASED IMAGING INFORMATICS AND
   THERAPEUTIC APPLICATIONS
SE Proceedings of SPIE
VL 8674
AR 86740U
DI 10.1117/12.2008135
PD 2013
PY 2013
AB In this work we present the development of an electronic teaching file
   (ETF) system. The proposed system is accessible through a standard
   web-browser, allowing users to perform a variety of tasks, including
   data entry, dataset quality control, and image visualization. In
   addition, it is a modular and extensible web-based clinical information
   management system that integrates features of multimodality and
   multi-center studies. This integration has been done by using MIRC-RSNA
   schemas and application programming interfaces. The system has provided
   a secure and user-friendly platform to archive and use a comprehensive
   set of medical images and related information.
CT Conference on Medical Imaging - Advanced PACS-Based Imaging Informatics
   and Therapeutic Applications
CY FEB 12-14, 2013
CL Lake Buena Vista, FL
SP SPIE; Aeroflex Inc; Univ Cent Florida, CREOL Coll Opt & Photon; DQE
   Instruments Inc; Medtronic Inc; PIXELTEQ
RI dos-Santos, Marcelo/L-6748-2017; Fujino, Asa/AAG-4722-2020
OI dos-Santos, Marcelo/0000-0001-6926-0896; Fujino, Asa/0000-0003-0652-5222
ZB 0
ZR 0
ZA 0
ZS 0
Z8 0
TC 0
Z9 0
U1 1
U2 1
SN 0277-786X
EI 1996-756X
BN 978-0-8194-9448-1
UT WOS:000325369900026
ER

PT C
AU Johnston, Semay
   Renambot, Luc
   Sauter, Daniel
BE Dolinsky, M
   McDowall, IE
TI Employing WebGL to develop interactive stereoscopic 3D content for use
   in biomedical visualization
SO ENGINEERING REALITY OF VIRTUAL REALITY 2013
SE Proceedings of SPIE
VL 8649
AR 864905
DI 10.1117/12.2007594
PD 2013
PY 2013
AB Web Graphics Library (WebGL), the forthcoming web standard for rendering
   native 3D graphics in a browser, represents an important addition to the
   biomedical visualization toolset. It is projected to become a mainstream
   method of delivering 3D online content due to shrinking support for
   third-party plug-ins. Additionally, it provides a virtual reality (VR)
   experience to web users accommodated by the growing availability of
   stereoscopic displays (3D TV, desktop, and mobile). WebGL's value in
   biomedical visualization has been demonstrated by applications for
   interactive anatomical models, chemical and molecular visualization, and
   web-based volume rendering. However, a lack of instructional literature
   specific to the field prevents many from utilizing this technology. This
   project defines a WebGL design methodology for a target audience of
   biomedical artists with a basic understanding of web languages and 3D
   graphics. The methodology was informed by the development of an
   interactive web application depicting the anatomy and various
   pathologies of the human eye. The application supports several modes of
   stereoscopic displays for a better understanding of 3D anatomical
   structures.
CT Conference on Engineering Reality of Virtual Reality
CY FEB 04-05, 2013
CL Burlingame, CA
SP Soc Imaging Sci & Technol (IS&T); SPIE; Qualcomm Inc
ZA 0
ZB 1
ZS 0
TC 3
Z8 0
ZR 0
Z9 3
U1 0
U2 15
SN 0277-786X
EI 1996-756X
BN 978-0-8194-9422-1
UT WOS:000322535300004
ER

PT J
AU Manafo, E.
   Wong, S.
TI eSEARCHcopy: a tool to promote the eHealth literacy skills of older
   adults
SO Journal of Consumer Health on the Internet
VL 17
IS 3
BP 255
EP 71
DI 10.1080/15398285.2013.812914
PD 2013
PY 2013
AB The eSEARCHcopy eHealth literacy tool aims to help older adults (aged 55
   and over) feel more confident in searching, finding, evaluating and
   using online health information. This study used an experimental pre-
   and post-test between-groups design to explore the research hypothesis
   that the eSEARCH tool will improve older adults' perceived confidence in
   their eHealth literacy skills. Sixty seven older adults participated.
   Participants in the experimental group were more likely to identify a
   perceived positive change in the eHealth literacy domains compared with
   participants in the control group. eSEARCH demonstrates promise in
   promoting older adults confidence in their perceived eHealth literacy
   skills. Additional research is required to promote the use and
   familiarity of eSEARCH in a larger group of older adults with
   measurements of longer-term outcomes.
ZS 0
ZR 0
TC 6
ZA 0
ZB 1
Z8 0
Z9 6
U1 0
U2 2
SN 1539-8285
UT INSPEC:15081247
ER

PT J
AU Pullen, Kimberly
   Tucker, Betty
   Tarver, Talicia
TI Teaming Up with Girl Scouts for Online Nutrition Information.
SO Journal of consumer health on the Internet
VL 17
IS 3
DI 10.1080/15398285.2013.812916
PD 2013
PY 2013
AB Three librarians at LSU Health Shreveport partnered with staff members
   at the Shreveport service center staff of the Girl Scouts of Louisiana -
   Pines to the Gulf to teach girls about nutrition. The librarians
   provided instruction to the staff on healthelinks, MedlinePlus, and the
   other National Library of Medicine databases. They worked with the staff
   to incorporate these online resources into the nutrition curriculum for
   the Girl Scout leaders to use with their troops. They also provided two
   laptop computers, promotional items, and teaching aids. The program was
   repeated in the summer for week-long day camps designed to introduce
   girls to Scouting. The librarians had the opportunity to work directly
   with over one hundred girls at these camps to introduce them to
   authoritative, age-appropriate web sites on nutrition.
ZS 0
TC 0
ZR 0
ZB 0
ZA 0
Z8 0
Z9 0
U1 0
U2 0
SN 1539-8285
UT MEDLINE:24223515
PM 24223515
ER

PT J
AU Lewis, Celine
   Clotworthy, Margaret
   Hilton, Shona
   Magee, Caroline
   Robertson, Mark J.
   Stubbins, Lesley J.
   Corfield, Julie
TI Public views on the donation and use of human biological samples in
   biomedical research: a mixed methods study
SO BMJ OPEN
VL 3
IS 8
AR e003056
DI 10.1136/bmjopen-2013-003056
PD 2013
PY 2013
AB Objective: A mixed methods study exploring the UK general public's
   willingness to donate human biosamples (HBSs) for biomedical research.
   Setting: Cross-sectional focus groups followed by an online survey.
   Participants: Twelve focus groups (81 participants) selectively sampled
   to reflect a range of demographic groups; 1110 survey responders
   recruited through a stratified sampling method with quotas set on sex,
   age, geographical location, socioeconomic group and ethnicity.
   Main outcome measures: (1) Identify participants' willingness to donate
   HBSs for biomedical research, (2) explore acceptability towards donating
   different types of HBSs in various settings and (3) explore preferences
   regarding use and access to HBSs.
   Results: 87% of survey participants thought donation of HBSs was
   important and 75% wanted to be asked to donate in general. Responders
   who self-reported having some or good knowledge of the medical research
   process were significantly more likely to want to donate (p<0.001).
   Reasons why focus group participants saw donation as important included:
   it was a good way of reciprocating for the medical treatment received;
   it was an important way of developing drugs and treatments; residual
   tissue would otherwise go to waste and they or their family members
   might benefit. The most controversial types of HBSs to donate included:
   brain post mortem (29% would donate), eyes post mortem (35%), embryos
   (44%), spare eggs (48%) and sperm (58%). Regarding the use of samples,
   there were concerns over animal research (34%), research conducted
   outside the UK (35%), and research conducted by pharmaceutical companies
   (56%), although education and discussion were found to alleviate such
   concerns.
   Conclusions: There is a high level of public support and willingness to
   donate HBSs for biomedical research. Underlying concerns exist regarding
   the use of certain types of HBSs and conditions under which they are
   used. Improved education and more controlled forms of consent for
   sensitive samples may mitigate such concerns.
OI Hilton, Shona/0000-0003-0633-8152
TC 19
Z8 0
ZB 5
ZR 0
ZS 0
ZA 0
Z9 19
U1 0
U2 6
SN 2044-6055
UT WOS:000330561300092
PM 23929915
ER

PT J
AU Zurc, Joca
TI INTEGRATING QUANTITATIVE AND QUALITATIVE METHODOLOGY IN HEALTH SCIENCE
   RESEARCH: A SYSTEMATIC REVIEW
SO ZDRAVSTVENO VARSTVO
VL 52
IS 3
BP 221
EP 235
DI 10.2478/sjph-2013-0023
PD 2013
PY 2013
AB Background: The popularity of integrating quantitative and qualitative
   methodologies in the same research has grown incredibly in recent years.
   There is a lack of evidence about the efficiency of mixed methods use in
   health sciences research practice. The purpose of this study was to
   analyse the areas, main research themes, mixed methods research design
   typologies and efficiency of implementation and further open questions
   regarding mixed methods in health sciences.
   Methods: A systematic review was made on a sample of 25 scientific
   articles of health sciences that stated mixed methods use in research.
   Inclusion criteria: original scientific article with applying and
   evaluating of mixed methods, published during the period July 2006 -
   July 2011 in a peer reviewed journal, included in international
   databases: WebSurvey Methodology, CINAHL, MEDLINE and PubMed.
   Results: All 25 studies provided effectiveness of mixed methods use in
   health science research practice. Mixed methods are the most popular in
   nursing (32%) and health promotion (28%). Sequential mixed methods
   research design is prevalent (64.3%), with the first research phase in
   priority (71.4%). The relation between quantitative (57.2%) and
   qualitative (42.8%) priority approach is balanced. Complementarity
   (57.1%), triangulation (28.6%) and expansion (14.3%) are the most common
   research purposes for using mixed methods in health sciences.
   Conclusions: The presented findings confirmed mixed methods
   applicability for the complex and less studied research problems in
   health sciences. Conceptualisation of mixed methods in different
   disciplines of health sciences, development of quality criteria and
   standards for mixed methods research assessment and expansion of mixed
   methods in clinical practice as support in evidence based practice
   development appeared as the most important research questions of mixed
   methods in health sciences that should be addressed in the future
   studies.
OI Zurc, Joca/0000-0003-4801-9053
ZS 0
TC 2
Z8 0
ZA 0
ZB 0
ZR 0
Z9 2
U1 1
U2 20
SN 0351-0026
EI 1854-2476
UT WOS:000320755100007
ER

PT J
AU Cahn, Peter S.
   Benjamin, Emelia J.
   Shanahan, Christopher W.
TI 'Uncrunching' time: medical schools' use of social media for faculty
   development
SO MEDICAL EDUCATION ONLINE
VL 18
AR 20995
DI 10.3402/meo.v18i0.20995
PD 2013
PY 2013
AB Purpose: The difficulty of attracting attendance for in-person events is
   a problem common to all faculty development efforts. Social media holds
   the potential to disseminate information asynchronously while building a
   community through quick, easy-to-use formats. The authors sought to
   document creative uses of social media for faculty development in
   academic medical centers.
   Method: In December 2011, the first author (P.S.C.) examined the
   websites of all 154 accredited medical schools in the United States and
   Canada for pages relevant to faculty development. The most popular
   social media sites and searched for accounts maintained by faculty
   developers in academic medicine were also visited. Several months later,
   in February 2012, a second investigator (C.W.S.) validated these data
   via an independent review.
   Results: Twenty-two (22) medical schools (14.3%) employed at least one
   social media technology in support of faculty development. In total, 40
   instances of social media tools were identified - the most popular
   platforms being Facebook (nine institutions), Twitter (eight
   institutions), and blogs (eight institutions). Four medical schools, in
   particular, have developed integrated strategies to engage faculty in
   online communities.
   Conclusions: Although relatively few medical schools have embraced
   social media to promote faculty development, the present range of such
   uses demonstrates the flexibility and affordability of the tools. The
   most popular tools incorporate well into faculty members' existing use
   of technology and require minimal additional effort. Additional research
   into the benefits of engaging faculty through social media may help
   overcome hesitation to invest in new technologies.
RI Cahn, Peter S./J-4436-2019; Shanahan, Christopher W/H-6592-2015; Benjamin, Emelia/E-7103-2011
OI Cahn, Peter S./0000-0002-7872-3335; Shanahan, Christopher
   W/0000-0001-9067-5922; Benjamin, Emelia/0000-0003-4076-2336
ZB 0
TC 10
ZR 0
ZS 0
ZA 0
Z8 0
Z9 10
U1 1
U2 21
SN 1087-2981
UT WOS:000321036300001
ER

PT J
AU Gill, Harkiran K
   Gill, Navkiranjit
   Young, Sean D
TI Online Technologies for Health Information and Education: A literature
   review.
SO Journal of consumer health on the Internet
VL 17
IS 2
BP 139
EP 150
PD 2013-Apr-01
PY 2013
AB There is a growing body of research focused on the use of social media
   and Internet technologies for health education and information sharing.
   The authors reviewed literature on this topic, with a specific focus on
   the benefits and concerns associated with using online social
   technologies as health education and communication tools. Studies
   suggest that social media technologies have the potential to safely and
   effectively deliver health education, if privacy concerns are addressed.
   Utility of social media-based health education and communication will
   improve as technology developers and public health officials determine
   ways to improve information accuracy and address privacy concerns.
OI Young, Sean D./0000-0001-6052-4875
TC 19
ZR 0
ZS 0
ZA 0
ZB 1
Z8 1
Z9 20
U1 2
U2 13
SN 1539-8285
UT MEDLINE:24465171
PM 24465171
ER

PT J
AU Gordon, Morris
TI Training on handover of patient care within UK medical schools
SO MEDICAL EDUCATION ONLINE
VL 18
AR 20169
DI 10.3402/meo.v18i0.20169
PD 2013
PY 2013
AB Background: Much evidence exists to demonstrate that poor handover can
   directly impact patient safety. There have been calls for formal
   education on handover, but evidence to guide intervention design and
   implementation is limited. It is unclear how undergraduate medical
   schools are tackling this issue and what barrier or facilitators exist
   to handover education. We set out to determine curriculum objectives,
   teaching and assessment methods, as well as institutional attitudes
   towards handover within UK medical schools.
   Methods: A descriptive, non-experimental, cross-sectional study design
   was used. A locally developed online questionnaire survey was sent to
   all UK Medical Schools, after piloting. Descriptive statistics were
   calculated for closed-ended responses, and free text responses were
   analysed using a grounded theory approach, with constant comparison
   taking place through several stages of analysis.
   Results: Fifty percent of UK medical schools took part in the study.
   Nine schools (56%) reported having curriculum outcomes for handover.
   Significant variations in the teaching and assessments employed were
   found. Qualitative analysis yielded four key themes: the importance of
   handover as an education issue, when to educate on handover, the need
   for further provision of teaching and the need for validated assessment
   tools to support handover education.
   Conclusions: Whilst undergraduate medical schools recognised handover as
   an important education issue, they do not feel they should have the
   ultimate responsibility for training in this area and as such are
   responding in varying ways. Undergraduate medical educators should seek
   to reach consensus as to the extent of provision they will offer.
   Weaknesses in the literature regarding how to design such education have
   exacerbated the problem, but the contemporaneous and growing published
   evidence base should be employed by educators to address this issue.
OI Gordon, Morris/0000-0002-1216-5158
TC 6
ZR 0
ZB 0
Z8 0
ZA 0
ZS 0
Z9 6
U1 0
U2 4
SN 1087-2981
UT WOS:000318506800001
PM 23336969
ER

PT J
AU Godbold, Natalya
TI Listening to bodies and watching machines: Developing health information
   skills, tools and services for people living with chronic kidney disease
SO AUSTRALIAN ACADEMIC & RESEARCH LIBRARIES
VL 44
IS 1
BP 14
EP 28
DI 10.1080/00048623.2013.773859
PD 2013
PY 2013
AB When patients need information, they may visit a doctor, ask a nurse, or
   look online. But these are not the only sources of information used by
   patients. This paper examines discussion threads in online renal support
   groups to describe how people living with kidney failure conceive of
   help, information and support. I use Actor Network Theory to locate
   unexpected sources of information and authority such as information
   obtained from lived experiences, from bodies or from the machinery used
   to maintain health. By virtue of being embedded in networks of
   interrelating elements, the patient emerged as a potential information
   locus: potentially able to confirm information such as medical
   measurements, make measurements themselves, generate information related
   to their own sensations, and summarise information about the trajectory
   of their illness. Implications for practice include an expanded
   conception of health information literacy for patients, and expanded
   possibilities for health information service provision.
ZS 0
ZB 0
ZR 0
Z8 0
TC 14
ZA 0
Z9 14
U1 0
U2 29
SN 0004-8623
EI 1839-471X
UT WOS:000318175800003
ER

PT J
AU Pal, Kingshuk
   Eastwood, Sophie V.
   Michie, Susan
   Farmer, Andrew J.
   Barnard, Maria L.
   Peacock, Richard
   Wood, Bindie
   Inniss, Joni D.
   Murray, Elizabeth
TI Computer-based diabetes self-management interventions for adults with
   type 2 diabetes mellitus
SO COCHRANE DATABASE OF SYSTEMATIC REVIEWS
IS 3
AR CD008776
DI 10.1002/14651858.CD008776.pub2
PD 2013
PY 2013
AB Background
   Diabetes is one of the commonest chronic medical conditions, affecting
   around 347 million adults worldwide. Structured patient education
   programmes reduce the risk of diabetes-related complications four-fold.
   Internet-based self-management programmes have been shown to be
   effective for a number of long-term conditions, but it is unclear what
   are the essential or effective components of such programmes. If
   computer-based self-management interventions improve outcomes in type 2
   diabetes, they could potentially provide a cost-effective option for
   reducing the burdens placed on patients and healthcare systems by this
   long-term condition.
   Objectives
   To assess the effects on health status and health-related quality of
   life of computer-based diabetes self-management interventions for adults
   with type 2 diabetes mellitus.
   Search methods
   We searched six electronic bibliographic databases for published
   articles and conference proceedings and three online databases for
   theses (all up to November 2011). Reference lists of relevant reports
   and reviews were also screened.
   Selection criteria
   Randomised controlled trials of computer-based self-management
   interventions for adults with type 2 diabetes, i.e. computer-based
   software applications that respond to user input and aim to generate
   tailored content to improve one or more self-management domains through
   feedback, tailored advice, reinforcement and rewards, patient decision
   support, goal setting or reminders.
   Data collection and analysis
   Two review authors independently screened the abstracts and extracted
   data. A taxonomy for behaviour change techniques was used to describe
   the active ingredients of the intervention.
   Main results
   We identified 16 randomised controlled trials with 3578 participants
   that fitted our inclusion criteria. These studies included a wide
   spectrum of interventions covering clinic-based brief interventions,
   Internet-based interventions that could be used from home and mobile
   phone-based interventions. The mean age of participants was between 46
   to 67 years old and mean time since diagnosis was 6 to 13 years. The
   duration of the interventions varied between 1 to 12 months. There were
   three reported deaths out of 3578 participants.
   Computer-based diabetes self-management interventions currently have
   limited effectiveness. They appear to have small benefits on glycaemic
   control (pooled effect on glycosylated haemoglobin A1c (HbA1c): -2.3
   mmol/mol or -0.2% (95% confidence interval (CI) -0.4 to -0.1; P = 0.009;
   2637 participants; 11 trials). The effect size on HbA1c was larger in
   the mobile phone subgroup (subgroup analysis: mean difference in HbA1c
   -5.5 mmol/mol or -0.5% (95% CI -0.7 to -0.3); P < 0.00001; 280
   participants; three trials). Current interventions do not show adequate
   evidence for improving depression, health-related quality of life or
   weight. Four (out of 10) interventions showed beneficial effects on
   lipid profile.
   One participant withdrew because of anxiety but there were no other
   documented adverse effects. Two studies provided limited
   cost-effectiveness data - with one study suggesting costs per patient of
   less than $140 (in 1997) or 105 EURO and another study showed no change
   in health behaviour and resource utilisation.
   Authors' conclusions Computer-based diabetes self-management
   interventions to manage type 2 diabetes appear to have a small
   beneficial effect on blood glucose control and the effect was larger in
   the mobile phone subgroup. There is no evidence to show benefits in
   other biological outcomes or any cognitive, behavioural or emotional
   outcomes.
RI Eastwood, Sophie/; Michie, Susan/A-1745-2010; Murray, Elizabeth/
OI Eastwood, Sophie/0000-0002-1883-8771; Michie, Susan/0000-0003-0063-6378;
   Murray, Elizabeth/0000-0002-8932-3695
ZA 0
Z8 2
ZR 3
ZB 18
ZS 1
TC 196
Z9 201
U1 4
U2 99
SN 1469-493X
EI 1361-6137
UT WOS:000316885700016
PM 23543567
ER

PT J
AU Lancaster, Jason W.
   Douglass, Mark A.
   Gonyeau, Michael J.
   Wong, Adrian
   Woolley, Adam B.
   DiVall, Margarita V.
TI Providers' Perceptions of Student Pharmacists on Inpatient General
   Medicine Practice Experiences
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 77
IS 2
AR 26
DI 10.5688/ajpe77226
PD 2013
PY 2013
AB Objective. To assess health care providers' perceptions of student
   pharmacists involved as members of a general medicine team.
   Methods. A brief, anonymous, online survey instrument was distributed to
   134 health care providers at 4 major medical centers in Massachusetts
   who interacted with Northeastern University student pharmacists during
   inpatient general medicine advanced pharmacy practice experiences
   beginning in March 2011. The survey instrument assessed health care
   provider perception of student pharmacists' involvement, preparedness,
   clinical skills, and therapeutic recommendations.
   Results. Of the 79 providers who responded, 96.2% reported that student
   pharmacists were prepared for medical rounds and 87.3% reported that
   student pharmacists were active participants in patient care. Also,
   94.9% and 98.7% of providers indicated that student pharmacist
   recommendations were appropriate and accurate, respectively. The
   majority (61.8%) of providers believed that student pharmacist
   involvement on internal medicine teams was beneficial.
   Conclusions. Provider perceptions regarding student pharmacist
   participation on general medicine practice experiences were mostly
   positive.
ZR 0
TC 21
ZB 1
Z8 0
ZA 0
ZS 0
Z9 21
U1 0
U2 3
SN 0002-9459
UT WOS:000316182600006
PM 23519602
ER

PT J
AU Kratochvil, Jiri
TI Evaluation of e-learning course, Information Literacy, for medical
   students
SO ELECTRONIC LIBRARY
VL 31
IS 1
BP 55
EP 69
DI 10.1108/02640471311299137
PD 2013
PY 2013
AB Purpose - The main purpose of this article is to describe and to
   evaluate the results of evaluation of the e-learning course, Information
   Literacy, which is taught by the librarians at the Faculty of Medicine,
   Masaryk University. In the article the results are discussed to inform
   about the librarians' experience with tutoring the course.
   Design/methodology/approach - The survey covers the medical students who
   enrolled on the course between autumn 2008 and autumn 2010. The students
   were requested to fill the questionnaire designed in Google Documents
   and based on the quantitative method, including a five-point Likert
   scale combined with closed and open ended questions.
   Findings - Results show the medical students are satisfied with the
   e-learning course, Information Literacy, because of time and space
   flexibility, studying at their own pace and online interactive
   tutorials. More than half the students found the gradual releasing of
   the study materials and the tasks as the main motivation for continous
   learning. Most of the students were satisfied with the taught topics
   like methodology of searching in the databases Web of Science, Scopus
   and medical databeses, using EndNoteWeb and citation style ISO 690. Most
   of the tasks like searching in the online databases, working with
   EndNoteWeb or finding the impact factor of a journal were evaluated as
   beneficial.
   Practical implications - The results have suggested several important
   revisions to the e-learning course, Information Literacy. The librarians
   have decided to create the interactive tutorials explaining the
   importance of the topics according to the students' needs in the future
   and writing a scientific paper and remove the parts of tutorials
   describing the library terminology and catalogues. Besides this
   decision, two new tasks verifying online access to the full text of
   journals and finding signs of plagiarism in a short text have been added
   since spring 2011. Finally the librarians will prepare some printed
   material supporting the course and improve the publicity of their
   e-learning course among the teachers who can recommend the course to
   their students.
   Originality/value - The article presents one of the first experiences
   with the e-learning course Information Literacy for medical students in
   the Czech Republic. The results and its discussion can help other
   librarians who are going to prepare a similar e-learning course in
   planning the conception of their course.
RI Kratochvíl, Jiří/A-7677-2010
OI Kratochvíl, Jiří/0000-0002-1126-0516
ZA 0
ZR 0
TC 12
Z8 0
ZS 1
ZB 0
Z9 12
U1 1
U2 154
SN 0264-0473
EI 1758-616X
UT WOS:000316234500004
ER

PT J
AU Miller-Nesbitt, A.
TI CATIE: Canada's Source for HIV and Hepatitis C Information
SO Journal of Consumer Health on the Internet
VL 17
IS 1
BP 95
EP 102
DI 10.1080/15398285.2012.723990
PD 2013
PY 2013
AB The Canadian AIDS Treatment Information Exchange (CATIE) web site
   provides authoritative, up-to-date information about HIV. In addition
   being Canada's premier HIV information resource, CATIE helps connect key
   stakeholders, such as people living with HIV and/or hepatitis C, their
   caregivers and other frontline service providers as well as at-risk
   communities, by moderating online forums and hosting programs around the
   country. For over 20 years, CATIE has been working to empower people to
   make informed decisions about their health care.
RI Miller-Nesbitt, Andrea/K-6121-2016
OI Miller-Nesbitt, Andrea/0000-0002-0054-7132
TC 0
ZS 0
ZB 0
ZA 0
ZR 0
Z8 0
Z9 0
U1 0
U2 0
SN 1539-8285
UT INSPEC:15081229
ER

PT J
AU Koprivnikar, Helena
   Zupanic, Tina
   Pucelj, Vesna
   Blenkus, Mojca Gabrijelcic
TI THE PREVALENCE OF SMOKING AMONG NURSES, MIDWIVES AND NURSING TECHNICIANS
   IN SLOVENIA
SO ZDRAVSTVENO VARSTVO
VL 52
IS 1
BP 39
EP 46
DI 10.2478/sjph-2013-0005
PD 2013
PY 2013
AB Background: Nurses can contribute significantly to tobacco control
   efforts with smoking cessation advise and/or counselling, but the most
   important barrier for this is their own smoking. The aim of this study
   is to assess the prevalence of smoking among nurses in Slovenia.
   Methods: The analysis is based on data from a cross-sectional study on a
   nationally representative sample of nurses, midwives and health
   technicians (online survey). Randomly chosen members of the Nurses and
   Midwives Association of Slovenia responded in 51% (n=1500). We
   additionally obtained data on smoking status only from 218 persons, who
   otherwise did not want to participate in the survey.
   Results: 20.9% of nurses, midwives and health technicians in Slovenia
   smoke, more men (32.9%) than women (19.6%), more in the group with
   secondary education (25.1%) than in the group with a higher level of
   education (12.1%) and more in the group more with a lower self-assessed
   material standard, not living with a partner, without (preschool)
   children and among those whose close co-workers, friends and relatives
   smoke in high proportion. More than half (52.9%) started to smoke during
   secondary school and a significant proportion (15.6%) during the first
   years of employment. 20% of them state that employees violate the ban on
   smoking in the institution where they work.
   Conclusion: Smoking among nurses, midwives and health technicians in
   Slovenia is still a too-common phenomenon and can greatly affect their
   mission and work on the promotion of non-smoking and smoking cessation
   interventions. For this occupational group, it is important to
   strengthen promotion of non-smoking from the beginning of the high
   school on and to organize appropriate smoking cessation programs.
ZB 0
ZR 0
TC 0
Z8 0
ZA 0
ZS 0
Z9 0
U1 0
U2 4
SN 0351-0026
EI 1854-2476
UT WOS:000313959700005
ER

PT J
AU White, Jonathan
   Kirwan, Paul
   Lai, Krista
   Walton, Jennifer
   Ross, Shelley
TI 'Have you seen what is on Facebook?' The use of social networking
   software by healthcare professions students
SO BMJ OPEN
VL 3
IS 7
AR e003013
DI 10.1136/bmjopen-2013-003013
PD 2013
PY 2013
AB Objective The use of social networking software has become ubiquitous in
   our society. The aim of this study was to explore the attitudes and
   experiences of healthcare professional students using Facebook at our
   school, to determine if there is a need for development of policy to
   assist students in this area.
   Design A mixed-methods approach was employed, using semistructured
   interviews to identify themes which were explored using an online
   survey. A combination of descriptive statistics and thematic analysis
   was used for analysis.
   Setting Healthcare professions education programmes at a large Canadian
   university.
   Participants Students of medicine, nursing, pharmacy, speech and
   language pathology, occupational therapy, physical therapy, dentistry,
   dental hygiene and medical laboratory Science were invited to
   participate. 14 participants were interviewed, and 682 participants
   responded to an online survey; the female:male balance was 3:1.
   Results 14 interviews were analysed in-depth, and 682 students responded
   to the survey (17% response rate). 93% reported current Facebook use.
   Themes identified included patterns of use and attitudes to friendship,
   attitudes to online privacy, breaches of professional behaviour on
   Facebook and attitudes to guidelines relating to Facebook use. A
   majority considered posting of the following material unprofessional:
   use of alcohol/drugs, crime, obscenity/nudity/sexual content,
   patient/client information, criticism of others. 44% reported seeing
   such material posted by a colleague, and 27% reported posting such
   material themselves. A majority of participants agreed that guidelines
   for Facebook use would be beneficial.
   Conclusions Social networking software use, specifically Facebook use,
   was widespread among healthcare students at our school who responded to
   our survey. Our results highlight some of the challenges which can
   accompany the use of this new technology and offer potential insights to
   help understand the pedagogy and practices of Facebook use in this
   population, and to help students navigate the dilemmas associated with
   becoming 21st century healthcare professionals.
OI White, Jonathan/0000-0001-5254-506X; Ross, Shelley/0000-0001-9581-3191
ZA 0
Z8 0
ZR 0
ZB 3
ZS 1
TC 38
Z9 40
U1 0
U2 30
SN 2044-6055
UT WOS:000329805500071
PM 23883886
ER

PT B
AU Strohecker, Jennifer L.
   Athens, Wendy
BA Yang, HH
   Wang, S
TI Design of an Online Continuing Education Module: Herbal and Dietary
   Supplements Impact Warfarin Safety and Efficacy
SO CASES ON ONLINE LEARNING COMMUNITIES AND BEYOND: INVESTIGATIONS AND
   APPLICATIONS
BP 292
EP 304
DI 10.4018/978-1-4666-1936-4.ch015
PD 2013
PY 2013
AB This chapter details the design of an online continuing education module
   (Quarterly Education Module, QEM) intended to educate more than one
   thousand clinicians in a large western U.S. healthcare system about
   Herbal and Dietary Supplement (HDS)-drug interactions and induce them to
   bridge the patient-physician communication gap. Despite the importance
   and relevance of the QEM and its successful pilot, this fully-developed
   QEM has a delayed launch due to the departure of its administrative
   champion.
   The core instructional objective was a behavior change: Clinicians must
   ask patients about HDS use when taking a medical history and document
   this use in the medical record. HDS use is prevalent among Americans and
   sales are increasing. When taken in conjunction with prescription
   medications, HDS-drug interactions are common and may result in
   unexpected and serious patient harm. Patient's failure to report HDS use
   to their medical provider, and a provider's failure to ask specifically
   about HDS use, further complicate the picture.
TC 0
ZS 0
ZR 0
ZA 0
ZB 0
Z8 0
Z9 0
U1 0
U2 1
BN 978-1-4666-1937-1; 978-1-4666-1936-4
UT WOS:000404562000016
D2 10.4018/978-1-4666-1936-4
ER

PT B
AU Vovides, Yianna
   Korhumel, Kristine
BA Akyol, Z
   Garrison, DR
TI Design-Based Approach for the Implementation of an International
   Cyberlearning Community of Inquiry for Medical Education
SO EDUCATIONAL COMMUNITIES OF INQUIRY: THEORETICAL FRAMEWORK, RESEARCH AND
   PRACTICE
BP 509
EP 525
DI 10.4018/978-1-4666-2110-7.ch025
PD 2013
PY 2013
AB This chapter describes the conceptualization and implementation of a
   cyberlearning environment as a community of inquiry (CoI). This
   environment includes 13 medical schools from Sub-Saharan Africa and
   their 50-plus partners from around the world. The theoretical
   foundations of Communities of Inquiry provided the framework that drove
   the design of the web-based platform used in this project. Through an
   emphasis on learning from conversations, the resulting cyberlearning
   environment was designed to foster engagement among faculty, staff, and
   students of the 13 medical schools and their partners. Recognizing that
   generating a virtual community of inquiry framed around the cognitive,
   social, and teaching presence is no easy task, the approach taken for
   the design was based on conceptualizing the development of such a
   community along a continuum that addressed the depth of interaction for
   each presence. This type of design assumes a phased-in implementation.
   The chapter describes this conceptualization by addressing the core
   communication strategy used, which underlies the interactions to support
   learning from conversations. In addition, the chapter addresses key
   environmental constraints and how these constraints guided operational
   decisions during implementation. In addition, the chapter discusses
   challenges and solutions, as well as lessons learned.
Z8 0
ZA 0
TC 0
ZR 0
ZB 0
ZS 0
Z9 0
U1 0
U2 1
BN 978-1-4666-2111-4; 978-1-4666-2110-7
UT WOS:000425059800027
D2 10.4018/978-1-4666-2110-7
ER

PT S
AU Lemon, Narelle
   Colasante, Meg
   Corneille, Karen
   Douglas, Kathy
BE Wankel, LA
   Blessinger, P
TI VIDEO ANNOTATION FOR COLLABORATIVE CONNECTIONS TO LEARNING: CASE STUDIES
   FROM AN AUSTRALIAN HIGHER EDUCATION CONTEXT
SO INCREASING STUDENT ENGAGEMENT AND RETENTION USING MULTIMEDIA
   TECHNOLOGIES: VIDEO ANNOTATION, MULTIMEDIA APPLICATIONS,
   VIDEOCONFERENCING AND TRANSMEDIA STORYTELLING
SE Cutting-edge Technologies in Higher Education
VL 6F
BP 181
EP 214
DI 10.1108/S2044-9968(2013)000006F010
PD 2013
PY 2013
AB This chapter introduces an emerging innovative technology known as MAT
   (Media Annotation Tool). MAT is an online tool that allows students to
   annotate video, thus improving student engagement and reflection. This
   chapter outlines the history of the development of this tool and
   provides analysis of data provided from a range of course integrations.
   From idea inception the goal was to render video active and
   collaborative for learning rather than traditional passive learning. In
   the multiple-case study it was found that students reported higher
   engagement/satisfaction with MAT in cases where there was
   learner-to-learner collaboration, teacher feedback and assessment
   linkage. This chapter focuses on the undergraduate cases of the study,
   from the disciplines of teacher education, medical radiation and
   chiropractic, and also references a postgraduate case from the
   discipline of law. The data from these cases points to the success of
   MAT as dependent on two key factors: learning design and the technical
   effectiveness of the MAT technology.
RI Colasante, Meg/; Lemon, Narelle/A-2373-2015
OI Colasante, Meg/0000-0003-4583-2858; Lemon, Narelle/0000-0003-1396-5488
TC 3
ZA 0
ZB 0
ZR 0
ZS 0
Z8 0
Z9 3
U1 0
U2 2
SN 2044-9968
BN 978-1-78190-514-2; 978-1-78190-513-5
UT WOS:000360881900008
ER

PT J
AU Landro, D.
   De Gasperis, G.
   Macchiarelli, G.
TI Collaborative system for web seminars, distance learning sessions and
   virtual labs in biomedicine
SO International Journal of Technology Enhanced Learning
VL 5
IS 3
BP 198
EP 212
DI 10.1504/IJTEL.2013.059491
PD 2013
PY 2013
AB In recent years, there has been a growing interest about new techniques
   for information exchange in medical context. Academic communities need a
   collaborative portal with a certain degree of interactivity between
   speaker and audience to provide new learning opportunities. The
   objective of the test program is to provide a modular and user-friendly
   web portal that allows the exchange of scientific information and takes
   into account only the centrality of four essential elements: teachers,
   learners, the learning process and the learning content. This
   collaborative system also contains 3D learning objects to simulate
   highly interactive virtual laboratories. More than 300 biomedical
   students were enrolled to carry out the assessment of the platform.
   Students who completed the web-based module left positive feedback and
   demonstrated good overall satisfaction with the assessment. The
   collaborative portal revealed an acceptable teaching alternative to
   integrate face-to-face instruction with thematic webinars.
RI De Gasperis, Giovanni/C-3800-2011; MACCHIARELLI, Guido/N-1771-2016
OI De Gasperis, Giovanni/0000-0001-9521-4711; MACCHIARELLI,
   Guido/0000-0002-9182-0586
ZB 0
TC 1
Z8 0
ZS 0
ZR 0
ZA 0
Z9 1
U1 0
U2 0
SN 1753-5255
UT INSPEC:14875538
ER

PT J
AU Freeborn, Donna
   Loucks, Carol A.
   Dyches, Tina
   Roper, Susanne Olsen
   Mandleco, Barbara
TI Addressing School Challenges for Children and Adolescents With Type 1
   Diabetes: The Nurse Practitioner's Role
SO JNP-JOURNAL FOR NURSE PRACTITIONERS
VL 9
IS 1
BP 11
EP 16
DI 10.1016/j.nurpra.2012.11.005
PD JAN 2013
PY 2013
AB Children with type 1 diabetes need to monitor their blood glucose and
   food intake, administer insulin, and participate in physical activity
   during school hours. School concerns for this group include school
   personnel, the medical directive plan, classmates, school lunches, and
   physical education classes. Nurse practitioners should take an active
   role in advocating for improved T1DM management in schools by talking
   with patients and their parents about experiences in school, identifying
   challenges and discussing possible solutions for improving diabetes
   management during school hours, and accessing online resources to assist
   patients, parents, and school personnel.
RI Taylor, Tina Marie/AFO-4553-2022
OI Taylor, Tina Marie/0000-0002-0720-1492
TC 11
ZR 0
Z8 0
ZS 0
ZB 0
ZA 0
Z9 11
U1 0
U2 7
SN 1555-4155
EI 1878-058X
UT WOS:000209402700007
ER

PT J
AU Yiu Ming Chan
   Hong Huang
TI Weight management information overload challenges in 2007 HINTS:
   socioeconomic, health status and behaviors correlates
SO Journal of Consumer Health on the Internet
VL 17
IS 2
BP 151
EP 67
DI 10.1080/15398285.2013.780540
PD 2013
PY 2013
AB Online users search the internet to locate necessary information for
   long-term weight management. However, some become frustrated or feel
   overwhelmed by the different kinds of weight management information.
   This phenomenon is known as information overload. The study used 2007
   Health Information National Trends Survey (HINTS) data to find that
   overweight people and older adults were more likely to report overweight
   information overload. Further, lower education levels, poor health
   conditions, feelings of sadness, health information received from
   friends, little confidence in their ability to find information, and not
   using complementary therapies were also significantly associated with
   information overload. In view of these findings, health care information
   vendors, policy makers, information specialists, and librarians could
   provide an effective way to deliver weight management information.
Z8 1
ZS 0
ZB 0
TC 9
ZA 0
ZR 0
Z9 10
U1 0
U2 1
SN 1539-8285
UT INSPEC:15081239
ER

PT J
AU Veras, Mirella
   Pottie, Kevin
   Cameron, Debra
   Dahal, Govinda P
   Welch, Vivian
   Ramsay, Tim
   Tugwell, Peter
TI Assessing and comparing global health competencies in rehabilitation
   students.
SO Rehabilitation research and practice
VL 2013
BP 208187
EP 208187
DI 10.1155/2013/208187
PD 2013
PY 2013
AB Purpose. Globalization is contributing to changes in health outcomes and
   healthcare use in many ways, including health professionals' practices.
   The objective of this study was to assess and compare global health
   competencies in rehabilitation students. Method. Online cross-sectional
   survey of physiotherapy and occupational therapy students from five
   universities within Ontario. We used descriptive statistics to analyze
   students' perceived knowledge, skills, and learning needs in global
   health. We used Chi-square tests, with significance set at P < 0.05, to
   compare results across professions. Results. One hundred and sixty-six
   students completed the survey. In general, both physiotherapy and
   occupational therapy students scored higher on the "relationship between
   work and health," "relationship between income and health," and
   "socioeconomic position (SEP) and impact on health" and lower on "Access
   to healthcare for low income nations," "mechanisms for why racial and
   ethnic disparities exist," and "racial stereotyping and medical decision
   making." Occupational therapy students placed greater importance on
   learning concerning social determinants of health (P = 0.03).
   Conclusion. This paper highlights several opportunities for improvement
   in global health education for rehabilitation students. Educators and
   professionals should consider developing strategies to address these
   needs and provide more global health opportunities in rehabilitation
   training programs. 
RI Tugwell, Peter/AFD-8076-2022; Welch, Vivian/AAD-9338-2020; Pottie, Kevin/ABC-4385-2020; Veras, Mirella/; Ramsay, Tim/; Welch, Vivian/; Cameron, Debra/
OI Tugwell, Peter/0000-0001-5062-0556; Veras, Mirella/0000-0002-4124-1543;
   Ramsay, Tim/0000-0001-8478-8170; Welch, Vivian/0000-0002-5238-7097;
   Cameron, Debra/0000-0003-2567-0564
Z8 0
ZB 0
TC 11
ZR 0
ZA 0
ZS 0
Z9 11
U1 0
U2 0
SN 2090-2867
UT MEDLINE:24381763
PM 24381763
ER

PT J
AU Essig, Stefan
   Skinner, Roderick
   von der Weid, Nicolas X.
   Kuehni, Claudia E.
   Michel, Gisela
TI Follow-Up Programs for Childhood Cancer Survivors in Europe: A
   Questionnaire Survey
SO PLOS ONE
VL 7
IS 12
AR e53201
DI 10.1371/journal.pone.0053201
PD DEC 31 2012
PY 2012
AB Background: For many childhood cancer survivors follow-up care is
   important long after treatment completion. We aimed to describe the
   availability and characteristics of long-term follow-up programs (LTFU)
   across Europe, their content and aims, their problems, and to assess
   opinions on different models of LTFU.
   Methodology/Principal Findings: We asked 179 pediatric oncology
   institutions in 20 European countries to complete an online survey on
   LTFU available at their institution. Of 110 respondents (62% response),
   66% reported having LTFU for pediatric survivors, 38% for adult
   survivors of childhood cancer. Availability varied widely across
   European regions, from 9% of institutions in Northern Europe reporting
   LTFU for adult survivors to 83% of institution on the British Isles
   reporting LTFU for pediatric survivors. Pediatric and adult LTFU were
   usually located in pediatric hospitals and run by pediatric oncologists.
   Content of follow-up included screening for adverse outcomes and health
   education. Important problems included lack of time, personnel and
   funding. Most institutions without LTFU reported that they would like to
   offer a program (86%).
   Conclusion/Significance: Despite general agreement on the need of
   follow-up care, there is still a lack of well-organized LTFU for
   survivors of childhood cancer across Europe.
RI Michel, Gisela/G-1081-2018; Essig, Stefan/; Kuehni, Claudia E./
OI Michel, Gisela/0000-0002-9589-0928; Essig, Stefan/0000-0003-3228-7010;
   Kuehni, Claudia E./0000-0001-8957-2002
ZB 14
TC 31
ZA 0
ZS 0
Z8 0
ZR 0
Z9 31
U1 0
U2 12
SN 1932-6203
UT WOS:000313872600068
PM 23300889
ER

PT J
AU Griffiths, Kathleen M.
   Mackinnon, Andrew J.
   Crisp, Dimity A.
   Christensen, Helen
   Bennett, Kylie
   Farrer, Louise
TI The Effectiveness of an Online Support Group for Members of the
   Community with Depression: A Randomised Controlled Trial
SO PLOS ONE
VL 7
IS 12
AR e53244
DI 10.1371/journal.pone.0053244
PD DEC 28 2012
PY 2012
AB Background: Internet support groups (ISGs) are popular, particularly
   among people with depression, but there is little high quality evidence
   concerning their effectiveness.
   Aim: The study aimed to evaluate the efficacy of an ISG for reducing
   depressive symptoms among community members when used alone and in
   combination with an automated Internet-based psychotherapy training
   program.
   Method: Volunteers with elevated psychological distress were identified
   using a community-based screening postal survey. Participants were
   randomised to one of four 12-week conditions: depression Internet
   Support Group (ISG), automated depression Internet Training Program
   (ITP), combination of the two (ITP+ISG), or a control website with
   delayed access to e-couch at 6 months. Assessments were conducted at
   baseline, post-intervention, 6 and 12 months.
   Results: There was no change in depressive symptoms relative to control
   after 3 months of exposure to the ISG. However, both the ISG alone and
   the combined ISG+ITP group showed significantly greater reduction in
   depressive symptoms at 6 and 12 months follow-up than the control group.
   The ITP program was effective relative to control at post-intervention
   but not at 6 months.
   Conclusions: ISGs for depression are promising and warrant further
   empirical investigation.
RI Christensen, Helen/F-5053-2012; Bennett, Kylie/R-7618-2019; Mackinnon, Andrew/; Crisp, Dimity/
OI Christensen, Helen/0000-0003-0435-2065; Bennett,
   Kylie/0000-0003-4160-492X; Mackinnon, Andrew/0000-0003-0831-9801; Crisp,
   Dimity/0000-0003-0241-1121
ZA 0
ZS 0
Z8 0
TC 62
ZR 0
ZB 7
Z9 62
U1 0
U2 31
SN 1932-6203
UT WOS:000313051500125
PM 23285271
ER

PT J
AU Ovseiko, Pavel V.
   Oancea, Alis
   Buchan, Alastair M.
TI Assessing research impact in academic clinical medicine: a study using
   Research Excellence Framework pilot impact indicators
SO BMC HEALTH SERVICES RESEARCH
VL 12
AR 478
DI 10.1186/1472-6963-12-478
PD DEC 23 2012
PY 2012
AB Background: Funders of medical research the world over are increasingly
   seeking, in research assessment, to complement traditional output
   measures of scientific publications with more outcome-based indicators
   of societal and economic impact. In the United Kingdom, the Higher
   Education Funding Council for England (HEFCE) developed proposals for
   the Research Excellence Framework (REF) to allocate public research
   funding to higher education institutions, inter alia, on the basis of
   the social and economic impact of their research. In 2010, it conducted
   a pilot exercise to test these proposals and refine impact indicators
   and criteria.
   Methods: The impact indicators proposed in the 2010 REF impact pilot
   exercise are critically reviewed and appraised using insights from the
   relevant literature and empirical data collected for the University of
   Oxford's REF pilot submission in clinical medicine. The empirical data
   were gathered from existing administrative sources and an online
   administrative survey carried out by the university's Medical Sciences
   Division among 289 clinical medicine faculty members (48.1% response
   rate).
   Results: The feasibility and scope of measuring research impact in
   clinical medicine in a given university are assessed. Twenty impact
   indicators from seven categories proposed by HEFCE are presented; their
   strengths and limitations are discussed using insights from the relevant
   biomedical and research policy literature.
   Conclusions: While the 2010 pilot exercise has confirmed that the
   majority of the proposed indicators have some validity, there are
   significant challenges in operationalising and measuring these
   indicators reliably, as well as in comparing evidence of research impact
   across different cases in a standardised manner. It is suggested that
   the public funding agencies, medical research charities, universities,
   and the wider medical research community work together to develop more
   robust methodologies for capturing and describing impact, including more
   valid and reliable impact indicators.
RI Oancea, Alis/C-3273-2012; Ovseiko, Pavel/E-1824-2013; Buchan, Alastair M/B-9095-2009
OI Oancea, Alis/0000-0001-8499-7036; Ovseiko, Pavel/0000-0002-3504-2177;
   Buchan, Alastair M/0000-0002-2918-5200
ZB 5
ZR 0
ZS 0
Z8 0
TC 41
ZA 0
Z9 41
U1 2
U2 76
EI 1472-6963
UT WOS:000314045800001
ER

PT J
AU Roland, Damian
   Coats, Tim
   Matheson, David
TI Towards a conceptual framework demonstrating the effectiveness of
   audiovisual patient descriptions (patient video cases): a review of the
   current literature
SO BMC MEDICAL EDUCATION
VL 12
AR 125
DI 10.1186/1472-6920-12-125
PD DEC 21 2012
PY 2012
AB Background: Technological advances have enabled the widespread use of
   video cases via web-streaming and online download as an educational
   medium. The use of real subjects to demonstrate acute pathology should
   aid the education of health care professionals. However, the methodology
   by which this effect may be tested is not clear.
   Methods: We undertook a literature review of major databases, found
   relevant articles relevant to using patient video cases as educational
   interventions, extracted the methodologies used and assessed these
   methods for internal and construct validity.
   Results: A review of 2532 abstracts revealed 23 studies meeting the
   inclusion criteria and a final review of 18 of relevance. Medical
   students were the most commonly studied group (10 articles) with a
   spread of learner satisfaction, knowledge and behaviour tested. Only two
   of the studies fulfilled defined criteria on achieving internal and
   construct validity. The heterogeneity of articles meant it was not
   possible to perform any meta-analysis.
   Conclusions: Previous studies have not well classified which facet of
   training or educational outcome the study is aiming to explore and had
   poor internal and construct validity. Future research should aim to
   validate a particular outcome measure, preferably by reproducing
   previous work rather than adopting new methods. In particular cognitive
   processing enhancement, demonstrated in a number of the medical student
   studies, should be tested at a postgraduate level.
RI Roland, Damian/D-9553-2018; Coats, Timothy/AAW-1254-2021; Matheson, David/V-4076-2017
OI Roland, Damian/0000-0001-9334-5144; Coats, Timothy/0000-0003-2736-2784;
   Matheson, David/0000-0002-3695-3167
ZS 0
ZA 0
ZB 3
TC 7
Z8 0
ZR 0
Z9 7
U1 0
U2 22
SN 1472-6920
UT WOS:000313563100001
PM 23256787
ER

PT J
AU Chung, Michael H.
   Severynen, Anneleen O.
   Hals, Matthew P.
   Harrington, Robert D.
   Spach, David H.
   Kim, H. Nina
TI Offering an American Graduate Medical HIV Course to Health Care Workers
   in Resource-Limited Settings via the Internet
SO PLOS ONE
VL 7
IS 12
AR e52663
DI 10.1371/journal.pone.0052663
PD DEC 20 2012
PY 2012
AB Background: Western accredited medical universities can offer
   graduate-level academic courses to health care workers (HCWs) in
   resource-limited settings through the internet. It is not known whether
   HCWs are interested in these online courses, whether they can perform as
   well as matriculated students, or whether such courses are educationally
   or practically relevant.
   Methods and Findings: In 2011, the University of Washington (UW) Schools
   of Medicine and Nursing offered the graduate course, "Clinical
   Management of HIV", to HCWs that included a demographic survey,
   knowledge assessment, and course evaluation. UW faculty delivered HIV
   clinical topics through ten 2-hour weekly sessions from the perspectives
   of practicing HIV medicine in developed and developing settings. HCWs
   viewed lectures through Adobe Acrobat Connect Pro (Adobe Systems, San
   Jose, CA), and completed online homework on HIV Web Study
   (http://depts.washington.edu/hivaids/) and online quizzes. HCWs, who met
   the same passing requirements as UW students by attending 80% lectures,
   completing >= 90% homework, and achieving a cumulative >= 70% grade on
   quizzes, were awarded a certificate. 369 HCWs at 33 sites in 21
   countries joined the course in 2011, a >15-fold increase since the
   course was first offered in 2007. The majority of HCWs came from Africa
   (72%), and most were physicians (41%), nurses (22%), or midlevel
   practitioners (20%). 298 HCWs (81%) passed all requirements and earned a
   certificate. In a paired analysis of pre- and post-course HIV knowledge
   assessments, 56% of HCWs improved their post-course score (p<0.0001)
   with 27% improving by at least 30%. In the course evaluation, most HCWs
   rated the course as excellent (53%) or very good (39%).
   Conclusions: This online HIV course demonstrated that opening a Western
   graduate medical and nursing curriculum to HCWs in resource-limited
   settings is feasible, popular, and valuable, and may address logistic
   and economic barriers to the provision of high quality education in
   these settings.
ZA 0
ZR 0
ZS 0
TC 5
ZB 1
Z8 0
Z9 5
U1 0
U2 16
SN 1932-6203
UT WOS:000312794500224
PM 23285139
ER

PT J
AU Proudfoot, Judith
   Parker, Gordon
   Manicavasagar, Vijaya
   Hadzi-Pavlovic, Dusan
   Whitton, Alexis
   Nicholas, Jennifer
   Smith, Meg
   Burckhardt, Rowan
TI Effects of adjunctive peer support on perceptions of illness control and
   understanding in an online psychoeducation program for bipolar disorder:
   A randomised controlled trial
SO JOURNAL OF AFFECTIVE DISORDERS
VL 142
IS 1-3
BP 98
EP 105
DI 10.1016/j.jad.2012.04.007
PD DEC 15 2012
PY 2012
AB Objectives: To examine the comparative effectiveness of an online
   psychoeducation program for people diagnosed with bipolar disorder
   within the previous 12 months, completed alone or with adjunctive peer
   support, on symptoms and perceived control over the illness.
   Method: Participants were randomly allocated to an eight-week online
   psychoeducation program (n=139), a psychoeducation program plus online
   peer support (n=134) or an attentional control condition (n=134).
   Results: Increased perceptions of control, decreased perceptions of
   stigmatisation and significant improvements in levels of anxiety and
   depression, from pre- to post-intervention were found across all groups.
   There were no significant differences between groups on outcome
   measures, although a small clinical difference was found between the
   supported and unsupported conditions in depression symptoms and in
   functional impairment at the six-month follow-up. Adherence to the
   treatment program was significantly higher in the supported intervention
   than in the unsupported program. Gender and age were also significant
   predictors of adherence, with females and those over the age of 30
   showing greater adherence.
   Limitations: Mood state at study entry was measured by self-report
   rather than by clinical interview.
   Conclusions: The pattern of outcomes suggests a primary influence of
   non-specific or common therapeutic factors across all three intervention
   groups. A personally tailored intervention may be more suitable for
   individuals recently diagnosed with bipolar disorder, and longer term
   coaching may increase program adherence and long-term improvement in
   symptoms and functioning. (C) 2012 Elsevier B.V. All rights reserved.
RI Hadzi-Pavlovic, Dusan/ABE-2266-2021; Nicholas, Jennifer/I-1538-2019; Whitton, Alexis/H-4098-2016; Parker, Gordon/
OI Nicholas, Jennifer/0000-0003-1889-1107; Whitton,
   Alexis/0000-0002-7944-2172; Parker, Gordon/0000-0003-3424-5519
TC 84
Z8 1
ZR 0
ZA 0
ZS 1
ZB 22
Z9 85
U1 0
U2 35
SN 0165-0327
EI 1573-2517
UT WOS:000310565900015
PM 22858215
ER

PT J
AU Jalil, Rozh
   Lamb, Benjamin
   Russ, Stephanie
   Sevdalis, Nick
   Green, James S. A.
TI The cancer multi-disciplinary team from the co-ordinators' perspective:
   results from a national survey in the UK
SO BMC HEALTH SERVICES RESEARCH
VL 12
AR 457
DI 10.1186/1472-6963-12-457
PD DEC 13 2012
PY 2012
AB Background: The MDT-Coordinators' role is relatively new, and as such it
   is evolving. What is apparent is that the coordinator's work is pivotal
   to the effectiveness and efficiency of an MDT. This study aimed to
   assess the views and needs of MDT-coordinators.
   Methods: Views of MDT-coordinators were evaluated through an online
   survey that covered their current practice and role, MDT chairing,
   opinions on how to improve MDT meetings, and coordinators'
   educational/training needs.
   Results: 265 coordinators responded to the survey. More than one third
   of the respondents felt that the job plan does not reflect their actual
   duties. It was reported that medical members of the MDT always
   contribute to case discussions. 66.9% of the respondents reported that
   the MDTs are chaired by Surgeons. The majority reported having training
   on data management and IT skills but more than 50% reported that they
   felt further training is needed in areas of Oncology, Anatomy and
   physiology, audit and research, peer-review, and leadership skills.
   Conclusions: MDT-Coordinators' role is central to the care of cancer
   patients. The study reveals areas of training requirements that remain
   unmet. Improving the resources and training available to
   MDT-coordinators can give them an opportunity to develop the required
   additional skills and contribute to improved MDT performance and
   ultimately cancer care. Finally, this study looks forward to the impact
   of the recent launch of a new e-learning training programme for MDT
   coordinators and discusses implications for future research.
RI Lamb, Benjamin W./S-9380-2019; Sevdalis, Nick/AAJ-6280-2020; Sevdalis, Nick/O-1419-2017
OI Lamb, Benjamin W./0000-0003-2220-893X; Sevdalis,
   Nick/0000-0001-7560-8924; Sevdalis, Nick/0000-0001-7560-8924
Z8 5
ZR 0
ZB 4
TC 24
ZA 0
ZS 0
Z9 29
U1 0
U2 25
EI 1472-6963
UT WOS:000313291900001
PM 23237502
ER

PT J
AU Taba, Pille
   Rosenthal, Marika
   Habicht, Jarno
   Tarien, Helvi
   Mathiesen, Mari
   Hill, Suzanne
   Bero, Lisa
TI Barriers and facilitators to the implementation of clinical practice
   guidelines: A cross-sectional survey among physicians in Estonia
SO BMC HEALTH SERVICES RESEARCH
VL 12
AR 455
DI 10.1186/1472-6963-12-455
PD DEC 13 2012
PY 2012
AB Background: In an era when an increasing amount of clinical information
   is available to health care professionals, the effective implementation
   of clinical practice guidelines requires the development of strategies
   to facilitate the use of these guidelines. The objective of this study
   was to assess attitudes towards clinical practice guidelines, as well as
   the barriers and facilitators to their use, among Estonian physicians.
   The study was conducted to inform the revision of the clinical practice
   guideline development process and can provide inspiration to other
   countries considering the increasing use of evidence-based medicine.
   Methods: We conducted an online survey of physicians to assess resource,
   system, and attitudinal barriers. We also asked a set of questions
   related to improving the use of clinical practice guidelines and
   collected free-text comments. We hypothesized that attitudes concerning
   guidelines may differ by gender, years of experience and practice
   setting. The study population consisted of physicians from the database
   of the Department of Continuing Medical Education of the University of
   Tartu. Differences between groups were analyzed using the Kruskal-Wallis
   non-parametric test.
   Results: 41% (497/1212) of physicians in the database completed the
   questionnaire, comprising more than 10% of physicians in the country.
   Most respondents (79%) used treatment guidelines in their daily clinical
   practice. Lack of time was the barrier identified by the most physicians
   (42%), followed by lack of medical resources for implementation (32%).
   The majority of physicians disagreed with the statement that guidelines
   were not accessible (73%) or too complicated (70%). Physicians
   practicing in outpatient settings or for more than 25 years were the
   most likely to experience difficulties in guideline use. 95% of
   respondents agreed that an easy-to-find online database of guidelines
   would facilitate use.
   Conclusions: Use of updated evidence-based guidelines is a prerequisite
   for the high-quality management of diseases, and recognizing the factors
   that affect guideline compliance makes it possible to work towards
   improving guideline adherence in clinical practice. In our study,
   physicians with long-term clinical experience and doctors in outpatient
   settings perceived more barriers, which should be taken into account
   when planning strategies in improving the use of guidelines. Informed by
   the results of the survey, leading health authorities are making an
   effort to develop specially designed interventions to implement clinical
   practice guidelines, including an easily accessible online database.
RI Taba, Pille/B-1014-2019; Taba, Pille/; Bero, Lisa/
OI Taba, Pille/0000-0002-1315-1065; Bero, Lisa/0000-0003-1893-6651
ZB 8
ZS 4
Z8 0
TC 45
ZR 0
ZA 0
Z9 45
U1 0
U2 20
SN 1472-6963
UT WOS:000312876400001
PM 23234504
ER

PT J
AU Cooksey, Roxanne
   Brophy, Sinead
   Husain, Muhammad Jami
   Irvine, Elizabeth
   Davies, Helen
   Siebert, Stefan
TI The information needs of people living with ankylosing spondylitis: a
   questionnaire survey
SO BMC MUSCULOSKELETAL DISORDERS
VL 13
AR 243
DI 10.1186/1471-2474-13-243
PD DEC 10 2012
PY 2012
AB Background: Today, health care is patient-centred with patients more
   involved in medical decision making and taking an active role in
   managing their disease. It is important that patients are appropriately
   informed about their condition and that their health care needs are met.
   We examine the information utilisation, sources and needs of people with
   Ankylosing Spondylitis (AS).
   Methods: Participants in an existing AS cohort study were asked to
   complete a postal or online questionnaire containing closed and
   open-ended questions, regarding their information access and needs.
   Participants were stratified by age and descriptive statistics were
   performed using STATA 11, while thematic analysis was performed on
   open-ended question narratives. Qualitative data was handled in
   Microsoft Access and explored for emerging themes and patterns of
   experiences.
   Results: Despite 73% of respondents having internet access, only 49%
   used the internet to access information regarding AS. Even then, this
   was only infrequently. Only 50% of respondents reported accessing
   written information about AS, which was obtained mainly in specialist
   clinics. Women were more likely than men to access information (63%
   (women) 46% (men)) regardless of the source, while younger patients were
   more likely to use online sources. The main source of non-written
   information was the rheumatologist. Overall, the respondents felt there
   was sufficient information available, but there was a perception that
   the tone was often too negative. The majority (95%) of people would like
   to receive a regular newsletter about AS, containing positive practical
   and local information. Suggestions were also made for more information
   about AS to be made available to non-specialist medical professionals
   and the general public.
   Conclusions: There appears to be sufficient information available for
   people with AS in the UK and this is mostly accessed by younger AS
   patients. Many patients, particularly men, choose not to access AS
   information and concerns were raised about its negative tone. Patients
   still rely on written and verbal information from their specialists.
   Future initiatives should focus on the delivery of more positive
   information, targeting younger participants in particular and increasing
   the awareness in the general population and wider non-specialist medical
   community.
OI Husain, Muhammad Jami/0000-0001-6049-0505; Siebert,
   Stefan/0000-0002-1802-7311; Brophy, Sinead/0000-0001-7417-2858; Cooksey,
   Roxanne/0000-0002-6763-9373
TC 28
ZB 5
Z8 0
ZR 0
ZA 0
ZS 0
Z9 28
U1 1
U2 11
SN 1471-2474
UT WOS:000314160300001
PM 23227937
ER

PT J
AU Walsh, Anne M.
   Hyde, Melissa K.
   Hamilton, Kyra
   White, Katherine M.
TI Predictive modelling: parents' decision making to use online child
   health information to increase their understanding and/or diagnose or
   treat their child's health
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 12
AR 144
DI 10.1186/1472-6947-12-144
PD DEC 10 2012
PY 2012
AB Background: The quantum increases in home Internet access and available
   online health information with limited control over information quality
   highlight the necessity of exploring decision making processes in
   accessing and using online information, specifically in relation to
   children who do not make their health decisions. The aim of this study
   was to understand the processes explaining parents' decisions to use
   online health information for child health care.
   Methods: Parents (N = 391) completed an initial questionnaire assessing
   the theory of planned behaviour constructs of attitude, subjective norm,
   and perceived behavioural control, as well as perceived risk, group
   norm, and additional demographic factors. Two months later, 187 parents
   completed a follow-up questionnaire assessing their decisions to use
   online information for their child's health care, specifically to 1)
   diagnose and/or treat their child's suspected medical condition/illness
   and 2) increase understanding about a diagnosis or treatment recommended
   by a health professional.
   Results: Hierarchical multiple regression showed that, for both
   behaviours, attitude, subjective norm, perceived behavioural control,
   (less) perceived risk, group norm, and (non) medical background were the
   significant predictors of intention. For parents' use of online child
   health information, for both behaviours, intention was the sole
   significant predictor of behaviour. The findings explain 77% of the
   variance in parents' intention to treat/diagnose a child health problem
   and 74% of the variance in their intentions to increase their
   understanding about child health concerns.
   Conclusions: Understanding parents' socio-cognitive processes that guide
   their use of online information for child health care is important given
   the increase in Internet usage and the sometimes-questionable quality of
   health information provided online. Findings highlight parents' thirst
   for information; there is an urgent need for health professionals to
   provide parents with evidence-based child health websites in addition to
   general population education on how to evaluate the quality of online
   health information.
RI Hyde, Melissa K/H-6785-2012; White, Katherine/; Walsh, Anne/; Hamilton, Kyra/
OI Hyde, Melissa K/0000-0001-9616-2028; White,
   Katherine/0000-0002-0345-4724; Walsh, Anne/0000-0002-3064-6350;
   Hamilton, Kyra/0000-0001-9975-685X
Z8 0
ZS 2
TC 23
ZB 1
ZA 0
ZR 0
Z9 25
U1 0
U2 5
SN 1472-6947
UT WOS:000312800000001
PM 23228171
ER

PT J
AU Vanagas, Giedrius
   Klimaviciute-Gudauskiene, Rita
TI Factors Affecting Electronic Health Information Needs in Primary Care
   Patients
SO TELEMEDICINE AND E-HEALTH
VL 18
IS 10
BP 724
EP 728
DI 10.1089/tmj.2012.0031
PD DEC 2012
PY 2012
AB Background: Electronic health information is a new concept in the
   Lithuanian healthcare system. It gives the possibility of obtaining
   accurate medical information online by quick, convenient, and private
   access and presents to the patients the opportunity for better-informed
   decisions on their own health and greater participation in healthcare
   processes. The aim of this study is to assess the availability of health
   information for patients and to assess the factors affecting a patient's
   health-related information needs on the Internet. Subjects and Methods:
   A cross-sectional study design was used. Self-perceived needs for
   health-related information and health-related information on the
   Internet were evaluated by means of a questionnaire. The questionnaires
   were distributed to the patients during on-site visits to primary care
   physician. Cumulative numbers of health information searches were
   calculated. Results: The Internet was used by 63.2% of the respondents.
   Electronic health information search indicated 47.3% were Internet
   users. Internet users were statistically significantly more satisfied
   and informed about available electronic health services: registration
   for physician services (p < 0.001), health information portal (p <
   0.001), electronic health record (p < 0.001), clinical investigations (p
   = 0.001), medical consultations (p = 0.009), patient health education
   services (p = 0.019), and patient self-help groups. A higher frequency
   of health information searches on the Internet was more associated with
   female patients (odds ratio [OR], 3.1; p = 0.012), patients having
   chronic disease (p = 0.013), living in couples (OR, 14.8; p = 0.031),
   having e-health service experience (OR, 7.0; p < 0.001), daily Internet
   user (OR, 6.7; p = 0.054), and longer duration of Internet use per day
   (OR, 1.3; p = 0.046). Conclusions: The Internet is an important source
   of health information. Internet users are more satisfied with available
   health information. Female patients, those having chronic disease,
   living as couples, and having e-health service experience, and daily
   Internet users are the most frequent users of health information on the
   Internet.
OI Vanagas, Giedrius/0000-0003-0160-8272
ZS 1
ZB 1
ZA 0
TC 10
ZR 0
Z8 0
Z9 11
U1 1
U2 21
SN 1530-5627
UT WOS:000312440600003
PM 23095004
ER

PT J
AU Walker, Lorraine O.
   Im, Eun-Ok
   Vaughan, Misha W.
TI New Mothers' Interest in Web-Based Health Promotion: Association with
   Healthcare Barriers, Risk Status, and User Characteristics
SO TELEMEDICINE AND E-HEALTH
VL 18
IS 10
BP 785
EP 790
DI 10.1089/tmj.2012.0008
PD DEC 2012
PY 2012
AB Objective: Our first aim was to assess the contributions of
   health-related risks, barriers to healthcare, and user characteristics
   to new mothers' interest in two Web-based health programs: postpartum
   weight loss or parenting advice. Our second aim was to determine if the
   preceding proximal variables diminished associations of income level
   with interest in Web-based health programs. Subjects and Methods: A mail
   survey of a stratified random sample was conducted with a resulting
   analytic sample that included 121 white/Anglo, African American, or
   Hispanic women of higher and lower income. Weight risk (being overweight
   or obese) and psychosocial/behavioral risk (alcohol use, depression,
   smoking) were the predictors of interest in a weight loss program and
   parenting advice, respectively. Financial, structural, and function
   factors served as barriers to care. Frequency of Internet use assessed
   user characteristics. Hierarchical logistic regression analysis was used
   to evaluate predictors. Results: Being overweight (adjusted odds ratio
   [OR], 5.55; 95% confidence interval [CI], 2.18, 14.11) was the only
   variable to affect likelihood of interest in an Internet-based weight
   loss program; income level was not a significant predictor. Having two
   or more psychosocial/behavioral risks (adjusted OR, 0.22; 95% CI, 0.50,
   0.92) was the only predictor of interest in Internet-based parenting
   advice; income level was not a significant predictor after adjusting for
   other variables (OR, 0.55; 95% CI, 0.19, 1.55). Conclusions: The type of
   risk and program topic decreased or increased likelihood of interest in
   Internet-based programming. Weight risks increased interest in weight
   loss programming, but psychosocial/behavioral risks deceased interest in
   parenting advice.
ZB 2
ZR 0
TC 4
ZA 0
ZS 0
Z8 0
Z9 4
U1 1
U2 18
SN 1530-5627
EI 1556-3669
UT WOS:000312440600012
PM 23095005
ER

PT J
AU Pellanda, Lucia Campos
   Cesa, Claudia Ciceri
   Belli, Karlyse Claudino
   David, Vinicius Frayze
   Rodrigues, Clarissa Garcia
   Nickenig Vissoci, Joao Ricardo
   Bacal, Fernando
   Kalil, Renato A. K.
   Pietrobon, Ricardo
TI Research Training Program: Duke University and Brazilian Society of
   Cardiology
SO ARQUIVOS BRASILEIROS DE CARDIOLOGIA
VL 99
IS 6
BP 1075
EP 1080
DI 10.1590/S0066-782X2012001500002
PD DEC 2012
PY 2012
AB Background: Research coaching program focuses on the development of
   abilities and scientific reasoning. For health professionals, it may be
   useful to increase both the number and quality of projects and
   manuscripts. Objective: To evaluate the initial results and
   implementation methodology of the Research and Innovation Coaching
   Program of the Research on Research group of Duke University in the
   Brazilian Society of Cardiology.
   Methods: The program works on two bases: training and coaching. Training
   is done online and addresses contents on research ideas, literature
   search, scientific writing and statistics. After training, coaching
   favors the establishment of a collaboration between researchers and
   centers by means of a network of contacts. The present study describes
   the implementation and initial results in reference to the years
   2011-2012.
   Results: In 2011, 24 centers received training, which consisted of
   online meetings, study and practice of the contents addressed. In
   January 2012, a new format was implemented with the objective of
   reaching more researchers. In six months, 52 researchers were allocated.
   In all, 20 manuscripts were published and 49 more were written and await
   submission and/or publication. Additionally, five research funding
   proposals have been elaborated.
   Conclusion: The number of manuscripts and funding proposals achieved the
   objectives initially proposed. However, the main results of this type of
   initiative should be measured in the long term, because the
   consolidation of the national production of high-quality research is a
   virtuous cycle that feeds itself back and expands over time. (Arq Bras
   Cardiol 2012;99(6):1075-1081)
RI Bacal, Fernando/H-7952-2012; Pellanda, Lucia C/B-4701-2010; Filho, Roberto Kalil/D-4994-2014
OI Pellanda, Lucia C/0000-0002-8776-2248; 
Z8 0
TC 2
ZA 0
ZS 3
ZB 0
ZR 0
Z9 3
U1 0
U2 5
SN 0066-782X
UT WOS:000313866200007
PM 23337987
ER

PT J
AU Chow, Meyrick
   Herold, David Kurt
   Choo, Tat-Ming
   Chan, Kitty
TI Extending the technology acceptance model to explore the intention to
   use Second Life for enhancing healthcare education
SO COMPUTERS & EDUCATION
VL 59
IS 4
BP 1136
EP 1144
DI 10.1016/j.compedu.2012.05.011
PD DEC 2012
PY 2012
AB Learners need to have good reasons to engage and accept e-learning. They
   need to understand that unless they do, the outcomes will be less
   favourable. The technology acceptance model (TAM) is the most widely
   recognized model addressing why users accept or reject technology. This
   study describes the development and evaluation of a virtual environment,
   the online 3D world Second Life (SL), for learning rapid sequence
   intubation (RSI). RSI is an increasingly frequently used method of acute
   airway management in healthcare settings. The intention of learners to
   use the system was explored based on the TAM, with the computer
   self-efficacy construct as an external variable. Two hundred and six
   nursing students participated in this study. The findings suggest that
   the system was perceived as useful, and that the students felt confident
   working with computers and intended to review RSI in SL as often as
   needed. However, they remained neutral regarding the ease of use of the
   system. Strategies were suggested for boosting the students'
   self-confidence in using the system. Overall use of the TAM in this
   context was successful, indicating the robustness of the model. The
   limitations of the study were discussed and further areas of research on
   the TAM were proposed. (C) 2012 Elsevier Ltd. All rights reserved.
RI Chow, Meyrick/AAW-4751-2021; Herold, David K/G-8582-2012; Chow, Meyrick/
OI Herold, David K/0000-0002-6785-8250; Chow, Meyrick/0000-0001-6826-1539
ZS 1
Z8 0
TC 148
ZR 0
ZA 1
ZB 3
Z9 149
U1 3
U2 92
SN 0360-1315
EI 1873-782X
UT WOS:000309307300006
ER

PT J
AU Abdulla, Dalya
TI Attitudes of college students enrolled in 2-year health care programs
   towards online learning
SO COMPUTERS & EDUCATION
VL 59
IS 4
BP 1215
EP 1223
DI 10.1016/j.compedu.2012.06.006
PD DEC 2012
PY 2012
AB Colleges offering 2-year diplomas to high-school graduates were among
   the forefront leaders in online learning however studies illustrating
   appropriate course construction for such student populations are scarce.
   Pharmacy Math (MATH16532) is a core course for students enrolled in the
   Practical Nursing (PN) and Pharmacy Technician (PT) programs at Sheridan
   Institute. PT and PN students enrolled in MATH16532 during their first
   term were surveyed to determine student attitudes and skills gained from
   participating in an online course. Students were then followed up during
   their second term studies to determine transferability of skills gained.
   Initially, students did not exhibit a positive attitude towards the
   online version on of Math16532. Participation in the online version of
   MATH16532 however allowed students to enhance their written ability and
   critical appraisal skills, gain time management skills, and become
   independent learners. PT and PN students preferred an orientation
   session at the beginning of the course and a well organized,
   easy-to-navigate course. Even though considered as predominantly digital
   native students, both student groups remained anxious throughout the
   course regarding the online delivery and preferred a hybrid mode of
   delivery. Despite the initial resistance to an online math course,
   students indicated that they would retake the course again in an online
   format towards the end of the course and there appeared to be a trend to
   enrol in another online course. Several recommendations regarding the
   design and construct of online courses in a 2-year college program are
   provided to facilitate acceptance of online learning for students
   enrolled in such programs. (C) 2012 Elsevier Ltd. All rights reserved.
ZR 0
ZS 0
ZB 0
TC 3
Z8 0
ZA 0
Z9 3
U1 1
U2 42
SN 0360-1315
EI 1873-782X
UT WOS:000309307300014
ER

PT J
AU Carlini, Beatriz Helena
   Ronzani, Telmo Mota
   Martins, Leonardo Fernandes
   Gomide, Henrique Pinto
   Weiss de Souza, Isabel Cristina
TI Demand for and availability of online support to stop smoking
SO REVISTA DE SAUDE PUBLICA
VL 46
IS 6
BP 1074
EP 1081
PD DEC 2012
PY 2012
AB OBJECTIVES: Estimate the frequency of online searches on the topic of
   smoking and analyze the quality of online resources available to smokers
   interested in giving up smoking.
   METHODS: Search engines were used to revise searches and online
   resources related to stopping smoking in Brazil in 2010. The number of
   searches was determined using analytical tools available on Google Ads;
   the number and type of sites were determined by replicating the search
   patterns of internet users. The sites were classified according to
   content (advertising, library of articles and other). The quality of the
   sites was analyzed using the Smoking Treatment Scale-Content (STS-C) and
   the Smoking Treatment Scale - Rating (STS-R).
   RESULTS: A total of 642,446 searches was carried out. Around a third of
   the 113 sites encountered were of the 'library' type, i.e. they only
   contained articles, followed by sites containing clinical advertising
   (18.6) and professional education (10.6). Thirteen of the sites offered
   advice on quitting directed at smokers. The majority of the sites did
   not contain evidence-based information, were not interactive and did not
   have the possibility of communicating with users after the first
   contact. Other limitations we came across were a lack of financial
   disclosure as well as no guarantee of privacy concerning information
   obtained and no distinction made between editorial content and
   advertisements.
   CONCLUSIONS: There is a disparity between the high demand for online
   support in giving up smoking and the scarcity of quality online
   resources for smokers. It is necessary to develop interactive,
   customized online resources based on evidence and random clinical
   testing in order to improve the support available to Brazilian smokers.
RI Martins, Leonardo Fernandes/AAA-3594-2020; Ronzani, Telmo Mota/F-8722-2012; Carlini, Beatriz/
OI Martins, Leonardo Fernandes/0000-0002-0941-6294; Ronzani, Telmo
   Mota/0000-0002-8927-5793; Carlini, Beatriz/0000-0001-8312-4137
ZA 0
TC 6
ZB 1
ZR 0
ZS 2
Z8 0
Z9 7
U1 0
U2 10
SN 0034-8910
EI 1518-8787
UT WOS:000316128000018
PM 23503543
ER

PT J
AU Davis, Niall F.
   Smyth, Lisa G.
   Flood, Hugh D.
TI Detecting internet activity for erectile dysfunction using search engine
   query data in the Republic of Ireland
SO BJU INTERNATIONAL
VL 110
IS 11C
BP E939
EP E942
DI 10.1111/j.1464-410X.2012.11237.x
PD DEC 2012
PY 2012
AB OBJECTIVES
   To assess Internet search trends for erectile dysfunction (ED)
   subsequent to public awareness campaigns being launched within the
   Republic of Ireland
   To assess whether the advent of such campaigns correlates with increased
   Internet search activity for ED.
   MATERIALS AND METHODS
   Google insights for search was utilized to examine Internet search
   trends for the term 'erectile dysfunction 'across all categories between
   January 2005 and December 2011.
   Search activity was limited to users from the Republic of Ireland within
   this timeframe.
   Additionally, the number of Irish Internet media campaigns and Irish web
   pages providing information on ED was assessed between January 2005 and
   December 2011.
   Statistical analysis of the data was performed using analysis of
   variance and Student's t-tests for pairwise comparisons.
   RESULTS
   There has been a significant increase in mean search activity for ED on
   an annual basis since 2007 (P < 0.001).
   The number of Irish web pages associated with information on ED has also
   increased significantly on an annual basis since 2007 (P < 0.001).
   There have been seven different Irish Internet media campaigns on ED
   since 2007 compared to two from 2005 to 2007 (P < 0.001).
   There was no significant change in mean search activity for ED from 2005
   to 2007
   CONCLUSIONS
   The advent of recent Internet media campaigns and increasing number of
   Irish web pages is associated with a significant increase in online
   activity for ED in the Republic of Ireland.
   Novel online technologies appear to provide a useful tool for educating
   the general public on the symptoms and treatment options available for
   ED.
Z8 0
ZA 0
TC 18
ZR 0
ZS 0
ZB 2
Z9 18
U1 0
U2 4
SN 1464-4096
EI 1464-410X
UT WOS:000315029700027
PM 22587462
ER

PT J
AU Bakhsh, Zuhair T.
   Mansour, Ameerah Y.
   Mensah, Edward K.
   Croke, Kevin G.
   Drummond, James L.
   Koerber, Anne
TI Factors affecting the internal brain drain of Saudi healthcare
   professionals
SO SAUDI MEDICAL JOURNAL
VL 33
IS 12
BP 1285
EP 1289
PD DEC 2012
PY 2012
AB Objectives: To investigate factors affecting the internal brain drain of
   healthcare professionals in the Kingdom of Saudi Arabia.
   Methods: A cross-sectional study was conducted using an anonymous
   self-administered online questionnaire sent to all Saudi students
   enrolled in healthcare profession programs in North America. The data
   was collected between January and March 2008 at the University of
   Illinois at Chicago, Chicago, Illinois, United States of America.
   Results were analyzed using logistic regression Results: A total of 377
   completed questionnaires were returned.
   Results revealed that 71% of respondents intended to return to work
   within the 2 major urban cities (Riyadh and Jeddah). Respondents who
   completed their undergraduate studies in a large city were more likely
   to work in the same city (odds ratio [OR]=3.2; p=0.000; 95% confidence
   interval [CI] = 2.0-5.2). Furthermore, 51% of the students were willing
   to work in a rural area for a 50% or more increase in their salary.
   Finally, men were more willing to work in a rural area for a financial
   incentive (OR=2.3; p=0.006, 95% CI = 1.3-4.3).
   Conclusion: This study suggests that realistic financial incentives
   would probably not suffice to attract Saudi healthcare providers to
   rural areas. The provision of medical schools in smaller cities and
   rural areas is predicted to be a more effective method for improving the
   current maldistribution of healthcare providers. Saudi Med J 2012; Vol.
   33 (12): 1285-1289
RI Mensah, Edward/L-3706-2019
ZA 0
ZR 0
ZS 0
Z8 0
TC 0
ZB 0
Z9 0
U1 0
U2 5
SN 0379-5284
UT WOS:000315749900004
PM 23232675
ER

PT J
AU Rhind, Susan M.
   Pettigrew, Graham W.
TI Peer Generation of Multiple-Choice Questions: Student Engagement and
   Experiences
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 39
IS 4
BP 375
EP 379
DI 10.3138/jvme.0512-043R
PD WIN 2012
PY 2012
AB A free online system for generation of multiple-choice questions (Peer
   Wise) was implemented in three courses (course A, B, and C) in two
   different years (second and third year) of a veterinary degree program.
   Students were asked to author questions, and answer and rate each
   other's questions. Student experiences of the system were explored using
   an online survey. The majority of students in both years either agreed
   or strongly agreed that both authoring and answering questions was
   helpful for their studies and wanted to use the system again in future
   courses. Thematic analysis highlighted students' views that engaging
   with the resource increased breadth and depth of knowledge and
   understanding and was very useful for revision purposes. There was a
   statistically significant difference between students in second and
   third year regarding whether students felt it was necessary for academic
   staff to be involved in the review process. Thematic analysis of this
   aspect identified issues relating to confidence in the ability of the
   peer group and the need for reassurance in the second-year group.
   Student engagement with the system was correlated with examination
   performance. In courses A and B there was a positive correlation between
   number of questions answered and examination performance, in course C
   there was no correlation. This study highlights the benefits of peer
   activity around question generation and proposes that such activities
   are an efficient and effective means to support student learning.
ZB 1
ZS 0
ZA 0
ZR 0
Z8 0
TC 21
Z9 21
U1 1
U2 15
SN 0748-321X
UT WOS:000313475400008
PM 23187030
ER

PT J
AU Rodas, J. R.
   Lau, C. H.
   Zhang, Z. Z.
   Griffiths, S. M.
   Luk, W. C.
   Kim, J. H.
TI Exploring predictors influencing intended and actual acceptability of
   the A/H1N1 pandemic vaccine: A cohort study of university students in
   Hong Kong
SO PUBLIC HEALTH
VL 126
IS 12
BP 1007
EP 1012
DI 10.1016/j.puhe.2012.09.011
PD DEC 2012
PY 2012
AB Objectives: To investigate the factors associated with the uptake of
   influenza A/H1N1 vaccination by university students, and to examine the
   relationship between intention and actual vaccination.
   Study design: Prospective cohort study.
   Methods: A baseline survey was conducted among students at the Chinese
   University of Hong Kong in 2009 to collect data on demographics,
   pandemic risk perceptions and self-reported intention to be vaccinated
   in the future. A follow-up survey was conducted in 2011 using an online
   survey platform collecting information on actual vaccine uptake
   behaviour, and vaccine attitudes, knowledge and perceptions.
   Results: Self-reported intention to be vaccinated in 2009 was
   significantly associated with actual vaccine acceptance. Vaccine
   perceptions (attitudes and knowledge) were found to be a better
   predictor of vaccine acceptance than disease risk perceptions. Being a
   medical or science student and receiving health advice about vaccination
   from a doctor or school-endorsed advertisement were also found to be
   predictors of vaccine acceptance.
   Conclusions: University students in Hong Kong were wary of the A/H1N1
   vaccination campaign, as revealed by their low uptake rate and doubts
   about the vaccine. Knowledge of the pandemic and vaccine was high in
   this population, but feelings of susceptibility were low. The results
   indicate a need to provide tailored messages emphasizing the importance
   of vaccination and the efficacy of the vaccine in the future. (C) 2012
   The Royal Society for Public Health. Published by Elsevier Ltd. All
   rights reserved.
CT International Conference on Global Health and Public Health Education
CY OCT 25-27, 2011
CL Chinese Univ Hong Kong, JC Sch Publ Hlth & Primary Care, Hong Kong,
   PEOPLES R CHINA
HO Chinese Univ Hong Kong, JC Sch Publ Hlth & Primary Care
OI /0000-0002-5799-5913
Z8 0
ZA 0
ZR 0
ZB 8
TC 14
ZS 0
Z9 14
U1 0
U2 9
SN 0033-3506
EI 1476-5616
UT WOS:000311955200004
PM 23141148
ER

PT J
AU Fisher, Jane
   Chatham, Elizabeth
   Haseler, Sally
   McGaw, Beth
   Thompson, Jane
TI Uneven implementation of the National Perinatal Depression Initiative:
   findings from a survey of Australian women's hospitals
SO AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
VL 52
IS 6
BP 559
EP 564
DI 10.1111/ajo.12000
PD DEC 2012
PY 2012
AB Background: Australia is a leader in recognising that perinatal mental
   health problems are prevalent and constitute a significant burden of
   disease among women. In 2009, the Australian government launched the
   National Perinatal Depression Initiative (NPDI) to address this.
   Aims: To investigate implementation of Australia's NPDI.
   Materials and Methods: Data were collected by a structured online survey
   assessing: screening for depression and depression risk in women
   receiving antenatal and postnatal care; staff training about perinatal
   depression; barriers and enablers to implementing the NPDI
   recommendations. All Australian members of Women's Healthcare
   Australasia (WHA) were invited to complete the survey in March 2011.
   Results: Of 30 Australian WHA members, 14 (46.6%) completed the survey.
   The sample included a representative distribution of small, medium and
   large hospitals. All respondents had introduced some NPDI
   recommendations. Most (80%) reported using the Edinburgh Postnatal
   Depression Scale (EPDS) to screen for antenatal depression and for risk
   of developing depression but at varied gestational ages, and with
   differing cut-off scores for follow-up or referral. Only one assessed
   depression status postpartum. Responsibility for screening and feedback
   was predominantly assigned to midwives, most of whom were offered <4 h
   training. Implementation barriers included insufficient personnel;
   per-client time requirements; insufficient clarity about screening
   protocols; difficulties modifying the medical record; few referral
   options and a lack of training resources.
   Conclusions: Implementation of the NPDI is uneven among Australian
   maternity hospitals. Little is known about perinatal mental health
   screening practices in the private sector and hospitals with <1000
   births annually.
RI Fisher, Jane/I-1569-2014
OI Fisher, Jane/0000-0002-1959-6807
ZS 0
ZA 0
ZB 4
ZR 0
TC 21
Z8 0
Z9 21
U1 0
U2 8
SN 0004-8666
UT WOS:000312247600011
PM 23046030
ER

PT J
AU Leventer-Roberts, M.
   Patel, A.
   Trasande, L.
TI Is severity of obesity associated with diagnosis or health education
   practices?
SO INTERNATIONAL JOURNAL OF OBESITY
VL 36
IS 12
BP 1571
EP 1577
DI 10.1038/ijo.2012.1
PD DEC 2012
PY 2012
AB OBJECTIVE: To assess the association of the severity of obesity with
   diagnosis and health education, and to identify any differences within
   demographic or other subgroups.
   DESIGN: Clinician visits for 2-18 year olds from the 2005-2008 National
   Ambulatory Medical Care Survey and National Hospital Ambulatory Medical
   Care Survey were combined. Descriptive, bivariate and multivariate
   analyses were used to compare diagnosis of obesity and health education
   (nutrition, exercise and weight reduction) across elevated body mass
   index (BMI) groups (overweight, obese and extreme or very obese, defined
   as >120% of the 95th percentile for age and gender), patient
   socio-demographic characteristics, physician specialty and type of visit
   (well child visits (WCV) versus non-well child visits (non-WCV).
   RESULTS: A total of 17 808 visits had a calculated BMI, of which 5.8%
   were extremely obese, 13% were obese and 15.2% were overweight, with the
   highest percentages among older children, blacks and Hispanics.
   Diagnosis and weight reduction education were higher among children with
   an extreme BMI. Nutrition and exercise education were not correlated
   with severity of obesity. Race, ethnicity or gender biases were not
   identified. Severity of obesity was significantly associated with
   presentation to a non-WCV rather than a WCV.
   CONCLUSION: Extremely obese children have higher, but still
   insufficient, rates of diagnosis and health education. Nutrition and
   exercise education are not prevalent throughout all age groups.
   Providers may be relying inconsistently and insufficiently on visual
   cues to drive their obesity prevention practices. Furthermore, lower
   rates of diagnosis and education at non-WCV may result in a missed
   opportunity to prevent comorbidities. This is of particular concern as
   overweight children are less likely to be seen at WCV than non-WCV.
   International Journal of Obesity (2012) 36, 1571-1577;
   doi:10.1038/ijo.2012.1; published online 24 January 2012
RI Trasande, Leonardo/ABE-6339-2020; Trasande, Leonardo/; Patel, Anisha/
OI Trasande, Leonardo/0000-0002-1928-597X; Patel,
   Anisha/0000-0001-9198-7936
ZS 0
TC 4
Z8 0
ZB 0
ZR 0
ZA 0
Z9 4
U1 0
U2 18
SN 0307-0565
EI 1476-5497
UT WOS:000312383700012
PM 22270382
ER

PT J
AU Barker, Andrew L.
   Wehbe-Janek, Hania
   Bhandari, Naumit S.
   Bittenbinder, Timothy M.
   Jo, ChanHee
   McAllister, Russell K.
TI A national cross-sectional survey of social networking practices of U.S.
   anesthesiology residency program directors
SO JOURNAL OF CLINICAL ANESTHESIA
VL 24
IS 8
BP 618
EP 624
DI 10.1016/j.jclinane.2012.06.002
PD DEC 2012
PY 2012
AB Study Objective: To determine the social networking practices of
   directors of anesthesiology residency programs.
   Design: Cross-sectional survey.
   Setting: Online and paper survey tool.
   Subjects: 132 anesthesiology residency program directors in the United
   States.
   Measurements: A 13-item survey including dichotomous and multiple choice
   responses was administered using an online survey tool and a paper
   survey. Data analysis was conducted by descriptive and analytical
   statistics (chi-square test). A P-value < 0.05 indicated statistical
   significance.
   Main Results: 50% of anesthesiology program directors responded to the
   survey (66/132). Policies governing social networking practices were in
   place for 30.3% (n=20) of the programs' hospitals. The majority of
   program directors (81.8%, 54) reported never having had an incident
   involving reprimand of a resident or fellow for inappropriate social
   networking practices. The majority (66.7%, n=44) of responding programs
   reported that departments did not provide lectures or educational
   activities related to appropriate social networking practices.
   Monitoring of social networking habits of residents/fellows by program
   directors mainly occurs if they are alerted to a problem (54.5%, n=36).
   Frequent use of the Internet for conducting searches on a resident
   applicant was reported by 12.1% (n=8) of program directors, 30.3% (n=20)
   reported use a few times, and 57.6% (n=38) reported never using the
   Internet in this capacity.
   Conclusion: Residency programs should have a written policy related to
   social media use. Residency program directors should be encouraged to
   become familiar with the professionalism issues related to social media
   use in order to serve as adequate resident mentors within this new and
   problematic aspect of medical ethics and professionalism. (c) 2012
   Elsevier Inc. All rights reserved.
RI McAllister, Russell/AAI-9742-2020
OI McAllister, Russell/0000-0002-3762-0145
ZS 0
TC 13
Z8 0
ZA 0
ZB 1
ZR 0
Z9 13
U1 0
U2 10
SN 0952-8180
EI 1873-4529
UT WOS:000312753900003
PM 23122976
ER

PT J
AU Kaufman, David W.
   Kelly, Judith P.
   Rohay, Jeffrey M.
   Malone, Mary Kathryn
   Weinstein, Rachel B.
   Shiffman, Saul
TI Prevalence and correlates of exceeding the labeled maximum dose of
   acetaminophen among adults in a US-based internet survey
SO PHARMACOEPIDEMIOLOGY AND DRUG SAFETY
VL 21
IS 12
BP 1280
EP 1288
DI 10.1002/pds.3350
PD DEC 2012
PY 2012
AB Purpose Acetaminophen is a commonly used analgesic; excessive doses can
   lead to liver damage. We sought to determine the proportion of
   acetaminophen users exceeding the recommended maximum daily dose of 4 g
   and identify correlates of such behavior.
   Methods U.S. adults were recruited from an internet panel in summer
   2010, oversampling past 30-day acetaminophen users. Among 47?738
   starting the study, 5649 completed all phases; individuals with low
   education were underrepresented. Subjects completed a 7-day daily diary
   online, reporting intake of acetaminophen products selected from a
   comprehensive list; total daily dose was computed from product names. An
   exit survey elicited: attitudes/knowledge related to product
   ingredients, label reading, dosing behavior; demographics, medical
   history, general physical, and mental health status. Unconditional
   logistic regression identified variables independently associated with
   use exceeding 4 g.
   Results Among 3618 acetaminophen users, 163 took >4 g on =1?day (4.5%);
   the median dose was 5.5 g; 26 took >8 g (0.7%). >4-g users were
   characterized by chronic pain, poor physical status, and heavy use of
   medical care. Knowledge of ingredients and recommended OTC doses for all
   products taken was inversely associated with >4-g use (multivariable
   odds ratios [ORs]?=?0.50.6), as was the attitude to start with the
   lowest dose (OR?=?0.6). The attitude that users could choose their own
   dose was positively associated (OR?=?1.3).
   Conclusions The results estimate the proportion of acetaminophen users
   exceeding 4 g in a group of U.S. adults, identify potentially modifiable
   attitudes and knowledge associated with such use, and characterize
   subpopulations at higher risk. Copyright (c) 2012 John Wiley & Sons,
   Ltd.
RI Shiffman, Saul/K-7337-2012; Kaufman, David/
OI Kaufman, David/0000-0002-2150-5070
Z8 0
TC 29
ZS 0
ZR 0
ZA 0
ZB 8
Z9 29
U1 0
U2 7
SN 1053-8569
EI 1099-1557
UT WOS:000312146900004
PM 23001694
ER

PT J
AU Morris, Amanda
   Do, David
   Gottlieb-Smith, Rachel
   Ng, Julie
   Jain, Amit
   Wright, Scott
   Shochet, Robert
TI Impact of a Fitness Intervention on Medical Students
SO SOUTHERN MEDICAL JOURNAL
VL 105
IS 12
BP 630
EP 634
DI 10.1097/SMJ.0b013e318273a766
PD DEC 2012
PY 2012
AB Objective: It is known that regular exercise improves both physical and
   mental health. This study sought to determine the impact of a fitness
   intervention on the levels of exercise and well-being of medical
   students.
   Methods: In 2011, the authors conducted a prospective cohort study
   involving medical students at the Johns Hopkins School of Medicine.
   Intervention students experienced a 7-week, team-based, fitness
   competition and recorded exercise data online. Incentives were given to
   teams reaching an average of 150 minutes per teammate per week, an
   exercise goal recommended by the US Department of Health and Human
   Services. Both groups completed baseline and follow-up surveys about
   physical activity and well-being, using validated scoring methods.
   Results: A total of 100 students (71 in the intervention group and 29 in
   the control group) participated fully, recording their exercise
   behaviors and completing both the pre- and postsurveys. In the
   intervention group, the percentage of individuals successfully reaching
   the exercise target of 150 minutes per week varied by week from 30% to
   61%. Intervention students showed a significant improvement in their
   International Physical Activity Questionnaire scores (1669.4 +/- 154.9
   vs 2013.6 +/- 174.6; P = 0.02) and levels of irritability on the
   subsection of the Positive Affect and Negative Affect Scale score (2.2
   +/- 0.1 vs 2.0 +/- 0.1, P = 0.03). By contrast, the control group did
   not show any improvements in any of these measures across the same time
   period (all P > 0.05).
   Conclusions: A well-orchestrated student-designed fitness intervention
   can effectively augment medical students' exercise practices and
   positively affect well-being.
RI Jain, Amit/T-5672-2019; Gottlieb-Smith, Rachel/
OI Jain, Amit/0000-0002-9983-3365; Gottlieb-Smith,
   Rachel/0000-0002-6066-5966
ZR 0
ZA 0
TC 9
Z8 0
ZB 1
ZS 1
Z9 9
U1 0
U2 11
SN 0038-4348
EI 1541-8243
UT WOS:000311946500002
PM 23211495
ER

PT J
AU Thunnissen, Erik
   Beasley, Mary Beth
   Borczuk, Alain C.
   Brambilla, Elisabeth
   Chirieac, Lucian R.
   Dacic, Sanja
   Flieder, Douglas
   Gazdar, Adi
   Geisinger, Kim
   Hasleton, Philip
   Ishikawa, Yuichi
   Kerr, Keith M.
   Lantuejoul, Sylvie
   Matsuno, Yoshiro
   Minami, Yuko
   Moreira, Andre L.
   Motoi, Noriko
   Nicholson, Andrew G.
   Noguchi, Masayuki
   Nonaka, Daisuke
   Pelosi, Giuseppe
   Petersen, Iver
   Rekhtman, Natasha
   Roggli, Victor
   Travis, William D.
   Tsao, Ming S.
   Wistuba, Ignacio
   Xu, Haodong
   Yatabe, Yasushi
   Zakowski, Maureen
   Witte, Birgit
   Kuik, Dirk Joop
TI Reproducibility of histopathological subtypes and invasion in pulmonary
   adenocarcinoma. An international interobserver study
SO MODERN PATHOLOGY
VL 25
IS 12
BP 1574
EP 1583
DI 10.1038/modpathol.2012.106
PD DEC 2012
PY 2012
AB Histological subtyping of pulmonary adenocarcinoma has recently been
   updated based on predominant pattern, but data on reproducibility are
   required for validation. This study first assesses reproducibility in
   subtyping adenocarcinomas and then assesses further the distinction
   between invasive and non-invasive (wholly lepidic) pattern of
   adenocarcinoma, among an international group of pulmonary pathologists.
   Two ring studies were performed using a micro-photographic image-based
   method, evaluating selected images of lung adenocarcinoma histologic
   patterns. In the first study, 26 pathologists reviewed representative
   images of typical and 'difficult' histologic patterns. A total number of
   scores for the typical patterns combined (n=94) and the difficult cases
   (n=21) were 2444 and 546, respectively. The mean kappa score (+/-s.d.)
   for the five typical patterns combined and for difficult cases were
   0.77+/-0.07 and 0.38+/-0.14, respectively. Although 70% of the observers
   identified 12-65% of typical images as single pattern, highest for solid
   and least for micropapillary, recognizing the predominant pattern was
   achieved in 92-100%, of the images except for micropapillary pattern
   (62%). For the second study on invasion, identified as a key problem
   area from the first study, 28 pathologists submitted and reviewed 64
   images representing typical as well as 'difficult' examples. The kappa
   for typical and difficult cases was 0.55+/-0.06 and 0.08+/-0.02,
   respectively, with consistent subdivision by the same pathologists into
   invasive and non-invasive categories, due to differing interpretation of
   terminology defining invasion. In pulmonary adenocarcinomas with classic
   morphology, which comprise the majority of cases, there is good
   reproducibility in identifying a predominant pattern and fair
   reproducibility distinguishing invasive from in-situ (wholly lepidic)
   patterns. However, more precise definitions and better education on
   interpretation of existing terminology are required to improve
   recognition of purely in-situ disease, this being an area of increasing
   importance. Modern Pathology (2012) 25, 1574-1583;
   doi:10.1038/modpathol.2012.106; published online 20 July 2012
RI Motoi, Noriko/AAO-5642-2020; Tsao, Ming-Sound/M-3503-2017; BORCZUK, alain/AHA-5172-2022; Tsao, Ming Sound/AFQ-7332-2022; YATABE, Yasushi/J-6461-2014; Motoi, Noriko/A-9718-2009; lantuejoul, sylvie/N-9315-2017; Brambilla, Elisabeth MP/L-8796-2013; Chirieac, Lucian R./AAD-2030-2019; Lantuejoul, Sylvie/N-4671-2013; Borczuk, Alain/AAI-8226-2021; Borczuk, Alain/AFU-5278-2022; Pelosi, Giuseppe/F-5073-2012; Thunnissen, Erik/
OI Motoi, Noriko/0000-0001-7098-3311; Tsao, Ming Sound/0000-0002-9160-5405;
   YATABE, Yasushi/0000-0003-1788-559X; Motoi, Noriko/0000-0001-7098-3311;
   lantuejoul, sylvie/0000-0003-4310-6975; Borczuk,
   Alain/0000-0001-6807-8064; Borczuk, Alain/0000-0001-6807-8064; Pelosi,
   Giuseppe/0000-0003-4725-4692; Thunnissen, Erik/0000-0001-5355-8508
ZR 0
ZB 57
Z8 3
ZA 0
ZS 0
TC 161
Z9 168
U1 2
U2 11
SN 0893-3952
EI 1530-0285
UT WOS:000311955000004
PM 22814311
ER

PT J
AU Eslami, V.
   Saadat, S.
   Arejan, R. Habibi
   Vaccaro, A. R.
   Ghodsi, S. M.
   Rahimi-Movaghar, V.
TI Factors associated with the development of pressure ulcers after spinal
   cord injury
SO SPINAL CORD
VL 50
IS 12
BP 899
EP 903
DI 10.1038/sc.2012.75
PD DEC 2012
PY 2012
AB Study design: Cross-sectional observational study.
   Objectives: To examine variables associated with the development of
   pressure ulcers (PU) in subjects with spinal cord injury (SCI).
   Setting: SCI patients under coverage of the State Welfare Organization
   of Iran.
   Methods: Mobile rehabilitation teams gathered data from 20 of the 30
   provinces in Iran. There were 8104 SCI patients registered in the
   database; 7489 patients were included in the analysis. The prevalence of
   PU in patients aged <10 years was lower than those aged >10; therefore,
   we used different logistic models for these groups. Likewise, separate
   models were created for patients who had experienced SCI during the past
   year versus patients injured >1 year before the evaluation.
   Results: PU was present in 34.6% of the patients. The variables
   associated with PU in patients aged <10 years were female gender and the
   time passed since SCI. In patients aged >11 years, male gender, the time
   passed since SCI, lower level of education, lack of an intimate partner,
   quadriplegia and older age presented a significant association with PU.
   Patients for whom <1 year has passed since SCI, male gender,
   quadriplegia and older age were associated with PU. And patients for
   whom >1 year had passed since SCI, male gender, quadriplegia, older age,
   lower level of education and lack of an intimate partner were associated
   with PU.
   Conclusion: SCI patients are a heterogeneous group and the risk factors
   associated with PU may vary in specific subgroups. Different models are
   needed to describe PU in SCI patients depending on the patient's age and
   the time passed since SCI. Spinal Cord (2012) 50, 899-903;
   doi:10.1038/sc.2012.75; published online 10 July 2012
RI Saadat, Soheil/J-1595-2014; Rahimi-Movaghar, Vafa/L-6339-2019
OI Saadat, Soheil/0000-0002-2744-7983; 
ZS 1
Z8 0
TC 30
ZA 0
ZB 6
ZR 0
Z9 31
U1 0
U2 14
SN 1362-4393
EI 1476-5624
UT WOS:000312200700011
PM 22777490
ER

PT J
AU Duffton, A.
   McNee, S.
   Muirhead, R.
   Alhasso, A.
TI Clinical commissioning of online seed matching protocol for prostate
   radiotherapy
SO BRITISH JOURNAL OF RADIOLOGY
VL 85
IS 1020
BP E1273
EP E1281
DI 10.1259/bjr/72368557
PD DEC 2012
PY 2012
AB Objectives: Our aim was to clinically commission an online seed matching
   image-guided radiotherapy (IGRT) protocol using modern hardware/software
   for patients undergoing prostate radiotherapy. An essential constraint
   was to achieve this within a busy centre without reducing patient
   throughput, which had been reported with other techniques.
   Methods: 45 patients had 3 fiducial markers inserted into the prostate
   and were imaged daily using kilovoltage orthogonal images with online
   correction applied before treatment. A total of 1612 image pairs were
   acquired and analysed to identify interfractional motion, seed migration
   and interobserver variability, and assess ease of use.
   Results: This method of IGRT was implemented successfully in our centre
   with no impact on treatment times and patient throughput. Systematic (S)
   interfractional setup errors were 2.2, 2.7 and 3.9 mm in right-left
   (RL), superoinferior (SI) and anteroposterior (AP) directions,
   respectively. Random (sigma) interfractional set-up errors were 3.2
   (RL), 3.7 (SI) and 5.7 mm (AP). There were significant differences
   between patients. Seed migration and interobserver variability were not
   significant issues.
   Conclusions: The described technique is facilitated by the advanced
   imaging system, allowing a fast and effective method of correcting set-
   up errors before treatment. Extended implementation of this technique
   has improved treatment delivery to the majority of our prostate
   radiotherapy patients. The measurement of interfractional motion in this
   study is potentially valuable for margin reduction in intensity-
   modulated radiotherapy/volumetric arc therapy.
   Advances in knowledge: This technique can be used within treatment time
   constraints, benefiting large numbers of patients by helping to avoid
   geographical miss and potentially reducing toxicity to organs at risk.
ZS 0
ZA 0
Z8 0
ZR 0
TC 2
ZB 0
Z9 2
U1 0
U2 6
SN 0007-1285
EI 1748-880X
UT WOS:000312590500016
PM 23175493
ER

PT J
AU Thomas, Jennifer R.
   Shaikh, Ulfat
TI Use of Electronic Communication by Physician Breastfeeding Experts for
   Support of the Breastfeeding Mother
SO BREASTFEEDING MEDICINE
VL 7
IS 6
BP 393
EP 396
DI 10.1089/bfm.2011.0133
PD DEC 2012
PY 2012
AB Background: Breastfeeding initiation and duration increase because of
   physician encouragement. However, many physicians have not received
   education on breastfeeding, and some may not have a supportive attitude
   or commitment to breastfeeding. Patients identify dissatisfaction with
   their current provider as a motivating factor in seeking health
   information on the Internet. This survey was performed to determine how
   many physicians with an interest and expertise in breastfeeding are
   being contacted for breastfeeding information over the Internet and to
   examine physicians' attitudes to these requests.
   Subjects and Methods: An e-mail describing the survey, inviting
   participation, and containing a link to the online questionnaire was
   posted on the Web site of the Academy of Breastfeeding Medicine and as
   well as on the Listserv of the American Academy of Pediatrics-Section on
   Breastfeeding. Information collected included physician training,
   successes and challenges related to providing breastfeeding medicine
   support by e-mail, and current level of e-mail communication with
   patients regarding breastfeeding issues.
   Results: One-fourth of physicians in our survey receive e-mails with
   questions about breastfeeding issues from patients with whom they have
   no preexisting relationships. More receive e-mail from known patients.
   This suggests that breastfeeding mothers seek expert information on the
   Internet. Over half of the physicians replied to e-mails individually
   and without any financial reimbursement.
   Conclusions: Many breastfeeding mothers reach out to breastfeeding
   experts over the Internet. Our findings suggest that physicians who
   provide care to breastfeeding mothers need further education on
   breastfeeding to provide adequate support to their own patients.
TC 9
ZB 0
ZS 0
Z8 0
ZA 0
ZR 0
Z9 9
U1 1
U2 11
SN 1556-8253
EI 1556-8342
UT WOS:000312348200002
PM 22612624
ER

PT J
AU Roberts, Gehan
   Price, Anna
   Oberklaid, Frank
TI Paediatrician's role in caring for children with learning difficulties
SO JOURNAL OF PAEDIATRICS AND CHILD HEALTH
VL 48
IS 12
BP 1086
EP 1090
DI 10.1111/j.1440-1754.2012.02469.x
PD DEC 2012
PY 2012
AB Aim: Children with learning difficulties are commonly seen in Australian
   paediatric outpatient settings. The practice patterns of paediatricians
   in assessing, referring and managing these children are unknown, and
   there is no consensus on best practice. We thus aimed to examine the
   consistency between Australian paediatricians': (i) assessment; (ii)
   referral; and (iii) management of children presenting with learning
   difficulties. Methods: All 373 paediatrician members of the Australian
   Paediatric Research Network were invited to participate in an online
   survey in 2010. Paediatricians who saw children with learning
   difficulties were asked questions about their assessment, referral and
   management practices. Results: Of 181 (49%) paediatricians to complete
   the survey, 140 (77%) reported seeing patients with learning
   difficulties. Most often, paediatricians supplemented their clinical
   assessments with audiology assessments (75%), teacher or parent
   questionnaires (6065%), or teacher contact (51%). Paediatricians used
   medical investigations (40%), direct assessment tools (27%) or a school
   visit (4%) less often. Most paediatricians referred children with
   learning difficulties to educational psychology (84%), special education
   (61%) or speech therapy (66%) services but less often to occupational
   therapy (34%) or mental health (15%) services. The most common
   management strategies were to provide a report to the school (76%) or
   parents (66%) and to make recommendations around sleep hygiene (75%) and
   for tutoring (66%). Conclusions: Australian paediatric practice in this
   area is diverse, with the greatest variability around management
   practices. These data provide a case for designing and implementing
   evidence-based guidelines for the paediatric care of children who
   struggle to learn in school.
RI Oberklaid, Frank/; Roberts, Gehan/I-6372-2015; Price, Anna/
OI Oberklaid, Frank/0000-0002-9024-111X; Roberts,
   Gehan/0000-0002-2151-1630; Price, Anna/0000-0002-8117-8059
ZA 0
TC 5
ZR 0
ZB 0
ZS 0
Z8 0
Z9 5
U1 0
U2 11
SN 1034-4810
UT WOS:000312306700009
PM 22621677
ER

PT J
AU Shuman, Andrew G.
   Terrell, Jeffrey E.
   Light, Emily
   Wolf, Gregory T.
   Bradford, Carol R.
   Chepeha, Douglas
   Jiang, Yunyun
   McLean, Scott
   Ghanem, Tamer A.
   Duffy, Sonia A.
TI Predictors of Pain Among Patients With Head and Neck Cancer
SO ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 138
IS 12
BP 1147
EP 1154
DI 10.1001/jamaoto.2013.853
PD DEC 2012
PY 2012
AB Objective: To determine predictors of pain 1 year after the diagnosis of
   head and neck cancer.
   Design: Prospective, multisite cohort study.
   Setting: Three academically affiliated medical centers.
   Patients: The study population comprised 374 previously untreated
   patients with carcinoma of the upper aerodigestive tract.
   Main Outcome Measures: Participants were surveyed before treatment and 1
   year thereafter. Multivariate analyses were conducted to determine
   predictors of the 36-Item Short-Form Instrument (SF-36) bodily pain
   score 1 year after diagnosis.
   Results: The mean SF-36 bodily pain score at 1 year was 65, compared
   with 61 at the time of diagnosis (P = .004), and 75, the population norm
   (lower scores indicate worse pain). Variables independently associated
   with pain included pretreatment pain score (P < .001), less education (P
   = .02), neck dissection (P = .001), feeding tube (P = .05), xerostomia
   (P < .001), depressive symptoms (P < .001), taking more pain medication
   (P < .001), less physical activity (P = .02), and poor sleep quality (P
   = .006). The association between head and neck cancer pain and current
   smoking and problem drinking did not reach significance (P = .07 and P =
   .08, respectively).
   Conclusions: Aggressive pain management may be indicated for patients
   with head and neck cancer who undergo neck dissections, complain of
   xerostomia, require feeding tubes, and have medical comorbidities.
   Treatment of modifiable risk factors such as depression, poor sleep
   quality, tobacco use, and alcohol abuse may also reduce pain and improve
   quality of life among patients with head and neck cancer. Arch
   Otolaryngol Head Neck Surg. 2012;138(12):1147-1154. Published online
   November 19, 2012. doi:10.1001/jamaoto.2013.853
OI Chepeha, Douglas/0000-0001-9062-3719
ZR 0
Z8 0
TC 40
ZB 10
ZA 0
ZS 0
Z9 40
U1 0
U2 13
SN 0886-4470
EI 1538-361X
UT WOS:000312401300007
PM 23165353
ER

PT J
AU Cortinois, Andrea A.
   Glazier, Richard H.
   Caidi, Nadia
   Andrews, Gavin
   Herbert-Copley, Mary
   Jadad, Alejandro R.
TI Toronto's 2-1-1 Healthcare Services for Immigrant Populations
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 43
IS 6
BP S475
EP S482
DI 10.1016/j.amepre.2012.08.010
SU 5
PD DEC 2012
PY 2012
AB Background: Although access to information on health services is
   particularly important for recent immigrants, numerous studies have
   shown that their use of information and referral services is limited.
   This study explores the role played by 2-1-1 Toronto in supporting
   recent immigrants.
   Purpose: The study objectives were to (1) understand whether 2-1-1
   Toronto is reaching and supporting recent immigrants and (2) gain a
   better appreciation of the information needs of this population group.
   Methods: A phone survey was conducted in 2005-2006 to collect
   information on 2-1-1 users' characteristics and levels of satisfaction.
   Survey data were compared (in 2006) with census data to assess their
   representativeness. To achieve Objective 2, semistructured qualitative
   interviews were conducted and analyzed in 2006-2007, with a subset of
   Spanish-speaking callers.
   Results: Recent immigrants were overrepresented among 2-1-1 callers.
   However, the survey population was substantially younger and had higher
   levels of formal education than the general population. Health-related
   queries represented almost one third of the total. The survey showed
   very high levels of satisfaction with the service. Many interviewees
   described their first experiences with the Canadian healthcare system
   negatively. Most of them had relied on disjointed, low-quality
   information sources. They trusted 2-1-1 but had discovered it late.
   Conclusions: Results are mixed in terms of 2-1-1's support to
   immigrants. A significant percentage of users do not take full advantage
   of the service. The service could become the information "entry point"
   for recent immigrants if it was able to reach them early in the
   resettlement process. Proactive, community-oriented work and a more
   creative use of technology could help. (Am J Prev Med
   2012;43(6S5):S475-S482) (C) 2012 American Journal of Preventive Medicine
Z8 0
ZR 0
ZB 2
ZS 0
ZA 0
TC 11
Z9 11
U1 0
U2 13
SN 0749-3797
EI 1873-2607
UT WOS:000311142200011
PM 23157768
ER

PT J
AU Gemzell-Danielsson, Kristina
   Cho, SiHyun
   Inki, Pirjo
   Mansour, Diana
   Reid, Robert
   Bahamondes, Luis
TI Use of contraceptive methods and contraceptive recommendations among
   health care providers actively involved in contraceptive counseling -
   results of an international survey in 10 countries
SO CONTRACEPTION
VL 86
IS 6
BP 631
EP 638
DI 10.1016/j.contraception.2012.06.002
PD DEC 2012
PY 2012
AB Background: This study was conducted to determine the personal choices
   of contraceptive methods among an international sample of contraception
   health care professionals (HCPs) and to determine if these choices are
   concordant with their recommendations to women.
   Study Design: In an anonymous online survey, 1001 HCPs actively involved
   in contraceptive counseling [obstetrician/gynecologists (OB/GYNs),
   general practitioners (GPs) and midwives (only in Sweden)] from 10
   countries (Australia, Brazil, Canada, France, Germany, Korea, Mexico,
   Spain, Sweden and the United Kingdom) were asked about their personal
   use of contraceptive methods and their recommendations to women in two
   different clinical scenarios: for spacing between children (Group A) and
   after completion of the family (Group B).
   Results: The largest HCP group was OB/GYNs (67.1%), followed by GPs
   (31.4%) and midwives (1.5%). A total of 42.7% of respondents were male,
   and 57.3% were female. The majority of respondents were aged 36-45 years
   (38.9%) or 46-55 years (42.8%), 79.7% had children, and 53.9% were
   currently using contraception (by themselves or by their partners).
   Among 540 contraceptive users, the three most common methods were the
   levonorgestrel-releasing intrauterine system (LNG-IUS; 29.3%), combined
   oral contraceptives (COCs; 20.0%) and condoms (17.0%). OB/GYNs were more
   likely to be using the LNG-IUS than GPs (p=.014). Gender did not seem to
   influence contraceptive preference. Reasons for these choices were
   largely influenced by family situation and high contraceptive efficacy
   (for the LNG-IUS) or side effects caused by other methods (for condoms).
   The top contraceptive recommendation was COCs for Group A and the
   LNG-IUS for Group B. HCPs currently using COCs and the LNG-IUS were more
   likely to recommend these methods than other contraceptive methods for
   Group A and Group B, respectively.
   Conclusions: The most popular contraceptive method in this sample of
   HCPs was the LNG-IUS. Choice of contraceptive method was driven by
   family situation, age and profession. It appears that, in this sample,
   personal contraceptive use influences contraceptive recommendations. (C)
   2012 Elsevier Inc. All rights reserved.
RI Saude da mulher, Inct/J-9403-2013; Cho, SiHyun/
OI Cho, SiHyun/0000-0003-2718-6645
ZB 6
TC 29
ZA 0
ZR 0
Z8 0
ZS 1
Z9 29
U1 0
U2 22
SN 0010-7824
UT WOS:000311195700005
PM 22770797
ER

PT J
AU Arocha, Jose F.
   Hoffman-Goetz, Laurie
TI A survey of public health and consumer health informatics programmes and
   courses in Canadian universities and colleges
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 37
IS 4
BP 242
EP 252
DI 10.3109/17538157.2011.647937
PD DEC 2012
PY 2012
AB Introduction: As information technology becomes more widely used by
   people for health-care decisions, training in consumer and public health
   informatics will be important for health practitioners working directly
   with the public.
   Methods: Using information from 74 universities and colleges across
   Canada, we searched websites and online calendars for programmes
   (undergraduate, graduate) regarding availability and scope of education
   in programmes, courses and topics geared to public health and/or
   consumer health informatics.
   Results: Of the 74 institutions searched, 31 provided some content
   relevant to health informatics (HI) and 8 institutions offered full
   HI-related programmes. Of these 8 HI programmes, only 1 course was
   identified with content relevant to public health informatics and 1 with
   content about consumer health informatics. Some institutions (n = 22) -
   which do not offer HI-degree programmes provide health
   informatics-related courses, including one on consumer health
   informatics. We found few programmes, courses or topic areas within
   courses in Canadian universities and colleges that focus on consumer or
   public health informatics education.
   Discussion: Given the increasing emphasis on personal responsibility for
   health and health-care decision-making, skills training for health
   professionals who help consumers navigate the Internet should be
   considered in health informatics education.
ZS 0
Z8 0
TC 3
ZB 1
ZR 0
ZA 0
Z9 3
U1 1
U2 29
SN 1753-8157
EI 1753-8165
UT WOS:000311838500004
PM 22515267
ER

PT J
AU Ellimoottil, Chandy
   Polcari, Anthony
   Kadlec, Adam
   Gupta, Gopal
TI Readability of Websites Containing Information About Prostate Cancer
   Treatment Options
SO JOURNAL OF UROLOGY
VL 188
IS 6
BP 2171
EP 2175
DI 10.1016/j.juro.2012.07.105
PD DEC 2012
PY 2012
AB Purpose: Approximately 90 million American adults have literacy skills
   that test below a high school reading level. Websites written above this
   level can pose a challenge for those seeking online information about
   prostate cancer treatment options. In this study we determine the
   readability of selected websites using a systematic search process and
   validated readability formulas.
   Materials and Methods: We identified the 3 most popular keywords from
   513 terms related to prostate cancer treatment options. We then
   systematically collected 270 websites from the top 3 search engines, and
   excluded from study those that were nonEnglish, not primarily text,
   irrelevant and/or duplicated. We used the Flesch-Kincaid grade level and
   Flesch Reading Ease to determine scores for each site.
   Results: A total of 62 unique websites were analyzed. Median
   Flesch-Kincaid grade level was 12.0 (range 8.0 to 12.0) and median
   Flesch Reading Ease score was 38.1 (range 0.0 to 65.5). Only 3 sites
   (4.8%) were written below a high school reading level (less than 9.0).
   Conclusions: Few websites with discussions on prostate cancer treatment
   options are written below a high school reading level. This is
   problematic for a third of Americans who seek to further educate
   themselves using online resources. Clinicians can use this information
   to guide their patients to appropriate websites.
ZR 0
TC 23
ZA 0
Z8 0
ZS 0
ZB 4
Z9 23
U1 0
U2 10
SN 0022-5347
UT WOS:000311581400039
PM 23083852
ER

PT J
AU Soh, Nerissa
   Ma, Colleen
   Lampe, Lisa
   Hunt, Glenn
   Malhi, Gin
   Walter, Garry
TI Depression, financial problems and other reasons for suspending medical
   studies, and requested support services: findings from a qualitative
   study
SO AUSTRALASIAN PSYCHIATRY
VL 20
IS 6
BP 518
EP 523
DI 10.1177/1039856212460737
PD DEC 2012
PY 2012
AB Objectives: This study aimed to qualitatively explore medical students'
   reasons for suspending, or thinking of suspending, their studies and the
   types of support services they request.
   Method: Data were collected through an anonymous online survey. Medical
   students' responses to open-ended questions were analyzed thematically.
   Results: Responses were received from 475 students. Financial problems,
   doubts as to whether medicine was the right vocation, and depression
   were the most commonly reported themes. Students endorsed a wide range
   of other pressures and concerns, barriers to obtaining assistance, and
   also suggested solutions and services to address their concerns.
   Conclusions: Medical students' financial concerns and potential
   depressive symptoms should be addressed by university and faculty
   support services. Government financial support mechanisms for students
   should also be reviewed. Students' suggestions of the types of services
   and their location must be borne in mind when allocating resources.
RI Malhi, Gin/Z-2418-2019; Lampe, Lisa Anne/H-6078-2019; Hunt, glenn/; Ma, Colleen/; Malhi, Gin/
OI Lampe, Lisa Anne/0000-0001-5540-8810; Hunt, glenn/0000-0002-8088-9406;
   Ma, Colleen/0000-0003-2125-1485; Malhi, Gin/0000-0002-4524-9091
ZR 0
ZA 0
ZS 0
Z8 0
TC 6
ZB 1
Z9 6
U1 0
U2 19
SN 1039-8562
EI 1440-1665
UT WOS:000312004500011
PM 23018118
ER

PT J
AU Fogarty, John P.
   Littles, Alma B.
   Romrell, Lynn J.
   Watson, Robert T.
   Hurt, Myra M.
TI Florida State University College of Medicine: From Ideas to Outcomes
SO ACADEMIC MEDICINE
VL 87
IS 12
BP 1699
EP 1704
DI 10.1097/ACM.0b013e318271b8b4
PD DEC 2012
PY 2012
AB The Florida State University College of Medicine (FSU COM) was
   established in 2000, the first new MD-granting medical school in the
   United States in over 25 years. In its brief history, the FSU COM has
   developed rapidly in accordance with its founding mission to meet the
   need for primary care physicians, especially those caring for the
   elderly and the underserved. The school recently received a full
   continuation of accreditation for the maximum period, eight years, from
   the Liaison Committee on Medical Education.
   The authors describe FSU COM's new, innovative educational program using
   community-based clinical training on six statewide regional campuses and
   two rural sites. Third-and fourth-year students are assigned to
   community physicians in a one-on-one clinical training model in all of
   the settings where physicians practice. Over 70% of student clinical
   training is in such settings. The authors describe how the model
   operates, including curricular oversight (which ensures quality and
   equivalence of the educational experience at all sites), the regional
   campus structure, administration, education program delivery during core
   clerkships, and assessment of students' performance. Ongoing required
   faculty development for all clerkship faculty is an essential feature of
   the training program, as is tracking of all individual student contacts
   through an online clinical data collection system used for evaluation of
   the clerkship experiences as well as research.
   The authors demonstrate that the school has been highly successful in
   implementing its mission, and that the challenge ahead is to sustain its
   approach to the training of future physicians.
TC 9
ZB 1
Z8 0
ZS 0
ZA 0
ZR 0
Z9 9
U1 0
U2 5
SN 1040-2446
UT WOS:000311836800019
PM 23095920
ER

PT J
AU Barry, J. S.
   Gibbs, M. D.
   Rosenberg, A. A.
TI A delivery room-focused education and deliberate practice can improve
   pediatric resident resuscitation training
SO JOURNAL OF PERINATOLOGY
VL 32
IS 12
BP 920
EP 926
DI 10.1038/jp.2012.27
PD DEC 2012
PY 2012
AB Objective: To determine if deliberate practice and simulation would
   improve pediatric residents' neonatal resuscitation abilities.
   Study Design: Prospective cohort with pre-post-intervention design.
   Senior residents from 2008 to 2009 were evaluated and served as controls
   (C-Senior, N = 23). Interns (PL-1, N = 28) from 2008 to 2009 received
   the education and evaluation at the beginning (I-Pre) and end of their
   NICU rotation (I-Post) and again when they were seniors (I-Senior, N =
   24). The education, based on deliberate practice, included scored
   assessments of a resident's ability to assemble delivery room equipment
   and lead a simulated resuscitation.
   Result: PL-1 equipment score increased by 30% (I-Pre; 53%, I-Post; 83%)
   and was not different 1 to 2 years later (I-Senior; 87%). I-Senior
   equipment score was 22% higher than the C-Senior group (C-Senior; 65%).
   The PL-1's ability to lead a resuscitation improved after the education
   (I-Pre; 76%, I-Post; 85%) and was maintained as senior residents
   (I-Senior; 85%), but was not superior to the C-Senior group (C-Senior;
   81%).
   Conclusion: The use of deliberate practice and simulation can improve a
   residents' resuscitation training, particularly for equipment. Journal
   of Perinatology (2012) 32, 920-926; doi:10.1038/jp.2012.27; published
   online 29 March 2012
ZB 3
Z8 0
ZS 0
ZA 0
TC 14
ZR 0
Z9 14
U1 0
U2 7
SN 0743-8346
EI 1476-5543
UT WOS:000311831700004
PM 22460544
ER

PT J
AU Downes, K. J.
   Narendran, V.
   Meinzen-Derr, J.
   McClanahan, S.
   Akinbi, H. T.
TI The lost art of intubation: assessing opportunities for residents to
   perform neonatal intubation
SO JOURNAL OF PERINATOLOGY
VL 32
IS 12
BP 927
EP 932
DI 10.1038/jp.2012.17
PD DEC 2012
PY 2012
AB Objective: The objective of this study is to assess the opportunities
   afforded to and competence of pediatric residents in performing neonatal
   endotracheal intubations.
   Study Design: The records of all intubations performed on neonates over
   a 3-year period at a university-based birthing hospital were reviewed to
   assess the relationships between outcomes, types of providers and the
   setting of intubations.
   Result: A total of 785 attempts were made during 362 intubations.
   Pediatric residents were given the opportunity to intubate 38% of the
   cohort (n = 137) and were successful on 21% of the attempts. Residents
   were more likely to perform intubation in the neonatal intensive care
   unit (vs delivery room; P<0.001), in non-emergency situations (P<0.001),
   and on older (P<0.001) and larger (P = 0.07) infants.
   Conclusion: Opportunities for residents to intubate neonates were few
   and their success rate was low. In the current care paradigm, it is
   doubtful if trainees can be sufficiently skilled in endotracheal
   intubation during residency. Residents that plan to pursue
   procedure-intensive subspecialties may benefit from other models for
   training. Journal of Perinatology (2012) 32, 927-932; doi: 10.1038/jp.
   2012.17; published online 1 March 2012
RI Downes, Kevin J/ABF-2014-2020; Meinzen-Derr, Jareen/N-4805-2015
OI Downes, Kevin J/0000-0001-5015-8146; 
ZR 0
ZA 0
ZS 0
TC 45
Z8 0
ZB 17
Z9 45
U1 0
U2 3
SN 0743-8346
EI 1476-5543
UT WOS:000311831700005
PM 22382858
ER

PT J
AU Choudry, Umar
   Kim, Nicholas
TI Preoperative Assessment Preferences and Reported Reoperation Rates for
   Size Change in Primary Breast Augmentation: A Survey of ASPS Members
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 130
IS 6
BP 1352
EP 1359
DI 10.1097/PRS.0b013e31826d9f66
PD DEC 2012
PY 2012
AB Background: The purpose of this study was to determine the current
   preferences of plastic surgeons regarding preoperative assessment and
   their effect on clinical outcome in primary breast augmentation.
   Methods: An eight-question online survey was sent to members of the
   American Society of Plastic Surgeons. Data collected online were
   analyzed using Student's t test or Pearson's chi-square test. A value of
   p < 0.05 was considered statistically significant.
   Results: The response rate was 20.1 percent (604 respondents). Breast
   base diameter [n = 286 (47.4 percent)] was ranked the most important
   consideration vital in choosing implants. Most surgeons chose to
   reeducate their patients to resolve a conflict between their patient's
   implant size request and the surgeon's clinical judgment [n = 385 (63.7
   percent)], whereas 151 (25 percent) would proceed anyway. Those surgeons
   who chose reeducation ranked breast base diameter as a vital
   consideration significantly higher than those who would accommodate
   their patients (2.03 +/- 1.41 versus 2.31 +/- 1.41; p = 0.041).
   Similarly, surgeons who reeducated their patients ranked implant volume
   as the vital consideration significantly lower than those who
   accommodated their patients (2.90 +/- 1.67 versus 2.44 +/- 1.47; p =
   0.002). Regarding size change, 332 surgeons (55 percent) reported their
   rate was 5 percent or less, whereas 272 (45 percent) reported it was
   greater than 5 percent. Surgeons who reported a 5 percent or less rate
   ranked implant volume significantly lower than those with reoperation
   rates greater than 5 percent (2.93 +/- 1.71 versus 2.55 +/- 1.53; p =
   0.004).
   Conclusions: Breast base diameter and implant volume were the two most
   important considerations in choosing an implant for breast augmentation.
   Reported reoperation rates for size change were significantly lower for
   surgeons who regarded breast base diameter as more vital than those who
   valued implant volume more. (Plast. Reconstr. Surg. 130: 1352, 2012.)
CT 80th Annual Meeting of the American-Society-of-Plastic-Surgeons (ASPS)
CY SEP 23-27, 2011
CL Denver, CO
SP Amer Soc Plast Surg
ZR 0
ZB 0
Z8 0
ZA 0
TC 22
ZS 0
Z9 22
U1 0
U2 0
SN 0032-1052
EI 1529-4242
UT WOS:000311834800062
PM 23190819
ER

PT J
AU Purling, Amy
   King, Lindy
TI A literature review: graduate nurses' preparedness for recognising and
   responding to the deteriorating patient
SO JOURNAL OF CLINICAL NURSING
VL 21
IS 23-24
BP 3451
EP 3465
DI 10.1111/j.1365-2702.2012.04348.x
PD DEC 2012
PY 2012
AB Aims and objectives To explore the research literature that provided
   data on factors that influence new graduate nurse's preparedness for
   recognition and response to patient deterioration in the acute care
   setting. Background Nurses have a significant role in recognising subtle
   signs of patient deterioration and responding appropriately to prevent
   adverse events and improve patient outcomes. This pivotal position has
   often fallen to the new graduate who must be prepared to make
   high-consequence decisions in relation to a suspected decline in their
   patient's condition. Design and methods An integrative review was
   undertaken. A comprehensive literature search was conducted using online
   databases, reference lists of key articles and expert advice. Multiple
   keyword combinations were used. All relevant studies were subsequently
   appraised for rigour and quality. Seventeen primary research studies
   drawn from novice and experienced registered nurse experiences emerged
   as relevant to the review. Results Thematic analysis of the studies
   provided six major themes related to the aim of the review. Emergent
   themes were as follows: clinical staff support, lack of nurse
   experience, overwhelming workload, holistic patient assessment, past
   experiences and lack of available resources. Conclusions This review
   highlighted the importance of positive staff support and subsequent
   confidence building. Graduates then felt able to present effective
   assessments and less fearful of reprimand when escalating an
   intervention call. The need for further research to investigate graduate
   nurses' experiences of recognising and responding to the deteriorating
   patient emerged. Relevance to clinical practice Realistic workloads and
   access to supportive experienced staff would allow graduates time to
   focus on grouping clinical information to understand the total picture
   of the patient. Results indicated undergraduate and hospital in-service
   education programmes needed to offer the opportunity to practice
   reasoning. Complex clinical situations involving patient deterioration
   through simulation and clinical placement opportunities appeared most
   useful.
OI King, Lindy/0000-0002-9654-7128
TC 65
ZR 0
ZB 0
ZS 2
ZA 0
Z8 0
Z9 66
U1 3
U2 49
SN 0962-1067
EI 1365-2702
UT WOS:000310978000014
PM 23145516
ER

PT J
AU Jyothirmayi, R.
TI Case-based Discussion: Assessment Tool or Teaching Aid?
SO CLINICAL ONCOLOGY
VL 24
IS 10
BP 649
EP 653
DI 10.1016/j.clon.2012.07.008
PD DEC 2012
PY 2012
AB Aims: Workplace-based assessments were recently introduced into oncology
   training and include case-based discussions (CBDs). These are primarily
   designed as assessments and involve the formal discussion of a patient's
   case followed by feedback and scoring using a structured assessment
   form. The purpose of this study was to evaluate the role of CBDs in
   teaching and learning in oncology and to assess perceptions of teachers
   and learners.
   Materials and Methods: The study used qualitative research methods and
   involved recording, transcribing and analysing a total of six CBDs,
   conducted by the researcher and two other consultants, to assess
   evidence of teaching and learning. The data collection also included
   semi-structured interviews conducted with five consultants and five
   trainees in oncology, to evaluate the perceptions of teachers and
   learners about CBDs.
   Results and Conclusions: The analysis of the CBD transcripts revealed
   many interesting aspects of language within the interaction, indicating
   that reasoning and learning were taking place. Several themes emerged
   from the interviews, suggesting that CBDs were perceived as useful in
   teaching and learning, including aspects of oncology difficult to teach
   in other contexts. It was felt that participants require protected time
   within their job plans to conduct CBDs. Although the online form was
   considered useful, the scoring system was not thought to add value. CBDs
   could be used as highly effective teaching sessions, if sufficient time
   is spent on a face-to-face session. Further research is required into
   the format, including modification of the scoring form. (C) 2012 The
   Royal College of Radiologists. Published by Elsevier Ltd. All rights
   reserved.
Z8 0
ZR 0
ZS 0
TC 16
ZA 0
ZB 2
Z9 16
U1 1
U2 15
SN 0936-6555
UT WOS:000311240900001
PM 22892380
ER

PT J
AU Kannan, Jaya
   Kurup, Viji
TI Blended learning in anesthesia education: current state and future model
SO CURRENT OPINION IN ANESTHESIOLOGY
VL 25
IS 6
BP 692
EP 698
DI 10.1097/ACO.0b013e32835a1c2a
PD DEC 2012
PY 2012
AB Purpose of review
   Educators in anesthesia residency programs across the country are facing
   a number of challenges as they attempt to integrate blended learning
   techniques in their curriculum. Compared with the rest of higher
   education, which has made advances to varying degrees in the adoption of
   online learning anesthesiology education has been sporadic in the active
   integration of blended learning. The purpose of this review is to
   discuss the challenges in anesthesiology education and relevance of the
   Universal Design for Learning framework in addressing them.
   Recent findings
   There is a wide chasm between student demand for online education and
   the availability of trained faculty to teach. The design of the learning
   interface is important and will significantly affect the learning
   experience for the student.
   Summary
   This review examines recent literature pertaining to this field, both in
   the realm of higher education in general and medical education in
   particular, and proposes the application of a comprehensive learning
   model that is new to anesthesiology education and relevant to its goals
   of promoting self-directed learning.
Z8 0
TC 12
ZS 0
ZR 0
ZA 0
ZB 5
Z9 12
U1 1
U2 31
SN 0952-7907
EI 1473-6500
UT WOS:000311030900011
PM 23147669
ER

PT J
AU Dankoski, Mary E.
   Palmer, Megan M.
   Laird, Thomas F. Nelson
   Ribera, Amy K.
   Bogdewic, Stephen P.
TI An expanded model of faculty vitality in academic medicine
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 17
IS 5
BP 633
EP 649
DI 10.1007/s10459-011-9339-7
PD DEC 2012
PY 2012
AB Many faculty in today's academic medical centers face high levels of
   stress and low career satisfaction. Understanding faculty vitality is
   critically important for the health of our academic medical centers, yet
   the concept is ill-defined and lacking a comprehensive model. Expanding
   on previous research that examines vital faculty in higher education
   broadly and in academic medical centers specifically, this study
   proposes an expanded model of the unique factors that contribute to
   faculty vitality in academic medicine. We developed an online survey on
   the basis of a conceptual model (N = 564) and used linear regression to
   investigate the fit of the model. We examined the relationships of two
   predictor variables measuring Primary Unit Climate and Leadership and
   Career and Life Management with an overall Faculty Vitality index
   comprised of three measures: Professional Engagement, Career
   Satisfaction, and Productivity. The findings revealed significant
   predictive relationships between Primary Unit Climate and Leadership,
   Career and Life Management, and Faculty Vitality. The overall model
   accounted for 59% of the variance in the overall Faculty Vitality Index.
   The results provide new insights into the developing model of faculty
   vitality and inform initiatives to support faculty in academic medical
   centers. Given the immense challenges faced by faculty, now more than
   ever do we need reliable evidence regarding what sustains faculty
   vitality.
ZB 1
ZA 0
Z8 0
ZR 0
ZS 0
TC 20
Z9 20
U1 0
U2 17
SN 1382-4996
EI 1573-1677
UT WOS:000310740900005
PM 22134490
ER

PT J
AU Gerstmair, Axel
   Daumke, Philipp
   Simon, Kai
   Langer, Mathias
   Kotter, Elmar
TI Intelligent image retrieval based on radiology reports
SO EUROPEAN RADIOLOGY
VL 22
IS 12
BP 2750
EP 2758
DI 10.1007/s00330-012-2608-x
PD DEC 2012
PY 2012
AB Objectives To create an advanced image retrieval and data-mining system
   based on in-house radiology reports.
   Methods Radiology reports are semantically analysed using natural
   language processing (NLP) techniques and stored in a state-of-the-art
   search engine. Images referenced by sequence and image number in the
   reports are retrieved from the picture archiving and communication
   system (PACS) and stored for later viewing. A web-based front end is
   used as an interface to query for images and show the results with the
   retrieved images and report text. Using a comprehensive radiological
   lexicon for the underlying terminology, the search algorithm also finds
   results for synonyms, abbreviations and related topics.
   Results The test set was 108 manually annotated reports analysed by
   different system configurations. Best results were achieved using full
   syntactic and semantic analysis with a precision of 0.929 and recall of
   0.952. Operating successfully since October 2010, 258,824 reports have
   been indexed and a total of 405,146 preview images are stored in the
   database.
   Conclusions Data-mining and NLP techniques provide quick access to a
   vast repository of images and radiology reports with both high precision
   and recall values. Consequently, the system has become a valuable tool
   in daily clinical routine, education and research.
   Key Points
   . Radiology reports can now be analysed using sophisticated natural
   language-processing techniques.
   . Semantic text analysis is backed by terminology of a radiological
   lexicon.
   . The search engine includes results for synonyms, abbreviations and
   compositions.
   . Key images are automatically extracted from radiology reports and
   fetched from PACS.
   . Such systems help to find diagnoses, improve report quality and save
   time.
OI Langer, Mathias/0000-0002-3275-2085; Kotter, Elmar/0000-0001-9022-6000
ZR 0
ZA 0
ZS 1
Z8 0
TC 22
ZB 6
Z9 22
U1 0
U2 17
SN 0938-7994
EI 1432-1084
UT WOS:000310590400023
PM 22865274
ER

PT J
AU Hwang, Hsin-Ginn
   Han, Hwai-En
   Kuo, Kuang-Ming
   Liu, Chung-Feng
TI The Differing Privacy Concerns Regarding Exchanging Electronic Medical
   Records of Internet Users in Taiwan
SO JOURNAL OF MEDICAL SYSTEMS
VL 36
IS 6
BP 3783
EP 3793
DI 10.1007/s10916-012-9851-1
PD DEC 2012
PY 2012
AB This study explores whether Internet users have different privacy
   concerns regarding the information contained in electronic medical
   records (EMRs) according to gender, age, occupation, education, and EMR
   awareness. Based on the Concern for Information Privacy (CFIP) scale
   developed by Smith and colleagues in 1996, we conducted an online survey
   using 15 items in four dimensions, namely, collection, unauthorized
   access, secondary use, and errors, to investigate Internet users'
   concerns regarding the privacy of EMRs under health information
   exchanges (HIE). We retrieved 213 valid questionnaires. The results
   indicate that the respondents had substantial privacy concerns regarding
   EMRs and their educational level and EMR awareness significantly
   influenced their privacy concerns regarding unauthorized access and
   secondary use of EMRs. This study recommends that the Taiwanese
   government organizes a comprehensive EMR awareness campaign, emphasizing
   unauthorized access and secondary use of EMRs. Additionally, to
   cultivate the public's understanding of EMRs, the government should
   employ various media, especially Internet channels, to promote EMR
   awareness, thereby enabling the public to accept the concept and use of
   EMRs. People who are highly educated and have superior EMR awareness
   should be given a comprehensive explanation of how hospitals protect
   patients' EMRs from unauthorized access and secondary use to address
   their concerns. Thus, the public can comprehend, trust, and accept the
   use of EMRs, reducing their privacy concerns, which should facilitate
   the future implementation of HIE.
RI Kuo, Kuang-Ming/G-6893-2012; Liu, Chung-Feng/AAX-4844-2021; Kuo, Kuang-Ming/
OI Kuo, Kuang-Ming/0000-0002-8552-3016
ZB 0
ZR 0
ZA 0
TC 27
Z8 0
ZS 0
Z9 27
U1 1
U2 52
SN 0148-5598
EI 1573-689X
UT WOS:000309348200035
PM 22527781
ER

PT J
AU Yeung, Jeffrey C.
   Fung, Kevin
   Wilson, Timothy D.
TI Prospective Evaluation of a Web-Based Three-Dimensional Cranial Nerve
   Simulation
SO JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 41
IS 6
BP 426
EP 436
DI 10.2310/7070.2012.00049
PD DEC 2012
PY 2012
AB Objective: Advancements in technology and personal computing afford the
   development of novel teaching modalities such as online Web-based
   modules. These modules are currently being incorporated into
   undergraduate medical curricula and, in some paradigms, have been shown
   to be superior to traditional methods of instruction. The purpose of
   this study was to evaluate the ability of a computer-assisted learning
   (CAL) module to demonstrate content and spatial information in the
   context of cranial nerve anatomy.
   Study Population: Undergraduate anatomy students.
   Methods: A prospective, randomized, controlled trial was conducted
   comparing a CAL module to traditional text-/image-based learning
   supplements. Indications of the participants' ability to translate
   spatial relationships between the trigeminal nerve and the craniofacial
   skeleton were assessed via a postintervention knowledge quiz.
   Results: No significant difference was identified between the CAL module
   and the control group. Students in both groups performed poorly in
   questions testing spatial relationships.
   Conclusions: The CAL module used in the present study did not
   objectively contribute to the understanding of spatial anatomic
   relationships of the cranial nerves in novice students. Despite this,
   these modules may help pique student interest and motivation and, as
   such, may be used in the context of supplemental learning resources in
   existing university curricula.
RI Wilson, Timothy D./F-4980-2015
OI Wilson, Timothy D./0000-0001-7102-2491
ZR 0
ZA 0
ZB 0
ZS 1
Z8 0
TC 16
Z9 16
U1 0
U2 7
SN 1916-0216
UT WOS:000209023200008
PM 23700589
ER

PT J
AU Mehvar, Reza
TI The importance of active learning and practice on the students' mastery
   of pharmacokinetic calculations for the intermittent intravenous
   infusion dosing of antibiotics
SO BMC MEDICAL EDUCATION
VL 12
AR 116
DI 10.1186/1472-6920-12-116
PD NOV 22 2012
PY 2012
AB Background: Estimation of pharmacokinetic parameters after intermittent
   intravenous infusion (III) of antibiotics, such as aminoglycosides or
   vancomycin, has traditionally been a difficult subject for students in
   clinical pharmacology or pharmacokinetic courses. Additionally, samples
   taken at different intervals during repeated dose therapy require
   manipulation of sampling times before accurate calculation of the
   patient-specific pharmacokinetic parameters. The main goal of this study
   was to evaluate the effectiveness of active learning tools and practice
   opportunities on the ability of students to estimate pharmacokinetic
   parameters from the plasma samples obtained at different intervals
   following intermittent intravenous infusion.
   Methods: An extensive reading note, with examples, and a problem case,
   based on a patient's chart data, were created and made available to
   students before the class session. Students were required to work
   through the case before attending the class. The class session was
   devoted to the discussion of the case requiring active participation of
   the students using a random participation program. After the class,
   students were given additional opportunities to practice the
   calculations, using online modules developed by the instructor, before
   submitting an online assignment.
   Results: The performance of students significantly (P < 0.001) improved
   from a baseline of 11.3% (pretest) to 60.3% (posttest) after the class
   discussion. The grades of students further improved (P < 0.001) to 89.3%
   on the take-home assignment after they had a chance to study on their
   own and work on the online practices. Finally, students scored 82.6% in
   a formal mid-term examination, suggesting significant retention of the
   materials.
   Conclusions: Despite being a difficult subject, students achieve mastery
   of pharmacokinetic calculations for the topic of intermittent
   intravenous infusion when appropriate active learning strategies and
   practice opportunities are employed.
RI Mehvar, Reza/I-2870-2013; Mehvar, Reza/AAC-7342-2020; Mehvar, Reza/
OI Mehvar, Reza/0000-0002-1770-0391
Z8 0
TC 6
ZA 0
ZB 1
ZS 0
ZR 0
Z9 6
U1 0
U2 7
SN 1472-6920
UT WOS:000315147700001
PM 23173740
ER

PT J
AU Smoley, Brian A.
   Robinson, Christa M.
TI Natural Family Planning
SO AMERICAN FAMILY PHYSICIAN
VL 86
IS 10
BP 924
EP 928
PD NOV 15 2012
PY 2012
AB Natural family planning methods provide a unique option for committed
   couples. Advantages include the lack of medical adverse effects and the
   opportunity for participants to learn about reproduction. Modern methods
   of natural family planning involve observation of biologic markers to
   identify fertile days in a woman's reproductive cycle. The timing of
   intercourse can be planned to achieve or avoid pregnancy based on the
   identified fertile period. The current evidence for effectiveness of
   natural family planning methods is limited to lower-quality clinical
   trials without control groups. Nevertheless, perfect use of these
   methods is reported to be at least 95 percent effective in preventing
   pregnancy. The effectiveness of typical use is 76 percent, which
   demonstrates that motivation and commitment to the method are essential
   for success. Depending on the method, couples can learn about natural
   family planning methods in a single office visit, through online
   instruction, or from certified instructors. (Am Fam Physician.
   2012;86(10):924-928. Copyright (C) 2012 American Academy of Family
   Physicians.)
ZB 0
ZR 0
Z8 0
TC 10
ZA 0
ZS 0
Z9 10
U1 1
U2 15
SN 0002-838X
EI 1532-0650
UT WOS:000311192500007
PM 23157145
ER

PT J
AU van der Voort, Chiel T. M.
   Swenne, Cees A.
   van der Hoorn-van Velthoven, Catharina A. M.
   Belt, Johannes H. J.
TI Online Medical Literature Consultation Habits of Academic Teaching
   Physicians in the EU and CIS Countries: A Cross-Sectional Study
SO PLOS ONE
VL 7
IS 11
AR e44302
DI 10.1371/journal.pone.0044302
PD NOV 2 2012
PY 2012
AB Background: Both in the Commonwealth of Independent States (CIS) and in
   the European Union (EU2004), ample availability of up to date medical
   scientific literature is important for progress in medical science and
   for the education of the next generation of healthcare workers. The aim
   of this research is to assess if the use of online medical literature
   among academic teaching (AT) physicians is at the same level in the CIS
   as in the EU2004.
   Methodology/Principal Findings: In the capital cities of the CIS and the
   EU2004 member states, AT physicians holding an academic position at
   least equivalent to an associate professor and performing the three
   classical tasks in academic medicine (teaching, research and patient
   care) were interviewed about their use of and familiarity with the
   Internet and 9 online literature services, including journals and
   bibliographical databases such as PubMed (Medline), The Cochrane Library
   and Web of Science. Library staff members were interviewed about the
   availability of these online literature services at their libraries.
   About 750 physicians and 40 library staff members were invited for
   participation. Eventually 124 AT physicians and 22 library staff members
   participated. Internet was everywhere available, but used daily by more
   AT physicians in the EU2004 (71% versus 48% in the CIS, P = .005). AT
   physicians in the EU2004 accessed a higher percentage of all articles
   online (74% versus 43% in the CIS, P<.001). PubMed (P<.001), The
   Cochrane Library (P<.001) and Web of Science (P<.003) were used more
   frequently in the EU2004. In the EU2004 more AT physicians were familiar
   with Open Access journals (89% versus 51% in the CIS, P<.001).
   Conclusions/Significance: AT physicians in the CIS use online medical
   literature less than in the EU2004. It is recommended that the awareness
   of freely available online literature services such as Open Access
   journals is enhanced among AT physicians and library staff members,
   especially in the CIS.
RI Belt, Johannes/F-4969-2017; Swenne, Cees A/N-3211-2018
OI Belt, Johannes/0000-0002-9749-841X; Swenne, Cees A/0000-0001-9801-2760
ZA 0
Z8 0
ZS 0
ZR 0
TC 1
ZB 0
Z9 1
U1 0
U2 8
SN 1932-6203
UT WOS:000310702400002
PM 23133588
ER

PT J
AU Kung, Justin W.
   Eisenberg, Ronald L.
   Slanetz, Priscilla J.
TI Reflective Practice as a Tool to Teach Digital Professionalism
SO ACADEMIC RADIOLOGY
VL 19
IS 11
BP 1408
EP 1414
DI 10.1016/j.acra.2012.08.008
PD NOV 2012
PY 2012
AB Rationale and Objectives: Digital professionalism is increasingly being
   integrated into postgraduate medical education. We developed a
   small-group, reflective practice-based session incorporating
   radiology-specific cases to heighten residents' awareness about digital
   professionalism.
   Materials and Methods: Case-based, radiology-specific scenarios were
   created for a small-group, reflective practice-based session on digital
   professionalism. Anonymous pre- and postsession surveys evaluating
   residents' use of social media and their thoughts about the session were
   administered to the radiology residents.
   Results: Twenty-five of 38 (66%) residents responded to the presession
   survey with 40% (10/25) reporting daily social media use; 50% (12/24)
   witnessing an unprofessional posting on Facebook; and 8% (2/25) posting
   something unprofessional themselves. Of the 21 residents who attended
   the session, 13(62%) responded to the postsession survey. Residents
   reported that the session added to their understanding of
   professionalism 3.92, 95% Cl (3.57-4.27). As a result of the session,
   residents stated that they were more aware of protecting patient privacy
   and confidentiality on social media sites 3.92, 95% Cl (3.47-4.37), and
   would take a more active role in ensuring professional use of social
   media as it relates to patient care 4.00, 95% Cl (3.66-4.34).
   Conclusion: Residents favorably viewed the reflective case-based session
   on digital professionalism as a means to be more aware of ways to avoid
   unprofessional interactions on the internet. Our results suggest that
   such reflective sessions are an effective method to educate residents on
   key concepts regarding digital professionalism.
OI Slanetz, Priscilla/0000-0003-1248-5116
ZS 0
ZR 0
Z8 0
ZB 0
TC 15
ZA 0
Z9 15
U1 1
U2 14
SN 1076-6332
UT WOS:000310098600013
PM 23026782
ER

PT J
AU McKendrick, Douglas R. A.
   Cumming, Grant P.
   Lee, Amanda J.
TI Increased Use of Twitter at a Medical Conference: A Report and a Review
   of the Educational Opportunities
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 6
BP 197
EP 206
AR e176
DI 10.2196/jmir.2144
PD NOV-DEC 2012
PY 2012
AB Background: Most consider Twitter as a tool purely for social
   networking. However, it has been used extensively as a tool for online
   discussion at nonmedical and medical conferences, and the academic
   benefits of this tool have been reported. Most anesthetists still have
   yet to adopt this new educational tool. There is only one previously
   published report of the use of Twitter by anesthetists at an anesthetic
   conference. This paper extends that work.
   Objective: We report the uptake and growth in the use of Twitter, a
   microblogging tool, at an anesthetic conference and review the potential
   use of Twitter as an educational tool for anesthetists.
   Methods: A unique Twitter hashtag (# WSM12) was created and promoted by
   the organizers of the Winter Scientific Meeting held by The Association
   of Anaesthetists of Great Britain and Ireland (AAGBI) in London in
   January 2012. Twitter activity was compared with Twitter activity
   previously reported for the AAGBI Annual Conference (September 2011 in
   Edinburgh). All tweets posted were categorized according to the person
   making the tweet and the purpose for which they were being used. The
   categories were determined from a literature review.
   Results: A total of 227 tweets were posted under the # WSM12 hashtag
   representing a 530% increase over the previously reported anesthetic
   conference. Sixteen people joined the Twitter stream by using this
   hashtag (300% increase). Excellent agreement (. = 0.924) was seen in the
   classification of tweets across the 11 categories. Delegates primarily
   tweeted to create and disseminate notes and learning points (55%),
   describe which session was attended, undertake discussions, encourage
   speakers, and for social reasons. In addition, the conference
   organizers, trade exhibitors, speakers, and anesthetists who did not
   attend the conference all contributed to the Twitter stream. The
   combined total number of followers of those who actively tweeted
   represented a potential audience of 3603 people.
   Conclusions: This report demonstrates an increase in uptake and growth
   in the use of Twitter at an anesthetic conference and the review
   illustrates the opportunities and benefits for medical education in the
   future. (J Med Internet Res 2012; 14(6): e176) doi: 10.2196/jmir.2144
TC 76
ZS 0
Z8 0
ZB 8
ZA 0
ZR 0
Z9 76
U1 1
U2 35
SN 1438-8871
UT WOS:000315646000015
PM 23232765
ER

PT J
AU Jeffery, Rebecca
   Navarro, Tamara
   Lokker, Cynthia
   Haynes, R. Brian
   Wilczynski, Nancy L.
   Farjou, George
TI How Current Are Leading Evidence-Based Medical Textbooks? An Analytic
   Survey of Four Online Textbooks
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 6
BP 431
EP 437
AR e175
DI 10.2196/jmir.2105
PD NOV-DEC 2012
PY 2012
AB Background: The consistency of treatment recommendations of
   evidence-based medical textbooks with more recently published evidence
   has not been investigated to date. Inconsistencies could affect the
   quality of medical care.
   Objective: To determine the frequency with which topics in leading
   online evidence-based medical textbooks report treatment recommendations
   consistent with more recently published research evidence.
   Methods: Summarized treatment recommendations in 200 clinical topics
   (ie, disease states) covered in four evidence-based textbooks-UpToDate,
   Physicians' Information Education Resource (PIER), DynaMed, and Best
   Practice-were compared with articles identified in an evidence rating
   service (McMaster Premium Literature Service, PLUS) since the date of
   the most recent topic updates in each textbook. Textbook treatment
   recommendations were compared with article results to determine if the
   articles provided different, new conclusions. From these findings, the
   proportion of topics which potentially require updating in each textbook
   was calculated.
   Results: 478 clinical topics were assessed for inclusion to find 200
   topics that were addressed by all four textbooks. The proportion of
   topics for which there was 1 or more recently published articles found
   in PLUS with evidence that differed from the textbooks' treatment
   recommendations was 23% (95% CI 17-29%) for DynaMed, 52% (95% CI 45-59%)
   for UpToDate, 55% (95% CI 48-61%) for PIER, and 60% (95% CI 53-66%) for
   Best Practice (chi(2)(3)=65.3, P<.001). The time since the last update
   for each textbook averaged from 170 days (range 131-209) for DynaMed, to
   488 days (range 423-554) for PIER (P<.001 across all textbooks).
   Conclusions: In online evidence-based textbooks, the proportion of
   topics with potentially outdated treatment recommendations varies
   substantially. (J Med Internet Res 2012;14(6):e175)
   doi:10.2196/jmir.2105
RI Lokker, Cynthia/L-4177-2017
OI Lokker, Cynthia/0000-0003-2436-4290
ZA 0
ZB 6
ZS 0
TC 25
ZR 0
Z8 0
Z9 25
U1 0
U2 12
SN 1438-8871
UT WOS:000315646000034
PM 23220465
ER

PT J
AU Consorti, Fabrizio
   Mancuso, Rosaria
   Nocioni, Martina
   Piccolo, Annalisa
TI Efficacy of virtual patients in medical education: A meta-analysis of
   randomized studies
SO COMPUTERS & EDUCATION
VL 59
IS 3
BP 1001
EP 1008
DI 10.1016/j.compedu.2012.04.017
PD NOV 2012
PY 2012
AB A meta-analysis was performed to assess the Effect Size (ES) from
   randomized studies comparing the effect of educational interventions in
   which Virtual patients (VPs) were used either as an alternative method
   or additive to usual curriculum versus interventions based on more
   traditional methods.
   Meta-analysis was designed, conducted and reported according to QUORUM
   statement on quality of reporting of meta-analyses. Twelve randomized
   controlled studies were retrieved, assessing a total of 25 different
   outcomes.
   Under a random-effect model, meta-analysis showed a clear positive
   pooled overall effect for VPs compared to other educational methods
   (Odds Ratio: 239; 95% C.I. 1.48 divided by 3.84). A positive effect has
   been documented both when VPs have been used as an additive resource
   (O.R.: 2.55; C.I. 1.36 divided by 4.79) and when they have been compared
   as an alternative to a more traditional method (O.R.: 2.19; 1.06 divided
   by 4.52). When grouped for type of outcome, the pooled ES for studies
   addressing communication skills and ethical reasoning was lower than for
   clinical reasoning outcome.
   There is evidence that VPs are effective but further research is needed
   to clarify which is their best possible integration in curricula and
   their value and cost/benefit ratio with respect to other active learning
   methods. (c) 2012 Elsevier Ltd. All rights reserved.
RI Piccolo, Annalisa/AAD-8538-2019; Consorti, Fabrizio/
OI Consorti, Fabrizio/0000-0001-7096-4428
ZS 2
ZR 3
TC 87
Z8 0
ZB 6
ZA 0
Z9 90
U1 0
U2 55
SN 0360-1315
EI 1873-782X
UT WOS:000306582400015
ER

PT J
AU AlSaadi, Muslim Mohammed
TI Evaluation of internet use for health information by parents of
   asthmatic children attending pediatric clinics in Riyadh, Saudi Arabia
SO ANNALS OF SAUDI MEDICINE
VL 32
IS 6
BP 630
EP 636
DI 10.5144/0256-4947.2012.630
PD NOV-DEC 2012
PY 2012
AB Ann Saudi Medicine 2012; 32(6): 630-636 DOI: 10.5144/0256-4947.2012.630
   BACKGROUND AND OBJECTIVES: Internet use by patients raises awareness
   about their conditions, while its use by physicians assists their
   ability to make evidence-based decisions. This study aimed at assessing
   the extent, sources and effects of Internet use by parents of asthmatic
   children in Riyadh, Saudi Arabia.
   DESIGN AND SETTING: A cross-sectional design to collect data from two
   pediatric pulmonology clinics (public, private) for asthma management in
   Riyadh, Saudi Arabia, during the period of January to May 2011.
   SUBJECTS AND METHODS: A specially designed tool was used to collect data
   from a random sample of 500 parents of asthmatic children. This tool
   included questions on demographic data (parents, child) and internet use
   (sources, frequency, purposes).
   RESULTS: Most children (77%) in our study sample were diagnosed with
   asthma before their third birthday, by a treating physician (78%). Among
   Internet user parents (n=400), 53% used it for 10 to <30 minutes or <10
   minutes (22%). Reported reasons for internet use were reassurance,
   clarification, online consulting, and new management schemes. Reported
   limitations for Internet use for managing asthma included the
   nonavailability of Arabic information and highly technical information.
   Parents suggested the need for the availability of the following online
   services: consulting/chatting with treating physician, receiving updates
   on asthma, booking appointments, and being directed to specific websites
   on asthma. Multivariate analysis showed that the most important
   predictors for internet use were: "higher mother education" (OR=7.02),
   followed by "higher father education" (OR=3.04) and "non-health related
   mother occupation" (OR=2.6).
   CONCLUSION: The application of the findings of this study may assist
   clinicians in the patient-centered shared management of asthmatic
   children.
TC 11
Z8 0
ZR 0
ZB 1
ZS 0
ZA 0
Z9 11
U1 0
U2 11
SN 0256-4947
UT WOS:000314236600013
PM 23396028
ER

PT J
AU Tsai, Jack
   Rosenheck, Robert A.
TI Use of the internet and an online personal health record system by US
   veterans: comparison of Veterans Affairs mental health service users and
   other veterans nationally
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 19
IS 6
BP 1089
EP 1094
DI 10.1136/amiajnl-2012-000971
PD NOV 2012
PY 2012
AB Objective The Department of Veterans Affairs (VA) operates one of the
   largest nationwide healthcare systems and is increasing use of internet
   technology, including development of an online personal health record
   system called My HealtheVet. This study examined internet use among
   veterans in general and particularly use of online health information
   among VA patients and specifically mental health service users.
   Methods A nationally representative sample of 7215 veterans from the
   2010 National Survey of Veterans was used. Logistic regression was
   employed to examine background characteristics associated with internet
   use and My HealtheVet.
   Results 71% of veterans reported using the internet and about a fifth
   reported using My HealtheVet. Veterans who were younger, more educated,
   white, married, and had higher incomes were more likely to use the
   internet. There was no association between background characteristics
   and use of My HealtheVet. Mental health service users were no less
   likely to use the internet or My HealtheVet than other veterans.
   Discussion Most veterans are willing to access VA information online,
   although many VA service users do not use My HealtheVet, suggesting more
   education and research is needed to reduce barriers to its use.
   Conclusion Although adoption of My HealtheVet has been slow, the
   majority of veterans, including mental health service users, use the
   internet and indicate a willingness to receive and interact with health
   information online.
RI Tsai, Jack/D-3889-2013
OI Tsai, Jack/0000-0002-0329-648X
Z8 0
ZA 0
ZB 6
ZS 0
TC 55
ZR 0
Z9 55
U1 0
U2 20
SN 1067-5027
EI 1527-974X
UT WOS:000310408500025
PM 22847305
ER

PT J
AU Kezirian, Eric J.
   Hussey, Heather M.
   Brietzke, Scott E.
   Cohen, Seth M.
   Davis, Greg E.
   Shin, Jennifer J.
   Weinberger, Debra G.
   Cabana, Michael D.
TI Hypopharyngeal Surgery in Obstructive Sleep Apnea: Practice Patterns,
   Perceptions, and Attitudes
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 147
IS 5
BP 964
EP 971
DI 10.1177/0194599812453000
PD NOV 2012
PY 2012
AB Objective. To characterize factors that surgeons perceive as affecting
   selection of procedures designed to treat hypopharyngeal obstruction in
   adults with obstructive sleep apnea (OSA) and to compare those factors
   among 2 groups of American Academy of Otolaryngology-Head and Neck
   Surgery (AAO-HNS) member surgeons.
   Study Design. Cross-sectional online survey.
   Subjects and Methods. AAO-HNS members with a self-identified
   subspecialty interest either in sleep medicine or general otolaryngology
   were asked to complete an online survey, each respondent rated (5-point
   Likert scale) the perceived quality of their education and training and
   the role of specific factors in selection, both for procedure categories
   (eg, all hypopharyngeal) and individual procedures. Responses were
   examined for the entire group and for subgroups.
   Results. Response rate was 27% (163/610). Sixty-five percent of
   respondents rated their surgical OSA education and training during
   postgraduate continuing medical education (CME) courses as of high
   quality, compared with 39% for residency/fellowship and 4% for medical
   school (P < 0.01). For individual hypopharyngeal procedures, over 40% of
   respondents reported limited training (except for tongue
   radiofrequency), and over 30% raised concerns about scientific evidence
   and reimbursement. Surgeon personal experience suggested treatment
   benefits without clearly favoring individual procedures. Respondents
   noted that patients were reluctant to undergo procedures, despite
   treatment recommendations, particularly maxillomandibular advancement.
   The sleep medicine subgroup reported higher ratings for education and
   training quality, research evidence, and personal experience with
   hypopharyngeal procedures. Concerns about adequate education and
   training, the quality of research evidence, and reimbursement issues
   were major factors in procedure selection.
   Conclusion. Multiple factors affect procedure selection. Surgeons
   identify concerns regarding education and training and research
   evidence.
RI Shin, Jennifer/A-3169-2016; Cabana, Michael/N-3306-2013; Cohen, Seth/
OI Cohen, Seth/0000-0002-7965-604X
TC 19
ZA 0
ZR 0
Z8 0
ZS 0
ZB 4
Z9 19
U1 0
U2 5
SN 0194-5998
UT WOS:000314285800026
PM 22753614
ER

PT J
AU Gupta, Sanjeeva
   Gupta, Manish
   Nath, Sherdil
   Hess, G. Michael
TI Survey of European Pain Medicine Practice
SO PAIN PHYSICIAN
VL 15
IS 6
BP E983
EP E994
PD NOV-DEC 2012
PY 2012
AB This survey was undertaken to explore the variation in the functional
   constitution of pain clinics in Europe. In addition, we also explored
   the amount of training which doctors practicing pain medicine typically
   receive. Approximate hospital charges for common pain interventions and
   the source of funding were also surveyed. Members of the British Pain
   Society (Interventional Pain Medicine-Special Interest Group) and other
   pain physicians in Europe responded through the online questionnaire
   tool "Survey Monkey." About 215 requests were sent; 82 pain
   practitioners from 13 countries in Europe responded. This survey
   indicates that chronic pain interventions are primarily funded either
   through government or insurance companies. The primary chronic pain
   service members continue to be anesthesiologists, combined with
   specialist nurses and physiotherapists. There appears to be some
   consistency, both with regard to working in a multidisciplinary team,
   and the training required to become a pain specialist. More than half of
   the respondents reported the cost of common interventions like caudal
   epidural steroid injection (ESI), transforaminal ESI, 3 level medial
   branch blocks, and 6 level facet joint injections to fall under the
   (sic)500 range ($645). Two thirds of the respondents reported the cost
   of 4-joint radiofrequency lumbar denervation to be less than (sic)1,500
   ($1,935). Good practice should ensure an adequate duration of training,
   and development of a pain faculty to ensure standards of assessments
   across the continent. A more detailed, large scale survey is perhaps
   required to map the availability of chronic pain services and understand
   the health economics in pain medicine across Europe.
ZS 0
ZR 0
ZB 2
ZA 0
Z8 0
TC 16
Z9 16
U1 0
U2 1
SN 1533-3159
UT WOS:000313880400009
PM 23159983
ER

PT J
AU Seo, Kyung Hwa
   Lim, Sun Mi
   Lee, Byung In
   Park, Choong Hak
   Park, Yoon Hyung
TI A survey on the education, medical practice, research, and fringe
   benefits of Korean medical school faculty
SO JOURNAL OF THE KOREAN MEDICAL ASSOCIATION
VL 55
IS 11
BP 1128
EP 1141
DI 10.5124/jkma.2012.55.11.1128
PD NOV 2012
PY 2012
AB In general, medical school faculty have to perform clinical practice in
   addition to their educational and research activities, unlike the
   professors of other departments, while simultaneously playing an
   important role within the medical profession. However, some
   organizational or environmental factors decrease the job satisfaction of
   medical professors. This study aimed to determine the current status of
   medical schools professors' job activities, satisfaction level, factors
   related to job satisfaction, and so on. A structured questionnaire was
   used in the survey and 936 valid responses (response rate, 79.1%) were
   analyzed using SAS version 9.1. Items included in the questionnaire were
   work tasks, satisfaction with work and environment, fringe benefits, and
   future plans. Our study found that the satisfaction of respondents with
   research activities was not high, and they had negative perceptions of
   their work environment. Also, it was found that job satisfaction was
   most affected by work environment. In the section on fringe benefits, a
   variety of fringe benefits were provided to respondents but their actual
   satisfaction was not high. To enhance the overall job satisfaction of
   medical school faculty, all the matters related to their work tasks and
   environmental factors have to be considered in the aspect of their own
   role in medical school. The limitations of this study were a low
   response rate to the early online survey and a long duration of the
   survey period. However, these limitations were resolved by an additional
   mail survey modality and statistical techniques. It is meaningful that
   this study was an extensive survey aimed at medical school faculty and
   dealt with a comprehensive range of issues.
TC 0
ZS 0
ZB 0
ZA 0
Z8 0
ZR 0
Z9 0
U1 0
U2 3
SN 1975-8456
EI 2093-5951
UT WOS:000311881200012
ER

PT J
AU Mori, Nagisa
   Armada, Francisco
   Willcox, D. Craig
TI Walking to School in Japan and Childhood Obesity Prevention: New Lessons
   From an Old Policy
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 102
IS 11
BP 2068
EP 2073
DI 10.2105/AJPH.2012.300913
PD NOV 2012
PY 2012
AB Objectives. We analyzed the Japan's walking-to-school practice
   implemented in 1953 for lessons useful to other cities and countries.
   Methods. We reviewed background documents (gray literature, online
   government information, local policy documents, and regulations) for
   existing regulations in several urban settings. We also contacted boards
   of education.
   Results. Each municipality has a board of education in charge of public
   schools, which considers the geography, climate, and the transport
   situation to determine the method of commuting. Because there is high
   availability of schools in urban areas and most are located within
   walking range of the children's homes, walking is the most common
   method. There are different safety initiatives depending on the
   district's characteristics. Parents, school staff, and local volunteers
   are involved in supervision.
   Conclusions. The walk-to-school practice has helped combat childhood
   obesity by providing regular physical activity. Recommendations to
   cities promoting walking to school are (1) base interventions on the
   existing network of schools and adapt the provision to other local
   organizations, (2) establish safety measures, and (3) respond
   specifically to local characteristics. Besides the well-established
   safety interventions, the policy's success may also be associated with
   Japan's low crime rate. (Am J Public Health. 2012;102:2068-2073.
   doi:10.2105/AJPH.2012.300913)
OI Mori, Nagisa/0000-0003-1721-4083
Z8 1
TC 38
ZS 1
ZR 0
ZB 6
ZA 0
Z9 39
U1 1
U2 25
SN 0090-0036
EI 1541-0048
UT WOS:000310399300013
PM 22994195
ER

PT J
AU Sanders, Matthew R.
   Baker, Sabine
   Turner, Karen M. T.
TI A randomized controlled trial evaluating the efficacy of Triple P Online
   with parents of children with early-onset conduct problems
SO BEHAVIOUR RESEARCH AND THERAPY
VL 50
IS 11
BP 675
EP 684
DI 10.1016/j.brat.2012.07.004
PD NOV 2012
PY 2012
AB Objective: This study examined the efficacy of Triple P Online (TPOL),
   an eight-module intensive online positive parenting program for parents
   of children with early-onset disruptive behavior problems.
   Method: One hundred and sixteen parents with 2-9-year-old children
   displaying early-onset disruptive behavior difficulties were randomly
   assigned to either the intervention condition (N = 60) or an
   internet-use-as-usual control group (N = 56).
   Results: At post-intervention assessment, parents receiving the internet
   intervention TPOL had significantly better outcomes on measures of
   problem child behavior, dysfunctional parenting styles, parents'
   confidence in their parenting role, and parental anger. At 6-month
   follow-up assessment intervention gains were generally maintained, and
   in some cases enhanced. Consumer satisfaction ratings for the program
   were high.
   Conclusions: Internet-delivered self-help parenting programs appear to
   make a valuable contribution to a comprehensive public health approach
   to parenting support. (C) 2012 Elsevier Ltd. All rights reserved.
RI Sanders, Matthew R/C-1941-2013; Baker, Sabine/H-4161-2018; Sanders, Matthew/O-6900-2019; Turner, Karen/A-6896-2008
OI Sanders, Matthew R/0000-0003-3479-6337; Baker,
   Sabine/0000-0001-8524-1302; Sanders, Matthew/0000-0003-3479-6337;
   Turner, Karen/0000-0002-2750-5012
Z8 0
TC 133
ZS 2
ZA 1
ZB 23
ZR 0
Z9 134
U1 0
U2 52
SN 0005-7967
UT WOS:000311178800004
PM 22982082
ER

PT J
AU Staiano, A. E.
   Reeder, B. A.
   Elliott, S.
   Joffres, M. R.
   Pahwa, P.
   Kirkland, S. A.
   Paradis, G.
   Katzmarzyk, P. T.
TI Body mass index versus waist circumference as predictors of mortality in
   Canadian adults
SO INTERNATIONAL JOURNAL OF OBESITY
VL 36
IS 11
BP 1450
EP 1454
DI 10.1038/ijo.2011.268
PD NOV 2012
PY 2012
AB BACKGROUND: Elevated body mass index (BMI) and waist circumference (WC)
   are associated with increased mortality risk, but it is unclear which
   anthropometric measurement most highly relates to mortality. We examined
   single and combined associations between BMI, WC, waist-hip ratio (WHR)
   and all-cause, cardiovascular disease (CVD) and cancer mortality.
   METHODS: We used Cox proportional hazard regression models to estimate
   relative risks of all-cause, CVD and cancer mortality in 8061 adults
   (aged 18-74 years) in the Canadian Heart Health Follow-Up Study
   (1986-2004). Models controlled for age, sex, exam year, smoking, alcohol
   use and education.
   RESULTS: There were 887 deaths over a mean 13 (SD 3.1) years follow-up.
   Increased risk of death from all-causes, CVD and cancer were associated
   with elevated BMI, WC and WHR (P<0.05). Risk of death was consistently
   higher from elevated WC versus BMI or WHR. Ascending tertiles of each
   anthropometric measure predicted increased CVD mortality risk. In
   contrast, all-cause mortality risk was only predicted by ascending WC
   and WHR tertiles and cancer mortality risk by ascending WC tertiles.
   Higher risk of all-cause death was associated with WC in overweight and
   obese adults and with WHR in obese adults. Compared with non-obese
   adults with a low WC, adults with high WC had higher all-cause mortality
   risk regardless of BMI status.
   CONCULSION: BMI and WC predicted higher all-cause and cause-specific
   mortality, and WC predicted the highest risk for death overall and among
   overweight and obese adults. Elevated WC has clinical significance in
   predicting mortality risk beyond BMI. International Journal of Obesity
   (2012) 36, 1450-1454; doi:10.1038/ijo.2011.268; published online 17
   January 2012
RI Staiano, Amanda E/H-3956-2017; Katzmarzyk, Peter T/N-1974-2017; Kirkland, Susan/
OI Staiano, Amanda E/0000-0001-7846-046X; Katzmarzyk, Peter
   T/0000-0002-9280-6022; Kirkland, Susan/0000-0002-8182-2369
ZA 0
ZR 0
TC 83
ZB 35
Z8 2
ZS 1
Z9 84
U1 0
U2 20
SN 0307-0565
EI 1476-5497
UT WOS:000311103500012
PM 22249224
ER

PT J
AU Gardiner-Shires, Alison
   Marley, Scott C.
   Barnes, John C.
   Shires, Mark E.
TI Professional Baseball Athletic Trainers' Perceptions of Preparation for
   Job-Specific Duties
SO JOURNAL OF ATHLETIC TRAINING
VL 47
IS 6
BP 704
EP 713
DI 10.4085/1062-6050-47.6.09
PD NOV-DEC 2012
PY 2012
AB Context: The extent to which individuals are prepared completely for
   work in a particular athletic training setting (eg, professional sports,
   college, high school) is unknown. This issue is critical today, and
   findings in this area have implications for athletic training education
   policy and employers.
   Objective: To determine the perceptions of preparation for work-specific
   tasks by professional baseball athletic trainers (PBATs). We also wanted
   to determine whether various preparation experiences interact with
   perceived skills.
   Design: Cross-sectional study.
   Setting: Online survey administered via SurveyMonkey.
   Patients or Other Participants: Two hundred seventy-five PBATs.
   Intervention(s): The PBATs reported their levels of preparation before
   employment in their positions and their current skills in each of the 8
   work task domains: evaluation of elbow injuries; evaluation of shoulder
   injuries; evaluation of general injuries; acute care; injury prevention;
   treatment, rehabilitation, and reconditioning; organization and
   administration; and non athletic-training tasks.
   Main Outcome Measure(s): Nine repeated-measures analyses of covariance
   were performed with each perception of preparation (retrospective,
   current) as a within-subject factor. Preparation experiences were
   included as between-subjects factors, and number of years working in
   baseball was the covariate.
   Results: Subscale reliabilities were calculated and found to be between
   0.79 and 0.97. A total of 180 PBATs (65%) completed the survey. The
   backgrounds and routes by which PBATs gained employment in the
   professional baseball setting varied. Individuals who completed
   professional baseball internships, had previous work experience, and
   immediately entered the professional baseball setting after graduation
   had noted differences in their perceptions of preparation for work
   tasks. The PBATs indicated they were substantially underprepared for
   tasks in the organization and administration and non athletic-training
   task domains.
   Conclusions: The organizational socialization process is complex, and no
   1 experience appears to completely prepare an individual for work in the
   professional baseball setting.
Z8 0
ZB 1
ZR 0
ZS 0
ZA 0
TC 4
Z9 4
U1 0
U2 10
SN 1062-6050
EI 1938-162X
UT WOS:000311465600013
PM 23182019
ER

PT J
AU Duffin, Kristina Callis
   Armstrong, April W.
   Mease, Philip J.
TI Psoriasis and Psoriatic Arthritis Video Project: An Update from the
   GRAPPA 2011 Annual Meeting
SO JOURNAL OF RHEUMATOLOGY
VL 39
IS 11
BP 2198
EP 2200
DI 10.3899/jrheum.120823
PD NOV 2012
PY 2012
AB Numerous physical examination instruments are used to assess and measure
   severity of psoriasis and psoriatic arthritis (PsA) in practice and in
   clinical trials. The Group for Research and Assessment of Psoriasis and
   Psoriatic Arthritis (GRAPPA) has developed several online training
   modules used by GRAPPA members and investigators participating in
   psoriasis and PsA research. At the 2011 GRAPPA meeting, attendees were
   updated on the ongoing development of the training modules. Several
   Internet-based multimedia presentations for psoriasis and PsA
   assessments have been completed. Available psoriasis modules include the
   Psoriasis Area and Severity Index (PAST) and Body Surface Area, one
   5-point and two 6-point Physician Global Assessments, the original and
   modified Nail Psoriasis Severity Index, the Palmar-Plantar Pustular
   Psoriasis Area and Severity Index, the Psoriasis Scalp Severity Index,
   and the Total Plaque Severity Score, Rheumatology modules that
   demonstrate evaluation of swollen and tender joints, enthesitis, and
   dactylitis are now available, and an axial disease evaluation module is
   near completion. Each video includes the background and rationale for
   each measure, demonstration videos of select examinations, diagrams, and
   photographs to emphasize teaching points, and for most dermatology
   modules, an optional test to assess competence. Preliminary data
   generated by a pilot study of pre- and post-education PASI scoring by
   experienced and naive physicians and patient assessors were presented,
   revealing improved accuracy of scoring after viewing the PASI video.
   Attendees agreed that additional patient examples with more diverse skin
   types and psoriasis phenotypes, translation to languages other than
   English, and further validation studies are needed. (J Rheumatol
   2012;39:2198-200; doi:10.3899/jrheum.120823)
ZA 0
Z8 0
ZB 3
ZR 0
ZS 0
TC 3
Z9 3
U1 0
U2 1
SN 0315-162X
UT WOS:000311176100028
PM 23118287
ER

PT J
AU Zayed, Mohamed A.
   Dalman, Ronald L.
   Lee, Jason T.
TI A comparison of 0+5 versus 5+2 applicants to vascular surgery training
   programs
SO JOURNAL OF VASCULAR SURGERY
VL 56
IS 5
BP 1448
EP 1452
DI 10.1016/j.jvs.2012.05.083
PD NOV 2012
PY 2012
AB Objective: The new integrated 0 + 5 vascular surgery (VS) training
   paradigm introduced in 2007 required program directors and faculty to
   reconsider recruiting methods and exposure of medical students to VS. As
   a means to identify variables important for recruitment of 0 + 5 VS
   applicants, we sought to analyze national 0 + 5 VS residency application
   trends and to compare medical school demographics of applicants to both
   our 0 + 5 residency and 5 + 2 fellowship programs.
   Methods: Electronic Residency Application Service and National Resident
   Matching Program online public databases were queried to evaluate
   nationwide trends in the number of applicants to integrated VS residency
   programs between 2007 and 2010. Demographic data from Electronic
   Residency Application Service applications submitted to our
   institution's 0 + 5 and 5 + 2 VS training programs during the same time
   period were reviewed.
   Results: From 2008 to 2011, there were 190 applicants to our 0 + 5 VS
   residency program and 161 applicants to our 5 + 2 fellowship program,
   with 127 (66.8%) and 122 (75.8%) being United States medical graduates,
   respectively. Annual application volume to our programs over these years
   remained stable for both training pathways (range, 39-49 for 0 + 5
   integrated; range, 39-43 for 5 + 2 traditional). Nationally,
   applications to 0 + 5 programs increased sixfold over the same time
   period (52 in 2007 to 340 applicants in 2010; P < .001), far exceeding
   the available training positions. Compared with applicants to the 5 + 2
   VS fellowships, medical students applying to the 0 + 5 programs are more
   likely to be female, be slightly older, have additional postgraduate
   degrees and publications, have higher United States Medical Licensure
   Examination test scores, and are more likely to be in the top quartile
   of their medical school class.
   Conclusions: Nationwide interest in the 0 + 5 vascular surgery residency
   training paradigm continues to significantly increase. Significant
   differences exist between the cohorts of 0 + 5 residency and 5 + 2
   fellowship program applicants at the completion of medical school,
   suggesting that 0 + 5 VS residency programs are attracting a different
   medical student population to the VS specialty. VS program directors
   should continue to foster interest in this new applicant pool through
   early exposure, mentorship, and extracurricular research activities. (J
   Vasc Surg 2012;56:1448-52.)
CT 26th Annual Meeting of the Western-Vascular-Society
CY SEP 17-20, 2011
CL Lihue, HI
SP Western Vasc Soc
ZR 0
ZS 0
TC 23
ZB 5
Z8 0
ZA 0
Z9 23
U1 0
U2 2
SN 0741-5214
UT WOS:000310428200047
PM 22857814
ER

PT J
AU Ameisen, David
   Le Naour, Gilles
   Daniel, Christel
TI Whole slide imaging technology: from digitization to online applications
SO M S-MEDECINE SCIENCES
VL 28
IS 11
BP 977
EP 982
DI 10.1051/medsci/20122811017
PD NOV 2012
PY 2012
AB Whole slide imaging technology: from digitization to online applications
   As e-health becomes essential to modern care, whole slide images
   (virtual slides) are now an important clinical, teaching and research
   tool in pathology. Virtual microscopy consists of digitizing a glass
   slide by acquiring hundreds of tiles of regions of interest at different
   zoom levels and assembling them into a structured file. This gigapixel
   image can then be remotely viewed over a terminal, exactly the way
   pathologists use a microscope. In this article, we will first describe
   the key elements of this technology, from the acquisition, using a
   scanner or a motorized microscope, to the broadcasting of virtual slides
   through a local or distant viewer over an intranet or Internet
   connection. As virtual slides are now commonly used in virtual
   classrooms, clinical data and research databases, we will highlight the
   main issues regarding its uses in modern pathology. Emphasis will be
   made on quality assurance policies, standardization and scaling.
OI Ameisen, David/0000-0001-9232-208X
ZB 8
ZR 0
ZA 0
TC 9
ZS 0
Z8 0
Z9 9
U1 0
U2 11
SN 0767-0974
UT WOS:000311525200017
PM 23171902
ER

PT J
AU Janin, Anne
   Legres, Luc
   Leboeuf, Christophe
   Scoazec, Jean-Yves
   Bertheau, Philippe
TI Virtual slides in fundamental and clinical research
SO M S-MEDECINE SCIENCES
VL 28
IS 11
BP 990
EP 992
DI 10.1051/medsci/20122811020
PD NOV 2012
PY 2012
RI leboeuf, christophe/H-4583-2012; Luc, LEGRES/R-4956-2019
OI leboeuf, christophe/0000-0002-6537-0550; 
ZR 0
ZA 0
ZB 2
TC 3
Z8 0
ZS 0
Z9 3
U1 0
U2 2
SN 0767-0974
EI 1958-5381
UT WOS:000311525200020
PM 23171905
ER

PT J
AU Aneja, Savina
   Brimhall, Angela K.
   Kast, Douglas R.
   Aneja, Sanjay
   Carlson, Diana
   Cooper, Kevin D.
   Bordeaux, Jeremy S.
TI Improvement in Patient Performance of Skin Self-examinations After
   Intervention With Interactive Education and Telecommunication Reminders
   A Randomized Controlled Study
SO ARCHIVES OF DERMATOLOGY
VL 148
IS 11
BP 1266
EP 1272
DI 10.1001/archdermatol.2012.2480
PD NOV 2012
PY 2012
AB Objective: To determine if interactive computerized patient education,
   skin self-examination (SSE) tutorials, and telecommunication reminders
   could be combined to increase patient performance of SSEs, increase
   confidence in ability to identify melanoma, and influence individual
   melanoma risk perception.
   Design: A total of 132 adult participants from our dermatology clinics
   were enrolled in an interventional study and randomized to a control
   group or an intervention group. Survey data were collected from all
   participants on the day of enrollment and 3 months after enrollment.
   Setting: University Hospitals Case Medical Center outpatient dermatology
   clinics.
   Participants: English speakers older than 18 years.
   Interventions: The intervention group (1) participated in a
   computer-assisted learning tutorial, (2) took part in a hands-on SSE
   tutorial, (3) received monthly telecommunication reminders to perform
   SSEs for 12 weeks, and (4) received a brochure on melanoma detection.
   The control group received only the brochure on melanoma detection.
   Main Outcome Measures: Self-report of performance of SSEs. Melanoma risk
   perception and confidence in ability to identify melanoma were secondary
   considerations. Logistic regressions, controlling for race, age, sex,
   education, and family history of melanoma, were used to assess the
   effectiveness of the intervention.
   Results: At the 3-month follow-up, those in the intervention group were
   more likely to perform SSEs (odds ratio [OR], 2.36; P <= .05). In
   addition, those who participated in the intervention were more likely to
   report being confident in their ability to identify melanoma during an
   SSE (OR, 2.72; P <= .05).
   Conclusion: Computer-assisted patient education used in conjunction with
   a hands-on SSE tutorial and telecommunication reminders can increase
   patient performance of SSEs and confidence in the ability to identify
   melanoma. Arch Dermatol. 2012; 148(11):1266-1272. Published online
   August 20, 2012. doi:10.1001/archdermatol.2012.2480
OI Aneja, Sanjay/0000-0001-5681-7528
TC 14
ZA 0
ZR 0
ZS 1
Z8 0
ZB 3
Z9 14
U1 0
U2 4
SN 0003-987X
EI 1538-3652
UT WOS:000311365700007
PM 22911048
ER

PT J
AU Yehle, Karen S.
   Chang, Karen
TI The Integration of an Online Module on Student Learning
SO CIN-COMPUTERS INFORMATICS NURSING
VL 30
IS 11
BP 598
EP 603
DI 10.1097/NXN.0b013e31825e1ed6
PD NOV 2012
PY 2012
AB Heart failure is a prevalent and costly condition. Patients with better
   self-management are less likely to be rehospitalized. An online
   interactive heart failure module was developed and integrated into a
   medical-surgical nursing course to assist students in learning how to
   care for patients with heart failure. The purpose of this study was to
   examine whether the integration of an online heart failure module
   improved baccalaureate nursing students' heart failure self-management
   knowledge. A pretest/posttest design was used to examine the effects of
   student knowledge of heart failure self-management following
   implementation of an online module. Among 235 students, significant
   improvement of heart failure self-management knowledge was observed (P <
   .05). The mean posttest scores ranged from 13.82 to 15.93. Students had
   problems mastering knowledge of weight monitoring, use of nonsteroidal
   anti-inflammatory drugs, symptoms to report to physicians, and
   potassium-based salt substitutes. These findings were similar to four
   studies examining nurses' knowledge of heart failure. Students and
   nurses have difficulty mastering similar heart failure education
   concepts. An additional strategy, such as simulated or case scenarios,
   needs to be developed to help nurses and nursing students master all key
   concepts of heart failure self-management.
OI Yehle, Karen/0000-0003-1417-2121
ZB 0
ZA 0
ZS 0
Z8 0
ZR 0
TC 2
Z9 2
U1 1
U2 12
SN 1538-2931
UT WOS:000311829000004
PM 22914215
ER

PT J
AU Bull, Sheana S.
   Levine, Deborah K.
   Black, Sandra R.
   Schmiege, Sarah J.
   Santelli, John
TI Social Media-Delivered Sexual Health Intervention A Cluster Randomized
   Controlled Trial
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 43
IS 5
BP 467
EP 474
DI 10.1016/j.amepre.2012.07.022
PD NOV 2012
PY 2012
AB Background: Youth are using social media regularly and represent a group
   facing substantial risk for sexually transmitted infection (STI).
   Although there is evidence that the Internet can be used effectively in
   supporting healthy sexual behavior, this has not yet extended to social
   networking sites.
   Purpose: To determine whether STI prevention messages delivered via
   Facebook are efficacious in preventing increases in sexual risk behavior
   at 2 and 6 months.
   Design: Cluster RCT, October 2010-May 2011.
   Setting/participants: Individuals (seeds) recruited in multiple settings
   (online, via newspaper ads and face-to-face) were asked to recruit three
   friends, who in turn recruited additional friends, extending three waves
   from the seed. Seeds and waves of friends were considered networks and
   exposed to either the intervention or control condition.
   Intervention: Exposure to Just/Us, a Facebook page developed with youth
   input, or to control content on 18-24 News, a Facebook page with current
   events for 2 months.
   Main outcome measures: Condom use at last sex and proportion of sex acts
   protected by condoms. Repeated measures of nested data were used to
   model main effects of exposure to Just/Us and time by treatment
   interaction.
   Results: A total of 1578 participants enrolled, with 14% Latino and 35%
   African-American; 75% of participants completed at least one study
   follow-up. Time by treatment effects were observed at 2 months for
   condom use (intervention 6896 vs control 56%, p=0.04) and proportion of
   sex acts protected by condoms (intervention 63% vs control 57%, p=0.03)
   where intervention participation reduced the tendency for condom use to
   decrease over time. No effects were seen at 6 months.
   Conclusions: Social networking sites may be venues for efficacious
   health education interventions. More work is needed to understand what
   elements of social media are compelling, how network membership
   influences effects, and whether linking social media to clinical and
   social services can be beneficial.
RI Santelli, John/AAG-3046-2021
Z8 1
ZB 34
TC 213
ZA 0
ZR 0
ZS 1
Z9 215
U1 4
U2 137
SN 0749-3797
EI 1873-2607
UT WOS:000310713100002
PM 23079168
ER

PT J
AU Cavallo, David N.
   Tate, Deborah F.
   Ries, Amy V.
   Brown, Jane D.
   DeVellis, Robert F.
   Ammerman, Alice S.
TI A Social Media-Based Physical Activity Intervention A Randomized
   Controlled Trial
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 43
IS 5
BP 527
EP 532
DI 10.1016/j.amepre.2012.07.019
PD NOV 2012
PY 2012
AB Background: Online social networks, such as Facebook (TM), have
   extensive reach, and they use technology that could enhance social
   support, an established determinant of physical activity. This
   combination of reach and functionality makes online social networks a
   promising intervention platform for increasing physical activity.
   Purpose: To test the efficacy of a physical activity intervention that
   combined education, physical activity monitoring, and online social
   networking to increase social support for physical activity compared to
   an education-only control.
   Design: RCT. Students (n = 134) were randomized to two groups:
   education-only controls receiving access to a physical activity-focused
   website (n = 67) and intervention participants receiving access to the
   same website with physical activity self-monitoring and enrollment in a
   Facebook group (n=67). Recruitment and data collection occurred in 2010
   and 2011; data analyses were performed in 2011.
   Setting/participants: Female undergraduate students at a large
   southeastern public university.
   Intervention: Intervention participants were encouraged through e-mails,
   website instructions, and moderator communications to solicit and
   provide social support related to increasing physical activity through a
   physical activity-themed Facebook group. Participants received access to
   a dedicated website with educational materials and a physical activity
   self-monitoring tool.
   Main outcome measures: The primary outcome was perceived social support
   for physical activity; secondary outcomes included self-reported
   physical activity.
   Results: Participants experienced increases in social support and
   physical activity over time but there were no differences in perceived
   social support or physical activity between groups over time. Facebook
   participants posted 259 times to the group. Two thirds (66%) of
   intervention participants completing a post-study survey indicated that
   they would recommend the program to friends.
   Conclusions: Use of an online social networking group plus
   self-monitoring did not produce greater perceptions of social support or
   physical activity as compared to education-only controls. Given their
   promising features and potential reach, efforts to further understand
   how online social networks can be used in health promotion should be
   pursued.
   Trial registration: This study is registered at clinicaltrials.gov
   NCT01421758. (Am J Prey Med 2012;43(5):527-532) (C) 2012 American
   Journal of Preventive Medicine
TC 227
ZB 20
ZR 0
Z8 1
ZS 0
ZA 0
Z9 228
U1 14
U2 198
SN 0749-3797
EI 1873-2607
UT WOS:000310713100010
PM 23079176
ER

PT J
AU Majhail, N. S.
   Nayyar, S.
   Santibanez, M. E. Burton
   Murphy, E. A.
   Denzen, E. M.
TI Racial disparities in hematopoietic cell transplantation in the United
   States
SO BONE MARROW TRANSPLANTATION
VL 47
IS 11
BP 1385
EP 1390
DI 10.1038/bmt.2011.214
PD NOV 2012
PY 2012
AB Hematopoietic cell transplantation (HCT) is a highly specialized,
   expensive and resource-intense medical procedure that can be associated
   with racial disparities. We review the prevailing literature on racial
   disparities in HCT in the United States and describe areas for future
   research and interventions. We discuss the complexity of interpreting
   race as a biological and social determinant of disease in biomedical
   research, especially as it relates to HCT. In the United States, race is
   often a surrogate for socioeconomic, education and health insurance
   status. We also discuss some of the nuances to consider while reviewing
   the literature on racial disparities. Disparities by race exist in three
   areas related to HCT: donor availability, access to HCT and outcomes of
   HCT. African-Americans/Blacks have a lower likelihood of finding an
   unrelated donor. Race and ethnicity definitions are country-specific and
   reconciling race data can represent significant challenges to unrelated
   donor registries worldwide. African-Americans/Blacks do not have the
   same access to autologous and allogeneic HCT as Whites. Racial
   disparities in outcomes of HCT are more prevalent among allogeneic HCT
   than autologous HCT recipients. More research is required to understand
   the biological, social, cultural, medical and financial aspects of race
   that may influence access to HCT and survival after transplantation.
   Better understanding of racial disparities will minimize inequities,
   inform health policy, guide development of interventions targeted to
   eliminate disparities and ensure equitable access to HCT for all
   populations. Bone Marrow Transplantation (2012) 47, 1385-1390;
   doi:10.1038/bmt.2011.214; published online 7 November 2011
Z8 0
TC 72
ZB 25
ZA 0
ZR 0
ZS 0
Z9 72
U1 0
U2 4
SN 0268-3369
EI 1476-5365
UT WOS:000310795500001
PM 22056642
ER

PT J
AU Ni, W.
   Li, X.
   Ao, M.
   Zhang, H.
   Hou, Z.
   Si, S.
   Wang, W.
TI Using the real-life vision test to assess the functional vision of
   age-related cataract patients
SO EYE
VL 26
IS 11
BP 1402
EP 1411
DI 10.1038/eye.2012.168
PD NOV 2012
PY 2012
AB Purpose (1) To describe and validate a newly developed, timed
   performance-based measures of functional vision-the real-life vision
   test (RLVT). (2) To determine how RLVT relates to clinical measures and
   self-report assessment of visual function and the complex interactions
   among visual impairment, psychosocial status, and demographic factors.
   Methods A total of 64 patients with age-related cataract and 45
   age-matched controls were evaluated by four types of measurements: (1)
   demographic, medical, cognitive, and depressive evaluation and the
   reaction time (RT) testing; (2) clinical measures (visual acuity,
   contrast sensitivity, stereopsis, and the color perception); (3) the
   25-item National Eye Institute's Visual Functioning Questionnaire; and
   (4) the RLVT. Spearman's coefficients, partial correlation, and multiple
   regression analysis were conducted to determine the relationship among
   RLVT, clinical measures, and self-report assessment of visual function
   while controlling for confounders.
   Results Control subjects performed RLVT significantly better than the
   cataract patients. RLVT correlated well with both clinical and
   self-report assessments of visual function. All subscales of RLVT
   remained highly associated with most of the clinical measures, even
   after adjusting for age, years of education, depression, cognitive
   status, and the RT. Distance, intermediate and near visual acuity, and
   binocular contrast sensitivity were significant predictors of the RLVT
   performances.
   Conclusions Given the strong relationship among RLVT, clinical measures,
   and the self-report assessments, our results highlight the potential
   usefulness of RLVT for assessing the functional vision of cataract
   patients. RLVT may provide information not obtainable from clinical
   measures or surveys and therefore it is essential to be incorporated
   into future ophthalmological practice. Eye (2012) 26, 1402-1411;
   doi:10.1038/eye.2012.168; published online 10 August 2012
OI Hou, Zhiqiang/0000-0001-5638-6553
ZR 0
ZA 0
Z8 0
ZB 5
TC 10
ZS 0
Z9 10
U1 0
U2 15
SN 0950-222X
UT WOS:000310846700003
PM 22878441
ER

PT J
AU DeSalvo, Daniel J.
   Greenberg, Larrie W.
   Henderson, Celia L.
   Cogen, Fran R.
TI A Learner-Centered Diabetes Management Curriculum Reducing resident
   errors on an inpatient diabetes pathway
SO DIABETES CARE
VL 35
IS 11
BP 2188
EP 2193
DI 10.2337/dc12-0450
PD NOV 2012
PY 2012
AB OBJECTIVE-Diabetes errors, particularly insulin administration errors,
   can lead to complications and death in the pediatric inpatient setting.
   Despite a lecture-format curriculum on diabetes management at our
   children's hospital, resident diabetes-related errors persisted. We
   hypothesized that a multifaceted, learner-centered diabetes curriculum
   would help reduce pathway errors.
   RESEARCH DESIGN AND METHODS-The 8-week curricular intervention consisted
   of 1) an online tutorial addressing residents' baseline diabetes
   management knowledge, 2) an interactive diabetes pathway discussion, 3)
   a learner-initiated diabetes question and answer session, and 4) a case
   presentation featuring embedded pathway errors for residents to
   recognize, resolve, and prevent. Errors in the 9 months before the
   intervention, as identified through an incident reporting system, were
   compared with those in the 10 months afterward, with errors classified
   as relating to insulin, communication, intravenous fluids, nutrition,
   and discharge delay.
   RESULTS-Before the curricular intervention, resident errors occurred in
   28 patients (19.4% of 144 diabetes admissions) over 9 months. After the
   intervention, resident errors occurred in 11 patients (6.6% of 166
   diabetes admissions) over 10 months, representing a statistically
   significant (P = 0.0007) decrease in patients with errors from before
   intervention to after intervention. Throughout the study, the errors
   were distributed into the categories as follows: insulin, 43.8%;
   communication, 39.6%; intravenous fluids, 14.6%; nutrition, 0%; and
   discharge delay, 2.1%.
   CONCLUSIONS-An interactive learner-centered diabetes curriculum for
   pediatric residents can be effective in reducing inpatient diabetes
   errors in a tertiary children's hospital. This educational model
   promoting proactive learning has implications for decreasing errors
   across other medical disciplines. Diabetes Care 35: 2188-2193, 2012
ZA 0
Z8 0
ZB 4
TC 13
ZR 0
ZS 0
Z9 13
U1 0
U2 3
SN 0149-5992
UT WOS:000311424100018
PM 22875227
ER

PT J
AU Kirton, Orlando C.
   Reilly, Patricia
   Staff, Ilene
   Burns, Karyl
TI Development and Implementation of an Interactive, Objective, and
   Simulation-Based Curriculum for General Surgery Residents
SO JOURNAL OF SURGICAL EDUCATION
VL 69
IS 6
BP 718
EP 723
DI 10.1016/j.jsurg.2012.05.010
PD NOV-DEC 2012
PY 2012
AB OBJECTIVE: A Steering Committee of residents and faculty initiated a
   systematic approach to curriculum development, focusing on
   competency-based education and emphasizing both resident and faculty
   engagement in the didactic process.
   SETTING: Integrated General Surgery Residency Program at the University
   of Connecticut School of Medicine, Farmington, Connecticut.
   PARTICIPANTS: Postgraduate year (PGY) 1 through 5 general surgery
   categorical and preliminary residents.
   METHODS: A Core Curriculum consisting of 45-minute blocks and 2.5 hours
   of resident time per week was developed by a steering committee composed
   of faculty and residents. Each block is assigned a faculty and resident
   moderator, and has defined competency and knowledge-based objectives. An
   anonymous online evaluation tool collected residents' perceptions of
   value and satisfaction with the curriculum utilizing 15 5-point Likert
   items focusing on conferences, objectives, preparation, and quality of
   presentations, and materials. Measures were taken at the close of the
   previous academic year (baseline) and at 6 months and 1 year after
   implementation. The analysis focused on the percent responding in the 2
   highest Likert categories (good/excellent, almost always/always,
   agree/strongly agree). The resulting dichotomous outcomes were compared
   with time point using chi(2)-tests of proportion; Kruskal-Wallis
   statistic was also used to compare the full distribution of responses.
   All analyses were done using SPSS v. 14 with alpha = 0.05.
   RESULTS: One hundred two surveys were completed on-line (42 at baseline,
   38 at 6 months, and 22 at 1 year). All 15 items showed increases from
   baseline to 1-year follow-up; 9 of the 15 were statistically significant
   with conferences and presentation quality and interaction showing the
   greatest improvement.
   CONCLUSIONS: Resident satisfaction with the core curriculum, and their
   self-reported clinical and academic abilities showed improvement after a
   systematic collaborative faculty resident approach to curriculum
   development and implementation. (J Surg 69:718-723. (C) 2012 Association
   of Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.)
CT Annual Spring Meeting of the Association-of-Program-Directors-in-Surgery
   (APDS)
CY MAR 20-22, 2012
CL San Diego, CA
SP Assoc Program Directors Surg
ZR 0
ZA 0
Z8 0
ZS 1
TC 10
ZB 2
Z9 11
U1 0
U2 7
SN 1931-7204
EI 1878-7452
UT WOS:000311024100008
PM 23111036
ER

PT J
AU Young, Meredith E.
   Razack, Saleem
   Hanson, Mark D.
   Slade, Steve
   Varpio, Lara
   Dore, Kelly L.
   McKnight, David
TI Calling for a Broader Conceptualization of Diversity: Surface and Deep
   Diversity in Four Canadian Medical Schools
SO ACADEMIC MEDICINE
VL 87
IS 11
BP 1501
EP 1510
DI 10.1097/ACM.0b013e31826daf74
PD NOV 2012
PY 2012
AB Purpose
   Policy groups recommend monitoring and supporting more diversity among
   medical students and the medical workforce. In Canada, few data are
   available regarding the diversity of medical students, which poses
   challenges for policy development and evaluation. The authors examine
   diversity through a framework of surface (visible) and deep (less
   visible) dimensions and present data regarding a sample of Canadian
   medical students.
   Method
   Between 2009 and 2011, nine cohorts from four Canadian medical schools
   completed the Health Professions Student Diversity Survey (HPSDS) either
   on paper or online. Items asked each participant's age, gender, gender
   identity, sexual identity, marital status, ethnicity, rural status,
   parental income, and disability. Data were analyzed descriptively and
   compared, when available, with national data.
   Results Of 1,892 students invited, 1,552 (82.0%) completed the HPSDS.
   Students tended to be 21 to 25 years old (68.3%; 1,048/1,534), female
   (59.0%; 902/1,529), heterosexual (94.6%; 1,422/1,503), single (90.1%;
   1,369/1,520), and unlikely to report any disability (96.5%;
   1,463/1,516). The majority of students identified with the gender on
   their birth certificate (99.8%; 1,512/1,515). About half had spent the
   majority of their lives in urban environments (46.7%; 711/1,521), and
   most reported parental household incomes of over $100,000/year (57.6%;
   791/1,373). Overall, they were overrepresentative of higher-income
   groups and underrepresentative of populations of Aboriginal, black, or
   Filipino ethnicities in Canada.
   Conclusions
   The authors propose the development of a National Student Diversity
   Database to support both locally relevant policies regarding pipeline
   programs and an examination of current application and selection
   procedures to identify potential barriers for under-represented
   students.
RI Varpio, Lara/AAJ-6835-2021; hanson, mark/; Varpio, Lara/
OI hanson, mark/0000-0002-0820-4521; Varpio, Lara/0000-0002-1412-4341
TC 63
Z8 0
ZR 0
ZS 1
ZA 0
ZB 2
Z9 64
U1 1
U2 40
SN 1040-2446
UT WOS:000310579600033
PM 23018335
ER

PT J
AU Burden, Amanda R.
   Torjman, Marc C.
   Dy, George E.
   Jaffe, Jonathan D.
   Littman, Jeffrey J.
   Nawar, Fiorella
   Rajaram, S. Sujanthy
   Schorr, Christa
   Staman, Gregory W.
   Reboli, Annette C.
TI Prevention of central venous catheter-related bloodstream infections: is
   it time to add simulation training to the prevention bundle?
SO JOURNAL OF CLINICAL ANESTHESIA
VL 24
IS 7
BP 555
EP 560
DI 10.1016/j.jclinane.2012.04.006
PD NOV 2012
PY 2012
AB Study Objective: To study the impact of adding simulation-based
   education to the pre-intervention mandatory hospital efforts aimed at
   decreasing central venous catheter-related blood stream infections
   (CRBSI) in intensive care units (ICU).
   Design: Pre- and post-intervention retrospective observational
   investigation.
   Setting: 24-bed ICU and a 562-bed university-affiliated, urban teaching
   hospital.
   Patients: ICU patients July 2004-June 2008 were studied for the
   development of central venous catheter related blood stream infections
   (CRBSI).
   Measurements: ICU patients from July 2004-June 2008 were studied for the
   development of central venous catheter-related blood stream infections
   (CRBSI).
   Pre-Intervention: mandatory staff and physician education began in 2004
   to reduce CRBSI. The CRBSI-prevention program included online and
   didactic courses, and a pre- and post-test. Elements in the
   pre-intervention efforts included hand hygiene, full barrier
   precautions, use of Chlorhexidine skin preparation, and mask, gown,
   gloves, and hat protection for operators. A catheter-insertion cart
   containing all supplies and checklist were was a mandatory clement of
   this program; a nurse was empowered to stop the procedure for
   non-performance of checklist items.
   Intervention: As of July 1, 2006, a mandatory simulation-based program
   for all intern, resident, and fellow physicians was added to teach
   central venous catheter (CVC) insertion.
   Measurements: Data collected pre- and post-intervention were CRBSI
   incidence, number of ICU catheter days, mortality, laboratory pathogen
   results, and costs.
   Main Results: The pre-intervention CRBSI incidence of 6.47/1,000
   catheter days was reduced significantly to 2.44/1,000 catheter days
   post-intervention (58%; P < 0.05), resulting in a $539,902 savings (USD;
   47%), and was attributed to shorter ICU and hospital lengths of stay.
   Conclusions: Following simulation-based CVC program implementation,
   CRBSI incidence and costs were significantly reduced for two years
   post-intervention. (C) 2012 Elsevier Inc. All rights reserved.
OI Schorr, Christa/0000-0001-7777-4280
TC 34
ZS 5
ZR 1
ZA 0
ZB 12
Z8 6
Z9 45
U1 0
U2 32
SN 0952-8180
EI 1873-4529
UT WOS:000310719600007
PM 23101770
ER

PT J
AU Ellman, Matthew S.
   Schulman-Green, Dena
   Blatt, Leslie
   Asher, Susan
   Viveiros, Diane
   Clark, Joshua
   Bia, Margaret
TI Using Online Learning and Interactive Simulation To Teach Spiritual and
   Cultural Aspects of Palliative Care to Interprofessional Students
SO JOURNAL OF PALLIATIVE MEDICINE
VL 15
IS 11
BP 1240
EP 1247
DI 10.1089/jpm.2012.0038
PD NOV 2012
PY 2012
AB Background: To meet the complex needs of patients with serious illness,
   health professional students require education in basics aspects of
   palliative care, including how to work collaboratively on an
   interprofessional team.
   Objectives: An educational program was created, implemented, and
   evaluated with students in medicine, nursing, chaplaincy, and social
   work. Five learning objectives emphasized spiritual, cultural, and
   interprofessional aspects of palliative care.
   Design: The program blended two sequential components: an online
   interactive, case-based learning module, and a live, dynamic simulation
   workshop.
   Measurements: Content analysis was used to analyze students' free-text
   responses to four reflections in the online case, as well as open-ended
   questions on students' postworkshop questionnaires, which were also
   analyzed quantitatively.
   Results: Analysis of 217 students' free-text responses indicated that
   students of all professions recognized important issues beyond their own
   discipline, the roles of other professionals, and the value of team
   collaboration. Quantitative analysis of 309 questionnaires indicated
   that students of all professions perceived that the program met its five
   learning objectives (mean response values >4 on a 5-point Likert scale),
   and highly rated the program and its two components for both educational
   quality and usefulness for future professional work (mean response
   values approximately >4).
   Conclusions: This innovative interprofessional educational program
   combines online learning with live interactive simulation to teach
   professionally diverse students spiritual, cultural, and
   interprofessional aspects of palliative care. Despite the challenge of
   balanced professional representation, this innovative interprofessional
   educational program met its learning objectives, and may be transferable
   for use in other educational settings.
ZA 0
ZS 2
ZB 1
Z8 0
TC 58
ZR 0
Z9 60
U1 0
U2 35
SN 1096-6218
EI 1557-7740
UT WOS:000310599300014
PM 22917274
ER

PT J
AU Lambert, B. L.
   Bauer, C. R.
TI Developmental and behavioral consequences of prenatal cocaine exposure:
   a review
SO JOURNAL OF PERINATOLOGY
VL 32
IS 11
BP 819
EP 828
DI 10.1038/jp.2012.90
PD NOV 2012
PY 2012
AB Substance use among pregnant women continues to be a major public health
   concern, posing potential risk to their drug-exposed children as well as
   burdens on society. This review is intended to discuss the most recent
   literature regarding the association between in ulero cocaine exposure
   and developmental and behavioral outcomes from birth through adolescence
   across various domains of functioning (growth, neurobiology,
   intelligence, academic achievement, language, executive functioning,
   behavioral regulation and psychopathology). In addition, methodological
   associated biological, sociodemographic and environmental risk factors
   and future directions in this area of research are discussed. Given the
   large number of exposed children in the child welfare system and the
   increased need for medical, mental health and special education services
   within this population, more definitively documenting associations
   between prenatal cocaine exposure and later child outcomes is essential
   in order to be able to prospectively address the many significant public
   health, economic and public policy implications. Journal of Perinalology
   (2012) 32, 819-828; doi:10.1038/jp.2012.90; published online 12 July
   2012
ZB 30
ZS 3
ZR 0
TC 46
Z8 0
ZA 0
Z9 49
U1 0
U2 33
SN 0743-8346
EI 1476-5543
UT WOS:000310666800002
PM 22791278
ER

PT J
AU Berwouts, Sarah
   Fanning, Katrina
   Morris, Michael A.
   Barton, David E.
   Dequeker, Elisabeth
TI Quality assurance practices in Europe: a survey of molecular genetic
   testing laboratories
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 20
IS 11
BP 1118
EP 1126
DI 10.1038/ejhg.2012.125
PD NOV 2012
PY 2012
AB In the 2000s, a number of initiatives were taken internationally to
   improve quality in genetic testing services. To contribute to and update
   the limited literature available related to this topic, we surveyed 910
   human molecular genetic testing laboratories, of which 291 (32%) from 29
   European countries responded. The majority of laboratories were in the
   public sector (81%), affiliated with a university hospital (60%). Only a
   minority of laboratories was accredited (23%), and 26% was certified. A
   total of 22% of laboratories did not participate in external quality
   assessment (EQA) and 28% did not use reference materials (RMs). The main
   motivations given for accreditation were to improve laboratory profile
   (85%) and national recognition (84%). Nearly all respondents (95%) would
   prefer working in an accredited laboratory. In accredited laboratories,
   participation in EQA (P < 0.0001), use of RMs (P = 0.0014) and
   availability of continuous education (CE) on medical/scientific subjects
   (P = 0.023), specific tasks (P = 0.0018), and quality assurance (P =
   0.0001) were significantly higher than in non-accredited laboratories.
   Non-accredited laboratories expect higher restriction of development of
   new techniques (P = 0.023) and improvement of work satisfaction (P =
   0.0002) than accredited laboratories. By using a quality implementation
   score (QIS), we showed that accredited laboratories (average score 92)
   comply better than certified laboratories (average score 69, P < 0.001),
   and certified laboratories better than other laboratories (average score
   44, P < 0.001), with regard to the implementation of quality indicators.
   We conclude that quality practices vary widely in European genetic
   testing laboratories. This leads to a potentially dangerous situation in
   which the quality of genetic testing is not consistently assured.
   European Journal of Human Genetics (2012) 20, 1118-1126;
   doi:10.1038/ejhg.2012.125; published online 27 June 2012
RI Barton, David E/B-9460-2008; Barton, David E/I-1795-2019; Morris, Michael/AAD-2458-2022
OI Barton, David E/0000-0002-2031-9719; Morris, Michael/0000-0002-9660-505X
ZB 12
ZR 0
Z8 0
TC 19
ZS 0
ZA 0
Z9 20
U1 0
U2 10
SN 1018-4813
UT WOS:000310218600004
PM 22739339
ER

PT J
AU Celle, Sebastien
   Annweiler, Cedric
   Pichot, Vincent
   Bartha, Robert
   Barthelemy, Jean-Claude
   Roche, Frederic
   Beauchet, Olivier
TI Association Between Ambulatory 24-Hour Blood Pressure Levels and Brain
   Volume Reduction A Cross-Sectional Elderly Population-Based Study
SO HYPERTENSION
VL 60
IS 5
BP 1324
EP +
DI 10.1161/HYPERTENSIONAHA.112.193409
PD NOV 2012
PY 2012
AB Previous literature has shown mixed results regarding the association
   between blood pressure levels and brain volume reduction. The objectives
   of this study were to determine whether high blood pressure levels were
   associated with focal brain volume reduction and whether high blood
   pressure-related focal brain volume reduction was associated with a
   decline in executive function performance. On the basis of a
   cross-sectional design, 24-hour ambulatory blood pressure measurements,
   as well as brain morphology from 3-dimensional magnetic resonance
   images, were assessed among 183 participants (mean, 65 +/- 0.6 years;
   62.4% women). Average levels of systolic and diastolic blood pressures,
   as well as dip, pulse pressure, and mean arterial blood pressure, were
   used as outcomes. Cortical gray and white matter volumes were determined
   by automatic calculation using Statistical Parametric Mapping
   segmentation. Folstein's Mini-Mental State Examination, digit span, part
   B of Trail Making, and Stroop tests were used to assess executive
   function performance. Sex, use of antihypertensive drugs, duration of
   hypertension, leukoaraiosis, body mass index, education level, and total
   brain matter volume were used as potential confounders. A significant
   blood pressure-related decrease in gray matter volume of the left
   supplementary motor areas (Brodmann area 6) and of the left superior and
   middle frontal gyrus (Brodmann area 8) was shown. No significant
   decrease was found with white matter volume. Blood pressure-related
   decreases in gray matter volume were significantly associated with a
   decline in executive function performance. The association of high blood
   pressure with brain volume reduction may in part explain blood
   pressure-related cognitive decline leading to dementia. (Hypertension.
   2012;60:1324-1331.) circle Online Data Supplement
RI Barthelemy, Jean-Claude/AAE-7180-2019; Beauchet, Olivier/AAP-8108-2020; Bartha, Robert/K-3611-2013; Barthelemy, Jean-Claude/; Annweiler, Cedric/; Roche, Frederic/
OI Bartha, Robert/0000-0002-7118-9096; Barthelemy,
   Jean-Claude/0000-0003-4306-7275; Annweiler, Cedric/0000-0002-7199-8109;
   Roche, Frederic/0000-0001-6115-7958
ZA 0
Z8 0
TC 24
ZR 1
ZS 0
ZB 15
Z9 24
U1 0
U2 13
SN 0194-911X
EI 1524-4563
UT WOS:000310059800040
PM 23045461
ER

PT J
AU Nieder, Gary L.
   Borges, Nicole J.
TI An eight-year study of online lecture use in a medical gross anatomy and
   embryology course
SO ANATOMICAL SCIENCES EDUCATION
VL 5
IS 6
BP 311
EP 320
DI 10.1002/ase.1289
PD NOV-DEC 2012
PY 2012
AB Online lectures have been used in lieu of live lectures in our gross
   anatomy and embryology course for the past eight years. We examined
   patterns of online lecture use by our students and related that use to
   academic entry measures, gender and examination performance. Detailed
   access records identified by student were available from server logs.
   Total views per page of lecture material increased over the first six
   years, then decreased markedly between years seven and eight, possibly
   due to the recent availability of alternate forms of lecture audio.
   Lecture use peaked in midafternoon and again in the evening, although
   some use was seen at all hours. Usage was highest at midweek and lowest
   on Fridays as might be expected. Individual student's use varied widely
   from rates equivalent to less than one viewing/page to more than three
   viewings per page. Overall use by male students was greater than that of
   females and gender-specific differences in the daily pattern were seen.
   Lecture use was correlated to the Medical College Admission Test (R)
   (MCAT (R)) Verbal Reasoning and Physical Sciences scores but not to
   composite MCAT scores or undergraduate grade point average. Overall use
   appeared to be driven by scheduled team-based learning (TBL) sessions
   and major examinations. Specific subsets of lecture material were most
   often viewed before related TBL sessions and again during review for
   examinations. A small but significant correlation between lecture use
   and examination and course performance was seen, specifically in the
   male student population. These findings, along with earlier
   observations, suggest that varied use of online lectures is attributable
   to multiple factors. Anat Sci Educ 5: 311-320. (c) 2012 American
   Association of Anatomists.
RI Herring, Anna L/L-7859-2014
ZB 2
ZR 0
Z8 0
ZS 1
ZA 0
TC 37
Z9 37
U1 0
U2 24
SN 1935-9772
EI 1935-9780
UT WOS:000310547100001
PM 22674561
ER

PT J
AU Fessler, Henry E.
TI Undergraduate medical education in critical care
SO CRITICAL CARE MEDICINE
VL 40
IS 11
BP 3065
EP 3069
DI 10.1097/CCM.0b013e31826ab360
PD NOV 2012
PY 2012
AB Objective: To review the current status of critical care education of
   medical students, focusing on how early, vigorous undergraduate training
   may address the needs of the learners and society.
   Data Sources: Literature review of focused PubMed searches, online
   databases, and reference lists of recent publications.
   Results: Although management of unstable and critically ill patients is
   required of most interns, undergraduate education in these skills
   remains largely elective, scattered, and highly variable. Critical care
   competencies for medical school graduates have not been established in
   the United States, and many students feel unprepared for these
   responsibilities that they assume as interns. Several successful
   approaches to medical student education in critical care have been
   demonstrated, and the availability of simulation technology provides new
   educational opportunities. Early exposure to other medical disciplines
   has influenced medical student career choice, although this has not been
   studied in regards to critical care fields.
   Conclusions: Undergraduate medical education in critical care would be
   advanced by consolidation and organization into formal curricula. These
   would teach biomedical and humanistic skills essential to critical care
   but valuable in all medical settings. Early, well-planned exposure to
   critical care as a distinct discipline might increase student interest
   in careers in the field. The effects of educational interventions on the
   acquisition of knowledge, attitudes, and skills as well as long-term
   career choice should be subjected to rigorous study. (Crit Care Med
   2012; 40: 3065-3069)
ZS 0
ZA 0
ZB 1
ZR 0
Z8 1
TC 17
Z9 18
U1 0
U2 15
SN 0090-3493
UT WOS:000310365300018
PM 22975892
ER

PT J
AU Volsky, Peter G.
   Sinacori, John T.
TI Global health initiatives of US otolaryngology residency programs: 2011
   global health initiatives survey results
SO LARYNGOSCOPE
VL 122
IS 11
BP 2422
EP 2427
DI 10.1002/lary.23533
PD NOV 2012
PY 2012
AB Objectives/Hypothesis: The objectives of this work were to quantify the
   involvement of US otolaryngology residency programs in global health
   endeavors, identify goals and services provided, and determine the
   participation of residents and fellows. Study Design: Cross-sectional
   survey of US otolaryngology faculty. Methods: A 10-point online
   questionnaire was distributed to 103 US otolaryngology residency program
   directors; all faculty involved in global health volunteerism were
   invited to participate. Results: Twenty-nine global health initiatives
   were represented. Most of the 24 residency programs involved (66%) had
   organized global health offices at their institutions; only 4% actually
   cooperated with these offices. Most often, only one attending (55%) was
   involved at each institution. Residents/fellows participated 65% of the
   time. Abroad, US otolaryngologists worked with freestanding hospitals or
   clinics (24%), American nongovernmental organizations (17%), academic
   centers (14%), and remote locations (14%). Most (96%) provided specialty
   surgical services, but some provided primary care (28%) and general
   surgical services (14%); 72% trained foreign surgeons. Most respondents
   (79%) reported that the clinical work done abroad was substantial enough
   for Accreditation Council for Graduate Medical Education (ACGME)
   standards. Only one fifth of respondents knew the name of the nearest
   otolaryngology training institution. Humanitarian aid was the most
   prevalent goal (100%), followed by resident/fellow exchange (45%) and
   faculty exchange (21%). Conclusions: At least a quarter of US
   otolaryngology residency programs engage in global health volunteerism.
   Most do not utilize institutional global health resources and are
   unaware of otolaryngology training programs abroad. There may be a role
   for global health education within the ACGME competency of systems-based
   practice. Laryngoscope, 2012
RI Volsky, Peter/AAL-7943-2020
ZA 0
TC 14
ZR 0
ZB 4
ZS 0
Z8 1
Z9 15
U1 0
U2 7
SN 0023-852X
UT WOS:000310240700012
PM 22965869
ER

PT J
AU Schifferdecker, Karen E.
   Berman, Norm B.
   Fall, Leslie H.
   Fischer, Martin R.
TI Adoption of computer-assisted learning in medical education: the
   educators' perspective
SO MEDICAL EDUCATION
VL 46
IS 11
BP 1063
EP 1073
DI 10.1111/j.1365-2923.2012.04350.x
PD NOV 2012
PY 2012
AB Medical Education 2012: 46: 10631073 CONTEXT Computer-assisted learning
   (CAL) in medical education has been shown to be effective in the
   achievement of learning outcomes, but requires the input of significant
   resources and development time. This study examines the key elements and
   processes that led to the widespread adoption of a CAL program in
   undergraduate medical education, the Computer-assisted Learning in
   Paediatrics Program (CLIPP). It then considers the relative importance
   of elements drawn from existing theories and models for technology
   adoption and other studies on CAL in medical education to inform the
   future development, implementation and testing of CAL programs in
   medical education. METHODS The study used a mixed-methods explanatory
   design. All paediatric clerkship directors (CDs) using CLIPP were
   recruited to participate in a self-administered, online questionnaire.
   Semi-structured interviews were then conducted with a random sample of
   CDs to further explore the quantitative results. RESULTS Factors that
   facilitated adoption included CLIPPs ability to fill gaps in exposure to
   core clinical problems, the use of a national curriculum, development by
   CDs, and the meeting of CDs desires to improve teaching and student
   learning. An additional facilitating factor was that little time and
   effort were needed to implement CLIPP within a clerkship. The
   quantitative findings were mostly corroborated by the qualitative
   findings. CONCLUSIONS This study indicates issues that are important in
   the consideration and future exploration of the development and
   implementation of CAL programs in medical education. The promise of CAL
   as a method of enhancing the process and outcomes of medical education,
   and its cost, increase the need for future CAL funders and developers to
   pay equal attention to the needs of potential adopters and the
   development process as they do to the content and tools in the CAL
   program. Important questions that remain on the optimal design, use and
   integration of CAL should be addressed in order to adequately inform
   future development. Support is needed for studies that address these
   critical areas.
OI Schifferdecker, Karen/0000-0003-2558-4885
TC 19
Z8 0
ZB 2
ZA 0
ZR 0
ZS 1
Z9 19
U1 0
U2 34
SN 0308-0110
EI 1365-2923
UT WOS:000310066000007
PM 23078683
ER

PT J
AU Gordon, Morris
   Darbyshire, Daniel
   Baker, Paul
TI Non-technical skills training to enhance patient safety: a systematic
   review
SO MEDICAL EDUCATION
VL 46
IS 11
BP 1042
EP 1054
DI 10.1111/j.1365-2923.2012.04343.x
PD NOV 2012
PY 2012
AB Medical Education 2012: 46: 10421054 CONTEXT Many quality improvement
   education programmes have been introduced over the last decade with the
   purpose of enhancing patient safety. The importance of non-technical
   skills training is becoming increasingly prominent, but the extent to
   which educational interventions have been used and the theoretical
   underpinnings of such interventions remain unclear. These issues were
   investigated through a systematic review of the literature. METHODS Any
   studies involving an educational intervention to improve non-technical
   skills amongst undergraduate or postgraduate staff in an acute health
   care environment were considered. A standardised search of online
   databases was carried out independently by two authors and consensus
   reached on the inclusion of studies. Data extraction and multimodal
   quality assessment were completed independently, followed by a content
   analysis of interventions and the extraction of key themes. RESULTS A
   total of 22 studies met the inclusion criteria. Measured outcomes were
   variable, as was the strength of conclusions. Theoretical underpinning
   of interventions was not described in any studies. Content analysis
   revealed reasonable consistency with the emergence of five key themes:
   error; communication; teamwork and leadership; systems, and situational
   awareness. Teaching was often multidisciplinary and methods used
   included simulation and role-play exercises, and observation.
   CONCLUSIONS The methodological quality of published studies is
   reasonable, although the reporting of specific interventions is poor.
   Although a recognised model to support the design of patient safety
   education is lacking, a number of theories have been applied to guide
   educators in future instructional design. Further published work should
   clearly describe interventions and their theoretical underpinnings, and
   should aim to further explore which specific aspects of interventions
   are effective and why. Such research should also try to assess whether
   such interventions can impact patient outcomes.
RI Darbyshire, Daniel/AAO-8681-2020; Gordon, Morris/
OI Darbyshire, Daniel/0000-0001-5619-0331; Gordon,
   Morris/0000-0002-1216-5158
TC 161
ZR 1
Z8 0
ZA 0
ZS 1
ZB 13
Z9 162
U1 0
U2 73
SN 0308-0110
EI 1365-2923
UT WOS:000310066000005
PM 23078681
ER

PT J
AU Mok, Philip S.
   Tan, Eva Y.
   Baerlocher, Mark O.
   Athreya, Sriharsha
TI The role of morbidity and mortality meetings in interventional radiology
SO EUROPEAN JOURNAL OF RADIOLOGY
VL 81
IS 11
BP 3344
EP 3347
DI 10.1016/j.ejrad.2012.01.005
PD NOV 2012
PY 2012
AB Purpose: To understand the current practice of interventional radiology
   (IR) morbidity and mortality (M&M) meetings among interventional
   radiologists in Europe, and to develop a set of results-based
   recommendations to increase the prevalence of IR M&M meetings.
   Materials and methods: Online electronic surveys were sent to members of
   the Cardiovascular and Interventional Radiology Society of Europe
   (CIRSE). Each survey consisted of 18 questions pertaining to IR M&M
   meetings.
   Results: A total of 150 CIRSE members responded to the survey.
   Approximately 47% of respondents held IR M&M meetings in their
   departments. Among those who held IR M&M meetings, 42% held them monthly
   and 68% rated the quality of the meetings as good or excellent. Of those
   who did not have M&M meetings, 94% were interested in incorporating M&M
   meetings into their future practice. The most common reasons for not
   holding IR M&M meetings were lack of time (68%) and small IR practice
   groups (43%). A total of 85% were interested in learning more about IR
   M&M meetings. The preferred method of education about M&M meetings
   included annual radiology meetings (44%), peer-reviewed articles in
   radiology journals (31%), websites (26%), and newsletters (15%).
   Conclusions: The data demonstrate that although current practice of M&M
   meetings in European IR departments is limited, the majority of
   respondents believe that M&M meetings are beneficial to their practice.
   There is a need for guidelines or standards of practice to incorporate
   such meetings in IR departments to prevent medical errors, which may
   ultimately lead to enhanced patient safety and outcomes. (C) 2012
   Elsevier Ireland Ltd. All rights reserved.
ZA 0
ZB 2
ZR 0
ZS 0
TC 10
Z8 0
Z9 10
U1 0
U2 3
SN 0720-048X
UT WOS:000309554400065
PM 22297187
ER

PT J
AU Gonsenhauser, Iahn
   Beal, Eliza
   Shihadeh, Fadi
   Mekhjian, Hagop S.
   Moffatt-Bruce, Susan D.
TI Development and Assessment of Quality Improvement Education For Medical
   Students at The Ohio State University Medical Center
SO JOURNAL FOR HEALTHCARE QUALITY
VL 34
IS 6
BP 36
EP 42
DI 10.1111/j.1945-1474.2012.00160.x
PD NOV-DEC 2012
PY 2012
AB This study tested the feasibility of a quality improvement (QI) program
   that provided first and second year medical students with education in
   QI processes and demonstrate their utility within the framework of a
   real-world QI project. Medical students assessed the use of the Surgical
   Safety Checklist at The Ohio State University Medical Center. Before
   performing audits students were required to complete a self-paced online
   program that provided preliminary education in QI, patient safety,
   leadership, teamwork, and patient-centered care. A 2.5-hr orientation
   introduced basic operating room protocol, and the surgical checklist
   audit tool. Orientation included a multimedia simulation of checklist
   usage and a role-playing exercise simulating its use. Students completed
   pre- and postparticipation assessments. Results included an increased
   knowledge of QI methodology, an improved understanding of the evidence
   supporting the need for QI projects within health systems, and a greater
   awareness of available QI projects. Students' perspectives changed to
   indicate an increased belief that QI is the responsibility of all health
   professionals including physicians, administrators and other staff. This
   study concluded that QI education can be effectively disseminated to
   medical students early in their education using existing online tools
   and experiential QI projects, and can result in actionable QI data
   supporting hospital improvement initiatives.
RI Beal, Eliza/J-6492-2015; Beal, Eliza/AAT-3071-2020; Moffatt-Bruce, Susan/
OI Beal, Eliza/0000-0003-2191-6811; Moffatt-Bruce,
   Susan/0000-0002-0999-5505
ZB 0
ZR 0
TC 11
ZA 0
ZS 0
Z8 0
Z9 11
U1 0
U2 9
SN 1062-2551
EI 1945-1474
UT WOS:000209221400005
PM 23163971
ER

PT J
AU Gormley, Denise K
   Costanzo, Amy J
   Lewis, Margaret R
   Slone, Bill
   Savage, Christine L
TI Assessing nurses' continuing education preferences in rural community
   and urban academic settings.
SO Journal for nurses in staff development : JNSD : official journal of the
   National Nursing Staff Development Organization
VL 28
IS 6
BP 279
EP 84
DI 10.1097/NND.0b013e318272590c
PD 2012 Nov-Dec
PY 2012
AB Continuing education programs that increase nursing knowledge and
   collaboration are needed across urban and rural settings. A survey was
   distributed to determine interest in nursing grand rounds and preferred
   educational modalities at two unaffiliated hospitals. Results revealed
   that nurses from the urban and rural hospitals were interested in
   nursing grand rounds as a recorded online offering, thus providing
   valuable information used to develop a nursing grand rounds program.
ZB 0
Z8 0
ZA 0
TC 11
ZS 0
ZR 0
Z9 11
U1 0
U2 2
EI 1538-9049
UT MEDLINE:23222425
PM 23222425
ER

PT J
AU Rivas, E
   Ubre, M
   Martinez-Palli, G
   Valero, R
   Beltran, J
   Lopez, A
   Balust, J
TI [Fibreoptic clinical training in anaesthesia. Course design and results
   based on a self-assessment survey].
FT Entrenamiento clinico con fibrobroncoscopio en anestesia. Diseno y
   resultados del curso segun encuesta de autoevaluacion.
SO Revista espanola de anestesiologia y reanimacion
VL 59
IS 9
BP 483
EP 8
DI 10.1016/j.redar.2012.06.012
PD 2012-Nov
PY 2012
AB BACKGROUND AND OBJECTIVE: Fibreoptic intubation is the technique of
   choice for resolving complications related to a difficult airway. Our
   aim was to determine whether a clinical-practice-based, individualized
   course provides sufficient training and confidence to allow
   anaesthetists to routinely practice fibreoptic intubation.
   METHODS: Our hospital developed a clinical-practice-based,
   individualized course on fibreoptic intubation in general anaesthesia
   that provided practice in sedated spontaneously breathing patients and
   insertion through supraglottic devices. From 2005 to 2009, we e-mailed
   participants for response to an anonymous online self-assessment survey.
   We asked participants about the training outcomes and their overall
   degree of satisfaction.
   RESULTS: Seventy-seven participants were sent the questionnaire six
   months after the course and 61% responded. All respondents considered
   themselves skilled in handling the bronchoscope at the end of the course
   and 97% used it in their routine practice in patients with difficult
   airways.
   CONCLUSIONS: These results suggest a high success rate can be expected
   from individually tailored fibreoptic intubation courses that supplement
   theory and mannequin experience with clinical practice.
RI Rivas, Eva/AFU-7933-2022; Lopez, Ana M/J-1548-2015; Valero, Ricard/G-1770-2015; valero, ricard/AAA-6199-2020; Beltran, Joan/; Martinez-Palli, Graciela/
OI Rivas, Eva/0000-0002-5816-998X; Lopez, Ana M/0000-0003-0219-522X;
   Valero, Ricard/0000-0001-7875-9496; valero, ricard/0000-0001-7875-9496;
   Beltran, Joan/0000-0002-6225-5223; Martinez-Palli,
   Graciela/0000-0002-7163-8090
Z8 0
ZB 0
TC 1
ZS 0
ZA 0
ZR 0
Z9 1
U1 0
U2 1
SN 0034-9356
UT MEDLINE:22921112
PM 22921112
ER

PT J
AU Gabarron, Elia
   Serrano, J. Artur
   Wynn, Rolf
   Armayones, Manuel
TI Avatars using computer/smartphone mediated communication and social
   networking in prevention of sexually transmitted diseases among
   North-Norwegian youngsters
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 12
AR 120
DI 10.1186/1472-6947-12-120
PD OCT 30 2012
PY 2012
AB Background: Sexually transmitted diseases (STDs), especially the
   Chlamydia trachomatis bacterial infection, a common cause of
   infertility, are highly prevalent in developed countries, and a worrying
   problem in North Norway, where the incidence of chlamydia twice the
   Norwegian average. Seventy percent of reported chlamydia cases are found
   in people below 25 years of age, and although its spread could be
   controlled with proper prevention, young people are more aware of the
   risks of unwanted pregnancy than their risk of acquiring a STD.
   Information and Communication Technologies, including, the Internet,
   social media and/or smartphones, should be valued for sexual health
   promotion for their potential to engage young audiences. And in these
   media, avatars guarantee anonymity to users when handling sensitive
   information. The main objective of this project is to achieve that North
   Norwegian youngsters become more aware of STDs through the use of
   popular technologies among young people.
   Methods: A Virtual Clinic for Sexually Transmitted Diseases (VCSTD) will
   be developed. The VCSTD will provide early guidance and reliable
   information sources concerning reproductive health, delivered in a novel
   and innovative way to the younger population. The VCSTD consists of an
   "avatar" supported intervention in a serious gaming and e-learning
   environment, which will bypass direct physical access (in person) to
   reliable medical information, as well as allowing the youngsters to
   share that information in social media, and thus helping the VCSTD to be
   disseminated to more people.
   Data analyses will be conducted on publically available health data
   relevant to STDs in Troms and Finnmark, like the absolute number of
   chlamydia tests, the amount of emergency contraception medication sold,
   and the number of abortions. Also, usage data of the system and
   experiences of usefulness will be explored through participants'
   voluntary responses to a feedback form available in the VCSTD.
   Discussion: This study will examine the usefulness of an online public
   health intervention that aims to promote healthy sexual practices among
   North-Norwegian youngsters. If shown to be effective, the intervention
   could prove to be an affordable and widely accessible intervention to
   decrease risky sexual practices in younger population.
RI Armayones, Manuel/AAD-6400-2020; Wynn, Rolf/ABE-8410-2020; Armayones, Manuel/; Gabarron, Elia/
OI Wynn, Rolf/0000-0002-2254-3343; Armayones, Manuel/0000-0001-6345-8711;
   Gabarron, Elia/0000-0002-7188-550X
ZA 0
ZR 0
ZB 0
ZS 0
Z8 0
TC 21
Z9 21
U1 1
U2 73
EI 1472-6947
UT WOS:000313568500001
PM 23110684
ER

PT J
AU Mahnic-Kalamiza, Samo
   Kotnik, Tadej
   Miklavcic, Damijan
TI Educational application for visualization and analysis of electric field
   strength in multiple electrode electroporation
SO BMC MEDICAL EDUCATION
VL 12
AR 102
DI 10.1186/1472-6920-12-102
PD OCT 30 2012
PY 2012
AB Background: Electrochemotherapy is a local treatment that utilizes
   electric pulses in order to achieve local increase in cytotoxicity of
   some anticancer drugs. The success of this treatment is highly dependent
   on parameters such as tissue electrical properties, applied voltages and
   spatial relations in placement of electrodes that are used to establish
   a cell-permeabilizing electric field in target tissue. Non-thermal
   irreversible electroporation techniques for ablation of tissue depend
   similarly on these parameters. In the treatment planning stage, if
   oversimplified approximations for evaluation of electric field are used,
   such as U/d (voltage-to-distance ratio), sufficient field strength may
   not be reached within the entire target (tumor) area, potentially
   resulting in treatment failure.
   Results: In order to provide an aid in education of medical personnel
   performing electrochemotherapy and non-thermal irreversible
   electroporation for tissue ablation, assist in visualizing the electric
   field in needle electrode electroporation and the effects of changes in
   electrode placement, an application has been developed both as a
   desktop-and a web-based solution. It enables users to position up to
   twelve electrodes in a plane of adjustable dimensions representing a
   two-dimensional slice of tissue. By means of manipulation of electrode
   placement, i.e. repositioning, and the changes in electrical parameters,
   the users interact with the system and observe the resulting electrical
   field strength established by the inserted electrodes in real time. The
   field strength is calculated and visualized online and instantaneously
   reflects the desired changes, dramatically improving the user
   friendliness and educational value, especially compared to approaches
   utilizing general-purpose numerical modeling software, such as finite
   element modeling packages.
   Conclusion: In this paper we outline the need and offer a solution in
   medical education in the field of electroporation-based treatments, e.
   g. primarily electrochemotherapy and non-thermal irreversible tissue
   ablation. We present the background, the means of implementation and the
   fully functional application, which is the first of its kind. While the
   initial feedback from students that have evaluated this application as
   part of an e-learning course is positive, a formal study is planned to
   thoroughly evaluate the current version and identify possible future
   improvements and modifications.
RI Miklavčič, Damijan/A-9497-2008; Kotnik, Tadej/
OI Miklavčič, Damijan/0000-0003-3506-9449; Kotnik,
   Tadej/0000-0002-0777-9948
ZA 0
ZB 7
TC 15
ZS 0
ZR 0
Z8 0
Z9 45
U1 0
U2 21
EI 1472-6920
UT WOS:000312780700001
PM 23107609
ER

PT J
AU Payne, Karl Frederick Braekkan
   Wharrad, Heather
   Watts, Kim
TI Smartphone and medical related App use among medical students and junior
   doctors in the United Kingdom (UK): a regional survey
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 12
AR 121
DI 10.1186/1472-6947-12-121
PD OCT 30 2012
PY 2012
AB Background: Smartphone usage has spread to many settings including that
   of healthcare with numerous potential and realised benefits. The ability
   to download custom-built software applications (apps) has created a new
   wealth of clinical resources available to healthcare staff, providing
   evidence-based decisional tools to reduce medical errors. Previous
   literature has examined how smartphones can be utilised by both medical
   student and doctor populations, to enhance educational and workplace
   activities, with the potential to improve overall patient care. However,
   this literature has not examined smartphone acceptance and patterns of
   medical app usage within the student and junior doctor populations.
   Methods: An online survey of medical student and foundation level junior
   doctor cohorts was undertaken within one United Kingdom healthcare
   region. Participants were asked whether they owned a Smartphone and if
   they used apps on their Smartphones to support their education and
   practice activities. Frequency of use and type of app used was also
   investigated. Open response questions explored participants' views on
   apps that were desired or recommended and the characteristics of apps
   that were useful.
   Results: 257 medical students and 131 junior doctors responded, equating
   to a response rate of 15.0% and 21.8% respectively. 79.0% (n=203/257) of
   medical students and 74.8% (n=98/131) of junior doctors owned a
   smartphone, with 56.6% (n=115/203) of students and 68.4% (n=67/98) of
   doctors owning an iPhone. The majority of students and doctors owned 1-5
   medical related applications, with very few owning more than 10, and
   iPhone owners significantly more likely to own apps (Chi sq, p<0.001).
   Both populations showed similar trends of app usage of several times a
   day. Over 24hours apps were used for between 1-30 minutes for students
   and 1-20 minutes for doctors, students used disease diagnosis/management
   and drug reference apps, with doctors favouring clinical
   score/calculator apps.
   Conclusions: This study found a high level of smartphone ownership and
   usage among medical students and junior doctors. Both groups endorse the
   development of more apps to support their education and clinical
   practice.
RI Wharrad, Heather J/F-1788-2011; Watts, Kim/
OI Wharrad, Heather J/0000-0001-6030-5648; Watts, Kim/0000-0002-6698-0692
TC 331
ZS 8
Z8 1
ZA 0
ZR 0
ZB 40
Z9 339
U1 5
U2 128
SN 1472-6947
UT WOS:000311717400001
PM 23110712
ER

PT J
AU Flys, Tamara
   Gonzalez, Rosalba
   Sued, Omar
   Conejero, Juana Suarez
   Kestler, Edgar
   Sosa, Nestor
   McKenzie-White, Jane
   Irene Monzon, Irma
   Torres, Carmen-Rosa
   Page, Kathleen
TI A Novel Educational Strategy Targeting Health Care Workers in
   Underserved Communities in Central America to Integrate HIV into Primary
   Medical Care
SO PLOS ONE
VL 7
IS 10
AR e46426
DI 10.1371/journal.pone.0046426
PD OCT 24 2012
PY 2012
AB Background: Current educational strategies to integrate HIV care into
   primary medical care in Central America have traditionally targeted
   managers or higher-level officials, rather than local health care
   workers (HCWs). We developed a complementary online and on-site
   interactive training program to reach local HCWs at the primary care
   level in underserved communities.
   Methods: The training program targeted physicians, nurses, and community
   HCWs with limited access to traditional onsite training in Panama,
   Nicaragua, Dominican Republic, and Guatemala. The curriculum focused on
   principles of HIV care and health systems using a tutor-supported
   blended educational approach of an 8-week online component, a weeklong
   on-site problem-solving workshop, and individualized project-based
   interventions.
   Results: Of 258 initially active participants, 225 (225/258 = 87.2%)
   successfully completed the online component and the top 200 were invited
   to the on-site workshop. Of those, 170 (170/200 = 85%) attended the
   on-site workshop. In total, 142 completed all three components,
   including the project phase. Quantitative and qualitative evaluation
   instruments included knowledge assessments, reflexive essays, and
   acceptability surveys. The mean pre and post-essay scores demonstrating
   understanding of social determinants, health system organization, and
   integration of HIV services were 70% and 87.5%, respectively, with an
   increase in knowledge of 17.2% (p<0.001). The mean pre- and post-test
   scores evaluating clinical knowledge were 70.9% and 90.3%, respectively,
   with an increase in knowledge of 19.4% (p<0.001). A survey of Likert
   scale and open-ended questions demonstrated overwhelming participant
   satisfaction with course content, structure, and effectiveness in
   improving their HIV-related knowledge and skills.
   Conclusion: This innovative curriculum utilized technology to target
   HCWs with limited access to educational resources. Participants
   benefited from technical skills acquired through the process, and could
   continue working within their underserved communities while
   participating in the online component and then implement interventions
   that successfully converted theoretical knowledge to action to improve
   integration of HIV care into primary care.
RI Sued, Omar/H-3325-2019
OI Sued, Omar/0000-0001-5818-770X
ZR 0
TC 8
ZS 0
Z8 0
ZB 1
ZA 0
Z9 8
U1 0
U2 15
SN 1932-6203
UT WOS:000310310200015
PM 23115628
ER

PT J
AU Aldekhayel, Salah A.
   ALselaim, Nahar A.
   Magzoub, Mohi Eldin
   AL-Qattan, Mohammad M.
   Al-Namlah, Abdullah M.
   Tamim, Hani
   Al-Khayal, Abdullah
   Al-Habdan, Sultan I.
   Zamakhshary, Mohammed F.
TI Constructing a question bank based on script concordance approach as a
   novel assessment methodology in surgical education
SO BMC MEDICAL EDUCATION
VL 12
AR 100
DI 10.1186/1472-6920-12-100
PD OCT 24 2012
PY 2012
AB Background: Script Concordance Test (SCT) is a new assessment tool that
   reliably assesses clinical reasoning skills. Previous descriptions of
   developing SCT-question banks were merely subjective. This study
   addresses two gaps in the literature: 1) conducting the first phase of a
   multistep validation process of SCT in Plastic Surgery, and 2) providing
   an objective methodology to construct a question bank based on SCT.
   Methods: After developing a test blueprint, 52 test items were written.
   Five validation questions were developed and a validation survey was
   established online. Seven reviewers were asked to answer this survey.
   They were recruited from two countries, Saudi Arabia and Canada, to
   improve the test's external validity. Their ratings were transformed
   into percentages. Analysis was performed to compare reviewers' ratings
   by looking at correlations, ranges, means, medians, and overall scores.
   Results: Scores of reviewers' ratings were between 76% and 95% (mean 86%
   +/- 5). We found poor correlations between reviewers (Pearson's: +0.38
   to -0.22). Ratings of individual validation questions ranged between 0
   and 4 (on a scale 1-5). Means and medians of these ranges were computed
   for each test item (mean: 0.8 to 2.4; median: 1 to 3). A subset of test
   items comprising 27 items was generated based on a set of inclusion and
   exclusion criteria.
   Conclusion: This study proposes an objective methodology for validation
   of SCT-question bank. Analysis of validation survey is done from all
   angles, i.e., reviewers, validation questions, and test items. Finally,
   a subset of test items is generated based on a set of criteria.
RI Aldekhayel, Salah/L-5990-2019; Alselaim, Nahar/; Zamakhshary, Mohammed/
OI Aldekhayel, Salah/0000-0002-0896-3042; Alselaim,
   Nahar/0000-0003-2503-0030; Zamakhshary, Mohammed/0000-0001-8870-8684
ZB 0
ZA 0
TC 6
ZS 2
Z8 0
ZR 0
Z9 6
U1 1
U2 4
SN 1472-6920
UT WOS:000313296100001
PM 23095569
ER

PT J
AU De Vuyst, H.
   Mugo, N. R.
   Chung, M. H.
   McKenzie, K. P.
   Nyongesa-Malava, E.
   Tenet, V.
   Njoroge, J. W.
   Sakr, S. R.
   Meijer, C. J. L. M.
   Snijders, P. J. F.
   Rana, F. S.
   Franceschi, S.
TI Prevalence and determinants of human papillomavirus infection and
   cervical lesions in HIV-positive women in Kenya
SO BRITISH JOURNAL OF CANCER
VL 107
IS 9
BP 1624
EP 1630
DI 10.1038/bjc.2012.441
PD OCT 23 2012
PY 2012
AB BACKGROUND: We assessed the association of human papillomavirus (HPV)
   infection and cervical intraepithelial neoplasia (CIN) with various
   characteristics, CD4 count and use of combination antiretroviral therapy
   (cART) among HIV-positive women.
   METHODS: Cross-sectional study of 498 HIV-positive women who underwent
   HPV PCR-based testing, cytology, and systematic cervical biopsy.
   RESULTS: In all, 68.7% of women were HPV-positive, 52.6% had high-risk
   (hr) HPV, and 40.2% multiple type infections. High-risk human
   papillomavirus-positivity did not vary significantly by age but it was
   negatively associated with education level. The most frequent types in
   113 CIN2/3 were HPV16 (26.5%), HPV35 (19.5%), and HPV58 (12.4%). CD4
   count was negatively associated with prevalence of hrHPV (P < 0.001) and
   CIN2/3 among non-users of cART (P = 0.013). Combination antiretroviral
   therapies users (>= 2 year) had lower hrHPV prevalence (prevalence ratio
   (PR) vs non-users = 0.77, 95% confidence interval (CI): 0.61-0.96) and
   multiple infections (PR = 0.68, 95% CI: 0.53-0.88), but not fewer
   CIN2/3. The positive predictive value of hrHPV-positivity for CIN2/3
   increased from 28.9% at age <35 years to 53.3% in >= 45 years.
   CONCLUSION: The burden of hrHPV and CIN2/3 was high and it was related
   to immunosuppression level. Combination antiretroviral therapies (>= 2
   year) use had a favourable effect on hrHPV prevalence but cART in our
   population may have been started too late to prevent CIN2/3. British
   Journal of Cancer (2012) 107, 1624-1630. doi:10.1038/bjc.2012.441
   www.bjcancer.com Published online 2 October 2012 (c) 2012 Cancer
   Research UK
RI franceschi, silvia/M-2452-2014
OI franceschi, silvia/0000-0003-4181-8071
ZR 1
TC 63
Z8 0
ZS 1
ZA 0
ZB 38
Z9 65
U1 0
U2 5
SN 0007-0920
UT WOS:000310505800026
PM 23033006
ER

PT J
AU McCormick, Marie C.
   Buka, Stephen
   Brooks-Gunn, Jeanne
   Salganik, Mikhail
   Mao, Wenyang
TI Effect of Early Educational Intervention on Younger Siblings The Infant
   Health and Development Program
SO ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE
VL 166
IS 10
BP 891
EP 896
DI 10.1001/archpediatrics.2012.547
PD OCT 23 2012
PY 2012
AB Object: To assess whether younger siblings of participants in an early
   (preschool) educational program would benefit in terms of developmental
   and educational outcomes.
   Design: Assessment of a cohort of siblings of intervention participants
   at a mean age of 13.5 years.
   Setting: The Infant Health and Development Program (IHDP), an 8-site
   randomized trial of 3 years of early education for premature
   low-birth-weight infants who were followed up through 18 years of age.
   Participants: Siblings born within 5 years of the IHDP study
   participants.
   Main Exposure: A sibling born no more than 5 years earlier who
   participated in the IHDP.
   Main Outcome Measures: Observed IQ; youth report of behavioral problems,
   their expectations of future success, and their relationship with their
   parents; and the caregiver's report on the youth's school progress and
   their expectations of the youth's educational attainment.
   Results: Of 878 IHDP participants who were followed up, 466 (53.1%) had
   an eligible younger sibling, and 229 of those siblings (49.1%) agreed to
   participate. No differences were seen between the siblings of those who
   did and did not receive the IHDP intervention on any of the outcome
   measures. Adjusting for maternal race/ethnicity, age, and educational
   attainment at the birth of the study participant; study site; sex of the
   sibling; and losses to the cohort did not alter the results.
   Conclusion: Participation in an early educational program confers no
   apparent benefit on younger siblings in their early adolescent years.
   Arch Pediatr Adolesc Med. 2012;166(10):891-896. Published online June 4,
   2012. doi: 10.1001/archpediatrics.2012.547
RI Buka, Stephen/H-7335-2014; McCormmick, Marie/
OI Buka, Stephen/0000-0002-8578-9308; McCormmick, Marie/0000-0002-3938-1707
TC 1
ZS 0
ZB 0
ZA 0
Z8 0
ZR 0
Z9 1
U1 1
U2 9
SN 1072-4710
EI 1538-3628
UT WOS:000309414400001
PM 22664795
ER

PT J
AU Brown, Courtney M.
   Copeland, Kristen A.
   Sucharew, Heidi
   Kahn, Robert S.
TI Social-Emotional Problems in Preschool-Aged Children Opportunities for
   Prevention and Early Intervention
SO ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE
VL 166
IS 10
BP 926
EP 932
DI 10.1001/archpediatrics.2012.793
PD OCT 23 2012
PY 2012
AB Objectives: To estimate the prevalence of positive screens for
   social-emotional problems among preschool-aged children in a low-income
   clinical population and to explore the family context and receptivity to
   referrals to help guide development of interventions.
   Design: Observational, cross-sectional study.
   Setting: Two urban primary care clinics.
   Participants: A total of 254 parents of 3-and 4-year-old children at 2
   urban primary care clinics.
   Main Outcome Measures: Score on a standardized screen for
   social-emotional problems (Ages and Stages Questionnaire:
   Social-Emotional) and answers to additional survey questions about child
   care arrangements, parental depressive symptoms, and attitudes toward
   preschool and behavioral health referrals.
   Results: Twenty-four percent (95% CI, 16.5%-31.5%) of children screened
   positive for social-emotional problems. Among those screening positive,
   45% had a parent with depressive symptoms, and 27% had no nonparental
   child care. Among parents of children who screened positive for
   social-emotional problems, 79% reported they would welcome or would not
   mind a referral to a counselor or psychologist; only 16% reported a
   prior referral.
   Conclusions: In a clinical sample, 1 in 4 low-income pre-school-aged
   children screened positive for social-emotional problems, and most
   parents were amenable to referrals to preschool or early childhood
   mental health. This represents an opportunity for improvement in primary
   prevention and early intervention for social-emotional problems.
   Arch Pediatr Adolesc Med. 2012;166(10):926-932. Published online August
   27, 2012. doi:10.1001/archpediatrics.2012.793
RI Sucharew, Heidi/M-4338-2015; Copeland, Kristen/
OI Copeland, Kristen/0000-0001-7178-0321
ZS 1
ZB 7
ZA 0
ZR 0
TC 24
Z8 1
Z9 25
U1 0
U2 44
SN 1072-4710
EI 1538-3628
UT WOS:000309414400007
PM 22926145
ER

PT J
AU DeCamp, Matthew
TI Social Media and Medical Professionalism Toward an Expanded Program
SO ARCHIVES OF INTERNAL MEDICINE
VL 172
IS 18
BP 1418
EP 1419
DI 10.1001/archinternmed.2012.3220
PD OCT 8 2012
PY 2012
RI DeCamp, Matthew/N-6028-2014; DeCamp, Matthew/
OI DeCamp, Matthew/0000-0002-9371-8729
ZB 3
ZR 0
Z8 0
TC 15
ZA 0
ZS 0
Z9 15
U1 0
U2 4
SN 0003-9926
UT WOS:000309540500012
PM 22911444
ER

PT J
AU Mair, Grant
   Ewing, Fiona
   Murchison, John T.
TI Survey of UK radiology trainees in the aftermath of 'Modernising Medical
   Careers'
SO BMC MEDICAL EDUCATION
VL 12
AR 93
DI 10.1186/1472-6920-12-93
PD OCT 2 2012
PY 2012
AB Background: Following implementation of Modernising Medical Careers
   (MMC) in the UK, potential radiology trainees must decide on their
   career and apply sooner than ever before. We aimed to determine whether
   current trainees were sufficiently informed to make an earlier career
   decision by comparing the early radiology experiences of Traditional and
   Foundation Trainees.
   Methods: 344 radiology trainees were appointed through MMC in 2007/08.
   This cohort was surveyed online.
   Results: Response rate was 174/344 (51%). Traditional Trainees made
   their career decision 2.6 years after graduation compared with 1.2 years
   for Foundation Trainees (57/167, 34%). Nearly half of responders
   (79/169, 47%) experienced no formal radiology teaching as
   undergraduates. Most trainees regularly attended radiology meetings,
   spent time in a radiology department and/or performed radiology
   research. Many trainees received no career advice specific to radiology
   (69/163, 42%) at any point prior to entering the specialty; this
   includes both formal and informal advice. Junior doctor experiences were
   more frequently cited as influencing career choice (98/164, 60%). An
   earlier career decision was associated with; undergraduate radiology
   projects (-0.72 years, p = 0.018), career advice (-0.63 years, p =
   0.009) and regular attendance at radiology meetings (-0.65 years, p =
   0.014).
   Conclusion: Early experience of radiology enables trainees to make an
   earlier career decision, however current radiology trainees were not
   always afforded relevant experiences prior to entering training.
   Radiologists need to be more proactive in encouraging the next
   generation of trainees.
RI Mair, Grant/M-9071-2016
OI Mair, Grant/0000-0003-2189-443X
ZS 0
ZA 0
TC 6
ZR 0
ZB 2
Z8 0
Z9 6
U1 0
U2 2
SN 1472-6920
UT WOS:000315147400001
PM 23031228
ER

PT J
AU Dorsch, Josephine L.
   Perry, Gerald (Jerry)
TI Evidence-based medicine at the intersection of research interests
   between academic health sciences librarians and medical educators: a
   review of the literature
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 100
IS 4
BP 251
EP 257
DI 10.3163/1536-5050.100.4.006
PD OCT 2012
PY 2012
AB Objectives: In 2008, the Association of Academic Health Sciences
   Libraries established an Education Research Task Force (ERTF) to plan
   research addressing research priorities outlined in key Association of
   American Medical Colleges reports. ERTF members conducted a literature
   review to describe the state of collaborative research at the
   intersection of medical education and health sciences librarianship.
   Analysis of initial results revealed instruction in evidence-based
   medicine (EBM) was a shared interest and is thus the focus of this
   review.
   Methods: Searches on EBM teaching programs were conducted, and results
   were posted to a shared online citation management service. Individual
   articles were assessed and assigned metadata describing subject matter,
   scope, and format.
   Results: Article analysis identified key themes. Most papers were
   descriptive narratives of curricular development. Evaluation studies
   were also prominent and often based on student satisfaction or
   self-reported competency. A smaller number of controlled studies provide
   evidence of impacts of librarian involvement in EBM instruction.
   Conclusions: Scholarship of EBM instruction is of common interest
   between medical educators and health sciences librarians. Coauthorship
   between the groups and distribution of literature points to a productive
   collaboration. An emerging literature of controlled studies measuring
   the impact of cross-disciplinary efforts signals continued progress in
   the arena of EBM instruction.
ZS 0
ZB 6
TC 17
ZR 0
ZA 0
Z8 0
Z9 23
U1 1
U2 48
SN 1536-5050
UT WOS:000310999900006
PM 23133324
ER

PT J
AU Saghafi, Ester
   Tannery, Nancy H.
   Epstein, Barbara A.
   Alman, Susan
   Tomer, Christinger
TI Development of a post-master's online certificate in health sciences
   librarianship
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 100
IS 4
BP 310
EP 313
DI 10.3163/1536-5050.100.4.015
PD OCT 2012
PY 2012
RI Tannery, Nancy Hrinya/B-5688-2009
OI Tannery, Nancy Hrinya/0000-0003-3478-3720
ZR 0
TC 2
ZA 0
ZB 0
Z8 0
ZS 0
Z9 2
U1 0
U2 11
SN 1536-5050
UT WOS:000310999900015
PM 23133333
ER

PT J
AU Pinelle, David
   Burbridge, Brent
   Kalra, Neil
TI USRC: A New Strategy for Adding Digital Images to the Medical School
   Curriculum
SO JOURNAL OF DIGITAL IMAGING
VL 25
IS 5
BP 682
EP 688
DI 10.1007/s10278-012-9473-7
PD OCT 2012
PY 2012
AB Many medical schools use learning management systems (LMSs) to give
   students access to online lecture notes, assignments, quizzes, and other
   learning resources. LMSs can also be used to provide access to digital
   radiology images, potentially improving preclinical teaching in anatomy,
   physiology, and pathology while also allowing students to develop
   interpretation skills that are important in clinical practice. However,
   it is unclear how radiology images can best be stored, imported, and
   displayed in an LMS. We developed University of Saskatchewan Radiology
   Courseware (USRC), a new web application that allows course designers to
   import images into pages linked to BlackBoard Learn, a popular LMS. Page
   content, including images, annotations, captions, and supporting text,
   are stored as teaching cases on a MIRC (Medical Imaging Resource Center)
   server. Course designers create cases in MIRC, and then create a
   corresponding page in BlackBoard by modifying an HTML template so that
   it holds the URL of a MIRC case. When a user visits the page in
   BlackBoard, the page requests content from the MIRC case, reformats the
   text for display in BlackBoard, and loads an image viewer plug-in that
   allows students to view and interact with the images stored in the case.
   The USRC technology can be used to reformat MIRC cases for presentation
   in any website or in any learning management system that supports custom
   pages written in HTML with embedded JavaScript.
OI Burbridge, Brent/0000-0001-9380-8495
Z8 0
ZS 0
ZB 0
ZR 0
TC 7
ZA 0
Z9 7
U1 0
U2 14
SN 0897-1889
UT WOS:000308955800016
PM 22527988
ER

PT J
AU Leeuwenburg, T. J.
TI Access to difficult airway equipment and training for rural
   GP-anaesthetists in Australia: results of a 2012 survey
SO RURAL AND REMOTE HEALTH
VL 12
IS 4
AR 2127
PD OCT-DEC 2012
PY 2012
AB Introduction: In rural Australia, general practitioners (GPs) form the
   frontline for provision of medical services. Besides responsibilities
   for primary care via private practice, rural doctors often provide
   emergency and inpatient services for rural hospitals. The aim of this
   study was to determine access to difficult airway equipment and training
   among the GP-anaesthetist cadre in rural Australia.
   Methods: Design: an online survey regarding availability of difficult
   airway equipment, access to ongoing training and inviting comments on
   rural anaesthesia in general. Setting: a questionnaire was distributed
   to rural doctors in January 2012 via membership databases of the Rural
   Doctors Association of Australia and state-based Rural Doctor Workforce
   Agencies. Participants: 293 participants identified as a GP-anaesthetist
   working in rural Australia (65% response rate). Of these 83% were male,
   17% female with the percentage of respondents from each state concordant
   with the distributions indicated by the 2010 Rural Health Workforce
   National Minimum Dataset. Main outcome measure: closed-ended questions
   were quantified and open-ended questions analysed to determine issues
   relevant to GP-anaesthetists.
   Results: Only 53% of GP-anaesthetists reported access to a difficult
   airway trolley or box in their facility. Lack of availability of certain
   airway equipment was reported among GP-anaesthetists, with very few
   having access to advanced intubation aids such as videolaryngoscopes or
   fibreoptic devices (flexible fibrescopes and/or malleable fibreoptic
   stylets). Open-ended questions suggested that GP-anaesthetists desired
   such aids to manage difficult airways. Only 79% had access to surgical
   airway or paediatric airway equipment. Of the respondents, 58% reported
   involvement in prehospital medicine but only 12% had received training
   in this challenging environment. A formal arrangement for prehospital
   responses existed for only 7% of respondents.
   Conclusion: Despite the existence of well-publicised algorithms for
   difficult airway management and the need for specific equipment to
   manage the difficult airway, Australian GP-anaesthetists report
   difficulty accessing essential equipment for these infrequent but
   life-threatening events. This is surprising in the light of
   recommendations from the Australian and New Zealand College of
   Anaesthetists. The consequences of difficulty in airway management can
   be catastrophic. Equipment needs must be balanced against important
   considerations including ease of use, initial and ongoing training, and
   cost. Suggestions for affordable equipment and ongoing training for
   rural GP-anaesthetists are made. The involvement of GP-anaesthetists in
   prehospital responses occurs in the absence of formal arrangements and
   with a dearth of training. There is scope to improve rural prehospital
   responses in Australia, utilising the advanced skills of
   GP-anaesthetists in resuscitation and airway management.
ZR 0
ZA 0
TC 5
ZS 1
Z8 0
ZB 0
Z9 5
U1 1
U2 9
SN 1445-6354
UT WOS:000318413700016
PM 23046184
ER

PT J
AU Mollahaliloglu, S.
   Aydogan, U.
   Kosdak, M.
   OncuL, H. G.
   Dilmen, U.
TI Physician scarcity in underdeveloped areas of Turkey: what do new
   graduate physicians think?
SO RURAL AND REMOTE HEALTH
VL 12
IS 4
AR 2067
PD OCT-DEC 2012
PY 2012
AB Introduction: A sufficient and balanced distribution of physicians plays
   a key role in access to high quality healthcare services. However, this
   issue presents serious problems globally. Turkey is currently
   experiencing physician shortages, with insufficient numbers of
   physicians in its rural and underdeveloped areas. The objectives of this
   study were to identify the views of new graduate physicians, prior to
   employment, on working in underdeveloped areas, in order to discover
   factors impacting their desire to work in these areas, and to show the
   actual geographic distribution of physicians in Turkey. This provides
   the basis for discussing future policies.
   Methods: This study was conducted in Turkey from September to November
   2009. All physicians (N=4753) who graduated in 2009 were included in the
   study via online questionnaires. The response rate was 78%. Variables
   potentially related to physicians' decisions to work in underdeveloped
   areas were analyzed using the chi(2) test. To discover the imbalance in
   geographic distribution of physicians, data collected by the Turkish
   Ministry of Health (MoH) were re-analyzed. Physician density was
   calculated for the six zones determined by the MoH according to
   socioeconomic development.
   Results: Of the physicians who participated, 52.5% were male and 13.5%
   expressed a desire to work in underdeveloped areas. Male physicians were
   more likely to work in underdeveloped areas (17.5% and 9.1%,
   respectively; p<0.05). There was a significant relationship between
   desire to work in underdeveloped areas, regions of longest stay and
   birthplace (p<0.05). Physicians who had lived for a significant period
   in areas with a high number of underdeveloped cities (Southeastern and
   Eastern Turkey) and those who were born in underdeveloped cities were
   more likely to wish to work in these areas. The most influential factor
   for working in these areas was higher salaries.
   Conclusions: Physicians who have particular socioeconomic backgrounds
   such as rural origin and lower background-family income are more likely
   to have be motivated to work in underdeveloped areas. They are also more
   likely to accept work in these areas if financial and non-financial
   opportunities are provided. The findings of this study provide guidance
   for those revising health workforce policies.
RI culha, ülger aydoğan/C-9404-2015; Aydogan Culha, Ulger/
OI Aydogan Culha, Ulger/0000-0002-5899-172X
ZA 0
Z8 0
ZR 0
TC 12
ZB 0
ZS 0
Z9 12
U1 1
U2 6
SN 1445-6354
UT WOS:000318413700008
PM 23167447
ER

PT J
AU Watson, Alice J.
   Singh, Kanwaljit
   Myint-U, Khinlei
   Grant, Richard W.
   Jethwani, Kamal
   Murachver, Ellen
   Harris, Kimberly
   Lee, Thomas H.
   Kvedar, Joseph C.
TI Evaluating a web-based self-management program for employees with
   hypertension and prehypertension: A randomized clinical trial
SO AMERICAN HEART JOURNAL
VL 164
IS 4
BP 625
EP 631
DI 10.1016/j.ahj.2012.06.013
PD OCT 2012
PY 2012
AB Background Web-based self-management programs offer a novel approach for
   self-insured employers seeking to improve and maintain employee health.
   Methods We conducted a 6-month prospective, cluster-randomized
   controlled trial designed to evaluate whether worksite access to an
   automated, web-based, self-management program resulted in better blood
   pressure control. The trial was conducted at 6 EMC Corporation worksites
   in Massachusetts, each of which had at least 600 employees; 404 EMC
   employees with pre-hypertension or hypertension participated.
   Participants at 3 worksites received a home blood pressure cuff that
   uploaded readings to a Web site where they could view trends and read
   automated rules-based messages. Participants at 3 worksites received
   access to an onsite blood pressure cuff. Primary outcome measure was
   change in systolic blood pressure. Secondary outcome measures were
   change in diastolic blood pressure, proportion of participants achieving
   significant changes in systolic and diastolic blood pressure, and
   subject satisfaction.
   Results Although the mean change in systolic blood pressure was not
   significantly different between intervention and control groups (-1.69
   vs. -0.86 mm HG, respectively, P = .49) the change in diastolic blood
   pressure between groups was significant. (-1.08 vs. = 1.47 mm HG,
   respectively, P < .001). Significantly more intervention participants
   experienced a >10-mm Hg decrease in systolic blood pressure or >5-mm Hg
   decrease in diastolic blood pressure compared to controls (22% vs 17%, P
   = .02 and 29% vs 16%, P = .03, respectively). Intervention participants
   were twice as likely to report starting a new medication (P = .02) and
   more likely to report improved communication with their doctor (P =
   .02).
   Conclusions Participation in an automated online self-management program
   resulted in improved blood pressure among employees with prehypertension
   or hypertension. (Am Heart J 2012;164:625-31.)
OI Grant, Richard/0000-0002-6164-8025
ZA 0
ZB 10
TC 36
ZR 0
Z8 3
ZS 0
Z9 39
U1 0
U2 21
SN 0002-8703
UT WOS:000310506000028
PM 23067923
ER

PT J
AU Rouge-Bugat, Marie-Eve
   Herin, Fabrice
   Julien, Sylvie
   Oustric, Stephane
   Forichon, Emmanuel
   Delaperche, Florence
   Bauvin, Eric
   Delord, Jean-Pierre
   Grosclaude, Pascale
TI Compensable occupational disease and cancer: how to improve the
   recognition rate? "Cursus Laboris" Project in Midi-Pyrenees: feasibility
   study
SO BULLETIN DU CANCER
VL 99
IS 10
BP 927
EP 934
DI 10.1684/bdc.2012.1649
PD OCT 2012
PY 2012
AB Introduction. Five to ten percent of cancers are of occupational origin
   but only 0.5% of cancers are compensable occupational diseases
   recognized in 2001. The project "Curriculum Laboris" was launched in
   Midi-Pyrenees with the objective to establish an organization to improve
   the identification, reporting and recognition of occupational cancers.
   Patients and methods. The project consisted firstly in creating an
   online training module for professionals. Furthermore, a pilot has
   identified patients with lung, bladder, head and neck or hematologic
   cancer. Afterwards, four investigators realized an interview with the
   patients "marked" to define their careers. Finally, a group of experts
   produced advice, providing the general practitioner, the aid element in
   drafting the initial medical certificate (CMI) as part of the
   recognition process. Results. Twenty-three patients were identified, 21
   surveys were carried out. Six returns were filed and actually
   recognized. Conclusion. The generalization of our device measures meet
   the Cancer Plan II 2009 to 2013 and may improve the number of cancers
   recognized as compensable occupational diseases.
RI DELORD, Jean-Pierre/I-8866-2014; Grosclaude, Pascale/B-6079-2015; grosclaude, pascale/
OI DELORD, Jean-Pierre/0000-0001-7305-5561; grosclaude,
   pascale/0000-0002-6755-5970
TC 3
ZS 0
ZR 0
ZB 0
Z8 0
ZA 0
Z9 3
U1 0
U2 4
SN 0007-4551
UT WOS:000310575300008
PM 23034392
ER

PT J
AU de Jong, Ingrid G. M.
   Reinders-Messelink, Heleen A.
   Tates, Kiek
   Janssen, Wim G. M.
   Poelma, Margriet J.
   van Wijk, Iris
   van der Sluis, Corry K.
TI ACTIVITY AND PARTICIPATION OF CHILDREN AND ADOLESCENTS WITH UNILATERAL
   CONGENITAL BELOW ELBOW DEFICIENCY: AN ONLINE FOCUS GROUP STUDY
SO JOURNAL OF REHABILITATION MEDICINE
VL 44
IS 10
BP 885
EP 892
DI 10.2340/16501977-1027
PD OCT 2012
PY 2012
AB Objective: To assess whether children/adolescents with unilateral
   congenital below elbow deficiency experience activity or participation
   limitations and how they deal with those limitations.
   Methods: A qualitative study using online focus group interviews was
   held with 42 children/adolescents (in 3 age groups: 8-12, 13-16, and
   17-20 years), 17 parents and 19 health professionals. Questions were
   posted concerning activities, participation, prosthetic use,
   psychosocial functioning, and rehabilitation care. This study concerns
   the first two topics; activities and participation.
   Results: Children/adolescents experienced only a few limitations, and
   there were no activities or participation situations that were
   impossible. The limitations experienced could be attributed mainly to
   environmental factors, e.g. people who lack knowledge of the child's
   capacities. Those factors were particularly decisive in transition
   phases. Children/adolescents and parents described numerous strategies
   applied to deal with the deficiency. Professionals described fewer
   strategies and emphasized the use of adaptive devices and prostheses
   more than other participants did.
   Conclusion: Having unilateral congenital below elbow deficiency did not
   interfere with any activity, but not all children/adolescents had the
   ability to perform all activities. The strategies described by
   children/adolescents in managing their deficiency should be integrated
   into healthcare by providing realistic education about the various
   creative solutions and possibilities of adaptive devices and prostheses,
   and should be combined with specific training.
OI de Jong, Igle J./0000-0002-3444-5548
ZS 1
ZB 3
ZR 0
TC 16
Z8 0
ZA 0
Z9 16
U1 0
U2 19
SN 1650-1977
EI 1651-2081
UT WOS:000310189800012
PM 22990307
ER

PT J
AU Mahmud, Wagas
   Hyder, Omar
TI How Has Problem Based Learning Fared in Pakistan?
SO JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN
VL 22
IS 10
BP 652
EP 656
PD OCT 2012
PY 2012
AB Objective: To conduct a systematic review of primary research in
   undergraduate medical education in Pakistan in order to evaluate PBL
   programs, examine outcomes and competencies influenced by PBL, and
   compare them with conventional learning (lecture based learning, LBL).
   Study Design: Qualitative content analysis.
   Place and Duration of Study: Rawalpindi Medical College, Rawalpindi,
   from June 2010 - February 2011.
   Methodology: Literature was searched using online resources. Studies
   evaluating outcomes influenced by PBL, or comparing PBL with lecture
   based learning (LBL) were selected. Due to heterogeneity, a qualitative
   content analysis was performed in which studies were classified
   according to the methods of assessment; results were then summarized by
   outcome and frequencies were calculated.
   Results: Eleven studies were included. Apart from knowledge acquisition,
   students gave high ratings to PBL in selected outcomes, alone, and in
   comparison with LBL. There was a disagreement among results of studies
   that evaluated knowledge acquisition alone.
   Conclusion: Based on student perceptions, PBL has many advantages.
   However, the results of this review are limited due to heterogeneity and
   methodological weakness of studies, specially the studies that compared
   exam scores to assess knowledge acquisition.
RI Hyder, Omar/D-1441-2013
OI Hyder, Omar/0000-0002-0965-5543
ZB 1
ZS 0
Z8 0
ZR 0
TC 4
ZA 0
Z9 4
U1 0
U2 4
SN 1022-386X
EI 1681-7168
UT WOS:000310189000010
PM 23058150
ER

PT J
AU Morley, Sarah Knox
   Hendrix, Ingrid Claire
TI "Information Survival Skills": a medical school elective
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 100
IS 4
BP 297
EP 302
DI 10.3163/1536-5050.100.4.012
PD OCT 2012
PY 2012
AB Objective: The authors developed an elective course to assist students
   in (1) understanding the changing nature of scholarly communication and
   online publishing, (2) identifying resources and strategies for
   searching current best evidence, and (3) demonstrating effective
   communication of information.
   Setting: The course took place in a medical school in the Southwest.
   Participants: Second-and third-year medical students participated in the
   course.
   Intervention: A pass-fail, undergraduate-level elective was first
   offered October to December 2006. This 7.5 hour course, developed and
   co-taught by 2 health sciences library faculty, consisted of hands-on
   exercises, small group discussion, and didactic lecture.
   Conclusion: Presenting a medical school elective is one possible outlet
   for intensive bibliographic instruction. Illustrating the flow of
   information from creation to management and presentation affords
   students an opportunity to understand information in context. This
   elective has been consistently ranked very high in student evaluations
   and led to new and expanded teaching opportunities.
ZA 0
ZB 3
TC 7
ZS 0
ZR 0
Z8 0
Z9 9
U1 0
U2 22
SN 1536-5050
UT WOS:000310999900012
PM 23133330
ER

PT J
AU Moen, Meg
   Lamba, Jatinder
TI Assessment of healthcare students' views on pharmacogenomics at the
   University of Minnesota
SO PHARMACOGENOMICS
VL 13
IS 13
BP 1537
EP 1545
DI 10.2217/PGS.12.139
PD OCT 2012
PY 2012
AB Aim: The aim was to determine if the University of Minnesota (MN, USA)
   healthcare students' perceived value of pharmacogenomics matches their
   self-observed comfort and education in pharmacogenomics. Materials &
   methods: A 24-question, anonymous, online survey was distributed to all
   pharmacy, nursing and medical students enrolled at the University of
   Minnesota. Results: Among healthcare students, 70.6% agreed or strongly
   agreed that pharmacogenomics should be an important part of their
   curriculum; however, only 11.1% agreed or strongly agreed that it
   actually is. Only 29.7% of students reported taking a genetics course
   that specifically addressed the applications of genetics in pharmacy,
   and those students were more likely to feel comfortable interpreting
   information from a pharmacogenetics test, answering questions on
   pharmacogenomics, educating patients on risks and benefits of testing,
   and were comfortable that they knew which medications required
   pharmacogenomics testing. Conclusion: Healthcare students consider
   pharmacogenomics to be an important area of clinical practice; yet
   generally express it has not been an important part of their curriculum.
   Education emphasizing medical applications of pharmacogenomics can
   increase student comfort level in pharmacogenomics practice.
ZR 0
TC 23
ZA 0
Z8 0
ZS 0
ZB 11
Z9 23
U1 0
U2 6
SN 1462-2416
UT WOS:000310117800015
PM 23057552
ER

PT J
AU Kent, Bridie
   Anderson, Natalie Elizabeth
   Owens, R. Glynn
TI Nurses' early experiences with patient death: The results of an on-line
   survey of Registered Nurses in New Zealand
SO INTERNATIONAL JOURNAL OF NURSING STUDIES
VL 49
IS 10
BP 1255
EP 1265
DI 10.1016/j.ijnurstu.2012.04.005
PD OCT 2012
PY 2012
AB Background: Death has been identified as a known stressor for nurses and
   has been extensively researched in nursing populations. However, very
   little is known about the impact of a specific stressful event; that of
   the novice nurse's first encounter with patient death. Using a
   sequential quantitative-qualitative mixed methods design, a study was
   undertaken to explore the clinical circumstances, impact and challenges
   and rewards of nurses' early experiences with patient death. This paper
   reports the findings of the first phase: an exploratory survey of
   nurses' responses to this stressor.
   Method: A convenience sample of New Zealand Registered Nurses was
   recruited using email invitations; 174 respondents completed an online
   questionnaire exploring the clinical circumstances, preparedness,
   support mechanisms and impact of their earliest memorable patient death.
   Results: Most nurses reported that their earliest memory of patient
   death occurred during undergraduate training (61%) or in the first year
   of qualified practice (23%). Over 80% of these experiences occurred in
   acute medical, surgical or specialty settings in public hospitals, some
   involving paediatric or sudden unexpected deaths. Whilst some
   respondents described a rewarding, 'learning experience', others
   reported acute helplessness, guilt or marked on-going distress.
   Conclusions: Whilst little can be done to control the clinical
   circumstances of nurses' early death encounters, by understanding more
   about the reactions to death, it may be possible to minimise negative
   factors such as unexpected elements, feelings of inadequacy, exclusion
   and role conflicts whilst facilitating coping, sharing of the
   experience, personal and professional growth, and other positive
   outcomes. Nurses' early experiences with patient death appear to have a
   lasting impact on their professional and personal lives. (C) 2012
   Elsevier Ltd. All rights reserved.
RI Anderson, Natalie Elizabeth/AAG-9600-2020; Kent, Bridie/
OI Anderson, Natalie Elizabeth/0000-0001-6852-1660; Kent,
   Bridie/0000-0001-9550-1913
TC 55
Z8 0
ZS 2
ZA 0
ZR 0
ZB 0
Z9 57
U1 1
U2 43
SN 0020-7489
UT WOS:000310412200007
PM 22572018
ER

PT J
AU Shaw, Tim J.
   Pernar, Luise I.
   Peyre, Sarah E.
   Helfrick, John F.
   Vogelgesang, Kaitlin R.
   Graydon-Baker, Erin
   Chretien, Yves
   Brown, Elizabeth J.
   Nicholson, James C.
   Heit, Jeremy J.
   Co, John Patrick T.
   Gandhi, Tejal
TI Impact of online education on intern behaviour around joint commission
   national patient safety goals: a randomised trial
SO BMJ QUALITY & SAFETY
VL 21
IS 10
BP 819
EP 825
DI 10.1136/bmjqs-2011-000702
PD OCT 2012
PY 2012
AB Purpose: To compare the effectiveness of two types of online learning
   methodologies for improving the patient-safety behaviours mandated in
   the Joint Commission National Patient Safety Goals (NPSG).
   Methods: This randomised controlled trial was conducted in 2010 at
   Massachusetts General Hospital and Brigham and Women's Hospital (BWH) in
   Boston USA. Incoming interns were randomised to either receive an online
   Spaced Education (SE) programme consisting of cases and questions that
   reinforce over time, or a programme consisting of an online slide show
   followed by a quiz (SQ). The outcome measures included NPSG-knowledge
   improvement, NPSG-compliant behaviours in a simulation scenario,
   self-reported confidence in safety and quality, programme acceptability
   and programme relevance.
   Results: Both online learning programmes improved knowledge retention.
   On four out of seven survey items measuring satisfaction and
   self-reported confidence, the proportion of SE interns responding
   positively was significantly higher (p<0.05) than the fraction of SQ
   interns. SE interns demonstrated a mean 4.79 (36.6%) NPSG-compliant
   behaviours (out of 13 total), while SQ interns completed a mean 4.17
   (32.0%) (p=0.09). Among those in surgical fields, SE interns
   demonstrated a mean 5.67 (43.6%) NPSG-compliant behaviours, while SQ
   interns completed a mean 2.33 (17.9%) (p=0.015). Focus group data
   indicates that SE was more contextually relevant than SQ, and
   significantly more engaging.
   Conclusion: While both online methodologies improved knowledge
   surrounding the NPSG, SE was more contextually relevant to trainees and
   was engaging. SE impacted more significantly on both self-reported
   confidence and the behaviour of surgical residents in a simulated
   scenario.
RI Pernar, Luise I/ABC-9742-2020; Peyre, Sarah/; Heit, Jeremy/
OI Pernar, Luise I/0000-0002-2142-7252; Peyre, Sarah/0000-0003-0775-537X;
   Heit, Jeremy/0000-0003-1055-8000
Z8 0
ZS 1
ZB 1
ZA 0
TC 31
ZR 0
Z9 31
U1 0
U2 8
SN 2044-5415
UT WOS:000309513900003
PM 22706930
ER

PT J
AU Brockes, Christiane
   Schenkel, Jan Samuel
   Buehler, Rachel Neuhaus
   Graetz, Klaus
   Schmidt-Weitmann, Sabine
TI Medical online consultation service regarding maxillofacial surgery
SO JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
VL 40
IS 7
BP 626
EP 630
DI 10.1016/j.jcms.2012.03.018
PD OCT 2012
PY 2012
AB Objective: The University Hospital of Zurich provides a medical online
   consultation service since 1999. Our aim was to characterise the users
   of an online consultation with queries regarding maxillofacial surgery,
   to analyse the content of their questions and to study the actions by
   the internet doctors with the ambition of defining whether the
   telemedical consultation is a useful tool in this surgical field.
   Materials and methods: The procedure of inductive category development
   described by MAYRING was used. A professional text analysis program
   MAXQDA supported the process of analysis. 204 questions were evaluated.
   Results: Men sent 37% of the questions, 48% originated by women, mean
   age was 38 years. Often they asked for information about medical
   therapies or pharmaceuticals (n = 74) and about specific disease or an
   injury (n = 26). The three most common maxillofacial surgery topics were
   sinusitis (n = 21), aphthae in the mouth (n = 17) and basal cell
   carcinoma (n = 14).
   Conclusions: Online consultation is not only understood as a first
   contact with the healthcare system but also as a centre to get
   professional further and detailed information and advice after a doctor
   visit, especially about chronic diseases and infections. Online
   consultation can complement the traditional healthcare and conventional
   physician-patient relationship in maxillofacial surgery. (C) 2012
   European Association for Cranio-Maxillo-Facial Surgery.
OI Schmidt-Weitmann, Sabine/0000-0002-0709-7971
ZB 1
ZA 0
Z8 0
ZS 0
TC 15
ZR 0
Z9 15
U1 1
U2 20
SN 1010-5182
EI 1878-4119
UT WOS:000309947100013
PM 22555239
ER

PT J
AU Kerfoot, B. Price
   Baker, Harley
   Pangaro, Louis
   Agarwal, Kathryn
   Taffet, George
   Mechaber, Alex J.
   Armstrong, Elizabeth G.
TI An Online Spaced-Education Game to Teach and Assess Medical Students: A
   Multi-Institutional Prospective Trial
SO ACADEMIC MEDICINE
VL 87
IS 10
BP 1443
EP 1449
DI 10.1097/ACM.0b013e318267743a
PD OCT 2012
PY 2012
AB Purpose
   To investigate whether a spaced-education (SE) game can be an effective
   means of teaching core content to medical students and a reliable and
   valid method of assessing their knowledge.
   Method
   This nine-month trial (2008-2009) enrolled students from three U.S.
   medical schools. The SE game consisted of 100 validated multiple-choice
   questions-explanations in preclinical/clinical domains. Students were
   e-mailed two questions daily. Adaptive game mechanics re-sent questions
   in three or six weeks if answered, respectively, incorrectly or
   correctly. Questions expired if not answered on time (appointment
   dynamic). Students retired questions by answering each correctly twice
   consecutively (progression dynamic). Posting of relative performance
   fostered competition. Main outcome measures were baseline and completion
   scores.
   Results
   Seven-hundred thirty-one students enrolled. Median baseline score was
   53% (interquartile range [IQR] 16) and varied significantly by year (P <
   .001, d(max) = 2.08), school (P < .001, d(max) = 0.75), and gender (P <
   .001, d = 0.38). Median completion score was 93% (IQR 12) and varied
   significantly by year (P = .001, d(max) = 1.12), school (P < .001,
   d(max) = 0.34), and age (P = .019, d(max) = 0.43). Scores did not differ
   significantly between years 3 and 4. Seventy percent of enrollees
   (513/731) requested to participate in future SE games.
   Conclusions
   An SE game is an effective and well-accepted means of teaching core
   content and a reliable and valid method to assess student knowledge. SE
   games may be valuable tools to identify and remediate students who could
   benefit from additional educational support.
ZB 8
TC 35
ZA 0
Z8 0
ZS 0
ZR 0
Z9 36
U1 0
U2 15
SN 1040-2446
EI 1938-808X
UT WOS:000309544000033
PM 22914524
ER

PT J
AU Hsii, Anne
   Hillard, Paula
   Yen, Sophia
   Golden, Neville H.
TI Pediatric Residents' Knowledge, Use, and Comfort With Expedited Partner
   Therapy for STIs
SO PEDIATRICS
VL 130
IS 4
BP 705
EP 711
DI 10.1542/peds.2011-3764
PD OCT 2012
PY 2012
AB OBJECTIVE: We examined California pediatric residents' knowledge,
   practices, and comfort of providing expedited partner therapy (EPT) for
   sexually transmitted infections, by postgraduate year of training and
   presence of an adolescent medicine fellowship. We hypothesized that few
   residents are aware of EPT, and fewer are comfortable providing it;
   knowledge, practices, and comfort increase during residency; and
   presence of an adolescent medicine fellowship increases knowledge,
   practices, and comfort.
   METHODS: Online anonymous questionnaires were completed by pediatric
   residents from 14 California programs.
   RESULTS: Two hundred eighty-nine pediatric residents (41% response; mean
   age, 29.4 +/- 2.7 years; 78% female) responded. Twenty-two percent
   reported being moderately or very familiar with EPT. Most correctly
   identified several EPT methods. Incorrectly identified as EPT included
   patient (55%), health department (42%), and provider (37%) referrals.
   Only 8% were aware of California's legal status regarding EPT.
   Sixty-nine percent knew that California law allows EPT for chlamydia and
   gonorrhea, but 38% incorrectly stated that EPT can be used to treat
   trichomoniasis. Fifty-two percent reported ever providing EPT, but 30%
   of them were uncomfortable doing so. Postgraduate year 1 residents were
   significantly more likely to report lack of experience as a barrier to
   prescribing EPT. Residents in programs with the presence of an
   adolescent medicine fellowship had significantly higher global knowledge
   scores and were more likely to practice EPT with fewer concerns.
   CONCLUSIONS: California pediatric residents have knowledge gaps and
   discomfort providing EPT, and the presence of adolescent medicine
   fellowship is associated with increased EPT knowledge, use, and comfort
   among residents. Our findings demonstrate a need to improve EPT
   education in pediatric residencies. Pediatrics 2012;130:705-711
ZR 0
ZB 7
ZS 0
Z8 0
TC 12
ZA 0
Z9 12
U1 0
U2 4
SN 0031-4005
EI 1098-4275
UT WOS:000309412100056
PM 22987881
ER

PT J
AU Huynh, Monica
   Lee, Andrew D.
   Miller, Lee M.
   Davis, Scott
   Feldman, Steven R.
   McMichael, Amy
TI Patients' Satisfaction With Dermatology Residents
SO SOUTHERN MEDICAL JOURNAL
VL 105
IS 10
BP 520
EP 523
DI 10.1097/SMJ.0b013e318268ccff
PD OCT 2012
PY 2012
AB Objectives: Patients' perception of quality is a critical primary
   outcome of medical care. Important downstream effects of perceived
   quality include a more trusting attitude toward the physician, more
   adherence to treatment, and better treatment outcomes. Patients'
   satisfaction issues are important to address during dermatology
   residency training. The aim of the study was to determine patients'
   satisfaction with dermatology residents and identify potential areas
   that could be targeted to improve satisfaction.
   Methods: Dermatology residents informed patients about a survey on an
   online doctor rating/patients' satisfaction Web site (www.DrScore.com),
   provided the patients with cards with the Web site address, and
   requested that they complete the survey. Respondents provided an overall
   rating, open comments, and detailed information in seven core areas. The
   numerical ratings were on a scale from 0 (not at all satisfied) to 10
   (extremely satisfied). Patients had the option of indicating aspects of
   care that could be improved. Descriptive statistics are reported.
   Results: A total of 148 surveys were collected with a mean rating for
   the six residents of 9.7 out of 10, with a range of 9.4 to 10. The
   average during the early period was 9.7 out of 10, whereas the average
   during the late period was 9.8 out of 10. Fifty-two surveys (35%)
   indicated areas for improvement, with the most common issues related to
   staff, parking availability, waiting time, waiting area, and ability to
   obtain information.
   Conclusions: Patients were generally satisfied with the care provided by
   dermatology residents. Areas for improvement were identified, but these
   were largely areas over which residents do not have direct control.
RI Feldman, Steven R./AAH-6971-2021
OI Feldman, Steven R./0000-0002-0090-6289
ZA 0
ZB 0
ZR 0
TC 3
ZS 0
Z8 0
Z9 3
U1 0
U2 1
SN 0038-4348
UT WOS:000309656100007
PM 23038482
ER

PT J
AU Krause, J. S.
   Saunders, L. L.
   Acuna, J.
TI Gainful employment and risk of mortality after spinal cord injury:
   effects beyond that of demographic, injury and socioeconomic factors
SO SPINAL CORD
VL 50
IS 10
BP 784
EP 788
DI 10.1038/sc.2012.49
PD OCT 2012
PY 2012
AB Objective: To evaluate the association of three levels of gainful
   employment with the risk of mortality after traumatic spinal cord injury
   (SCI) while controlling for known predictors of mortality status
   (including education and income).
   Study design: Prospective cohort study
   Setting: A total of 20 federally funded SCI Model Systems of care in the
   United States.
   Methods: Participants included 7955 adults with traumatic SCI.
   Preliminary assessments were conducted between 1995 and 2006. Mortality
   status was determined by the Social Security Death Index (1308 deaths).
   A two-stage logistic regression model was used to estimate the chance of
   dying in any given year. Life expectancy was calculated under different
   economic assumptions.
   Results: Compared with those who were working 30 + h per week, the odds
   of mortality was 1.37 for those who worked 1-29 h and 1.67 for those who
   were unemployed. The addition of gainful employment only modestly
   reduced the effects of household income and education, both of which
   remained significant. For instance, the odds of mortality for household
   income (referent $75 000 +) decreased from 1.50 to 1.38 for $25 000-$75
   000 and from 2.10 to 1.82 for <$25 000. Life expectancy varied widely
   depending on socioeconomic characteristics more than doubling under
   certain assumptions.
   Conclusion: Substantial variation in mortality is attributable to
   employment, above and beyond the effects of previously established
   demographic, injury and socioeconomic predictors. Although some excess
   mortality may be the inevitable consequence of SCI, risk is
   substantially increased with poor socioeconomic characteristics. Spinal
   Cord (2012) 50, 784-788; doi:10.1038/sc.2012.49; published online 1 May
   2012
TC 31
ZR 0
ZA 0
Z8 0
ZS 0
ZB 11
Z9 31
U1 1
U2 10
SN 1362-4393
UT WOS:000309670900012
PM 22547046
ER

PT J
AU McDonald, Andrea
   Paterson, Helen
   Herbison, Peter
TI Registrar interest in academic obstetrics and gynaecology: A
   cross-sectional survey
SO AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
VL 52
IS 5
BP 476
EP 482
DI 10.1111/j.1479-828X.2012.01468.x
PD OCT 2012
PY 2012
AB Background New Zealand has an urgent need to train and retain obstetrics
   and gynaecology academics, and postgraduate training pathways are being
   considered. Aims To gauge registrar interest in an academic training
   position and an academic career; analyse the importance of various
   encouraging factors; and investigate how demographics, experience and
   encouragers may be associated with academic interest. Methods All
   obstetric and gynaecology registrars working in New Zealand were invited
   by their clinical directors to participate in an online survey in
   MarchJune 2011. Statistical analysis, using Fisher's Exact and
   chi-squared tests, was used to investigate how demographic, experience
   and encourager variables were associated with academic interest. Results
   Of the 58 participants, 46 were women, 32 were New Zealand medical
   graduates and 43 were on the training program. Over half (54%) indicated
   they would consider a 1-year rotating research/teaching position and 45%
   an academic career. The most important encouraging factors for academic
   work were interest, opportunity to balance clinical and academic roles,
   job flexibility (lifestyle and family) and a supportive academic
   environment. Women were nearly nine times more likely to consider
   academic training (OR 8.75, P=0.007), and trainees were one-third as
   likely to consider it compared to non-trainees (OR 0.31, P=0.073).
   Conclusions New Zealand has the unique ability to approach retention and
   training issues in a flexible and innovative manner which utilises
   international links. Clinical academic training positions should be
   set-up with quality supervision and support similar pay scales and the
   opportunity for simultaneous part-time clinical practice.
OI Herbison, Graham Peter/0000-0002-5684-024X; Teng,
   Andrea/0000-0002-6116-3941
ZS 0
ZA 0
ZR 0
TC 4
Z8 0
ZB 1
Z9 4
U1 0
U2 4
SN 0004-8666
UT WOS:000309715000013
PM 22861818
ER

PT J
AU Amato, Paula
   Brzyski, Robert
   Braverman, Andrea
   Benward, Jean
   Stein, Andrea
   Steinbock, Bonnie
   Wilder, Bruce
   Reindollar, Richard
   Lamb, Dolores
   Robertson, John
   Daar, Judith
   Francis, Leslie
   Gibson, Mark
   Fisseha, Senait
   Ralston, Steven
   Sauer, Mark
   Spillman, Monique
   Rebar, Robert
   Tipton, Sean
CA Amer Soc Reprod Med
TI Using family members as gamete donors or surrogates
SO FERTILITY AND STERILITY
VL 98
IS 4
BP 797
EP 803
DI 10.1016/j.fertnstert.2012.06.046
PD OCT 2012
PY 2012
AB The use of intrafamilial gamete donors and surrogates is generally
   ethically acceptable when all participants are fully informed and
   counseled, but arrangements that replicate the results of true
   consanguineous or incestuous unions should be prohibited, child to
   parent arrangements are generally unacceptable, and parent to child
   arrangements are acceptable in limited situations. Programs that choose
   to participate in intrafamilial arrangements should be prepared to spend
   additional time counseling participants and ensuring that they have made
   free, informed decisions. (Fertil Steril (R) 2012;98:797-803. (C) 2012
   by American Society for Reproductive Medicine.) Earn online CME credit
   related to this document at www.asrm.org/elearn
ZR 0
TC 17
Z8 0
ZS 0
ZA 0
ZB 8
Z9 17
U1 0
U2 12
SN 0015-0282
EI 1556-5653
UT WOS:000309553500007
PM 22835449
ER

PT J
AU Amato, Paula
   Brzyski, Robert
   Braverman, Andrea
   Benward, Jean
   Stein, Andrea
   Steinbock, Bonnie
   Wilder, Bruce
   Lamb, Dolores
   Reindollar, Richard
   Robertson, John
   Daar, Judith
   Francis, Leslie
   Gibson, Mark
   Rebar, Robert
   Tipton, Sean
   Fisseha, Senait
   Ralston, Steven
   Spillman, Monique
CA Amer Soc Reprod Med
TI Human somatic cell nuclear transfer and cloning
SO FERTILITY AND STERILITY
VL 98
IS 4
BP 804
EP 807
DI 10.1016/j.fertnstert.2012.06.045
PD OCT 2012
PY 2012
AB This document presents arguments that conclude that it is unethical to
   use somatic cell nuclear transfer (SCNT) for infertility treatment due
   to concerns about safety; the unknown impact of SCNT on children,
   families, and society; and the availability of other ethically
   acceptable means of assisted reproduction. This document replaces the
   ASRM Ethics Committee report titled, "Human somatic cell nuclear
   transfer (cloning)," last published in Fertil Steril 2000;74:873-6.
   (Fertil Steril (R) 2012;98:804-7. (C) 2012 by American Society for
   Reproductive Medicine.) Earn online CME credit related to this document
   at www.asrm.org/elearn
ZS 0
ZB 0
ZR 0
TC 2
ZA 0
Z8 0
Z9 2
U1 0
U2 41
SN 0015-0282
UT WOS:000309553500008
PM 22795681
ER

PT J
AU Witt, Ali
   Iglesias, Stuart
   Ashbury, Ted
TI Evaluation of Canadian family practice anesthesia training programs: can
   the Resident Logbook help?
SO CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
VL 59
IS 10
BP 968
EP 973
DI 10.1007/s12630-012-9759-8
PD OCT 2012
PY 2012
AB Without a core curriculum for the training and evaluation of Canada's
   family practice anesthetists, little is known regarding the training
   process of these physicians. This article offers a description of the
   variety of cases and procedures experienced by family practice
   anesthesiology (FPA) residents during their training year based on
   records in the Resident Logbook.
   Data were extracted from the Resident Logbook, an online program wherein
   FPA residents across Canada record their daily activities. Data were
   extracted for four residents from 2009/2010 and four from 2010/2011who
   had recorded the largest number of patient encounters for the academic
   year. Medians were calculated for cases and procedures relevant to the
   practice of a family practice anesthetist.
   Residents in FPA use the Resident Logbook inconsistently. The trainees
   we selected entered a median of 1,418 encounters for 2009/2010 and 1,074
   for 2010/2011. Residents appear to have most of their clinical
   encounters with cases and procedures relevant to FPA. There is still a
   need, though, to improve areas previously cited as requiring
   augmentation, such as trauma management and peripheral nerve blocks.
   Although FPA residents use the Resident Logbook inconsistently, the data
   obtained offer an initial description of the composition of the FPA
   training year. We believe that the Resident Logbook offers an excellent
   tool for furthering the goal of a standardized curriculum and assessment
   program for FPA training.
ZS 1
Z8 0
ZB 2
ZR 0
TC 6
ZA 0
Z9 7
U1 0
U2 0
SN 0832-610X
EI 1496-8975
UT WOS:000308653100008
PM 22836577
ER

PT J
AU Bertino, E.
   Varalda, A.
   Di Nicola, P.
   Coscia, A.
   Occhi, L.
   Vagliano, L.
   Soldi, A.
   Perathoner, C.
TI Drugs and breastfeeding: instructions for use
SO JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
VL 25
BP 78
EP 80
DI 10.3109/14767058.2012.715034
SU 4
PD OCT 2012
PY 2012
AB It's universally well known that breastfeeding, due to its numerous
   beneficial effects on child and maternal health, is the best feeding
   method for infants. The use of medication by the nursing mother and the
   physician's advice to stop nursing are the most common reasons for the
   cessation of breastfeeding. The physician plays an extremely delicate
   role and should be able to assess risks and benefits for both mother and
   child. The issue of which drugs are safe to take during lactation is
   quite complicated. Three main factors must be taken into account:
   pharmacokinetics, assessment of the risk to the infant and to the
   lactation. Excellent sources of reliable information are the reference
   books. For the most up-to-date information it would be useful to consult
   the online medical literature. Few drugs have been demonstrated to be
   absolutely contraindicated during breastfeeding. Clear, safe and
   reliable information is still lacking for most drugs. It would be
   desirable to see an improvement in knowledge about mechanisms for
   transfer of drugs into milk, to analyze the biotransformation process
   for a given drug and to study the clinical consequences of infant
   exposure to drugs present in milk.
RI coscia, alessandra/AFR-8018-2022; BERTINO, Enrico/
OI coscia, alessandra/0000-0001-5094-1077; BERTINO,
   Enrico/0000-0002-6369-9352
ZS 1
TC 1
Z8 0
ZR 0
ZA 0
ZB 0
Z9 1
U1 0
U2 10
SN 1476-7058
EI 1476-4954
UT WOS:000308726800023
PM 22958026
ER

PT J
AU Cheng, Yuh-Ming
   Kuo, Sheng-Huang
   Lou, Shi-Jer
   Shih, Ru-Chu
TI THE EFFECT OF APPLYING ONLINE PBL CASE SYSTEM TO MULTIPLE DISCIPLINES OF
   MEDICAL EDUCATION
SO TURKISH ONLINE JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 11
IS 4
BP 283
EP 294
PD OCT 2012
PY 2012
AB Teaching cases in medical education are often exhibited through various
   professional angles, but for patient-centered teaching cases, the
   division of labor among different specialties is even more important.
   However, general medical education platforms cannot provide such
   mechanisms for physicians. Thus, this study adopted a clinical medical
   education platform "HINTS" to establish a patient-centered
   interdisciplinary medical/clinical education mechanism for medical
   students to obtain a more holistic thinking process in practical
   training for clinical medicine. Additionally, rule-based and
   document-view methods were administered to successfully establish
   methods to edit and present teaching cases, installing them on "HINTS."
   The results of the preliminary experimentation show that applying online
   PBL case system can be very beneficial for the learning effects of
   medical students.
TC 2
ZA 0
ZB 1
ZR 0
Z8 0
ZS 0
Z9 2
U1 0
U2 6
SN 2146-7242
UT WOS:000309531600028
ER

PT J
AU Faulk, Clinton E.
   Lee, Tae Joon
   Musick, David
TI Implementing a Multidimensional Geriatric Curriculum in a Physical
   Medicine and Rehabilitation Residency Program
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 91
IS 10
BP 883
EP 889
DI 10.1097/PHM.0b013e318264408f
PD OCT 2012
PY 2012
AB Faulk CE, Lee TJ, Musick D: Implementing a multidimensional geriatric
   curriculum in a physical medicine and rehabilitation residency program.
   Am J Phys Med Rehabil 2012; 91: 883-889.
   Residency training in physical medicine and rehabilitation may not
   contain a formal curriculum in geriatric patient care. A
   multidimensional geriatric curriculum to third and fourth year physical
   medicine and rehabilitation residents was implemented to enhance their
   knowledge in and attitude toward geriatrics. The curriculum consisted of
   a 12-wk clinical rotation at various sites of geriatric care including
   outpatient geriatric clinic, skilled nursing facility, continuing care
   retirement community, and home visits. Six online self-learning modules
   and multiple didactic sessions were also created. The residents'
   knowledge and attitude were assessed by pretest and posttest design
   using the Geriatric Knowledge Test, the Geriatric Attitude Scale, and
   the Attitudes Toward Teamwork in Healthcare Scale. In addition, the
   residents completed rotation evaluations to rate their learning
   experiences. Ten postgraduate year 3 and 4 physical medicine and
   rehabilitation residents participated in the geriatric curriculum, which
   included a required rotation. The Geriatric Knowledge Test score at
   baseline was 67.2%. With the completion of the curriculum, the Geriatric
   Knowledge Test scores showed improvement to 72.7%, although not
   statistically significant. The residents showed more favorable attitudes
   toward the geriatric population and interdisciplinary teamwork as
   measured by the Geriatric Attitude Scale and the Attitudes Toward
   Teamwork in Healthcare Scale. Overall, they rated the learning
   experiences highly on a 1-9 rating scale, with 9 being the highest
   rating; the residents assigned an average rating of 7.06 to specific
   learning activities within the rotation and an average rating of 6.89 to
   the organizational aspects of the rotation itself. The implementation of
   this geriatric curriculum allowed for improved geriatric training in
   physical medicine and rehabilitation residents.
RI Musick, David W./AAU-6775-2020
OI Musick, David W./0000-0002-4590-5335
TC 8
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
Z9 8
U1 1
U2 12
SN 0894-9115
EI 1537-7385
UT WOS:000309222100008
PM 22854907
ER

PT J
AU Schwarzenberger, Kathryn
TI Confessions of a JID-Lapsed Clinician-Educator
SO JOURNAL OF INVESTIGATIVE DERMATOLOGY
VL 132
IS 10
BP 2307
EP 2308
DI 10.1038/jid.2012.277
PD OCT 2012
PY 2012
ZS 0
ZR 0
ZA 0
TC 2
ZB 2
Z8 0
Z9 2
U1 0
U2 0
SN 0022-202X
UT WOS:000308909700002
PM 22971915
ER

PT J
AU Sinno, Hani
   Izadpanah, Ali
   Thibaudeau, Stephanie
   Christodoulou, Georges
   Tahiri, Youssef
   Slavin, Sumner A.
   Lin, Samuel J.
TI The Impact of Living With a Functional and Aesthetic Nasal Deformity
   After Primary Rhinoplasty A Utility Outcomes Score Assessment
SO ANNALS OF PLASTIC SURGERY
VL 69
IS 4
BP 431
EP 434
DI 10.1097/SAP.0b013e3182480384
PD OCT 2012
PY 2012
AB Background: Revision rhinoplasty for functional deformities can be both
   an aesthetic and reconstructive surgical challenge. We set out to
   quantify the health state utility assessment of living with the physical
   appearance of nasal asymmetry along with having nasal obstruction. The
   use of utility scores has helped to establish the health burden of
   living with various medical conditions. We sought to quantify living
   with a health state of nasal asymmetry with nasal obstruction after
   primary rhinoplasty using utility outcome scores.
   Methods: We used previously validated utility outcome measures to
   quantify the health burden of this clinical scenario in 128 prospective
   subjects. These subjects were from a sample of the population and
   medical students recruited to complete a survey to determine the utility
   outcome score of revision rhinoplasty using visual analog scale (VAS),
   time trade-off (TTO), and standard gamble (SG) tests to obtain utility
   scores for revision rhinoplasty. Linear regression and Student t test
   were used for statistical analysis.
   Results: All measures (VAS, TTO, and SG) for functional nasal deformity
   (0.80 +/- 0.13, 0.90 +/- 0.12, and 0.91 +/- 0.13, respectively) of the
   128 prospective subjects participating in this online study were
   significantly different (P < 0.005) from the corresponding scores for
   monocular blindness (0.63 +/- 0.15, 0.85 +/- 0.16, and 0.85 +/- 0.19,
   respectively) and binocular blindness (0.38 +/- 0.18, 0.66 +/- 0.25, and
   0.69 +/- 0.24, respectively). Being white was inversely related to the
   VAS utility scores for rhinoplasty (P < 0.05). Additionally, female sex
   was positively correlated to the TTO score. Age, income, and education
   were not predictors of utility scores.
   Conclusions: In a sample of the population and medical students, VAS,
   TTO, and SG utility scores for revision rhinoplasty were determined and
   can be compared objectively with other health states and diseases with
   known utility scores. In a preoperative setting, women were objectively
   willing to potentially "trade" more years of life to treat a functional
   nasal deformity. If faced with a deformed nose after primary
   rhinoplasty, our sample population would consent to undergo a revision
   rhinoplasty procedure with a theoretical 9% chance of mortality and were
   willing to trade 3.6 years of their remaining life.
CT 28th Annual Meeting of the Northeastern-Society-of-Plastic-Surgeons
   (NESPS)
CY OCT 20-23, 2011
CL Amelia Island, FL
SP NE Soc Plast Surg (NESPS)
RI Lin, Samuel/P-6158-2019; Chen, Austin D/N-3879-2017
ZA 0
TC 20
ZS 0
ZR 0
Z8 0
ZB 0
Z9 20
U1 0
U2 2
SN 0148-7043
EI 1536-3708
UT WOS:000308866500025
PM 22964667
ER

PT J
AU Rissmann, Robert
   Dubois, Eline A.
   Franson, Kari L.
   Cohen, Adam F.
TI Concept-based learning of personalized prescribing
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 74
IS 4
SI SI
BP 589
EP 596
DI 10.1111/j.1365-2125.2012.04270.x
PD OCT 2012
PY 2012
AB The variability of drug response in different patients can be caused by
   various factors including age, change in renal function, co-medication
   and genotype. Traditionally, these personal variables are considered by
   clinicians prior to issuing a prescription. This paper provides an
   overview of a process to individualize prescribing for a patient with an
   emphasis on how to train (learning) clinicians in skillful rational
   prescribing. For this purpose the 6STEP methodology, a concept-based
   learning strategy to achieve a structured therapeutic plan, has been
   introduced. In contrast to older educational approaches which focused
   primarily on the drugs or the process of prescribing, the 6STEP is a
   patient-centred method resulting in individualized therapy. The six
   interlinked steps provide the (training) prescriber with a structured
   framework that facilitates a rationalized therapeutic decision by
   focusing on the individual patient parameters that influence drug
   response. Educational tools for rational prescribing involve
   understanding of basic and clinical pharmacological principles,
   practicing to write 6STEP therapeutic plans, learning from feedback
   sessions on these plans and actively obtaining up to date information on
   drugs and therapeutic standards from online resources.
OI Rissmann;Rissmann, Robert/0000-0002-5867-9090; Franson,
   Kari/0000-0003-2314-179X
ZS 0
ZR 0
Z8 0
ZA 0
TC 6
ZB 4
Z9 7
U1 0
U2 5
SN 0306-5251
EI 1365-2125
UT WOS:000308373800006
PM 22420749
ER

PT J
AU Becker, Marion A.
   Boaz, Timothy L.
   DeMuth, Anne
   Andel, Ross
TI Predictors of emergency commitment for nursing home residents: the role
   of resident and facility characteristics
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 27
IS 10
BP 1028
EP 1035
DI 10.1002/gps.2817
PD OCT 2012
PY 2012
AB Objectives The ability of nursing homes to manage the mental health
   needs of their residents is crucial to providing high quality care. An
   important element is preventing exacerbations of psychiatric conditions
   that trigger discharge from the nursing home (NH) because of an
   emergency commitment (EC) for an involuntary psychiatric examination.
   The objective of this study was to examine the relationship between
   resident and facility characteristics and the risk of EC for involuntary
   psychiatric examination among Medicaid-enrolled NH residents in Florida.
   Design This retrospective cohort study employed 2.5?years (31 December
   2002 through 30 June 2005) of Medicaid enrollment and fee-for-service,
   pharmacy, and involuntary commitment data to examine resident
   characteristics. NH characteristics were obtained from the Online Survey
   Certification and Reporting database. Setting Medicaid-certified NHs in
   Florida (N?=?584). Participants Medicaid-enrolled NH residents
   (N?=?32,604). Results Younger age, male gender, having dementia, having
   a serious mental illness (SMI), and residing in a for-profit facility
   were all independently associated with the greater risk of EC. Although
   most residents with EC were prescribed psychotropic medication, less
   than half received non-pharmacological behavioral health outpatient
   services before or after their involuntary psychiatric examination.
   Conclusion Our findings highlight the salience of resident and facility
   characteristics to prevalence rates of EC for involuntary psychiatric
   examinations among NH residents and underscore a need for increased
   education, communication, and future research on the predictive factors
   as well as the consequences of these adverse events. Copyright (c) 2011
   John Wiley & Sons, Ltd.
OI Andel, Ross/0000-0003-4083-4790
ZA 0
ZS 0
TC 3
ZR 0
Z8 0
ZB 0
Z9 3
U1 0
U2 15
SN 0885-6230
UT WOS:000308305500005
PM 23115781
ER

PT J
AU Evans, Suzanne B.
   Yu, James B.
   Chagpar, Anees
TI How Radiation Oncologists Would Disclose Errors: Results of a Survey of
   Radiation Oncologists and Trainees
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 84
IS 2
BP E131
EP E137
DI 10.1016/j.ijrobp.2012.03.010
PD OCT 1 2012
PY 2012
AB Purpose: To analyze error disclosure attitudes of radiation oncologists
   and to correlate error disclosure beliefs with survey-assessed
   disclosure behavior.
   Methods and Materials: With institutional review board exemption, an
   anonymous online survey was devised. An email invitation was sent to
   radiation oncologists (American Society for Radiation Oncology [ASTRO]
   gold medal winners, program directors and chair persons of academic
   institutions, and former ASTRO lecturers) and residents. A disclosure
   score was calculated based on the number or full, partial, or no
   disclosure responses chosen to the vignette-based questions, and
   correlation was attempted with attitudes toward error disclosure.
   Results: The survey received 176 responses: 94.8% of respondents
   considered themselves more likely to disclose in the setting of a
   serious medical error; 72.7% of respondents did not feel it mattered who
   was responsible for the error in deciding to disclose, and 3.9% felt
   more likely to disclose if someone else was responsible; 38.0% of
   respondents felt that disclosure increased the likelihood of a lawsuit,
   and 32.4% felt disclosure decreased the likelihood of lawsuit; 71.6% of
   respondents felt near misses should not be disclosed; 51.7% thought that
   minor errors should not be disclosed; 64.7% viewed disclosure as an
   opportunity for forgiveness from the patient; and 44.6% considered the
   patient's level of confidence in them to be a factor in disclosure. For
   a scenario that could be considerable, a non-harmful error, 78.9% of
   respondents would not contact the family. Respondents with high
   disclosure scores were more likely to feel that disclosure was an
   opportunity for forgiveness (P = .003) and to have never seen major
   medical errors (P = .004).
   Conclusions: The surveyed radiation oncologists chose to respond with
   full disclosure at a high rate, although ideal disclosure practices were
   not uniformly adhered to beyond the initial decision to disclose the
   occurrence of the error. (C) 2012 Elsevier Inc.
OI Evans, Suzanne/0000-0002-4679-6038; Chagpar, Anees/0000-0001-7641-4443;
   Yu, James/0000-0002-3119-3226
TC 6
ZR 0
ZS 0
ZA 0
Z8 2
ZB 2
Z9 8
U1 0
U2 6
SN 0360-3016
EI 1879-355X
UT WOS:000308062700001
PM 22560545
ER

PT J
AU Lee, Andrew G.
   Golnik, Karl C.
   Tso, Mark O. M.
   Spivey, Bruce
   Miller, Kathleen
   Gauthier, Tina-Marie
TI The International Council of Ophthalmology: Vision for Ophthalmic
   Education in an Interdependent World
SO AMERICAN JOURNAL OF OPHTHALMOLOGY
VL 154
IS 4
BP 620
EP 624
DI 10.1016/j.ajo.2012.05.006
PD OCT 2012
PY 2012
AB PURPOSE: To describe the emerging strategic global perspective of the
   International Council of Ophthalmology (ICO) efforts in ophthalmic
   education.
   DESIGN: A global perspective describing how the development of
   sophisticated educational tools in tandem with information technology
   can revolutionize ophthalmic education worldwide.
   METHODS: Review of ICO educational tools, resources, and programs that
   are available to ophthalmic educators across the globe.
   RESULTS: With the explosive growth of the Internet, the ability to
   access medical information in the most isolated of locations is now
   possible. Through specific ICO initiatives, including the ICO curricula,
   the "Teaching the Teachers" program, and the launching of the new ICO
   Center for Ophthalmic Educators, the ICO is providing ophthalmic
   educators across the globe with access to standardized but customizable
   educational programs and tools to better train ophthalmologists and
   allied eye care professionals throughout the world.
   CONCLUSION: Access to educational tools and strengthening of global
   learning will help providers meet the goals of VISION 2020 and beyond in
   eliminating avoidable blindness. It is the intent of the ICO that its
   programs for ophthalmic educators, including conferences, courses,
   curricula, and online resources, result in better-trained
   ophthalmologists and eye care professionals worldwide. (Am J Ophthalmol
   2012;154:620-624. (C) 2012 by Elsevier Inc. All rights reserved.)
RI Lee, Andrew/GVU-2817-2022
TC 12
ZB 4
ZS 0
ZR 0
Z8 0
ZA 0
Z9 12
U1 0
U2 5
SN 0002-9394
UT WOS:000309691800002
PM 22840483
ER

PT J
AU Kitchen, Mark
TI Junior doctors' guide to portfolio learning and building.
SO The clinical teacher
VL 9
IS 5
BP 308
EP 11
DI 10.1111/j.1743-498X.2012.00544.x
PD 2012-Oct
PY 2012
AB BACKGROUND: A portfolio is a collection of evidence supporting an
   individual's achievement of competencies and learning outcomes. The
   material included in the portfolio must be reflected upon, as reflection
   provides the evidence that learning has taken place.
   CONTEXT: Portfolio learning is important for two principal reasons:
   assessment of the trainee, and for lifelong learning and reflection. The
   ability of a portfolio to be used for both summative and formative
   assessment makes it a flexible and robust assessment method. A portfolio
   also demonstrates reflection and lifelong learning abilities. Reflective
   learning is key to postgraduate medical education: it is part of both
   the Foundation Programme curriculum and General Medical Council guidance
   on best practice.
   INNOVATION: To ensure correct learning outcomes are identified and
   evidenced, the curriculum programme must be referred to and an
   educational supervisor should be consulted. Once identified, it is
   necessary to: identify how these outcomes can be met (learning needs);
   decide what needs to be done to meet these needs; reflect on what has
   been done; and evidence what has been done in the portfolio. Evidence
   could include written feedback, certificates of course completion,
   online learning modules, etc.
   IMPLICATIONS: A learning portfolio is a necessary tool for every
   postgraduate medical trainee. The portfolio serves to record and
   evidence all learning that has taken place, and thereon acts as a guide
   for future learning needs. The key process to portfolio building and
   learning is the provision of evidence by reflecting upon the learning
   that has taken place.
RI Kitchen, Mark O/J-4662-2012; Kitchen, Mark/
OI Kitchen, Mark/0000-0002-1124-2940
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
TC 6
Z9 6
U1 0
U2 4
EI 1743-498X
UT MEDLINE:22994469
PM 22994469
ER

PT J
AU Lynch, K.
   Barr, N.
   Oprescu, F.
TI Learning Paramedic Science Skills From a First Person Point of View
SO Electronic Journal of e-Learning
VL 10
IS 4
BP 396
EP 406
PD Oct. 2012
PY 2012
AB Paramedic students need to acquire knowledge and skills necessary to
   perform basic as well as complex clinical skills, to ensure patient
   safety, and to manage sophisticated equipment. Time and resource
   pressures on students, teaching staff and institutions have led health
   professional educators to develop and embrace alternative opportunities
   such as simulation and multimedia in order to develop a student's
   clinical expertise in preparation for clinical placement. Paramedic
   education laboratories are equipped with simulation equipment to
   facilitate the acquisition of the psychomotor skills required by
   paramedics, and are the main spaces where students can practice
   essential paramedic skills in a non-threatening environment. However,
   often the learning environment is encumbered by `noise' or obstacles
   such as the educator's body, or ambient noise from other students, staff
   or equipment, all which inhibit a clear and precise view of the
   intricate details of skills to be learned. This study addressed the
   crowded laboratory and `noise' issues through the use of video learning
   resources. Though using video as a learning resource is not new, there
   are three facets to learning that make this project innovative and
   beneficial to the learner; one, learning from a video composed from a
   first person point of view (1st PPOV); two, the viewing of the video
   learning materials using a mobile device such as a smart phone; and
   three, the use of QR codes to access the online videos. Six 1st PPOV
   video vignettes were produced for this study. Each video was less than
   two minutes and length, clear and instructional on selected psychomotor
   clinjcal skills required for acute care provision . The research
   findings show that the 1st PPOV videos positively impacted students'
   (n=87) learning of the six skills, and gave them a more comprehensive
   view and understanding of the skill in context. The findings also
   indicated that accessing the videos on a mobile phone was a bonus. The
   participants requested additional 1st PPOV skills to be included in the
   blended learning design across all areas of their Paramedic Science
   program.
RI Barr, Nigel/Q-4222-2019; Oprescu, Florin/C-4908-2011
OI Barr, Nigel/0000-0002-2423-0594; Oprescu, Florin/0000-0003-1342-3566
Z8 0
ZA 0
ZS 1
ZB 0
ZR 0
TC 15
Z9 16
U1 0
U2 0
SN 1479-4403
UT INSPEC:14183224
ER

PT J
AU Cesari, Whitney A
   Vaikunth, Sumeet S
   Lewis, Jim B
   Panda, Mukta
TI Know your audience: analysis of chief complaints at clinica esperanza, a
   student-run free clinic in memphis, tennessee.
SO Journal of primary care & community health
VL 3
IS 4
BP 295
EP 8
DI 10.1177/2150131912442713
PD 2012-Oct-01
PY 2012
AB PURPOSE: To identify the chief complaints and demographics at Clinica
   Esperanza, a student-run free clinic for an underserved Hispanic
   population.
   METHODS: A retrospective chart review of patient files from 2005 through
   2010 was undertaken, as approved by the University of Tennessee Health
   Science Center's Institutional Review Board.
   RESULTS: From 2005 through 2010, Clinica Esperanza fielded 2551 patient
   visits, consisting of 951 unique patients, 609 females and 342 males.
   Mean age was 34 years, and 60% of patients presented once, while 13%
   followed up for 1 year, 9% for 2 years, 6% for 3, 6% for 4, and 4% for
   5. "Pap smear," "abdominal pain," and "follow-up lab results" ranked, in
   order, as the 3 top chief complaints.
   DISCUSSION: Resulting data have led to several improvements. The clinic
   has remained open weekly to improve patient continuity. With the top 10
   chief complaints identified, they are better addressed. More funding is
   allocated for speculums and proper training of Pap smear technique.
   Systematic reporting of lab results is being implemented. Physical
   therapists and pharmacists now participate to address musculoskeletal
   and medication-based needs, respectively. A volunteer gastroenterologist
   has been recruited to provide specialized care for abdominal pain. An
   electrocardiogram machine is now used to evaluate chest pain. To improve
   student-patient communication, online language learning modules have
   been created.
   CONCLUSIONS: Based on these data, improvements in health care services
   have been made, including better continuity, emphasis on top chief
   complaints, and provider education in medical Spanish. Future plans
   include on-site pharmacy, smoother referrals, and similar clinics on the
   University of Tennessee Health Science Center's other campuses.
ZS 0
ZB 0
TC 3
ZA 0
ZR 0
Z8 0
Z9 3
U1 0
U2 4
EI 2150-1327
UT MEDLINE:23804176
PM 23804176
ER

PT J
AU Williams, David M.
   Rindal, Kirsten E.
   Cushman, Jeremy T.
   Shah, Manish N.
TI BARRIERS TO AND ENABLERS FOR PREHOSPITAL ANALGESIA FOR PEDIATRIC
   PATIENTS
SO PREHOSPITAL EMERGENCY CARE
VL 16
IS 4
BP 519
EP 526
DI 10.3109/10903127.2012.695436
PD OCT-DEC 2012
PY 2012
AB Objective. To identify and investigate the barriers and enablers
   perceived by paramedics regarding the administration of analgesia to
   pediatric emergency medical services (EMS) patients. Methods. This was a
   qualitative study in which in-depth semistructured interviews of a
   purposively-sampled group of 16 paramedics were performed before
   achieving redundancy. The interviews were structured and the data were
   thematically analyzed. Emerging themes were categorized into four
   domains, and novel themes were identified and further explored. Results.
   Thirteen of 16 paramedics reported success with analgesia in children at
   least once in their careers. Provider anxiety, unfamiliarity and
   discomfort with pediatrics, unfamiliarity with the protocol,
   insufficient didactic and clinical education, and concern for adverse
   effects from analgesic agents were perceived as barriers to pediatric
   pain management. The paramedics had differing beliefs about the
   importance of pain control, the role of parents in medical care for
   children, and the paramedic's ability to assess pediatric patients.
   Having a positive relationship with online medical control and using
   commercially available assistive guides were viewed as enablers for
   pediatric pain management. The response from paramedic supervisors and
   emergency department staff, unwanted attention from authority figures,
   perceived superiority of hospital care, difficulty obtaining intravenous
   access, and overall culture of stinginess in medication administration
   played important roles in an overall preference to defer pediatric
   analgesia. Some paramedics mentioned a specific experience or mentoring
   relationship with a more seasoned provider who taught them the
   importance of pain management. Paramedics reported various effects of
   transport distance on their decision to administer analgesia.
   Conclusions. We have identified a number of previously unrecognized
   barriers to and enablers for prehospital pediatric analgesia. The
   majority of these factors lead to an overall preference of paramedics to
   defer administration of analgesic agents. A number of educational and
   EMS system changes could be made to address these barriers and increase
   the frequency of appropriate pediatric prehospital analgesia.
OI Cushman, Jeremy/0000-0003-4767-3731; Shah, Manish/0000-0001-6331-1074
ZS 0
TC 32
ZR 0
Z8 0
ZA 0
ZB 1
Z9 32
U1 0
U2 6
SN 1090-3127
EI 1545-0066
UT WOS:000308214500012
PM 22823931
ER

PT J
AU Jacobsen, Ryan C.
   Toy, Serkan
   Bonham, Aaron J.
   Salomone, J. A., III
   Ruthstrom, Jacob
   Gratton, Matthew
TI ANAPHYLAXIS KNOWLEDGE AMONG PARAMEDICS: RESULTS OF A NATIONAL SURVEY
SO PREHOSPITAL EMERGENCY CARE
VL 16
IS 4
BP 527
EP 534
DI 10.3109/10903127.2012.689931
PD OCT-DEC 2012
PY 2012
AB Background. Very little is known about prehospital providers' knowledge
   regarding anaphylaxis care. Objectives. The purpose of this study was to
   evaluate how well nationally registered paramedics in the United States
   recognize classic and atypical presentations of anaphylaxis. We also
   assessed knowledge regarding treatment with epinephrine, including
   dosing, route of administration, and perceived contraindications to
   epinephrine use. Methods. This was a blinded, cross-sectional online
   survey of a random sample of paramedics registered by the National
   Registry of Emergency Medical Technicians that was distributed via
   e-mail. The survey contained two main sections: demographic
   data/self-assessment of confidence with anaphylaxis care and a cognitive
   assessment. Results. A total of 3,537 paramedics completed the survey,
   for a 36.6% response rate. Among the respondents, 98.9% correctly
   recognized a case of classic anaphylaxis, whereas only 2.9% correctly
   identified the atypical presentation. Regarding treatment, 46.2%
   identified epinephrine as the initial drug of choice; 38.9% chose the
   intramuscular (IM) route of administration, and 60.5% identified the
   deltoid as the preferred location (11.6% thigh). Of the respondents,
   98.0% were confident they could recognize anaphylaxis; 97.1% were
   confident they could manage anaphylaxis; 39.5% carry epinephrine
   autoinjectors (EAIs) on response vehicles; 95.4% were confident they
   could use an EAI; and 36.2% stated that there were contraindications to
   epinephrine administration in anaphylactic shock. Conclusions. Whereas a
   large percentage of the paramedics recognized classic anaphylaxis, a
   very small percentage recognized atypical anaphylaxis. Less than half
   chose epinephrine as the initial drug of choice, and most respondents
   were unable to identify the correct route/location of administration.
   This survey identifies a number of areas for improved education.
OI Jacobsen MD, Ryan/0000-0001-8181-7917
Z8 0
ZB 4
ZR 0
TC 30
ZS 2
ZA 0
Z9 31
U1 0
U2 9
SN 1090-3127
EI 1545-0066
UT WOS:000308214500013
PM 22712745
ER

PT J
AU Bosco, Jaclyn L. F.
   Halpenny, Barbara
   Berry, Donna L.
TI Personal preferences and discordant prostate cancer treatment choice in
   an intervention trial of men newly diagnosed with localized prostate
   cancer
SO HEALTH AND QUALITY OF LIFE OUTCOMES
VL 10
AR 123
DI 10.1186/1477-7525-10-123
PD SEP 28 2012
PY 2012
AB Background: Men diagnosed with localized prostate cancer (LPC) can
   choose from multiple treatment regimens and are faced with a decision in
   which medical factors and personal preferences are important. The
   Personal Patient Profile-Prostate (P3P) is a computerized decision aid
   for men with LPC that focuses on personal preferences. We determined
   whether the P3P intervention improved the concordance of treatment
   choice with self-reported influential side-effects compared with a
   control group.
   Methods: English/Spanish-speaking men diagnosed with LPC (2007-2009)
   from four US cities were enrolled into a randomized trial and followed
   through 6-months via mailed or online questionnaire. Men were randomized
   to receive the P3P intervention or standard education plus links to
   reputable websites. We classified choice as concordant if men were
   concerned with (a) sexual function and chose external beam radiotherapy
   or brachytherapy, (b) bowel function and chose prostatectomy, (c) sex,
   bowel, and/or bladder function and chose active surveillance, or (d) not
   concerned with any side effect and chose any treatment. Using logistic
   regression, we calculated odds ratios (OR) and 95% confidence intervals
   (CI) for the association between the P3P intervention and concordance.
   Results: Of 448 men, most were < 65 years, non-Hispanic white, had
   multiple physician consultations prior to enrollment, and chose a
   treatment discordant with concerns about potential side effects. There
   was no significant difference in concordance between the intervention
   (45%) and control (50%) group (OR = 0.82; 95% CI = 0.56, 1.2).
   Conclusions: The P3P intervention did not improve concordance between
   potential side effects and treatment choice. Information and/or
   physician consultation immediately after diagnosis was likely to
   influence decisions despite concerns about side effects. The
   intervention may be more effective before the first treatment options
   consultation.
ZA 0
TC 13
Z8 0
ZB 2
ZR 0
ZS 0
Z9 13
U1 1
U2 9
SN 1477-7525
UT WOS:000311257700001
PM 23021156
ER

PT J
AU Symonds, R. P.
   Lord, K.
   Mitchell, A. J.
   Raghavan, D.
TI Recruitment of ethnic minorities into cancer clinical trials: experience
   from the front lines
SO BRITISH JOURNAL OF CANCER
VL 107
IS 7
BP 1017
EP 1021
DI 10.1038/bjc.2012.240
PD SEP 25 2012
PY 2012
AB Throughout the world there are problems recruiting ethnic minority
   patients into cancer clinical trials. A major barrier to trial entry may
   be distrust of research and the medical system. This may be compounded
   by the regulatory framework governing research with an emphasis on
   written consent, closed questions and consent documentation, as well as
   fiscal issues. The Leicester UK experience is that trial accrual is
   better if British South Asian patients are approached by a senior doctor
   rather than someone of perceived lesser hierarchical status and a
   greater partnership between the hospital and General Practitioner may
   increase trial participation of this particular ethnic minority. In Los
   Angeles, USA, trial recruitment was improved by a greater utilisation of
   Hispanic staff and a Spanish language-based education programme.
   Involvement of community leaders is essential. While adhering to
   national, legal and ethnical standards, information sheets and consent,
   it helps if forms can be tailored towards the local ethnic minority
   population. Written translations are often of limited value in the
   recruitment of patients with no or limited knowledge of English. In some
   cultural settings, tape-recorded verbal consent (following approval
   presentations) may be an acceptable substitute for written consent, and
   appropriate legislative changes should be considered to facilitate this
   option. Approaches should be tailored to specific minority populations,
   taking consideration of their unique characteristics and with input from
   their community leadership. British Journal of Cancer (2012) 107,
   1017-1021. doi:10.1038/bjc.2012.240 www.bjcancer.com Published online 31
   May 2012 (c) 2012 Cancer Research UK
RI Mitchell, Alex J/A-3090-2009; Mitchell, Alex/Z-1920-2019
OI Mitchell, Alex J/0000-0001-6014-598X; Mitchell, Alex/0000-0001-6014-598X
Z8 1
ZB 17
TC 57
ZR 0
ZA 0
ZS 0
Z9 58
U1 0
U2 16
SN 0007-0920
EI 1532-1827
UT WOS:000309540800002
PM 23011540
ER

PT J
AU Kienhues, Dorothe
   Bromme, Rainer
TI Exploring laypeople's epistemic beliefs about medicine - a
   factor-analytic survey study
SO BMC PUBLIC HEALTH
VL 12
AR 759
DI 10.1186/1471-2458-12-759
PD SEP 10 2012
PY 2012
AB Background: The aim of this study was to develop an instrument to
   measure laypeople's beliefs about the nature of medical knowledge and
   knowing (the EBAM). Such beliefs should be a target of increased
   research interest because they influence how people handle medical
   information, for example in shared decision making.
   Methods: An online survey was completed by 284 participants. Items
   assessed different aspects of laypeople's epistemic beliefs about
   medicine and explicitly focused on the appearance of medical knowledge
   in everyday life and the evaluation of different sources as a way to
   justify knowledge.
   Results: Factor analysis yielded a five-factor solution for the
   instrument. Dimensions covered by the instrument are certainty of
   medical knowledge, credibility of medical textbooks, credibility of
   medical information on the Internet, justification of medical knowledge,
   and preliminarity of medical knowledge.
   Conclusions: Results indicate that laypeople have meaningful beliefs
   about the nature of medical knowledge and the trustworthiness of
   different sources. The instrument developed seems promising for
   measuring laypeople's epistemic beliefs about medicine, which may help
   to increase patients' compliance in medical decision making.
RI Bromme, Rainer/K-2400-2012
OI Bromme, Rainer/0000-0002-6123-7269
TC 14
ZR 0
ZB 0
ZA 0
Z8 0
ZS 0
Z9 14
U1 0
U2 12
EI 1471-2458
UT WOS:000311098900002
PM 22963643
ER

PT J
AU Zimmerman, Caitlyn
   Kandiah, Jay
TI A Pilot Study to Assess Students' Perceptions, Familiarity, and
   Knowledge in the Use of Complementary and Alternative Herbal Supplements
   in Health Promotion
SO ALTERNATIVE THERAPIES IN HEALTH AND MEDICINE
VL 18
IS 5
BP 28
EP 33
PD SEP-OCT 2012
PY 2012
AB Context circle According to the National Center for Complementary and
   Alternative Medicine (NCCAM), use of herbal supplements is increasing
   and will continue to rise. With parents administering medicinal herbs to
   children as a preventive alternative to traditional drugs, the research
   team thought it would be interesting to assess the use of these products
   during the transition into adulthood through college life.
   Objective circle This study examined participants' perceptions of,
   familiarity with, and knowledge of herbal supplements for health
   promotion.
   Design circle The research team invited participants to complete a
   13-item Perception, Familiarity; and Knowledge Survey (PFKS). This
   online survey included questions regarding demographics, perceptions of
   complementary and alternative medicine, and familiarity with and
   knowledge of gingko, ginseng, St. John's wort, garlic, echinacea, and
   cinnamon.
   Setting circle The study occurred at a Midwestern university.
   Participants circle Two-hundred and eighty-six college students
   participated.
   Outcome Measures circle The research team used the Chi-square test of
   association to examine the class rank (freshmen/sophomores,
   juniors/seniors, and graduate students) of students (frequency) and
   their gender in relation to their perceptions of, familiarity with, and
   knowledge of herbal supplements.
   Results circle Chi-square analysis showed that 80.8% of participants
   were familiar with complementary and alternative medicine (CAM)
   (P=.000). Of participants who were aware of the six herbs, a majority
   was familiar with ginkgo (82.4%), ginseng (96.1%), St. John's wort
   (78.4%), garlic (98.4%), echinacea (65.6%), and cinnamon (96.8%).
   Despite students' familiarity with the herbs, 45.1% to 74.1% of the
   participants were unsure of their effectiveness in preventing disease or
   promoting good health. Participants perceived the barriers to their CAM
   awareness as (1) insufficient education (26.0%), (2) a lack of
   scientific evidence (25.9%), and (3) a lack of trained professionals
   (17.5%). Many students (85.8%) desired educational courses on CAM
   therapies, with nutrition professors being ranked highest as the
   providers of this education by 88.0%. Over 60.0% of participants thought
   that conventional medicine could benefit from integration with CAM and
   that medical professionals should integrate CAM into health-care
   practices.
   Conclusion circle College students appear to be highly familiar with CAM
   and herbal supplements but currently have little experience with and
   knowledge of herbal supplements.
TC 7
ZA 0
ZS 0
Z8 0
ZB 1
ZR 0
Z9 8
U1 0
U2 19
SN 1078-6791
UT WOS:000318821200003
PM 22894888
ER

PT J
AU Pimmer, Christoph
   Linxen, Sebastian
   Groehbiel, Urs
TI Facebook as a learning tool? A case study on the appropriation of social
   network sites from mobile phones in developing countries
SO BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 43
IS 5
BP 726
EP 738
DI 10.1111/j.1467-8535.2012.01351.x
PD SEP 2012
PY 2012
AB This exploratory research investigates how students and professionals
   use social network sites (SNSs) in the setting of developing and
   emerging countries. Data collection included focus groups consisting of
   medical students and faculty as well as the analysis of a Facebook site
   centred on medical and clinical topics. The findings show how users,
   both students and professionals, appropriate SNSs from their mobile
   phones as rich educational tools in informal learning contexts. First,
   unlike in previous studies, the analysis revealed explicit forms of
   educational content embedded in informal learning contexts in Facebook.
   Quizzes, case presentations and associated deliberate (e-)learning
   practices which are typically found in (more) formal educational
   settings were identified. Second, from a sociocultural learning
   perspective, it is shown how the participation in such virtual
   professional communities across national boundaries permits the
   announcement and negotiation of occupational status and professional
   identities.
RI Pimmer, Christoph/AAL-1324-2021
OI Pimmer, Christoph/0000-0002-7622-6685
ZR 0
ZS 2
ZA 1
Z8 0
TC 80
ZB 1
Z9 83
U1 0
U2 82
SN 0007-1013
EI 1467-8535
UT WOS:000307890800013
ER

PT J
AU Ponto, Katharina A.
   Kahaly, George J.
TI Autoimmune Thyrotoxicosis: Diagnostic Challenges
SO AMERICAN JOURNAL OF MEDICINE
VL 125
IS 9
BP 1
EP 1
PD SEP 2012
PY 2012
AB Autoimmune thyrotoxicosis or Graves' disease (GD) is the most common
   cause of hyperthyroidism in the United States (full text available
   online: http://education.amjmed.com/pp1/249). GD occurs more often in
   women (ratio 5:1) and has a population prevalence of 1-2%. A genetic
   determinant to the susceptibility to GD is suspected because of familial
   clustering of the disease, a high sibling recurrence risk, and the
   familial occurrence of thyroid autoantibodies. GD is a systemic
   autoimmune thyroid disorder characterized by the infiltration of immune
   effector cells and thyroid-antigen-specific T cells into the thyroid and
   thyroid stimulating hormone receptor (TSHR) expressing tissues, i.e.
   orbit, skin, with the production of autoantibodies to well-defined
   thyroidal antigens. Stimulatory autoantibodies in GD activate the TSHR
   leading to thyroid hyperplasia and unregulated thyroid hormone
   production and secretion. Diagnosis of GD is straightforward in a
   patient with a diffusely enlarged, heterogeneous, hypervascular
   (increased Doppler flow on neck ultrasound) thyroid gland, associated
   orbitopathy, biochemically confirmed thyrotoxicosis, positive TSHR
   autoantibodies, and often a family history of autoimmune disorders. (c)
   2012 Published by Elsevier Inc. circle The American Journal of Medicine
   (2012) 125, S1
RI Ponto, Katharina/AAF-3890-2020
TC 5
ZB 1
ZA 0
ZR 0
Z8 0
ZS 0
Z9 5
U1 0
U2 2
SN 0002-9343
UT WOS:000317433900001
ER

PT J
AU Sipos, Jennifer A.
   Kahaly, George J.
TI Imaging of Thyrotoxicosis
SO AMERICAN JOURNAL OF MEDICINE
VL 125
IS 9
BP 1
EP 2
DI 10.1016/j.amjmed.2012.05.012
PD SEP 2012
PY 2012
AB The diagnostic algorithm for patients with Graves' disease frequently
   involves the use of thyroid autoantibody testing and radioisotope
   scanning (full text available online:
   http://education.amjmed.com/pp1/248). However, ultrasound has myriad
   uses in the evaluation of patients with hyperthyroidism. The purpose of
   this paper is to review the medical literature outlining the important
   role that ultrasonography (US) can play in the diagnosis and management
   of patients with hyperthyroidism. We will make a case for the use of
   ultrasonography in the initial evaluation of all patients with
   thyrotoxicosis. This review will delineate the advantages of
   ultrasonography compared to nuclear medicine imaging in determining the
   etiology of the hyperthyroidism. The role of sonography in predicting
   remission and relapse of Graves' disease will also be examined. Finally,
   this paper will detail the importance of ultrasonography in the workup
   of hyperthyroidism during pregnancy. We will also outline its utility
   for predicting fetal thyroid dysfunction in maternal Graves' disease
   without the need for cordocentesis and its attendant complications. (c)
   2012 Published by Elsevier Inc. circle The American Journal of Medicine
   (2012) 125, S1
RI Sipos, Jennifer/E-4100-2011
Z8 0
ZB 0
ZR 0
TC 6
ZA 0
ZS 0
Z9 6
U1 0
U2 3
SN 0002-9343
UT WOS:000317433900002
PM 22938934
ER

PT J
AU Grebe, Stefan K. G.
   Kahaly, George J.
TI Laboratory Testing in Hyperthyroidism
SO AMERICAN JOURNAL OF MEDICINE
VL 125
IS 9
BP 2
EP 2
PD SEP 2012
PY 2012
AB The clinical diagnosis of hypo- or hyperthyroidism is difficult (full
   text available online: http://education.amjmed.com/pp1/272). Clinical
   symptoms and signs are often non-specific, and there is incomplete
   correlation between structural and functional thyroid gland changes.
   Laboratory testing is therefore indispensible in establishing the
   diagnosis of thyrotoxicosis. Similar considerations apply to treatment
   monitoring. Laboratory testing also plays a crucial role in establishing
   the most likely cause for a patient's hyperthyroidism. Finally, during
   pregnancy, when isotopic scanning is relatively contraindicated and
   ultrasound is more difficult to interpret, laboratory testing becomes
   even more important. (c) 2012 Published by Elsevier Inc. circle The
   American Journal of Medicine (2012) 125, S2
TC 5
ZB 3
ZR 0
ZA 0
ZS 0
Z8 0
Z9 5
U1 0
U2 0
SN 0002-9343
UT WOS:000317433900003
ER

PT J
AU von Muhlen, Marcio
   Ohno-Machado, Lucila
TI Reviewing social media use by clinicians
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 19
IS 5
BP 777
EP 781
DI 10.1136/amiajnl-2012-000990
PD SEP 2012
PY 2012
AB Adoption studies of social media use by clinicians were systematically
   reviewed, up to July 26th, 2011, to determine the extent of adoption and
   highlight trends in institutional responses. This search led to 370
   articles, of which 50 were selected for review, including 15 adoption
   surveys. The definition of social media is evolving rapidly; the authors
   define it broadly to include social networks and group-curated reference
   sites such as Wikipedia. Facebook accounts are very common among health
   science students (64-96%) and less so for professional clinicians
   (13-47%). Adoption rates have increased sharply in the past 4 years.
   Wikipedia is widely used as a reference tool. Attempts at incorporating
   social media into clinical training have met with mixed success. Posting
   of unprofessional content and breaches of patient confidentiality,
   especially by students, are not uncommon and have prompted calls for
   social media guidelines.
OI von Muhlen, Marcio/0000-0002-5136-5881; Ohno-Machado,
   Lucila/0000-0002-8005-7327
Z8 0
ZB 16
ZR 0
ZS 9
ZA 1
TC 185
Z9 190
U1 0
U2 94
SN 1067-5027
EI 1527-974X
UT WOS:000307934600014
PM 22759618
ER

PT J
AU Kasabwala, Khushabu
   Agarwal, Nitin
   Hansberry, David R.
   Baredes, Soly
   Eloy, Jean Anderson
TI Readability Assessment of Patient Education Materials from the American
   Academy of Otolaryngology-Head and Neck Surgery Foundation
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 147
IS 3
BP 466
EP 471
DI 10.1177/0194599812442783
PD SEP 2012
PY 2012
AB Objective. Americans are increasingly turning to the Internet as a
   source of health care information. These online resources should be
   written at a level readily understood by the average American. This
   study evaluates the readability of online patient education information
   available from the American Academy of Otolaryngology-Head and Neck
   Surgery Foundation (AAO-HNSF) professional Web site using 7 different
   assessment tools that analyze the materials for reading ease and grade
   level of its target audience.
   Study Design and Setting. Analysis of Internet-based patient education
   material from the AAO-HNSF Web site.
   Methods. Online patient education material from the AAO-HNSF was
   downloaded in January 2012 and assessed for level of readability using
   the Flesch Reading Ease, Flesch-Kincaid Grade Level, SMOG grading,
   Coleman-Liau Index, Gunning-Fog Index, Raygor Readability Estimate
   graph, and Fry Readability graph. The text from each subsection was
   pasted as plain text into Microsoft Word document, and each subsection
   was subjected to readability analysis using the software package
   Readability Studio Professional Edition Version 2012.1.
   Results. All health care education material assessed is written between
   an 11th grade and graduate reading level and is considered "difficult to
   read" by the assessment scales.
   Conclusions. Online patient education materials on the AAO-HNSF Web site
   are written above the recommended 6th grade level and may need to be
   revised to make them more easily understood by a broader audience.
OI Kasabwala, Khushabu/0000-0003-4478-5922
ZR 0
ZA 0
TC 85
ZB 20
ZS 0
Z8 0
Z9 85
U1 0
U2 12
SN 0194-5998
EI 1097-6817
UT WOS:000314281300011
PM 22473833
ER

PT J
AU Shaikh, Waqas R.
   Geller, Alan
   Alexander, Gwen
   Asgari, Maryam M.
   Chanange, Gunther J.
   Dusza, Stephen
   Eide, Melody J.
   Fletcher, Suzanne W.
   Goulart, Jacqueline M.
   Halpern, Allan C.
   Landow, Shoshana
   Marghoob, Ashfaq A.
   Quigley, Elizabeth A.
   Weinstock, Martin A.
TI Developing an Interactive Web-Based Learning Program on Skin Cancer: the
   Learning Experiences of Clinical Educators
SO JOURNAL OF CANCER EDUCATION
VL 27
IS 4
BP 709
EP 716
DI 10.1007/s13187-012-0378-4
PD SEP 2012
PY 2012
AB Web-based learning in medical education is rapidly growing. However,
   there are few firsthand accounts on the rationale for and development of
   web-based learning programs. We present the experience of clinical
   educators who developed an interactive online skin cancer detection and
   management course in a time-efficient and cost-efficient manner without
   any prior skills in computer programming or technical construction of
   web-based learning programs. We review the current state of web-based
   learning including its general advantages and disadvantages as well as
   its specific utility in dermatology. We then detail our experience in
   developing an interactive online skin cancer curriculum for primary care
   clinicians. Finally, we describe the main challenges faced and lessons
   learned during the process. This report may serve medical educators who
   possess minimal computer programming and web design skills but want to
   employ the many strengths of web-based learning without the huge costs
   associated with hiring a professional development team.
RI Asgari, Maryam/O-4947-2016; halpern, allan/; Quigley, Elizabeth/
OI halpern, allan/0000-0001-7320-1901; Quigley,
   Elizabeth/0000-0002-3474-5348
ZR 0
ZA 0
ZB 6
Z8 0
TC 21
ZS 0
Z9 21
U1 0
U2 14
SN 0885-8195
UT WOS:000312328000018
PM 22614576
ER

PT J
AU Decker, Kalli B.
   Vallotton, Claire D.
   Johnson, Harold A.
TI PARENTS' COMMUNICATION DECISION FOR CHILDREN WITH HEARING Loss: SOURCES
   OF INFORMATION AND INFLUENCE
SO AMERICAN ANNALS OF THE DEAF
VL 157
IS 4
BP 326
EP 339
PD FAL 2012
PY 2012
AB CHOOSING A METHOD of communication for a child with hearing loss is a
   complex process that must occur early to prevent developmental
   consequences. Research shows that parents' decisions are influenced by
   professionals; parental attitudes and knowledge also may be influential.
   The present study investigated additional influences on parents'
   choices; data were collected via an online survey (N = 36). Results
   indicated no effects of parents' knowledge of development on their
   communication choices, but did indicate an effect of parents' values and
   priorities for their children. Further, parents who chose speech only
   received information from education or speech/audiology professionals
   more often. However, there were no group differences in sources parents
   cited as influential; all parents relied on their own judgment. Results
   suggest that parents internalize the opinions of professionals. Thus,
   accurate information from professionals is necessary for parents to make
   informed decisions about their children's communication.
ZA 1
ZR 0
Z8 1
TC 33
ZS 1
ZB 3
Z9 35
U1 0
U2 17
SN 0002-726X
EI 1543-0375
UT WOS:000311468200002
PM 23259352
ER

PT J
AU Carlon, S.
   Bennett-Woods, D.
   Berg, B.
   Claywell, L.
   LeDuc, K.
   Marcisz, N.
   Mulhall, M.
   Noteboom, T.
   Snedden, T.
   Whalen, K.
   Zenoni, L.
TI The community of inquiry instrument: Validation and results in online
   health care disciplines
SO COMPUTERS & EDUCATION
VL 59
IS 2
BP 215
EP 221
DI 10.1016/j.compedu.2012.01.004
PD SEP 2012
PY 2012
AB This descriptive study using survey design sought to establish the
   efficacy of the Community of Inquiry instrument utilized in a study
   published by Shea and Bidjerano in 2009 exploring an online community of
   business students in a multi-institutional study. The current study
   sought to validate the instrument with a population of students in three
   health care disciplines (nursing, physical therapy and health care
   administration (HCA)) which includes health information management (HIM)
   at a large private western university. A secondary aim was to identify
   similarities and differences in the Community of Inquiry model among
   selected health care disciplines comparing sample student populations in
   previously described research. Results indicate that the instrument was
   validated in the health care disciplines on all subscales. Significant
   differences were found in social presence and cognitive presence among
   the three groups of students with no significant differences in teaching
   presence. There was a significant difference in presence by course
   experience (number of courses completed) for the second versus the fifth
   course in the social presence construct. The three factor model was
   validated with this population of students: however, when additional
   factor analysis was done, results indicated a potential four factor
   model consistent with recent research by Diaz, Swan, Ice, and Kupczynski
   (2010), Bangert (2009) and Shea and Bidjerano (2009a). These studies
   provided evidence of two factors within teaching presence whereas the
   current study yielded two factors within the construct of social
   presence (social comfort and social experience). (C) 2012 Elsevier Ltd.
   All rights reserved.
ZB 0
ZS 0
Z8 0
ZR 0
ZA 0
TC 31
Z9 31
U1 2
U2 35
SN 0360-1315
UT WOS:000305036400006
ER

PT J
AU Koya, Komal D.
   Bhatia, Kyle R.
   Hsu, Jeffrey T. S.
   Bhatia, Ashish C.
TI YouTube and the Expanding Role of Videos in Dermatologic Surgery
   Education
SO SEMINARS IN CUTANEOUS MEDICINE AND SURGERY
VL 31
IS 3
BP 163
EP 167
DI 10.1016/j.sder.2012.06.006
PD SEP 2012
PY 2012
AB Video is an excellent medium for medical education, both for clinicians
   and for the public. You Tube has emerged as one of the largest sources
   of freely accessible content. It is our intent to provide a preliminary
   discussion of the growing role of videos in medical education, sources
   of this video content, and the format of surgical video content on You
   Tube. Additionally, we will highlight the limitations and pitfalls that
   clinicians and the public should be aware of when viewing online video
   content. Several sources of both patient- and clinician-directed videos
   are easily accessible from the Internet and DVDs today. Medical
   professionals, students, and patients now have mobiles and instantaneous
   access to a growing collection of video content. A brief list of online
   video sources to view and learn dermatologic surgical techniques is
   provided. Given the increasing ease of creating and posting high-quality
   video content, this list will continue to grow, providing dermatologic
   surgeons with an ever-increasing wealth of visual knowledge. Although
   You Tube is a dominant source of publicly accessible videos, clinicians
   and consumers should be aware of the source and intent of the video
   content before accepting the content. Although it is easy to post
   content on You Tube, it is difficult to verify sources and the
   credentials of the people posting the videos. Therefore, the viewer
   should filter content with a discerning eye, embracing the concept of
   caveat emptor or buyer beware. Semin Cutan Med Surg 31:163-167 (C) 2012
   Published by Elsevier Inc.
OI Bhatia, Ashish/0000-0003-2937-3129
ZS 0
Z8 0
ZA 0
ZR 0
TC 27
ZB 1
Z9 27
U1 0
U2 24
SN 1085-5629
UT WOS:000309798700004
PM 22929353
ER

PT J
AU Shahram, Sana
   Pielak, Karen
TI Establishing physician advocates for human papillomavirus vaccination in
   British Columbia
SO CANADIAN FAMILY PHYSICIAN
VL 58
IS 9
BP E514
EP E520
PD SEP 2012
PY 2012
AB Objective To survey general practitioners in oncology (GPOs) in British
   Columbia (BC) to identify opportunities for them to serve as public
   supporters of human papillomavirus (HPV) vaccination.
   Design A mailed or online survey.
   Setting British Columbia.
   Participants Forty-two GPOs who worked in the community in BC.
   Main outcome measures Current practices, knowledge, and resource needs
   concerning HPV, the vaccine, and the HPV immunization program, and the
   willingness of respondents to be contacted to participate in stated
   public HPV vaccine supporter activities.
   Results The survey found that 42% of surveyed GPOs were willing to act
   as public supporters of the HPV vaccine. The survey also identified
   education needs among GPOs concerning HPV, the vaccine, and the HPV
   immunization program in BC.
   Conclusion This study found that GPOs in BC are willing to publicly
   support the HPV immunization program. This study shows that involving
   physicians in the promotion of public health programs is a viable option
   that should be further explored and evaluated.
ZA 0
ZB 1
TC 1
ZR 0
Z8 0
ZS 0
Z9 1
U1 0
U2 0
SN 0008-350X
EI 1715-5258
UT WOS:000309823500006
PM 22972743
ER

PT J
AU Ahmed, Hesham M.
   Gale, Stephen C.
   Tinti, Meredith S.
   Shiroff, Adam M.
   Macias, Aitor C.
   Rhodes, Stancie C.
   DeFreese, Marissa A.
   Gracias, Vicente H.
TI Creation of an emergency surgery service concentrates resident training
   in general surgical procedures
SO JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
VL 73
IS 3
BP 599
EP 604
DI 10.1097/TA.0b013e318265f984
PD SEP 2012
PY 2012
AB INTRODUCTION: Emergency general surgery (EGS) is increasingly being
   provided by academic trauma surgeons in an acute care surgery model. Our
   tertiary care hospital recently changed from a model where all staff
   surgeons (private, subspecialty academic, and trauma academic) were
   assigned EGS call to one in which an emergency surgery service (ESS),
   staffed by academic trauma faculty, cares for all EGS patients. In the
   previous model, many surgeries were "not covered'' by residents because
   of work-hour restrictions, conflicting needs, or private surgeon
   preference. The ESS was separate from the trauma service. We hypothesize
   that by creating a separate ESS, residents can accumulate needed and
   concentrated operative experience in a well-supervised academic
   environment.
   METHODS: A prospectively accrued EGS database was retrospectively
   queried for the 18-month period: July 2010 to June 2011. The
   Accreditation Council for Graduate Medical Education (ACGME) databases
   were queried for operative numbers for our residency program and for
   national resident data for 2 years before and after creating the ESS.
   The ACGME operative requirements were tabulated from online sources.
   ACGME requirements were compared with surgical cases performed.
   RESULTS: During the 18-month period, 816 ESS operations were performed.
   Of these, 307 (38%) were laparoscopy. Laparoscopic cholecystectomy and
   appendectomy were most common (138 and 145, respectively) plus 24
   additional laparoscopic surgeries. Each resident performed, on average,
   34 basic laparoscopic cases during their 2-month rotation, which is 56%
   of their ACGME basic laparoscopic requirement. A diverse mixture of 70
   other general surgical operations was recorded for the remaining 509
   surgical cases, including reoperative surgery, complex laparoscopy,
   multispecialty procedures, and seldom-performed operations such as
   surgery for perforated ulcer disease. Before the ESS, the classes of
   2008 and 2009 reported that only 48% and 50% of cases were performed at
   the main academic institution, respectively. This improved for the
   classes of 2010 and 2011 to 63% and 68%, respectively, after ESS
   creation.
   CONCLUSION: An ESS rotation is becoming essential in large teaching
   hospitals by helping to fulfill ACGME requirements and by providing
   emergent general surgical skills an efficient and well-supervised
   academic environment. Movement toward concentrating EGS on a single
   service can enhance resident education and may decrease the need to
   supplement certain aspects of general surgery education with away
   rotations. (J Trauma Acute Care Surg. 2012;73: 599-604. Copyright (C)
   2012 by Lippincott Williams & Wilkins)
OI Gale, Stephen/0000-0002-6454-4686
ZB 3
ZR 0
TC 12
ZS 0
ZA 0
Z8 0
Z9 12
U1 0
U2 2
SN 2163-0755
UT WOS:000309047900010
PM 22929490
ER

PT J
AU Brown, Jeremy
   Kirton, Jennifer
   Shaw, Nigel J.
   Murphy, Philip
   Clarke, Raymond
TI The training needs and career intentions of staff grade and associate
   specialist doctors
SO BRITISH JOURNAL OF HOSPITAL MEDICINE
VL 73
IS 9
BP 521
EP 525
DI 10.12968/hmed.2012.73.9.521
PD SEP 2012
PY 2012
AB This article outlines the results of a study which used an online survey
   to explore the career intentions of staff grade and associate specialist
   doctors in one region and their training needs to inform those managing
   the continued professional development of staff grade and associate
   specialist doctors.
OI Brown, Jeremy/0000-0002-0653-4615; Kirton, Dr. Jennifer
   A./0000-0001-7034-195X
ZR 0
Z8 0
ZB 1
ZA 0
ZS 0
TC 2
Z9 2
U1 0
U2 1
SN 1750-8460
UT WOS:000309571700023
PM 23124405
ER

PT J
AU Forster, James A.
   Browning, Anthony J.
   Paul, Alan B.
   Biyani, C. Shekhar
TI Surgical simulators in urological training - views of UK Training
   Programme Directors
SO BJU INTERNATIONAL
VL 110
IS 6
BP 776
EP 778
DI 10.1111/j.1464-410X.2011.10865.x
PD SEP 2012
PY 2012
AB To discuss the current situation on the use of simulators in surgical
   training. To determine the views of UK Urology Training Programme
   Directors (TPDs) on the availability and use of simulators in Urology at
   present, and to discuss the role that simulators may have in future
   training. An online-questionnaire survey was distributed to all UK
   Urology TPDs. In all, 16 of 21 TPDs responded. All 16 thought that
   laparoscopic simulators improved the quality of laparoscopic training.
   The trainees of 13 TPDs had access to a laparoscopic simulator (either
   in their own hospital or another hospital in the deanery). Most TPDs
   thought that trainees should use simulators in their free time, in quiet
   time during work hours, or in teaching sessions (rather than
   incorporated into the weekly timetable). We feel that the current
   apprentice-style method of training in urological surgery is out-dated.
   We think that all TPDs and trainees should have access to a simulator,
   and that a formal competency based simulation training programme should
   be incorporated into the urology training curriculum, with trainees
   reaching a minimum proficiency on a simulator before undertaking
   surgical procedures.
RI Biyani, Chandra/AAN-6172-2021
OI Biyani, Chandra/0000-0003-3443-8425
ZB 4
ZS 0
TC 11
Z8 0
ZR 0
ZA 0
Z9 11
U1 0
U2 2
SN 1464-4096
UT WOS:000309058200007
PM 22233327
ER

PT J
AU Platon, Isabella
TI World Diabetes Day 2012-Expanding the circle of influence
SO DIABETES RESEARCH AND CLINICAL PRACTICE
VL 97
IS 3
BP 514
EP 516
DI 10.1016/j.diabres.2012.08.001
PD SEP 2012
PY 2012
ZB 0
ZS 0
Z8 0
TC 1
ZR 0
ZA 0
Z9 1
U1 0
U2 0
SN 0168-8227
UT WOS:000309292100027
PM 22920940
ER

PT J
AU Seoane, Juan
   Varela-Centelles, Pablo
   Tomas, Inmaculada
   Seoane-Romero, Juan
   Diz, Pedro
   Takkouche, Bahi
TI Continuing Education in Oral Cancer Prevention for Dentists in Spain
SO JOURNAL OF DENTAL EDUCATION
VL 76
IS 9
BP 1234
EP 1240
PD SEP 2012
PY 2012
AB Continuing education (CE) can have a large impact on dentists' oral
   cancer attitudes, knowledge, and behavior. Reading scientific journals
   is a key component of CE. The objective of this study was to assess
   preventive and clinical attitudes of the participants in an educational
   intervention on oral cancer in Spain based on scientific journals.
   Members of the Spanish Board of Dentists and Stomatologists participated
   in an online, cross-sectional study, using an anonymous,
   self-administered questionnaire. There were 791 general dental
   practitioners (GDPs) invited to participate in the study. The large
   majority reported that they deliver tobacco-cessation counseling (93.6
   percent) as well as advice on alcohol consumption (66.6 percent), but
   advice on vegetable intake was less frequently provided (42.4 percent).
   Alcohol intake advice, routine mucosa exploration, and biopsy
   performance on lesions suspicious of malignancy are preventive attitudes
   related to training. Compared with those who did not benefit from CE
   courses or did so only once, the GDPs who took four or more CE courses
   showed a doubling in the odds of giving alcohol advice to their patients
   and a tenfold increased odds of performing mucosa check on a routine
   basis; they were 3.5 times as likely to take biopsies of suspicious
   lesions. A longer experience as a GDP did not increase the probability
   of adopting preventive attitudes. In addition to presenting the results
   of this study, the article also discusses the general usefulness of
   other preventive measures in oral cancer.
RI TOMAS-CARMONA, INMACULADA/M-1135-2014; seoane, Juan/; Seoane, Juan/; Takkouche, Bahi/; Diz, Pedro/
OI TOMAS-CARMONA, INMACULADA/0000-0002-3317-0853; seoane,
   Juan/0000-0003-4751-591X; Seoane, Juan/0000-0002-1370-9524; Takkouche,
   Bahi/0000-0002-0739-2241; Diz, Pedro/0000-0002-1483-401X
ZB 0
Z8 0
ZA 0
ZS 2
TC 11
ZR 0
Z9 12
U1 0
U2 9
SN 0022-0337
EI 1930-7837
UT WOS:000308337100015
PM 22942420
ER

PT J
AU Andlauer, Olivier
   Guicherd, William
   Haffen, Emmanuel
   Sechter, Daniel
   Bonin, Bernard
   Seed, Kitty
   Lydall, Gregory
   Malik, Amit
   Bhugra, Dinesh
   Howard, Rob
TI FACTORS INFLUENCING FRENCH MEDICAL STUDENTS TOWARDS A CAREER IN
   PSYCHIATRY
SO PSYCHIATRIA DANUBINA
VL 24
BP S185
EP S190
SU 1
PD SEP 2012
PY 2012
AB Background: There is a need to increase the recruitment to psychiatry in
   France. Our aim in this study was to compare factors influencing career
   choice between French medical students considering and not considering
   psychiatry as a specialty.
   Subjects and methods: Quantitative cross-sectional online survey on 145
   French students in their last year of medical school.
   Results: 22.7% of our sample considered choosing a career in psychiatry.
   A preference for a career in psychiatry was associated with more
   frequent history of personal/familial mental illness, higher ratings of
   psychiatric teaching, more weeks of compulsory psychiatry teaching and
   placement, during which students had more often met patients in recovery
   and been asked their opinion on patients. Students considering
   psychiatry as a career also emphasized more the need for a good
   work-life balance, and presented better attitudes toward psychiatry.
   Conclusions: Improving opportunities of interactions between students
   and psychiatrists or psychiatric patients might help to improve
   recruitment in psychiatry.
RI haffen, emmanuel/R-2765-2017; Howard, Robert/; Andlauer, Olivier/
OI haffen, emmanuel/0000-0002-4091-518X; Howard,
   Robert/0000-0002-3071-2338; Andlauer, Olivier/0000-0002-3234-4540
TC 15
ZB 7
ZA 0
ZS 0
Z8 0
ZR 0
Z9 15
U1 0
U2 2
SN 0353-5053
UT WOS:000309094600044
PM 22945220
ER

PT J
AU Jimenez, Jessica A.
   Jung, Barbara
   Madlensky, Lisa
TI Physician-Patient and Patient-Family Communication After Colonoscopy
SO AMERICAN JOURNAL OF GASTROENTEROLOGY
VL 107
IS 9
BP 1288
EP 1295
DI 10.1038/ajg.2012.55
PD SEP 2012
PY 2012
AB OBJECTIVES: A personal or family history of colorectal adenomas
   increases the risk of colorectal cancer (CRC). We aimed to compare
   physicians' communication with polyp patients vs. non-polyp patients,
   assess whether polyps or CRC family history were associated with
   physician-patient communication, and describe patients' disclosure of
   colonoscopy and polyp diagnosis to their relatives.
   METHODS: Four hundred nine patients completed an online survey regarding
   physician-patient communication of colonoscopy results, perceived
   personal and familial risk of polyps and CRC, and disclosure of
   colonoscopy results to relatives.
   RESULTS: Six percent of participants reported that their physicians
   discussed familial risks. Polyp diagnosis and family history predicted
   physician-patient discussions about familial CRC risks. Polyp diagnosis
   predicted physician-patient discussions of future surveillance.
   Twenty-two percent of patients told none of their relatives that they
   had a colonoscopy. Family history, gender, and education were associated
   with patient-family communication.
   CONCLUSIONS: There is room for improvement in physician-patient and
   patient-family communication following colonoscopy.
ZA 0
ZS 0
ZB 0
TC 3
Z8 0
ZR 0
Z9 3
U1 1
U2 4
SN 0002-9270
EI 1572-0241
UT WOS:000308689200003
PM 22951870
ER

PT J
AU Geyh, S.
   Nick, E.
   Stirnimann, D.
   Ehrat, S.
   Michel, F.
   Peter, C.
   Lude, P.
TI Self-efficacy and self-esteem as predictors of participation in spinal
   cord injury-an ICF-based study
SO SPINAL CORD
VL 50
IS 9
BP 699
EP 706
DI 10.1038/sc.2012.18
PD SEP 2012
PY 2012
AB Study design: A multi-centre cross-sectional study.
   Objective: To examine the relationship of self-efficacy and self-esteem
   with participation of persons with spinal cord injury (SCI) from a
   comprehensive bio-psycho-social perspective, based on the conceptual
   framework of the International Classification of Functioning, Disability
   and Health (ICF).
   Setting: Community-dwelling participants, <5 years post discharge,
   recruited through three SCI rehabilitation centers in Switzerland.
   Methods: Data were collected by means of standardized self-report
   questionnaires sent to the eligible participants by postal mail. The
   questionnaires covered the different components of the ICF's
   bio-psycho-social model, namely health conditions, body functions,
   participation, environmental and personal factors. Bivariate
   correlations and multivariate linear regression analyses with
   participation as the dependent variable have been conducted.
   Results: In all, 102 persons with SCI answered the survey, response rate
   25.9%. Self-esteem (r=0.61) and self-efficacy (r=0.54) correlated highly
   with participation and were the strongest correlates of participation.
   They were stronger correlates of participation than symptoms of anxiety,
   depressive symptoms, pain, health conditions, social support, coping
   styles or sense of coherence. Participation seemed to be independent of
   gender, age, level or completeness of injury. Self-efficacy and
   self-esteem explained together with time since discharge and years of
   education 48% of the variance in participation adjusting for health
   condition, depressive symptoms, pain interference and social support.
   Conclusion: Considering self-efficacy and self-esteem within the
   comprehensive framework of the ICF can contribute to a better
   understanding of functioning, disability and health in SCI, which in
   turn may facilitate the development of interventions to support the
   persons' adjustment and reintegration. Spinal Cord (2012) 50, 699-706;
   doi:10.1038/sc.2012.18; published online 27 March 2012
TC 44
ZA 0
ZB 11
ZR 0
ZS 0
Z8 0
Z9 44
U1 0
U2 13
SN 1362-4393
EI 1476-5624
UT WOS:000308705600010
PM 22450885
ER

PT J
AU Dulan, Genevieve
   Rege, Robert V.
   Hogg, Deborah C.
   Gilberg-Fisher, Kristine M.
   Arain, Nabeel A.
   Tesfay, Seifu T.
   Scott, Daniel J.
TI Developing a comprehensive, proficiency-based training program for
   robotic surgery
SO SURGERY
VL 152
IS 3
BP 477
EP 488
DI 10.1016/j.surg.2012.07.028
PD SEP 2012
PY 2012
AB Introduction. Robotically assisted surgery has become very popular for
   numerous surgical disciplines, yet training practices remain variable
   with little to no validation. The purpose of this study was to develop a
   comprehensive, proficiency-based robotic training program.
   Methods. A skill deconstruction list was generated by observation of
   robotic operations and interviews with experts. Available resources were
   used, and other components were developed as needed to develop a
   comprehensive, proficiency-based curriculum to teach all deconstructed
   skills. Preliminary construct and content validity and curriculum
   feasibility were evaluated.
   Results. The skill deconstruction, list contained 23 items. Curricular
   components included an online tutorial, a half-day interactive session.,
   and 9 inanimate exercises with objective metrics. Novice (546 +/- 26)
   and expert (923 +/- 60) inanimate composite scores were different (P <
   .001), supporting construct validity, and substantial pre-test to
   post-test improvement was noted after successful training completion.
   All 23 deconstructed skills were rated as highly relevant (4.9 +/- 0.5;
   5-point scale), and no skills were absent from the curriculum,
   supporting content validity.
   Conclusion. These data suggest that this proficiency-based training
   curriculum comprehensively addresses the skills necessary to perform
   robotic operations with early construct and content validity and
   feasibility demonstrated. Further validation is encouraged. (Surgery
   2012;152:477-88.)
OI Rege, Robert/0000-0002-6864-713X
Z8 0
ZR 0
ZB 11
ZS 2
ZA 0
TC 70
Z9 71
U1 0
U2 5
SN 0039-6060
UT WOS:000308623500024
PM 22938907
ER

PT J
AU Liebman, Tracey N.
   Goulart, Jacqueline M.
   Soriano, Rainier
   Dusza, Stephen W.
   Halpern, Allan C.
   Lee, Kristen K.
   Marghoob, Ashfaq A.
TI Effect of Dermoscopy Education on the Ability of Medical Students to
   Detect Skin Cancer
SO ARCHIVES OF DERMATOLOGY
VL 148
IS 9
BP 1016
EP 1022
DI 10.1001/archdermatol.2012.509
PD SEP 2012
PY 2012
AB Objectives: To determine students' ability to discriminate benign vs
   malignant lesions and to assess attitudes regarding skin cancer
   examination (SCE).
   Design: Second-year medical students at 1 institution participated in an
   SCE intervention for 2 consecutive years.
   Intervention: Cohort 1 received intervention A, consisting of SCE
   teaching without a dermoscopy tutorial. Cohort 2 received intervention
   B, consisting of SCE teaching with a dermoscopy tutorial, access to
   online dermoscopy resources, and a dermoscope.
   Main Outcome Measure: Surveys before and after the lecture included an
   image-based test of 10 lesions to assess ability to differentiate benign
   from malignant lesions.
   Results: There were 130 participants from cohort 1 and 131 participants
   from cohort 2 at the postintervention survey. At baseline, students in
   both groups reported similar attitudes regarding the value of SCE (P =.
   05) and intention to perform SCE on patients (P =. 55). Overall, cohort
   2 exhibited improvement (P < .001) from preintervention (52.0% correct)
   to postintervention assessments (63.0% correct), whereas cohort 1 did
   not (47.0% and 46.0% correct, respectively; P =. 50). Although both
   groups improved (P < .001) in the diagnosis of the superficial spreading
   melanoma, cohort 2 improved in the diagnosis of the basal cell carcinoma
   (P < .001) and cohort 1 displayed deterioration in identifying the
   malignant nature of this lesion (P < .001). For the nodular melanoma,
   correct diagnosis decreased significantly in cohort 1 (P < .001) and
   negligibly in cohort 2 (P =. 90).
   Conclusions: Students receiving the dermoscopy tutorial improve in
   diagnosis of cutaneous lesions compared with those not receiving the
   dermoscopy intervention. Teaching SCE with inclusion of dermoscopy may
   be an effective means of enhancing skin cancer knowledge.
RI Liebman, Tracey Nicole/H-6449-2019; halpern, allan/
OI Liebman, Tracey Nicole/0000-0002-8693-9179; halpern,
   allan/0000-0001-7320-1901
ZA 0
ZR 0
TC 18
ZB 5
Z8 0
ZS 0
Z9 18
U1 0
U2 4
SN 0003-987X
EI 1538-3652
UT WOS:000308883500007
PM 22986850
ER

PT J
AU Colbert, S.
   Southorn, B.
   Rosenbaum, G.
   Aldridge, T.
   Brennan, P. A.
TI Short communications published online in the British Journal of Oral and
   Maxillofacial Surgery during 2010-2011
SO BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY
VL 50
IS 6
BP 569
EP 573
DI 10.1016/j.bjoms.2012.04.268
PD SEP 2012
PY 2012
AB The British Journal of Oral and Maxillofacial Surgery (BJOMS) publishes
   many types of papers including original articles, review articles, and
   short communications. Many of the latter are isolated case reports of
   rare or interesting diseases or of difficult or unexpected
   complications. While case reports are sometimes considered to be of
   little educational or clinical value, and as such do little to advance
   medical knowledge, they do have an important role, and many trainees
   begin their publishing careers writing such papers. There is increasing
   pressure for space in paper medical journals and, for this reason, some
   journals either limit or do not publish short publications in print copy
   but instead put them online.
   Using established criteria, we previously evaluated all 142 short
   communications published in the BJOMS during 2008-2009 and found that
   48% of them had little or no educational value. As a result, the
   editorial board of BJOMS took the decision to publish most short
   communications online only. We have now analysed 48 short communications
   that were published online only during 2010-2011. Most (80%) were single
   case reports that covered virtually the whole remit of the specialty,
   and over half (56%) were published by authors based in the UK. While
   many of these papers did not add important new information to existing
   knowledge, these types of article are clearly of value both for trainees
   and for experienced surgeons. We think that these should continue to be
   supported as, in addition to their educational value, they are an
   excellent way for trainees to start to write. (c) 2012 The British
   Association of Oral and Maxillofacial Surgeons. Published by Elsevier
   Ltd. All rights reserved.
TC 1
ZA 0
ZR 0
Z8 0
ZS 0
ZB 0
Z9 1
U1 0
U2 5
SN 0266-4356
EI 1532-1940
UT WOS:000308518700019
PM 22621907
ER

PT J
AU Arnold, Christa L.
   Coran, Justin J.
   Hagen, Melanie G.
TI Revisiting patient communication training: An updated needs assessment
   and the AGENDA model
SO PATIENT EDUCATION AND COUNSELING
VL 88
IS 3
SI SI
BP 399
EP 405
DI 10.1016/j.pec.2012.06.026
PD SEP 2012
PY 2012
AB Objective: To assess physician needs for patient-centered communication
   training for medical consultations and to develop an updated patient
   training curriculum.
   Methods: An online needs assessment was distributed through physician
   email listserves at the University of Florida College of Medicine.
   Frequency tabulation and content analyses were conducted to assess
   patient communication themes.
   Results: Responses were received from 336 physicians. Physicians
   reported that patients are reluctant to ask questions when they do not
   understand information related to their medical condition, treatment
   plan, or medical advice. Furthermore, physicians reported that a lack of
   patient negotiation inhibits patient-centered communication and may
   negatively influence patient adherence and compliance. Based on these
   results the AGENDA model was created for patient training and consists
   of (1) agenda setting; (2) goals for health; (3) expressing concerns,
   questions, and negotiations; (4) navigating health literacy issues; (5)
   disclosing detailed information; and (6) active types of listening.
   Conclusion: This study supports revisiting patient communication
   training and tailoring future training interventions to specific
   communities. Practice implications: The AGENDA model can be used to
   train patients to enhance patient-centered communication with
   physicians. Additionally, patient communication training could help to
   address the barriers to care identified by the physicians in our study.
   Published by Elsevier Ireland Ltd.
TC 19
ZB 2
Z8 0
ZR 0
ZA 0
ZS 0
Z9 20
U1 0
U2 35
SN 0738-3991
UT WOS:000308769300008
PM 22796086
ER

PT J
AU Goswami, Nandu
   Batzel, Jerry Joseph
   Hinghofer-Szalkay, Helmut
TI Assessing formal teaching of ethics in physiology: an empirical survey,
   patterns, and recommendations
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 36
IS 3
BP 188
EP 191
DI 10.1152/advan.00010.2012
PD SEP 2012
PY 2012
AB Goswami N, Batzel JJ, Hinghofer-Szalkay H. Assessing formal teaching of
   ethics in physiology: an empirical survey, patterns, and
   recommendations. Adv Physiol Educ 36: 188 - 191, 2012;
   doi:10.1152/advan.00010.2012.-Ethics should be an important component of
   physiological education. In this report, we examined to what extent
   teaching of ethics is formally being incorporated into the physiology
   curriculum. We carried out an e-mail survey in which we asked the e-mail
   recipients whether their institution offered a course or lecture on
   ethics as part of the physiology teaching process at their institution,
   using the following query: "We are now doing an online survey in which
   we would like to know whether you offer a course or a lecture on ethics
   as part of your physiology teaching curriculum." The response rate was
   53.3%: we received 104 responses of a total of 195 sent out. Our
   responses came from 45 countries. While all of our responders confirmed
   that there was a need for ethics during medical education and scientific
   training, the degree of inclusion of formal ethics in the physiology
   curriculum varied widely. Our survey showed that, in most cases (69%),
   including at our Medical University of Graz, ethics in physiology is not
   incorporated into the physiology curriculum. Given this result, we
   suggest specific topics related to ethics and ethical considerations
   that could be integrated into the physiology curriculum. We present here
   a template example of a lecture "Teaching Ethics in Physiology"
   (structure, content, examples, and references), which was based on
   guidelines and case reports provided by experts in this area (e.g.,
   Benos DJ. Ethics revisited. Adv Physiol Educ 25: 189-190, 2001). This
   lecture, which we are presently using in Graz, could be used as a base
   that could lead to greater awareness of important ethical issues in
   students at an early point in the educational process.
RI Goswami, Nandu/B-4021-2011
TC 3
ZA 0
ZS 1
ZR 0
ZB 1
Z8 0
Z9 4
U1 0
U2 6
SN 1043-4046
UT WOS:000308674200003
PM 22952256
ER

PT J
AU Guy, Richard
TI Overcoming misconceptions in neurophysiology learning: an approach using
   color-coded animations
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 36
IS 3
BP 226
EP 228
DI 10.1152/advan.00047.2012
PD SEP 2012
PY 2012
AB ANYONE WHO HAS TAUGHT NEUROPHYSIOLOGY would be aware of recurring
   concepts that students find difficult to understand. However, a greater
   problem is the development of misconceptions that may be difficult to
   change (7). For example, one common misconception is that action
   potentials pass directly across chemical synapses (8). Difficulties may
   be compounded by explanations using voltage-time graphs, since students
   are not necessarily familiar with oscilloscope or computer-based
   representations of neural signals. Several different approaches have
   been used to overcome such misconceptions and provide simple
   explanations of complex physiological processes. These range from using
   groups of students acting out concepts (14) to the use of a "travelling
   flame" analogy for nerve conduction (11). E-learning using animations
   provides an additional method for overcoming physiology misconceptions
   (4, 6). Internet-based instruction in the health professions may be
   similar to traditional instruction in effectiveness (3), but it is
   important to clarify when to use e-learning and how to use it
   effectively (2). Thus, an online self-directed e-learning module was
   developed, using best-practice approaches (1), to engage students and
   help them overcome some common neurophysiology misconceptions. The
   essential features of the module were: the use of well-designed (9) and
   simple (low cognitive load) (12, 13) animations intended to promote good
   learning outcomes (5) and the use of multiple-choice questions linked
   with the animations to provide immediate feedback.
ZA 0
ZS 0
ZR 0
TC 6
Z8 0
ZB 0
Z9 6
U1 0
U2 20
SN 1043-4046
UT WOS:000308674200009
PM 22952262
ER

PT J
AU Ertmer, Ch
   Van Aken, H.
   Skorning, M.
   Hahnenkamp, K.
TI Postgraduate education in a changing occupational environment -
   Evaluation of postgraduate education in anaesthesiology over a period of
   five years (2006-2011)
SO ANASTHESIOLOGIE & INTENSIVMEDIZIN
VL 53
BP 452
EP +
PD SEP 2012
PY 2012
AB Background: Postgraduate education in Germany plays a key role in
   ensuring a high quality of medical care. However, although the personnel
   resources and time involved make it a significant cost factor, funding
   continues to simply form part of the general cost of routine clinical
   practice, and is neither specifically calculated nor funded. The
   specific quality of postgraduate education in the respective
   specialities has not been adequately investigated and deserves regular
   evaluation as a quality management factor.
   Methods: Online evaluation in 2006, 2008 and 2011 of the associate
   members of the German Society of Anaesthesiology and Intensive Care
   Medicine who received postgraduate training in anaesthesiology.
   Results: Overall satisfaction with postgraduate training achieved a
   median score of 3 (on a scale 1-5) and showed a time-dependent decrease.
   Education was considered "structured" by 42.2% of the respondents.
   Supervision (e.g. availability of a consultant within visual or auditory
   range) decreased significantly between 2006 and 2011. Certification of
   relevant training and educational talks (75.8% and 67.5%, respectively)
   increased, but the stipulated goals were not globally achieved. In
   regard to this and other aspects, differences in part considerable
   continue to exist between hospitals in the standard care, maximum care
   and university hospital categories.
   Conclusions: Despite relevant deficits in postgraduate education, the
   present data also confirm the will to preserve and improve the
   situation. However, the existing system would not appear to support such
   attempts, suggesting a need for separate funding of postgraduate
   education.
Z8 0
ZR 0
ZA 0
ZS 0
TC 10
ZB 2
Z9 10
U1 1
U2 13
SN 0170-5334
EI 1439-0256
UT WOS:000308720300002
ER

PT J
AU Farhangkhoee, Hana
   Lalonde, Jan
   Lalonde, Donald H.
TI Teaching medical students and residents how to inject local anesthesia
   almost painlessly
SO CANADIAN JOURNAL OF PLASTIC SURGERY
VL 20
IS 3
BP 169
EP 172
DI 10.1177/229255031202000315
PD FAL 2012
PY 2012
AB The objective of the present study was to determine whether it is
   possible to consistently and reliably teach medical students and
   resident learners how to administer local anesthetics in an almost
   painless manner. Using the published technique, 25 consecutive medical
   students and residents were taught how to inject local anesthetics for
   carpal tunnel release by watching the senior author perform the
   technique once. The learner then independently administered the
   anesthesia to the next patient who then scored the learner's ability to
   inject the local anesthetic from a pain perspective. The teaching
   technique is demonstrated in an accompanying online video. The learners
   were consistently capable of administering local anesthetics with
   minimal pain. During the injection process, the patients only felt pain
   once ('hole-in-one') 76% of the time. This pain was attributed to the
   first 27-gauge needle poke. The other 24% of the time, patients felt
   pain twice (eagle) during the 5 min injection process. All 25 patients
   rated the entire pain experience to be less than 2/10. Eighty-four per
   cent of the patients indicated that the experience was better than local
   anesthetic given at the dentist's office. Medical students and residents
   can quickly and reliably learn how to administer local anesthesia for
   carpal tunnel release with minimal pain to the patient.
ZS 1
ZR 0
ZB 0
ZA 0
TC 28
Z8 0
Z9 29
U1 0
U2 5
SN 1195-2199
UT WOS:000308748300009
PM 23997583
ER

PT J
AU Dy, Christopher J.
   Taylor, Samuel A.
   Patel, Ronak M.
   Kitay, Alison
   Roberts, Timothy R.
   Daluiski, Aaron
TI The Effect of Search Term on the Quality and Accuracy of Online
   Information Regarding Distal Radius Fractures
SO JOURNAL OF HAND SURGERY-AMERICAN VOLUME
VL 37A
IS 9
BP 1881
EP 1887
DI 10.1016/j.jhsa.2012.05.021
PD SEP 2012
PY 2012
AB Purpose Recent emphasis on shared decision making and patient-centered
   research has increased the importance of patient education and health
   literacy. The internet is rapidly growing as a source of self-education
   for patients. However, concern exists over the quality, accuracy, and
   readability of the information. Our objective was to determine whether
   the quality, accuracy, and readability of information online about
   distal radius fractures vary with the search term.
   Methods This was a prospective evaluation of 3 search engines using 3
   different search terms of varying sophistication ("distal radius
   fracture," "wrist fracture," and "broken wrist"). We evaluated 70 unique
   Web sites for quality, accuracy, and readability. We used comparative
   statistics to determine whether the search term affected the quality,
   accuracy, and readability of the Web sites found. Three orthopedic
   surgeons independently gauged quality and accuracy of information using
   a set of predetermined scoring criteria. We evaluated the readability of
   the Web site using the Fleisch-Kincaid score for reading grade level.
   Results There were significant differences in the quality, accuracy, and
   readability of information found, depending on the search term. We found
   higher quality and accuracy resulted from the search term "distal radius
   fracture," particularly compared with Web sites resulting from the term
   "broken wrist." The reading level was higher than recommended in 65 of
   the 70 Web sites and was significantly higher when searching with
   "distal radius fracture" than "wrist fracture" or "broken wrist." There
   was no correlation between Web site reading level and quality or
   accuracy.
   Conclusions The readability of information about distal radius fractures
   in most Web sites was higher than the recommended reading level for the
   general public. The quality and accuracy of the information found
   significantly varied with the sophistication of the search term used.
   Clinical relevance Physicians, professional societies, and search
   engines should consider efforts to improve intemet access to
   high-quality information at an understandable level. (J Hand Surg
   2012;37A:1881-1887. Copyright (C) 2012 by the American Society for
   Surgery of the Hand. All rights reserved.)
OI Roberts, Timothy/0000-0002-7026-7435
ZA 0
TC 46
ZB 8
ZS 0
Z8 0
ZR 0
Z9 46
U1 0
U2 5
SN 0363-5023
EI 1531-6564
UT WOS:000308509500018
PM 22857909
ER

PT J
AU Dingemann, Jens
   Laje, Pablo
   St Peter, Shawn D.
   Ure, Benno M.
TI IPEG Survey on Live Case Demonstrations in Pediatric Surgery
SO JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
VL 22
IS 7
BP 705
EP 709
DI 10.1089/lap.2012.0031
PD SEP 2012
PY 2012
AB Background: Live case demonstrations (LCDs) represent a common
   educational method throughout most surgical specialties. Concern has
   been raised about ethics and patient safety. The surgeon's elevated
   stress level, the need to comply with the meetings' time schedules,
   unfamiliar surgical equipment, and questionable indications resulted in
   prohibition of LCD in some surgical societies. We aimed to investigate
   the opinion of International Pediatric Endosurgery Group (IPEG) members
   on LCD.
   Materials and Methods: An online-based survey in 2010-2011 requested all
   IPEG members to complete a questionnaire including data on personal
   background and statements on LCD. Participants had to indicate agreement
   with statements on a scale from 1 (do not agree) to 5 (fully agree).
   Results: Sixty-one surgeons and 148 attendees completed the
   questionnaire. Eighty-three percent of surgeons indicated elevated
   stress levels during LCD. Surgeons (3 +/- 1.2) and attendees (3 +/- 1.4)
   agreed that LCD may be harmful. Surgeons (2 +/- 1.2) and attendees (2
   +/- 1.3) disagreed that LCD may be beneficial for patients. However, LCD
   was rated as educationally essential by surgeons (3 +/- 1.3) and
   attendees (3 +/- 1.3). Surgeons agreed (3 +/- 1.2) that educational
   benefits of LCD outweigh disadvantages for patients; attendees did not
   agree (2 +/- 1.3). Surgeons (4 +/- 1.4) and attendees (3 +/- 1.4) agreed
   that LCD should continue. Nevertheless, 36% of surgeons and 52% of
   attendees would not consent for LCD in their own child.
   Conclusions: LCD is regarded an essential part of surgical education by
   IPEG members. However, it represents a controversial topic. The majority
   of IPEG members appear willing to continue LCD. If IPEG decides to go on
   with LCD, attention has to be drawn to patient safety and ethical
   considerations.
RI Dingemann, Jens/I-3401-2018
OI Dingemann, Jens/0000-0001-8532-2794
ZS 0
ZB 1
ZR 0
TC 1
Z8 0
ZA 0
Z9 1
U1 0
U2 2
SN 1092-6429
EI 1557-9034
UT WOS:000308700400016
PM 22742595
ER

PT J
AU Jacobs, Tammy S.
   Greenhawt, Matthew J.
   Hauswirth, David
   Mitchell, Lynda
   Green, Todd D.
TI A survey study of index food-related allergic reactions and anaphylaxis
   management
SO PEDIATRIC ALLERGY AND IMMUNOLOGY
VL 23
IS 6
BP 582
EP 589
DI 10.1111/j.1399-3038.2012.01315.x
PD SEP 2012
PY 2012
AB To cite this article: Jacobs TS, Greenhawt MJ, Hauswirth D, Mitchell L,
   Green TD. A survey study of index food-related allergic reactions and
   anaphylaxis management. Pediatr Allergy Immunol 2012: 23: 582589.
   Abstract Background: Initial food-allergic reactions are often poorly
   recognized and under-treated. Methods: Parents of food-allergic children
   were invited to complete an online questionnaire, designed with Kids
   with Food Allergies Foundation, about their childrens first
   food-allergic reactions resulting in urgent medical evaluation. Results:
   Among 1361 reactions, 76% (95% CI 7479%) were highly likely to represent
   anaphylaxis based on NIAID/FAAN criteria. Only 34% (95% CI 3137%) of
   these were administered epinephrine. In 56% of these, epinephrine was
   administered by emergency departments; 20% by parents; 9% by paramedics;
   8% by primary care physicians; and 6% by urgent care centers. In 26% of
   these, epinephrine was given within 15 min of the onset of symptoms; 54%
   within 30 min; 82% within 1 h; and 93% within 2 h. Factors associated
   with a decreased likelihood of receiving epinephrine for anaphylaxis
   included age <12 months, milk and egg triggers, and symptoms of
   abdominal pain and/or diarrhea. Epinephrine was more likely to be given
   to asthmatic children and children with peanut or tree nut ingestion
   prior to event. Post-treatment, 42% of reactions likely to represent
   anaphylaxis were referred to allergists, 34% prescribed and/or given
   epinephrine auto-injectors, 17% trained to use epinephrine
   auto-injectors, and 19% given emergency action plans. Of patients
   treated with epinephrine, only half (47%) were prescribed epinephrine
   auto-injectors. Conclusions: Only one-third of initial food-allergic
   reactions with symptoms of anaphylaxis were recognized and treated with
   epinephrine. Fewer than half of patients were referred to allergists.
   There is still a need to increase education and awareness about
   food-induced anaphylaxis.
OI Greenhawt, Matthew/0000-0002-2365-9372; Jacobs,
   Tammy/0000-0002-8002-578X
Z8 0
ZA 0
ZB 5
TC 22
ZR 0
ZS 0
Z9 22
U1 0
U2 11
SN 0905-6157
EI 1399-3038
UT WOS:000308041800014
PM 22625658
ER

PT J
AU Cheng, Adam
   Rodgers, David L.
   van der Jagt, Elise
   Eppich, Walter
   O'Donnell, John
TI Evolution of the Pediatric Advanced Life Support course: Enhanced
   learning with a new debriefing tool and Web-based module for Pediatric
   Advanced Life Support instructors
SO PEDIATRIC CRITICAL CARE MEDICINE
VL 13
IS 5
BP 589
EP 595
DI 10.1097/PCC.0b013e3182417709
PD SEP 2012
PY 2012
AB Objective: To describe the history of the Pediatric Advanced Life
   Support course and outline the new developments in instructor training
   that will impact the way debriefing is conducted during Pediatric
   Advanced Life Support courses.
   Outline: The Pediatric Advanced Life Support course, first released by
   the American Heart Association in 1988, has seen substantial growth and
   change over the past few decades. Over that time, Pediatric Advanced
   Life Support has become the standard for resuscitation training for
   pediatric healthcare providers in North America. The incorporation of
   high-fidelity simulation-based learning into the most recent version of
   Pediatric Advanced Life Support has helped to enhance the realism of
   scenarios and cases, but has also placed more emphasis on the importance
   of post scenario debriefing. We developed two new resources: an online
   debriefing module designed to introduce a new model of debriefing and a
   debriefing tool for real-time use during Pediatric Advanced Life Support
   courses, to enhance and standardize the quality of debriefing by
   Pediatric Advanced Life Support instructors. In this article, we review
   the history of Pediatric Advanced Life Support and Pediatric Advanced
   Life Support instructor training and discuss the development and
   implementation of the new debriefing module and debriefing tool for
   Pediatric Advanced Life Support instructors.
   Conclusion: The incorporation of the debriefing module and debriefing
   tool into the 2011 Pediatric Advanced Life Support instructor materials
   will help both new and existing Pediatric Advanced Life Support
   instructors develop and enhance their debriefing skills with the
   intention of improving the acquisition of knowledge and skills for
   Pediatric Advanced Life Support students. (Pediatr Crit Care Med 2012;
   13:589-595)
RI Cheng, Adam/L-9496-2017; Rodgers, EdD, EMT-P, NRP, FAHA, David L./
OI Cheng, Adam/0000-0002-1039-7502; Rodgers, EdD, EMT-P, NRP, FAHA, David
   L./0000-0003-1559-9987
ZR 0
ZB 5
ZA 0
Z8 4
TC 63
ZS 1
Z9 68
U1 0
U2 13
SN 1529-7535
EI 1947-3893
UT WOS:000308537800024
PM 22596070
ER

PT J
AU Rebmann, Terri
   Elliott, Michael B.
   Reddick, Dave
   Swick, Zachary D.
TI US school/academic institution disaster and pandemic preparedness and
   seasonal influenza vaccination among school nurses
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 40
IS 7
BP 584
EP 589
DI 10.1016/j.ajic.2012.02.027
PD SEP 2012
PY 2012
AB Background: School pandemic preparedness is essential, but has not been
   evaluated.
   Methods: An online survey was sent to school nurses (from state school
   nurse associations and/or state departments of education) between May
   and July 2011. Overall school pandemic preparedness scores were
   calculated by assigning 1 point for each item in the school's pandemic
   plan; the maximum score was 11. Linear regression was used to describe
   factors associated with higher school pandemic preparedness scores.
   Nurse influenza vaccine uptake was assessed as well.
   Results: A total of 1,997 nurses from 26 states completed the survey.
   Almost three-quarters (73.7%; n = 1,472) reported receiving the seasonal
   influenza vaccine during the 2010-11 season. Very few (2.2%; n = 43)
   reported that their school/district had a mandatory influenza
   vaccination policy. Pandemic preparedness scores ranged from 0 to 10
   points, with an average score of 4.3. Determinants of school pandemic
   preparedness were as follows: planning to be a point of dispensing
   during a future pandemic (P < .001), having experienced multiple student
   or employee hospitalizations and/or deaths related to H1N1 during the
   pandemic (P = .01 or <.05, respectively), having a lead nurse complete
   the survey (P < .001), and having the school nurse study participant be
   a member of the school disaster planning committee (P < .001).
   Conclusions: US schools must continue to address gaps in pandemic
   planning. Copyright (C) 2012 by the Association for Professionals in
   Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All
   rights reserved.
OI Rebmann, Terri/0000-0002-1338-8804
ZS 0
ZR 0
Z8 0
TC 16
ZB 5
ZA 0
Z9 16
U1 0
U2 14
SN 0196-6553
EI 1527-3296
UT WOS:000308308400003
PM 22938852
ER

PT J
AU Zhang, Ling
   Xu, Yong
   Nie, Hongwei
   Zhang, Yaodong
   Wu, Yan
TI The prevalence of depressive symptoms among the older in China: a
   meta-analysis
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 27
IS 9
BP 900
EP 906
DI 10.1002/gps.2821
PD SEP 2012
PY 2012
AB Background This study aims to find the status and prevalence of
   depressive symptoms among the population aged 60?years and above in
   China. Methods We conducted a meta-analysis of cross-sectional studies
   in older population. Epidemiological studies on depressive symptoms
   published in Chinese journals were identified manually and online by
   using the Chinese Biological Medical Literature Database, Chongqing VIP
   database for Chinese Technical Periodicals, and Chinese National
   Knowledge Infrastructure database. Studies published in English journals
   were identified using Medlars Online. Results A total of 32 eligible
   studies were included in this review. The analysis showed that the
   pooled prevalence (with 95% confidence interval) of depressive symptoms
   for the seniors in China was 22.7% (confidence interval: 19.426.4%). The
   prevalence of depressive symptoms among the older was a little higher in
   women (24.2%) than in men (19.4%), in rural (29.2%) than urban (20.5%)
   areas, and in western (30.5%) than eastern (19.5%) areas. In addition,
   the prevalence of depressive symptoms decreased with increasing levels
   of education. However, it did not increase gradually with age.
   Conclusions The prevalence of depressive symptoms among the older in
   China was a little high, and it was varied by gender, age, area, and
   education level. Copyright (C) 2012 John Wiley & Sons, Ltd.
Z8 4
ZB 22
ZS 0
ZA 0
ZR 0
TC 71
Z9 75
U1 9
U2 57
SN 0885-6230
EI 1099-1166
UT WOS:000307308500003
PM 22252938
ER

PT J
AU DeLuca, Jane M.
   Kearney, Margaret H.
   Norton, Sally A.
   Arnold, Georgianne L.
TI Internet use by parents of infants with positive newborn screens
SO JOURNAL OF INHERITED METABOLIC DISEASE
VL 35
IS 5
BP 879
EP 884
DI 10.1007/s10545-011-9449-7
PD SEP 2012
PY 2012
AB Internet searches on health topics are common, but not enough is known
   about online use during serious health concerns. The aim of this study
   was to investigate parents' internet use and responses to online
   information following the referral of their newborn screen-positive
   infants.
   Forty-four parents were interviewed about their internet use during
   their infants' evaluations for a potential metabolic disorder. Responses
   to open-ended questions were audio taped and transcribed. Content
   analysis was used in analyzing the interview data.
   An overwhelming majority of parents (89%) accessed the internet and most
   went online before meeting with genetic providers at metabolic treatment
   centers. Primary and genetic providers did not routinely recommend
   websites to parents. Online descriptions of metabolic disorders
   increased parents' anxieties. Some parents allayed their distress by
   enlisting others to search and filter information for them and by
   seeking optimistic internet content about the disorders. Parents with
   fewer years of education were often baffled by complex disease
   information. Parents found limited information about treatments or what
   to expect during the clinical evaluations of their infants.
   The internet is an integral part of health care and an important source
   of information for newborn screening parents. Parents may benefit from
   recommendations of credible websites and discussions of internet
   information with health care providers.
OI Kearney, Margaret H/0000-0002-2671-7662; Norton,
   Sally/0000-0001-7686-6327
ZB 3
ZR 0
TC 19
ZA 0
ZS 2
Z8 0
Z9 19
U1 1
U2 8
SN 0141-8955
EI 1573-2665
UT WOS:000308247000015
PM 22297410
ER

PT J
AU Goldfarb, Elizabeth
   Fromson, John A.
   Gorrindo, Tristan
   Birnbaum, Robert J.
TI Enhancing informed consent best practices: gaining patient, family and
   provider perspectives using reverse simulation
SO JOURNAL OF MEDICAL ETHICS
VL 38
IS 9
BP 546
EP 551
DI 10.1136/medethics-2011-100206
PD SEP 2012
PY 2012
AB Background Obtaining informed consent in the clinical setting is an
   important yet challenging aspect of providing safe and collaborative
   care to patients. While the medical profession has defined best
   practices for obtaining informed consent, it is unclear whether these
   standards meet the expressed needs of patients, their families as well
   as healthcare providers. The authors sought to address this gap by
   comparing the responses of these three groups with a standardised
   informed consent paradigm.
   Methods Piloting a web-based 'reverse' simulation paradigm, participants
   viewed a video showing a standardised doctor engaging in an informed
   consent discussion. The scenario depicted a simulated patient with
   psychotic symptoms who is prescribed an atypical antipsychotic
   medication. 107 participants accessed the simulation online and
   completed a web-based debriefing survey.
   Results Survey responses from patients, family members and healthcare
   providers indicated disparities in information retention, perception of
   the doctor's performance and priorities for required elements of the
   consent process.
   Conclusions To enhance existing informed consent best practices, steps
   should be taken to improve patient retention of critical information.
   Adverse events should be described in the short-term and long-term along
   with preventative measures, and alternative psychosocial and
   pharmacological treatment options should be reviewed. Information about
   treatment should include when the medication takes therapeutic effect
   and how to safely maintain the treatment. The reverse simulation design
   is a model that can discern gaps in clinical practice, which can be used
   to improve patient care.
RI Goldfarb, Elizabeth/Q-2828-2019
OI Goldfarb, Elizabeth/0000-0001-9869-7771
ZB 0
ZR 0
TC 3
Z8 0
ZS 1
ZA 0
Z9 4
U1 0
U2 3
SN 0306-6800
EI 1473-4257
UT WOS:000308352900009
PM 22522147
ER

PT J
AU Weng, Yi-Hao
   Hsu, Chih-Cheng
   Shih, Ya-Hui
   Lo, Heng-Lien
   Chiu, Ya-Wen
   Kuo, Ken N.
TI Dissemination of systematic reviews in a hospital setting: a comparative
   survey for spreading use of the Cochrane Library
SO POSTGRADUATE MEDICAL JOURNAL
VL 88
IS 1043
BP 511
EP 514
DI 10.1136/postgradmedj-2011-130652
PD SEP 2012
PY 2012
AB Introduction The Cochrane Library is the most important online evidence
   retrieval database of systematic reviews. Since 2007, the National
   Health Research Institutes has offered Taiwan's regional hospitals free
   access to the Cochrane Library. This study investigated how these
   hospitals disseminate its utilisation.
   Methods The usage rate of Cochrane reviews was measured in the
   participating hospitals from January 2008 to December 2009. Thereafter,
   a questionnaire survey was conducted for each regional hospital
   disseminator at the beginning of 2010 to analyse their methods of
   disseminating Cochrane reviews.
   Results The hospitals were stratified into three groups according to the
   relative rate of access: high (n = 15), medium (n = 16) and low (n =
   13). In comparison with the low-usage hospitals, the high-usage
   hospitals tended to assign a disseminator of evidence-based medicine to
   take charge of the dissemination of Cochrane reviews (p<0.001). In
   addition, the high-usage hospitals more often used the following six
   methods: providing relevant information via email (p<0.05), investing in
   early adopters (p<0.05), using assistance from designated personnel
   (p<0.05), highlighting the activity of early adopters (p<0.05),
   conducting workshops (p = 0.001), and inviting experts to speak
   (p<0.001). There was no significant difference between high-and
   low-usage hospitals in organisational barriers.
   Conclusion This study has identified several helpful strategies used by
   Taiwan's hospitals to enhance dissemination of the Cochrane Library,
   including raising of awareness, active delivery of information,
   mentoring relationships, and educational training. The data suggest that
   disseminating evidence-based medicine simultaneously is a key element.
RI Hsu, Chih-Cheng/E-3849-2010; Shih, Ya-Hui/B-7853-2019; Chiu, Ya-Wen/E-3838-2010
OI Shih, Ya-Hui/0000-0002-5128-124X; 
ZR 0
ZA 0
Z8 0
TC 5
ZS 0
ZB 0
Z9 5
U1 0
U2 2
SN 0032-5473
EI 1469-0756
UT WOS:000308071200005
PM 22582179
ER

PT J
AU Marck, Claudia H.
   Weiland, Tracey J.
   Neate, Sandra L.
   Hickey, Bernadette B.
   Jelinek, George A.
TI Personal attitudes and beliefs regarding organ and tissue donation: a
   cross-sectional survey of Australian emergency department clinicians
SO PROGRESS IN TRANSPLANTATION
VL 22
IS 3
BP 317
EP 322
DI 10.7182/pit2012311
PD SEP 2012
PY 2012
AB Context - Resources are currently targeted at increasing organ and
   tissue donation rates from emergency departments in Australia. Health
   care professionals' beliefs and personal attitudes regarding organ and
   tissue donation are known to influence professional attitudes and
   practice.
   Objective - To assess emergency department clinicians' general beliefs
   and personal attitudes toward organ and tissue donation, how general
   beliefs influence personal attitudes, and which demographic
   characteristics are related.
   Design - A cross-sectional online survey, based on available literature
   and the validated and widely used Hospital Attitude Survey (Donor
   Action).
   Participants - Data were collected from 811 Australian emergency
   department clinicians, invited to participate through the College of
   Emergency Nursing Australasia, and the Australasian College for
   Emergency Medicine.
   Results - Most clinicians were very supportive of organ and tissue
   donation (96.2%), believed that organ and tissue donation can save lives
   (98.5%), and that organs and tissues will be allocated fairly (82.6%);
   however, 30.1% did not agree that organ and tissue donation can help the
   next of kin cope with grief. Holding positive general beliefs increased
   positive personal attitudes toward organ and tissue donation (P < .001).
   Most reported willingness to donate their own organs and tissues after
   death (90%) and give family consent for their children (79.6%) or adult
   family (86.6%) member to donate. Eighty-six percent had discussed their
   wishes with next of kin, but only 50.7% had registered on the Australian
   Organ Donor Register. Older clinicians, male clinicians, and clinicians
   of certain religious and cultural backgrounds were identified as having
   less positive general beliefs and personal attitudes.
   Conclusion - Although Australian emergency department clinicians are
   generally positive toward organ and tissue donation, some groups could
   potentially benefit from education to change their beliefs and attitudes
   about organ and tissue donation further. (Progress in Transplantation.
   2012;22:317-322) (C) 2012 NATCO, The Organization for Transplant
   Professionals doi: http://dx.doi.org/10.7182/pit2012311
RI Weiland, Tracey/Y-2029-2018; Marck, Claudia/; Jelinek, George/
OI Weiland, Tracey/0000-0002-4053-5507; Marck, Claudia/0000-0002-3173-1522;
   Jelinek, George/0000-0001-6157-0910
Z8 0
ZB 2
ZR 0
TC 14
ZA 0
ZS 2
Z9 16
U1 0
U2 12
SN 1526-9248
UT WOS:000308572900013
PM 22951510
ER

PT J
AU Nachiappan, Arun C.
   Lee, Stephen R.
   Willis, Marc H.
   Galfione, Matthew R.
   Chinnappan, Raj R.
   Diaz-Marchan, Pedro J.
   Bushong, Stewart C.
TI Clinically Oriented Three-Year Medical Physics Curriculum: A New Design
   for the Future
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 199
IS 3
BP 635
EP 643
DI 10.2214/AJR.11.7356
PD SEP 2012
PY 2012
AB OBJECTIVE. Medical physics instruction for diagnostic radiology
   residency at our institution has been redesigned with an interactive and
   image-based approach that encourages clinical application. The new
   medical physics curriculum spans the first 3 years of radiology
   residency and is integrated with the core didactic curriculum.
   CONCLUSION. Salient features include clinical medical physics
   conferences, fundamentals of medical physics lectures, practicums,
   online modules, journal club, and a final review before the American
   Board of Radiology core examination.
OI Willis, Marc/0000-0002-2641-1786
TC 4
Z8 1
ZR 0
ZB 0
ZA 0
ZS 0
Z9 5
U1 0
U2 5
SN 0361-803X
EI 1546-3141
UT WOS:000308150000048
PM 22915405
ER

PT J
AU Sadideen, Hazim
   Kneebone, Roger
TI Practical skills teaching in contemporary surgical education: how can
   educational theory be applied to promote effective learning?
SO AMERICAN JOURNAL OF SURGERY
VL 204
IS 3
BP 396
EP 401
DI 10.1016/j.amjsurg.2011.12.020
PD SEP 2012
PY 2012
AB BACKGROUND: Teaching practical skills is a core component of
   undergraduate and postgraduate surgical education. It is crucial to
   optimize our current learning and teaching models, particularly in a
   climate of decreased clinical exposure. This review explores the role of
   educational theory in promoting effective learning in practical skills
   teaching.
   METHODS: Peer-reviewed publications, books, and online resources from
   national bodies (eg, the UK General Medical Council) were reviewed.
   RESULTS: This review highlights several aspects of surgical education,
   modeling them on current educational theory. These include the
   following: (1) acquisition and retention of motor skills (Miller's
   triangle; Fitts' and Posner's theory), (2) development of expertise
   after repeated practice and regular reinforcement (Ericsson's theory),
   (3) importance of the availability of expert assistance (Vygotsky's
   theory), (4) learning within communities of practice (Lave and Wenger's
   theory), (5) importance of feedback in learning practical skills (Boud,
   Schon, and Endes' theories), and (6) affective component of learning.
   CONCLUSIONS: It is hoped that new approaches to practical skills
   teaching are designed in light of our understanding of educational
   theory. (C) 2012 Elsevier Inc. All rights reserved.
OI Sadideen, Hazim/0000-0002-1452-2331
ZA 0
TC 71
ZS 8
ZR 0
Z8 0
ZB 9
Z9 77
U1 1
U2 48
SN 0002-9610
EI 1879-1883
UT WOS:000308126200020
PM 22688108
ER

PT J
AU Pollett, William G.
   Waxman, Bruce P.
TI Postgraduate surgical education and training in Canada and Australia:
   each may benefit from the other's experiences
SO ANZ JOURNAL OF SURGERY
VL 82
IS 9
BP 581
EP 587
DI 10.1111/j.1445-2197.2012.06172.x
PD SEP 2012
PY 2012
AB Canada and Australia share similar cultural origins and current
   multicultural societies and demographics but there are differences in
   climate and sporting pursuits. Surgeons and surgeon teachers similarly
   share many of the same challenges, but the health care and health-care
   education systems differ in significant ways. The objective of this
   review is to detail the different postgraduate surgical training
   programs with a focus on general surgery and how the programs of each
   country may benefit from appreciating the experiences of the other. The
   major differences relate to entry requirements, the role of universities
   in governance of training, mandatory skills courses in early training,
   the accreditation process, remuneration for surgical teachers and the
   impact of private practice. Many of the differences are culturally
   entrenched in their respective medical systems and unlikely to change
   substantially. Direct entry into specialty training without an
   internship per se is now firmly established in Canada just as delayed
   entry after internship is mandated by the Australian Medical Board. Both
   recognize the importance of establishing goals and objectives, modular
   curricular and the emerging role of online educational resources and how
   these may impact on assessments. The Royal Australasian College of
   Surgeons is unlikely to cede much responsibility to the universities but
   alternative academic models are emerging. Private health care in the two
   countries differs, but there are increasing opportunities for training
   in the private sector in Australia. In spite of the differences, both
   provide excellent health care and surgical training opportunities in an
   environment with significant fiscal, technological and societal
   challenges.
TC 5
ZA 0
ZS 1
Z8 0
ZB 1
ZR 0
Z9 5
U1 0
U2 8
SN 1445-1433
UT WOS:000308330800007
PM 22906092
ER

PT J
AU Farah, Sam S.
   Winter, Matthew
   Appu, Sree
TI Helping doctors utilize the prostate-specific antigen effectively: an
   online randomized controlled trial (The DUPE trial)
SO ANZ JOURNAL OF SURGERY
VL 82
IS 9
BP 633
EP 638
DI 10.1111/j.1445-2197.2012.06154.x
PD SEP 2012
PY 2012
AB Objectives The objectives of this study were to evaluate the
   effectiveness of an information aid (IA) on doctor's knowledge about the
   strengths and limitations of prostate-specific antigen/digital rectal
   examination (PSA/DRE) testing, and to help doctors make better and more
   informed decisions about prostate cancer screening. Methods An online
   randomized trial among 45 doctors in Victoria's public health-care
   network that fulfilled CONSORT requirements was conducted. Participants
   were randomized to either immediate or delayed access to an online IA,
   and knowledge was compared across both groups at the conclusion of the
   trial. Results Doctors spent a mean time of 4:04 (95% confidence
   interval: 0.537:52) reading and completing the IA. Those who read IA
   were more knowledgeable (mean score out of 9, 7.45 versus 5.75, P <
   0.0001). Potential harms and current literature findings were better
   recognized, as well as having a better understanding of what is meant by
   the term screening. Eighty-two?per?cent found that IA helped them
   understand prostate cancer screening, and 73% found it easy to
   understand. Conclusion The IA increased knowledge, took minimal time to
   complete and was found to be helpful in understanding prostate cancer
   screening. Practical implications The IA is an easy-to-access resource
   that improves knowledge regarding the strengths and limitations of the
   PSA/DRE test for prostate cancer screening. Doctors who are unsure how
   to summarize the latest evidence should be directed towards the IA.
ZA 0
ZS 0
TC 1
Z8 0
ZB 0
ZR 0
Z9 1
U1 0
U2 6
SN 1445-1433
EI 1445-2197
UT WOS:000308330800016
PM 22900524
ER

PT J
AU Meacham, Lillian R.
   Edwards, Paula J.
   Cherven, Brooke O.
   Palgon, Michael
   Espinoza, Sofia
   Hassen-Schilling, Leann
   Mertens, Ann C.
TI Primary care providers as partners in long-term follow-up of pediatric
   cancer survivors
SO JOURNAL OF CANCER SURVIVORSHIP
VL 6
IS 3
BP 270
EP 277
DI 10.1007/s11764-012-0224-z
PD SEP 2012
PY 2012
AB To develop a model of shared healthcare delivery that includes primary
   care providers (PCP) and ensures best practice in follow-up of pediatric
   cancer survivors.
   Structured interviews with healthcare professionals (HCPs) were used to
   ascertain familiarity and confidence in providing care to survivors.
   Partnerships were made with HCP societies, and survivor care lectures
   were given at HCP meetings. HCP's preferences for ongoing continuing
   education (CE) opportunities were ascertained. Cancer SurvivorLink(TM),
   a web-based tool, was developed to allow patients to securely store
   their healthcare documents and share them electronically with registered
   HCPs. Educational material developed for Cancer SurvivorLink(TM)
   includes CE modules and QuickFacts-concise summaries of late effects.
   Website utilization was monitored utilizing Google Analytics.
   HCPs described moderate to very low familiarity with survivor care, but
   high interest in online CE learning. Thirty-one lectures were given to
   HCP groups to increase awareness. Preferred types of ongoing CE were:
   lectures, online text, and video modules. CE material was developed
   based on feedback from HCPs and website utilizations and includes 19
   QuickFacts and 5 CE modules. During the first year, the website had 471
   unique visitors and 1,129 total visits. QuickFacts received 345 views
   with Neurocognitive, Survivor Care 101, and Endocrine being most
   visited, and 49 CME modules have been completed.
   PCPs are interested in partnering in models of shared care for pediatric
   cancer survivors. Effective educational initiatives include lectures
   within HCP's professional education constructs and web-based CE
   opportunities. PCP involvement in survivor care alleviates some barriers
   to care such as geographic distance to the the cancer center and ensures
   that more pediatric cancer survivors receive recommended coordinated
   surveillance for late effects of cancer therapy.
ZA 0
TC 21
ZR 0
ZB 2
Z8 0
ZS 0
Z9 21
U1 1
U2 10
SN 1932-2259
EI 1932-2267
UT WOS:000308325200004
PM 22562474
ER

PT J
AU Leykin, Yan
   Thekdi, Seema M.
   Shumay, Dianne M.
   Munoz, Ricardo F.
   Riba, Michelle
   Dunn, Laura B.
TI Internet interventions for improving psychological well-being in
   psycho-oncology: review and recommendations
SO PSYCHO-ONCOLOGY
VL 21
IS 9
BP 1016
EP 1025
DI 10.1002/pon.1993
PD SEP 2012
PY 2012
AB Objective Too few cancer patients and survivors receive evidence-based
   interventions for mental health symptoms. This review examines the
   potential for Internet interventions to help fill treatment gaps in
   psychosocial oncology and presents evidence regarding the likely utility
   of Internet interventions for cancer patients. Methods The authors
   examined available literature regarding Internet interventions tailored
   to cancer patients' mental health needs and reviewed elements of
   Internet interventions for mental health relevant to advancing
   psycho-oncology Internet intervention research. Results Few rigorous
   studies focusing on mental health of cancer patients have been conducted
   online. A growing body of evidence supports the efficacy, accessibility,
   and acceptability of mental health Internet interventions for a variety
   of general and medical patient populations. The authors present
   recommendations and guidelines to assist researchers in developing,
   testing, and disseminating Internet interventions for cancer patients
   and survivors, to manage and improve their mental health. Issues unique
   to Internet interventionsincluding intervention structure,
   customization, provider interaction, and privacy and confidentiality
   issuesare discussed. These guidelines are offered as a step toward
   establishing a set of best practices for Internet interventions in
   psycho-oncology and to generate further discussion regarding the goals
   of such interventions and their place in cancer care. Conclusions
   Internet interventions have the potential to fill an important gap in
   quality cancer care by augmenting limited available mental health
   services. These interventions should be developed in a manner consistent
   with best practices and must be empirically tested and validated.
   Copyright (c) 2011 John Wiley & Sons, Ltd.
RI Leykin, Yan/ABE-5502-2021
OI Leykin, Yan/0000-0002-9851-0142
ZB 14
TC 120
ZR 0
Z8 3
ZA 0
ZS 0
Z9 124
U1 1
U2 46
SN 1057-9249
EI 1099-1611
UT WOS:000308299000015
PM 21608075
ER

PT J
AU Tamler, Ronald
   Green, Dina E.
   Skamagas, Maria
   Breen, Tracy L.
   Lu, Kevin
   Looker, Helen C.
   Babyatsky, Mark
   Leroith, Derek
TI Durability of the effect of online diabetes training for medical
   residents on knowledge, confidence, and inpatient glycemia
SO JOURNAL OF DIABETES
VL 4
IS 3
BP 281
EP 290
DI 10.1111/j.1753-0407.2012.00189.x
PD SEP 2012
PY 2012
AB Background: Inpatient dysglycemia is associated with increased
   morbidity, mortality and cost. Medical education must not only address
   knowledge gaps, but also improve clinical care. Methods: All 129
   medicine residents at a large academic medical center were offered a
   case-based online curriculum on the management of inpatient dysglycemia
   in the fall of 2009. First-year residents took a 3-h course with 10
   modules. Second and third-year residents, who had been educated the
   prior year, underwent abbreviated training. All residents were offered a
   20-min refresher course in the spring of 2009. We assessed resident
   knowledge, resident confidence, and patient glycemia on two teaching
   wards before and after the initial intervention, as well as after the
   refresher course. Results: A total of 117 residents (91%) completed the
   initial training; 299 analyzed admissions generated 11 089 blood glucose
   values and 4799 event blood glucose values. Admissions with target
   glycemia increased from 19.4% to 33.0% (P = 0.035) by the end of the
   curriculum. There was a strong downward trend in hyperglycemia from
   22.4% to 11.3% (P = 0.055) without increased hypoglycemia. Confidence
   and knowledge increased significantly among first-time and repeat
   participants. Residents rated the intervention as highly relevant to
   their practice and technologically well implemented. Conclusion:
   Optimization of an online curriculum covering the management of
   inpatient glycemia over the course of 2 years led to significantly more
   admissions in the target glycemia range. Given its scalability,
   modularity and applicability, this web-based educational intervention
   may become the standard curriculum for the management of inpatient
   glycemia.
Z8 0
ZS 0
TC 14
ZA 0
ZR 0
ZB 2
Z9 14
U1 0
U2 3
SN 1753-0393
EI 1753-0407
UT WOS:000307932500017
PM 22268536
ER

PT J
AU Truncali, Andrea
   Kalet, Adina L.
   Gillespie, Colleen
   More, Frederick
   Naegle, Madeline
   Lee, Joshua D.
   Huben, Laura
   Kerr, David
   Gourevitch, Marc N.
TI Engaging Health Professional Students in Substance Abuse Research
   Development and Early Evaluation of the SARET Program
SO JOURNAL OF ADDICTION MEDICINE
VL 6
IS 3
BP 196
EP 204
DI 10.1097/ADM.0b013e31825f77db
PD SEP 2012
PY 2012
AB Objective: There is a need to build the ranks of health care
   professionals engaged in substance abuse (SA)-focused clinical research.
   The authors simultaneously developed and evaluated SARET, the Substance
   Abuse Research Education and Training program. The fundamental goal of
   this interprofessional program is to stimulate medical, dental, and
   nursing student interest and experience in SA research. Evaluation aims
   to understand program feasibility and acceptability and to assess
   short-term impact.
   Methods: SARET comprises 2 main components: stipend-supported research
   mentorships and a Web-based module series, consisting of 6, interactive,
   multimedia modules addressing core SA research topics, delivered via
   course curricula and in the research mentorships. Authors assessed
   program feasibility and impact on student interest in conducting SA
   research by tracking participation and conducting participant focus
   groups and online surveys.
   Results: Thirty early health care professional students completed
   mentorships (25 summer, 5 yearlong) and 1324 completed at least 1
   Web-module. SARET was considered attractive for the opportunity to
   conduct clinically oriented research and to work with health care
   professionals across disciplines. Mentorship students reported positive
   impact on their vision of SA-related clinical care, more positive
   attitudes about research, and, in some cases, change in career plans.
   Web-based modules were associated with enhanced interest in SA (35%
   increase, P = 0.005, in those somewhat/very interested for neurobiology
   module) and SA research (+ 38%, P < 0.001 for activation, + 45%, P <
   0.001 for personal impact, + 7%, P = 0.089 for neurobiology).
   Conclusions: The SARET program stimulates SA clinical and research
   interest among students of nursing, medicine, and dentistry and may lend
   itself to dissemination.
RI Kalet, Adina/AAA-3440-2021; Gourevitch, Marc/; Lee, Joshua/; Gillespie, Colleen/
OI Kalet, Adina/0000-0003-4855-0223; Gourevitch, Marc/0000-0001-6865-2126;
   Lee, Joshua/0000-0003-3161-2950; Gillespie, Colleen/0000-0001-9096-3430
ZS 0
TC 16
Z8 0
ZB 0
ZR 0
ZA 0
Z9 16
U1 0
U2 8
SN 1932-0620
UT WOS:000307833400004
PM 22864401
ER

PT J
AU Simpson, Paul M
   Bendall, Jason C
   Patterson, Jillian
   Middleton, Paul M
TI Beliefs and expectations of paramedics towards evidence-based practice
   and research.
SO International journal of evidence-based healthcare
VL 10
IS 3
BP 197
EP 203
DI 10.1111/j.1744-1609.2012.00273.x
PD 2012-Sep
PY 2012
AB OBJECTIVE: The objective of this cross-sectional online survey was to
   better understand the beliefs of paramedics towards research and
   evidence-based practice and their expectations regarding its impact on
   their ability to provide patient care.
   METHODS: An online survey of frontline paramedical staff in New South
   Wales, Australia, was conducted in March, 2010. Paramedics were asked to
   respond to five questions relating to their beliefs and expectations
   relating to prehospital research and evidence-based practice, using a
   four-point Likert scale for each. Descriptive statistics are used to
   describe responses to survey questions. Tests for trend between nominal
   and ordinal explanatory variables and ordinal survey responses were
   performed using chi(2) statistics.
   RESULTS: There were 892 responses to the survey throughout the 1-month
   study period. The vast majority of paramedics believed prehospital
   research and paramedic participation in research were very important.
   Ninety per cent believed prehospital research would improve patient
   care, while 92% reported being likely to change clinical practice as a
   result of prehospital evidence. Paramedics with shorter lengths of
   service and those with tertiary education were significantly more
   supportive of, and had higher expectations of, research and
   evidence-based practice.
   CONCLUSIONS: Paramedics who responded to this online survey appear to
   have generally positive expectations of and perceptions towards
   evidence-based practice and research and their impact on prehospital
   care. Tertiary education and shorter length of service were associated
   with more positive expectations of, and higher level of support for,
   evidence-based practice.
RI Simpson, Paul/N-7447-2019; Patterson, Jillian/A-7384-2015; Middleton, Paul M/A-9084-2012; Bendall, Jason C/
OI Simpson, Paul/0000-0003-3875-0061; Middleton, Paul
   M/0000-0003-0760-1098; Bendall, Jason C/0000-0002-8688-2192
ZS 0
ZR 0
ZA 0
TC 7
Z8 0
ZB 0
Z9 7
U1 0
U2 2
EI 1744-1609
UT MEDLINE:22925616
PM 22925616
ER

PT J
AU Lillis, Steven
   Murton, Samantha
TI Does the order of presentation and number of online resources affect the
   frequency of access by learners?
SO Journal of primary health care
VL 4
IS 3
BP 213
EP 6
DI 10.1071/HC12213
PD 2012 Sep 01
PY 2012
AB INTRODUCTION: Provision of web-based resources is a valuable addition to
   face-to-face teaching in a blended learning environment.
   AIM: To understand how both order of presentation and number of online
   resources impacts on the frequency of access by learners in postgraduate
   vocational training in general practice.
   METHODS: Information was collected on how many times individual online
   resources were accessed. Data regarding access rates for 15 separate
   topics used in postgraduate general practice vocational training were
   aggregated. Analysis was on the basis of order of presentation where the
   mean of percentages of hits by order of presentation with standard
   deviations was calculated.
   RESULTS: The first four listed resources were accessed at a higher rate
   than the remainder of the resources. All resources after the first four
   were accessed at a relatively uniform low rate.
   DISCUSSION: It would appear that providing more than four resources per
   topic is associated with learner overload. The number of online
   resources to support face-to-face teaching should be limited to four.
   Resource material needs to be carefully considered in terms of how it
   adds educational value. The ability of resource material to present a
   different perspective on a topic and adherence to both curriculum and
   assessment objectives are important considerations.
RI Lillis, Steven/U-7981-2019
Z8 0
ZR 0
ZB 0
ZA 0
ZS 0
TC 2
Z9 2
U1 0
U2 2
EI 1172-6156
UT MEDLINE:22946069
PM 22946069
ER

PT J
AU Schreiber, Joseph
   Dole, Robin L.
TI The Effect of Knowledge Translation Procedures on Application of
   Information From a Continuing Education Conference
SO PEDIATRIC PHYSICAL THERAPY
VL 24
IS 3
BP 259
EP 266
DI 10.1097/PEP.0b013e31825be0c9
PD FAL 2012
PY 2012
AB Purpose: This study investigated the effect of knowledge translation
   procedures as part of a continuing education conference for pediatric
   physical therapists on knowledge and frequency of use of tests and
   measures. Methods: All attendees (28) were invited to complete a
   baseline self-report survey on knowledge and frequency of use of skills
   related to the use of standardized measures. Eleven attendees
   participated in the additional knowledge translation activities,
   including a 90-minute session during the conference and follow-up online
   interaction. Results: On the baseline survey, conference attendees rated
   themselves higher on frequency of use compared with knowledge. The 8
   conference attendees who completed the follow-up survey rated themselves
   higher in some aspects of knowledge and frequency of use of the skills
   related to standardized assessment. Conclusions: The knowledge
   translation activities were easy to implement and led to positive
   changes in level of knowledge and frequency of use of tests and
   measures. (Pediatr Phys Ther 2012; 24: 259-266)
RI Dole, Robin Lee/AAU-4387-2020
OI Dole, Robin Lee/0000-0001-9700-0995
ZA 0
ZR 0
ZB 1
TC 7
ZS 0
Z8 0
Z9 7
U1 0
U2 6
SN 0898-5669
EI 1538-005X
UT WOS:000305984200012
PM 22735477
ER

PT J
AU Heiligers, Phil J. M.
TI Gender differences in medical students' motives and career choice
SO BMC MEDICAL EDUCATION
VL 12
AR 82
DI 10.1186/1472-6920-12-82
PD AUG 23 2012
PY 2012
AB Background: The main subject is the influence of gender and the stage of
   life on the choice of specialty in medical education. In particular we
   looked at the influence of intrinsic and external motives on this
   relationship. The choice of specialty was divided into two moments: the
   choice between medical specialties and general practice; and the
   preference within medical specialties. In earlier studies the topic of
   motivation was explored, mostly related to gender. In this study stage
   of life in terms of living with a partner -or not- and stage of
   education was added.
   Methods: A questionnaire concerning career preferences was used. The
   online questionnaire was sent to all student members of the KNMG (Royal
   Dutch Medical Association). 58% of these students responded (N = 2397).
   Only 1478 responses could be used for analyses (36%). For stipulating
   the motives that played a role, principal components factor analysis has
   been carried out. For testing the mediation effect a set of regression
   analyses was performed: logistic regressions and multiple regressions.
   Results: Although basic findings about gender differences in motivations
   for preferred careers are consistent with earlier research, we found
   that whether or not living with a partner is determinant for differences
   in profession-related motives and external motives (lifestyle and social
   situation). Furthermore living with a partner is not a specific female
   argument anymore, since no interactions are found between gender and
   living with a partner. Another issue is that motives are mediating the
   relationship between, living with a partner, and the choice of GP or
   medical specialty. For more clarity in the mediating effect of motives a
   longitudinal study is needed to find out about motives and changing
   circumstances.
   Conclusions: The present study provides a contribution to the knowledge
   of career aspirations of medical students, especially the impact of
   motivation. Gender and living with a partner influence both choices, but
   they are not interacting, so living with a partner is similarly
   important for male and female students in choosing their preferences.
   Moreover, external and intrinsic motives mediate this relationship to a
   greater of lesser degree. First stage students are influenced by
   life-style and intrinsic motives in their choice of general practice.
   For second stage students, the results show influences of life-style
   motives next to profession-related motives on both moments of choice.
ZA 0
TC 48
Z8 0
ZB 8
ZS 3
ZR 1
Z9 52
U1 0
U2 27
EI 1472-6920
UT WOS:000315147200001
PM 22913471
ER

PT J
AU Mannan, Hasheem
   Boostrom, Camille
   MacLachlan, Malcolm
   McAuliffe, Eilish
   Khasnabis, Chapal
   Gupta, Neeru
TI A systematic review of the effectiveness of alternative cadres in
   community based rehabilitation
SO HUMAN RESOURCES FOR HEALTH
VL 10
AR 20
DI 10.1186/1478-4491-10-20
PD AUG 13 2012
PY 2012
AB Background: The Millennium Development Goals (MDGs) aim to improve
   population health and the quality and dignity of people's lives, but
   their achievement is constrained by the crisis in human resources for
   health. An important potential contribution towards achieving the MDGs
   for persons with disabilities will be the newly developed Guidelines for
   Community Based Rehabilitation (CBR), launched in 2010. Given the global
   shortage of medical and nursing personnel and highly skilled
   rehabilitation practitioners, effective implementation of the CBR
   guidelines will require additional health workers, with improved
   distribution and a new skill set, allowing them to work across the
   health, education, livelihoods, social, and development sectors.
   Methods: We conducted a systematic review to evaluate existing evidence
   regarding the effectiveness of alternative cadres working in CBR in low
   and middle income countries. We searched the following databases:
   PUBMED, LILACS, SCIE, ISMEAR, WHOLIS, AFRICAN MED IND. We also searched
   the online archive of the Asia Pacific Disability Rehabilitation Journal
   (available from 2002 to 2010), which was not covered by any of the other
   databases. There was no limit set on inclusion with regard to how recent
   a publication was in the general search.
   Results: The search yielded 235 abstracts, only 6 of which addressed CBR
   through some type of evaluative component. Three of the studies explored
   the effects of CBR interventions, mainly related to physical
   disabilities, while three explored issues concerned with the work
   performance of rehabilitation workers. Altogether the studies covered
   four different countries.
   Conclusion: All six studies related to specific service delivery in
   local contexts, using outcome measures that were not comparable across
   studies. We do not, therefore, feel that the current results provide
   adequate methodology or evidence for reliably generalizing their
   results. Due to the dearth of evidence regarding the effectiveness of
   alternative cadres in CBR, systematic research is needed on the
   training, performance and impacts of rehabilitation workers, including
   their capability of working across sectors and engaging with and making
   use of health systems research.
RI Khasnabis, Chapal/ABH-3391-2021; Mannan, Hasheem/; McAuliffe, Eilish/; Gupta, Neeru/
OI Mannan, Hasheem/0000-0001-6209-2586; McAuliffe,
   Eilish/0000-0002-9714-5040; Gupta, Neeru/0000-0002-3806-4435
ZB 2
Z8 1
TC 16
ZA 0
ZS 2
ZR 0
Z9 18
U1 0
U2 29
EI 1478-4491
UT WOS:000309723900001
PM 22888953
ER

PT J
AU Kim, Hae Won
TI Knowledge about human papillomavirus (HPV), and health beliefs and
   intention to recommend HPV vaccination for girls and boys among Korean
   health teachers
SO VACCINE
VL 30
IS 36
BP 5327
EP 5334
DI 10.1016/j.vaccine.2012.06.040
PD AUG 3 2012
PY 2012
AB The human papillomavirus (HPV) vaccination rate in Korea is very low
   because a school-based HPV vaccination program has not yet been
   introduced. This study was designed to assess HPV knowledge, compare the
   health beliefs toward HPV vaccination and intention to recommend HPV
   vaccination for girls and boys, and identify the factors influencing the
   intention to recommend HPV vaccination for girls and boys among Korean
   health teachers. A descriptive cross-sectional study design was
   employed, in which 757 health teachers who worked at elementary, middle,
   high, and special schools in Korea participated via an online survey. A
   self-administered, structured questionnaire was applied, which included
   items on sociodemographics, HPV awareness, HPV knowledge, perceived
   benefits, susceptibility, severity, and barriers toward HPV vaccination
   for girls and boys, and intention to recommend HPV vaccination for girls
   and boys. The rate of correct HPV knowledge items ranged from 5.2% to
   89.2%; 23.4% of the health teachers answered that they had ever taught
   about HPV, 97% answered that both boys and girls should receive HPV
   vaccination, and 47.6% answered that the best time for HPV vaccination
   is when students are at middle school. There were differences regarding
   the perceived benefits (Z = -7.69, p < 0.001). perceived susceptibility
   (Z = -3.37, p = 0.001), perceived severity (Z = -4.13, p < 0.001), and
   perceived barriers (Z = -4.90, p < 0.001) toward HPV vaccination, and
   regarding intention to recommend HPV vaccination (Z = -15.21, p < 0.001)
   for girls and boys. Factors associated with the intention to recommend
   HPV vaccination for girls were the HPV vaccination status of the health
   teachers' children [odds ratio (OR)= 4.24, 95% confidence interval (95%
   Cl) = 1.14-15.72], and the teachers' Pap-test experience (OR = 2.50, 95%
   Cl = 1.05-5.91), perceived benefits (OR = 3.30, 95% Cl = 1.26-7.40),
   perceived susceptibility (OR = 3.25, 95% Cl = 1.58-6.68), and perceived
   barriers (OR = 0.51, 95% Cl = 0.30-0.99); these factors for boys were
   the health teachers' career duration (OR = 1.61, 95% Cl = 1.12-2.32),
   HPV knowledge (OR = 1.45, 95% Cl = 1.01-2.09), perceived benefits (OR =
   3.46, 95% Cl = 2.27-5.26), perceived susceptibility (OR = 1.55, 95% CI =
   1.04-2.29), and perceived severity (OR = 1.71, 95% Cl = 1.15-2.56).
   General awareness of HPV should be increased and more specific
   information about HPV-including that related to vaccination of boys and
   men-should be provided for health teachers. Although a school-based HPV
   vaccine program has yet to be introduced in Korea, health teachers
   should possess general knowledge about HPV and HPV vaccination, and
   differences in attitudes and intentions related to HPV vaccination
   between girls and boys should be reduced. (C) 2012 Elsevier Ltd. All
   rights reserved.
RI kim, hae won/E-9905-2015
OI kim, hae won/0000-0002-6730-1575
ZA 0
ZB 10
ZS 0
Z8 1
TC 31
ZR 0
Z9 32
U1 1
U2 15
SN 0264-410X
EI 1873-2518
UT WOS:000307698800006
PM 22749602
ER

PT J
AU Ittiara, S.
   Sanduja, N.
   Chiranand, P.
   Aurora, A.
   Hariprasad, S. M.
TI Continuing Medical Education: Hot, liquid glass injury as a novel
   mechanism for intraocular foreign body
SO EYE
VL 26
IS 8
BP 1145
EP 1145
DI 10.1038/eye.2012.140
PD AUG 2012
PY 2012
ZA 0
ZB 1
ZR 0
ZS 0
Z8 0
TC 1
Z9 1
U1 0
U2 0
SN 0950-222X
EI 1476-5454
UT WOS:000307726000020
PM 22814807
ER

PT J
AU Almeida, O. P.
   Flicker, L.
   Yeap, B. B.
   Alfonso, H.
   McCaul, K.
   Hankey, G. J.
TI Aspirin decreases the risk of depression in older men with high plasma
   homocysteine
SO TRANSLATIONAL PSYCHIATRY
VL 2
AR e151
DI 10.1038/tp.2012.79
PD AUG 2012
PY 2012
AB High total plasma homocysteine (tHcy) is associated with increased risk
   of cardiovascular events and depression. Consumption of B-vitamins (B6,
   B9 and B12) reduces tHcy by about 15%, but has equivocal effects on
   these health outcomes, suggesting that this relationship is either not
   causal or is confounded by other factors. The results of recent
   randomized trials suggest that antiplatelet therapy may confound these
   associations. This cross-sectional study assessed 3687 men aged 69-87
   years for history of clinically significant depression (Geriatric
   Depression Scale 15 items >= 7) or a recorded diagnosis of depression in
   the Western Australian Data Linkage System, and collected information on
   the use of aspirin, B-vitamins and antidepressant medication, along with
   age, education, living arrangements, smoking history and medical
   comorbidity as assessed by the Charlson index. Participants donated a
   blood sample for the measurement of tHcy, and concentrations >= 15 mu
   mol l(-1) were considered high. Five hundred and thirteen (13.9%) men
   showed evidence of depression, and of those 31.4% had high tHcy, 41.5%
   were using aspirin, 6.8% were consuming B-vitamins. Multivariate
   logistic regression showed that high tHcy was associated with increased
   odds of depression (odds ratio (OR) = 1.60, 95% confidence interval (CI)
   = 1.20-2.14), as was the use of B-vitamins (OR = 1.95, 95% CI =
   1.21-3.13). There was a significant interaction between high tHcy and
   aspirin use (OR = 0.57, 95% CI = 0.36-0.91), but not between high tHcy
   and B-vitamin use (OR = 0.80, 95% CI = 0.26-2.46). The analyses were
   adjusted for smoking status, Charlson index and use of antidepressants.
   The results of this study indicate that older men with high tHcy who use
   aspirin have lower risk of depression, and suggest that antiplatelet
   therapy may be an effective preventive or management strategy for these
   cases. Randomized trials are required to confirm the antidepressant
   effect of aspirin in people with high tHcy. Translational Psychiatry
   (2012) 2, e151; doi:10.1038/tp.2012.79; published online 14 August 2012
RI Almeida, Osvaldo P./A-4925-2008; McCaul, Kieran A/B-8751-2008; Hankey, Graeme J/H-4968-2014; Flicker, Leon/AAE-1530-2022
OI Almeida, Osvaldo P./0000-0002-8689-6199; Hankey, Graeme
   J/0000-0002-6044-7328; Flicker, Leon/0000-0002-3650-0475
ZR 1
TC 44
ZA 0
ZS 0
Z8 1
ZB 30
Z9 46
U1 0
U2 8
SN 2158-3188
UT WOS:000312899200006
PM 22872164
ER

PT J
AU Al-Hadithy, Nawfal
   Gikas, Panagiotis D.
   Al-Nammari, Shafic Said
TI Smartphones in orthopaedics
SO INTERNATIONAL ORTHOPAEDICS
VL 36
IS 8
BP 1543
EP 1547
DI 10.1007/s00264-012-1527-4
PD AUG 2012
PY 2012
AB With the introduction of the European Working Time Directive, surgical
   trainees are facing limited training opportunities and doctors are
   required to maximise their training opportunities. Smartphone sales have
   been rapidly increasing over the last five years and can be used as a
   training tool for the orthopaedic trainee and surgeon. Common uses
   include applications (AO, eLogbook and PubMed), Ebooks, online Logbooks,
   Guidelines and surgical techniques. In addition, smartphones can be used
   to immediately complete work-based assessments, in the absence of
   computers, hopefully increasing completion rates and reliability. Some
   journals now provide podcasts and video tutorials which may be accessed
   on smartphones, which is useful for higher examinations. Smartphones can
   also be used in the clinical setting to take photographs of wounds.
   Smartphones are enjoying increased uptake and application in the
   workplace and we review their use for orthopaedic surgeons and trainees
   to allow them to make the most out of their training opportunities.
Z8 0
ZA 0
ZS 2
ZB 5
TC 36
ZR 0
Z9 38
U1 0
U2 12
SN 0341-2695
EI 1432-5195
UT WOS:000307246200001
PM 22426935
ER

PT J
AU Jucks, Regina
   Paus, Elisabeth
   Bromme, Rainer
TI Patients' medical knowledge and health counseling: What kind of
   information helps to make communication patient-centered?
SO PATIENT EDUCATION AND COUNSELING
VL 88
IS 2
BP 177
EP 183
DI 10.1016/j.pec.2012.01.011
PD AUG 2012
PY 2012
AB Objective: To examine how physicians use information about a patient's
   background knowledge when both anticipating what a patient knows and
   producing actual answers in an email counseling setting.
   Methods: A fictitious patient used a (high vs. low) level of technical
   jargon in an email inquiry about diabetes and provided explicit
   information on prior knowledge (high vs. low) through self-report.
   Final-year medical students (semi-experts) were asked to gauge the
   patient's knowledge level (Experiment 1) and to produce an answer to the
   inquiry (Experiment 2). A total of N = 150 participated in one of the
   two experiments.
   Results: Information from word usage and self-reports was used
   differently in the two experiments. A patient self-reporting low
   knowledge was assumed to have less background knowledge than one
   reporting some knowledge about the domain. The technicality of the
   patient's word use influenced the answers: these were more technical
   when the inquiry used technical jargon instead of everyday language.
   Conclusion: Knowledge anticipation and communication behavior in email
   health care seem to be guided by different hints regarding the patient,
   suggesting the existence of two separate mechanisms.
   Practice implications: Beyond merely teaching physicians or health care
   providers to be aware of the patient's knowledge level when formulating
   a patient-centered response, on-task methods should support health care
   providers during the actual communication phase by providing, for
   instance, metacognitive prompts. (C) 2012 Elsevier Ireland Ltd. All
   rights reserved.
RI Bromme, Rainer/K-2400-2012; Jucks, Regina/GLR-3791-2022; Jucks, Regina/
OI Bromme, Rainer/0000-0002-6123-7269; Jucks, Regina/0000-0002-3980-4327
TC 12
ZA 0
Z8 1
ZS 0
ZB 2
ZR 0
Z9 13
U1 0
U2 19
SN 0738-3991
UT WOS:000307914700004
PM 22365590
ER

PT J
AU McGowan, C. A.
   McAuliffe, F. M.
TI Maternal nutrient intakes and levels of energy underreporting during
   early pregnancy
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 66
IS 8
BP 906
EP 913
DI 10.1038/ejcn.2012.15
PD AUG 2012
PY 2012
AB Background/Objectives: Pregnancy is a critical period in a woman's life
   where nutrition is of key importance for optimal pregnancy outcome. The
   aim of this study was to assess maternal nutrient intakes during early
   pregnancy and to examine potential levels of energy underreporting.
   Subjects/Methods: Three-day food diaries were collected from 260 healthy
   pregnant women sampled from the control arm of a large Irish pregnancy
   cohort at 14 weeks gestation (range 12-20 weeks).
   Results: Up to 45% of pregnant women may be underreporting daily energy
   intake (EI). Multiple logistic regression analysis found that having a
   body mass index (BMI) of >= 25 kg/m(2) compared with a BMI <25 kg/m(2)
   (odds ratio, 4.4; 95% confidence interval, 2.5-7.7) was the main
   predictor of energy underreporting. Educational attainment is also an
   important predictor of energy underreporting. Women who underreport
   their EI tend to be less compliant with the current dietary
   recommendations for pregnancy.
   Conclusions: These data highlight the need for more education and public
   health interventions among pregnant women to achieve current dietary
   guidelines. In the analysis of dietary intakes, removal of extreme under
   reporters (Goldberg's ratio <0.9) may allow for more accurate assessment
   of nutritional intakes amongst pregnant women. European Journal of
   Clinical Nutrition (2012) 66, 906-913; doi:10.1038/ejcn.2012.15;
   published online 29 February 2012
ZR 0
Z8 1
ZS 3
TC 49
ZA 0
ZB 15
Z9 51
U1 0
U2 10
SN 0954-3007
EI 1476-5640
UT WOS:000307236900006
PM 22378227
ER

PT J
AU Krishnaiah, S.
   Rao, B. Subba
   Narasamma, K. Lakshmi
   Amit, G.
TI A survey of severe visual impairment in children attending schools for
   the blind in a coastal district of Andhra Pradesh in South India
SO EYE
VL 26
IS 8
BP 1065
EP 1070
DI 10.1038/eye.2012.88
PD AUG 2012
PY 2012
AB Purpose To identify the major causes of severe childhood visual
   impairment and blindness among students attending schools for the blind
   in a coastal district of Andhra Pradesh (AP) in South India.
   Methods Children <= 16 years of age attending six schools for the blind
   in the study area were interviewed and examined in the year 2009, and
   causes were classified according to the World Health Organization
   Program for Prevention of Blindness (WHO/PBL) childhood blindness
   proforma. A total of 113 children underwent a detailed eye examination
   by an experienced ophthalmologist.
   Results The major causes of blindness were congenital eye anomalies in
   46 children (41.4; 95% confidence interval (CI): 32.3-50.6), followed by
   retinal disorders in 21 children (18.9%; 95% CI: 11.6-26.2), cataract in
   9 children (9.7%; 95% CI: 2.9-12.9), and corneal conditions (scar and
   Staphyloma) in 8 children (7.1%; 95% CI: 2.4-11.8). More than half the
   children (56.6%) were blind due to conditions that could have been
   treated or prevented.
   Discussion Congenital anomalies were found to be the most common cause
   of blindness. The majority of the cases were due to avoidable causes of
   blindness. Therefore, robust screening measures may help reduce the
   burden of visual impairment in children. Eye (2012) 26, 1065-1070;
   doi:10.1038/eye.2012.88; published online 11 May 2012
TC 22
ZA 0
ZS 0
ZB 14
ZR 0
Z8 0
Z9 22
U1 0
U2 1
SN 0950-222X
UT WOS:000307726000009
PM 22576826
ER

PT J
AU Dalal, Deepan
   Brancati, Frederick L.
   Sisson, Stephen D.
TI Factors Affecting Learner Satisfaction with an Internet-Based Curriculum
SO SOUTHERN MEDICAL JOURNAL
VL 105
IS 8
BP 387
EP 391
DI 10.1097/SMJ.0b013e31825d9abb
PD AUG 2012
PY 2012
AB ObjectiveZ Online curricula are used increasingly for educating
   physicians, and evaluating educational outcomes can help improve their
   effectiveness. It is unknown how specific educational outcomes associate
   with each other among learners using online curricula. We set out to
   study how two educational outcomes, learner satisfaction and knowledge,
   and the learner's year of training and training hospital, were
   associated with one another among learners accessing a widely used
   online curriculum.
   Methods: Using data from the 2006Y2007 academic year, learner
   satisfaction was compared with pretest knowledge, posttest knowledge,
   changes in knowledge, module topic, year of training, and training
   hospital among 3229 residents at 73 internal medicine residency training
   programs. A multivariable model was used to calculate the odds ratio of
   learner satisfaction relative to changes in knowledge.
   Results: Module topic, year of training, and hospital type were
   associated with learner satisfaction. Second-year residents were more
   satisfied with training modules (mean rating 4.01) than first-and
   third-year residents (mean ratings 3.97 and 3.95, respectively; P <
   0.05). Learner satisfaction was greater among community hospital
   residents than university hospital residents (mean rating 4.0 vs 3.92; P
   < 0.05). Learner satisfaction was greater in residents with high pretest
   and high posttest knowledge (P < 0.05). In multivariate analyses,
   greater gains in knowledge were associated with greater learner
   satisfaction (P < 0.05).
   Conclusions: Greater learner satisfaction is associated with greater
   baseline knowledge, greater knowledge after completing a curriculum, and
   greater improvement in knowledge while enrolled in a curriculum.
RI Dalal, Deepan/I-5448-2018
TC 4
Z8 0
ZB 0
ZS 0
ZA 0
ZR 0
Z9 4
U1 0
U2 8
SN 0038-4348
EI 1541-8243
UT WOS:000307810200001
PM 22864092
ER

PT J
AU Schaffir, Jonathan
   Czapla, Cheryl
TI Survey of Lactation Instructors on Folk Traditions in Breastfeeding
SO BREASTFEEDING MEDICINE
VL 7
IS 4
BP 230
EP 233
DI 10.1089/bfm.2011.0054
PD AUG 2012
PY 2012
AB Objective: Women who choose to breastfeed are given advice from a
   variety of sources: some well researched and empirical, and some
   folkloric and rooted in oral tradition. This study aims to identify
   which folk practices are being discussed in the breastfeeding community
   and which have been adopted by lactation educators.
   Materials and Methods: An Internet-based questionnaire was sent to
   certified lactation consultants affiliated with U.S. medical centers
   identified through an online database. Participants were asked to
   provide demographic information as well as open responses about the
   types of recommendations they had heard and that they provide to
   clients.
   Results: One hundred twenty-four responses were received out of 293
   surveys sent (42% response rate). Eighty-six lactation consultants (69%)
   reported hearing of folk remedies, and 80 (65%) recommended at least one
   of these methods. The most commonly recommended remedies fell into the
   categories of promoting lactation (58%), reducing pain (41%), and
   avoiding substances with adverse infant effects (19%). Specifically, the
   most common folk traditions recommended were fenugreek (57 responses)
   and blessed thistle (28 responses) for lactation and cabbage leaves (36
   responses) for pain relief. Practitioners who made such recommendations
   were similar to those who did not in age, education, length of career,
   and location.
   Conclusions: Folk traditions are commonly communicated in breastfeeding
   education. The fact that experienced practitioners are promoting the use
   of traditional methods suggests that further research is necessary to
   prove the efficacy of methods whose success previously has been
   anecdotal.
RI Schaffir, Jonathan/E-4029-2011; Schaffir, Jonathan/N-1919-2019
OI Schaffir, Jonathan/0000-0001-7660-639X
ZA 0
ZB 0
ZR 0
ZS 0
TC 5
Z8 0
Z9 5
U1 0
U2 6
SN 1556-8253
UT WOS:000307294700004
PM 22424468
ER

PT J
AU Melloul, Emmanuel
   Raptis, Dimitri Aristotle
   Oberkofler, Christian Eugen
   Dutkowski, Philipp
   Lesurtel, Mickael
   Clavien, Pierre-Alain
TI Donor information for living donor liver transplantation: Where can
   comprehensive information be found?
SO LIVER TRANSPLANTATION
VL 18
IS 8
BP 892
EP 900
DI 10.1002/lt.23442
PD AUG 2012
PY 2012
AB Recently published data show that a large number of candidates for
   living donor liver transplantation (LDLT) actively look for additional
   information on the Internet because today it represents the main source
   of information for many of them. However, little is known about the
   quality of the information on LDLT available on the Internet. Our aim
   was, therefore, to comprehensively evaluate the online information
   available for LDLT candidates with the expanded Ensuring Quality
   Information for Patients (EQIP) tool (0-36 items). One hundred Web sites
   on LDLT were initially found with the Google, Bing, and Yahoo search
   engines, and we identified 32 Web sites that provided specific
   information for such candidates in English. Only 9 Web sites addressed
   >20 items and the scores tended to be higher for educational (P = 0.13)
   and scientific sites (P = 0.07) compared to hospital sites. The median
   number of items from the EQIP tool was only 16 (interquartile range =
   13-20), and quantitative postoperative morbidity and mortality risk
   estimates were available on only 19% and 44% of the Web sites,
   respectively, despite the idea of major complications being mentioned on
   most Web sites. This analysis demonstrated several significant
   shortcomings in the quality of the information provided to potential
   donors for LDLT according to the EQIP instrument. We conclude that there
   is an urgent need to produce a Web site compliant with international
   standards for the quality of donor information. Liver Transpl, 2012. (c)
   2012 AASLD.
RI Lesurtel, Mickaël/J-3710-2019; Raptis, Dimitri Aristotle/
OI Lesurtel, Mickaël/0000-0003-2397-4599; Raptis, Dimitri
   Aristotle/0000-0002-0898-3270
TC 25
ZR 0
ZA 0
Z8 0
ZB 3
ZS 0
Z9 25
U1 0
U2 6
SN 1527-6465
EI 1527-6473
UT WOS:000306858200005
PM 22467198
ER

PT J
AU Wright, Marc-Oliver
   Hebden, Joan N.
   Allen-Bridson, Kathy
   Morrell, Gloria C.
   Horan, Teresa
TI Health care-associated infections studies project: An American Journal
   of Infection Control and National Healthcare Safety Network data quality
   collaboration case study 7
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 40
IS 6
BP 554
EP 555
DI 10.1016/j.ajic.2012.05.002
PD AUG 2012
PY 2012
ZB 0
Z8 0
ZS 0
ZA 0
TC 0
ZR 0
Z9 0
U1 0
U2 1
SN 0196-6553
UT WOS:000306991800018
PM 22854379
ER

PT J
AU Celik, E. C.
   Erhan, B.
   Lakse, E.
TI The clinical characteristics of neuropathic pain in patients with spinal
   cord injury
SO SPINAL CORD
VL 50
IS 8
BP 585
EP 589
DI 10.1038/sc.2012.26
PD AUG 2012
PY 2012
AB Objectives: The aim of the study was to evaluate the characteristics of
   neuropathic pain and observe intensity alterations in pain with regard
   to time during the day in spinal cord injury (SCI) patients.
   Methods: A total of 50 SCI patients (M/F, 40/10; mean age, 35 +/- 12
   years) with at-level and below-level neuropathic pain were included in
   the study. All patients were examined and classified according to the
   ASIA/ISCoS 2002 International Neurologic Examination and Classification
   Standards. The history, duration, localization and characteristics of
   the pain were recorded. Neuropathic pain of patients was evaluated with
   the McGill-Melzack Pain Questionnaire and LANSS (Leeds Assessment of
   Neuropathic Symptoms and Signs) Pain Scale. Visual analog scale (VAS)
   was used to measure the severity of pain four times during the day.
   Quality of life was analyzed with Short Form 36.
   Results: Out of 50 patients, 10 were tetraplegic and 40 were paraplegic.
   In all, 28 patients had motor and sensory complete injuries (AIS A),
   whereas 22 patients had sensory incomplete (AIS B, C and D) injuries.
   The most frequently used words to describe neuropathic pain were
   throbbing, tiring, hot and tingling. Pain intensity was significantly
   higher in the night than in the evening, noon and morning (P < 0.05)
   (VAS morning: 5.16 +/- 2.42, VAS noon: 5.24 +/- 2.52, VAS evening: 5.80
   +/- 2.46 and VAS night: 6.38 +/- 2.19).
   Conclusion: Neuropathic pain is a serious complaint in SCI patients and
   affects their quality of life. Neuropathic pain intensity was higher in
   the night hours than other times of day. This situation reinforces the
   need for a continued research and education on neuropathic pain in SCI.
   Spinal Cord (2012) 50, 585-589; doi:10.1038/sc.2012.26; published online
   20 March 2012
RI Celik, Evrim Coskun/AAU-4676-2020; Coskun, Evrim/
OI Coskun, Evrim/0000-0003-3738-7627
ZR 0
ZS 0
ZB 7
TC 24
ZA 0
Z8 0
Z9 24
U1 1
U2 4
SN 1362-4393
EI 1476-5624
UT WOS:000307284600004
PM 22430511
ER

PT J
AU Phillips, V. L.
   Hunsaker, A. E.
   Florence, C. S.
TI Return to work and productive activities following a spinal cord injury:
   the role of income and insurance
SO SPINAL CORD
VL 50
IS 8
BP 623
EP 626
DI 10.1038/sc.2012.22
PD AUG 2012
PY 2012
AB Study design: We analyzed longitudinal data on secondary outcomes from
   participants in a telerehabilitation study.
   Objectives: To examine the factors affecting return to productive
   activities and employment and the time to these events following a
   spinal cord injury (SCI).
   Setting: A large southeastern rehabilitation hospital in the United
   States.
   Methods: We used hazard regression models to analyze data from newly
   injured people (n=111) participating in an educational intervention post
   discharge who were followed for up to 2 years. Outcomes were time to
   return to productive activities and employment.
   Results: Increasing age and being on Medicaid significantly decreased
   the likelihood of returning to productive activities (P < 0.01), while
   being white (P < 0.05) and having a higher median income (P < 0.001)
   significantly increased this probability. The same factors, bar being on
   Medicaid, affected the return to employment. Whites returned to
   productive activities 2.5 times sooner than African Americans and
   employment twice as fast (P < 0.001). Being in the 75th income
   percentile compared with the 25th shortened time to employment by 209
   days.
   Conclusion: Findings here suggest that income and race affect the time
   to return to productivity and employment, while being on Medicaid also
   has a role in general post injury productivity. Spinal Cord (2012) 50,
   623-626; doi:10.1038/sc.2012.22; published online 13 March 2012
ZR 0
Z8 0
ZS 0
TC 16
ZB 4
ZA 0
Z9 16
U1 0
U2 8
SN 1362-4393
EI 1476-5624
UT WOS:000307284600010
PM 22410848
ER

PT J
AU van Genugten, L.
   van Empelen, P.
   Oenema, A.
TI From weight management goals to action planning: identification of a
   logical sequence from goals to actions and underlying determinants
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 25
IS 4
BP 354
EP 364
DI 10.1111/j.1365-277X.2012.01241.x
PD AUG 2012
PY 2012
AB van Genugten L., van Empelen P. & Oenema A. (2012) From weight
   management goals to action planning: identification of a logical
   sequence from goals to actions and underlying determinants. J Hum Nutr
   Diet . 25, 354364 Abstract Background: Weight gain prevention (WGP)
   among adults who are overweight is an important target in the prevention
   of obesity. However, little is known about the process from WGP as a
   goal to successful weight-management. The present study aimed to: (i)
   gain more insight into this process; (ii) identify cognitive predictors
   of intention for WGP; and (iii) examine WGP as a potential predictor for
   the intention to change weight-related behaviours [dietary intake (DI)
   and physical activity (PA)] and specific action planning. Methods: In
   this cross-sectional study, overweight adults [n = 510; body mass index
   2530 kg m2; mean (SD) age 48 (9.5) years; 30.8% male] completed an
   online questionnaire, assessing goal intention for WGP, behavioural
   intention for DI and PA, planning for change in DI and PA and
   socio-cognitive correlates. Ordinal regression analyses were used to
   analyse the data. Results: In 89% of the sample, (parts of) the proposed
   sequence from goal intention (for WGP), behavioural intention (for
   DI/PA) and planning (for DI/PA) was observed. Attitude, social norm and
   perceived control towards WGP, and perceived weight status and risk
   perception, were associated with intention for WGP. Behaviour-specific
   perceived control and preferences were more strongly associated with
   intention to change DI or PA and planning for change than intention for
   WGP was. Conclusions: Intention for WGP is important in the process
   toward weight-management because, for most people, intention for WGP
   precedes behavioural intention, which precedes planning. Intention for
   WGP is associated with behavioural intention but behaviour-specific
   factors are the strongest correlates of behavioural intention and
   planning.
RI Oenema, Anke/D-7709-2017
OI Oenema, Anke/0000-0002-4350-5821
ZA 0
ZS 0
Z8 0
TC 6
ZR 0
ZB 0
Z9 6
U1 0
U2 14
SN 0952-3871
UT WOS:000306474400008
PM 22432917
ER

PT J
AU Hendrick, Paul A.
   Ahmed, Osman H.
   Bankier, Shane S.
   Chan, Tze Jieh
   Crawford, Sarah A.
   Ryder, Catherine R.
   Welsh, Lisa J.
   Schneiders, Anthony G.
TI Acute low back pain information online: An evaluation of quality,
   content accuracy and readability of related websites
SO MANUAL THERAPY
VL 17
IS 4
BP 318
EP 324
DI 10.1016/j.math.2012.02.019
PD AUG 2012
PY 2012
AB The internet is increasingly being used as a source of health
   information by the general public. Numerous websites exist that provide
   advice and information on the diagnosis and management of acute low back
   pain (ALBP), however, the accuracy and utility of this information has
   yet to be established. The aim of this study was to establish the
   quality, content and readability of online information relating to the
   treatment and management of ALBP. The internet was systematically
   searched using Google search engines from six major English-speaking
   countries. In addition, relevant national and international low back
   pain-related professional organisations were also searched. A total of
   22 relevant websites was identified. The accuracy of the content of the
   ALBP information was established using a 13 point guide developed from
   international guidelines. Website quality was evaluated using the
   HONcode, and the Flesch-Kincaid Grade level (FKGL) was used to establish
   readability. The majority of websites lacked accurate information,
   resulting in an overall mean content accuracy score of 6.3/17. Only 3
   websites had a high content accuracy score (>14/17) along with an
   acceptable readability score (FKGL 6-8) with the majority of websites
   providing information which exceeded the recommended level for the
   average person to comprehend. The most accurately reported category was,
   "Education and reassurance" (98%) while information regarding
   "manipulation" (50%), "massage" (9%) and "exercise" (0%) were amongst
   the lowest scoring categories. These results demonstrate the need for
   more accurate and readable internet-based ALBP information specifically
   centred on evidence-based guidelines. (C) 2012 Elsevier Ltd. All rights
   reserved.
RI Schneiders, Anthony/F-4212-2015
OI Schneiders, Anthony/0000-0002-1583-3879
ZS 0
ZR 0
Z8 0
ZA 0
ZB 2
TC 40
Z9 39
U1 1
U2 16
SN 1356-689X
EI 1532-2769
UT WOS:000306992600011
PM 22464886
ER

PT J
AU Nguyen, Alexander T.
   Janis, Jeffrey E.
TI Resident Selection Protocols in Plastic Surgery: A National Survey of
   Plastic Surgery Independent Program Directors
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 130
IS 2
BP 459
EP 469
DI 10.1097/PRS.0b013e318258d4dd
PD AUG 2012
PY 2012
AB Background: Plastic surgery training programs draw applicants directly
   from medical school (the "integrated path"), and they may also draw
   applicants who have completed other categorical training (the
   "independent path"). Much of the literature on applicant selection
   focuses on the integrated path. The authors sought to characterize the
   selection process of independent path programs and how they compare with
   the integrated path programs.
   Methods: An anonymous, 42-question, multiple-choice, online survey was
   designed for program directors of the independent training path; it was
   mirrored to the previously designed survey of the integrated training
   path. Surveys were sent to all independent path program directors in the
   United States.
   Results: Fifty of the 51 qualifying program directors (98 percent)
   completed the survey. Fewer exclusively independent programs (30
   percent) used a United States Medical Licensing Examination step-1
   cutoff for interviews than did programs using both training pathways (71
   percent; p = 0.015). Letters of recommendation were deemed the most
   important academic criteria. The attrition rate for independent
   residents was 3 percent. The combined rate of the adverse outcomes of
   probation and attrition was statistically lower for independent programs
   (30 percent) than for integrated programs (43 percent; p = 0.033).
   Conclusions: These results may answer some questions regarding what
   programs are looking for. The low rates of probation, dismissal, and
   attrition compared with those of the integrated path would support
   maintaining the independent path as a viable option for those who meet
   selection protocols, as these candidates may have already been
   preselected for success through their previous training programs.
   (Plast. Reconstr. Surg. 130: 459, 2012.)
RI Janis, Jeffrey/W-6760-2019
OI Janis, Jeffrey/0000-0001-6103-4798
Z8 0
TC 43
ZS 0
ZB 2
ZA 0
ZR 0
Z9 43
U1 0
U2 2
SN 0032-1052
EI 1529-4242
UT WOS:000307019700058
PM 22495204
ER

PT J
AU Millett, Gregorio A.
   Peterson, John L.
   Flores, Stephen A.
   Hart, Trevor A.
   Jeffries, William L.
   Wilson, Patrick A.
   Rourke, Sean B.
   Heilig, Charles M.
   Elford, Jonathan
   Fenton, Kevin A.
   Remis, Robert S.
TI Comparisons of disparities and risks of HIV infection in black and other
   men who have sex with men in Canada, UK, and USA: a meta-analysis
SO LANCET
VL 380
IS 9839
BP 341
EP 348
DI 10.1016/S0140-6736(12)60899-X
PD JUL 28 2012
PY 2012
AB Background We did a meta-analysis to assess factors associated with
   disparities in HIV infection in black men who have sex with men (MSM) in
   Canada, the UK, and the USA.
   Methods We searched Embase, Medline, Google Scholar, and online
   conference proceedings from Jan 1, 1981, to Dec 31, 2011, for racial
   comparative studies with quantitative outcomes associated with HIV risk
   or HIV infection. Key words and Medical Subject Headings (US National
   Library of Medicine) relevant to race were cross-referenced with
   citations pertinent to homosexuality in Canada, the UK, and the USA.
   Data were aggregated across studies for every outcome of interest to
   estimate overall effect sizes, which were converted into summary ORs for
   106 148 black MSM relative to 581 577 other MSM.
   Findings We analysed seven studies from Canada, 13 from the UK, and 174
   from the USA. In every country, black MSM were as likely to engage
   similarly in serodiscordant unprotected sex as other MSM. Black MSM in
   Canada and the USA were less likely than other MSM to have a history of
   substance use (odds ratio, OR, 0.53, 95% CI 0.38-0.75, for Canada and
   0.67, 0.50-0.92, for the USA). Black MSM in the UK (1.86, 1.58-2.18) and
   the USA (3.00, 2.06-4.40) were more likely to be HIV positive than were
   other MSM, but HIV-positive black MSM in each country were less likely
   (22% in the UK and 60% in the USA) to initiate combination
   antiretroviral therapy (cART) than other HIV-positive MSM. US
   HIV-positive black MSM were also less likely to have health insurance,
   have a high CD4 count, adhere to cART, or be virally suppressed than
   were other US HIV-positive MSM. Notably, despite a two-fold greater odds
   of having any structural barrier that increases HIV risk (eg,
   unemployment, low income, previous incarceration, or less education)
   compared with other US MSM, US black MSM were more likely to report any
   preventive behaviour against HIV infection (1.39, 1.23-1.57). For
   outcomes associated with HIV infection, disparities were greatest for US
   black MSM versus other MSM for structural barriers, sex partner
   demographics (eg, age, race), and HIV care outcomes, whereas disparities
   were least for sexual risk outcomes.
   Interpretation Similar racial disparities in HIV and sexually
   transmitted infections and cART initiation are seen in MSM in the UK and
   the USA. Elimination of disparities in HIV infection in black MSM cannot
   be accomplished without addressing structural barriers or differences in
   HIV clinical care access and outcomes.
RI Peterson, John Stuart/GSE-4645-2022; Heilig, Charles M/C-2753-2008; Hart, Trevor/
OI Peterson, John Stuart/0000-0001-6516-5779; Heilig, Charles
   M/0000-0003-1075-1310; Hart, Trevor/0000-0001-5107-7452
ZB 179
ZA 0
ZR 0
Z8 2
TC 498
ZS 5
Z9 504
U1 1
U2 67
SN 0140-6736
UT WOS:000306842800031
PM 22819656
ER

PT J
AU Babu, Maya A.
   Nahed, Brian V.
   Heary, Robert F.
TI Investigating the Scope of Resident Patient Care Handoffs within
   Neurosurgery
SO PLOS ONE
VL 7
IS 7
AR e41810
DI 10.1371/journal.pone.0041810
PD JUL 27 2012
PY 2012
AB Introduction: Handoffs are defined as verbal and written communications
   during patient care transitions. With the passage of recent ACMGE work
   hour rules further limiting the hours interns can spend in the hospital,
   many fear that more handoffs will occur, putting patient safety at risk.
   The issue of handoffs has not been studied in the neurosurgical
   literature.
   Methods: A validated, 20-question online-survey was sent to
   neurosurgical residents in all 98 accredited U.S. neurosurgery programs.
   Survey results were analyzed using tabulations.
   Results: 449 surveys were completed yielding a 56% response rate. 63% of
   neurosurgical residents surveyed had not received formal instruction in
   what constitutes an effective handoff; 24% believe there is high to
   moderate variability among their co-residents in terms of the quality of
   the handoff provided; 55% experience three or more interruptions during
   handoffs on average. 90% of neurosurgical residents surveyed say that
   handoff most often occurs in a quiet, private area and 56% report a high
   level of comfort for knowing the potential acute, critical issues
   affecting a patient when receiving a handoff.
   Conclusions: There needs to be more focused education devoted to
   learning effective patient-care handoffs in neurosurgical training
   programs. Increasingly, handing off a patient adequately and safely is
   becoming a required skill of residency.
RI Nahed, Brian/E-4239-2014
OI Nahed, Brian/0000-0001-8537-106X
ZR 0
TC 17
ZA 0
ZS 0
ZB 7
Z8 0
Z9 17
U1 0
U2 7
SN 1932-6203
UT WOS:000306950200110
PM 22848615
ER

PT J
AU Ferronha, I.
   Castro, C.
   Carreira, H.
   Bento, M. J.
   Carvalho, I.
   Peleteiro, B.
   Lunet, N.
TI Prediagnosis lifestyle exposures and survival of gastric cancer
   patients: a cohort study from Portugal
SO BRITISH JOURNAL OF CANCER
VL 107
IS 3
BP 537
EP 543
DI 10.1038/bjc.2012.258
PD JUL 24 2012
PY 2012
AB BACKGROUND: Dietary habits and smoking are recognised as important
   gastric cancer determinants. However, their impact on prognosis remains
   poorly understood. We aimed to quantify the association between
   lifestyles and survival of gastric cancer patients.
   METHODS: In 2001-2006, 568 patients were recruited in the two major
   public hospitals in the north of Portugal. Participants were inquired
   about smoking and dietary habits regarding the year preceding the
   diagnosis. The vital status of all participants, up to 2011 (maximum
   follow-up: 10 years), was assessed through the North Region Cancer
   Registry. Cox proportional hazards regression models were used to
   estimate adjusted (at least for age, sex and education) hazard ratios
   (HR) and 95% confidence intervals (95% CI).
   RESULTS: No significant differences in gastric cancer survival were
   observed according to smoking status (current vs never smokers, HR =
   1.00, 95% CI: 0.72-1.38) or alcohol intake (current vs never consumers,
   HR = 0.87, 95% CI: 0.61-1.25). Only a dietary pattern (high consumptions
   of most food groups and low vegetable soup intake) was significantly
   associated with a better prognosis among patients with the extent of
   disease classified as regional spread (HR = 0.45, 95% CI: 0.22-0.93).
   CONCLUSION: This study shows that prediagnosis lifestyles have a small
   impact in the survival of gastric cancer patients. British Journal of
   Cancer (2012) 107, 537-543. doi: 10.1038/bjc.2012.258 www.bjcancer.com
   Published online 14 June 2012 (C) 2012 Cancer Research UK
RI Peleteiro, Bárbara/D-1247-2016; Castro, Clara/M-4779-2013; /AAZ-4039-2021; Lunet, Nuno/; Bento, Maria Jose/; Carreira, Helena/
OI Peleteiro, Bárbara/0000-0002-0579-9988; Castro,
   Clara/0000-0001-9653-4581; Lunet, Nuno/0000-0003-1870-1430; Bento, Maria
   Jose/0000-0002-7690-9830; Carreira, Helena/0000-0003-1538-2526
ZA 0
ZS 0
ZB 5
ZR 0
TC 11
Z8 0
Z9 11
U1 0
U2 7
SN 0007-0920
EI 1532-1827
UT WOS:000306739300022
PM 22699821
ER

PT J
AU Fackrell, Kathryn
   Hoare, Derek J.
   Smith, Sandra
   McCormack, Abby
   Hall, Deborah A.
TI An evaluation of the content and quality of tinnitus information on
   websites preferred by General Practitioners
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 12
AR 70
DI 10.1186/1472-6947-12-70
PD JUL 12 2012
PY 2012
AB Background: Tinnitus is a prevalent and complex medical complaint often
   co-morbid with stress, anxiety, insomnia, depression, and cognitive or
   communication difficulties. Its chronicity places a major burden on
   primary and secondary healthcare services. In our recent national survey
   of General Practitioners (GPs) from across England, many reported that
   their awareness of tinnitus was limited and as a result were
   dissatisfied with the service they currently provide. GPs identified 10
   online sources of information they currently use in clinical practice,
   but welcomed further concise and accurate information on tinnitus
   assessment and management. The purpose of this study was to assess the
   content, reliability, and quality of the information related to primary
   care tinnitus assessment and management on these 10 websites.
   Methods: Tinnitus related content on each website was assessed using a
   summative content analysis approach. Reliability and quality of the
   information was assessed using the DISCERN questionnaire.
   Results: Quality of information was rated using the validated DISCERN
   questionnaire. Significant inter-rater reliability was confirmed by
   Kendall's coefficient of concordance (Wt) which ranged from 0.48 to 0.92
   across websites. The website Map of Medicine achieved the highest
   overall DISCERN score. However, for information on treatment choice, the
   British Tinnitus Association was rated best. Content analysis revealed
   that all websites lacked a number of details relating to either tinnitus
   assessment or management options.
   Conclusions: No single website provides comprehensive information for
   GPs on tinnitus assessment and management and so GPs may need to refer
   to more than one if they want to maximise their coverage of the topic.
   From those preferred by GPs we recommend several specific websites as
   the current 'best' sources. Our findings should guide healthcare website
   providers to improve the quality and inclusiveness of the information
   they publish on tinnitus. In the case of one website, our preliminary
   findings are already doing so. Such developments will in turn help
   facilitate best practice in primary care.
OI Hall, Deborah/0000-0002-3804-1452; Hoare, Derek/0000-0002-8768-1392;
   Hunter, Abby/0000-0002-6533-6918; Fackrell, Kathryn/0000-0001-6529-8643
ZA 0
ZB 3
ZR 0
ZS 0
TC 15
Z8 1
Z9 16
U1 0
U2 20
EI 1472-6947
UT WOS:000308661000002
PM 22788751
ER

PT J
AU Sisson, Stephen D.
   Rastegar, Darius A.
   Hughes, Mark T.
   Bertram, Amanda K.
   Yeh, Hsin Chieh
TI Learner feedback and educational outcomes with an internet-based
   ambulatory curriculum: a qualitative and quantitative analysis
SO BMC MEDICAL EDUCATION
VL 12
AR 55
DI 10.1186/1472-6920-12-55
PD JUL 12 2012
PY 2012
AB Background: Online medical education curricula offer new tools to teach
   and evaluate learners. The effect on educational outcomes of using
   learner feedback to guide curricular revision for online learning is
   unknown.
   Methods: In this study, qualitative analysis of learner feedback
   gathered from an online curriculum was used to identify themes of
   learner feedback, and changes to the online curriculum in response to
   this feedback were tracked. Learner satisfaction and knowledge gains
   were then compared from before and after implementation of learner
   feedback.
   Results: 37,755 learners from 122 internal medicine residency training
   programs were studied, including 9437 postgraduate year (PGY)1 residents
   (24.4 % of learners), 9864 PGY2 residents (25.5 %), 9653 PGY3 residents
   (25.0 %), and 6605 attending physicians (17.0 %). Qualitative analysis
   of learner feedback on how to improve the curriculum showed that
   learners commented most on the overall quality of the educational
   content, followed by specific comments on the content. When learner
   feedback was incorporated into curricular revision, learner satisfaction
   with the instructive value of the curriculum (1 = not instructive; 5 =
   highly instructive) increased from 3.8 to 4.1 (p < 0.001), and knowledge
   gains (i.e., post test scores minus pretest scores) increased from 17.0
   % to 20.2 % (p < 0.001).
   Conclusions: Learners give more feedback on the factual content of a
   curriculum than on other areas such as interactivity or website design.
   Incorporating learner feedback into curricular revision was associated
   with improved educational outcomes. Online curricula should be designed
   to include a mechanism for learner feedback and that feedback should be
   used for future curricular revision.
ZR 0
Z8 0
ZS 0
TC 7
ZA 0
ZB 1
Z9 7
U1 1
U2 11
EI 1472-6920
UT WOS:000307960100001
PM 22788677
ER

PT J
AU Hendry, M.
   Pasterfield, D.
   Lewis, R.
   Clements, A.
   Damery, S.
   Neal, R. D.
   Adke, R.
   Weller, D.
   Campbell, C.
   Patnick, J.
   Sasieni, P.
   Hurt, C.
   Wilson, S.
   Wilkinson, C.
TI Are women ready for the new cervical screening protocol in England? A
   systematic review and qualitative synthesis of views about human
   papillomavirus testing
SO BRITISH JOURNAL OF CANCER
VL 107
IS 2
BP 243
EP 254
DI 10.1038/bjc.2012.256
PD JUL 10 2012
PY 2012
AB BACKGROUND: A new protocol for human papillomavirus (HPV) testing within
   the UK cervical screening programme commenced in April 2011, creating
   new patient experiences. This is the first review to synthesise a
   substantial body of international evidence of women's information needs,
   views and preferences regarding HPV testing. We aimed to inform the
   development of educational materials to promote informed choice, reduce
   anxiety and improve disease control.
   METHODS: We searched 12 bibliographic databases. Two reviewers
   independently screened papers and assessed study quality; disagreements
   were resolved by discussion. Results were extracted verbatim and
   authors' findings treated as primary data. Studies were synthesised
   collaboratively using framework methods.
   RESULTS: We synthesised findings from 17 studies. Women had
   overwhelmingly negative concerns; an HPV diagnosis was daunting, had
   associated problems of disclosure of a sexually transmitted infection
   (STI), impacted on relationships and provoked fear of stigmatisation.
   Nevertheless, many thought HPV testing could be a preferable alternative
   to repeat cytology. Knowledge was poor; women struggled to interpret
   limited information in the context of existing knowledge about STIs and
   cervical cancer.
   CONCLUSION: Women are likely to be poorly informed, have limited
   understanding and many unanswered questions. This could increase anxiety
   and reduce ability to make informed choices, presenting a substantial
   challenge for those who design and provide information. British Journal
   of Cancer (2012) 107, 243-254. doi:10.1038/bjc.2012.256 www.bjcancer.com
   Published online 14 June 2012 (c) 2012 Cancer Research UK
RI Damery, Sarah/ABA-8641-2021; Hendry, Maggie/; Hurt, Chris/; Lewis, Ruth/; Sasieni, Peter/
OI Damery, Sarah/0000-0003-3681-8608; Hendry, Maggie/0000-0002-6436-7771;
   Hurt, Chris/0000-0003-1206-8355; Lewis, Ruth/0000-0003-0745-995X;
   Sasieni, Peter/0000-0003-1509-8744
ZS 1
ZR 0
Z8 0
ZB 9
ZA 0
TC 36
Z9 36
U1 0
U2 16
SN 0007-0920
EI 1532-1827
UT WOS:000306324600005
PM 22699825
ER

PT J
AU Kellam, H.
   MacDonald, C.J.
   Archibald, D.
   Puddesier, D.
TI Designing digital video to support learner outcomes: a study in an
   online learning resource for healthcare professionals and students
SO International Journal of Online Pedagogy and Course Design
VL 2
IS 3
BP 45
EP 66
DI 10.4018/ijopcd.2012070104
PD 2012
PY 2012
AB This pragmatic, mixed methods study explored how the design and
   implementation of digital video resources in an online educational
   environment affected learning outcomes. Forty-Jive health professionals
   and students evaluated the digital videos incorporated into
   ePhysicianHealth.com, the world's first comprehensive online resource on
   health and wellness for physicians and medical students. Specifically
   the participants were to evaluate how digital videos impacted their
   learning experiences. Quantitative and qualitative data were collected
   from two sources: surveys and interviews. The findings of the study
   clearly indicated that the majority of the participants found the
   digital videos a valuable addition to ePhysicianHealth.com. There were
   numerous practical conclusions from this study that provided
   recommendations for the future design and delivery of digital videos in
   pedagogical settings. They included: the use of personal testimonials
   and stories; the use of problem-solving scenarios involving modeling and
   demonstrations: and tailoring modeling scenarios to the specific needs
   of learners.
RI Archibald, Douglas/GRO-3416-2022
ZR 0
ZB 0
TC 2
ZS 0
ZA 0
Z8 0
Z9 2
U1 1
U2 3
SN 2155-6873
UT INSPEC:13481490
ER

PT J
AU Kogan, Lori R.
   Schoenfeld-Tacher, Regina
   Viera, Ann R.
TI The Internet and health information: differences in pet owners based on
   age, gender, and education
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 100
IS 3
BP 197
EP 204
DI 10.3163/1536-5050.100.3.010
PD JUL 2012
PY 2012
AB Objective: The research assessed the attitudes and behaviors of pet
   owners pertaining to online search behavior for pet health information.
   Methods: A survey was conducted with a random sample of pet owners drawn
   from two US metropolitan areas and surrounding cities. Participating
   clinics were chosen randomly, and each participating clinic was asked to
   distribute 100 surveys to their clients until all surveys were
   disbursed.
   Results: Although some perceptions and behaviors surrounding the use of
   the Internet for pet health information differ based on gender, age, or
   education level of pet owners, there are many aspects in which there are
   no differences based on these demographics.
   Conclusions: Results of the study suggest that closer examination of the
   common perception that gender, age, or education level has an effect on
   Internet behavior as it relates to veterinary medicine is required.
   Recommendations are made pertaining to the growing presence of the
   Internet and its impact on veterinary medicine.
RI Viera, Ann/B-6350-2008; Schoenfeld, Regina/
OI Viera, Ann/0000-0003-3718-4803; Schoenfeld, Regina/0000-0003-1884-0270
Z8 0
ZS 0
ZR 0
ZA 0
TC 21
ZB 3
Z9 21
U1 4
U2 26
SN 1536-5050
UT WOS:000306501000010
PM 22879809
ER

PT J
AU Stramare, Roberto
   Scattolin, Giuliano
   Beltrame, Valeria
   Gerardi, Marco
   Sommavilla, Marco
   Gatto, Cristina
   Mosca, Paolo
   Rubaltelli, Leopoldo
   Rossi, Carlo Riccardo
   Saccavini, Claudio
TI Structured reporting using a shared indexed multilingual radiology
   lexicon
SO INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
VL 7
IS 4
BP 621
EP 633
DI 10.1007/s11548-011-0663-4
PD JUL 2012
PY 2012
AB A system for creating structured reports (SRs) using a standardized
   radiology lexicon was developed and tested to facilitate automated
   translation of content and multidisciplinary international
   communications.
   A database of radiology terms, RadLex developed by the Radiological
   Society of North America, was used to create a shared indexed
   multilingual radiology lexicon. A diagnostic workstation for generating
   structured reports (OpenEye) was implemented with a "RadLex manager"
   function for adding new words to the lexicon in both English and
   Italian. Sample reports of examinations included in the Medical Imaging
   Resource Center (MIRC) radiology imaging database of clinical cases were
   prepared using this system. The system was evaluated for teaching
   purposes and scientific dissemination.
   The OpenEye system was able to manage the glossary to create new SRs and
   manually translate existing reports containing freely worded
   descriptions. The OpenEye system provides instant translation from
   Italian into English and enables clinical cases to be published in the
   MIRC, while making them accessible for consultation on an international
   scale.
   The SR is advantageous compared with a freely worded report in terms of
   clarity and completeness of the content. Creating SRs for each clinical
   case enables rapid and focused analysis at multidisciplinary meetings.
   All our cases have been included in the MIRC database as part of a
   broader-based European Project for research on soft tissues sarcomas
   (CONTICANET).
RI Stramare, Roberto/ABH-6752-2020; Rossi, Carlo Riccardo r/A-7685-2010; Saccavini, Claudio/; Stramare, Roberto/
OI Rossi, Carlo Riccardo r/0000-0001-7875-5655; Saccavini,
   Claudio/0000-0001-5262-9220; Stramare, Roberto/0000-0002-1818-2290
ZR 0
ZB 1
Z8 0
ZS 0
TC 6
ZA 0
Z9 6
U1 0
U2 5
SN 1861-6410
EI 1861-6429
UT WOS:000306219300011
PM 22009308
ER

PT J
AU Bookstaver, P. Brandon
   Miller, April D.
   Felder, Tisha M.
   Tice, Danielle L.
   Norris, LeAnn B.
   Sutton, S. Scott
TI Assessing Pharmacy Residents' Knowledge of Biostatistics and Research
   Study Design
SO ANNALS OF PHARMACOTHERAPY
VL 46
IS 7-8
BP 991
EP 999
DI 10.1345/aph.1Q772
PD JUL-AUG 2012
PY 2012
AB BACKGROUND: Historically, clinicians have demonstrated a lack of
   confidence and poor aptitude for biostatistics as a tool for medical
   literature interpretation. Evaluation of pharmacy residents' ability to
   interpret biostatistics commonly used in peer-reviewed literature has
   not been previously conducted.
   OBJECTIVE: To evaluate the level of understanding and perception of
   biostatistics concepts among pharmacy residents.
   METHODS: A survey of postgraduate year 1 (PGY1) residents in American
   Society of Health-System Pharmacists accredited residency programs was
   conducted in May 2009. The survey instrument consisted of 27 items,
   including 10 knowledge-based questions, and was distributed to residency
   programs for anonymous reporting via SurveyMonkey. The primary outcome
   of interest was biostatistics knowledge, defined as the percent total
   score of correct knowledge items. Statistical attitude and confidence
   questions were rated on a 5-point Likert-type scale (1 = strongly
   disagree, 5 = strongly agree). The t-test or 1-way analysis of variance
   was conducted, as appropriate, to assess for differences in mean
   biostatistics knowledge scores by respondent characteristics. Forward
   stepwise regression was used to identify which characteristics were
   independently associated with biostatistics knowledge.
   RESULTS: A total of 214 PGY1 residents responded to the online survey
   assessment, and a subset of respondents (n = 166) answered 1 or more of
   the biostatistics knowledge questions. Of those who responded to at
   least 1 knowledge assessment, the overall mean (SD) biostatistics
   knowledge score was 47.3% (18.50%; range 0-90). Overall, respondents
   were predominantly female (74%) and younger than 30 years (81%).
   Residents scored highest in the recognition of the purpose of a
   double-blind study (92.6%; 95% CI 88.52 to 96.67), interpretation of
   relative risk (75.8%; 95% CI 69.02 to 82.57), and identification of the
   appropriate analytic method for a nominal variable (69.4%; 95% CI 62.16
   to 76.59). Bivariate analyses showed that there were statistically
   significant mean differences in knowledge scores by attitude (p = 0.001)
   and confidence (p < 0.001). The multivariate model showed that
   above-average confidence ratings were associated with an absolute
   increase of 7.6% in biostatistics knowledge score (p < 0.019) compared
   to those whose confidence rating was at or below average.
   CONCLUSIONS: Overall, pharmacy residents' perception and understanding
   of biostatistics were poor in this assessment, which correlates with
   previous reports. Enhanced training in biostatistics and literature
   evaluation of both mentors and trainees should be incorporated in PharmD
   programs and residency training sites.
RI Norris, LeAnn B./H-8313-2019; Bookstaver, P. Brandon/H-7790-2019; Felder, Tisha/AAS-6632-2020
OI Norris, LeAnn B./0000-0001-7656-1259; Bookstaver, P.
   Brandon/0000-0002-4409-0963; Felder, Tisha/0000-0001-5693-7749
ZS 3
TC 40
ZR 0
ZB 4
Z8 0
ZA 0
Z9 41
U1 0
U2 12
SN 1060-0280
EI 1542-6270
UT WOS:000307416000009
PM 22828969
ER

PT J
AU AlFaar, Ahmad S.
   Kamal, Sherif
   AbouElnaga, Sherif
   Greene, William L.
   Quintana, Yuri
   Ribeiro, Raul C.
   Qaddoumi, Ibrahim A.
TI International Telepharmacy Education: Another Venue to Improve Cancer
   Care in the Developing World
SO TELEMEDICINE AND E-HEALTH
VL 18
IS 6
BP 470
EP 474
DI 10.1089/tmj.2011.0182
PD JUL-AUG 2012
PY 2012
AB Objective: In developed countries, pharmacists play a crucial role in
   designing and implementing cancer treatments as part of a
   multidisciplinary oncology team. However, developing countries have a
   shortage of pharmacists, and their role is generally limited to
   dispensing and selling drugs. The aim of this study was to investigate
   the feasibility of providing clinical pharmacy educational activities
   via international teleconferencing to improve cancer care in developing
   countries. Materials and Methods: Meticulous preparation and intense
   promotion of the workshop were done in Egypt before the telepharmacy
   conferences began. Multiple connectivity tests were performed to resolve
   technical problems. Nine telepharmacy conferences were delivered during
   3-h sessions that were held on three consecutive days. Talks were
   subsequently made available via Web streaming. Attendees were requested
   to complete a survey to measure their satisfaction with the sessions.
   Results: The teleconference was attended by a total of 345 persons, and
   it was subsequently reviewed online via 456 log-in sessions from 10
   countries. Technical issues (e. g., poor auditory quality) were resolved
   on the first day of the event. The rate of attendees' responses on the
   survey was 30.1%, and satisfaction with the event was generally good.
   Conclusions: Telecommunication is a relatively inexpensive approach that
   may improve pharmacy practices, especially those used to treat patients
   with cancer in developing countries. Special attention to patient-based
   telepharmacy education, including the use of cost-effective technology,
   should be considered.
RI Alfaar, Ahmad Samir/C-8483-2011; Quintana, Yuri/J-2975-2013
OI Alfaar, Ahmad Samir/0000-0002-0930-4583; Quintana,
   Yuri/0000-0001-6583-0257
TC 15
ZA 0
ZR 0
ZB 3
ZS 1
Z8 0
Z9 16
U1 0
U2 9
SN 1530-5627
UT WOS:000306595000012
PM 22667696
ER

PT J
AU Wilson, Lynda
   Harper, Doreen C.
   Tami-Maury, Irene
   Zarate, Rosa
   Salas, Susana
   Farley, Jason
   Warren, Nicole
   Mendes, Isabel
   Ventura, Carla
TI GLOBAL HEALTH COMPETENCIES FOR NURSES IN THE AMERICAS
SO JOURNAL OF PROFESSIONAL NURSING
VL 28
IS 4
BP 213
EP 222
DI 10.1016/j.profnurs.2011.11.021
PD JUL-AUG 2012
PY 2012
AB This article reports the findings from an online survey of nursing
   faculty from the United States, Canada, Latin America, and Caribbean
   countries to identify their perceptions about global health competencies
   for undergraduate nursing students. A list of global health competencies
   for medical students developed by the Association of Faculties of
   Medicine of Canada Resource Group on Global Health and the Global Health
   Education Consortium was adapted for nurses and translated from English
   to Spanish and Portuguese. The competencies were divided into six
   subscales, and respondents rated each competency on a 4-point Likert
   scale, with high scores reflecting strong agreement that the competency
   was essential for undergraduate nursing students. E-mail invitations and
   links to the online survey were distributed using a nonprobability
   convenience sampling strategy. This article reports findings only from
   the respondents to the English and Spanish surveys. The final sample
   included 542 responses to the English survey and 51 responses to the
   Spanish survey. Cronbach's alpha reliability coefficients for the
   subscales ranged from .78 to .96. The mean values for all 6 subscales
   and for each of the 30 items were greater than 3.0 for the respondents
   to the Spanish survey, and the mean values for 27 of the items were
   greater than 3.0 for the respondents to the English survey. These
   findings suggest that respondents perceived the competencies as
   essential global health competencies for undergraduate nursing students
   in the Americas. Narrative comments written by respondents indicate
   additional competencies and specific concerns about adding additional
   content to an already full curricula. Results of this study can be used
   to guide faculty deliberations about global health competencies that
   should be incorporated in the nursing curricula.
RI Ventura, Carla/B-2609-2014; Mendes, Isabel Amelia Costa/J-7966-2012; Mendes, Isabel Amelia Costa/AAB-4382-2020; Tami-Maury, Irene/AAJ-6231-2021; Farley, Jason/; Warren, Nicole/
OI Ventura, Carla/0000-0003-0379-913X; Mendes, Isabel Amelia
   Costa/0000-0002-0704-4319; Mendes, Isabel Amelia
   Costa/0000-0002-0704-4319; Tami-Maury, Irene/0000-0002-1404-8641;
   Farley, Jason/0000-0002-6896-0134; Warren, Nicole/0000-0001-5640-3843
Z8 1
ZR 0
TC 74
ZS 6
ZB 4
ZA 0
Z9 78
U1 1
U2 16
SN 8755-7223
EI 1532-8481
UT WOS:000306879800004
PM 22818191
ER

PT J
AU Sockalingam, Sanjeev
   Hawa, Raed
   Al-Battran, Mazin
   Abbey, Susan E.
   Zaretsky, Ari
TI Preparing International Medical Graduates for Psychiatry Residency: A
   Multi-Site Needs Assessment
SO ACADEMIC PSYCHIATRY
VL 36
IS 4
BP 277
EP 281
DI 10.1176/appi.ap.09110219
PD JUL-AUG 2012
PY 2012
AB Objective: Despite the growing number of international medical graduates
   (IMGs) training in medicine in Canada and the United States,
   IMG-specific challenges early in psychiatry residency have not been Ally
   explored. Therefore, the authors conducted a needs-assessment survey to
   determine the needs of Was transitioning into psychiatry residency.
   Method: Using a 15-item online questionnaire, authors conducted a
   needs-assessment of IMG residents in five Canadian psychiatry residency
   programs. The survey examined IMGs' perceived difficulties with the
   transition into psychiatry residency, educational needs, and demographic
   data. Data were analyzed with descriptive statistics and Mann-Whitney
   tests.
   Results: IMGs identified the following difficulties with their
   transition into residency: understanding the healthcare system, medical
   documentation, and evidence-based medicine/mental health. Language
   barriers and social isolation were significant factors affecting the
   transition into residency for residents who did not speak English as
   their first language. Residents who lived in Canada 12 months or less
   had greater perceived difficulties in psychotherapy knowledge and
   adapting to the Canadian healthcare system; 88% of IMGs reported having
   little-or-no IMG-specific preparation for psychiatry residency from
   their psychiatry program; however, 69% reported that they would use IMG
   resources if offered; 63% felt that faculty in their program should
   undergo training to assist with IMG transition.
   Conclusion: Several perceived challenges, needs, and gaps in training
   were reported by IMGs in Canadian psychiatry residency programs. The
   results of this survey will be used to inform future curriculum
   development to facilitate IMG transition into psychiatry postgraduate
   training programs.
RI Zaretsky, Ari/AAP-9598-2020; Sockalingam, Sanjeev/I-7212-2016; Hawa, Raed/C-4783-2019
OI Sockalingam, Sanjeev/0000-0002-9626-1509; Hawa, Raed/0000-0002-6798-6252
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
TC 15
Z9 15
U1 0
U2 14
SN 1042-9670
UT WOS:000306889600004
PM 22851023
ER

PT J
AU Borman, Karen R.
   Jones, Andrew T.
   Shea, Judy A.
TI Duty Hours, Quality of Care, and Patient Safety: General Surgery
   Resident Perceptions
SO JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
VL 215
IS 1
BP 70
EP 77
DI 10.1016/j.jamcollsurg.2012.02.010
PD JUL 2012
PY 2012
AB BACKGROUND: The balance between patient treatment risks and training
   residents to proficiency is confounded by duty-hour limits. Stricter
   limits have been recommended to enhance quality and safety, although
   supporting data are scarce.
   STUDY DESIGN: A previously piloted survey was delivered with the 2010
   American Board of Surgery In-Training Examination (ABSITE). First
   postgraduate year (PGY1) and PGY2 trainees took the Junior examination
   (IJE); PGY3 and above took the Senior examination (ISE). Residency type,
   size, and location were linked to examinees using program codes. Five
   survey items queried all residents about the impact of further hour
   limits on care quality; online test residents answered 7 more items
   probing medical error sources. Data were analyzed using factorial ANOVA
   for association with sex, PGY level, and program demographics.
   RESULTS: There were 6,161 categorical surgery residents who took the
   ABSITE: 60% men, 60% ISE, and two-thirds in university programs. Paper
   (n = 5,079) and online (n = 1,082) examinees were similar. Item response
   rates ranged from 91% to 98%. Few (< 25%) perceived that stricter hour
   limits would improve care quality to a large or maximal extent. IJE plus
   West and Northeast residents significantly more often favored fewer
   hours. Factors perceived as contributing to medical errors usually or
   always by >= 15% of residents were incomplete handoffs, inexperience or
   lack of knowledge, insufficient ancillary personnel, and excessive
   workload.
   CONCLUSIONS: Most categorical surgery residents do not perceive that
   reduced duty hours will noticeably improve quality of care. Resident
   perceptions of causes of medical errors suggest that system changes are
   more likely to enhance patient safety than further hour limits. (J Am
   Coll Surg 2012; 215: 70-79. (C) 2012 by the American College of
   Surgeons)
CT 119th Annual Scientific Session of the Western-Surgical-Association
CY NOV 13-16, 2011
CL Tucson, AZ
SP Western Surg Assoc
OI Jones, Andrew/0000-0001-7369-4937
ZA 0
TC 20
Z8 0
ZR 0
ZS 3
ZB 4
Z9 24
U1 0
U2 9
SN 1072-7515
EI 1879-1190
UT WOS:000306643900014
PM 22632914
ER

PT J
AU Sharma, A.
   Jofre-Bonet, M.
   Panca, M.
   Lawrenson, J. G.
   Murdoch, I.
TI An economic comparison of hospital-based and community-based glaucoma
   clinics
SO EYE
VL 26
IS 7
BP 967
EP 971
DI 10.1038/eye.2012.73
PD JUL 2012
PY 2012
AB Introduction We have established one model for community care of
   glaucoma clinic patients. Community optometrists received training and
   accreditation in glaucoma care. Once qualified they alternated between
   running half day glaucoma clinics in their own High Street practices and
   assisting in a hospital-based glaucoma clinic session. This paper
   reports the cost of this model.
   Methods Micro-costing was undertaken for the hospital clinic. A
   consensus meeting was held to agree costs for community clinics
   involving all optometrists in the project along with representatives of
   the multiple chain optometry practices who had participated. Costs to
   patients both indirect and direct were calculated following structured
   interviews of 197 patients attending hospital clinics and 194 attending
   community clinics.
   Results The estimated cost per patient attendance to the hospital clinic
   was 63.91 pound and the estimated cost per attendance to the community
   clinic was 145.62 pound. For patients the combined direct and indirect
   cost to attend the hospital clinic was 6.15 pound and the cost to attend
   the community clinic 5.91 pound.
   Discussion The principal reason for the higher cost in the community
   clinic was higher overhead costs in the community. Re-referral to the
   hospital system only occurred for 9% of patients and was not a large
   contribution to the increased cost. Time requested to next appointment
   was similar for the two clinics. Sensitivity analysis shows a strong
   effect of increasing patients seen per clinic. It would, however,
   require 25 patients to be seen per clinician per day in the community in
   order to make the costs comparable. Eye (2012) 26, 967-971;
   doi:10.1038/eye.2012.73; published online 4 May 2012
RI Jofre-Bonet, Mireia/V-8673-2019; Murdoch, Ian/Z-2527-2019; Lawrenson, John/
OI Jofre-Bonet, Mireia/0000-0002-2055-2166; Lawrenson,
   John/0000-0002-2031-6390
Z8 0
ZR 0
TC 15
ZA 0
ZS 0
ZB 3
Z9 15
U1 0
U2 8
SN 0950-222X
UT WOS:000306360800010
PM 22562188
ER

PT J
AU Chao, Serena H.
   Brett, Belle
   Wiecha, John M.
   Norton, Lisa E.
   Levine, Sharon A.
TI Use of an Online Curriculum to Teach Delirium to Fourth-Year Medical
   Students: A Comparison with Lecture Format
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 60
IS 7
BP 1328
EP 1332
DI 10.1111/j.1532-5415.2012.04035.x
PD JUL 2012
PY 2012
AB Web-based learning methods are being used increasingly to teach core
   curriculum in medical school clerkships, but few studies have compared
   the effectiveness of online methods with that of live lectures in
   teaching the same topics to students. Boston University School of
   Medicine has implemented an online, case-based, interactive curriculum
   using videos and text to teach delirium to fourth-year medical students
   during their required 1-month Geriatrics and Home Medical Care
   clerkship. A control group of 56 students who received a 1-hour live
   delirium lecture only was compared with 111 intervention group students
   who completed the online delirium curriculum only. Evaluation consisted
   of a short-answer test with two cases given as a pre- and posttest to
   both groups. The total possible maximum test score was 34 points, and
   the lowest possible score was -8 points. Mean pre- and posttest scores
   were 10.5 +/- 4.0 and 12.7 +/- 4.4, respectively, in the intervention
   group and 9.9 +/- 3.5 and 11.2 +/- 4.5, respectively, in the control
   group. The intervention group had statistically significant improvement
   between the pre- and posttest scores (2.21-point difference; P < .001),
   as did the control group (1.36-point difference; P = .03); the
   difference in test score improvement between the two groups was not
   statistically significant. An interactive case-based online curriculum
   in delirium is as effective as a live lecture in teaching delirium,
   although neither of these educational methods alone produces robust
   increases in knowledge.
RI Chao, Serena H/ABB-6459-2021; Chao, Serena/; Levine, Sharon/; Wiecha, John/; Norton, Lisa/
OI Chao, Serena/0000-0002-5244-3060; Levine, Sharon/0000-0002-7208-6021;
   Wiecha, John/0000-0003-4524-9283; Norton, Lisa/0000-0001-9817-7426
ZR 0
ZB 1
ZS 0
ZA 0
TC 14
Z8 0
Z9 14
U1 1
U2 13
SN 0002-8614
UT WOS:000306311600020
PM 22702385
ER

PT J
AU Hwang, M.
   Chlan, K. M.
   Vogel, L. C.
   Zebracki, K.
TI Substance use in young adults with pediatric-onset spinal cord injury
SO SPINAL CORD
VL 50
IS 7
BP 497
EP 501
DI 10.1038/sc.2012.8
PD JUL 2012
PY 2012
AB Study design: Cross-sectional survey
   Objectives: To assess the prevalence of substance use in young adults
   with pediatric-onset spinal cord injury (SCI) and its relationship with
   demographic factors, and medical and psychosocial outcomes.
   Setting: Young adults living in the United States who received pediatric
   SCI care at one of three SCI programs at the Shriners Hospitals for
   Children.
   Methods: Individuals aged 21-25 years who had sustained SCI before the
   age of 19 were interviewed with a structured questionnaire including
   standardized outcome measures: FIM, Satisfaction with Life Scale (SWLS),
   Short-Form 12 Health Survey (SF-12), Patient Health Questionnaire-9
   (PHQ-9) Depression Scale, and Craig Handicap Assessment and Recording
   Technique (CHART).
   Results: Sample included 215 individuals with a mean age at interview of
   23.3 (s.d. = 0.9) years and mean age at injury of 13.2 (s.d. = 4.9)
   years. In all, 24% had a college degree, 36% were employed and 12% were
   married. Regular substance use was reported by 28% for tobacco, 55% for
   alcohol and 11% for marijuana. Tobacco use was associated with
   depressive symptoms and unemployment; alcohol use was associated with
   having a college degree, single status and independent mobility; and
   marijuana use was associated with not having a college degree. There
   were no significant associations between substance use and
   injury-related factors or life satisfaction.
   Conclusion: Substance use in young adults with pediatric-onset SCI was
   associated with factors such as education, employment, marital status
   and depressive symptoms. Clinicians caring for youth with SCI should
   counsel patients and caregivers regarding the use of substances and
   potential associations with outcomes in adulthood. Spinal Cord (2012)
   50, 497-501; doi: 10.1038/sc.2012.8; published online 28 February 2012
RI Zebracki, Kathy/ABG-1544-2020; Zebracki, Kathy/
OI Zebracki, Kathy/0000-0002-5574-4854
ZR 0
ZB 4
TC 12
ZS 0
Z8 0
ZA 0
Z9 12
U1 0
U2 7
SN 1362-4393
EI 1476-5624
UT WOS:000306282700004
PM 22370762
ER

PT J
AU Marti, A.
   Reinhardt, J. D.
   Graf, S.
   Escorpizo, R.
   Post, M. W. M.
TI To work or not to work: labour market participation of people with
   spinal cord injury living in Switzerland
SO SPINAL CORD
VL 50
IS 7
BP 521
EP 526
DI 10.1038/sc.2011.181
PD JUL 2012
PY 2012
AB Study design: Cross-sectional survey.
   Objectives: To establish labour market participation figures of persons
   with spinal cord injury (SCI) living in Switzerland and to investigate
   determinants and consequences of having paid work.
   Setting: Community.
   Methods: A survey among members of the Swiss Paraplegic Association was
   performed in 2008. Inclusion criteria were: SCI of traumatic or
   non-traumatic origin, minimum age of 18 years, and living in the
   community for at least 1 year. A total of 559 persons with SCI returned
   the questionnaire (response rate 27%), of which 495 (24%) fulfilled the
   eligibility criteria. Bivariate and logistic regression analyses were
   performed based on theoretical considerations and relevant determinants
   found in the literature.
   Results: Of the respondents of working age, 63.8% were involved in
   gainful employment. No significant difference between persons with
   para-and tetraplegia was observed. Logistic regression showed that
   employment was associated with age, time since onset of SCI, having
   worked at 2 years after initial rehabilitation, having received
   vocational counselling, having less pain, more years of education and
   more perceived importance of work. Working persons achieved a
   significantly higher total income. The most important reasons to work
   were not financial, but rather of social nature. Barriers to work were
   primarily health-related.
   Conclusions: We found a relatively high employment rate among the
   studied persons with SCI living in Switzerland. However, because of the
   low response, it is difficult to generalise this finding. Spinal Cord
   (2012) 50, 521-526; doi: 10.1038/sc.2011.181; published online 17
   January 2012
RI Post, Marcel/AAS-2502-2021; Escorpizo, Reuben/AAH-4934-2019; Escorpizo, Reuben/
OI Escorpizo, Reuben/0000-0002-3199-4744
ZR 0
TC 32
Z8 0
ZB 12
ZA 0
ZS 1
Z9 32
U1 0
U2 7
SN 1362-4393
UT WOS:000306282700009
PM 22249321
ER

PT J
AU Valenca, M. P.
   de Menezes, T. A.
   Calado, A. A.
   de Aguiar Cavalcanti, G.
TI Burden and quality of life among caregivers of children and adolescents
   with meningomyelocele: measuring the relationship to anxiety and
   depression
SO SPINAL CORD
VL 50
IS 7
BP 553
EP 557
DI 10.1038/sc.2012.10
PD JUL 2012
PY 2012
AB Objectives: This study aimed to assess the burden and quality of life
   (Qol) of primary caregivers of children/adolescents with
   meningomyelocele, taking into account the relationship to anxiety and
   depression symptoms.
   Methods: A cross-sectional approach was taken to analyze the
   health-related Qol and burden using the Short Form-36 Survey (SF-36) and
   the Caregiver Burden Scale (CBS), respectively. Depressive and anxiety
   symptoms were investigated using the Beck Inventories. The Heckman
   two-step method was used to deal with the selection bias problem.
   Results: A total of 43 primary caregivers were enrolled in the study.
   Most of the caregivers were mothers with preliminary education, living
   in consensual union. Lower scores in general health and vitality were
   reported in the SF-36. The mean global CBS score was 2.2. Majority of
   the volunteers (55.8%) were considered non-depressive. There were both
   positive and negative correlations between the scores of both Beck
   Inventories and most dimensions of the CBS and SF-36. The Heckman method
   showed a higher burden among caregivers who had children with fecal
   incontinence, were living together with a partner, were unemployed and
   had lower income (P<0.05).
   Conclusion: The primary caregivers of children and adolescents with
   myelomeningocele reported burden and a lower Qol. There were more
   anxiety and depression symptoms in subjects with higher burden and
   impaired Qol. Caregivers had a higher burden if they were living
   together with a partner, were unemployed, had low income and had care
   recipients with fecal incontinence. Spinal Cord (2012) 50, 553-557; doi:
   10.1038/sc.2012.10; published online 6 March 2012
RI de Menezes, Tatiane A/G-4558-2012; de Aguiar Cavalcanti, Geraldo/P-2549-2014
OI de Menezes, Tatiane A/0000-0002-9737-6084; 
ZB 4
TC 19
Z8 0
ZA 0
ZS 1
ZR 0
Z9 19
U1 0
U2 4
SN 1362-4393
EI 1476-5624
UT WOS:000306282700015
PM 22391686
ER

PT J
AU Meidani, Zahra
   Sadoughi, Farhnaz
   Ahmadi, Maryam
   Maleki, Mohammad Reza
   Zohoor, Alireza
   Saddik, Basema
TI National Health Information Infrastructure Model: A Milestone for Health
   Information Management Education Realignment
SO TELEMEDICINE AND E-HEALTH
VL 18
IS 6
BP 475
EP 483
DI 10.1089/tmj.2011.0189
PD JUL-AUG 2012
PY 2012
AB Objective: Challenges and drawbacks of the health information management
   (HIM) curriculum at the Master's degree were examined, including lack of
   well-established computing sciences and inadequacy to give rise to
   specific competencies. Information management was condensed to the
   hospital setting to intensify the indispensability of a well-organized
   educational campaign. The healthcare information dimensions of a
   national health information infrastructure (NHII) model present novel
   requirements for HIM education. Materials and Methods: Articles related
   to challenges and barriers to adoption of the personal health record
   (PHR), the core component of personal health dimension of an NHII, were
   searched through sources including Science Direct, ProQuest, and PubMed.
   Through a literature review, concerns about the PHR that are associated
   with HIM functions and responsibilities were extracted. In the
   community/public health dimension of the NHII the main components have
   been specified, and the targeted information was gathered through
   literature review, e-mail, and navigation of international and national
   organizations. Again, topics related to HIM were evoked. Results: Using
   an information system (decision support system, artificial neural
   network, etc.) to support PHR media and content, patient education,
   patient-HIM communication skills, consumer health information,
   conducting a surveillance system in other areas of healthcare such as a
   risk factor surveillance system, occupational health, using an
   information system to analyze aggregated data including a geographic
   information system, data mining, online analytical processing, public
   health vocabulary and classification system, and emerging automated
   coding systems pose major knowledge gaps in HIM education. Conclusions:
   Combining all required skills and expertise to handle personal and
   public dimensions of healthcare information in a single curriculum is
   simply impractical. Role expansion and role extension for HIM
   professionals should be defined based on the essence of HIM roles and
   responsibilities. Forming a curriculum development team consisting of
   various professional profiles brings divergent views regarding the HIM
   curriculum and paves the way for HIM to branch out at the Master's and
   Ph.D. levels based on advanced information technology.
RI , maryam/AAP-6423-2021; Saddik, Basema/H-5679-2019; sadoughi, farahnaz/B-7605-2018; Meidani, Zahra/V-6085-2017; Saddik, Basema/
OI , maryam/0000-0003-0765-9556; sadoughi, farahnaz/0000-0002-7452-0864;
   Meidani, Zahra/0000-0001-8626-0513; Saddik, Basema/0000-0002-4682-5927
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
TC 2
Z9 2
U1 0
U2 43
SN 1530-5627
EI 1556-3669
UT WOS:000306595000013
PM 22732023
ER

PT J
AU Todd, Nicholas J.
   Solis-Trapala, Ivonne
   Jones, Steven H.
   Lobban, Fiona A.
TI An online randomised controlled trial to assess the feasibility,
   acceptability and potential effectiveness of 'Living with Bipolar': A
   web-based self-management intervention for Bipolar Disorder Trial design
   and protocol
SO CONTEMPORARY CLINICAL TRIALS
VL 33
IS 4
BP 679
EP 688
DI 10.1016/j.cct.2012.02.011
PD JUL 2012
PY 2012
AB Background: Bipolar Disorder (BD) is a common and severe form of mental
   illness. Pharmacotherapy is the main treatment offered, but has limited
   effectiveness, and there is increasing evidence that people with BD
   respond well to psychological interventions. Inequalities in access to
   face-to-face psychological interventions mean many people seek support
   outside of routine health services.
   Aim: To assess a recovery informed web-based self-management
   intervention for BD to increase access to psychological support.
   Method: A small online randomised controlled trial (RCT) will evaluate
   the feasibility, acceptability and potential effectiveness of the
   intervention compared to treatment as usual (TAU). Feasibility and
   acceptability will be assessed by recruitment, adherence and dropout
   rates, website usage statistics, user satisfaction scales and a series
   of qualitative interviews. Effectiveness will be assessed on a range of
   outcome measures including quality of life, mood symptoms, coping,
   recovery, and illness beliefs.
   Analysis: Rates of adherence and dropout will be analysed using logistic
   regression models with health, socioeconomic and treatment factors as
   explanatory variables. Changes in quality of life mean scores,
   contrasting between arms, will be assessed using random effects models.
   An exploratory analysis will be performed on the secondary outcomes.
   Thematic analysis (Braun & Clarke, 2006) will be used to analyse the
   qualitative interviews.
   Discussion: The benefits, challenges and methodological challenges of
   developing a web-based intervention and conducting an RCT online are
   discussed.
   Conclusion: The results of this trial will inform a definitive trial;
   and the implementation phase will aim to assess the potential for use
   within the NHS. (C) 2012 Elsevier Inc. All rights reserved.
RI Solis-Trapala, Ivonne/AAZ-2105-2021; Solis-Trapala, Ivonne/D-8144-2011; Jones, Steven/
OI Solis-Trapala, Ivonne/0000-0002-1264-1396; Solis-Trapala,
   Ivonne/0000-0002-1264-1396; Jones, Steven/0000-0002-8801-5113
Z8 0
ZA 0
ZS 0
ZR 0
ZB 11
TC 28
Z9 28
U1 0
U2 35
SN 1551-7144
EI 1559-2030
UT WOS:000305711700018
PM 22387150
ER

PT J
AU Ances, Beau
TI The more things change the more they stay the same: a case report of
   neurology residency experiences
SO JOURNAL OF NEUROLOGY
VL 259
IS 7
BP 1321
EP 1325
DI 10.1007/s00415-011-6347-8
PD JUL 2012
PY 2012
AB This study compared the neurology residency training experience for a
   single neurology resident at the University of Pennsylvania from the
   years 2002-2005. The prevalence of encounters seen during this residency
   was compared to the prevalence of neurological disorders typically
   observed by ambulatory neurologists in the United States (US). A total
   of 1,333 patients were evaluated during this residency. Ischemic
   stroke/transient ischemic accident, epilepsy, metabolic encephalopathy,
   peripheral neuropathy, and multiple sclerosis were the most common
   neurological disorders observed. The four most common reasons for an
   outpatient visit to a neurologist (i.e., headache/migraine, epilepsy,
   cerebrovascular disease, and peripheral neuropathy) typically account
   for approximately 49-55% of all appointments, but only contributed to
   approximately 40% of patient encounters during this neurology residency.
   While these results reflect the encounters of a single neurology
   resident, both the total number and distribution of neurological
   diagnoses were similar to previous experiences over two decades ago at
   US academic medical centers despite significant changes in health care
   delivery and policy. This case report demonstrates that neurology
   residency programs continue to overemphasize acute management of
   inpatient neurological disorders compared to outpatient care of more
   prevalent neurological complaints. Additional measures could be
   instituted to ensure a broader range of experiences during residency
   (i.e., online resident log). These methods could allow residency
   coordinators to identify certain areas of deficiency with regards to
   exposure to patients for a resident and ensure greater competency during
   residency.
OI Ances, Beau/0000-0003-3862-7397
ZB 3
Z8 0
ZA 0
TC 5
ZR 0
ZS 0
Z9 5
U1 0
U2 1
SN 0340-5354
UT WOS:000306125700009
PM 22186851
ER

PT J
AU Bailey, Marc A.
   Coughlin, Patrick A.
   Sohrabi, Soroush
   Griffin, Kathryn J.
   Rashid, S. Tawqeer
   Troxler, Max A.
   Scott, D. Julian A.
TI Quality and readability of online patient information for abdominal
   aortic aneurysms
SO JOURNAL OF VASCULAR SURGERY
VL 56
IS 1
BP 21
EP 26
DI 10.1016/j.jvs.2011.12.063
PD JUL 2012
PY 2012
AB Objective: We assessed the quality and readability of patient
   information for abdominal aortic aneurysms (AAAs) on the World Wide Web,
   as accessed from the United Kingdom.
   Methods: Web sites returned by a simple Web search using the three
   largest search engines by market share were objectively and subjectively
   assessed for quality and readability. The Internet search engines
   Google, Yahoo!, and Bing were interrogated for the term "abdominal
   aortic aneurysm" and the first 50 hits screened. Organization type and
   Health on the Net status were recorded. Each unique site containing AAA
   information was scored for quality using the University of Michigan
   Consumer Health Web site Evaluation Checklist by two authors, and
   readability was calculated using the Flesch Reading Ease (FRE) score.
   Subjective content assessment was also undertaken.
   Results: Of 150 hits, 112 were relevant, with 55 unique sites for
   assessment. Overall, the FRE score was 39 (range, 29-47) and the
   Michigan score was 36 (range, 25-56), with good interobserver agreement
   (r(s) = 0.83; P = .01). Michigan and FRE scores were poorly correlated
   (r(s) = 0.064; P = .6). Sites containing discussion on the merits of
   endovascular/open repair and the concept of an intervention threshold
   had the highest Michigan scores (58.5 [50-59.75] vs 28 [13-36.5]; P <
   .001). Search engine ranking, Health on the Net status, country of
   origin, and organization type did not affect quality or readability.
   Conclusions: The current quality and readability of online patient
   information for AAAs is poor and requires significant improvement.
   Clinicians treating patients with AAAs should be aware of the
   limitations of the online "lay literature." (J Vasc Surg 2012;56:21-6.)
RI Bailey, Marc/; Griffin, Kathryn/K-1677-2016; Coughlin, Patrick/; RASHID, TAWQEER/
OI Bailey, Marc/0000-0001-5038-1970; Griffin, Kathryn/0000-0002-3154-3273;
   Coughlin, Patrick/0000-0003-1342-1114; RASHID,
   TAWQEER/0000-0002-5377-8671
Z8 0
ZR 0
ZS 0
ZB 6
ZA 0
TC 25
Z9 25
U1 0
U2 5
SN 0741-5214
UT WOS:000305965000006
PM 22521801
ER

PT J
AU Kerfoot, B. Price
   Baker, Harley
TI An Online Spaced-Education Game for Global Continuing Medical Education
   A Randomized Trial
SO ANNALS OF SURGERY
VL 256
IS 1
BP 33
EP 38
DI 10.1097/SLA.0b013e31825b3912
PD JUL 2012
PY 2012
AB Objective: To assess the efficacy of a "spaced-education" game as a
   method of continuing medical education (CME) among physicians across the
   globe.
   Background: The efficacy of educational games for the CME has yet to be
   established. We created a novel online educational game by incorporating
   game mechanics into "spaced education" (SE), an evidence-based method of
   online CME.
   Methods: This 34-week randomized trial enrolled practicing urologists
   across the globe. The SE game consisted of 40 validated multiple-choice
   questions and explanations on urology clinical guidelines. Enrollees
   were randomized to 2 cohorts: cohort A physicians were sent 2 questions
   via an automated e-mail system every 2 days, and cohort B physicians
   were sent 4 questions every 4 days. Adaptive game mechanics re-sent the
   questions in 12 or 24 days if answered incorrectly and correctly,
   respectively. Questions expired if not answered on time (appointment
   dynamic). Physicians retired questions by answering each correctly
   twice-in-a-row (progression dynamic). Competition was fostered by
   posting relative performance among physicians. Main outcome measures
   were baseline scores (percentage of questions answered correctly upon
   initial presentation) and completion scores (percentage of questions
   retired).
   Results: A total of 1470 physicians from 63 countries enrolled. Median
   baseline score was 48% (interquartile range [IQR] 17) and, in
   multivariate analyses, was found to vary significantly by region (Cohen
   d(max) = 0.31, P = 0.001) and age (d(max) = 0.41, P < 0.001). Median
   completion score was 98% (IQR 25) and varied significantly by age
   (d(max) = 0.21, P < 0.001) and American Board of Urology certification
   (d = 0.10, P = 0.033) but not by region (multivariate analyses).
   Question clustering reduced physicians' performance (d = 0.43, P <
   0.001). Seventy-six percent of enrollees (1111/1470) requested to
   participate in future SE games.
ZA 0
TC 36
Z8 0
ZB 2
ZR 0
ZS 0
Z9 36
U1 0
U2 4
SN 0003-4932
EI 1528-1140
UT WOS:000306083300010
PM 22664558
ER

PT J
AU Morrison, Laura J.
   Thompson, Britta M.
   Gill, Anne C.
TI A Required Third-Year Medical Student Palliative Care Curriculum Impacts
   Knowledge and Attitudes
SO JOURNAL OF PALLIATIVE MEDICINE
VL 15
IS 7
BP 784
EP 789
DI 10.1089/jpm.2011.0482
PD JUL 2012
PY 2012
AB Background: Despite broad support for palliative and end-of-life care
   training in medical schools, required clinical palliative care and
   end-of-life experiences are rare. In this study, we assess the impact of
   a required palliative care educational intervention on medical students'
   palliative care pain knowledge and end-of-life attitudes.
   Methods: In this wait-list control crossover design, third-year medical
   students from two sequential classes (n = 157) completed a palliative
   care workshop at the beginning of a required year-long course. Students
   then completed a patient experience, online pain management module, and
   reflective essay in either the first or second half of the course.
   Fifteen validated multiple choice palliative care pain management items
   and the Thanatophobia Scale (7 items) were administered to measure
   knowledge and attitudes for all students at baseline, 5.5 months, and 11
   months. Multivariate repeated measures ANOVA was used to determine
   differences between groups and across time.
   Results: Analysis found statistically significant increases in knowledge
   and improvements in attitudes (p<0.001) across the time points as well
   as a statistically significant interaction effect between time and
   groups (p=0.006). These changes correspond to specific curricular
   intervention components in which attitudinal improvements are seen after
   the workshop, and knowledge increases are seen after the patient
   experience, online pain module, and reflective essay.
   Conclusion: A modest, required palliative care curriculum can yield
   improvements in medical student knowledge and attitudes. However,
   expansion of the experiential component and palliative care skills
   training and assessment are needed for students to have more meaningful
   outcomes and to ultimately contribute to better patient outcomes.
OI Morrison, Laura/0000-0002-9610-9435
ZR 0
Z8 0
ZB 4
ZS 0
ZA 0
TC 49
Z9 49
U1 0
U2 10
SN 1096-6218
EI 1557-7740
UT WOS:000306328700013
PM 22686121
ER

PT J
AU Kelly, William F.
   Papp, Klara K.
   Torre, Dario
   Hemmer, Paul A.
TI How and Why Internal Medicine Clerkship Directors Use Locally Developed,
   Faculty-Written Examinations: Results of a National Survey
SO ACADEMIC MEDICINE
VL 87
IS 7
BP 924
EP 930
DI 10.1097/ACM.0b013e318258351b
PD JUL 2012
PY 2012
AB Purpose
   To describe how and why internal medicine clerkship directors (CDs) use
   locally developed, faculty-written (LFW) examinations.
   Method
   In 2009, the Clerkship Directors in Internal Medicine conducted an
   annual, online, confidential survey of its 107 U. S. and Canadian
   institutional members, including questions about LFW examinations. Data
   were analyzed using descriptive statistics and coding of free text.
   Results
   Sixty-nine of 107 members (64.5%) responded. The National Board of
   Medical Examiners (NBME) examination was administered by 93% (63/68),
   LFW examinations were used by 33% (22/67), and both types were used by
   22% (17/67)-compared with 85%, 36%, and 12% in 2005. LFW examinations
   were frequently created by the CD alone (9/22; 41%) and consisted of one
   test (12/22; 52.2%), but some schools gave two (6/22; 26.1%), three
   (2/22; 8.6%), or four or more (3/22; 13%). Multiple-choice examinations
   were most common (26/38; 68.4%), followed by short-answer (8/38; 21.1%)
   and essay (4/38; 10.5%). Most were graded using preestablished criteria;
   half required a minimum passing score (60% most common). LFW exams were
   most commonly 5% to 10% of the total grade. Only a minority of CDs
   reported having reliability estimates or a control group for their
   exams. Most (70%) reported using LFW exams to cover content felt to be
   underrepresented by the NBME.
   Conclusions
   Findings strongly suggest that a minority of internal medicine CDs use
   LFW examinations, mostly to measure achievement not assessed by the
   NBME. However, validity evidence is not consistently being gathered,
   which may limit judgments based on exam results.
Z8 0
ZB 1
TC 7
ZR 0
ZA 0
ZS 0
Z9 7
U1 0
U2 4
SN 1040-2446
EI 1938-808X
UT WOS:000305897400021
PM 22622218
ER

PT J
AU Bouthoorn, Selma H.
   Gaillard, Romy
   Steegers, Eric A. P.
   Hofman, Albert
   Jaddoe, Vincent W. V.
   van Lenthe, Frank J.
   Raat, Hein
TI Ethnic Differences in Blood Pressure and Hypertensive Complications
   During Pregnancy The Generation R Study
SO HYPERTENSION
VL 60
IS 1
BP 198
EP 205
DI 10.1161/HYPERTENSIONAHA.112.194365
PD JUL 2012
PY 2012
AB The aim was to investigate ethnic differences in blood pressure levels
   in each trimester of pregnancy and the risk of gestational hypertensive
   disorders and the degree to which such differences can be explained by
   education and lifestyle-related factors. The study included 6215 women
   participating in a population-based prospective cohort study from early
   pregnancy onward in Rotterdam. Ethnicity was assessed at enrollment.
   Blood pressure was measured in each trimester. Information about
   gestational hypertensive disorders was available from medical charts.
   Lifestyle factors included smoking, alcohol, caffeine intake, folic acid
   supplementation, sodium and energy intake, body mass index, and maternal
   stress. Associations and explanatory pathways were investigated using
   linear and logistic regression analysis. Dutch pregnant women had higher
   systolic blood pressure levels as compared with women in other ethnic
   groups in each trimester of pregnancy. Compared with Dutch women,
   Turkish and Moroccan women had lower diastolic blood pressure levels in
   each trimester. These differences remained after adjusting for education
   and lifestyle factors. Turkish and Moroccan women had a lower risk of
   gestational hypertension as compared with Dutch women (odds ratio, 0.32
   [95% CI, 0.18-0.58] and odds ratio, 0.28 [95% CI, 0.14-0.58]), and Cape
   Verdean women had an elevated risk of preeclampsia (odds ratio, 2.22
   [95% CI, 1.22-4.07]). Differences could not be explained by education or
   lifestyle. Substantial ethnic differences were observed in blood
   pressure levels and risk of gestational hypertensive disorders in each
   trimester of pregnancy, and a wide range of variables could not explain
   these differences. (Hypertension. 2012; 60:198-205.) circle Online Data
   Supplement
RI Gaillard, Romy/H-9674-2019
Z8 0
ZB 16
ZR 0
ZA 0
TC 33
ZS 2
Z9 33
U1 0
U2 7
SN 0194-911X
EI 1524-4563
UT WOS:000305574200038
PM 22615112
ER

PT J
AU Phillips, Andrew W.
   Smith, Sandy G.
   Ross, Callum F.
   Straus, Christopher M.
TI Improved Understanding of Human Anatomy through Self-guided Radiological
   Anatomy Modules
SO ACADEMIC RADIOLOGY
VL 19
IS 7
BP 902
EP 907
DI 10.1016/j.acra.2012.03.011
PD JUL 2012
PY 2012
AB Rationale and Objective: To quantifiably measure the impact of
   self-instructed radiological anatomy modules on anatomy comprehension,
   demonstrated by radiology, gross, and written exams.
   Materials and Methods: Study guides for independent use that emphasized
   structural relationships were created for use with two online radiology
   atlases. A guide was created for each module of the first year medical
   anatomy course and incorporated as an optional course component. A total
   of 93 of 96 eligible students participated. All exams were normalized to
   control for variances in exam difficulty and body region tested. An
   independent t-test was used to compare overall exam scores with respect
   to guide completion or incompletion. To account for aptitude differences
   between students, a paired t-test of each student's exam scores with and
   without completion of the associated guide was performed, thus allowing
   students to serve as their own controls.
   Results: Twenty-one students completed no study guides; 22 completed all
   six guides; and 50 students completed between one and five guides.
   Aggregate comparisons of all students' exam scores showed significantly
   improved mean performance when guides were used (radiology, 57.8%
   [percentile] vs. 45.1%, P < .001; gross, 56.9% vs. 46.5%, P = .001;
   written, 57.8% vs. 50.2%, P = .011). Paired comparisons among students
   who completed between one and five guides demonstrated significantly
   higher mean practical exam scores when guides were used (radiology,
   49.3% [percentile] vs. 36.0%, P = .001; gross, 51.5% vs. 40.4%, P =
   .005), but not higher written scores.
   Conclusions: Radiological anatomy study guides significantly improved
   anatomy comprehension on radiology, gross, and written exams.
OI Phillips, Andrew/0000-0001-5964-6314; Ross, Callum/0000-0001-7764-761X
ZS 1
ZA 0
Z8 0
ZR 0
ZB 2
TC 25
Z9 26
U1 0
U2 6
SN 1076-6332
EI 1878-4046
UT WOS:000305726900017
PM 22537504
ER

PT J
AU Matheiken, Sean J.
   Verstegen, Danielle
   Beard, Jonathan
   van der Vleuten, Cees
TI E-Learning Resources for Vascular Surgeons: A Needs Analysis Study
SO JOURNAL OF SURGICAL EDUCATION
VL 69
IS 4
BP 477
EP 482
DI 10.1016/j.jsurg.2011.12.008
PD JUL-AUG 2012
PY 2012
AB OBJECTIVES: To obtain the views of vascular surgeons about online
   resources in their specialty as a guide to future e-learning
   development.
   DESIGN: A focused questionnaire regarding e-learning resources in
   vascular surgery was circulated online. A combination of structured and
   open-ended questions addressed users' ranking of various resource types,
   examples of presently used websites, suggestions for future growth, and
   the opportunity to become actively involved in e-learning development.
   The responses were collected over a 4-week period and remained
   anonymous.
   SETTING: The study was conducted online at
   http://www.vasculareducation.com as part of an ongoing project on
   e-learning for vascular surgeons by the Department of Educational
   Development and Research, Faculty of Health, Medicine and Life Sciences,
   Maastricht University, Maastricht, The Netherlands.
   PARTICIPANTS: The survey population consisted of vascular surgeons and
   surgical trainees in Europe. The participants were contacted via their
   membership of the European Society for Vascular Surgery and national
   academic or administrative vascular surgical organizations. Demographic
   information was collected about clinical seniority and country of work.
   RESULTS: In all, 252 responses were obtained. Respondents favored the
   development of a variety of online resources in vascular surgery. The
   strongest demand was for illustrations and videos of surgical
   techniques, followed by an interactive calendar and peer-reviewed
   multiple-choice questions. Overall, 46% of respondents wished to
   contribute actively toward e-learning development, with consultants
   being more willing than trainees to do so.
   CONCLUSIONS: Members of the vascular surgical community value online
   resources in their specialty, especially for procedural techniques.
   Vascular surgeons would like to be actively involved in subsequent
   development of e-learning resources. (J Surg 69:477-482. (C) 2012
   Association of Program Directors in Surgery. Published by Elsevier Inc.
   All rights reserved.)
OI Verstegen, Danielle/0000-0001-6811-175X; van der Vleuten,
   Cees/0000-0001-6802-3119
TC 5
Z8 0
ZS 0
ZA 0
ZB 1
ZR 0
Z9 5
U1 0
U2 8
SN 1931-7204
UT WOS:000305366200008
PM 22677585
ER

PT J
AU O'Leary, D. Peter
   Corrigan, Mark A.
   McHugh, Seamus M.
   Hill, A. D.
   Redmond, H. Paul
TI From Theater to the World Wide Web-a New Online Era for Surgical
   Education
SO JOURNAL OF SURGICAL EDUCATION
VL 69
IS 4
BP 483
EP 486
DI 10.1016/j.jsurg.2012.03.005
PD JUL-AUG 2012
PY 2012
AB INTRODUCTION: Traditionally, surgical education has been confined to
   operating and lecture theaters. Access to the World Wide Web and
   services, such as YouTube and iTunes has expanded enormously. Each week
   throughout Ireland, nonconsultant hospital doctors work hard to create
   presentations for surgical teaching. Once presented, these valuable
   presentations are often never used again.
   AIMS: We aimed to compile surgical presentations online and establish a
   new online surgical education tool. We also sought to measure the effect
   of this educational tool on surgical presentation quality.
   METHODS: Surgical presentations from Cork University Hospital and
   Beaumont Hospital presented between January 2010 and April 2011 were
   uploaded to http://www.pilgrimshospital.com/presentations. A YouTube
   channel and iTunes application were created. Web site hits were
   monitored. Quality of presentations was assessed by 4 independent senior
   surgical judges using a validated PowerPoint assessment form. Judges
   were randomly given 6 presentations; 3 presentations were pre-web site
   setup and 3 were post-web site setup. Once uploading commenced,
   presenters were informed.
   RESULTS: A total of 89 presentations have been uploaded to date. This
   includes 55 cases, 17 journal club, and 17 short bullet presentations.
   This has been associated with 46,037 web site page views. Establishment
   of the web site was associated with a significant improvement in the
   quality of presentations. Mean scores for pre- and post-web site group
   were 6.2 vs 7.7 out of 9 respectively, p = 0.037.
   CONCLUSIONS: This novel educational tool provides a unique method to
   enable surgical education become more accessible to trainees, while also
   improving the overall quality of surgical teaching PowerPoint
   presentations. (J Surg 69: 483-486. (C) 2012 Association of Program
   Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
OI Corrigan, Mark/0000-0002-9615-6450
ZR 0
ZS 1
TC 11
ZA 0
ZB 2
Z8 0
Z9 12
U1 0
U2 8
SN 1931-7204
UT WOS:000305366200009
PM 22677586
ER

PT J
AU van Empel, Pieter J.
   Verdam, Mathilde G. E.
   Strypet, Magnus
   van Rijssen, Lennart B.
   Huirne, Judith A.
   Scheele, Fedde
   Bonjer, H. Jaap
   Meijerink, W. Jeroen
TI Voluntary Autonomous Simulator Based Training in Minimally Invasive
   Surgery, Residents' Compliance and Reflection
SO JOURNAL OF SURGICAL EDUCATION
VL 69
IS 4
BP 564
EP 570
DI 10.1016/j.jsurg.2012.04.011
PD JUL-AUG 2012
PY 2012
AB BACKGROUND: Knot tying and suturing skills in minimally invasive surgery
   (MIS) differ markedly from those in open surgery. Appropriate MIS
   training is mandatory before implementation into practice. The Advanced
   Suturing Course (ASC) is a structured simulator based training course
   that includes a 6-week autonomous training period at home on a
   traditional laparoscopic box trainer. Previous research did not
   demonstrate a significant progress in laparoscopic skills after this
   training period. This study aims to identify factors determining
   autonomous training on a laparoscopic box trainer at home.
   METHODS: Residents (n = 97) attending 1 of 7 ASC courses between January
   2009 and June 2011 were consecutively included. After 6 weeks of
   autonomous, training a questionnaire was completed. A random subgroup of
   30 residents was requested to keep a time log. All residents received an
   online survey after attending the ASC. We performed outcome comparison
   to examine the accuracy of individual responses.
   RESULTS: Out of 97 residents, the main motives for noncompliant
   autonomous training included a lack of (training) time after working
   hours (n = 80, 83.3%), preferred practice time during working hours (n =
   76, 31.6%), or another surgical interest than MIS (n = 79, 15.2%).
   Previously set training goals would encourage autonomous training
   according to 27.8% (n = 18) of residents. Thirty participants submitted
   a time log and reported an average 76.5-minute weekly training time. All
   residents confirmed that autonomous home practice on a laparoscopic box
   trainer is valuable.
   CONCLUSIONS: Autonomous practice should be structured and inclusive of
   adequate and sufficient feedback points. A minimally required practice
   time should be set. An obligatory assessment, including corresponding
   consequence should be conducted. Compliance herewith may result in
   increased voluntary (autonomous) simulator based (laparoscopic) training
   by residents. (J Surg 69:564-570. (C) 2012 Association of Program
   Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
RI scheele, fedde/L-6742-2019; Meijerink, Wilhelmus JHJ/T-3619-2017; Scheele, Fedde/
OI Meijerink, Wilhelmus JHJ/0000-0002-5402-0811; Scheele,
   Fedde/0000-0001-9593-257X
ZS 0
ZB 3
ZA 0
TC 32
ZR 0
Z8 0
Z9 32
U1 0
U2 7
SN 1931-7204
EI 1878-7452
UT WOS:000305366200022
PM 22677599
ER

PT J
AU Thompson, Jennifer S.
   Lebwohl, Benjamin
   Syngal, Sapna
   Kastrinos, Fay
TI Knowledge of quality performance measures associated with endoscopy
   among gastroenterology trainees and the impact of a web-based
   intervention
SO GASTROINTESTINAL ENDOSCOPY
VL 76
IS 1
BP 100
EP +
DI 10.1016/j.gie.2012.01.019
PD JUL 2012
PY 2012
AB Background: Knowledge of quality measures in endoscopy among trainees is
   unknown.
   Objective: To assess knowledge of endoscopy-related quality indicators
   among U.S. trainees and determine whether it improves with a Web-based
   intervention.
   Design: Randomized, controlled study.
   Setting: Multicenter.
   Participants: This study involved trainees identified from the American
   Society for Gastrointestinal Endoscopy membership database.
   Intervention: Participants were invited to complete an 18-question
   online test. Respondents were randomized to receive a Web-based tutorial
   (intervention) or not. The test was readministered 6 weeks after
   randomization to determine the intervention's impact.
   Main Outcome Measurements: Baseline knowledge of endoscopy-related
   quality indicators and impact of the tutorial.
   Results: A total of 347 of 1220 trainees (28%) completed the test; the
   mean percentage of correct responses was 55%. For screening colonoscopy,
   44% knew the adenoma detection rate benchmark, 42% identified the cecal
   intubation rate goal, and 74% knew the recommended minimum withdrawal
   time. A total of 208 of 347 trainees (59%) completed the second test;
   baseline scores were similar for the tutorial (n = 106) and no tutorial
   (n = 102) groups (56.4% vs 56.9%, respectively). Scores improved after
   intervention for the tutorial group (65%, P = .003) but remained
   unchanged in the no tutorial group. On multivariate analysis, each
   additional year in training (odds ratio [OR] 2.3; 95% confidence
   interval [CI], 1.5-3.4), training at an academic institution (OR 2.6;
   95% CI, 1.1-6.3), and receiving the tutorial (OR 3.2; 95% CI, 1.7-5.9)
   were associated with scores in the upper tertile.
   Limitations: Low response rate.
   Conclusion: Knowledge of endoscopy-related quality performance measures
   is low among trainees but can improve with a Web-based tutorial.
   Gastroenterology training programs may need to incorporate a formal
   didactic curriculum to supplement practice-based learning of quality
   standards in endoscopy. (Gastrointest Endosc 2012;76:100-6.)
Z8 0
ZA 0
ZB 2
ZS 0
TC 5
ZR 0
Z9 5
U1 0
U2 2
SN 0016-5107
EI 1097-6779
UT WOS:000305616400015
PM 22421498
ER

PT J
AU Malhotra, Neha
   Poolton, Jamie M.
   Wilson, Mark R.
   Masters, Rich S. W.
TI Cutting Errors in Surgery: Experience Limits Underestimation Bias in a
   Simulated Surgical Environment
SO JOURNAL OF SURGICAL EDUCATION
VL 69
IS 4
BP 473
EP 476
DI 10.1016/j.jsurg.2012.01.002
PD JUL-AUG 2012
PY 2012
AB OBJECTIVE: Error management is crucial in surgery and needs to be
   developed through appropriate training and education. Research suggests
   that perceptual errors may be more likely in laparoscopic environments.
   The objective of this work is to investigate error management by novices
   compared with experienced surgeons when performing a simple simulated
   incision in a visually challenging environment.
   METHODS: Novices (n = 20) and experienced surgeons (n = 11) viewed pairs
   of horizontal lines on a laparoscopic monitor. Participants were asked
   to replicate the line lengths by making simulated incisions. The task
   was completed with or without online visual feedback of the incising
   hand. In a second phase of the study, the task was complicated by
   embedding the lines within a perceptual illusion (i.e., Ponzo illusion).
   RESULTS: Incision lengths generally were shorter than the actual lengths
   of the viewed lines for all participants. For the novices, however, this
   underestimation bias was exacerbated when visual feedback of the
   incising hand was unavailable (p < 0.001), whereas the surgeons were not
   affected by loss of vision of the incising hand (p = 0.864).
   Furthermore, novices were influenced by the perceptual illusion designed
   to alter perceptions of line length (p = 0.021), whereas the surgeons
   did not appear to be influenced by the illusion (p = 0.945).
   CONCLUSIONS: A perceptual bias towards incision length underestimation
   may be present when surgery involves a laparoscopic monitor; however,
   surgical experience may protect against accentuation of the
   underestimation bias when the task becomes more visually challenging.
   The bias is discussed using the framework of error management theory. (J
   Surg 69:473-476. (C) 2012 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.)
RI Masters, Richard/A-3889-2010; Malhotra, Neha/; Wilson, Mark/
OI Masters, Richard/0000-0003-0707-6107; Malhotra,
   Neha/0000-0002-9126-7848; Wilson, Mark/0000-0001-8145-6971
Z8 0
TC 0
ZR 0
ZB 0
ZS 0
ZA 0
Z9 0
U1 0
U2 4
SN 1931-7204
UT WOS:000305366200007
PM 22677584
ER

PT J
AU Ahmed, Osman H.
   Sullivan, S. John
   Schneiders, Anthony G.
   McCrory, Paul R.
TI Concussion information online: evaluation of information quality,
   content and readability of concussion-related websites
SO BRITISH JOURNAL OF SPORTS MEDICINE
VL 46
IS 9
BP 675
EP 683
DI 10.1136/bjsm.2010.081620
PD JUL 2012
PY 2012
AB Background The internet plays an important role in the dissemination of
   health information to the general public. Information on orthopaedic
   sports medicine websites has been shown to be of a varying standard, and
   to date there has been no evaluation of the overall quality of
   concussion-related websites.
   Methods A four-stage methodological sampling technique was used to
   identify concussion-related websites. Websites were assessed for the
   presence of a quality standard (the HONcode), their adherence to current
   expert concussion knowledge using a custom-developed concussion
   checklist ('CONcheck'), and their readability using the established
   Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level (FKGL).
   Results 43 Websites were identified from the search strategy with the
   majority (70%) not HONcode certified. A wide distribution of scores was
   seen for the CONcheck (0-22), FRE (16.3-77.4) and FKGL (6-17.8).
   Statistical analysis using independent t tests between websites with the
   HONcode and websites without the HONcode showed no significant
   differences between the two groups for CONcheck (t(41) = 0.571, p =
   0.571), FRE (t(41) = 0.808, p = 0.424) and FKGL(t(41) = -0.964, p =
   0.341) scores.
   Conclusions The variability in the standard of concussion-related
   websites highlights the need for sports medicine website providers to
   consider the delivery, content and readability of information to the
   public.
RI McCrory, Paul/Q-8688-2019; Schneiders, Anthony/F-4212-2015; McCrory, Paul/
OI Schneiders, Anthony/0000-0002-1583-3879; McCrory,
   Paul/0000-0003-4850-0568
ZS 0
Z8 2
ZB 8
ZR 0
ZA 0
TC 61
Z9 62
U1 1
U2 36
SN 0306-3674
EI 1473-0480
UT WOS:000305482800011
PM 21504964
ER

PT J
AU Buijze, Geert A.
   Guitton, Thierry G.
   van Dijk, C. Niek
   Ring, David
CA Sci Variation Grp
TI Training Improves Interobserver Reliability for the Diagnosis of
   Scaphoid Fracture Displacement
SO CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
VL 470
IS 7
BP 2029
EP 2034
DI 10.1007/s11999-012-2260-4
PD JUL 2012
PY 2012
AB The diagnosis of displacement in scaphoid fractures is notorious for
   poor interobserver reliability.
   We tested whether training can improve interobserver reliability and
   sensitivity, specificity, and accuracy for the diagnosis of scaphoid
   fracture displacement on radiographs and CT scans.
   Sixty-four orthopaedic surgeons rated a set of radiographs and CT scans
   of 10 displaced and 10 nondisplaced scaphoid fractures for the presence
   of displacement, using a web-based rating application. Before rating,
   observers were randomized to a training group (34 observers) and a
   nontraining group (30 observers). The training group received an online
   training module before the rating session, and the nontraining group did
   not. Interobserver reliability for training and nontraining was assessed
   by Siegel's multirater kappa and the Z-test was used to test for
   significance.
   There was a small, but significant difference in the interobserver
   reliability for displacement ratings in favor of the training group
   compared with the nontraining group. Ratings of radiographs and CT scans
   combined resulted in moderate agreement for both groups. The average
   sensitivity, specificity, and accuracy of diagnosing displacement of
   scaphoid fractures were, respectively, 83%, 85%, and 84% for the
   nontraining group and 87%, 86%, and 87% for the training group. Assuming
   a 5% prevalence of fracture displacement, the positive predictive value
   was 0.23 in the nontraining group and 0.25 in the training group. The
   negative predictive value was 0.99 in both groups.
   Our results suggest training can improve interobserver reliability and
   sensitivity, specificity and accuracy for the diagnosis of scaphoid
   fracture displacement, but the improvements are slight. These findings
   are encouraging for future research regarding interobserver variation
   and how to reduce it further.
RI Page, Richard/K-6327-2015; Ring, David/AAV-9035-2021; Frihagen, Frede/; Guitton, Thierry/; Soong, Maximillian/; Coles, Chad/; Ladd, Amy/
OI Page, Richard/0000-0002-2225-7144; Ring, David/0000-0002-6506-4879;
   Frihagen, Frede/0000-0002-4811-669X; Guitton,
   Thierry/0000-0002-2599-1985; Soong, Maximillian/0000-0003-0333-8181;
   Coles, Chad/0000-0003-0454-3507; Ladd, Amy/0000-0003-0948-1034
TC 31
ZA 0
ZB 7
Z8 0
ZS 0
ZR 0
Z9 31
U1 0
U2 7
SN 0009-921X
UT WOS:000305211800029
PM 22290132
ER

PT J
AU Kimang'a, Andrew Nyerere
TI A situational analysis of antimicrobial drug resistance in Africa: are
   we losing the battle?
SO Ethiopian journal of health sciences
VL 22
IS 2
BP 135
EP 43
PD 2012-Jul
PY 2012
AB BACKGROUND: The first arrival of a sizable shipment of penicillin at the
   North African Theatre of Operations for USA military use in 1943 was a
   landmark that turned a new chapter of antibiotic use in Africa. Over the
   past decade the expansion of resources and the technological advances
   have meant that much larger quantities of drugs are available in
   developing countries than ever before. As a result, many more
   individuals are receiving necessary treatment or therapy than just ten
   years ago. This very welcome event is accompanied by the terrible irony
   that increases in drug availability and use can promote drug resistance
   and render the same life-saving drugs ineffective.
   METHODS: The study focused on bacterial pathogens. One hundred and three
   relevant literatures were identified from the PubMed online database.
   The coverage included research articles concerning antimicrobial
   resistance involving subjects of an African country.
   RESULTS: Resistant bacteria are on a war path and evidently have
   acquired an edge over us. Our actions are evidently fuelling the
   resistance. The indiscriminate use of antibiotics in humans and
   livestock, wrong and substandard prescriptions by unqualified 'medical
   personnel' together with poor diagnosis or lack of it are all adding
   fuel to the already fired train of resistant microbes.
   CONCLUSION: To win the war and turn tables as we did with the discovery
   of penicillin and other antimicrobials in the 1940s, then we must all
   act now. Antimicrobial stewardship programs-Education, training of
   laboratory personnel and investment in laboratory infrastructure
   development are desirable in these situations.
ZA 0
Z8 0
ZR 0
ZS 2
ZB 16
TC 33
Z9 33
U1 0
U2 2
EI 2413-7170
UT MEDLINE:22876078
PM 22876078
ER

PT J
AU Aarts, M. J.
   Hamelinck, V. C.
   Bastiaannet, E.
   Coebergh, J. W. W.
   Liefers, G. J.
   Voogd, A. C.
   van der Sangen, M.
   Louwman, W. J.
TI Small but significant socioeconomic inequalities in axillary staging and
   treatment of breast cancer in the Netherlands
SO BRITISH JOURNAL OF CANCER
VL 107
IS 1
BP 12
EP 17
DI 10.1038/bjc.2012.205
PD JUN 26 2012
PY 2012
AB BACKGROUND: The use of sentinel node biopsy (SNB), lymph node
   dissection, breast-conserving surgery, radiotherapy, chemotherapy and
   hormonal treatment for breast cancer was evaluated in relation to
   socioeconomic status (SES) in the Netherlands, where access to care was
   assumed to be equal.
   METHODS: Female breast cancer patients diagnosed between 1994 and 2008
   were selected from the nationwide population-based Netherlands Cancer
   Registry (N = 176 505). Socioeconomic status was assessed based on
   income, employment and education at postal code level. Multivariable
   models included age, year of diagnosis and stage.
   RESULTS: Sentinal node biopsy was less often applied in high-SES
   patients (multivariable analyses, <= 49 years: odds ratio (OR) 0.70 (95%
   CI: 0.56-0.89); 50-75 years: 0.85 (0.73-0.99)). Additionally, lymph node
   dissection was less common in low-SES patients aged >= 76 years (OR 1.34
   (0.95-1.89)). Socioeconomic status-related differences in treatment were
   only significant in the age group 50-75 years. High-SES women with stage
   T1-2 were more likely to undergo breast-conserving surgery (+
   radiotherapy) (OR 1.15 (1.09-1.22) and OR 1.16 (1.09-1.22),
   respectively). Chemotherapy use among node-positive patients was higher
   in the high-SES group, but was not significant in multivariable
   analysis. Hormonal therapy was not related to SES.
   CONCLUSION: Small but significant differences were observed in the use
   of SNB, lymph node dissection and breast-conserving surgery according to
   SES in Dutch breast cancer patients despite assumed equal access to
   health care. British Journal of Cancer (2012) 107, 12-17.
   doi:10.1038/bjc.2012.205 www.bjcancer.com Published online 17 May 2012
   (C) 2012 Cancer Research UK
RI Louwman, Marieke WJ/N-5267-2018; Voogd, Adri/; Coebergh, Jan Willem/; van der Sangen, Maurice/
OI Louwman, Marieke WJ/0000-0001-9011-6741; Voogd,
   Adri/0000-0002-8041-2720; Coebergh, Jan Willem/0000-0002-2419-3930; van
   der Sangen, Maurice/0000-0003-1866-7367
Z8 0
TC 16
ZS 0
ZR 1
ZA 0
ZB 4
Z9 17
U1 1
U2 4
SN 0007-0920
UT WOS:000305888400003
PM 22596236
ER

PT J
AU Bhopal, S. S.
   Mann, K. D.
   Pearce, M. S.
TI Registration of cancer in girls remains lower than expected in countries
   with low/middle incomes and low female education rates
SO BRITISH JOURNAL OF CANCER
VL 107
IS 1
BP 183
EP 188
DI 10.1038/bjc.2012.191
PD JUN 26 2012
PY 2012
AB BACKGROUND: A decade ago it was reported that childhood cancer incidence
   was higher in boys than girls in many countries, particularly those with
   low gross domestic product (GDP) and high infant mortality rate.
   Research suggests that socio-economic and cultural factors are likely to
   be responsible. This study aimed to investigate the association between
   cancer registration rate sex ratios and economic, social and
   healthcare-related factors using recent data (1998-2002).
   METHODS: For 62 countries, childhood (0-15 years) cancer registration
   rate sex ratios were calculated from Cancer Incidence in Five Continents
   Vol IX, and economic, social and healthcare indicator data were
   collated.
   RESULTS: Increased age standardised cancer registration rate sex ratio
   (M : F) was significantly associated with decreasing life expectancy (P
   = 0.05), physician density (P = 0.05), per capita health expenditure (P
   = 0.05), GDP (P = 0.01), education sex ratios (primary school enrolment
   sex ratio (P < 0.01); secondary school enrolment sex ratio (P < 0.01);
   adult literacy sex ratio (P < 0.01)) and increasing proportion living on
   less than Int$ 1 per day (P = 0.03).
   CONCLUSION: The previously described cancer registration sex disparity
   remains, particularly, in countries with poor health system indicators
   and low female education rates. We suggest that girls with cancer
   continue to go undiagnosed and that incidence data, particularly in
   low-and middle-income countries, should continue to be interpreted with
   caution. British Journal of Cancer (2012) 107, 183-188.
   doi:10.1038/bjc.2012.191 www.bjcancer.com Published online 10 May 2012
   (C) 2012 Cancer Research UK
RI Mann, Kay/T-4406-2019; Pearce, Mark/; Bhopal, Sunil/
OI Mann, Kay/0000-0003-0115-5293; Pearce, Mark/0000-0002-0583-3779; Bhopal,
   Sunil/0000-0003-1229-781X
ZS 0
ZR 0
TC 10
Z8 0
ZA 0
ZB 6
Z9 10
U1 0
U2 6
SN 0007-0920
EI 1532-1827
UT WOS:000305888400028
PM 22576590
ER

PT J
AU Cavalli-Bjorkman, N.
   Qvortrup, C.
   Sebjornsen, S.
   Pfeiffer, P.
   Wentzel-Larsen, T.
   Glimelius, B.
   Sorbye, H.
TI Lower treatment intensity and poorer survival in metastatic colorectal
   cancer patients who live alone
SO BRITISH JOURNAL OF CANCER
VL 107
IS 1
BP 189
EP 194
DI 10.1038/bjc.2012.186
PD JUN 26 2012
PY 2012
AB BACKGROUND: Socioeconomic status (SES) and social support influences
   cancer survival. If SES and social support affects cancer treatment has
   not been thoroughly explored.
   METHODS: A cohort consisting of all patients who were initially
   diagnosed with or who developed metastatic colorectal cancer (mCRC, n =
   781) in three Scandinavian university hospitals from October 2003 to
   August 2006 was set up. Clinical and socioeconomic data were registered
   prospectively.
   RESULTS: Patients living alone more often had synchronous metastases at
   presentation and were less often treated with combination chemotherapy
   than those cohabitating (HR 0.19, 95% CI 0.04-0.85, P = 0.03). Surgical
   removal of metastases was less common in patients living alone (HR 0.29,
   95% CI 0.10-0.86, P = 0.02) but more common among university-educated
   patients (HR 2.22, 95% CI 1.10-4.49, P = 0.02). Smoking, being married
   and having children did not influence treatment or survival. Median
   survival was 7.7 months in patients living alone and 11.7 months in
   patients living with someone (P < 0.001). Living alone remained a
   prognostic factor for survival after correction for age and comorbidity.
   CONCLUSION: Patients living alone received less combination chemotherapy
   and less secondary surgery. Living alone is a strong independent risk
   factor for poor survival in mCRC. British Journal of Cancer (2012) 107,
   189-194. doi:10.1038/bjc.2012.186 www.bjcancer.com Published online 10
   May 2012 (C) 2012 Cancer Research UK
RI Qvortrup, Camilla/AAD-3366-2019; Pfeiffer, Per/; Qvortrup, Camilla/
OI Pfeiffer, Per/0000-0002-2925-0586; Qvortrup, Camilla/0000-0001-9338-9841
Z8 0
ZR 0
ZB 13
TC 37
ZS 0
ZA 0
Z9 37
U1 0
U2 7
SN 0007-0920
EI 1532-1827
UT WOS:000305888400029
PM 22576591
ER

PT J
AU Schiekirka, Sarah
   Reinhardt, Deborah
   Heim, Susanne
   Fabry, Goetz
   Pukrop, Tobias
   Anders, Sven
   Raupach, Tobias
TI Student perceptions of evaluation in undergraduate medical education: A
   qualitative study from one medical school
SO BMC MEDICAL EDUCATION
VL 12
AR 45
DI 10.1186/1472-6920-12-45
PD JUN 22 2012
PY 2012
AB Background: Evaluation is an integral part of medical education. Despite
   a wide use of various evaluation tools, little is known about student
   perceptions regarding the purpose and desired consequences of
   evaluation. Such knowledge is important to facilitate interpretation of
   evaluation results. The aims of this study were to elicit student views
   on the purpose of evaluation, indicators of teaching quality, evaluation
   tools and possible consequences drawn from evaluation data.
   Methods: This qualitative study involved 17 undergraduate medical
   students in Years 3 and 4 participating in 3 focus group interviews.
   Content analysis was conducted by two different researchers.
   Results: Evaluation was viewed as a means to facilitate improvements
   within medical education. Teaching quality was believed to be dependent
   on content, process, teacher and student characteristics as well as
   learning outcome, with an emphasis on the latter. Students preferred
   online evaluations over paper-and-pencil forms and suggested circulating
   results among all faculty and students. Students strongly favoured the
   allocation of rewards and incentives for good teaching to individual
   teachers.
   Conclusions: In addition to assessing structural aspects of teaching,
   evaluation tools need to adequately address learning outcome. The use of
   reliable and valid evaluation methods is a prerequisite for resource
   allocation to individual teachers based on evaluation results.
RI Raupach, Tobias/H-4737-2014; Fabry, Goetz/O-6950-2014; Anders, Sven/D-7670-2014
ZS 1
ZB 2
ZA 0
Z8 0
TC 24
ZR 0
Z9 24
U1 1
U2 15
SN 1472-6920
UT WOS:000306900100001
PM 22726271
ER

PT J
AU AlGhamdi, Khalid M.
   Moussa, Noura A.
TI Internet use by the public to search for health-related information
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 81
IS 6
BP 363
EP 373
DI 10.1016/j.ijmedinf.2011.12.004
PD JUN 2012
PY 2012
AB Background: The use of the Internet to search for health-related
   information (HRI) has become a common practice worldwide. Our literature
   review failed to find any evidence of previous studies on this topic
   from Saudi Arabia.
   Objective: To determine the public use of the Internet in Saudi Arabia
   to search for HRI and to evaluate patients' perceptions of the quality
   of the information available on the Internet compared to that provided
   by their health care providers.
   Methods: A self-administered questionnaire about Internet use to search
   for HRI was distributed randomly to male and female outpatients and
   visitors attending a public University Hospital in Riyadh, Saudi Arabia
   from January to May 2010. A Chi-squared test was used to assess the
   association between different categorical variables. Multiple logistic
   regression was used to relate the use of the Internet to search for HRI
   with various socio-demographic variables.
   Results: The questionnaire response was 80.1%, with completion of 801 of
   the 1000 distributed questionnaires; 50% (400/801) of respondents were
   males. The mean age of respondents was 32 +/- 11 years. The majority of
   respondents used the Internet in general (87.8%), and 58.4% of them
   (363/622) used the Internet to search for HRI. The majority stated a
   doctor was their primary source of HRI (89.3%, 654/732). This practice
   was considered useful by 84.2%, and the main reason behind it was sheer
   curiosity (92.7%, 418/451). Other reasons included not getting enough
   information from their doctor (58.5%, 227/413) and not trusting the
   information given by their doctor (28.2%, 101/443). Forty-four percent
   (205/466) searched for HRI before coming to the clinic; 72.5% of those
   discussed the information with their doctors and 71.7% (119/166) of
   those who did so believed that this positively affected their
   relationship with their doctor. Searching the Internet for health
   information was observed more frequently among the 30-39 year age group
   (OR = 2.0, 95% CI 1.1-3.7), females (OR = 3.8, 95% CI 2.3-6.4),
   individuals with university or higher education (OR = 1.7, 95% CI
   1.1-2.8), employed individuals (OR = 2.7, 95% CI 1.4-4.9) and high
   income groups (OR = 2.8, 95% CI 1.5-5.1).
   Conclusions: A proportion of the public searches the Internet to obtain
   HRI for various reasons, which could have consequences on their health
   and relationship with their doctors. Therefore, doctors should be aware
   of the health information available online to help guide patients to
   reliable websites. Health authorities should also be aware of the issue
   to offer regulations and solutions. (C) 2012 Elsevier Ireland Ltd. All
   rights reserved.
OI AlGhamdi, Khalid/0000-0002-5030-5035
ZB 13
ZR 0
TC 109
Z8 0
ZS 0
ZA 0
Z9 108
U1 4
U2 81
SN 1386-5056
UT WOS:000303607800001
PM 22217800
ER

PT J
AU Ossebaard, Hans C.
   Seydel, Erwin R.
   van Gemert-Pijnen, Lisette
TI Online usability and patients with long-term conditions: A mixed-methods
   approach
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 81
IS 6
BP 374
EP 387
DI 10.1016/j.ijmedinf.2011.12.010
PD JUN 2012
PY 2012
AB Background: To improve the information position of health care consumers
   and to facilitate decision-making behavior in health the Dutch ministry
   of Health commissioned the National Institute for Public Health and the
   Environment to develop, host and manage a public national health and
   care portal (www.kiesbeter.nl) on the Internet. The portal is used by
   over 4 million visitors in 2010. Among them, an increasing amount of
   patients that use the portal for information and decision making on
   medical issues, healthy living, health care providers and other topics.
   Objective: First objective is to examine what usability aspects of the
   portal kiesBeter. nl matter for chronic patients and their informal
   carers with regard to information seeking, self-management, decision
   making, on line health information and other variables. Second objective
   is to make evidence-based practical recommendations for usability
   improvement.
   Methods: An innovative combination of techniques (semi-structured
   interviews; eHealth Literacy scale; scenario-based study using
   think-aloud protocol and screen capture software; focus group) is used
   to study usability and on line information seeking behavior in a non
   random judgment sample of three groups of patients (N = 21) with
   long-term medical conditions (arthritis, asthma and diabetes).
   Results: The search strategy mostly used (65%) by the relatively
   well-educated subjects is 'orienteering'. Users with long-term
   conditions and their carers expect tailored support from a national
   health portal, to help them navigate, search and find the detailed
   information they need. They encounter serious problems with these
   usability issues some of which are disease-specific. Patients indicate a
   need for personalized information. They report low impact on
   self-management and decision making. Overall judgment of usability is
   rated 7 on a Likert type 0-10 scale. Based on the outcomes
   recommendations could be formulated. These have led to major adaptations
   to improve usability.
   Limitations: A non-representative composition of a small non random
   judgment sample does not permit generalization to other populations and
   cognitive bias cannot be quantified. However if mixed methods are
   applied valid conclusions can be drawn with regard to usability issues.
   (C) 2012 Elsevier Ireland Ltd. All rights reserved.
RI Tang, Zeng/G-8085-2012; Ossebaard, Hans/AAS-6767-2021
OI Ossebaard, Hans/0000-0001-9537-9655
ZB 2
Z8 0
TC 29
ZR 0
ZA 0
ZS 0
Z9 29
U1 1
U2 59
SN 1386-5056
EI 1872-8243
UT WOS:000303607800002
PM 22261086
ER

PT J
AU Ebenso, Jannine
TI An overview of training and development needs
SO LEPROSY REVIEW
VL 83
IS 2
BP 127
EP 128
PD JUN 2012
PY 2012
Z8 0
ZR 0
TC 4
ZA 0
ZS 2
ZB 2
Z9 5
U1 0
U2 0
SN 0305-7518
EI 2162-8807
UT WOS:000308780600004
PM 22997689
ER

PT J
AU Czabanowska, Katarzyna
   Klemenc-Ketis, Zalika
   Potter, Amanda
   Rochfort, Andree
   Tomasik, Tomasz
   Csiszar, Judit
   Van den Bussche, Piet
TI Development of a competency framework for quality improvement in family
   medicine: A qualitative study
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 32
IS 3
BP 174
EP 180
DI 10.1002/chp.21142
PD SUM 2012
PY 2012
AB Objective: The aim of this study was to develop a comprehensive
   framework of quality improvement competencies for use in continuing
   professional development (CPD) and continuing medical education (CME)
   for European general practice/family medicine physicians (GPs/FDs).
   Methods: The study was carried out in three phases: literature review,
   consensus development panels, and Delphi technique. An initial
   competencies framework was developed from an extensive literature review
   focusing on literature in English from 2000 to 2011 and addressing
   quality improvement competencies for general practitioners in continuous
   education programs. Two rounds of reviews by consensus development
   panels were undertaken to evaluate and make changes to the initial draft
   competency framework. Then two rounds of Delphi surveys were carried out
   in an effort to reach consensus on the domains and competencies included
   in the framework. Our goal was for 90% to 100% consensus. Both surveys
   were presented through SurveyMonkey, an online survey service, and sent
   by e-mail to members of the European Association for Quality and Patient
   Safety in General Practice/Family Medicine (EQuiP), a network
   organization of Wonca Europe. Results: The Quality Improvement
   Competencies Framework was developed. It consists of a list of 35
   competencies organized into the following domains: Patient Care &
   Safety, Effectiveness & Efficiency, Equity & Ethical Practice, Methods &
   Tools, Leadership & Management, and Continuing Professional Education.
   Conclusion: We believe that the framework can serve as a useful tool for
   identifying gaps in knowledge and skills and guiding the development of
   CPD and CME curricula for GPs/FDs not only in Europe but also in other
   regions, including the United States and Canada, on the assumption that
   many of the core tasks of quality improvement would be relevant across
   multiple contexts.
RI Timmers, Gabrielle/O-6505-2016; czbanowska, katarzyna/AAL-4033-2020; Klemenc-Ketis, Zalika/V-6251-2019; Tomasik, Tomasz/
OI Klemenc-Ketis, Zalika/0000-0002-0270-1754; Tomasik,
   Tomasz/0000-0002-9109-4174
ZA 0
Z8 0
ZR 0
TC 25
ZB 6
ZS 3
Z9 28
U1 2
U2 23
SN 0894-1912
EI 1554-558X
UT WOS:000309070400004
PM 23008079
ER

PT J
AU Carpenter, Kelly M.
   Carlini, Beatriz H.
   Painter, Ian
   Mikko, A. Tasha
   Stoner, Susan A.
TI Refer2Quit: Impact of Web-based skills training on tobacco interventions
   and quitline referrals
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 32
IS 3
BP 187
EP 195
DI 10.1002/chp.21144
PD SUM 2012
PY 2012
AB Introduction: Tobacco quitlines (QLs) provide effective evidence-based
   tobacco cessation counseling, yet they remain underutilized. Barriers to
   utilization include the lack of referrals by health care providers who
   typically have little knowledge about QLs and low self-efficacy for
   providing tobacco interventions. In order to educate providers about
   QLs, referral methods and tobacco interventions, a case-based online
   CME/CE program, Refer2Quit (R2Q), was developed. R2Q includes QL
   education and intervention and referral skills training tailored to
   provider type (eg, physician, nurse, dental provider, pharmacist) and
   work setting (eg, emergency, outpatient, inpatient). A module teaching
   motivational enhancement strategies was also included. Methods: Four
   health care organizations in Washington State participated in a study
   examining the effects of R2Q training on fax referral rates in an
   interrupted times series. Attitudes and self-efficacy toward delivering
   tobacco interventions was also assessed. Participants were a mix of
   provider types, including prescribers (20.1%), RNs (46.7%), and others
   (33.2%). Results: Health care sites that participated in the study
   increased the fax referral rates (odds ratio [OR] 2.86, confidence
   interval [CI] 1.526.00) as well as rates of referrals that converted to
   actual quitline registrations (OR 2.73, CI 1.07.4). Providers who
   completed the training expressed significantly more positive attitudes
   and improved self-efficacy for delivering tobacco services. At follow-up
   most providers reported increased delivery of tobacco interventions and
   QL referrals, although only 17% reported increased rates of fax
   referral. Discussion: Our study suggests that online education builds
   skills, improves knowledge, and thus increases the number and quality of
   fax referrals made to QLs by health care providers. Providers
   nonetheless reported ongoing barriers to providing tobacco services and
   referral, including lack of reimbursement and patient unwillingness to
   accept a referral.
OI Carlini, Beatriz/0000-0001-8312-4137; Stoner, Susan/0000-0001-8548-219X;
   Painter, Ian/0000-0001-7643-1200
ZS 0
TC 15
ZB 1
ZA 0
ZR 0
Z8 0
Z9 15
U1 0
U2 11
SN 0894-1912
EI 1554-558X
UT WOS:000309070400006
PM 23008081
ER

PT J
AU Schreiber, E.
   Hannum, W.
   Zeman, E.
   Kostich, M.
   Tracton, G.
   Church, J.
   Dean, R.
   Adams, R.
TI Development of a Web-Based Dosimetry Training Tool for Therapy and
   Dosimetry Education
SO MEDICAL PHYSICS
VL 39
IS 6
BP 3969
EP 3969
DI 10.1118/1.4736196
PD JUN 2012
PY 2012
CT 54th Annual Meeting and Exhibition of the
   American-Association-of-Physicists-in-Medicine (AAPM)
CY JUL 29-AUG 02, 2012
CL Charlotte, NC
SP Amer Assoc Physicists Med (AAPM)
Z8 0
ZS 0
ZR 0
ZB 0
ZA 0
TC 0
Z9 0
U1 0
U2 3
SN 0094-2405
UT WOS:000308905805655
PM 28519628
ER

PT J
AU Sprawls, P.
TI Enhancing Medical Imaging Physics Education On a Global Basis with
   Shared Resources
SO MEDICAL PHYSICS
VL 39
IS 6
BP 3969
EP 3969
DI 10.1118/1.4736198
PD JUN 2012
PY 2012
CT 54th Annual Meeting and Exhibition of the
   American-Association-of-Physicists-in-Medicine (AAPM)
CY JUL 29-AUG 02, 2012
CL Charlotte, NC
SP Amer Assoc Physicists Med (AAPM)
ZB 0
ZR 0
ZS 0
Z8 0
ZA 0
TC 0
Z9 0
U1 0
U2 2
SN 0094-2405
UT WOS:000308905805657
PM 28519602
ER

PT J
AU Manu, Erika
   Marks, Adam
   Berkman, Cathy S.
   Mullan, Patricia
   Montagnini, Marcos
   Vitale, Caroline A.
TI Self-Perceived Competence Among Medical Residents in Skills Needed to
   Care for Patients with Advanced Dementia Versus Metastatic Cancer
SO JOURNAL OF CANCER EDUCATION
VL 27
IS 3
BP 515
EP 520
DI 10.1007/s13187-012-0351-2
PD JUN 2012
PY 2012
AB To examine medical residents' perceived competence in caring for
   patients with dementia we conducted an online survey of all 120 second,
   third and fourth-year residents in Internal Medicine,
   Medicine/Pediatrics, and Family Medicine at University of Michigan. A
   structured survey elicited residents' training, experience, confidence,
   and perceived career needs for skills in estimating prognosis, symptom
   management, and communication in caring for patients with dementia,
   compared to patients with metastatic cancer. Among the 61 (51 %)
   respondents, a majority report lower confidence in assessing prognosis
   and eliciting treatment wishes in patients with dementia (vs. metastatic
   cancer), and in performing skills integral to the care of patients with
   dementia, including the ability to assess caregiver needs, decisional
   capacity, advise on place of care, and manage agitation, despite viewing
   these skills as important to their future careers. These findings
   support the need for enhanced education on optimal care of patients with
   advanced dementia.
RI Montagnini, Marcos/B-6873-2014
ZA 0
Z8 0
ZR 0
ZB 1
ZS 0
TC 20
Z9 20
U1 0
U2 15
SN 0885-8195
UT WOS:000308650300019
PM 22477667
ER

PT J
AU Rosseel, J. P.
   Jacobs, J. E.
   Plasschaert, A. J. M.
   Grol, R. P. T. M.
TI A review of strategies to stimulate dental professionals to integrate
   smoking cessation interventions into primary care
SO COMMUNITY DENTAL HEALTH
VL 29
IS 2
BP 154
EP 161
DI 10.1922/CDH_2595Rosseel08
PD JUN 2012
PY 2012
AB Objective: To summarise evidence regarding the effectiveness of various
   implementation strategies to stimulate the delivery of smoking cessation
   advice and support during daily dental care. Basic research design:
   Search of online medical and psychological databases, correspondence
   with authors and checking of reference lists. Only studies were selected
   which examined a support strategy to promote tobacco use cessation
   having a component to be delivered by a dentist, dental hygienist or
   dental assistant in the daily practice setting. Furthermore only
   controlled studies and systematic reviews were included. Methodological
   quality and outcomes were independently summarised and checked by two
   reviewers. Results: Eight studies met the inclusion criteria: 4
   addressed strategies aimed at the dental professional and 4 addressed
   strategies aimed at both professional and patient. Only 4 of the studies
   were of a good quality. The 8 studies used combinations of
   implementation strategies, which made it difficult to evaluate the
   effectiveness of distinct components. Professional education appeared to
   enhance motivation for smoking cessation activities and advice giving.
   Organisational interventions (e.g. protocols, involvement of the whole
   team, referral possibilities) and incorporation of patient-oriented
   tools also contributed to the delivery of smoking cessation
   interventions. Conclusions: Multifaceted support strategies positively
   influence dental professionals' knowledge of smoking and smoking
   cessation, their motivation to give advice and their performance. As
   only 4 studies were of good methodological quality, it was not possible
   to draw firm conclusions about specific components. Additional research
   is needed to unravel which strategies best stimulate the provision of
   smoking cessation advice and support during daily dental practice.
RI Jacobs, J.E./L-4405-2015; Grol, Richard/C-8523-2013
ZS 0
ZR 0
ZB 3
ZA 0
TC 12
Z8 0
Z9 12
U1 0
U2 9
SN 0265-539X
UT WOS:000305514700006
PM 22779377
ER

PT J
AU Abood, Sarah K.
   Siegford, Janice M.
TI Student Perceptions of an Animal-Welfare and Ethics Course Taught Early
   in the Veterinary Curriculum
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 39
IS 2
BP 136
EP 141
DI 10.3138/jvme.0911.093R1
PD SUM 2012
PY 2012
AB Animal welfare and veterinary ethics are two subjects that have been
   acknowledged as necessary for inclusion in the veterinary curriculum. In
   fact, the American Veterinary Medical Association (AVMA) Council on
   Education has mandated that veterinary ethics be taught to all students
   in US veterinary colleges. Animal welfare was recently included in the
   US veterinarian's oath, and AVMA established a committee to create a
   model curriculum on the subject. At US veterinary colleges, the number
   of animal-welfare courses has more than doubled from five in 2004 to
   more than 10 in 2011. How and what is taught with regard to these two
   subjects may be as important as whether they are taught at all, and a
   variety of approaches and varying amounts and types of content are
   currently being offered on them. At Michigan State University's College
   of Veterinary Medicine, students were introduced to animal welfare and
   veterinary ethics during their first semester in a mandatory two-credit
   course. To assess their perception of the course, students completed an
   online evaluation at the end of the semester. Most students found the
   course to be challenging and effective and felt that they improved their
   ability to identify and discuss ethical dilemmas.
RI , Janice/ABA-3975-2020; Siegford, Janice/AAH-1838-2020
OI , Janice/0000-0002-1000-3147; Siegford, Janice/0000-0002-1000-3147
ZS 0
ZA 0
ZB 4
ZR 0
Z8 0
TC 18
Z9 18
U1 0
U2 24
SN 0748-321X
EI 1943-7218
UT WOS:000306716900010
PM 22718000
ER

PT J
AU Frankish, Katherine
   Ryan, Christopher
   Harris, Anthony
TI Psychiatry and online social media: potential, pitfalls and ethical
   guidelines for psychiatrists and trainees
SO AUSTRALASIAN PSYCHIATRY
VL 20
IS 3
BP 181
EP 187
DI 10.1177/1039856212447881
PD JUN 2012
PY 2012
AB Objective: This paper proposes ethical guidelines for psychiatrists and
   psychiatry trainees when interacting with social media.
   Methods: A three-stage process was followed in the development of these
   guidelines. A literature review provided situations and possible broad
   rules as to how social media could be ethically engaged. A roundtable
   discussion by a panel of invited psychiatrists, psychiatry trainees,
   psychologists, e-health practitioners, lawyers and consumers was held to
   discuss the situations and to better formulate the ethical principles
   upon which psychiatrists could act. These vignettes and principles were
   then broadly discussed at a seminar held at the 2011 RANZCP Congress.
   Finally, this paper was circulated to the original invitees for final
   comment.
   Results: A set of recommendations for working with social media were
   developed.
   Conclusions: The new social media provides important avenues for
   communication, education and treatment. These avenues pose ethical and
   practical dilemmas that can be resolved by the application of
   established ethical principles. Practical recommendations for navigating
   social media are proposed.
OI Harris, Anthony/0000-0002-8617-4962; Ryan,
   Christopher/0000-0003-2158-9427
ZR 0
Z8 0
TC 20
ZA 0
ZS 1
ZB 1
Z9 21
U1 0
U2 19
SN 1039-8562
UT WOS:000306629900001
PM 22679216
ER

PT J
AU del Pozo-Cruz, Borja
   Parraca, Jose A.
   del Pozo-Cruz, Jesus
   Adsuar, Jose C.
   Hill, Jonathan C.
   Gusi, Narcis
TI AN OCCUPATIONAL, INTERNET-BASED INTERVENTION TO PREVENT CHRONICITY IN
   SUBACUTE LOWER BACK PAIN: A RANDOMIZED CONTROLLED TRIAL
SO JOURNAL OF REHABILITATION MEDICINE
VL 44
IS 7
BP 581
EP 587
DI 10.2340/16501977-0988
PD JUN 2012
PY 2012
AB Objective: To investigate whether an online occupational postural and
   exercise intervention reduced patients' overall risk status for
   chronicity in subacute non-specific low back pain compared with
   conventional treatment, and to determine whether changes in risk of
   chronicity correlate with changes in specific outcomes (i.e. Functional
   Status and QoL) for low back pain.
   Design: Prospective, single-blinded randomized intervention study.
   Subjects: University office workers with subacute non-specific low back
   pain (n=100) were randomized 1:1 to an intervention group, who received
   an online occupational postural and exercise intervention, and a control
   group.
   Methods: Exercise and education materials used in the intervention were
   developed as an online resource, and included video demonstrations
   recorded in a laboratory. All sessions included exercises combining
   postural stability (for abdominal, lumbar, hip and thigh muscles)
   strengthening, flexibility, mobility, and stretching. Outcome measures
   included STarT Back Screening Tool (SBST), Roland Morris score, and
   European Quality of Life Questionnaire - 5 dimensions - 3 levels. At 9
   months, SBST was analysed and compared with the baseline and controls.
   Results: Significant positive effects were found on mean scores recorded
   in the online occupational exercise intervention group for risk of
   chronicity (p<0.019). A correlation between functional disability,
   health-related quality of life and risk of chronicity of low back pain
   was observed.
   Conclusion: This study supports the potential utility of a real-time
   occupational internet-based intervention for preventing progression to
   chronicity of subacute non-specific low back pain among office workers.
RI Adsuar, Jose C/C-6558-2008; del Pozo Cruz, Jesús/F-9934-2016; Gusi, Narcis/C-3870-2010; Hill, Jonathan/AAT-2744-2020; Parraca, Jose/AAX-6410-2020; , Borja/; del Pozo Cruz, Borja/; Parraca, Jose/
OI Adsuar, Jose C/0000-0001-7203-3168; del Pozo Cruz,
   Jesús/0000-0002-8553-5818; Gusi, Narcis/0000-0002-1001-8883; ,
   Borja/0000-0003-3944-2212; del Pozo Cruz, Borja/0000-0002-9728-1317;
   Parraca, Jose/0000-0002-5254-7409
TC 10
ZR 0
ZB 1
Z8 0
ZS 0
ZA 0
Z9 10
U1 0
U2 33
SN 1650-1977
EI 1651-2081
UT WOS:000305814900010
PM 22674240
ER

PT J
AU Ardakani, S. Motevallizadeh
   Zakiani, S. H.
TI The Presentation of Proper Indicators for Evaluation of WHO
   Collaboration Centres' Activities in Iran
SO IRANIAN JOURNAL OF PUBLIC HEALTH
VL 41
IS 6
BP 80
EP 85
PD JUN 2012
PY 2012
AB Background: There are thirteen WHO collaborating centres in Iran which
   no mechanism or model has ever been foreseen for the evaluation of them.
   This original research is innovative in Iran, which has been offered by
   the researcher through a joint research project with WHO.
   Methods: The aforesaid model has been approved by the International
   Relation Department of Ministry of Health& education. This was done to
   develop model and indicators for evaluation of WHOCC's activities in
   Iran, which includes online survey, reports, literature reviews and
   website searches, published literature in another country, documents in
   Undersecretary for Research and Technology of Iranian Ministry of Health
   and Medical Education.
   Results: We studied collaboration centres in other countries and then
   compared these indicators together and presented a proper indicators for
   evaluation of WHOCC' activities in Iran.
   Conclusion: Evaluation of WHOCC's activities could be used as a mean for
   implementing policies and promoting knowledge production. Evaluation of
   WHOCC' activities is country's requirements.
ZR 0
ZB 0
ZS 0
TC 0
ZA 0
Z8 0
Z9 0
U1 1
U2 2
SN 2251-6085
UT WOS:000306099500010
PM 23113197
ER

PT J
AU Borzekowski, Dina L. G.
   McCarthy, Cathy
   Rosenfeld, Walter D.
TI Ten Years of TeenHealthFX.com A Case Study of an Adolescent Health Web
   Site
SO PEDIATRIC CLINICS OF NORTH AMERICA
VL 59
IS 3
BP 717
EP +
DI 10.1016/j.pcl.2012.03.018
PD JUN 2012
PY 2012
AB The Internet, in contrast to in-person interactions with health
   providers, allows anonymous and nonpunitive ease of access. Adolescents
   have long sought honest, direct answers to important but embarrassing
   questions about health; emerging technologies provide a venue to obtain
   relevant information without geographic, time, financial, and personal
   barriers. This article is a case study of TeenHealthFX.com. Those
   interested in how youth access online health information can learn of
   the positive and negative aspects of delivering messages through the
   Internet. This article discusses the process involved in creating and
   maintaining TeenHealthFX and the challenges of providing online health
   information to adolescents via new technology.
ZR 0
ZB 1
TC 3
ZS 0
ZA 0
Z8 0
Z9 3
U1 0
U2 1
SN 0031-3955
EI 1557-8240
UT WOS:000305848200013
PM 22643176
ER

PT J
AU Seymour, Christopher W.
   Carlbom, David
   Engelberg, Ruth A.
   Larsen, Jonathan
   Bulger, Eileen M.
   Copass, Michael K.
   Rea, Thomas D.
TI UNDERSTANDING OF SEPSIS AMONG EMERGENCY MEDICAL SERVICES: A SURVEY STUDY
SO JOURNAL OF EMERGENCY MEDICINE
VL 42
IS 6
BP 666
EP 677
DI 10.1016/j.jemermed.2011.06.013
PD JUN 2012
PY 2012
AB Background: Emergency medical services (EMS) personnel commonly
   encounter sepsis, yet little is known about their understanding of
   sepsis. Study Objectives: To determine the awareness, knowledge, current
   practice, and attitudes about sepsis among EMS personnel. Methods: We
   performed an anonymous, multi-agency, online survey of emergency medical
   technicians (EMTs), firefighter-emergency medical technicians (FF-EMTs),
   and paramedics in a metropolitan, 2-tier EMS system. We compared
   responses according to the level of EMS training and used multivariable
   logistic regression to determine the odds of correctly identifying the
   definition of sepsis, independent of demographic and professional
   factors. Results: Overall response rate of study participants was 57%
   (786/1390), and was greatest among EMTs (79%; 276/350). A total of 761
   respondents (97%) had heard of the term "sepsis." EMTs and FF-EMTs were
   at significantly reduced odds of correctly defining sepsis compared to
   paramedics, independent of age, sex, and years of experience (EMTs: odds
   ratio 0.44,95% confidence interval 0.3-0.8; FF-EMTs: odds ratio 0.32,95%
   confidence interval 0.2-0.6. Overall, knowledge of the clinical signs
   and symptoms and recommended treatments for sepsis was typically > 75%,
   though better among paramedics than EMTs or FF-EMTs (p < 0.01). The
   majority of respondents believed sepsis is not recognized by EMS "some"
   or "a lot" of the time (76%, 596/786). Conclusions: EMS personnel
   demonstrated an overall sound awareness of sepsis. Knowledge of sepsis
   was less among FF-EMTs and EMTs compared to paramedics. These results
   suggest that paramedics could be integrated into strategies of early
   identification and treatment of sepsis, and EMTs may benefit from
   focused education and training. (C) 2012 Elsevier Inc.
ZA 0
ZS 0
ZB 1
Z8 1
ZR 0
TC 20
Z9 21
U1 0
U2 12
SN 0736-4679
EI 1090-1280
UT WOS:000305591000008
PM 22070877
ER

PT J
AU Handzel, D. M.
TI CME-Certified Online Education in Germany - Status in Ophthalmology 2011
SO KLINISCHE MONATSBLATTER FUR AUGENHEILKUNDE
VL 229
IS 6
BP 636
EP 640
DI 10.1055/s-0031-1281969
PD JUN 2012
PY 2012
AB Background: The use of the internet is becoming more and more important
   in every aspect of daily life, also in professional education. Online
   education and face-to-face learning have proven to be equally efficient.
   The aim of this study is to evaluate the amount of online education in
   the German-speaking internet 2011.
   Material and Methods: The terms "ophthalmology", "online-education",
   "continuing medical education" and "CME" (partly in German language)
   were searched by an internet-search engine. The first 100 pages were
   visited. Pages were evaluated in respect of quality and quantity,
   authorship and possible influence of sponsors.
   Results: Only 9 of the first 100 hits had an actual offer for
   ophthalmology. Nearly all of these were websites of ophthalmological
   scientific journals. The content represented the same educational format
   (pictures and text) as in the print issue.
   Conclusion: CME-certified online education can be found in Germany as
   offspring of print issues only. The content is identical with
   educational texts in the print issues. An enlargement of the offer,
   which uses the possibilities of modern internet technology is highly
   probable. This estimation is supported by the growing use of the
   internet and developments on English-speaking websites for
   online-education.
RI Handzel, Daniel M/AAV-5803-2020
OI Handzel, Daniel M/0000-0002-5936-1826
ZR 0
ZB 0
Z8 0
ZA 0
TC 0
ZS 0
Z9 0
U1 0
U2 2
SN 0023-2165
EI 1439-3999
UT WOS:000306105300011
PM 22189828
ER

PT J
AU Jones-Smith, J. C.
   Gordon-Larsen, P.
   Siddiqi, A.
   Popkin, B. M.
TI Emerging disparities in overweight by educational attainment in Chinese
   adults (1989-2006)
SO INTERNATIONAL JOURNAL OF OBESITY
VL 36
IS 6
BP 866
EP 875
DI 10.1038/ijo.2011.134
PD JUN 2012
PY 2012
AB Objective: To test whether a disparity in overweight by socioeconomic
   status (SES; represented by educational attainment) has emerged among
   men or women during a recent 17-year period in China.
   Methods: Data from the China Health and Nutrition Survey (CHNS), a panel
   study including 7314 women and 6492 men, are used to longitudinally
   track the body mass index (BMI) and odds of overweight by educational
   attainment among Chinese adults (baseline age 18-50) from 1989 to 2006
   to determine whether individuals of low (< primary school) versus high
   (> secondary school) educational attainment experienced a
   disproportionately faster increase in BMI or odds of overweight (BMI >=
   25) over time. The unadjusted mean BMI and prevalence of overweight by
   education are presented. Sex-stratified, random-effects models are used
   to estimate the associations, and interactions by birth cohort are
   included.
   Findings: Overweight prevalence doubled for women and tripled for men.
   In 1989, among women, the odds of overweight were not different for
   those of high versus those of low educational attainment; however, by
   2006, the odds of overweight were significantly lower for those with the
   highest education in both the younger (odds ratio (OR) 0.22 (CI 0.11,
   0.42)) and the older (OR 0.27 (CI 0.10, 0.72)) birth cohorts. The
   reverse trend is seen for men, who also begin with no difference in odds
   of overweight by SES, but by 2006, the OR for the highest versus the
   lowest education group was 3.4 (CI 1.82, 6.18).
   Conclusions: Over 17 years, low SES has become associated with higher
   BMI and odds of overweight among Chinese women, whereas high SES remains
   a risk factor for overweight among Chinese men. International Journal of
   Obesity (2012) 36, 866-875; doi:10.1038/ijo.2011.134; published online 5
   July 2011
RI Popkin, Barry/T-6633-2019; Jones-Smith, Jessica/; popkin, barry/
OI Jones-Smith, Jessica/0000-0001-8962-1695; popkin,
   barry/0000-0001-9495-9324
Z8 0
ZR 0
ZS 0
TC 55
ZB 20
ZA 0
Z9 55
U1 0
U2 22
SN 0307-0565
EI 1476-5497
UT WOS:000305282400014
PM 21730966
ER

PT J
AU Evans, Marilyn
   Donelle, Lorie
   Hume-Loveland, Laurie
TI Social support and online postpartum depression discussion groups: A
   content analysis
SO PATIENT EDUCATION AND COUNSELING
VL 87
IS 3
BP 405
EP 410
DI 10.1016/j.pec.2011.09.011
PD JUN 2012
PY 2012
AB Objective: Social support has a positive influence on women's
   childbearing experience and is shown to be a preventive factor in
   postpartum depression. This study examined the perceived value and types
   of social supports that characterize the discussions of women who
   participate in postpartum depression online discussion groups.
   Methods: A directed content analysis was used to examine 512 messages
   posted on a postpartum depression online support group over six months.
   Results: The majority of the women's postings illustrated emotional
   support followed by informational and instrumental support.
   Conclusions: Online support groups provide women experiencing postpartum
   depression a safe place to connect with others and receive information,
   encouragement and hope.
   Practice implications: Education strategies are needed to address the
   many questions regarding PPD medical treatment. Recommending vetted
   links to PPD online support groups will create opportunities for women
   to share their experiences and obtain support. (C) 2011 Elsevier Ireland
   Ltd. All rights reserved.
ZB 4
ZA 0
TC 128
ZR 0
Z8 0
ZS 2
Z9 130
U1 5
U2 68
SN 0738-3991
UT WOS:000305590300022
PM 22019021
ER

PT J
AU Egbe, Mayen
   Baker, Paul
TI Development of a multisource feedback instrument for clinical
   supervisors in postgraduate medical training
SO CLINICAL MEDICINE
VL 12
IS 3
BP 239
EP 243
DI 10.7861/clinmedicine.12-3-239
PD JUN 2012
PY 2012
AB Medical training is a complex endeavour and analysing its quality is not
   a simple task. The accuracy of information, particularly of data
   gathered from trainees, will depend greatly on its source, on
   perceptions relating to confidentiality and on the uses to which the
   data are put. These factors should guide our choice of feedback
   instrument. In addition, in times of 'survey fatigue', we have a duty to
   be efficient. This paper discusses the piloting of the 'feedback on
   performance for trainers' tool for clinical supervisors of geriatric
   medicine trainees in the North Western Deanery. This tool is a
   multisource feedback instrument that can be used to gather information
   specifically on the perceived quality of clinical supervision. The
   tool's design takes into account opinions relating to confidentiality
   and content validity that have been expressed by trainees, trainers,
   educationalists and administrators. The tool is relatively easy and
   quick to use, taking about 10 min of trainee or trainer time.
   Administrative support is needed but the workload should not be onerous,
   especially if an on-line process can be developed. Strong evidence to
   support the validity of this instrument has been collected. The next
   step is the development and evaluation of the approach as an online
   process.
ZB 0
ZA 0
ZS 0
ZR 0
TC 6
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Z9 6
U1 0
U2 5
SN 1470-2118
UT WOS:000304785200010
PM 22783775
ER

PT J
AU Cheer, Kelly
   George, Jyothis T.
   Grant, Paul
   Herring, Roselle
   Maitland, Rahat A.
   Piya, Milan
   Price, Hermione C.
   Wilmot, Emma G.
   Hillson, Rowan
TI One-third of doctors completing specialist training in diabetes fail to
   secure a substantive consultant post: Young Diabetologists' Forum survey
   2010
SO CLINICAL MEDICINE
VL 12
IS 3
BP 244
EP 247
DI 10.7861/clinmedicine.12-3-244
PD JUN 2012
PY 2012
AB Reports have highlighted a shortage of consultant diabetologist posts in
   the UK. The number of doctors completing specialist training in diabetes
   has increased in recent years, but little is known about their
   employment after they receive their certificate of completion of
   training. An online survey was sent to all doctors who completed
   specialist diabetes training from January 2008 to September 2010. Of the
   95 eligible respondents, 69 (73%) completed the survey (61% men; median
   age 36 years). Forty-three (62%) respondents secured substantive NHS
   consultant posts, and of those who gave their job breakdown, 48/51 (94%)
   were contributing to specialist diabetes care. Five (7%) respondents
   held substantive academic positions, while 11 (16%) were locum
   consultants. Seven (9%) respondents worked abroad, with half of these
   attributing their emigration to lack of opportunities in the UK. When
   asked about alternative choices, 39% of respondents were likely to seek
   'general physician' roles, which equalled the number who would consider
   emigrating. Overall, only two-thirds of doctors who complete specialist
   training in diabetes secure substantive NHS consultant positions, which
   suggests a failure in workforce planning and a lack of expansion of the
   number of consultant posts despite progression of the diabetes epidemic.
OI George, Jyothis/0000-0002-5299-775X; Piya, Milan/0000-0002-2783-1168;
   Wilmot, Emma G/0000-0002-8698-6207
ZR 0
Z8 0
TC 5
ZA 0
ZS 0
ZB 2
Z9 5
U1 0
U2 0
SN 1470-2118
UT WOS:000304785200011
PM 22783776
ER

PT J
AU Nahar, B.
   Hossain, M. I.
   Hamadani, J. D.
   Ahmed, T.
   Huda, S. N.
   Grantham-McGregor, S. M.
   Persson, L. A.
TI Effects of a community-based approach of food and psychosocial
   stimulation on growth and development of severely malnourished children
   in Bangladesh: a randomised trial
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 66
IS 6
BP 701
EP 709
DI 10.1038/ejcn.2012.13
PD JUN 2012
PY 2012
AB Background/Objective: Psychosocial stimulation (PS) and food
   supplementation (FS) improve development of malnourished children. This
   study evaluates the effects of a community-based approach of PS and FS
   on growth and development of severely malnourished children.
   Subjects/Methods: Severely underweight hospitalised children aged 6-24
   months (n = 507) were randomly allocated on discharge to five groups:
   (i) PS, (ii) FS, (iii) PS_FS, (iv) clinic-control and (v)
   hospital-control. PS included play sessions and parental counselling on
   child development. This was done at each fortnightly follow-up visit,
   that is, every second week, for 6 months at community clinics. FS
   included distribution of cereal-based food packets (150-300 kcal/day)
   for 3 months. All groups received medical care, micronutrient
   supplementation, health-education and growth monitoring. Children's
   development was assessed using revised version of Bayley Scales of
   Infant Development at baseline and after 3 and 6 months of intervention.
   Anthropometry was measured using standard procedure.
   Results: Comparing groups with any stimulation with those with no
   stimulation there was a significant effect of stimulation on children's
   mental development index (group*session interaction P = 0.037, effect
   size = 0.37 s.d.) and weight-for-age Z-score (group*session interaction
   P = 0.02, effect size 0.26 s.d.). Poor levels of development and
   nutritional status were sustained, however, due to their initial very
   severe malnutrition. There was no effect on motor development and linear
   growth.
   Conclusion: Children receiving any stimulation showed a significant
   benefit to mental development and growth in weight. More intensive
   intervention with longer duration is needed to correct their poor
   developmental levels and nutritional status. European Journal of
   Clinical Nutrition (2012) 66, 701-709; doi: 10.1038/ejcn.2012.13;
   published online 22 February 2012
RI Persson, Lars Ake/; Hamadani, Jena/Z-1429-2018
OI Persson, Lars Ake/0000-0003-0710-7954; Hamadani,
   Jena/0000-0003-0733-6829
ZB 19
ZS 0
ZR 0
ZA 0
Z8 0
TC 53
Z9 53
U1 0
U2 25
SN 0954-3007
EI 1476-5640
UT WOS:000305087800008
PM 22353925
ER

PT J
AU Gopinath, Bamini
   Flood, Victoria M.
   Rochtchina, Elena
   Baur, Louise A.
   Smith, Wayne
   Mitchell, Paul
TI Influence of High Glycemic Index and Glycemic Load Diets on Blood
   Pressure During Adolescence
SO HYPERTENSION
VL 59
IS 6
BP 1272
EP U488
DI 10.1161/HYPERTENSIONAHA.112.190991
PD JUN 2012
PY 2012
AB We aimed to prospectively examine the association between the glycemic
   index and glycemic load of foods consumed and the dietary intakes of
   carbohydrates, sugars, fiber, and principal carbohydrate-containing food
   groups (eg, breads, cereals, and sugary drinks) with changes in blood
   pressure during adolescence. A total of 858 students aged 12 years at
   baseline (422 girls and 436 boys) were examined from 2004-2005 to
   2009-2011. Dietary data were assessed from validated semiquantitative
   food frequency questionnaires. Blood pressure was measured using a
   standard protocol. In girls, after adjusting for age, ethnicity,
   parental education, parental history of hypertension, baseline height,
   baseline blood pressure, change in body mass index, and time spent in
   physical and sedentary activities, each 1-SD (1-SD = 7.10 g/d) increase
   in baseline dietary intake of total fiber was associated with a 0.96-,
   0.62-, and 0.75-mmHg decrease in mean systolic (P = 0.02), diastolic (P
   = 0.01), and arterial blood pressures (P = 0.002), respectively, 5 years
   later. In girls, each 1-SD increase in dietary glycemic index, glycemic
   load, carbohydrate, and fructose was concurrently related to increases
   of 1.81 (P = 0.001), 4.02 (P = 0.01), 4.74 (P = 0.01), and 1.80 mm Hg (P
   = 0.03) in systolic blood pressure, respectively, >5 years. Significant
   associations between carbohydrate nutrition variables and blood pressure
   were not observed among boys. Excessive dietary intake of carbohydrates,
   specifically from high glycemic index/glycemic load foods, could
   adversely influence blood pressure, particularly in girls, whereas
   fiber-rich diets may be protective against elevated blood pressure
   during adolescence. (Hypertension. 2012; 59: 1272-1277.). Online Data
   Supplement
RI Flood, Victoria/H-2279-2011; Baur, Louise/AAE-3413-2021; Gopinath, Bamini/K-4286-2019; Flood, Victoria M/A-8732-2016; Mitchell, Paul/P-1498-2014; Baur, Louise/
OI Gopinath, Bamini/0000-0003-3573-359X; Flood, Victoria
   M/0000-0001-5310-7221; Baur, Louise/0000-0002-4521-9482
ZR 1
TC 24
ZA 0
ZB 8
ZS 0
Z8 1
Z9 26
U1 0
U2 13
SN 0194-911X
EI 1524-4563
UT WOS:000305176300037
PM 22493075
ER

PT J
AU Berman, Jessica R.
   Aizer, Juliet
   Bass, Anne R.
   Cats-Baril, William L.
   Parrish, Edward J.
   Robbins, Laura
   Salmon, Jane E.
   Paget, Stephen A.
TI Building a Rheumatology Education Academy: Insights from Assessment of
   Needs During a Rheumatology Division Retreat
SO JOURNAL OF RHEUMATOLOGY
VL 39
IS 6
BP 1280
EP 1286
DI 10.3899/jrheum.111281
PD JUN 2012
PY 2012
AB Objective. To implement a rheumatology department education retreat to
   systematically identify and address the key factors necessary to improve
   medical education in our division in preparation for developing a
   rheumatology academy.
   Methods. The Hospital for Special Surgery organized a retreat for the
   Rheumatology Department aimed at (1) providing formal didactics and (2)
   assessing participants' self-reported skills and interest in education
   with the goal of directing this information toward formalizing
   improvement. In a mixed-methods study design, faculty and fellows in the
   Division of Rheumatology were surveyed online pre- and post-retreat
   regarding various aspects of the current education program, their
   teaching abilities, interest and time spent in teaching, divisional
   resources allocated, and how education is valued.
   Results. Enthusiasm for teaching was high before and rose further after
   the retreat. Confidence in abilities was higher than expected before but
   fell afterward. Many noted that the lack of specific feedback on
   teaching skills and useful metrics to assess performance prevented the
   achievement of educational excellence. Most responding felt lack of
   time, knowledge of how to teach well, and resources prevented them from
   making greater commitments to educational endeavors and participating
   fully and effectively in the department's teaching activities.
   Conclusion. While most rheumatology faculty members want to improve as
   teachers, they know neither where their educational strengths and
   weaknesses lie nor where or how to begin to change their teaching
   abilities. The key elements for an academy would thus be an educational
   environment that elevates the quality of teaching throughout the
   division and promotes teaching careers and education research, and
   raises the importance and quality of teaching to equivalence with
   clinical care and research. (First Release April 15 2012; J Rheumatol
   2012;39:1280-6; doi:10.3899/jrheum.111281)
RI Aizer, Juliet/ADN-0489-2022
ZS 0
ZB 1
TC 4
Z8 0
ZR 0
ZA 0
Z9 4
U1 0
U2 1
SN 0315-162X
UT WOS:000304893800028
PM 22505701
ER

PT J
AU Lim, Lionel S.
   Kandavelou, Karthikeyan
   Khan, Nabeela
TI Palliative Care Teaching in Medical Residency: A Review of Two POGO-e
   Teaching Products
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 60
IS 6
BP 1141
EP 1144
DI 10.1111/j.1532-5415.2012.03964.x
PD JUN 2012
PY 2012
AB This is a comparison review of GeriaSims and Care of the Aging Medical
   Patient (CHAMP) modules addressing issues in palliative and hospice
   medicine found in the Portal of Geriatric Online Education, a free
   on-line repository of geriatric educational materials for medical
   educators. GeriaSims is a self-directed teaching module designed to
   systematically address many of the important questions involved in
   caring for individuals with chronic progressive and life-limiting
   illnesses. It is well suited for physicians, particularly medical
   residents and fellows in-training, who provide care for medically
   complicated elderly and terminally ill individuals. The CHAMP module is
   designed to familiarize physician educators with palliative and hospice
   medicine basics to teach residents and fellows through didactic slides,
   although it can probably be adapted for use by residents and fellows if
   audio commentary accompanies the slides. Both modules address practical
   approaches to addressing palliative care in patients and their families.
   They are useful teaching tools that address an important learning need
   and can be readily used to supplement current residency curriculum in
   hospice and palliative medicine.
OI Lim, Lionel/0000-0002-0730-8767
ZR 0
ZA 0
ZS 0
TC 5
Z8 0
ZB 0
Z9 5
U1 0
U2 4
SN 0002-8614
UT WOS:000305131900021
PM 22642506
ER

PT J
AU Wright, Andrew S.
   McKenzie, Jill
   Tsigonis, Abraham
   Jensen, Aaron R.
   Figueredo, Edgar J.
   Kim, Sara
   Horvath, Karen
TI A structured self-directed basic skills curriculum results in improved
   technical performance in the absence of expert faculty teaching
SO SURGERY
VL 151
IS 6
BP 808
EP 814
DI 10.1016/j.surg.2012.03.018
PD JUN 2012
PY 2012
AB Background. We developed a novel curriculum teaching 20 open surgical
   skills in 5 general domains (instrument handling, knot tying, simple
   wound closure, advanced wound closure, and hemostasis). The curriculum
   includes online didactics, skills practice, and defined performance
   metrics, but is entirely self-guided with no expert oversight or
   teaching.
   Methods. Subjects included first- and second-year medical students (n =
   9). Subjects first viewed a demonstration video depicting proper
   technique. The pretest was video-recorded performance of each skill.
   Subjects then completed the self-guided skills curriculum at their own
   pace, returning for posttesting once they met defined self-assessment
   criteria. Performance was evaluated through both self-assessment and
   blinded video review by 2 expert reviewers using previously validated
   scales.
   Results. After completion of the curriculum, performance improved
   significantly by both self-assessment (3,754 +/- 1,742 to 6,496 +/-
   1,337; P < .01, Wilcoxon signed ranks) and expert assessment (10.1 +/-
   2.6 to 14.6 +/- 2.7; P = .015). When analyzed by the 5 general domains,
   performance was significantly better for all domains by self-assessment
   (P < .05 for all domains) and in 4 domains by expert assessment (P < .04
   for all domains other than instrument handling).
   Conclusion. Completion of a self-guided basic surgical skills curriculum
   allows novice learners to significantly improve performance in basic
   open surgical skills, without traditional expert teaching. This
   curriculum is useful for medical students and incoming junior residents.
   (Surgery 2012;151:808-14.)
CT 4th Annual meeting of the
   Consortium-of-ACS-Accredited-Education-Institutes
CY APR 29-30, 2011
CL Chicago, IL
SP Consortium ACS, Accredited Educ Inst
ZB 4
ZR 0
ZA 0
Z8 0
TC 14
ZS 0
Z9 14
U1 0
U2 4
SN 0039-6060
UT WOS:000305168200007
PM 22652122
ER

PT J
AU Wright, Marc-Oliver
   Hebden, Joan N.
   Allen-Bridson, Kathy
   Morrell, Gloria C.
   Horan, Teresa C.
TI An American Journal of Infection Control and National Healthcare Safety
   Network data quality collaboration: A supplement of new case studies
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 40
IS 5
BP S32
EP S40
DI 10.1016/j.ajic.2012.03.010
SU S
PD JUN 2012
PY 2012
AB The rationale for the case study series is presented, along with results
   of the first 5 American Journal of Infection Control-National Healthcare
   Safety Network case studies. Although the respondents were correct in
   their assessments more often than not, opportunities for improvement
   remain. Ten new case studies with questions are provided. Participants
   are provided with instructions on how to submit responses for continuing
   education credit through the Centers for Disease Control and Prevention.
   Answers with referenced explanations will be provided immediately to
   those who seek continuing education credit and at a later date via the
   online journal for those who do not.
   Copyright (C) 2012 by the Association for Professionals in Infection
   Control and Epidemiology, Inc. Published by Elsevier Inc. All rights
   reserved.
ZA 0
ZS 0
Z8 0
ZB 2
TC 3
ZR 0
Z9 3
U1 0
U2 2
SN 0196-6553
UT WOS:000304379500002
PM 22626461
ER

PT J
AU Magee, Joshua C.
   Bigelow, Louisa
   DeHaan, Samantha
   Mustanski, Brian S.
TI Sexual Health Information Seeking Online: A Mixed-Methods Study Among
   Lesbian, Gay, Bisexual, and Transgender Young People
SO HEALTH EDUCATION & BEHAVIOR
VL 39
IS 3
BP 276
EP 289
DI 10.1177/1090198111401384
PD JUN 2012
PY 2012
AB The current study used a mixed-methods approach to investigate the
   positive and negative aspects of Internet use for sexual health
   information among lesbian, gay, bisexual, and transgender (LGBT) young
   people. A diverse community sample of 32 LGBT young people (aged 16-24
   years) completed qualitative interviews focusing on how, where, and when
   LGBT young people use the Internet for sexual health information.
   Results indicate that although many participants seek facts and
   statistics about sexually transmitted infections (STIs) and HIV online,
   few conduct searches about broader aspects of sexual health.
   Participants reported that fear about becoming infected with STIs/HIV is
   a common motivator of searches and noted a number of reasons for not
   using online sexual health information, including stigma associated with
   being observed accessing LGBT or HIV information. Together, the results
   revealed not only significant interest in online sexual health
   information but also concerns about the perceived limitations of this
   promising method of sexual health promotion.
OI Mustanski, Brian/0000-0001-9222-5116
ZS 1
Z8 0
ZR 2
ZB 14
TC 128
ZA 0
Z9 131
U1 2
U2 53
SN 1090-1981
EI 1552-6127
UT WOS:000304694500004
PM 21490310
ER

PT J
AU Hall, Pippa
   Byszewski, Anna
   Sutherland, Stephanie
   Stodel, Emma J.
TI Developing a Sustainable Electronic Portfolio (ePortfolio) Program That
   Fosters Reflective Practice and Incorporates CanMEDS Competencies Into
   the Undergraduate Medical Curriculum
SO ACADEMIC MEDICINE
VL 87
IS 6
BP 744
EP 751
DI 10.1097/ACM.0b013e318253dacd
PD JUN 2012
PY 2012
AB The University of Ottawa (uOttawa) Faculty of Medicine in 2008 launched
   a revised undergraduate medical education (UGME) curriculum that was
   based on the seven CanMEDS roles (medical expert, communicator,
   collaborator, health advocate, manager, scholar, and professional) and
   added an eighth role of person to incorporate the dimension of
   mindfulness and personal well-being. In this article, the authors
   describe the development of an electronic Portfolio (ePortfolio) program
   that enables uOttawa medical students to document their activities and
   to demonstrate their development of competence in each of the eight
   roles. The ePortfolio program supports reflective practice, an important
   component of professional competence, and provides a means for
   addressing the "hidden curriculum." It is bilingual, mandatory, and
   spans the four years of UGME. It includes both an online component for
   students to document their personal development and for student-coach
   dialogue, as well as twice-yearly, small-group meetings in which
   students engage in reflective discussions and learn to give and receive
   feedback. The authors reflect on the challenges they faced in the
   development and implementation of the ePortfolio program and share the
   lessons they have learned along the way to a successful and sustainable
   program. These lessons include switching from a complex information
   technology system to a user-friendly, Web-based blog platform;
   rethinking orientation sessions to ensure that faculty and students
   understand the value of the ePortfolio program; soliciting student input
   to improve the program and increase student buy-in; and providing
   faculty development opportunities and recognition.
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
TC 43
Z9 43
U1 0
U2 43
SN 1040-2446
EI 1938-808X
UT WOS:000305074100018
PM 22534601
ER

PT J
AU Maxwell, Simon R. J.
TI How should teaching of undergraduates in clinical pharmacology and
   therapeutics be delivered and assessed?
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 73
IS 6
SI SI
BP 893
EP 899
DI 10.1111/j.1365-2125.2012.04232.x
PD JUN 2012
PY 2012
AB Clinical pharmacology and therapeutics is the academic discipline that
   informs rational prescribing of medicines. There is accumulating
   evidence that a significant minority of prescriptions in the UK National
   Health Service contain errors. This comes at a time when the approach to
   and success of undergraduate education in this area has been called into
   question. Various stakeholders are now in agreement that this
   challenging area of undergraduate education needs to be strengthened.
   The principles that should form the basis of future educational strategy
   include greater visibility of clinical pharmacology and therapeutics in
   the curriculum, clear learning outcomes that are consistent with
   national guidance, strong and enthusiastic leadership, a student
   formulary, opportunities to practice prescribing, a robust assessment of
   prescribing competencies and external quality control. Important new
   developments in the UK are Prescribe, a repository of e-learning
   materials to support education in clinical pharmacology and prescribing,
   and the Prescribing Skills Assessment, a national online assessment
   designed to allow medical students to demonstrate that they have
   achieved the core competencies required to begin postgraduate training.
ZA 0
ZR 0
Z8 0
ZB 7
TC 26
ZS 1
Z9 26
U1 0
U2 15
SN 0306-5251
UT WOS:000303918900011
PM 22360965
ER

PT J
AU Coleman, Jamie J.
   McDowell, Sarah E.
TI An agenda for UK clinical pharmacology The potential of the internet
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 73
IS 6
SI SI
BP 953
EP 958
DI 10.1111/j.1365-2125.2012.04245.x
PD JUN 2012
PY 2012
AB The internet and the World Wide Web have changed the ways that we
   function. As technologies grow and adapt, there is a huge potential for
   the internet to affect drug research and development, as well as many
   other aspects of clinical pharmacology. We review some of the areas of
   interest to date and discuss some of the potential areas in which
   internet-based technology can be exploited. Information retrieval from
   the web by health-care professionals is common, and bringing
   evidence-based medicine to the bedside affects the care of patients. As
   a primary research tool the web can provide a vast array of information
   in generating new ideas or exploring previous research findings. This
   has facilitated systematic reviewing, for example. The content of the
   web has become a subject of research in its own right. The web is also
   widely used as a research facilitator, including enhancement of
   communication between collaborators, provision of online research tools
   (such as questionnaires, management of large scale multicentre trials,
   registration of clinical trials) and distribution of information.
   Problems include information overload, ignorance of early data that are
   not indexed in databases, difficulties in keeping web sites up to date
   and assessing the validity of information retrieved. Some web-based
   activities are viewed with suspicion, including analysis by
   pharmaceutical companies of drug information to facilitate
   direct-to-consumer advertising of novel pharmaceuticals. Use of these
   technologies will continue to expand in often unexpected ways. Clinical
   pharmacologists must embrace internet technology and include it as a key
   priority in their research agenda.
RI McDowell, Sarah/G-9230-2011; Coleman, Jamie/
OI McDowell, Sarah/0000-0003-0979-3679; Coleman, Jamie/0000-0002-7512-5153
ZB 2
ZS 0
ZR 0
Z8 0
ZA 0
TC 4
Z9 4
U1 0
U2 4
SN 0306-5251
EI 1365-2125
UT WOS:000303918900023
PM 22360652
ER

PT J
AU Lyons, Anthony
   Pitts, Marian
   Grierson, Jeffrey
   Smith, Anthony
   McNally, Stephen
   Couch, Murray
TI Age at first anal sex and HIV/STI vulnerability among gay men in
   Australia
SO SEXUALLY TRANSMITTED INFECTIONS
VL 88
IS 4
BP 252
EP 257
DI 10.1136/sextrans-2011-050253
PD JUN 2012
PY 2012
AB Objectives To determine whether there is a link between age at first
   anal intercourse (AFAI) and gay men's HIV/sexually transmissible
   infection (STI) vulnerability, including tendencies to engage in higher
   risk sexual behaviour.
   Methods A nationwide cross-sectional survey was conducted online
   involving 845 Australian gay men born between 1944 and 1993.
   Results Median AFAI fell from 35 years for men born between 1944 and
   1953 to 18 years for men born between 1984 and 1993. Of those who
   reported having had anal intercourse (N=822), HIV-positive men were
   found to be significantly younger on average when they first had anal
   intercourse compared with HIV-negative men (18.5 vs 21.3 years,
   p<0.001). Men with a history of other STIs were also significantly
   younger. Engaging in higher risk sexual behaviour is a likely factor,
   with AFAI generally younger among men who reported >10 sexual partners
   in the past year (p<0.001) and who engaged in group sex (p<0.001),
   receptive anal intercourse (p=0.008) or were drug or alcohol affected
   (p=0.06) during their most recent sexual encounter.
   Conclusions There appears to be a strong link between AFAI and infection
   with HIV/STIs, as well as tendencies to engage in higher risk sexual
   behaviour. While further research is needed to understand this link,
   these findings highlight a need for sexuality education aimed at
   gay-identified youth to ensure their sexual debut does not lead to
   poorer sexual health outcomes.
RI Lyons, Anthony/C-2029-2013; Grierson, Jeffrey/; Lyons, Anthony/
OI Grierson, Jeffrey/0000-0003-1619-2054; Lyons,
   Anthony/0000-0001-9569-6909
ZB 10
ZS 1
ZR 0
TC 30
ZA 0
Z8 2
Z9 32
U1 0
U2 13
SN 1368-4973
UT WOS:000303989600007
PM 22246810
ER

PT J
AU Monshat, Kaveh
   Vella-Brodrick, Dianne
   Burns, Jane
   Herrman, Helen
TI Mental health promotion in the Internet age: a consultation with
   Australian young people to inform the design of an online mindfulness
   training programme
SO HEALTH PROMOTION INTERNATIONAL
VL 27
IS 2
BP 177
EP 186
DI 10.1093/heapro/dar017
PD JUN 2012
PY 2012
AB Mindfulness training (MT) has been shown to lead to significant
   improvements in psychological distress and emotion regulation skills.
   The Internet has many advantages as a medium for building emotional
   skills in young people. The aim of this study was to involve young
   people in designing an online MT programme. A draft programme was
   initially designed based on a review of the literature and an
   established face-to-face programme for medical students. Twenty young
   people were then recruited through online advertising and 13 (age 1626)
   interviewed. They were asked to comment on how useful, easy to use and
   enjoyable they found the proposed programme and how the draft version
   and its planned evaluation strategy could be improved. Interviewee
   responses were independently processed by two of the authors within a
   qualitative thematic analysis paradigm. The results showed that young
   people were eager to engage with the design of this health promotion
   programme and provided valuable input. All interviewees believed that
   young people would find the programme desirable. They provided a variety
   of suggestions about how training structure and content could be
   improved, how best it could be evaluated and how young people could be
   encouraged to engage with and complete the programme. It thus appears
   that online MT is a feasible mental health promotion strategy for young
   people and that it can be evaluated in a controlled trial. The result of
   this consultation process was the Mindful Awareness Training and
   Education (MATE) programme, which has been detailed.
RI Herrman, Helen/AAS-6059-2021; Vella-Brodrick, Dianne/
OI Vella-Brodrick, Dianne/0000-0002-4534-1998
ZR 0
ZB 2
ZA 0
TC 12
Z8 0
ZS 0
Z9 12
U1 0
U2 39
SN 0957-4824
EI 1460-2245
UT WOS:000304016100005
PM 21398335
ER

PT J
AU Richardson, Michael L.
   Petscavage, Jonelle M.
   Hunter, John C.
   Roberts, Catherine C.
   Martin, Thomas P.
TI Running an Online Radiology Teaching Conference: Why It's a Great Idea
   and How to Do It Successfully
SO ACADEMIC RADIOLOGY
VL 19
IS 6
BP 746
EP 751
DI 10.1016/j.acra.2011.10.030
PD JUN 2012
PY 2012
AB Rationale and Objectives: At the authors' institutions, faculty members
   and trainees work at multiple sites scattered miles apart, making it
   difficult to physically attend weekly teaching conferences. As a
   possible solution, a weekly online musculoskeletal teaching conference
   was undertaken. This quickly grew to include multiple other sites around
   North America. The authors share their experiences to assist other
   radiologists in organizing similar educational conferences.
   Materials and Methods: The conferences are run using the Citrix
   GoToMeeting online meeting system. It runs on multiple platforms,
   including Mac, PC, iPhone, iPad, and Android. Attendees use a wide
   variety of microphones, sound cards, powered speakers, and webcams. Most
   users have fast institutional Internet connections, though several
   attend via slower connections, such as 3G.
   Results: The conference has run successfully for 2 years, with
   participants logging in from 24 different sites in 18 states, two
   Canadian provinces, and three countries. About 48 sessions are held each
   year, with 10 to 15 sites joining the conferences each week and about 10
   to 15 cases seen each week. Most attendees are from university medical
   centers, though several private practice radiologists attend regularly.
   Screen-sharing quality is superb, with no discernible difference between
   local and remote slide quality. Audio quality is usually quite good,
   particularly for those using computer audio. Audio feedback is an
   occasional problem, but this issue is now more easily addressed. No
   single time is equally convenient for participants scattered among four
   to six time zones. However, some sites find the conferences sufficiently
   valuable to rearrange their afternoon procedure schedules to reduce
   conflicts with the conferences. The social aspect of visiting weekly
   with friends and colleagues from afar is highly valued, as are seeing
   the wide range of pathology from other institutions and the ability to
   confer with colleagues on difficult cases. The conferences have also
   spawned several collaborative educational projects, such as an online
   journal club, a published book of conference cases, and an online
   musculoskeletal hardware atlas.
   Conclusions: The weekly online musculoskeletal conference described in
   this report has matured over 2 years from a peculiar experiment to a
   very popular conference. Cases not seen locally provide enrichment, and
   attendees gain educational opportunities not otherwise available. Other
   radiology groups should be able to create and maintain similar
   conferences.
RI Roberts, Catherine/B-5502-2014
OI Roberts, Catherine/0000-0001-5722-7108
ZS 1
Z8 0
ZB 2
ZR 0
ZA 0
TC 25
Z9 25
U1 0
U2 3
SN 1076-6332
UT WOS:000304381700017
PM 22578228
ER

PT J
AU Fortinsky, Kyle J.
   Fournier, Marc R.
   Benchimol, Eric I.
TI Internet and electronic resources for inflammatory bowel disease: A
   primer for providers and patients
SO INFLAMMATORY BOWEL DISEASES
VL 18
IS 6
BP 1156
EP 1163
DI 10.1002/ibd.22834
PD JUN 2012
PY 2012
AB Patients with inflammatory bowel disease (IBD) are increasingly turning
   to the Internet to research their condition and engage in discourse on
   their experiences. This has resulted in new dynamics in the relationship
   between providers and their patients, with misinformation and
   advertising potentially presenting barriers to the cooperative
   patientprovider partnership. This article addresses important issues of
   online IBD-related health information and social media activity, such as
   quality, reliability, objectivity, and privacy. We reviewed the medical
   literature on the quality of online information provided to IBD
   patients, and summarized the most commonly accessed Websites related to
   IBD. We also assessed the activity on popular social media sites (such
   as Facebook, Twitter, and YouTube), and evaluated currently available
   applications for use by IBD patients and providers on mobile phones and
   tablets. Through our review of the literature and currently available
   resources, we developed a list of recommended online resources to
   strengthen patient participation in their care by providing reliable,
   comprehensive educational material. (Inflamm Bowel Dis 2012;)
RI Benchimol, Eric Ian/A-7711-2010
OI Benchimol, Eric Ian/0000-0001-8855-3598
ZS 0
ZR 0
Z8 0
ZB 3
ZA 0
TC 28
Z9 28
U1 1
U2 21
SN 1078-0998
EI 1536-4844
UT WOS:000304137300019
PM 22147497
ER

PT J
AU Chou, Hsin-Kai
   Lin, I-Chun
   Woung, Lin-Chung
   Tsai, Ming-Tsu
TI Engagement in E-Learning Opportunities: An Empirical Study on Patient
   Education using Expectation Confirmation Theory
SO JOURNAL OF MEDICAL SYSTEMS
VL 36
IS 3
BP 1697
EP 1706
DI 10.1007/s10916-010-9630-9
PD JUN 2012
PY 2012
AB Medical e-learning technology is widely employed to create an online
   platform for patients and healthcare providers alike. However, there are
   few studies that have investigated the reasons why some users reject
   e-learning technology usage after their initial experience. This study
   was conducted with the aim to better understand the factors leading to
   patients' continued usage of e-learning technologies. The theoretical
   foundation was based on the expectation-confirmation theory (ECT). The
   questionnaire survey was conducted during a two-month period and covered
   a total sample of 281 outpatients in a regional-teaching hospital. We
   found that the intention to continue e-learning usage was significantly
   related to patients' education level, expectation, perceived
   performance, confirmation and satisfaction. The use of this ECT model
   may provide administrators in the healthcare industry insights into the
   implementation of e-learning technologies. This research also opens up a
   new direction and enhances the completeness of related researches in the
   fields of medical informatics and health education.
OI WOUNG, LIN-CHUNG/0000-0002-0700-7606
Z8 0
ZA 0
ZR 0
ZB 3
TC 26
ZS 0
Z9 26
U1 9
U2 55
SN 0148-5598
EI 1573-689X
UT WOS:000303826000064
PM 21104303
ER

PT J
AU Wyles, S. M.
   Miskovic, D.
   Ni, M.
   Kennedy, R. H.
   Hanna, G. B.
   Coleman, M. G.
TI 'Trainee' evaluation of the English National Training Programme for
   laparoscopic colorectal surgery
SO COLORECTAL DISEASE
VL 14
IS 6
BP E352
EP E357
DI 10.1111/j.1463-1318.2012.02948.x
PD JUN 2012
PY 2012
AB Aim The aim of this study was to review trainees opinions of the
   training they had received through the National Training Programme
   (NTP). Method An online questionnaire was distributed to NTP trainees
   who had completed five or more training episodes within the programme.
   Demographic data were collected. Opinion was given using a five-point
   Likert scale (1 = strongly disagree, 2 = disagree, 3 = undecided, 4 =
   agree, 5 = strongly agree). Percentages, mean values and SD were
   presented. ANOVA and MannWhitney U-tests were used to examine the impact
   of different factors on ratings and the difference between ratings,
   respectively. Results Fifty-four registered trainees fulfilled the
   inclusion criteria, and 37 (69% response rate) completed the
   questionnaire. Teaching sessions were organized using an inreach (11%),
   in-house (11%), outreach (27%) or combination (51%) system of training.
   Trainees felt that their trainers seldom cancelled sessions (93%), that
   it was easy to organize (92%) and consent (100%) the patient, and that
   their hospital was supportive of training (97%). Trainees stated that
   overall their trainers were excellent at training (Likert scale = 4.71
   +/- 0.46) and that they received regular feedback (87%). The only
   variable to have a significant impact on the level of NTP approval was
   whether the trainee was able to choose his or her trainer (supportive of
   NTP, chose trainer P = 0.050; critical of NTP, chose trainer P = 0.020).
   Conclusion The large majority of trainees was highly satisfied with the
   training received in this innovative programme, irrespective of region
   or training structure used, thus demonstrating acceptability of the
   programme in its current form.
RI Coleman, Mark/T-8890-2019; Ni, Melody/D-5713-2011; Ni, Melody/
OI Ni, Melody/0000-0001-7356-848X
TC 8
Z8 0
ZA 0
ZS 0
ZR 0
ZB 0
Z9 8
U1 0
U2 1
SN 1462-8910
EI 1463-1318
UT WOS:000303798700011
PM 22251877
ER

PT J
AU Jelinek, George A.
   Marck, Claudia H.
   Weiland, Tracey J.
   Neate, Sandra L.
   Hickey, Bernadette B.
TI Organ and tissue donation-related attitudes, education and practices of
   emergency department clinicians in Australia
SO EMERGENCY MEDICINE AUSTRALASIA
VL 24
IS 3
BP 244
EP 250
DI 10.1111/j.1742-6723.2012.01535.x
PD JUN 2012
PY 2012
AB Objective: The ED is emerging as a priority for efforts to improve rates
   of organ and tissue donation (OTD) in Australia, but little is known of
   ED clinicians' attitudes, education or practices in the area. We aimed
   to determine the attitudes and OTD-related educational background and
   practices of Australian ED clinicians. Methods: This was a national
   cross-sectional survey of members of the Australasian College for
   Emergency Medicine (ACEM) and the College of Emergency Nursing
   Australasia (CENA); online questionnaire of 133 items, graded responses
   using Likert and ordinal multi-category scales, plus open-ended
   qualitative questions. Results: Of 2969 ACEM members, 599 (20.2%)
   responded; of 1026 CENA members, 212 (20.7%) responded. Respondents were
   broadly representative of the membership, with male trainee specialists
   underrepresented. Most ED staff supported OTD, although many were not
   certain that facilitating OTD was their role, or that the ED was the
   right place to identify donors. Around a quarter of medical and nursing
   staff had received no education regarding OTD. Having received education
   was related to professional status, cultural background, place of work
   and years of experience, and was significantly associated with attitude
   towards OTD and whether staff participated in OTD-related tasks.
   Conclusions: More education on OTD is needed and requested by ED
   clinicians in Australia, particularly on OTD after cardiac death,
   management of a donor, brain death and obtaining consent. Postgraduate
   curricula should reflect this need for more OTD-related education in
   emergency medicine and nursing.
RI Weiland, Tracey/Y-2029-2018; Jelinek, George/; Marck, Claudia/
OI Weiland, Tracey/0000-0002-4053-5507; Jelinek,
   George/0000-0001-6157-0910; Marck, Claudia/0000-0002-3173-1522
ZS 0
TC 29
Z8 1
ZR 0
ZA 0
ZB 7
Z9 30
U1 0
U2 10
SN 1742-6731
EI 1742-6723
UT WOS:000304715500006
PM 22672164
ER

PT J
AU Gilmour, Jean A.
   Huntington, Annette
   Broadbent, Rachel
   Strong, Alison
   Hawkins, Mona
TI Nurses' use of online health information in medical wards
SO JOURNAL OF ADVANCED NURSING
VL 68
IS 6
BP 1349
EP 1358
DI 10.1111/j.1365-2648.2011.05845.x
PD JUN 2012
PY 2012
AB gilmour j.a., huntington a., broadbent r., strong a. & hawkins m. (2012)
   Nurses use of online health information in medical wards. Journal of
   Advanced Nursing68(6), 1349-1358. Abstract Aim. This paper is a report
   of a study of nurses access, use and evaluation of online health
   information in medical wards. Background. Online health information is
   commonly used by patients with chronic illness to support their
   education needs. Nurses have a critical role in assisting patients to
   access and use this information. Method. This descriptive
   cross-sectional survey of a random sample of 540 nurses employed in
   medical wards was carried out in 2009. The response rate was 58.7%
   (293). The analytical approach included descriptive statistics and
   non-parametric tests of correlation and differences between groups. A
   content analysis was performed on the qualitative data. Results. Most
   respondents (78.6%) were satisfied with work Internet access and 58.2%
   believed that the use of online information improved care delivery.
   Nearly half the group was aware of patient misconceptions about their
   illness due to incorrect interpretations of online information, but only
   24.4% checked if patients used online information. There was a
   significant association between assessing patients use and awareness of
   patient misconceptions. Conclusion. The findings of this study highlight
   that while online resources add to education opportunities, the ongoing
   nursing assessment required to determine online information needs is not
   always incorporated into nursing practice. Patient misunderstandings of
   online material were also identified; developing patient competency in
   evaluating open access health information should now be recognized as an
   integral aspect of illness management education.
ZS 1
ZR 0
TC 19
ZA 0
ZB 2
Z8 1
Z9 20
U1 3
U2 17
SN 0309-2402
EI 1365-2648
UT WOS:000303238600016
PM 21999429
ER

PT J
AU Corrigan, Mark
   McHugh, Seamus
   Sheikh, Athar
   Lehane, Elaine
   Shields, Conor
   Redmond, Paul
   Kerin, Michael
   Hill, Arnold
TI Surgent University: The Establishment and Evaluation of a National
   Online Clinical Teaching Repository for Surgical Trainees and Students
SO SURGICAL INNOVATION
VL 19
IS 2
BP 200
EP 204
DI 10.1177/1553350611418253
PD JUN 2012
PY 2012
AB Introduction. The aim of this study was to develop a new teaching
   strategy for medical students while creating a national online
   repository system (Surgent University). Then, the potential of this
   e-learning modality to facilitate learning of clinical surgery was
   evaluated. Methods. An online repository and Internet-based interface
   was designed and hosted on the medical education Web site,
   www.surgent.ie. Participation was by medical students across 3 Irish
   universities. Student use of the repository was quantitatively assessed
   over an 8-week period. They were then invited to complete an anonymous
   survey assessing the effectiveness of the online repository. Statistical
   analysis was performed using SPSS version 15, with P < .05 considered
   significant. Results. Over the study period, the online repository
   received 6105 uploaded facts by 182 final-year medical students from 3
   different universities. The repository Web pages were accessed 54 061
   times with 4609 individual searches of the repository. Of the 60
   participating students invited to provide survey-based feedback, there
   were 40 respondents, giving a 66.7% response rate. Of those surveyed,
   70% (n = 28) rated the online repository as highly beneficial and 75% (n
   = 30) as highly relevant. Overall, 87.5% (n = 35) felt that it should be
   continued, and 70% (n = 28) felt that it should be expanded beyond
   surgery to include other hospital specialties. Those finding the program
   interface user-friendly were more likely to find it beneficial (P =
   .031) and relevant to their ongoing education (P = .002). Conclusions. A
   user-friendly interface allows for high levels of usage, whereas a
   "student-centered" structure ensures that the facts uploaded are
   beneficial and relevant to medical students' education.
RI Kerin, Michael J/D-6748-2013; Lehane, Elaine/; Corrigan, Mark/; Kerin, Michael/; , Conor/
OI Lehane, Elaine/0000-0002-0144-7467; Corrigan, Mark/0000-0002-9615-6450;
   Kerin, Michael/0000-0003-4164-5561; , Conor/0000-0002-4640-9632
ZB 0
Z8 0
ZS 0
ZA 0
ZR 0
TC 3
Z9 3
U1 0
U2 4
SN 1553-3506
UT WOS:000304822100013
PM 22143752
ER

PT J
AU Vera, Chido
   Herr, Allen
   Mandato, Kenneth
   Englander, Meridith
   Ginsburg, Lauren
   Siskin, Gary P
TI Internet-based social networking and its role in the evolution of
   chronic cerebrospinal venous insufficiency.
SO Techniques in vascular and interventional radiology
VL 15
IS 2
BP 153
EP 7
DI 10.1053/j.tvir.2012.02.009
PD 2012-Jun
PY 2012
AB The Internet is being seen as a growing resource for health-related
   information for a large number of patients. It is undeniable that its
   widespread presence has led to the growth of awareness that chronic
   cerebrospinal venous insufficiency (CCSVI) as an entity that may
   contribute to the symptoms experienced by patients with multiple
   sclerosis (MS). Social networking and file-sharing Web sites have
   brought patients with MS together from all over the world and have
   facilitated the distribution of personal experiences and information
   derived from medical research as it relates to CCSVI. As a result, there
   has been an accelerated growth in the number of patients seeking
   treatment for this syndrome in light of the possibility that it may
   improve their present condition. This article will review this
   phenomenon, the Internet-based resources available to MS patients
   seeking information about CCSVI, and the responsibilities of physicians
   as they participate in these online discussions.
OI Englander, Meridith/0000-0002-0209-6400
TC 16
Z8 0
ZR 0
ZS 1
ZB 5
ZA 0
Z9 17
U1 0
U2 2
EI 1557-9808
UT MEDLINE:22640505
PM 22640505
ER

PT J
AU Ashurst, Emily J.
   Jones, Ray B.
   Williamson, Graham R.
   Emmens, Tobit
   Perry, Jon
TI Collaborative learning about e-health for mental health professionals
   and service users in a structured anonymous online short course: pilot
   study
SO BMC MEDICAL EDUCATION
VL 12
AR 37
DI 10.1186/1472-6920-12-37
PD MAY 31 2012
PY 2012
AB Background: Professionals are interested in using e-health but
   implementation of new methods is slow. Barriers to implementation
   include the need for training and limited awareness or experience.
   Research may not always convince mental health professionals (MHPs).
   Adding the 'voice' of mental health service users (MHSUs) in
   collaborative learning may help. Involving MHSUs in face-face education
   can be difficult. We had previously been unable to engage MHPs in online
   discussion with MHSUs. Here we assessed the feasibility of short online
   courses involving MHSUs and MHPs.
   Methods: We ran three e-health courses, comprising live interactive
   webcast, week's access to a discussion forum, and final live interactive
   webcast. We recruited MHPs via posters, newsletters, and telephone from
   a local NHS trust, and online via mailing lists and personal contacts
   from NHS trusts and higher education. We recruited MHSUs via a previous
   project and an independent user involvement service. Participants were
   presented with research evidence about e-health and asked to discuss
   topics using professional and lived experience. Feasibility was assessed
   through recruitment and attrition, participation, and researcher
   workloads. Outcomes of self-esteem and general self-efficacy (MHSUs),
   and Internet self-efficacy and confidence (MHPs) were piloted.
   Results: Online recruiting was effective. We lost 15/41 from
   registration to follow-up but only 5/31 that participated in the course
   failed to complete follow-up. Nineteen MHPs and 12 MHSUs took part and
   engaged with each other in online discussion. Feedback was positive;
   three-quarters of MHPs indicated future plans to use the Internet for
   practice, and 80% of MHSUs felt the course should be continued. Running
   three courses for 31 participants took between 200 to 250 hours. Before
   and after outcome measures were completed by 26/31 that participated.
   MHP Internet self-efficacy and general Internet confidence, MHSU
   self-esteem and general self-efficacy, all seemed reliable and seemed to
   show some increase.
   Conclusions: Collaborative learning between MHSUs and MHPs in a
   structured online anonymous environment over a one-week course is
   feasible, may be more practical and less costly than face-face methods,
   and is worthy of further study.
RI Williamson, Graham/AAM-3324-2020
OI Williamson, Graham/0000-0002-5715-8621
ZR 0
TC 9
Z8 0
ZB 2
ZS 0
ZA 0
Z9 9
U1 1
U2 37
EI 1472-6920
UT WOS:000308372100001
PM 22651553
ER

PT J
AU Morgulis, Yuri
   Kumar, Rakesh K.
   Lindeman, Robert
   Velan, Gary M.
TI Impact on learning of an e-learning module on leukaemia: a randomised
   controlled trial
SO BMC MEDICAL EDUCATION
VL 12
AR 36
DI 10.1186/1472-6920-12-36
PD MAY 28 2012
PY 2012
AB Background: e-learning resources may be beneficial for complex or
   conceptually difficult topics. Leukaemia is one such topic, yet there
   are no reports on the efficacy of e-learning for leukaemia. This study
   compared the learning impact on senior medical students of a
   purpose-built e-learning module on leukaemia, compared with existing
   online resources.
   Methods: A randomised controlled trial was performed utilising volunteer
   senior medical students. Participants were randomly allocated to Study
   and Control groups. Following a pre-test on leukaemia administered to
   both groups, the Study group was provided with access to the new
   e-learning module, while the Control group was directed to existing
   online resources. A post-test and an evaluation questionnaire were
   administered to both groups at the end of the trial period.
   Results: Study and Control groups were equivalent in gender
   distribution, mean academic ability, pre-test performance and time
   studying leukaemia during the trial. The Study group performed
   significantly better than the Control group in the post-test, in which
   the group to which the students had been allocated was the only
   significant predictor of performance. The Study group's evaluation of
   the module was overwhelmingly positive.
   Conclusions: A targeted e-learning module on leukaemia had a significant
   effect on learning in this cohort, compared with existing online
   resources. We believe that the interactivity, dialogic feedback and
   integration with the curriculum offered by the e-learning module
   contributed to its impact. This has implications for e-learning design
   in medicine and other disciplines.
RI Kumar, Rakesh K/J-6124-2012; Velan, Gary/
OI Kumar, Rakesh K/0000-0002-9531-8411; Velan, Gary/0000-0002-4535-6663
TC 22
ZR 0
ZB 3
ZA 0
ZS 0
Z8 0
Z9 23
U1 0
U2 5
EI 1472-6920
UT WOS:000307959700001
PM 22640463
ER

PT J
AU Bodemer, Nicolai
   Mueller, Stephanie M.
   Okan, Yasmina
   Garcia-Retamero, Rocio
   Neumeyer-Gromen, Angela
TI Do the media provide transparent health information? A cross-cultural
   comparison of public information about the HPV vaccine
SO VACCINE
VL 30
IS 25
SI SI
BP 3747
EP 3756
DI 10.1016/j.vaccine.2012.03.005
PD MAY 28 2012
PY 2012
AB The media is a powerful tool for informing the public about health
   treatments. In particular, the Internet has gained importance as a
   widely valued source for health information for parents and adolescents.
   Nonetheless, traditional sources, such as newspapers, continue to report
   on health innovations. But do websites and newspaper reports provide
   balanced information? We performed a systematic media analysis to
   evaluate and compare media coverage of the human papillomavirus (HPV)
   vaccine on websites and in newspapers in Germany and Spain. We assessed
   to what extent the media provide complete (pros and cons), transparent
   (absolute instead of relative numbers), and correct information about
   the epidemiology and etiology of cervical cancer as well as the
   effectiveness and costs of the HPV vaccine. As a basis for comparison, a
   facts box containing current scientific evidence about cervical cancer
   and the HPV vaccine was developed. The media analysis included 61
   websites and 141 newspaper articles in Germany, and 41 websites and 293
   newspaper articles in Spain. Results show that 57% of German websites
   and 43% of German newspaper reports communicated correct estimates of
   epidemiological data, whereas in Spain 39% of the websites and 20% of
   the newspaper did so. While two thirds of Spanish websites explicitly
   mentioned causes of cervical cancer as well as spontaneous recovery,
   German websites communicated etiological information less frequently.
   Findings reveal that correct estimates about the vaccine's effectiveness
   were mentioned in 10% of German websites and 6% of German newspaper
   reports; none of the Spanish newspaper reports and 2% of Spanish
   websites reported effectiveness correctly. Only German websites (13%)
   explicitly referred to scientific uncertainty regarding the vaccine's
   evaluation. We conclude that the media lack balanced reporting on the
   dimensions completeness, transparency, and correctness. We propose
   standards for more balanced reporting on websites and in newspapers. (C)
   2012 Elsevier Ltd. All rights reserved.
RI Okan, Yasmina/J-9499-2014; Garcia-Retamero, Rocio/
OI Okan, Yasmina/0000-0001-7963-1363; Garcia-Retamero,
   Rocio/0000-0001-9140-8519
ZS 0
ZA 0
Z8 0
TC 44
ZR 0
ZB 16
Z9 45
U1 1
U2 34
SN 0264-410X
EI 1873-2518
UT WOS:000304975600005
PM 22421558
ER

PT J
AU Ruzek, Josef I.
   Rosen, Raymond C.
   Marceau, Lisa
   Larson, Mary Jo
   Garvert, Donn W.
   Smith, Lauren
   Stoddard, Anne
TI Online self-administered training for post-traumatic stress disorder
   treatment providers: design and methods for a randomized, prospective
   intervention study
SO IMPLEMENTATION SCIENCE
VL 7
AR 43
DI 10.1186/1748-5908-7-43
PD MAY 14 2012
PY 2012
AB This paper presents the rationale and methods for a randomized
   controlled evaluation of web-based training in motivational
   interviewing, goal setting, and behavioral task assignment. Web-based
   training may be a practical and cost-effective way to address the need
   for large-scale mental health training in evidence-based practice;
   however, there is a dearth of well-controlled outcome studies of these
   approaches. For the current trial, 168 mental health providers treating
   post-traumatic stress disorder (PTSD) were assigned to web-based
   training plus supervision, web-based training, or training-as-usual
   (control). A novel standardized patient (SP) assessment was developed
   and implemented for objective measurement of changes in clinical skills,
   while on-line self-report measures were used for assessing changes in
   knowledge, perceived self-efficacy, and practice related to cognitive
   behavioral therapy (CBT) techniques. Eligible participants were all
   actively involved in mental health treatment of veterans with PTSD.
   Study methodology illustrates ways of developing training content,
   recruiting participants, and assessing knowledge, perceived
   self-efficacy, and competency-based outcomes, and demonstrates the
   feasibility of conducting prospective studies of training efficacy or
   effectiveness in large healthcare systems.
ZR 0
ZA 0
Z8 0
ZB 0
ZS 0
TC 13
Z9 13
U1 1
U2 23
SN 1748-5908
UT WOS:000306796400001
PM 22583520
ER

PT J
AU Grabenhenrich, Linus
   Hompes, Stephanie
   Gough, Hannah
   Rueff, Franziska
   Scherer, Kathrin
   Pfoehler, Claudia
   Treudler, Regina
   Mahler, Vera
   Hawranek, Thomas
   Nemat, Katja
   Koehli, Alice
   Keil, Thomas
   Worm, Margitta
TI Implementation of Anaphylaxis Management Guidelines: A Register-Based
   Study
SO PLOS ONE
VL 7
IS 5
AR e35778
DI 10.1371/journal.pone.0035778
PD MAY 10 2012
PY 2012
AB Background: Anaphylaxis management guidelines recommend the use of
   intramuscular adrenaline in severe reactions, complemented by
   antihistamines and corticoids; secondary prevention includes allergen
   avoidance and provision of self-applicable first aid drugs. Gaps between
   recommendations and their implementation have been reported, but only in
   confined settings. Hence, we analysed nation-wide data on the management
   of anaphylaxis, evaluating the implementation of guidelines.
   Methods: Within the anaphylaxis registry, allergy referral centres
   across Germany, Austria and Switzerland provided data on severe
   anaphylaxis cases. Based on patient records, details on reaction
   circumstances, diagnostic workup and treatment were collected via online
   questionnaire. Report of anaphylaxis through emergency physicians
   allowed for validation of registry data.
   Results: 2114 severe anaphylaxis patients from 58 centres were included.
   8% received adrenaline intravenously, 4% intramuscularly; 50%
   antihistamines, and 51% corticoids. Validation data indicated moderate
   underreporting of first aid drugs in the Registry. 20% received specific
   instructions at the time of the reaction; 81% were provided with
   prophylactic first aid drugs at any time.
   Conclusion: There is a distinct discrepancy between current anaphylaxis
   management guidelines and their implementation. To improve patient care,
   a revised approach for medical education and training on the management
   of severe anaphylaxis is warranted.
OI Scherer, Kathrin/0000-0002-5235-2556; Worm,
   Margitta/0000-0002-3449-1245; Grabenhenrich, Linus/0000-0002-9300-6625
ZA 0
ZR 0
ZB 14
ZS 1
TC 50
Z8 0
Z9 50
U1 0
U2 6
SN 1932-6203
UT WOS:000305336400008
PM 22590513
ER

PT J
AU Schnur, Julie B.
   Montgomery, Guy H.
TI E-Counseling in Psychosocial Cancer Care: A Survey of Practice,
   Attitudes, and Training Among Providers
SO TELEMEDICINE AND E-HEALTH
VL 18
IS 4
BP 305
EP 308
DI 10.1089/tmj.2011.0142
PD MAY 2012
PY 2012
AB Objective: In the cancer setting, e-counseling interventions may be
   uniquely beneficial as they spare patients the cost and burden of
   traveling to a hospital or clinic for psychosocial care. However, the
   prevalence of e-counseling among psychosocial cancer care providers is
   unknown, as are the training needs with regard to e-counseling among
   this group of professionals. Thus, our group conducted an online
   professional training needs assessment with psychosocial cancer care
   providers. Subjects and Methods: Participants (n = 120) were recruited
   from the listservs of the Health Psychology Division of the American
   Psychological Association, the Society of Behavioral Medicine-Cancer
   Special Interest Group, the American Psychosocial Oncology Society, and
   the Association of Oncology Social Work. All completed a 14-item online
   survey. Results: Although 84% of participants stated that e-counseling
   could be important to their clinical work with cancer patients and
   survivors, 88% reported that they did not have the skills to effectively
   conduct e-counseling, and 81% reported that there were no adequate
   e-counseling educational opportunities. When asked about future training
   opportunities, participants reported a preference for online training
   versus live training (p < 0.001). Conclusions: Overall, the results
   highlight the need for online training programs in e-counseling for
   psychosocial cancer care providers. The training of psychosocial cancer
   care providers in e-counseling is a critical first step towards
   increasing implementation of e-counseling interventions and using the
   Internet to deliver effective interventions to cancer patients in need.
Z8 0
ZS 0
ZR 0
TC 6
ZA 0
ZB 1
Z9 6
U1 0
U2 16
SN 1530-5627
UT WOS:000303812800011
PM 22424079
ER

PT J
AU Baelden, Dorien
   Van Audenhove, Leo
   Vergnani, Tania
TI Using new technologies for stimulating interpersonal communication on
   HIV and AIDS
SO TELEMATICS AND INFORMATICS
VL 29
IS 2
BP 166
EP 176
DI 10.1016/j.tele.2011.05.002
PD MAY 2012
PY 2012
AB Part of the current academic discourse on primary HIV and AIDS
   interventions, is focussed on the importance of interpersonal
   communication. Interpersonal communication is believed to mediate
   campaign effects through the creation of social learning environments.
   Therefore, many HIV and AIDS strategies (e.g. entertainment education
   programmes) use mass media channels for conveying messages on the one
   hand and spurring interpersonal communication among target groups on the
   other hand. However, it seems hard to find solid evidence that mass
   media campaigns are able to stimulate interpersonal communication.
   Simultaneously, there is a rising interest in the use of new
   technologies for HIV and AIDS prevention. As a result of their unique
   characteristics, such as interactivity and anonymity, they could be more
   appropriate than traditional channels to stimulate interpersonal
   communication. To gain insights in the challenges and opportunities of
   new technologies for primary HIV/AIDS prevention, this article presents
   the findings of a case study carried out at the University of the
   Western Cape. This study aimed at developing, implementing and
   evaluating an anonymous online discussion platform for students to share
   experiences and discuss sensitive subjects. The discussion forum was
   used in three ways: compulsory (through curriculum integration),
   semi-voluntarily and voluntarily. An extensive evaluation provided
   strong evidence that the online discussion forum was only successful
   when formally integrated into the curriculum. The most important
   opportunity of the formally integrated online forum relates to the
   creation of a social learning environment. The anonymous character of
   the online platform allayed fear for stigma and discrimination and
   removed cultural barriers concerning the inappropriateness of discussing
   HIV/AIDS related issues. As a result, the platform created a space in
   which students discussed freely, considered old and new ideas, acquired
   knowledge, and learned to esteem varying views on the subjects of
   discussion. Although no assertions can be made on the effects of these
   outcomes on sustainable changes in attitudes or behaviour, these
   findings indicate that participating in an anonymous online platform can
   instigate students to reflect on HIV/AIDS in a different way. (C) 2011
   Elsevier Ltd. All rights reserved.
OI Van Audenhove, Leo/0000-0002-1093-9041
TC 16
ZB 0
Z8 0
ZS 0
ZA 0
ZR 0
Z9 16
U1 1
U2 32
SN 0736-5853
UT WOS:000312755200003
ER

PT J
AU Aparicio, Fernando
   De Buenaga, Manuel
   Rubio, Margarita
   Hernando, Asuncion
TI An intelligent information access system assisting a case based learning
   methodology evaluated in higher education with medical students
SO COMPUTERS & EDUCATION
VL 58
IS 4
BP 1282
EP 1295
DI 10.1016/j.compedu.2011.12.021
PD MAY 2012
PY 2012
AB In recent years there has been a shift in educational methodologies
   toward a student-centered approach, one which increasingly emphasizes
   the integration of computer tools and intelligent systems adopting
   different roles. In this paper we describe in detail the development of
   an Intelligent Information Access system used as the basis for producing
   and assessing a constructivist learning methodology with undergraduate
   students. The system automatically detects significant concepts
   available within a given clinical case and facilitates an objective
   examination, following a proper selection process of the case in which
   is taken into account the students' knowledge level. The learning
   methodology implemented is intimately related to concept-based,
   case-based and internet-based learning. In spite of growing theoretical
   research on the use of information technology in higher education, it is
   rare to find applications that measure learning and students'
   perceptions and compare objective results with a free Internet search.
   Our work enables students to gain understanding of the concepts in a
   case through Web browser interaction with our computer system
   identifying these concepts and providing direct access to enriched
   related information from Medlineplus, Freebase and PubMed. In order to
   evaluate the learning activity outcomes, we have done a trial run with
   volunteer students from a 2nd year undergraduate Medicine course,
   dividing the volunteers into two groups. During the activity all
   students were provided with a clinical case history and a multiple
   choice test with medical questions relevant to the case. This test could
   be done in two different ways: learners in one group were allowed to
   freely seek information on the Internet, while the other group could
   only search for information using the newly developed computer tool. In
   the latter group, we measured how students perceived the tool's support
   for solving the activity and the Web interface usability, supplying them
   with a Likert questionnaire for anonymous completion. The particular
   case selected was a female with a medical history of heart pathology,
   from which the system derived medical terms closely associated with her
   condition description, her clinical evolution and treatment. (C) 2011
   Elsevier Ltd. All rights reserved.
RI de Buenaga, Manuel/M-2399-2014; GRANDE, ANTONIO HERNANDO/U-1411-2019; Rubio, Margarita/K-9593-2014; Aparicio, Fernando/M-2822-2014; Hernando, Asuncion/M-7916-2014; Rubio, Margarita/Q-8825-2018
OI de Buenaga, Manuel/0000-0003-4705-1836; GRANDE, ANTONIO
   HERNANDO/0000-0002-7307-8859; Aparicio, Fernando/0000-0002-2253-1094;
   Hernando, Asuncion/0000-0002-1901-1119; Rubio,
   Margarita/0000-0003-2484-1042
ZS 0
Z8 0
ZA 0
TC 21
ZB 2
ZR 0
Z9 21
U1 0
U2 24
SN 0360-1315
EI 1873-782X
UT WOS:000301275600026
ER

PT J
AU Turner, Anne M.
   Kirchhoff, Katrin
   Capurro, Daniel
TI Using Crowdsourcing Technology for Testing Multilingual Public Health
   Promotion Materials
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 3
BP 218
EP 226
AR e79
DI 10.2196/jmir.2063
PD MAY-JUN 2012
PY 2012
AB Background: Effective communication of public health messages is a key
   strategy for health promotion by public health agencies. Creating
   effective health promotion materials requires careful message design and
   feedback from representatives of target populations. This is
   particularly true when the target audiences are hard to reach as limited
   English proficiency groups. Traditional methods of soliciting
   feedback-such as focus groups and convenience sample interviews-are
   expensive and time consuming. As a result, adequate feedback from target
   populations is often insufficient due to the time and resource
   constraints characteristic to public health.
   Objective: To describe a pilot study investigating the use of
   crowdsourcing technology as a method to gather rapid and relevant
   feedback on the design of health promotion messages for oral health. Our
   goal was to better describe the demographics of participants responding
   to a crowdsourcing survey and to test whether crowdsourcing could be
   used to gather feedback from English-speaking and Spanish-speaking
   participants in a short period of time and at relatively low costs.
   Methods: We developed health promotion materials on pediatric dental
   health issues in four different formats and in two languages (English
   and Spanish). We then designed an online survey to elicit feedback on
   format preferences and made it available in both languages via the
   Amazon Mechanical Turk crowdsourcing platform.
   Results: We surveyed 236 native English-speaking and 163 native
   Spanish-speaking participants in less than 12 days, at a cost of US
   $374. Overall, Spanish-speaking participants originated from a wider
   distribution of countries than the overall Latino population in the
   United States. Most participants were in the 18- to 29-year age range
   and had some college or graduate education. Participants provided
   valuable input for the health promotion material design.
   Conclusions: Our results indicate that crowdsourcing can be an effective
   method for recruiting and gaining feedback from English-speaking and
   Spanish-speaking people. Compared with traditional methods,
   crowdsourcing has the potential to reach more diverse populations than
   convenience sampling, while substantially reducing the time and cost of
   gathering participant feedback. More widespread adoption of this method
   could streamline the development of effective health promotion materials
   in multiple languages.
RI Capurro, Daniel/AAP-3643-2020; Capurro, Daniel/G-2200-2011
OI Capurro, Daniel/0000-0002-9256-1256
TC 38
ZR 0
Z8 0
ZS 0
ZA 0
ZB 6
Z9 38
U1 0
U2 37
SN 1438-8871
UT WOS:000305797300017
PM 22664384
ER

PT J
AU Bhavnani, Suresh K.
   Warden, Michael
   Zheng, Kai
   Hill, Mary
   Athey, Brian D.
TI Researchers' Needs for Resource Discovery and Collaboration Tools: A
   Qualitative Investigation of Translational Scientists
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 3
BP 236
EP 245
AR e75
DI 10.2196/jmir.1905
PD MAY-JUN 2012
PY 2012
AB Background: A critical aspect of clinical and translational science
   (CTS) is interdisciplinary and collaborative research, which
   increasingly requires a wide range of computational and human resources.
   However, few studies have systematically analyzed such resource needs of
   CTS researchers.
   Objective: To improve our understanding of CTS researchers' needs for
   computational and human resources in order to build useful and useable
   supporting informatics tools.
   Methods: We conducted semistructured interviews of 30 CTS researchers
   from the University of Michigan, followed by qualitative analysis of the
   interview transcripts.
   Results: The analysis identified three recurring themes: the need for
   the federation of information, the need to address information overload,
   and the need to humanize computing, including strong and well-informed
   views about the use of social networking tools for research
   collaboration. These findings helped us to narrow down the available
   design choices for assisting CTS researchers, and helped to identify
   potential deficiencies of well-known theoretical frameworks used to
   guide our study, with suggestions for future remedies.
   Conclusions: The user needs identified through the study, along with
   concrete design suggestions, provided key design, methodological, and
   theoretical insights, which are being used to guide the design and
   development of a CTS resource portal. The results and interview
   instrument should be useful to other institutions with Clinical and
   Translational Science Awards that face similar challenges related to
   helping CTS researchers make more effective use of computational and
   human resources.
OI Athey, Brian/0000-0002-9793-535X
ZB 1
ZR 0
ZS 0
ZA 0
TC 5
Z8 0
Z9 5
U1 0
U2 14
SN 1438-8871
UT WOS:000305797300019
PM 22668750
ER

PT J
AU Grimstvedt, Megan E.
   Ananian, Cheryl Der
   Keller, Colleen
   Woolf, Kathleen
   Sebren, Ann
   Ainsworth, Barbara
TI Nurse practitioner and physician assistant physical activity counseling
   knowledge, confidence and practices
SO PREVENTIVE MEDICINE
VL 54
IS 5
BP 306
EP 308
DI 10.1016/j.ypmed.2012.02.003
PD MAY 1 2012
PY 2012
AB Objective. This exploratory cross-sectional study examined nurse
   practitioners' (NPs) and physician assistants' (PAs) perceptions about
   their physical activity counseling practices.
   Method. Participants were currently practicing NPs (n =240) and PM (n =
   78) primarily in Arizona. USA during 2010. Participants completed a
   modified version of the Promotion of Physical Activity by Nurse
   Practitioners Questionnaire either online or in person during a
   practitioner specific conference. Mann-Whitney U tests and Chi-Square
   analyses examined differences between NPs and PAs.
   Results. NP respondents were older (48 vs. 40 yrs, p<0.001) and more
   likely to be female (94% vs. 76%; p<0.001) compared to PAs. The majority
   of respondents (NP5:75%; PA5:64%; p < 0.07) reported routinely
   counseling patients about physical activity. There were no differences
   in perceived knowledge (p = 0.10) or confidence (p = 0.75) to provide
   physical activity counseling between NPs and PAs. Approximately half of
   all respondents reported receiving training to provide physical activity
   counseling as part of their educational preparation to become a health
   practitioner (p = 0.18).
   Conclusion. Study results indicate that NPs and PAs are knowledgeable,
   confident and currently providing some level of physical activity
   counseling to patients. However, the majority of respondents are
   interested in receiving additional training to aid in providing physical
   activity counseling. (C) 2012 Elsevier Inc. All rights reserved.
RI Der Ananian, Cheryl/AAB-6893-2021
ZS 0
TC 20
ZA 0
ZR 0
Z8 0
ZB 2
Z9 20
U1 0
U2 8
SN 0091-7435
EI 1096-0260
UT WOS:000304497800003
PM 22349645
ER

PT J
AU van Os-Medendorp, H.
   Koffijberg, H.
   Eland-de Kok, P. C. M.
   van der Zalm, A.
   de Bruin-Weller, M. S.
   Pasmans, S. G. M. A.
   Ros, W. J. G.
   Thio, H. B.
   Knol, M. J.
   Bruijnzeel-Koomen, C. A. F. M.
TI E-health in caring for patients with atopic dermatitis: a randomized
   controlled cost-effectiveness study of internet-guided monitoring and
   online self-management training
SO BRITISH JOURNAL OF DERMATOLOGY
VL 166
IS 5
BP 1060
EP 1068
DI 10.1111/j.1365-2133.2012.10829.x
PD MAY 2012
PY 2012
AB Background The Dermatology Department of the University Medical Centre
   Utrecht, the Netherlands, developed an e-health portal for patients with
   atopic dermatitis (AD), consisting of e-consultation, a patient-tailored
   website, monitoring and self-management training.
   Objectives To determine the cost-effectiveness of individualized
   e-health compared with usual face-to-face care for children and adults
   with AD.
   Methods A randomized controlled cost-effectiveness study from a societal
   perspective in adults and parents of children with moderate AD. Outcomes
   were quality of life, severity of AD, itching and direct and indirect
   costs. Data were collected at baseline and at 3 and 12 months after
   randomization. Linear mixed models were used to analyse clinical
   outcomes. After multiple imputation of missing data, costs and
   differences in costs were calculated over a period of 1 year.
   Results In total, 199 patients were included. There were no significant
   differences in disease-specific quality of life, severity of AD and
   intensity of itching between both groups at the three time points. The
   difference in direct costs between the intervention and control groups
   was (sic)24 [95% confidence interval (CI) -360 to 383], whereas this
   difference was) -(sic)618 (95% CI) 2502 to 1143) for indirect costs.
   Overall, individual e-health was expected to save (sic)594 (95% CI -2545
   to 1227) per patient in the first year of treatment, mainly through a
   reduction in work absenteeism. Uncertainty analyses revealed that the
   probability of e-health reducing costs was estimated to be >= 73%.
   Conclusions E-health during follow-up of patients with AD is, after
   initial diagnosis and treatment during face-to-face contact, just as
   effective as usual face-to-face care with regard to quality of life and
   severity of disease. However, when costs are considered, e-health is
   likely to result in substantial cost savings. Therefore, e-health is a
   valuable service for patients with AD.
RI Pasmans, Suzanne/AAI-6016-2021; Koffijberg, Hendrik/
OI Pasmans, Suzanne/0000-0003-1018-4475; Koffijberg,
   Hendrik/0000-0002-1753-0652
ZB 8
ZS 0
ZA 0
TC 57
Z8 0
ZR 2
Z9 59
U1 0
U2 17
SN 0007-0963
EI 1365-2133
UT WOS:000304661600024
PM 22268960
ER

PT J
AU Adams, Joyce A.
   Starling, Suzanne P.
   Frasier, Lori D.
   Palusci, Vincent J.
   Shapiro, Robert Allan
   Finkel, Martin A.
   Botash, Ann S.
TI Diagnostic accuracy in child sexual abuse medical evaluation: Role of
   experience, training, and expert case review
SO CHILD ABUSE & NEGLECT
VL 36
IS 5
BP 383
EP 392
DI 10.1016/j.chiabu.2012.01.004
PD MAY 2012
PY 2012
AB Objectives: (1) The purpose of this study was to assess the ability of
   clinicians who examine children for suspected sexual abuse to recognize
   and interpret normal and abnormal ano-genital findings in magnified
   photographs using an online survey format. (2) Determine which factors
   in education, clinical practice, and case review correlate with correct
   responses to the survey questions.
   Methods: Between July and December 2007, medical professionals
   participated in a web-based survey. Participants answered questions
   regarding their professional background, education, clinical experience,
   and participation in case review. After viewing photographs and clinical
   information from 20 cases, participants answered 41 questions regarding
   diagnosis and medical knowledge. Answers chosen by an expert panel were
   used as the correct answers for the survey.
   Results: The mean number of correct answers among the 141 first-time
   survey respondents was 31.6 (SD 5.9, range 15-41). Child Abuse
   Pediatricians (CAP) had mean total scores which were significantly
   higher than Pediatricians (Ped) (34.8 vs. 30.1, p < 0.05) and Sexual
   Assault Nurse Examiners (SANE) (34.8 vs. 29.3, p < 0.05). The mean total
   scores for Ped, SANE, and Advanced Practice Nurses (APN) who examine
   fewer than 5 children monthly for possible CSA were all below 30. Total
   score was directly correlated with the number of examinations performed
   monthly (p = 0.003). In multivariable regression analysis, higher total
   score was associated with self-identification as a CAP, reading The
   Quarterly Update newsletter (p < 0.0001), and with quarterly or more
   frequent expert case reviews using photo-documentation (p = 0.0008).
   Conclusions: Child Abuse Pediatricians, examiners who perform many CSA
   examinations on a regular basis, examiners who regularly review cases
   with an expert, and examiners who keep up to date with current research
   have higher total scores in this survey, suggesting greater knowledge
   and competence in interpreting medical and laboratory findings in
   children with CSA. Review of cases with an expert in CSA medical
   evaluation and staying up to date with the CSA literature are encouraged
   for non-specialist clinicians who examine fewer than 5 children monthly
   for suspected sexual abuse. (C) 2012 Elsevier Ltd. All rights reserved.
RI Palusci, Vincent J./I-7129-2019; Finkel, Martin/L-9351-2019
OI Palusci, Vincent J./0000-0001-8752-6475; 
Z8 0
ZA 0
ZR 0
TC 36
ZS 0
ZB 6
Z9 36
U1 0
U2 10
SN 0145-2134
EI 1873-7757
UT WOS:000305367700001
PM 22632855
ER

PT J
AU Guo, Y-H
   Lin, H-Y
   Lin, L. L. K.
   Cheng, C-Y
TI Self-reported myopia in Taiwan: 2005 Taiwan National Health Interview
   Survey
SO EYE
VL 26
IS 5
BP 684
EP 689
DI 10.1038/eye.2012.9
PD MAY 2012
PY 2012
AB Purpose To determine the prevalence of self-reported myopia nationwide
   in Taiwan and its association with degrees of urbanization and education
   levels.
   Methods Data were obtained from the 2005 Taiwan National Health
   Interview Survey, a nationwide survey using multistage stratified
   systematic sampling. The presence of myopia, current residential areas,
   and education levels were ascertained by a structured questionnaire in
   participants >= 12 years of age.
   Results A total of 20 609 eligible persons were included in this study.
   The overall weighted prevalence of myopia in Taiwan was 46.7% (95%
   confidence interval: 45.9, 47.5%). The prevalence of myopia for persons
   aged 12-19, 20-39, 40-64, and >= 65 years was 70.3%, 65.4%, 30.4%, and
   5.6%, respectively. Women had significantly higher rates of myopia than
   men for persons younger than 40 years of age (P < 0.001). Myopia was
   significantly associated with both higher degrees of urbanization of
   current residential areas and higher education levels (both P < 0.001).
   In young adult and adult groups, the effect of education levels on
   myopia was stronger than that of degrees of urbanization.
   Conclusion The study provides a nationwide prevalence data on myopia in
   Taiwan. Both degrees of urbanization and education levels are risk
   factors for myopia. Eye (2012) 26, 684-689; doi: 10.1038/eye.2012.9;
   published online 17 February 2012
RI Cheng, Ching-Yu/K-7017-2013; Cheng, Ching-Yu/Y-2229-2019
OI Cheng, Ching-Yu/0000-0003-0655-885X; Cheng, Ching-Yu/0000-0003-0655-885X
ZB 12
TC 31
Z8 1
ZR 0
ZS 0
ZA 0
Z9 32
U1 1
U2 13
SN 0950-222X
EI 1476-5454
UT WOS:000303937400009
PM 22344187
ER

PT J
AU Steeples, L.
   Mercieca, K.
   Smyth, K.
TI Consent for cataract surgery training: a national trainers' survey
SO EYE
VL 26
IS 5
BP 666
EP 670
DI 10.1038/eye.2012.2
PD MAY 2012
PY 2012
AB Aims To evaluate current trainers' attitudes and practices for informing
   patients about the trainee participation in cataract surgery within the
   United Kingdom.
   Methods An anonymous online survey was distributed to current cataract
   surgery trainers via all Royal College of Ophthalmologists' tutors
   within the United Kingdom. Trainers were asked specific questions about
   their current consent practice regarding trainee participation in the
   cataract surgery. Questions also targeted experiences of patient
   complaints about training.
   Results One hundred and twenty-three trainers completed the survey.
   Ninety-three percent (n = 114) of responders were consultants and 7% (n
   = 8) were non-consultant career-grade doctors or other grades. A total
   of 34% (n = 42) of responders stated that consent was usually taken by
   themselves or the trainee assigned to the list, whereas 26% (n = 32)
   always took consent themselves. Sixty percent of responders (n = 74)
   stated that consent is taken on the day of surgery; 59% (n = 73)
   indicated consent is taken where listing takes place. Thirty-three
   percent (n = 41) of trainers indicated that they had experienced patient
   dissatisfaction or complaints. Surgical complications, length of
   surgery, and discussions during surgery were the leading causes of
   complaints. Thirty-nine percent (n = 48) would operate themselves if
   patients requested no trainee participation.
   Conclusions There is a wide variety in the current practice of
   disclosure and level of information given regarding trainee
   participation in surgery. This will influence patients' expectations,
   experiences, and satisfaction. Eye (2012) 26, 666-670; doi:
   10.1038/eye.2012.2; published online 3 February 2012
Z8 0
TC 5
ZR 0
ZS 0
ZB 3
ZA 0
Z9 5
U1 0
U2 1
SN 0950-222X
UT WOS:000303937400006
PM 22302064
ER

PT J
AU Clapper, Timothy
TI Development of a Hybrid Simulation Course to Reduce Central Line
   Infections
SO JOURNAL OF CONTINUING EDUCATION IN NURSING
VL 43
IS 5
BP 218
EP 224
DI 10.3928/00220124-20111101-06
PD MAY 2012
PY 2012
AB Clinical educators are continually looking at ways to effectively
   deliver large amounts of information to their learners. Whether as a
   part of pre-course work or as a separate phase of training, there are
   numerous benefits to making information available to learners before
   conducting sessions that allow the learners to practice the skills.
   Hybrid courses consist of a mixture of online and on-site instruction
   and offer a viable option for clinical educators to consider, especially
   when their intended audience consists of thousands of learners. This
   article describes the experiences of a medical simulation center and the
   use of a hybrid curriculum technique to reduce central line infections.
   J Contin Educ Nurs 2012; 43(5):218-224.
OI Clapper, Timothy/0000-0002-1988-6505
Z8 0
ZA 0
TC 4
ZS 0
ZR 0
ZB 0
Z9 4
U1 0
U2 6
SN 0022-0124
EI 1938-2472
UT WOS:000304468500007
PM 22074214
ER

PT J
AU Peterson, Brennan D.
   Pirritano, Matthew
   Tucker, Laura
   Lampic, Claudia
TI Fertility awareness and parenting attitudes among American male and
   female undergraduate university students
SO HUMAN REPRODUCTION
VL 27
IS 5
BP 1375
EP 1382
DI 10.1093/humrep/des011
PD MAY 2012
PY 2012
AB In the USA, the postponement of childbearing reflects contemporary
   social norms of delaying marriage, pursing educational goals and
   securing economic stability prior to attempting conception. Although
   university students are more likely to delay childbearing, it is unclear
   to what extent they are aware of age-related fertility decline. The
   current study is the first of its kind to assess fertility awareness and
   parenting attitudes of American undergraduate university students.
   Two-hundred forty-six randomly selected undergraduate university
   students (138 females and 108 males) completed an online self-report
   survey adapted from the Swedish Fertility Awareness Questionnaire.
   Students were evenly distributed between the freshman, sophomore, junior
   and senior classes with a mean age of 20.4 years.
   Participants wanted to have their first and last child within the window
   of a woman's fertility. However, participants demonstrated a lack of
   fertility awareness by vastly overestimating the age at which women
   experience declines in fertility, the likelihood of pregnancy following
   unprotected intercourse and the chances that IVF treatments would be
   successful in the case of infertility. Nearly 9 in 10 participants want
   to have children in the future and viewed parenthood as a highly
   important aspect of their future lives.
   Delaying childbearing based on incorrect perceptions of female fertility
   could lead to involuntary childlessness. Education regarding fertility
   issues is necessary to help men and women make informed reproductive
   decisions that are based on accurate information rather than incorrect
   perceptions.
ZR 0
Z8 2
ZA 0
TC 149
ZS 1
ZB 44
Z9 151
U1 3
U2 48
SN 0268-1161
EI 1460-2350
UT WOS:000303161900018
PM 22407698
ER

PT J
AU Bowden, Tracey
   Rowlands, Angela
   Buckwell, Margot
   Abbott, Stephen
TI Web-based video and feedback in the teaching of cardiopulmonary
   resuscitation
SO NURSE EDUCATION TODAY
VL 32
IS 4
BP 443
EP 447
DI 10.1016/j.nedt.2011.04.003
PD MAY 2012
PY 2012
AB Knowledge and skills relating to cardiopulmonary resuscitation tend to
   be lost over time. The combination of simulation sessions with online
   video records and online feedback allows for an enduring record of
   skills sessions to assist students in retaining and revising their
   learning. This paper reports a qualitative evaluation of such a
   combination used in inter-disciplinary sessions for volunteer nursing
   and medical students. Methods included focus groups and free text
   questionnaires; data were gathered from fourteen students and three
   teachers. Students had used the online material in a variety of personal
   ways, and found that the addition to their learning was significant.
   Their memories of the simulation sessions and of the feedback received
   immediately afterwards were incomplete, and repeated viewing enabled
   them to identify good and poor practice with more confidence, and to
   reflect more carefully on their own and others' practice. Teachers found
   it easier to give more detailed feedback when given the chance to watch
   the video than immediately after the session. All felt that the sessions
   would ideally be embedded in the curriculum. (C) 2011 Elsevier Ltd. All
   rights reserved.
OI Bowden, Tracey/0000-0003-2614-3707
ZB 0
ZS 4
TC 17
Z8 1
ZA 0
ZR 0
Z9 18
U1 0
U2 9
SN 0260-6917
EI 1532-2793
UT WOS:000303641800021
PM 21546137
ER

PT J
AU McPherson, Duncan
   Vaughan, Ralph S.
   Wilkes, Antony R.
   Mapleson, William W.
   Hodzovic, Iljaz
TI A survey of anaesthetic practice in predicting difficult intubation in
   UK and Europe
SO EUROPEAN JOURNAL OF ANAESTHESIOLOGY
VL 29
IS 5
BP 218
EP 222
DI 10.1097/EJA.0b013e32835103e6
PD MAY 2012
PY 2012
AB Context Unexpected difficulty in tracheal intubation is an intermittent
   and often terrifying problem for all practising anaesthetists. There are
   many preoperative assessment tests to predict a difficult laryngeal view
   or a difficult intubation, but we found no published evidence of how
   frequently these predictive tests are used or how useful they are
   perceived to be by anaesthetists.
   Objective We decided to ask UK and non-UK anaesthetists attending the
   Annual Scientific Meeting of the European Society of Anaesthesiology
   about their practice in predicting difficult intubation.
   Design The study was conceived as a survey.
   Setting The airway tests were compiled into a questionnaire, hand
   distributed among anaesthetists at Euroanaesthesia - the European group
   (after excluding UK attendees) - and posted to randomly selected
   anaesthetists in the UK - the UK group.
   Participants Overall, 888 of 1230 (72%) questionnaires were completed.
   The response rate from the UK group of anaesthetists was 69% (481 of
   700) and from the European group was 77% (407 of 530).
   Results On a scale 1 (never) to 5 (always), the mean score for frequency
   of use was similar for both groups of anaesthetists and ranged from
   about 4 for mouth opening to about 1 for Nodding Donkey. The mean score
   for usefulness (1 = useless, 5 = extremely useful) ranged from about 3.7
   to 2 for the same two tests. The UK group found most tests slightly less
   useful than did the European group. With regard to the frequency of
   assessing the airway, 9% of the European group, but 16% of the UK group,
   failed always (score 5) or regularly (score 4) to assess the airway
   before general anaesthesia. Furthermore, 21 and 36% of the UK and
   European groups, respectively, failed to do so before regional
   anaesthesia.
   Conclusion These results are a cause for concern with regard to both
   airway management training and patient safety. Eur J Anaesthesiol 2012;
   29: 218-222 Published online 28 February 2012
RI Hodzovic, Iljaz/L-9377-2015; McPherson, Duncan/E-4458-2012
ZB 2
Z8 3
ZA 0
ZR 0
ZS 1
TC 6
Z9 10
U1 0
U2 1
SN 0265-0215
UT WOS:000303056400002
PM 22374390
ER

PT J
AU Maddock, Carol
   Camporesi, Silvia
   Lewis, Ian
   Ahmad, Kafait
   Sullivan, Richard
TI Online information as a decision making aid for cancer patients:
   Recommendations from the Eurocancercoms project
SO EUROPEAN JOURNAL OF CANCER
VL 48
IS 7
BP 1055
EP 1059
DI 10.1016/j.ejca.2011.08.018
PD MAY 2012
PY 2012
AB A pan-European survey was conducted under the auspices of the FP7
   Eurocancercoms project during the period September 2010-March 2011. It
   was designed to broaden public policy understanding of patients'
   specific needs when seeking online cancer information and aimed to
   identify gaps in the online cancer information provision across Europe.
   In this paper we describe the methodology and main findings of the
   Tenovus survey, and draw some recommendations on the use of online
   information as a decision making aid for cancer patients and their
   families, namely: (1) transparency and accountability of the sources of
   information presented online; (2) accreditation of information by
   different recognised forms of authority and expertise, i.e. both by
   health-care professional and by patients/public members belonging to
   patient advocacy groups; (3) scaling up of information: we envisage a
   3-tiered system that would enable patients to access different levels of
   complexity and volume of information from summary to detailed; (4)
   embedding of custom search tools and interactive search technologies to
   allow users to define requirements tailored on their needs and be
   context-driven; (5) communication across discipline boundaries, as
   patients' and doctors' online communities have very little or no contact
   among one another. These recommendations were applied for building the
   online platform EcancerHub, also under the auspices of the
   Eurocancercoms project, which by bringing together the different cancer
   communities seeks to break down traditional information boundaries, and
   through the interactions produce a surplus knowledge that could aid
   patients in difficult decision making times. (C) 2011 Elsevier Ltd. All
   rights reserved.
OI Sullivan, Richard/0000-0002-6435-1825; Maddock,
   Carol/0000-0001-8039-1854
ZR 0
Z8 0
ZS 0
ZB 3
ZA 0
TC 15
Z9 15
U1 1
U2 15
SN 0959-8049
UT WOS:000302779700013
PM 22033324
ER

PT J
AU McRee, Annie-Laurie
   Gottlieb, Sami L.
   Reiter, Paul L.
   Dittus, Patricia J.
   Halpern, Carolyn Tucker
   Brewer, Noel T.
TI Human Papillomavirus Vaccine Discussions: An Opportunity for Mothers to
   Talk With Their Daughters About Sexual Health
SO SEXUALLY TRANSMITTED DISEASES
VL 39
IS 5
BP 394
EP 401
DI 10.1097/OLQ.0b013e318248aaa0
PD MAY 2012
PY 2012
AB Purpose: Mother-daughter communication about sex is associated with
   healthier behavior during adolescence. We sought to characterize
   mothers' communication with their daughters about human papillomavirus
   (HPV) vaccine and the potential for these discussions to provide an
   opportunity for talking about sexual health.
   Methods: During December 2009, we conducted an online survey with a
   nationally representative sample of US mothers of girls aged 11 to 14
   years (n = 900; response rate = 66%). We used 3 complimentary approaches
   to assess HPV vaccine as an opportunity for mother-daughter
   communication about sex. Estimates are weighted.
   Results: Sixty-five percent of mothers reported talking with their
   daughters about HPV vaccine, of whom 41% said that doing so led to a
   conversation about sex. Mothers who had talked with their daughters
   about HPV vaccine were more likely than those who had not to have also
   talked with their daughters about sex (92% vs. 74%, OR = 3.25, CI =
   1.57-6.68, P < 0.05), in multivariate analyses. Among mothers who talked
   about sex when they talked about HPV vaccine, many felt that HPV vaccine
   provided a good reason to do so (64%) or that it made it easier to start
   a conversation (33%).
   Conclusions: HPV vaccine discussions provide a cue to mother-daughter
   communication about sex that is as important as some more widely
   recognized cues. Discussions about HPV vaccine are an acceptable
   opportunity for mothers to talk with their daughters at an age when
   communication about sex is most influential. It may be possible for
   parents to capitalize on HPV vaccine discussions already happening in
   many families to promote sexual health.
RI Brewer, Noel T/C-4375-2008; McRee, Annie/J-3077-2013; McRee, Annie-Laurie/
OI Brewer, Noel T/0000-0003-2241-7002; McRee,
   Annie-Laurie/0000-0001-6588-5995
ZR 0
ZA 0
Z8 0
TC 16
ZS 2
ZB 7
Z9 16
U1 1
U2 10
SN 0148-5717
EI 1537-4521
UT WOS:000302872500018
PM 22504607
ER

PT J
AU Go, Pauline H.
   Klaassen, Zachary
   Chamberlain, Ronald S.
TI Residency selection: do the perceptions of US programme directors and
   applicants match?
SO MEDICAL EDUCATION
VL 46
IS 5
BP 491
EP 500
DI 10.1111/j.1365-2923.2012.04257.x
PD MAY 2012
PY 2012
AB OBJECTIVES This study sought to evaluate the practices and perceptions
   of US residency programme directors (PDs) and residency applicants with
   reference to the use of social media and Internet resources in the
   resident doctor selection process.
   METHODS A survey was distributed via e-mail (SurveyMonkey (R)) to 2592
   PDs of programmes in 22 specialties accredited by the Accreditation
   Council for Graduate Medical Education. A separate survey was
   distributed to all residency candidates applying for postgraduate year 1
   (PGY1) positions at the Saint Barnabas Medical Center, Livingston, New
   Jersey.
   RESULTS A total of 1200 (46.3%) PDs completed the survey. Overall, 16.3%
   (n = 196) of respondents reported visiting Internet resources to gain
   more information about applicants, 38.1% (74 of 194) of whom had ranked
   an applicant lower as a result. American medical graduates (AMGs), US
   international medical graduates (USIMGs) and non-USIMGs all felt that
   performance on Step 1 of the US Medical Licensing Examination (USMLE)
   was a critical aspect of a residency application. More AMGs than USIMGs
   and non-USIMGs believed that PDs made use of social media resources when
   evaluating applicants and that their online profiles might influence
   their rankings.
   CONCLUSIONS Residency candidates universally understand the importance
   of USMLE Step 1 scores in maintaining a competitive application.
   However, significant differences exist among AMGs, USIMGs and non-USIMGs
   in their perceptions of the value of other applicant criteria, which may
   place some applicants at a disadvantage. A small but growing number of
   PDs currently use Internet resources to learn more about applicants and
   base their recruitment decisions in part on the information they
   encounter. At present, applicants are generally unaware of the
   implications their online activity may have on their selection for
   residency. Content guideline programmes that raise awareness of the
   possible impact of social media on the residency recruitment process are
   needed and should be delivered early in medical education.
ZR 0
ZB 4
Z8 0
ZA 0
TC 27
ZS 0
Z9 27
U1 0
U2 13
SN 0308-0110
EI 1365-2923
UT WOS:000303044200009
PM 22515757
ER

PT J
AU Go, Pauline H.
   Klaassen, Zachary
   Chamberlain, Ronald S.
TI Attitudes and Practices of Surgery Residency Program Directors Toward
   the Use of Social Networking Profiles to Select Residency Candidates: A
   Nationwide Survey Analysis
SO JOURNAL OF SURGICAL EDUCATION
VL 69
IS 3
BP 292
EP 300
DI 10.1016/j.jsurg.2011.11.008
PD MAY-JUN 2012
PY 2012
AB OBJECTIVE: To determine whether residency program directors (PDs) of
   general surgery and surgical subspecialties review social networking
   (SN) websites during resident selection.
   DESIGN: A 16-question survey was distributed via e-mail (Survey Monkey,
   Palo Alto, California) to 641 PDs of general surgery and surgical
   subspecialty residency programs accredited by the Accreditation Council
   for Graduate Medical Education (ACGME).
   SETTING: Institutions with ACGME-accredited general surgery and surgical
   subspecialty residency programs.
   PARTICIPANTS: PDs of ACGME-accredited general surgery and surgical
   subspecialty residency programs.
   RESULTS: Two hundred fifty (39%) PDs completed the survey. Seventeen
   percent (n = 43) of respondents reported visiting SN websites to gain
   more information about an applicant during the selection process,
   leading 14 PDs (33.3%) to rank an applicant lower after a review of
   their SN profile. PDs who use SN websites currently are likely to
   continue (69%), whereas those who do not use SN currently might do so in
   the future (yes 5.4%, undecided 44.6%).
   CONCLUSIONS: Online profiles displayed on SN websites provide surgery
   PDs with an additional avenue with which to evaluate highly competitive
   residency applicants. Applicants should be aware of the expansion of
   social media into the professional arena and the increasing use of these
   tools by PDs. SN profiles should reflect the professional standards to
   which physicians are held while highlighting an applicant's strengths
   and academic achievements. (J Surg 69:292-300. (C) 2012 Association of
   Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.)
ZA 0
ZB 3
ZR 0
Z8 0
ZS 2
TC 32
Z9 33
U1 0
U2 11
SN 1931-7204
EI 1878-7452
UT WOS:000303074600005
PM 22483127
ER

PT J
AU Webb, Travis P.
   Simpson, Deborah
   Denson, Steven
   Duthie, Edmund, Jr.
TI Gaming Used as an Informal Instructional Technique: Effects on Learner
   Knowledge and Satisfaction
SO JOURNAL OF SURGICAL EDUCATION
VL 69
IS 3
BP 330
EP 334
DI 10.1016/j.jsurg.2011.10.002
PD MAY-JUN 2012
PY 2012
AB BACKGROUND: Jeopardy!, Concentration, quiz bowls, and other gaming
   formats have been incorporated into health sciences classroom and online
   education. However, there is limited information about the impact of
   these strategies on learner engagement and outcomes. To address this
   gap, we hypothesized that gaming would lead to a significant increase in
   retained short- and long-term medical knowledge with high learner
   session satisfaction.
   METHODS: Using the Jeopardy! game show model as a primary instructional
   technique to teach geriatrics, 8 PGY2 General Surgery residents were
   divided into 2 teams and competed to provide the "question" to each
   stated "answer" during 5 protected block curriculum units (1-h/U). A
   surgical faculty facilitator acted as the game host and provided
   feedback and brief elaboration of quiz answers/questions as necessary.
   Each quiz session contained two 25-question rounds. Paper-based pretests
   and posttests contained questions related to all core curriculum unit
   topics with 5 geriatric gaming questions per test. Residents completed
   the pretests 3 days before the session and a delayed posttest of
   geriatric topics on average 9.2 weeks (range, 5-12 weeks) after the
   instructional session. The cumulative average percent correct was
   compared between pretests and posttests using the Student t test. The
   residents completed session evaluation forms using Likert scale ratings
   after each gaming session and each protected curriculum block to assess
   educational value.
   RESULTS: A total of 25 identical geriatric preunit and delayed postunit
   questions were administered across the instructional sessions. The
   combined pretest average score across all 8 residents was 51.5% for
   geriatric topics compared with 59.5% (p = 0.12) for all other unit
   topics. Delayed posttest geriatric scores demonstrated a statistically
   significant increase in retained medical knowledge with an average of
   82.6% (p = 0.02). The difference between delayed posttest geriatric
   scores and posttest scores of all other unit topics was not significant.
   Residents reported a high level of satisfaction with the gaming
   sessions: The average session content rating was 4.9 compared with the
   overall block content rating of 4.6 (scale, 1-5, 5 = Outstanding).
   CONCLUSIONS: The quiz type and competitive gaming sessions can be used
   as a primary instructional technique leading to significant improvements
   in delayed posttests of medical knowledge and high resident satisfaction
   of educational value. Knowledge gains seem to be sustained based on the
   intervals between the interventions and recorded gains. (J Surg
   69:330-334. 2012 (C) Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.)
TC 24
ZA 0
ZR 0
ZS 0
Z8 0
ZB 8
Z9 25
U1 1
U2 26
SN 1931-7204
EI 1878-7452
UT WOS:000303074600011
PM 22483133
ER

PT J
AU Jaffar, Akram Abood
TI YouTube: An emerging tool in anatomy education
SO ANATOMICAL SCIENCES EDUCATION
VL 5
IS 3
BP 158
EP 164
DI 10.1002/ase.1268
PD MAY-JUN 2012
PY 2012
AB The use of online social networks in medical education can remodel and
   enhance anatomy teaching and learning; one such network is the
   video-sharing site YouTube. Limited research in the literature exists on
   the use of YouTube as a platform for anatomy education. The aim of this
   study is to assess student's perceptions and patterns of usage of this
   resource, as well as the effectiveness of YouTube videos within a
   problem-based learning (PBL) curriculum. The study was conducted on 91
   second-year medical students for whom video links were suggested
   throughout the academic year. In addition, the Human Anatomy Education
   (HAE) Channel was launched on YouTube to support classroom teaching with
   videos that emphasized applied aspects of anatomy. The results
   demonstrated that 98% of the students used YouTube as an online
   information resource, albeit in different frequencies. Out of the 86%
   who have been to the HAE Channel, 92% agreed/strongly agreed that the
   channel helped them learn anatomy. The study also reports the popularity
   of and awareness about using YouTube as a social network as well as in
   learning. Based on these findings, YouTube can be considered as an
   effective tool to enhance anatomy instruction if the videos are
   scrutinized, diversified, and aimed toward course objectives. Faculty of
   average computer literacy should be enabled to produce videos on their
   own YouTube channels to support independent learning and integration in
   a PBL curriculum. The methods described for capturing and editing the
   videos can be used as a prototype. Anat Sci Educ. (c) 2012 American
   Association of Anatomists.
RI Jaffar, Akram Abood/H-6568-2019
OI Jaffar, Akram Abood/0000-0001-7846-900X
ZS 8
ZR 0
TC 177
Z8 0
ZA 1
ZB 21
Z9 185
U1 11
U2 138
SN 1935-9772
EI 1935-9780
UT WOS:000303382100005
PM 22383096
ER

PT J
AU Feufel, Markus A.
   Stahl, S. Frederica
TI What do Web-Use Skill Differences Imply for Online Health Information
   Searches?
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 3
BP 321
EP 331
DI 10.2196/jmir.2051
PD MAY-JUN 2012
PY 2012
AB Background: Online health information is of variable and often low
   scientific quality. In particular, elderly less-educated populations are
   said to struggle in accessing quality online information (digital
   divide). Little is known about (1) how their online behavior differs
   from that of younger, more-educated, and more-frequent Web users, and
   (2) how the older population may be supported in accessing good-quality
   online health information.
   Objective: To specify the digital divide between skilled and
   less-skilled Web users, we assessed qualitative differences in technical
   skills, cognitive strategies, and attitudes toward online health
   information. Based on these findings, we identified educational and
   technological interventions to help Web users find and access
   good-quality online health information.
   Methods: We asked 22 native German-speaking adults to search for health
   information online. The skilled cohort consisted of 10 participants who
   were younger than 30 years of age, had a higher level of education, and
   were more experienced using the Web than 12 participants in the
   less-skilled cohort, who were at least 50 years of age. We observed
   online health information searches to specify differences in technical
   skills and analyzed concurrent verbal protocols to identify health
   information seekers' cognitive strategies and attitudes.
   Results: Our main findings relate to (1) attitudes: health information
   seekers in both cohorts doubted the quality of information retrieved
   online; among poorly skilled seekers, this was mainly because they
   doubted their skills to navigate vast amounts of information; once a
   website was accessed, quality concerns disappeared in both cohorts, (2)
   technical skills: skilled Web users effectively filtered information
   according to search intentions and data sources; less-skilled users were
   easily distracted by unrelated information, and (3) cognitive
   strategies: skilled Web users searched to inform themselves;
   less-skilled users searched to confirm their health-related opinions
   such as "vaccinations are harmful." Independent of Web-use skills, most
   participants stopped a search once they had found the first piece of
   evidence satisfying search intentions, rather than according to quality
   criteria.
   Conclusions: Findings related to Web-use skills differences suggest two
   classes of interventions to facilitate access to good-quality online
   health information. Challenges related to findings (1) and (2) should be
   remedied by improving people's basic Web-use skills. In particular, Web
   users should be taught how to avoid information overload by generating
   specific search terms and to avoid low-quality information by requesting
   results from trusted websites only. Problems related to finding (3) may
   be remedied by visually labeling search engine results according to
   quality criteria.
OI Feufel, Markus/0000-0003-0563-8831
ZA 0
ZS 0
Z8 1
ZB 5
TC 52
ZR 0
Z9 52
U1 4
U2 60
SN 1438-8871
UT WOS:000305797300026
PM 22695686
ER

PT J
AU Han, Doug Hyun
   Renshaw, Perry F.
TI Bupropion in the treatment of problematic online game play in patients
   with major depressive disorder
SO JOURNAL OF PSYCHOPHARMACOLOGY
VL 26
IS 5
BP 689
EP 696
DI 10.1177/0269881111400647
PD MAY 2012
PY 2012
AB As one of the problematic behaviors in patients with major depressive
   disorder (MDD), excessive online game play (EOP) has been reported in a
   number of recent studies. Bupropion has been evaluated as a potential
   treatment for MDD and substance dependence. We hypothesized that
   bupropion treatment would reduce the severity of EOP as well as
   depressive symptoms. Fifty male subjects with comorbid EOP and MDD were
   randomly assigned to bupropion + education for internet use (EDU) or
   placebo + EDU groups. The current study consisted in a 12-week,
   prospective, randomized, double-blind clinical trial, including an
   eight-week active treatment phase and a four-week post treatment
   follow-up period. During the active treatment period, Young Internet
   Addiction Scale (YIAS) scores and the mean time of online game playing
   in the bupropion group were greatly reduced compared with those of the
   placebo group. The Beck Depression Inventory (BDI) scores in the
   bupropion group were also greatly reduced compared with those of the
   placebo group. During the four-week post-treatment follow-up period,
   bupropion-associated reductions in online game play persisted, while
   depressive symptoms recurred. Conclusively, bupropion may improve
   depressive mood as well as reduce the severity of EOP in patients with
   comorbid MDD and online game addiction.
RI Renshaw, Perry/O-1384-2018
ZA 0
ZR 4
TC 66
ZB 19
ZS 3
Z8 1
Z9 71
U1 2
U2 54
SN 0269-8811
EI 1461-7285
UT WOS:000304662500011
PM 21447539
ER

PT J
AU Olsen, M. H.
   Bidstrup, P. E.
   Frederiksen, K.
   Rod, N. H.
   Gronbaek, M.
   Dalton, S. O.
   Johansen, C.
TI Loss of partner and breast cancer prognosis - a population-based study,
   Denmark, 1994-2010
SO BRITISH JOURNAL OF CANCER
VL 106
IS 9
BP 1560
EP 1563
DI 10.1038/bjc.2012.96
PD APR 24 2012
PY 2012
AB BACKGROUND: The extent to which experiencing a stressful life event
   influences breast cancer prognosis remains unknown, as the findings of
   the few previous epidemiological studies are inconsistent. This large
   population-based study examines the association between a common major
   life event, loss of a partner and breast cancer recurrence and all-cause
   mortality.
   METHODS: N = 21 213 women diagnosed with a first primary breast cancer
   1994-2006, who had a cohabiting partner in the 4 years before their
   breast cancer diagnosis, were followed for death and recurrence in
   population-based registers and clinical databases. Information on
   education, disposable income, comorbidity and prognostic risk factors
   were included in Cox regression analyses.
   RESULTS: Women who had lost a partner either before diagnosis or in
   subsequent years were not at significantly higher risk of recurrence or
   dying than women who had not lost a partner.
   CONCLUSION: Our results do not support the concern that experiencing a
   stressful life event, the loss of a partner, negatively affects
   prognosis of breast cancer. British Journal of Cancer (2012) 106,
   1560-1563. doi:10.1038/bjc.2012.96 www.bjcancer.com Published online 20
   March 2012 (C) 2012 Cancer Research UK
RI Johansen, Christoffer/AAG-7916-2020; Rod, Naja/B-9411-2015; Olsen, Maja Halgren/; Bidstrup, Pernille/; Dalton, Susanne Oksbjerg/; Gronbaek, Morten Klocker/
OI Johansen, Christoffer/0000-0002-4384-206X; Rod,
   Naja/0000-0002-6400-5105; Olsen, Maja Halgren/0000-0001-6027-5717;
   Bidstrup, Pernille/0000-0002-9704-6800; Dalton, Susanne
   Oksbjerg/0000-0002-5485-2730; Gronbaek, Morten
   Klocker/0000-0002-8473-6474
TC 6
ZB 3
ZS 1
ZR 0
Z8 0
ZA 0
Z9 6
U1 0
U2 6
SN 0007-0920
UT WOS:000303383500016
PM 22433966
ER

PT J
AU Bansal, N.
   Bhopal, R. S.
   Steiner, M. F. C.
   Brewster, D. H.
CA Scottish Hlth Ethnicity Linkage
TI Major ethnic group differences in breast cancer screening uptake in
   Scotland are not extinguished by adjustment for indices of geographical
   residence, area deprivation, long-term illness and education
SO BRITISH JOURNAL OF CANCER
VL 106
IS 8
BP 1361
EP 1366
DI 10.1038/bjc.2012.83
PD APR 10 2012
PY 2012
AB BACKGROUND: Breast cancer screening data generally show lower uptake in
   minority ethnic groups. We investigated whether such variations occur in
   Scotland.
   METHODS: Using non-disclosive computerised linkage we combined Scottish
   breast screening and Census 2001 data. Non-attendance at first
   breast-screening invitation (2002-2008) was compared between 11 ethnic
   groups using age-adjusted risk ratios (RR) with 95% confidence intervals
   (CI), multiplied by 100, using Poisson regression.
   RESULTS: Compared with the White Scottish (RR = 100), non-attendance was
   similar for Other White British (99.5, 95% CI 96.1-103.2) and Chinese
   (112.8, 95% CI 96.3-132.2) and higher for Pakistani (181.7, 95% CI
   164.9-200.2), African (162.2, 95% CI 130.8-201.1), Other South Asian
   (151.7, 95% CI 118.9-193.7) and Indian (141.7, 95% CI 121.1-165.7)
   groups. Adjustment for rural vs urban residence, long-term illness, area
   deprivation and education, associated with risk of non-attendance,
   increased the RR for non-attendance except for Pakistani women where it
   was modestly attenuated (RR = 164.9, 149.4-182.1).
   CONCLUSION: Our data show important inequality in breast cancer
   screening uptake, not attenuated by potential confounding factors.
   Ethnic inequalities in breast screening attendance are of concern
   especially given evidence that the traditionally lower breast cancer
   rates in South Asian groups are converging towards the risks in the
   White UK population. Notwithstanding the forthcoming review of breast
   cancer screening, these data call for urgent action. British Journal of
   Cancer (2012) 106, 1361-1366. doi: 10.1038/bjc.2012.83 www.bjcancer.com
   Published online 13 March 2012 (C) 2012 Cancer Research UK
OI Brewster, David/0000-0002-5346-5608; Bansal,
   Narinder/0000-0002-6925-1719
ZS 0
Z8 0
TC 27
ZA 0
ZB 4
ZR 0
Z9 27
U1 0
U2 10
SN 0007-0920
EI 1532-1827
UT WOS:000302782800001
PM 22415231
ER

PT J
AU Ausburn, L.J.
TI Learner Characteristics and Performance in a First-Person Online Desktop
   Virtual Environment
SO International Journal of Online Pedagogy and Course Design
VL 2
IS 2
BP 11
EP 24
DI 10.4018/ijopcd.2012040102
PD 2012
PY 2012
AB This study used a trait/treatment conceptual model with a
   single-treatment design to examine effects of gender, computer gaming
   experience, age, and visual skill on learners' performance and
   perceptions in an online desktop virtual environment (DVE). Participants
   were 55 adult students in a sub-baccalaureate surgical technology
   program. The DVE presented two operating rooms (ORs) and their contents.
   The DVE was a "first-person" environment in which learners controlled
   their exploration and navigation and viewed the ORs from their own
   perspective as f seeing them in the physical world. Results indicated
   that gender, gaming experience, and age affected the learners 'spatial
   orientation, perceived confidence, and perceived task difficulty in the
   DVE, but visual skill did not. Correlations were also found among
   several of the learner variables. Recommendations are made for both
   practice and further research.
Z8 0
ZS 0
ZR 0
ZA 0
ZB 0
TC 3
Z9 3
U1 0
U2 2
SN 2155-6873
UT INSPEC:13393331
ER

PT J
AU Brisson, Michael
   Brisson, Paul
TI Compliance with Antimalaria Chemoprophylaxis in a Combat Zone
SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
VL 86
IS 4
BP 587
EP 590
DI 10.4269/ajtmh.2012.11-0511
PD APR 2012
PY 2012
AB Compliance with malaria chemoprophylaxis by military service members
   (MSMs) is notoriously low, ranging from 30% to 56%. Our objective was to
   determine the rate of compliance and reasons for non-compliance with
   malaria chemoprophylaxis among healthy US MSMs in Afghanistan. An
   eight-question, anonymous online survey was used to collect data
   regarding the compliance of healthy MSMs with malaria chemoprophylaxis.
   E-mail surveys were sent to 1,200 MSMs; 528 (44%) MSMs completed the
   survey. One-time daily doxycycline was the most commonly prescribed
   chemoprophylaxis (90%); 60% (N = 318) responded that they were compliant
   with their chemoprophylaxis as prescribed, whereas 40% (N = 221)
   indicated that they were not compliant. Compliance with daily dosing was
   61% and weekly dosing was 38%. The most common reasons for
   non-compliance were gastrointestinal effects (39%), forgetfulness (31%),
   and low perception of risk (24%). Malaria chemoprophylaxis compliance by
   healthy MSMs in Afghanistan is poor. Side effects, forgetfulness, and
   lack of education are contributing factors. Commanders bear the primary
   responsibility for the health of their soldiers, and the individual MSM
   bears personal responsibility; however, additional public health
   interventions could possibly have a positive impact on prevention.
TC 30
ZA 0
ZS 0
ZR 0
Z8 0
ZB 16
Z9 30
U1 0
U2 6
SN 0002-9637
UT WOS:000302519700007
PM 22492140
ER

PT J
AU Duffy, Deborah L.
   Serpell, James A.
TI Predictive validity of a method for evaluating temperament in young
   guide and service dogs
SO APPLIED ANIMAL BEHAVIOUR SCIENCE
VL 138
IS 1-2
BP 99
EP 109
DI 10.1016/j.applanim.2012.02.011
PD APR 2012
PY 2012
AB As part of a collaborative project involving five guide and service dog
   organizations in the USA (Canine Companions for Independence, Guide Dogs
   for the Blind, Guiding Eyes for the Blind, Leader Dogs for the Blind and
   The Seeing Eye), volunteer puppy raisers provided information about the
   behavior of the guide and service dogs in their care via a questionnaire
   (the Canine Behavioral Assessment and Research Questionnaire, or C-BARQ
   (c); www.cbarq.org). The surveys were completed online when the puppies
   were 6 months old and again at 12 months of age. Dogs were tracked
   through training and those that successfully completed training and were
   matched with a blind/disabled handler or were selected as breeders were
   classified as "successful" while dogs rejected from the program due to
   behavioral issues were classified as "released" (dogs rejected for
   medical reasons were excluded from analysis). A total of 11,997 C-BARQ
   evaluations for 7696 dogs were analyzed. Generalized linear modeling for
   each of the five schools revealed that dogs that successfully completed
   training scored more favorably on 27 out of 36 C-BARQ traits at both 6
   and 12 months of age compared to those that were released from the
   programs. The most predictive trait at both age levels was 'pulls
   excessively hard on leash,' for which each unit increase in score was
   associated with a 1.4 increase in the odds of being released from the
   program. The ability of the C-BARQ to discriminate between dogs that
   were later successful or released differed across organizations (P =
   0.001 and P < 0.0001 for 6- and 12-month surveys, respectively), most
   likely due to differences in the procedures used when making decisions
   about whether or not to release dogs. These findings provide convincing
   evidence that the C-BARQ is able to discriminate between dogs that are
   behaviorally suited for guide or service work and those that are not and
   may provide trainers with useful information about potential training or
   breeding candidates as early as 6 months of age. (C) 2012 Elsevier B.V.
   All rights reserved.
OI Serpell, James/0000-0002-2826-1187
TC 103
ZB 60
ZA 0
Z8 0
ZS 0
ZR 0
Z9 103
U1 2
U2 171
SN 0168-1591
EI 1872-9045
UT WOS:000303287400011
ER

PT J
AU Glessner, Heather Dean
   VandenLangenberg, Erin
   Veach, Patricia McCarthy
   LeRoy, Bonnie S.
TI Are Genetic Counselors and GLBT Patients "on the Same Page"? an
   Investigation of Attitudes, Practices, and Genetic Counseling
   Experiences
SO JOURNAL OF GENETIC COUNSELING
VL 21
IS 2
BP 326
EP 336
DI 10.1007/s10897-011-9403-8
PD APR 2012
PY 2012
AB Gay, lesbian, bisexual, and transgender (GLBT) individuals comprise a
   growing patient population in genetic counseling, yet literature on
   working with this population is scarce. This study sought to investigate
   GLBT patient experiences in genetic counseling and genetic counselor
   attitudes and practices when counseling GLBT patients. Twenty-nine GLB
   individuals who had previously participated in genetic counseling, and
   213 genetic counselors completed online surveys. No individuals
   identifying as transgender participated. The patient survey assessed
   disclosure of orientation, discrimination in genetic counseling, and
   quality of services received. The counselor survey assessed comfort with
   and attitudes about counseling GLBT patients, disclosure of counselor
   orientation, and whether they counsel differently with this population.
   Every patient denied experiencing discrimination during their session,
   but 17% reported their genetic counselor assumed they were heterosexual,
   and 45% indicated intake forms were not GLBT-inclusive. A majority of
   counselors (91%) reported having counseled GLBT patients and indicated
   they were comfortable doing so (86%), and 72% indicated no differences
   in their counseling approaches with GLBT patients. Few counselors (17%)
   received training in GLBT issues, and most (61%) desired such education.
   Additional findings and practice and research recommendations are
   presented.
ZR 0
ZS 0
TC 12
Z8 0
ZB 1
ZA 0
Z9 12
U1 0
U2 11
SN 1059-7700
EI 1573-3599
UT WOS:000303890000042
PM 21861240
ER

PT J
AU Schebesta, K.
   Roeessler, B.
   Kimberger, O.
   Huepfl, M.
TI Impact of the European Paediatric Life Support Course on knowledge of
   Resuscitation Guidelines among Austrian emergency care providers
SO MINERVA ANESTESIOLOGICA
VL 78
IS 4
BP 434
EP 441
PD APR 2012
PY 2012
AB Background. Even though anaesthetists do not resuscitate children on a
   daily basis, they need to perform paediatric life support regularly due
   to their different duties. As the knowledge of international guidelines
   varies widely, highly standardized European Paediatric Life Support
   (EPLS) courses have been introduced to improve standards of care. This
   national survey among Austrian anaesthetists and EPLS course
   participants evaluated the impact of this course at the end of the
   guideline period 2005-2010.
   Methods. After approval by the institutional review board an online
   survey about paediatric resuscitation guidelines was sent to EPLS course
   participants of the guideline period 2005 (EPLS group) and members of
   the Austrian Society of Anaesthesia, Resuscitation and Intensive Care
   (OGARI) two weeks before publication of the resuscitations guidelines
   2010. Respondents without an EPLS course were assigned to the non-EPLS
   group.
   Results. Of 333 respondents 247 finished the survey. One hundred eighty
   five persons were assigned to EPLS group and 62 to the non-EPLS group.
   Members of the EPLS group performed significantly better than the
   non-EPLS group (76 +/- 19% correct answers EPLS group vs. 63 +/- 18%
   correct answers non-EPLS group, p<0.0001). Furthermore, the EPLS group
   performed better than anesthetists with regular resuscitation training
   and or resuscitation experience but without an EPLS course.
   Conclusion. The attendance of an EPLS course within the guideline period
   2005 significantly increased the theoretical knowledge of paediatric
   resuscitation guidelines. (Minerva Anestesiol 2012;78:434-41)
RI Schebesta, Karl/V-4626-2019; Kimberger, Oliver/; Schebesta, Karl/
OI Kimberger, Oliver/0000-0002-9766-1360; Schebesta,
   Karl/0000-0003-4080-0099
ZS 0
ZR 0
ZB 0
TC 6
Z8 0
ZA 0
Z9 6
U1 0
U2 2
SN 0375-9393
EI 1827-1596
UT WOS:000303791900009
PM 22240622
ER

PT J
AU Tan, A. G.
   Mitchell, P.
   Rochtchina, E.
   Hong, T.
   Cumming, R. G.
   Wang, J. J.
TI Lens retrodots and vacuoles and their associations with the prevalence
   and incidence of age-related cataract
SO EYE
VL 26
IS 4
BP 568
EP 575
DI 10.1038/eye.2011.349
PD APR 2012
PY 2012
AB Aim To assess the prevalence of retrodots and vacuoles and their
   associations with the prevalence and long-term incidence of age-related
   cataract in an older Australian cohort.
   Methods Of 3654 baseline participants of the Blue Mountains Eye Study
   aged 49+ years (1992-1994), 2335 and 1952 were re-examined after 5 and
   10 years, respectively. Lens photographs were graded for cataract,
   retrodots, and vacuoles. Eye-specific data were used to assess the
   associations between retrodots or vacuoles at baseline and the
   prevalence and 10-year incidence of nuclear, cortical, and posterior
   subcapsular (PSC) cataract and cataract surgery.
   Results At baseline, retrodots were present in 142 persons (4%) and
   vacuoles in 1333 persons (40%). Prevalence of both lens features
   increased with increasing age (P for trend <0.0001). After adjusting for
   age and gender, vacuoles were associated with prevalent PSC cataract at
   baseline (odds ratio (OR), 1.60, 95% confidence interval (CI),
   1.25-2.05). After adjusting for age, gender, smoking, hypertension,
   diabetes, education, and use of inhaled/oral steroids, baseline
   retrodots were associated with an increased incidence of cataract
   surgery (OR 2.90, 95% CI 1.71-4.91), while 3+ vacuoles at baseline were
   associated with an increased risk of PSC cataract (OR 3.56, 95% CI
   2.13-5.95) and cataract surgery (OR 1.84, 95% CI 1.22-2.77).
   Discussion Lens retrodots and vacuoles were found to be positively
   associated with 10-year incidence of cataract surgery, and vacuoles
   associated with PSC cataract, a finding suggestive of shared risk
   factors or pathogenesis between these two lens features and the
   development of PSC cataract. Eye (2012) 26, 568-575;
   doi:10.1038/eye.2011.349; published online 23 December 2011
RI Mitchell, Paul/P-1498-2014; Wang, Jie Jin/P-1499-2014; Cumming, Robert G/R-1548-2016; wang, jie/GRS-0942-2022; Tan, Ava Grace/
OI Wang, Jie Jin/0000-0001-9491-4898; Cumming, Robert
   G/0000-0002-0261-6103; Tan, Ava Grace/0000-0003-3344-0339
ZB 3
Z8 0
ZS 0
TC 7
ZA 0
ZR 0
Z9 7
U1 0
U2 3
SN 0950-222X
EI 1476-5454
UT WOS:000302938500013
PM 22193877
ER

PT J
AU Bischoff, S. C.
   Damms-Machado, A.
   Betz, C.
   Herpertz, S.
   Legenbauer, T.
   Loew, T.
   Wechsler, J. G.
   Bischoff, G.
   Austel, A.
   Ellrott, T.
TI Multicenter evaluation of an interdisciplinary 52-week weight loss
   program for obesity with regard to body weight, comorbidities and
   quality of life-a prospective study
SO INTERNATIONAL JOURNAL OF OBESITY
VL 36
IS 4
BP 614
EP 624
DI 10.1038/ijo.2011.107
PD APR 2012
PY 2012
AB Objectives: To determine the effectiveness of a structured
   multidisciplinary non-surgical obesity therapy program on the basis of a
   temporary low-calorie-diet for 12 weeks, and additional intervention
   modules to enhance nutritional education, to increase physical activity
   and to modify eating behavior.
   Design: Prospective multicenter observational study in obese individuals
   undergoing a medically supervised outpatient-based 52-week treatment in
   37 centers in Germany.
   Subjects: A total of 8296 participants with a body mass index (BMI) of
   430 kg m(-2) included within 8.5 years.
   Measurements: Main outcome measures were body weight loss, waist
   circumference (WC), blood pressure, quality of life and adverse events.
   Results: In females, initial body weight was reduced after the
   1-year-intervention by 19.6 kg (95% confidence intervals 19.2-19.9 kg)
   and in males by 26.0 kg (25.2-26.8) according to per protocol analysis
   of 4850 individuals. Intention-to-treat (ITT) analysis revealed a weight
   reduction of 15.2 kg (14.9-15.6) in females and 19.4 kg (18.7-20.1) in
   males. Overall, the intervention resulted in mean reduction in WC of 11
   cm; it reduced the prevalence of the metabolic syndrome by 50% and the
   frequency of hypertension from 47 to 29% of all participants (ITT, all
   P<0.001). The beneficial effects could be documented for up to 3 years
   and comprised significant improvement of health-related quality of life.
   The incidence of adverse effects was low; the only event repeatedly
   observed and possibly related to either the intervention or the
   underlying disease was biliary disorders.
   Conclusion: The present non-surgical intervention program is a highly
   effective treatment of obesity grades I-III and obesity-related
   diseases, and therefore, could be a valuable basis for future weight
   maintenance strategies required for sustained success. International
   Journal of Obesity (2012) 36, 614-624; doi: 10.1038/ijo.2011.107;
   published online 14 June 2011
ZR 0
ZA 0
Z8 0
TC 102
ZB 27
ZS 3
Z9 103
U1 0
U2 19
SN 0307-0565
EI 1476-5497
UT WOS:000302776300020
PM 21673653
ER

PT J
AU van Zuilen, Maria H.
   Kaiser, Robert M.
   Mintzer, Michael J.
TI A Competency-Based Medical Student Curriculum: Taking the Medication
   History in Older Adults
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 60
IS 4
BP 781
EP 785
DI 10.1111/j.1532-5415.2011.03871.x
PD APR 2012
PY 2012
AB Older adults are the largest consumers of prescription medications.
   Taking multiple medications, which interact with medical, psychological,
   and socioeconomic factors, increases a person's risk of nonadherence and
   adverse events. A curriculum was developed to train medical students to
   identify these risks and make recommendations for improving medication
   safety. The curriculum, consisting of a self-study computer tutorial, a
   small-group simulated-patient (SP) experience, and an online competency
   assessment, was implemented in the students' second year of training.
   Groups (N = 28) of five to seven students interviewed the SP and were
   assessed on their ability to identify medication concerns (N = 18) and
   make recommendations (N = 18) on improving medication safety. On
   average, student groups identified 16.1 concerns and made 15.4
   recommendations. On the competency assessment several months later,
   students were given a case scenario and again asked to identify concerns
   (N = 7) and make recommendations (N = 7). Students (N = 176) were
   required to achieve a preset performance standard on the assessment. A
   high percentage (97.2%) of students achieved the standard (a score of
   8/14) on their first attempt; the remainder achieved the standard on
   their second attempt. Student evaluations indicated high levels of
   satisfaction with the curriculum. The learning objectives, competency
   assessment, and instructional activities were closely aligned.
   Instructional activities provided students with an opportunity to
   practice the competency in a non-threatening environment. The SP session
   materials are available through MedEdPORTAL and can readily be
   incorporated by other institutions into existing curricula. J Am Geriatr
   Soc 60: 781-785, 2012.
OI Kaiser, Robert M/0000-0001-8347-273X
ZS 0
ZB 1
TC 5
ZR 0
ZA 0
Z8 0
Z9 5
U1 0
U2 7
SN 0002-8614
UT WOS:000302623900026
PM 22329553
ER

PT J
AU Dunn, Laurie
   Gordon, Katherine
   Sein, Julia
   Ross, Kimberly
TI Universal Newborn Screening: Knowledge, Attitudes, and Satisfaction
   Among Public Health Professionals
SO SOUTHERN MEDICAL JOURNAL
VL 105
IS 4
BP 218
EP 222
DI 10.1097/SMJ.0b013e31824f8220
PD APR 2012
PY 2012
AB Objective: Assess knowledge, attitude, and satisfaction with the newborn
   screening (NBS) system among pediatric public health leaders in the
   state of Florida.
   Methods: Online surveys and open-ended telephone interviews were
   administered to 10 county medical directors for a state-funded program
   that oversees NBS. Survey questions examined basic knowledge regarding
   NBS, views on provider and parent access to NBS information, and
   recommendations for improving the information distribution system.
   Results: Providers learn about NBS from the American Academy of
   Pediatrics, the Department of Health, and continuing medical education;
   however, 80% of providers were concerned about receiving inadequate
   information. Thirty percent of the providers surveyed reported that it
   takes >14 days to receive NBS results. The majority (80%) were concerned
   that parents may not receive adequate information about their infant's
   condition, treatment, or prognosis. No provider reported being confident
   in his or her ability to assess how well a parent understands a positive
   NBS result. Eighty percent of those surveyed believe that the pediatric
   primary care provider is responsible for providing NBS information to
   parents and almost all of the providers (90%) believed parents should be
   notified of normal NBS results.
   Conclusions: This study indicates dissatisfaction with and confusion
   about NBS. Addressing this problem requires action at the levels of
   medical education, clinical care, health policy, and information
   systems.
Z8 0
ZS 0
ZR 0
ZA 0
TC 4
ZB 2
Z9 4
U1 0
U2 6
SN 0038-4348
EI 1541-8243
UT WOS:000302752500009
PM 22475673
ER

PT J
AU Van Essen, Caleb
   Cartledge, Peter
   Kyamanywa, Patrick
   Manirakiza, Achille
TI Is HINARI appropriate for medical students in the developing world?
SO TROPICAL MEDICINE & INTERNATIONAL HEALTH
VL 17
IS 4
BP 406
EP 408
DI 10.1111/j.1365-3156.2011.02938.x
PD APR 2012
PY 2012
AB The Health InterNetwork Access to Research Initiative (HINARI), which
   arose in response to medical literature needs in developing countries,
   gives online access to scientific information to a variety of
   institutions throughout the world. This is a great resource; however,
   little research has been performed on the effectiveness and usefulness
   of HINARI, specifically to medical schools. Our study sought to find out
   whether the textbooks (e-books) available on HINARI could form a virtual
   library that would cover the curriculum of a medical school. After
   categorising and reviewing the medically relevant e-books on HINARI, we
   found that they were insufficient in providing adequate subject material
   relevant to medical school curricula from Rwanda, the United Kingdom and
   the United States. This literature gap could be closed by additional
   medical textbooks being made available from contributing publishers. An
   increase of only 14% in HINARI e-book resources would provide material
   for the entire medical school curriculum.
OI Cartledge, Peter Thomas/0000-0003-2523-763X
ZB 3
Z8 0
TC 6
ZS 0
ZR 0
ZA 0
Z9 6
U1 0
U2 18
SN 1360-2276
UT WOS:000302005600002
PM 22212697
ER

PT J
AU Schwarting, T.
   Ruchholtz, S.
   Josephs, D.
   Oberkircher, L.
   Bartsch, D. K.
   Fendrich, V.
TI The Marburg Surgical Curriculum - Improving the Attraction of Medical
   Education by Teaching Central Surgical Competence
SO ZENTRALBLATT FUR CHIRURGIE
VL 137
IS 2
BP 118
EP 124
DI 10.1055/s-0031-12839961
PD APR 2012
PY 2012
AB The quality of medical education is an ongoing challenge due to the
   continuing changes of the health-care politics and general social
   conditions. At many German university hospitals the dominating picture
   is overfilled courses, lack of hands-on practice, reduced patient
   contact and the dull provision of theoretical, abstract knowledge. The
   reformed surgical curriculum at the University of Marburg university
   hospital is used to demonstrate that, in spite of large student numbers,
   a practice-oriented, small-group training at a high didactic level is
   possible. The surgical training courses are organized in detail and
   coordinated. Course contents and structure are media available in print
   and online versions for both students and teachers and thus fulfill not
   only transparency needs but also contemporary requirements. The strategy
   of a practice- and patient-oriented, small-group training is followed
   strictly in the surgical curriculum. In addition, accompanying tutorial
   possibilities for individual study in an up-to-date learning center are
   offered. Here the students have the opportunity to intensify knowledge
   acquired in previous or future courses with numerous attractive
   education means. Continuous evaluation of the individual training
   courses at the end of each semester not only document motivation of the
   students but also serve to continuously improve the training concepts.
TC 11
ZR 0
ZA 0
ZS 0
ZB 1
Z8 0
Z9 11
U1 0
U2 1
SN 0044-409X
UT WOS:000302932000010
PM 22495485
ER

PT J
AU Kadmon, M.
   Busemann, A.
   Euteneier, A.
   Gawad, K.
   Groene, J.
   Berberat, P.
TI Modular Postgraduate Training in Surgery - A National Concept with
   Future
SO ZENTRALBLATT FUR CHIRURGIE
VL 137
IS 2
BP 138
EP 143
DI 10.1055/s-0031-12839975
PD APR 2012
PY 2012
AB Background: The quality of postgraduate training is an important
   motivating factor for the career decisions of young doctors and has an
   impact on the satisfaction of postgraduate trainees. In Germany, we
   still lack a postgraduate training programme in surgery that defines the
   competency profile at the time of certification. This article describes
   the development of a national modular competency-based core curriculum
   for postgraduate surgery training as well as first experience and
   evaluation data from the initial period of implementation.
   Methods: The curriculum was developed in a group of highly motivated
   surgeons according to the "Kern-cycle", a conceptual framework for
   curriculum development in medicine, and includs considerations from the
   "CanMEDS"-competency framework for physicians. The curriculum follows a
   "blended learning" concept with modular attendance courses and
   associated preparatory online courses. The didactics follows the
   principles of adult learning and are characterised by learner-centred,
   self-directed learning processes in small groups with feedback. The
   initial implementation phase was accompanied by a detailed evaluation of
   the general concept as well as the quality of content and didactics of
   the attendance courses.
   Results: Seven of the planned 12 attendance courses have been designed,
   6 courses have been implemented2q1. Altogether 562 participants from
   hospitals of all levels of patient care took part in the attendance
   courses, some of them in several courses. The gender distribution was
   almost balanced with a slight female surplus. The majority of
   participants were supported by their clinics through exemption from
   clinical work or financial sponsoring. 80% of the participants completed
   the evaluation of the attendance courses. The data show a high degree of
   participant satisfaction with the content and didactic concept of the
   courses, as well as with the surrounding conditions and the commitment
   of the trainers.
   Conclusions: The evaluation data on the attendance courses implemented
   reveal a high acceptance among participants concerning the overall
   concept of the modular postgraduate training programme as well as the
   support of the programme by surgeons responsible for postgraduate
   training.
ZS 1
ZA 0
TC 6
ZB 1
ZR 0
Z8 0
Z9 7
U1 1
U2 8
SN 0044-409X
EI 1438-9592
UT WOS:000302932000013
PM 22495488
ER

PT J
AU Sicherer, Scott H.
   Vargas, Perla A.
   Groetch, Marion E.
   Christie, Lynn
   Carlisle, Suzanne K.
   Noone, Sally
   Jones, Stacie M.
TI Development and Validation of Educational Materials for Food Allergy
SO JOURNAL OF PEDIATRICS
VL 160
IS 4
BP 651
EP 656
DI 10.1016/j.jpeds.2011.09.056
PD APR 2012
PY 2012
AB Objective To develop and validate a food allergy educational program.
   Study design Materials developed through focus groups and parental and
   expert review were submitted to 60 parents of newly referred children
   with a prior food allergy diagnosis and an epinephrine autoinjector. The
   main outcome was correct demonstration of an autoinjector.
   Results The correct number of autoinjector activation steps increased
   from 3.4 to 5.95 (of 6) after training (P < .001) and was 5.47 at 1 year
   (P < .05). The mean score for comfort with using the autoinjector
   (7-point Likert scale) before the curriculum was 4.63 (somewhat
   comfortable) and increased to 6.23 after the intervention (P < .05) and
   remained elevated at 1 year (6.03). Knowledge tests (maximum 15)
   increased from a mean score of 9.2 to 12.4 (P < .001) at the initial
   visit and remained at 12.7 at 1 year. The annualized rate of allergic
   reactions fell from 1.77 (historical) the year prior, to 0.42 (P < .001)
   after the program. Ona 7-point Likert scale, all satisfaction categories
   remained above a favorable mean score of 6: straight-forward, organized,
   interesting, relevant, and recommend to others.
   Conclusions This food allergy educational curriculum for parents, now
   available online at no cost, showed high levels of satisfaction and
   efficacy. (J Pediatr 2012;160:651-6).
OI Vargas, Perla/0000-0003-2852-3922
ZA 0
TC 51
ZR 0
ZB 13
ZS 0
Z8 0
Z9 51
U1 1
U2 10
SN 0022-3476
EI 1097-6833
UT WOS:000302489800026
PM 22082955
ER

PT J
AU Greenberg, Paul B.
   Havnaer, Annika
   Oetting, Thomas A.
   Garcia-Ferrer, Francisco J.
TI Cataract surgery practice patterns in the United States Veterans Health
   Administration
SO JOURNAL OF CATARACT AND REFRACTIVE SURGERY
VL 38
IS 4
BP 705
EP 709
DI 10.1016/j.jcrs.2012.01.023
PD APR 2012
PY 2012
AB To document current cataract surgery practice patterns of
   ophthalmologists in the United States Veterans Health Administration, an
   anonymous online 27-question survey was emailed to the 132 members of
   the Association of Veterans Affairs Ophthalmologists. The results were
   tabulated in a computerized database and analyzed with descriptive
   statistics. The response rate was 53% (70/132); 89% (62/70) of the
   respondents performed cataract surgery. Sixty percent (36/60) of the
   responding cataract surgeons were full-time employees, and most (85%,
   51/60) trained residents. Common practices among them included partial
   coherence interferometry for biometry (81%, 47/58), topical anesthesia
   (57%, 33/58), clear corneal incisions (91%, 53/58), and acrylic
   single-piece intraocular lens (IOL) implantation (97%, 56/58).
   Eighty-three percent (48/58) offered toric IOLs at their facilities.
   These results will help benchmark cataract surgery practice patterns in
   teaching hospitals and facilitate comparison with cataract surgery in
   other settings.
OI Oetting, Thomas/0000-0003-1764-610X
ZR 0
ZA 0
ZB 0
ZS 0
TC 14
Z8 0
Z9 14
U1 0
U2 2
SN 0886-3350
EI 1873-4502
UT WOS:000302423500023
PM 22365578
ER

PT J
AU Srivastava, Anita
   Kahan, Meldon
   Jiwa, Ashifa
TI Prescription opioid use and misuse Piloting an educational strategy for
   rural primary care physicians
SO CANADIAN FAMILY PHYSICIAN
VL 58
IS 4
BP E210
EP E216
PD APR 2012
PY 2012
AB Objective To evaluate the feasibility and effectiveness of a
   multifaceted educational intervention to improve the opioid prescribing
   practices of rural family physicians in a remote First Nations
   community.
   Design Prospective cohort study.
   Setting Sioux Lookout, Ont.
   Participants Family physicians.
   Interventions Eighteen family physicians participated in a 1-year study
   of a series of educational interventions on safe opioid prescribing.
   Interventions included a main workshop with a lecture and interactive
   case discussions, an online chat room, video case conferencing, and
   consultant support.
   Main outcome measures Responses to questionnaires at baseline and after
   1 year on knowledge, attitudes, and practices related to opioid
   prescribing.
   Results The main workshop was feasible and was well received by primary
   care physicians in remote communities. At 1 year, physicians were less
   concerned about getting patients addicted to opioids and more
   comfortable with opioid dosing.
   Conclusion Multifaceted education and consultant support might play an
   important role in improving family physician comfort with opioid
   prescribing, and could improve the treatment of chronic pain while
   minimizing the risk of addiction.
Z8 0
ZA 0
ZS 0
ZR 0
TC 16
ZB 3
Z9 16
U1 0
U2 6
SN 0008-350X
EI 1715-5258
UT WOS:000302801100007
PM 22611608
ER

PT J
AU Power, B. T.
   Lennie, S. C.
TI Pre-registration dietetic students' attitudes to learning communication
   skills
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 25
IS 2
BP 189
EP 197
DI 10.1111/j.1365-277X.2012.01226.x
PD APR 2012
PY 2012
AB Background: Communication is a core skill and a prerequisite for
   dietitians clinical competence. It is generally acknowledged that
   communication skills can be taught and learned. There is a paucity of
   published work identifying dietetic students attitudes towards learning
   communication skills, and understanding this is important. Methods: The
   present cross-sectional study aimed to address this issue using an
   adapted version of the Communication Skills Attitude Scale (CSAS), which
   was designed to capture information concerning positive and negative
   attitudes to learning communication skills. An online questionnaire was
   sent to all undergraduate and post-graduate dietetic programmes in the
   UK. Results: Of the students solicited for enrolment in the study, 33.4%
   (n = 300) completed the questionnaire. A one-way analysis of variance
   showed attitudes to learning communication skills differed significantly
   between years of study on both subscales of the CSAS. Subsequent
   analyses indicated that first-year students attitudes to learning
   communication skills were significantly more positive than those of
   fourth-year students (P = 0.042). Third-year students had significantly
   more positive attitudes to learning communication skills than
   fourth-year students (P = 0.028). Negative attitudes were also linked to
   the year of study with fourth-year students having significantly more
   negative attitudes than third-year students (P = 0.046). Sex, practice
   placement experience and parental occupation did not significantly
   influence attitudes to learning communication skills. Conclusions: These
   findings indicate that efforts are required to maintain positive
   attitudes to learning communication skills. Further longitudinal studies
   are recommended in this respect.
OI Lennie, Susan/0000-0003-2294-4160
TC 12
ZB 4
ZR 0
Z8 0
ZA 0
ZS 0
Z9 12
U1 0
U2 10
SN 0952-3871
EI 1365-277X
UT WOS:000301643000014
PM 22330052
ER

PT J
AU Venus, Emily
   Galam, Eric
   Aubert, Jean-Pierre
   Nougairede, Michel
TI Medical errors reported by French general practitioners in training:
   results of a survey and individual interviews
SO BMJ QUALITY & SAFETY
VL 21
IS 4
BP 279
EP 286
DI 10.1136/bmjqs-2011-000359
PD APR 2012
PY 2012
AB Context: French interns in general practice are, like all medical
   students, exposed to medical errors during their training.
   Objective: To measure the professional and personal impact of medical
   errors on French general practitioner (GP) trainees.
   Design, setting and participants: Quantitative and qualitative study of
   medical errors and GP trainees enrolled at Paris Diderot University.
   Method: An online anonymous questionnaire was sent to all GP trainees at
   Paris Diderot University and recorded semi-structured interviews were
   conducted with 10 volunteers.
   Results: 70 of the 392 (18%) interns contacted replied to the
   questionnaire and 10 semi-structured interviews were then conducted. 97%
   of the participants had already made a medical error. Even with the
   extreme, conservative assumption that non-respondents would have
   reported no errors, the prevalence of self-reported medical errors in
   the whole sample would still have been 17%. 64% said they were at least
   strongly affected by their error and 74% made constructive changes to
   their work after the error. The interns revealed that the emotional
   impact of their errors were great with feelings such as guilt that could
   remain for more than 2 years after the event. 33% would have liked to
   talk more about the circumstances of their error with their superior.
   Most interns suggest more training on medical errors and more
   open-minded discussion when the error actually happens rather than
   formal training at the university.
   Conclusion: Medical errors remain a sensitive subject that is not
   broached enough in our university but interns need to talk about their
   experiences with their peers to improve risk management and prevent the
   recurrence of new errors.
Z8 1
ZS 0
TC 21
ZA 0
ZR 0
ZB 2
Z9 22
U1 0
U2 5
SN 2044-5415
EI 2044-5423
UT WOS:000302123100003
PM 22213378
ER

PT J
AU Taylor, Holly A.
   Kass, Nancy E.
   Ali, Joseph
   Sisson, Stephen
   Bertram, Amanda
   Bhan, Anant
TI Development of a research ethics knowledge and analytical skills
   assessment tool
SO JOURNAL OF MEDICAL ETHICS
VL 38
IS 4
BP 236
EP 242
DI 10.1136/medethics-2011-100025
PD APR 2012
PY 2012
AB Introduction The goal of this project was to develop and validate a new
   tool to evaluate learners' knowledge and skills related to research
   ethics.
   Methods A core set of 50 questions from existing computer-based online
   teaching modules were identified, refined and supplemented to create a
   set of 74 multiple-choice, true/false and short answer questions. The
   questions were pilot-tested and item discrimination was calculated for
   each question. Poorly performing items were eliminated or refined. Two
   comparable assessment tools were created. These assessment tools were
   administered as a pre-test and post-test to a cohort of 58 Indian junior
   health research investigators before and after exposure to a new course
   on research ethics. Half of the investigators were exposed to the course
   online, the other half in person. Item discrimination was calculated for
   each question and Cronbach's alpha for each assessment tool. A final
   version of the assessment tool that incorporated the best questions from
   the pre-/post-test phase was used to assess retention of research ethics
   knowledge and skills 3 months after course delivery.
   Results The final version of the REKASA includes 41 items and had a
   Cronbach's alpha of 0.837.
   Conclusion The results illustrate, in one sample of learners, the
   successful, systematic development and use of a knowledge and skills
   assessment tool in research ethics capable of not only measuring basic
   knowledge in research ethics and oversight but also assessing learners'
   ability to apply ethics knowledge to the analytical task of reasoning
   through research ethics cases, without reliance on essay or
   discussion-based examination. These promising preliminary findings
   should be confirmed with additional groups of learners.
OI Ali, Joseph/0000-0002-4767-2512
ZR 0
TC 7
ZS 0
Z8 0
ZB 0
ZA 0
Z9 7
U1 0
U2 11
SN 0306-6800
EI 1473-4257
UT WOS:000302123900012
PM 22052994
ER

PT J
AU Kuppala, V. S.
   Tabangin, M.
   Haberman, B.
   Steichen, J.
   Yolton, K.
TI Current state of high-risk infant follow-up care in the United States:
   results of a national survey of academic follow-up programs
SO JOURNAL OF PERINATOLOGY
VL 32
IS 4
BP 293
EP 298
DI 10.1038/jp.2011.97
PD APR 2012
PY 2012
AB Objective: High-risk infant follow-up programs have the potential to act
   as multipurpose clinics by providing continuity of clinical care,
   education of health care trainees and facilitating outcome data
   research. Currently there are no nationally representative data on
   high-risk infant follow-up practices in the United States. The objective
   of this study is to collect information about the composition of
   high-risk infant follow-up programs associated with academic centers in
   the United States, with respect to their structure, function, funding
   resources and developmental assessment practices, and to identify the
   barriers to establishment of such programs.
   Study Design: Staff neonatologists, follow-up program directors and
   division directors of 170 Neonatal Intensive Care Units (NICU)
   associated with pediatric residency programs were invited to participate
   in an anonymous online survey from October 2009 to January 2010.
   Result: The overall response rate was 84%. Ninety three percent of the
   respondents have a follow-up program associated with their NICU. Birth
   weight, gestational age and critical illness in the NICU were the major
   criteria for follow-up care. Management of nutrition and
   neurodevelopmental assessments was the most common service provided.
   Over 70% have health care trainees in the clinic. About 75% of the
   respondents have the neurodevelopmental outcome data available. Most of
   the respondents reported multiple funding sources. Lack of personnel and
   funding were the most common causes for not having a follow-up program.
   Conclusion: High-risk infant follow-up programs associated with academic
   centers in the United States are functioning as multidisciplinary
   programs providing clinical care, trainee education and facilitating
   outcomes research. Journal of Perinatology (2012) 32, 293-298;
   doi:10.1038/jp.2011.97; published online 14 July 2011
RI Yunkunis, Kimberly/AAO-5605-2021
ZA 0
ZB 12
TC 41
Z8 1
ZS 0
ZR 0
Z9 42
U1 0
U2 8
SN 0743-8346
EI 1476-5543
UT WOS:000302189200010
PM 21760588
ER

PT J
AU Hamilton, Peter W.
   Wang, Yinhai
   Mccullough, Stephen J.
TI Virtual microscopy and digital pathology in training and education
SO APMIS
VL 120
IS 4
BP 305
EP 315
DI 10.1111/j.1600-0463.2011.02869.x
PD APR 2012
PY 2012
AB Traditionally, education and training in pathology has been delivered
   using textbooks, glass slides and conventional microscopy. Over the last
   two decades, the number of web-based pathology resources has expanded
   dramatically with centralized pathological resources being delivered to
   many students simultaneously. Recently, whole slide imaging technology
   allows glass slides to be scanned and viewed on a computer screen via
   dedicated software. This technology is referred to as virtual microscopy
   and has created enormous opportunities in pathological training and
   education. Students are able to learn key histopathological skills, e.g.
   to identify areas of diagnostic relevance from an entire slide, via a
   web-based computer environment. Students no longer need to be in the
   same room as the slides. New humancomputer interfaces are also being
   developed using more natural touch technology to enhance the
   manipulation of digitized slides. Several major initiatives are also
   underway introducing online competency and diagnostic decision analysis
   using virtual microscopy and have important future roles in
   accreditation and recertification. Finally, researchers are
   investigating how pathological decision-making is achieved using virtual
   microscopy and modern eye-tracking devices. Virtual microscopy and
   digital pathology will continue to improve how pathology training and
   education is delivered.
ZS 3
Z8 0
ZB 26
ZA 0
TC 74
ZR 1
Z9 77
U1 3
U2 31
SN 0903-4641
UT WOS:000301656000006
PM 22429213
ER

PT J
AU Wakefield, Claire E.
   Butow, Phyllis
   Fleming, Catharine A. K.
   Daniel, Gunar
   Cohn, Richard J.
TI Family information needs at childhood cancer treatment completion
SO PEDIATRIC BLOOD & CANCER
VL 58
IS 4
BP 621
EP 626
DI 10.1002/pbc.23316
PD APR 2012
PY 2012
AB Background Despite the recognized importance of information provision
   across the cancer trajectory, little research has investigated family
   information needs recently after childhood cancer. This mixed-methods,
   multiperspective, study explored the information needs of families of
   childhood cancer survivors in the first year post-treatment. Procedure.
   In total, 112 semi-structured telephone interviews were conducted with
   19 survivors (mean age 16.2 years, off treatment for <= 36 months), 44
   mothers, 34 fathers, and 15 siblings. Interviews were analyzed
   inductively, line-by-line, using the framework of Miles and Huberman.
   Emergent themes were cross-tabulated by sample characteristics using QSR
   NVivo8. Results. Participant views were mixed regarding the need for a
   "finishing treatment review'' with their oncologist (the primary
   information source for most families); however, many mothers (29/44) and
   fathers (17/34) and most siblings (14/15) reported receiving
   insufficient information post-treatment. Information regarding fertility
   and how to prepare for likely post-treatment challenges were the most
   cited unmet needs. Online support was ranked highest by survivors (mean
   score: 7/2/10) and siblings (7.4/10), whilst parents preferred an
   information booklet (often due to concerns about accessing accurate and
   relevant information from the Internet). While many participants
   reported feelings of isolation/loneliness, many were reluctant to attend
   face-to-face support groups/seminars. Conclusions. Family members of
   survivors may experience the most acute unmet needs for information
   about fertility and in preparation for post-treatment challenges.
   However, provision of the correct amount of information at the right
   time for each family member during a highly stressful period remains
   clinically challenging. Pediatr Blood Cancer 2012; 58: 621-626. (C) 2011
   Wiley Periodicals, Inc.
OI Wakefield, Claire/0000-0001-7704-7067; Cohn, Richard/0000-0002-2400-1353
ZR 0
ZS 1
TC 67
Z8 0
ZB 17
ZA 0
Z9 68
U1 0
U2 23
SN 1545-5009
EI 1545-5017
UT WOS:000300502800026
PM 21910212
ER

PT J
AU Fortnum, H.
   Lee, A. J.
   Rupnik, B.
   Avery, A.
CA Yellow Card Study Collaboration
TI Survey to assess public awareness of patient reporting of adverse drug
   reactions in Great Britain
SO JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS
VL 37
IS 2
BP 161
EP 165
DI 10.1111/j.1365-2710.2011.01273.x
PD APR 2012
PY 2012
AB What is known and Objective: Patient reporting to the Yellow Card Scheme
   (YCS) for reporting adverse drug reactions (ADR) has been available in
   the UK since 2005. By the end of 2009, 18% of the ADRs reported were
   submitted by patients. Thus, some patients are aware of the scheme, but
   we do not know how much awareness exists in the general population and
   hence the true impact of patient reporting.
   Methods: We added eight questions to a telephone omnibus survey of the
   adult population of the UK, administered over two weekends in January
   2009.
   Results and Discussion: Results are based on 2028 completed interviews.
   Of respondents, 8 5% (n = 172) had heard of the YCS, but only three
   individuals had self-reported to the scheme. People of a higher social
   grade and those with further education were significantly more likely to
   be aware of the YCS. Those who reported a preference for online
   reporting were more likely to be men, younger, of middle social grade
   with further education and in full-time employment. Those suggesting a
   preference for telephone reporting tended to be women, of working class
   and with a lower level of education, as did those who expressed a
   preference for postal reporting, but in addition they were more likely
   to be older and retired. Each of the three current methods of reporting
   was preferred by some respondents and could be continued. This is
   supported by reports that each of the three methods is currently used.
   What is new and Conclusion: This first survey of awareness of the YCS in
   the general population of the UK indicates awareness is low and could be
   improved.
OI Avery, Anthony/0000-0001-7591-4438
ZR 0
TC 21
ZS 0
ZB 12
Z8 0
ZA 0
Z9 21
U1 1
U2 8
SN 0269-4727
EI 1365-2710
UT WOS:000301111400008
PM 21592158
ER

PT J
AU Satterwhite, Thomas
   Son, Ji
   Carey, Joseph
   Zeidler, Kamakshi
   Bari, Sina
   Gurtner, Geoffrey
   Chang, James
   Lee, Gordon K.
TI Microsurgery Education in Residency Training Validating an Online
   Curriculum
SO ANNALS OF PLASTIC SURGERY
VL 68
IS 4
BP 410
EP 414
DI 10.1097/SAP.0b013e31823b6a1a
PD APR 2012
PY 2012
AB Introduction: Plastic surgery training has traditionally been modeled as
   an "apprenticeship," where faculty teach surgical skills to residents on
   live patients. Although this is a well-established process, the demand
   by the public and healthcare agencies for improved patient care,
   outcomes, and patient safety has led to the development of adjunct
   methods of teaching. The goal of this project is to assess the
   effectiveness of a web-based microsurgical curriculum.
   Methods: We developed an interactive Web site to teach essential
   microsurgical competencies. Residents were randomly divided into 2
   cohorts: one experimental group completed this online resource and the
   other control group did not. Pre- and postassessments were administered,
   consisting of a written test and a recorded microsurgery skills session.
   Results: A total of 17 plastic surgery residents of various training
   levels participated in the study. Residents who completed the web-based
   curriculum showed dramatic improvement in their knowledge and skills,
   with a 17-percentage point increase in their test scores (P = 0.01)
   compared with controls (P = 0.80). The experimental group was more
   likely to perform microanastomoses faster with an average of 4.5-minute
   improvement compared with 1.25-minute change among the control group.
   Residents performed self-assessments, and those who rated themselves as
   "very confident" had higher overall test scores (85% test score vs. 59%,
   P = 0.004), as well as shorter times to complete the microsurgical task
   (7.5 minutes vs. 13.6 minutes, P = 0.007). Overall, 62% of residents
   rated the online webpage as extremely valuable. The majority of
   residents reported the webpage improved their knowledge and markedly
   improved their microsurgical technique, which was confirmed by faculty
   experts.
   Conclusions: Our interactive Web-based curriculum is a novel resource,
   teaching microsurgery in an organized, competency-based manner, which we
   believe is the first Web site of this nature. An individualized,
   self-paced Web site is ideal for plastic surgery trainees of all levels.
   Overall, the widespread implementation of our proposed curriculum-online
   self-directed training combined with regular practice sessions-will
   establish a strong foundation of microsurgery knowledge and skills
   acquisition for all plastic surgery residents.
CT Annual Conference of the California-Society-of-Plastic-Surgeons
CY MAY, 2011
CL Monterey, CA
SP Calif Soc Plast Surg
RI Satterwhite, Thomas/AAC-7720-2019
ZA 0
Z8 1
TC 69
ZB 9
ZR 0
ZS 3
Z9 71
U1 1
U2 12
SN 0148-7043
EI 1536-3708
UT WOS:000301800600019
PM 22421490
ER

PT J
AU Rakofsky, Jeffrey J.
   Dunlop, Boadie W.
TI US Psychiatric Residents' Treatment of Patients With Bipolar Disorder
SO JOURNAL OF CLINICAL PSYCHOPHARMACOLOGY
VL 32
IS 2
BP 231
EP 236
DI 10.1097/JCP.0b013e31824857ad
PD APR 2012
PY 2012
AB We aimed to evaluate the practice patterns of US postgraduate year (PGY)
   levels 3 and 4 psychiatric residents in the treatment of patients with
   bipolar disorder (BD) types I and II. We also aimed to determine whether
   confidence in prescribing mood stabilizers is associated with residents'
   practice patterns. The residency training directors of 182 Accreditation
   Council for Graduate Medical Education-accredited US psychiatric
   residencies were solicited for study participation via e-mail. Their
   chief residents were asked to forward an online survey Web link to all
   PGY-3 and PGY-4 residents in their program. The survey was a
   cross-sectional, online questionnaire, evaluating residents' treatment
   choices for their BD patients in their psychopharmacology clinics during
   the last academic year (July 1, 2009, to May 1, 2010), along with
   resident confidence level in using mood stabilizers. The survey Web link
   was distributed to 769 residents, and 177 (23.0%) responded to the
   survey. The percentage of residents who did not initiate treatment in
   the past year with mood stabilizers was 24.5% for lithium, 26.9% for
   lamotrigine, 36.7% for valproate, and 73.6% for carbamazepine.
   Confidence in initiating treatment with each of the 4 mood stabilizers
   was significantly associated with the number of patients treated with
   each mood stabilizer in the past year. Residents reported having the
   lowest confidence with carbamazepine followed by lamotrigine, lithium,
   and valproate. Experience prescribing first-line treatments for BD, such
   as lithium and valproate, is inadequate for many US psychiatric
   residents. Psychiatry residency directors should ensure that their
   residents have sufficient opportunity to pharmacologically treat BD
   patients so that these young physicians may develop confidence using an
   array of evidence-based treatments.
RI Dunlop, Boadie/N-3362-2017
OI Dunlop, Boadie/0000-0002-4653-0483
ZR 0
TC 7
Z8 1
ZA 0
ZS 0
ZB 0
Z9 8
U1 0
U2 1
SN 0271-0749
UT WOS:000301121100013
PM 22367650
ER

PT J
AU Fricker, Janet
   Brooks, Nicholas
TI Webinars: the future of online medical education?
SO EUROPEAN HEART JOURNAL
VL 33
IS 7
BP 807
EP 807
PD APR 2012
PY 2012
ZR 0
TC 1
ZA 0
Z8 0
ZB 0
ZS 0
Z9 1
U1 0
U2 1
SN 0195-668X
UT WOS:000302497800006
PM 22586711
ER

PT J
AU Smithson, Janet
   Jones, Ray B.
   Ashurst, Emily
TI Developing an online learning community for mental health professionals
   and service users: a discursive analysis
SO BMC MEDICAL EDUCATION
VL 12
AR 12
DI 10.1186/1472-6920-12-12
PD MAR 21 2012
PY 2012
AB Background: There is increasing interest in online collaborative
   learning tools in health education, to reduce costs, and to offer
   alternative communication opportunities. Patients and students often
   have extensive experience of using the Internet for health information
   and support, and many health organisations are increasingly trying out
   online tools, while many healthcare professionals are unused to, and
   have reservations about, online interaction.
   Methods: We ran three week-long collaborative learning courses, in which
   19 mental health professionals (MHPs) and 12 mental health service users
   (MHSUs) participated. Data were analysed using a discursive approach to
   consider the ways in which participants interacted, and how this
   contributed to the goal of online learning about using Internet
   technologies for mental health practice.
   Results: MHSUs and MHPs were able to discuss issues together, listening
   to the views of the other stakeholders. Discussions on synchronous
   format encouraged participation by service users while the MHPs showed a
   preference for an asynchronous format with longer, reasoned postings.
   Although participants regularly drew on their MHP or MHSU status in
   discussions, and participants typically drew on either a medical expert
   discourse or a "lived experience" discourse, there was a blurred
   boundary as participants shifted between these positions.
   Conclusions: The anonymous format was successful in that it produced a
   "co-constructed asymmetry" which permitted the MHPs and MHSUs to discuss
   issues online, listening to the views of other stakeholders. Although
   anonymity was essential for this course to 'work' at all, the recourse
   to expert or lay discourses demonstrates that it did not eliminate the
   hierarchies between teacher and learner, or MHP and MHSU. The mix of
   synchronous and asynchronous formats helped MHSUs to contribute.
   Moderators might best facilitate service user experience by responding
   within an experiential discourse rather than an academic one.
ZS 0
ZR 0
Z8 0
ZB 0
ZA 0
TC 13
Z9 13
U1 0
U2 28
EI 1472-6920
UT WOS:000302902700001
PM 22436597
ER

PT J
AU Abdelhai, Rehab
   Yassin, Sahar
   Ahmad, Mohamad F.
   Fors, Uno G. H.
TI An e-learning reproductive health module to support improved student
   learning and interaction: a prospective interventional study at a
   medical school in Egypt
SO BMC MEDICAL EDUCATION
VL 12
AR 11
DI 10.1186/1472-6920-12-11
PD MAR 20 2012
PY 2012
AB Background: The Public Health (PH) course at the medical college of
   Cairo University is based on traditional lectures. Large enrollment
   limits students' discussions and interactions with instructors.
   Aim: Evaluate students' learning outcomes as measured by improved
   knowledge acquisition and opinions of redesigning the Reproductive
   Health (RH) section of the PH course into e-learning and assessing
   e-course utilization.
   Methods: This prospective interventional study started with development
   of an e-learning course covering the RH section, with visual and
   interactive emphasis, to satisfy students' diverse learning styles. Two
   student groups participated in this study. The first group received
   traditional lecturing, while the second volunteered to enroll in the
   e-learning course, taking online course quizzes. Both groups answered
   knowledge and course evaluation questionnaires and were invited to group
   discussions. Additionally, the first group answered another
   questionnaire about reasons for non-participation.
   Results: Students participating in the e-learning course showed
   significantly better results, than those receiving traditional tutoring.
   Students who originally shunned the e-course expressed eagerness to
   access the course before the end of the academic year. Overall, students
   using the redesigned e-course reported better learning experiences.
   Conclusions: An online course with interactivities and interaction, can
   overcome many educational drawbacks of large enrolment classes, enhance
   student's learning and complement pit-falls of large enrollment
   traditional tutoring.
ZB 2
ZR 0
Z8 0
ZS 0
TC 22
ZA 0
Z9 23
U1 0
U2 18
EI 1472-6920
UT WOS:000305183500001
PM 22433670
ER

PT J
AU Abelsen, Birgit
   Olsen, Jan Abel
TI Does an activity based remuneration system attract young doctors to
   general practice?
SO BMC HEALTH SERVICES RESEARCH
VL 12
AR 68
DI 10.1186/1472-6963-12-68
PD MAR 20 2012
PY 2012
AB Background: The use of increasingly complex payment schemes in primary
   care may represent a barrier to recruiting general practitioners (GP).
   The existing Norwegian remuneration system is fully activity based -2/3
   fee-for-service and 1/3 capitation. Given that the system has been
   designed and revised in close collaborations with the medical
   association, it is likely to correspond - at least to some degree - with
   the preferences of current GPs (men in majority). The objective of this
   paper was to study which preferences that young doctors (women in
   majority), who are the potential entrants to general practice have for
   activity based vs. salary based payment systems.
   Methods: In November-December 2010 all last year medical students and
   all interns in Norway (n = 1.562) were invited to participate in an
   online survey. The respondents were asked their opinion on systems of
   remuneration for GPs; inclination to work as a GP; risk attitude; income
   preferences; work pace tolerance. The data was analysed using one-way
   ANOVA and multinomial logistic regression analysis.
   Results: A total of 831 (53%) responded. Nearly half the sample (47%)
   did not consider the remuneration system to be important for their
   inclination to work as GP; 36% considered the current system to make
   general practice more attractive, while 17% considered it to make
   general practice less attractive. Those who are attracted by the
   existing system were men and those who think high income is important,
   while those who are deterred by the system are risk averse and less
   happy with a high work pace. On the question of preferred remuneration
   system, half the sample preferred a mix of salary and activity based
   remuneration (the median respondent would prefer a 50/50 mix). Only 20%
   preferred a fully activity based system like the existing one. A salary
   system was preferred by women, and those less concerned with high
   income, while a fully activity based system was preferred by men, and
   those happy with a high work pace.
   Conclusions: Given a concern about low recruitment to general practice
   in Norway, and the fact that an increasing share of medical students is
   women, we were interested in the extent to which the current Norwegian
   remuneration system correspond with the preferences of potential GPs.
   This study suggests that an existing remuneration mechanism has a
   selection effect on who would like to become a GP. Those most attracted
   are income motivated men. Those deterred are risk averse, and less happy
   with a high work pace. More research is needed on the extent to which
   experienced GPs differ along the questions we asked potential GPs, as
   well as studying the relative importance of other attributes than
   payment schemes.
ZA 0
ZB 0
ZR 0
TC 14
Z8 0
ZS 1
Z9 14
U1 1
U2 29
EI 1472-6963
UT WOS:000304163800001
PM 22433750
ER

PT J
AU Debenham, Brock
   Banerjee, Robyn
   Fairchild, Alysa
   Dundas, George
   Trotter, Theresa
   Yee, Don
TI 2009 CANADIAN RADIATION ONCOLOGY RESIDENT SURVEY
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 82
IS 4
BP 1326
EP 1331
DI 10.1016/j.ijrobp.2011.04.030
PD MAR 15 2012
PY 2012
AB Purpose: Statistics from the Canadian post-MD education registry show
   that numbers of Canadian radiation oncology (RO) trainees have risen
   from 62 in 1999 to approximately 150 per year between 2003 and 2009,
   contributing to the current perceived downturn in employment
   opportunities for radiation oncologists in Canada. When last surveyed in
   2003, Canadian RO residents identified job availability as their main
   concern. Our objective was to survey current Canadian RO residents on
   their training and career plans.
   Methods and Materials: Trainees from the 13 Canadian residency programs
   using the national matching service were sought. Potential respondents
   were identified through individual program directors or chief resident
   and were e-mailed a secure link to an online survey. Descriptive
   statistics were used to report responses.
   Results: The eligible response rate was 53% (83/156). Similar to the
   2003 survey, respondents generally expressed high satisfaction with
   their programs and specialty. The most frequently expressed perceived
   weakness in their training differed from 2003, with 46.5% of current
   respondents feeling unprepared to enter the job market. 72% plan on
   pursuing a postresidency fellowship. Most respondents intend to practice
   in Canada. Fewer than 20% of respondents believe that there is a strong
   demand for radiation oncologists in Canada.
   Conclusions: Respondents to the current survey expressed significant
   satisfaction with their career choice and training program. However,
   differences exist compared with the 2003 survey, including the current
   perceived lack of demand for radiation oncologists in Canada. (C) 2012
   Elsevier Inc.
CT 52nd Annual Meeting of the American-Society-for-Radiation-Oncology
   (ASTRO)
CY OCT 31-NOV 04, 2010
CL San Diego, CA
SP Amer Soc Radiat Oncol (ASTRO); Astellas; Novartis; Roche; Sandoz;
   Service Pharma; TEVA; Bristol-Myers Squibb; Genzyme; MSD; AMGEN; APOTEX;
   BIOKOM; Biomedica; Fresenius Med Care; Kohler Chemie; Organ Recovery
   Syst; PFIZER; Valeant; Polish Transplantat Soc (PTT)
OI Debenham, Brock/0000-0003-1091-3658
ZA 0
ZS 0
ZR 0
ZB 5
TC 23
Z8 0
Z9 23
U1 1
U2 2
SN 0360-3016
UT WOS:000300980300042
PM 21640494
ER

PT J
AU Chu, Tsui-Ping
   Li, Chung-Chen
   Wang, Lin
   Hsu, Li-Wen
   Eng, Hock-Liew
   You, Huey-Ling
   Liu, Jien-Wei
   Wei, Chi-Chen
   Chang, Ling-Sai
   Lee, Ing-Kit
   Yang, Kuender D.
TI A Surveillance System to Reduce Transmission of Pandemic H1N1 (2009)
   Influenza in a 2600-Bed Medical Center
SO PLOS ONE
VL 7
IS 3
AR e32731
DI 10.1371/journal.pone.0032731
PD MAR 13 2012
PY 2012
AB Background: Concerns have been raised about how the transmission of
   emerging infectious diseases from patients to healthcare workers (HCWs)
   and vice versa could be recognized and prevented in a timely manner. An
   effective strategy to block transmission of pandemic H1N1 (2009)
   influenza in HCWs is important.
   Methodology/Principal Findings: An infection control program was
   implemented to survey and prevent nosocomial outbreaks of H1N1 (2009)
   influenza at a 2,600-bed, tertiary-care academic hospital. In total,
   4,963 employees at Kaohsiung Chang Gung Memorial Hospital recorded their
   temperature and received online education on control practices for
   influenza infections. Administration records provided vaccination
   records and occupational characteristics of all HCWs. Early recognition
   of a pandemic H1N1 (2009) influenza case was followed by a
   semi-structured questionnaire to analyze possible routes of patient
   contact, household contact, or unspecified contact. Surveillance spanned
   August 1, 2009 to January 31, 2010; 51 HCWs were confirmed to have novel
   H1N1 (2009) influenza by quantitative real-time reverse transcription
   polymerase chain reaction. Prevalence of patient contact, household
   contact, or unspecified contact infection was 13.7% (7/51), 13.7%
   (7/51), and 72.5% (37/51), respectively. The prevalence of the novel
   H1N1 infection was significantly lower among vaccinated HCWs than among
   unvaccinated HCWs (p<0.001). Higher viral loads in throat swabs were
   found in HCWs with patient and household contact infection than in those
   with unspecified contact infection (4.15 vs. 3.53 copies/mL, log(10), p
   = 0.035).
   Conclusion: A surveillance system with daily temperature recordings and
   online education for HCWs is important for a low attack rate of H1N1
   (2009) influenza transmission before H1N1 (2009) influenza vaccination
   is available, and the attack rate is further decreased after mass
   vaccination. Unspecified contact infection rates were significantly
   higher than that of patient contact and household contact infection,
   highlighting the need for public education of influenza transmission in
   addition to hospital infection control.
ZB 2
ZR 0
ZS 0
TC 8
ZA 0
Z8 0
Z9 8
U1 0
U2 3
SN 1932-6203
UT WOS:000303129700014
PM 22427871
ER

PT J
AU Janichek, Jennifer L.
   Reiman, Amanda
TI Clinical service desires of medical cannabis patients
SO HARM REDUCTION JOURNAL
VL 9
AR 12
DI 10.1186/1477-7517-9-12
PD MAR 13 2012
PY 2012
AB Background: Medical cannabis dispensaries following the social or hybrid
   model offer supplementary holistic services in addition to dispensing
   medical cannabis. Historically, alternative physical health services
   have been the norm for these dispensaries, including services such as
   yoga, acupuncture, or chiropractor visits. A clinical service dearth
   remains for medical cannabis patients seeking substance use, misuse,
   dependence, and mental health services. This study examined patient
   desires for various clinical services and level of willingness to
   participate in specific clinical services.
   Methods: Anonymous survey data (N = 303) were collected at Harborside
   Health Center (HHC), a medical cannabis dispensary in Oakland, CA. The
   sample was 70% male, 48% Caucasian and 21% African American. The mean
   male age was 38 years old and female mean age was 30. Sixty two percent
   of the male participants and 44% of the female participants are single.
   Sixteen percent of the population reported having a domestic partner.
   Forty six percent of the participants are employed full time, 41% have
   completed at least some college, and 49% make less than $40,000 a year.
   Results: A significant portion of the sample, 62%, indicated a desire to
   participate in free clinical services at HHC, 34% would like more
   information about substances and use, and 41% want to learn more about
   reducing harms from substance use. About one quarter of the participants
   marked "would" or "likely would" participate in individual services such
   as consultation. Approximately 20% indicated "would" or "likely would"
   participate in psycho-educational forums, harm reduction information
   sharing sessions, online support groups, and coping, life, and social
   skills group. There was little interest in traditional NA/AA 12-step
   groups or adapted 12-step groups.
   Conclusions: Desired clinical services can be qualified as a combination
   of harm reduction, educational, skills-based, peer support and
   therapeutic individual and group services. Results suggest that medical
   cannabis patients seek more information about various substances,
   including cannabis. Dispensaries can help to decrease gaps in substance
   education and clinical services and fulfill unmet clinical desires. More
   research is necessary in additional medical cannabis dispensaries in
   different geographic settings with different service delivery models.
ZA 0
ZR 0
ZS 0
Z8 0
ZB 5
TC 10
Z9 10
U1 0
U2 18
EI 1477-7517
UT WOS:000303343900001
PM 22414074
ER

PT J
AU Wagenaar, Bradley H.
   Sullivan, Patrick S.
   Stephenson, Rob
TI HIV Knowledge and Associated Factors among Internet-Using Men Who Have
   Sex with Men (MSM) in South Africa and the United States
SO PLOS ONE
VL 7
IS 3
AR e32915
DI 10.1371/journal.pone.0032915
PD MAR 12 2012
PY 2012
AB Background: We compared factors associated with low HIV/ AIDS knowledge
   among internet-using MSM in South Africa and the United States.
   Methods: 1,154 MSM in the US and 439 MSM in South Africa, recruited
   through Facebook.com, completed an online survey using a US-validated
   HIV knowledge scale (HIV-KQ-18). Separate multivariable logistic
   regression models were built, one for the US and one for South Africa,
   using a dichotomized variable of scoring less than and equal to 13/ 18
   ("low knowledge'') on the HIV-KQ-18 as outcome.
   Results: Median knowledge scores were 16/18 for both groups of
   respondents. For South African MSM, factors associated with low
   knowledge were: a high school education or less (adjusted odds ratio
   [aOR]: 2.5, 95% confidence interval [CI]: 1.4-4.6), not using
   condom-compatible lubrication during last anal sex with another man
   (aOR: 1.9, CI: 1.0-3.5), number of gay or bisexual acquaintances (aOR:
   0.89, CI: 0.81-0.99), being unemployed (aOR: 2.2, CI: 1.0-4.6), and
   testing HIV negative (aOR: 0.30, CI: 0.16-0.59) or testing HIV positive
   (aOR: 0.15, CI: 0.03-0.74) compared to those never HIV tested. For US
   MSM, associated factors were: a high school education or less (aOR: 2.7,
   CI: 1.9-3.8), low pride and acceptance of homosexuality (aOR: 1.3, CI:
   1.2-1.5), age 18-24 (aOR: 2.3, CI: 1.3-3.8) or age 50+ (aOR: 3.2, CI:
   1.6-6.3) compared to age 25-29, Hispanic ethnicity compared to white
   non-Hispanic (aOR: 1.9, CI: 1.1-3.2), and testing HIV positive (aOR:
   0.34, CI: 0.16-0.69) or testing HIV negative (aOR: 0.59, CI: 0.39-0.89)
   compared to those tested.
   Conclusions: Those developing programs for MSM in South Africa should
   weigh these data and other relevant factors, and might consider focusing
   education services towards MSM with limited education, less integration
   into gay/bisexual communities, no HIV testing history, limited use of
   condom-compatible lube, and the unemployed. In the United States,
   Hispanic MSM, those with limited education, no HIV testing history, low
   pride/acceptance of homosexuality, and those aged 18-24 or 50+ may be at
   risk for gaps in HIV knowledge.
RI Stephenson, Rob/J-9876-2012; Sullivan, Patrick Sean/
OI Sullivan, Patrick Sean/0000-0002-7728-0587
Z8 0
ZA 0
ZB 12
TC 41
ZR 0
ZS 2
Z9 42
U1 0
U2 11
SN 1932-6203
UT WOS:000302381500061
PM 22427908
ER

PT J
AU Sutton, Anthea
   Booth, Andrew
TI What type of leader am I?: a training needs analysis of health library
   and information managers
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 29
IS 1
BP 39
EP 46
DI 10.1111/j.1471-1842.2011.00967.x
PD MAR 2012
PY 2012
AB Background: Leadership is a necessary facet of professional practice for
   health library and information managers (HLIMs). Several training needs
   analyses (TNA) in the health library and information services field have
   been conducted in recent years, all identifying a need for professional
   development in leadership skills. However, these previous TNAs have not
   focused on specific elements of leadership skills required by health
   library and information managers.
   Objectives: The National Library for Health (NLH) commissioned the
   School of Health and Related Research (ScHARR) at the University of
   Sheffield to conduct a TNA where HLIMs assess their current leadership
   skills and identify any future development needs in this area. The
   results would inform a programme of influencing skills workshops.
   Methods: HLIMs in the UK were invited to complete a self-assessment
   online questionnaire. The questionnaire utilised items from Manning and
   Robertson's Influencing Skills Style Profile (ISSP). This allowed the
   results to be characterised by influencing 'style'.
   Results: HLIMs considered themselves to have strengths in the leadership
   areas of influencing, negotiating, managing change and delivering
   presentations to decision-makers. They identified significant
   development needs in communicating with stakeholders, conflict
   resolution, using body language and being assertive. Most HLIMs
   demonstrated two collaborative styles identified by the ISSP, namely
   strategic collaborator and opportunistic collaborator.
   Conclusions: In difficult times, HLIMs may need to adapt to more of an
   'opportunistic-battler' influencing style. It is important that HLIMs
   not only assess their own leadership skills but also that they take
   opportunities to employ 360 degrees feedback, comprising assessment from
   subordinates, peers and supervisors.
RI Booth, Andrew/A-7872-2008; Sutton, Anthea/
OI Booth, Andrew/0000-0003-4808-3880; Sutton, Anthea/0000-0003-2449-2516
ZB 0
Z8 0
ZS 0
ZA 0
TC 4
ZR 0
Z9 4
U1 0
U2 22
SN 1471-1834
UT WOS:000300682600005
PM 22335288
ER

PT J
AU Curran, Vernon
   Fleet, Lisa
   Greene, Melanie
TI An Exploratory Study of Factors Influencing Resuscitation Skills
   Retention and Performance Among Health Providers
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 32
IS 2
BP 126
EP 133
DI 10.1002/chp.21135
PD SPR 2012
PY 2012
AB Introduction: Resuscitation and life support skills training comprises a
   significant proportion of continuing education programming for health
   professionals. The purpose of this study was to explore the perceptions
   and attitudes of certified resuscitation providers toward the retention
   of resuscitation skills, regular skills updating, and methods for
   enhancing retention.
   Methods: A mixed-methods, explanatory study design was undertaken
   utilizing focus groups and an online survey-questionnaire of rural and
   urban health care providers.
   Results: Rural providers reported less experience with real codes and
   lower abilities across a variety of resuscitation areas. Mock codes,
   practice with an instructor and a team, self-practice with a mannequin,
   and e-learning were popular methods for skills updating. Aspects of team
   performance that were felt to influence resuscitation performance
   included: discrepancies in skill levels, lack of communication, and team
   leaders not up to date on their skills. Confidence in resuscitation
   abilities was greatest after one had recently practiced or participated
   in an update or an effective debriefing session. Lowest confidence was
   reported when team members did not work well together, there was no
   clear leader of the resuscitation code, or if team members did not
   communicate.
   Discussion: The study findings highlight the importance of access to
   update methods for improving providers' confidence and abilities, and
   the need for emphasis on teamwork training in resuscitation. An eclectic
   approach combining methods may be the best strategy for addressing the
   needs of health professionals across various clinical departments and
   geographic locales.
RI Curran, Vernon/AAX-3522-2020; Curran, Vernon/
OI Curran, Vernon/0000-0002-2432-6633
ZR 0
ZB 1
TC 13
ZA 0
Z8 0
ZS 0
Z9 13
U1 0
U2 10
SN 0894-1912
EI 1554-558X
UT WOS:000305603200008
PM 22733640
ER

PT J
AU Walker, Tarik
   Deutchman, Mark
   Ingram, Beth
   Walker, Ely
   Westfall, John M.
TI Endoscopy Training in Primary Care: Innovative Training Program to
   Increase Access to Endoscopy in Primary Care
SO FAMILY MEDICINE
VL 44
IS 3
BP 171
EP 177
PD MAR 2012
PY 2012
AB BACKGROUND AND OBJECTIVES: Colorectal cancer (CRC) is a significant
   source of morbidity and mortality in the United States. Colonoscopy can
   be an extension of the care provided by a family physician to help
   substantially reduce CRC morbidity and mortality. Family physicians
   trained in colonoscopy can provide access to care in rural and medically
   underserved areas.
   METHODS: The Department of Family Medicine and the Colorado Area Health
   Education Center (AHEC) developed the Endoscopy Training for Primary
   Care (ETPC) program to teach primary care physicians to perform
   colonoscopy. The program included online didactic education, a formal
   endoscopy simulator experience, and proctoring by a current endoscopist.
   Participants completed a baseline and follow-up survey assessing CRC
   screening knowledge and the effectiveness of the endoscopy training for
   ongoing screening activities.
   RESULTS: To date, 94 practitioners and health professional students have
   participated in the study. Ninety-one (97%) completed the online
   didactic portion of the training. Sixty-five participants (77%) were
   physicians or medical students, and the majority (64%) was in the field
   of family medicine. The year 4 (2011) follow-up cohort was comprised of
   62% respondents working in an urban background and 26% in rural
   communities. Many participants remain in a queue for proctoring by a
   trained endoscopist. Several participants are successfully performing a
   significant number of colonoscopies.
   CONCLUSIONS: ETPC program showed success in recruiting a large number of
   physicians and students to participate in training. The program enhanced
   perceptions about the value of colon cancer screening and providing
   screening endoscopy in primary care practice. Providing sites for
   simulation training throughout Colorado provided opportunity for
   providers in rural regions to participate. As a result of this training,
   thousands of patients underwent testing to prevent colon cancer. Future
   research relating to colonoscopy training by family physicians should
   focus on quality assurance and determining best methods for procedural
   competence.
RI Westfall, John/AAD-3570-2021
ZR 0
ZS 0
TC 6
ZB 1
Z8 0
ZA 0
Z9 6
U1 0
U2 3
SN 0742-3225
UT WOS:000305448200004
PM 22399479
ER

PT J
AU Bell, Hershey
   Donohue, William
   Liang, Yuhua (Jake)
   Kim, Jinsuk
   Cettin, Matthew
TI Osteopathic Medical Student Learning Competency
SO FAMILY MEDICINE
VL 44
IS 3
BP 194
EP 201
PD MAR 2012
PY 2012
AB BACKGROUND AND OBJECTIVES: The purpose of this paper is to report on the
   development and implementation of a learning competency assessment
   survey for first-year medical students. We began by defining learning
   competencies in a manner that is parallel to the clinical competencies
   resulting in a self-assessment survey of 1,998 first-year osteopathic
   medical students from 25 osteopathic medical schools. Results from the
   online survey indicated that the internal structure of the instrument
   and the reliability of the items were strong. The survey revealed that
   first-year medical students were most confident in their ability to
   perform in a professional manner and least confident in their ability to
   manage their curriculum, particularly with the assistance of faculty and
   advisors. A regression analysis indicated that the best predictors of
   curricular involvement were Student Learning and Improvement, Knowledge
   of Osteopathic Philosophy and Skills, Interpersonal Communication, and
   Systems Knowledge. However, Medical Knowledge and Professionalism did
   not provide any unique variance to the model, suggesting that students'
   confidence in their undergraduate science training or self perceptions
   of their professionalism had little to do with their confidence in
   navigating medical school.
TC 1
ZB 0
ZA 0
ZR 0
ZS 0
Z8 0
Z9 1
U1 0
U2 1
SN 0742-3225
EI 1938-3800
UT WOS:000305448200008
PM 22399483
ER

PT J
AU de Vries, Hein
   Logister, Matti
   Krekels, Gertruud
   Klaasse, Frits
   Servranckx, Verina
   van Osch, Liesbeth
TI Internet-Based Computer Tailored Feedback on Sunscreen Use
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 2
AR e48
DI 10.2196/jmir.1902
PD MAR-APR 2012
PY 2012
AB Background: Skin cancer incidence rates signify the need for effective
   programs for the prevention of skin cancer and for helping skin cancer
   patients. Internet and computer tailored (CT) technology fosters the
   development of highly individualized health communication messages. Yet,
   reactions to Internet CT programs may differ per level of involvement
   and education level and remain understudied.
   Objective: First, we identified perceptions concerning sunscreen use in
   Dutch adults and assessed differences in differences between the general
   public and skin cancer patients, and between low and high educated
   respondents. Second, we assessed program evaluations of these groups
   about a new Dutch CT Internet-based program promoting sunscreen use, and
   potential differences between groups
   Methods: A cross-sectional research design was used. In total, 387
   respondents participated and filled out an online questionnaire based on
   the I-Change Model assessing socio-demographics, history of skin cancer,
   sunscreen use, and beliefs about sunscreen use. The responses were fed
   into a computer program that generated personal tailored feedback on
   screen; next we assessed their program evaluations
   Results: Of the 132 patients, 92 were female (69.7%) and 40 were male
   (30.3%). In the general population (N = 225), 139 (54.5%) respondents
   were female and 116 (45.5%) were male. Men (50.9 years) were 8 years
   older than women (43.1 years). Most patients were diagnosed with basal
   cell carcinoma (N = 65; 49.2%), followed by melanoma (N = 28; 21.2%) and
   squamous cell carcinoma (N = 10; 7.6%); 22% (N = 29) did not remember
   their skin cancer type. Patients had higher knowledge levels, felt
   significantly more at risk, were more convinced of the pros of
   sunscreen, experienced more social support to use sunscreen, had higher
   self-efficacy, and made more plans to use sunscreen than respondents
   without skin cancer (N = 255; all P's<.01). Low (N=196) educated
   respondents scored lower on knowledge (P<.003) but made more action
   plans (P<.03) than higher educated respondents (N=191). The CT feedback
   was evaluated positively by all respondents, and scored a 7.8 on a 10
   point scale. Yet, patients evaluated the CT program slightly more
   (P<.05) positive (8.1) than non-patients. (7.6). Lower educated
   respondents were significantly (P<.05) more positive about the
   advantages of the program.
   Conclusions: First, involvement with skin cancer was reflected in more
   positive beliefs toward sunscreen use in patients in comparison with
   non-patients. Second, the CT Internet program was well accepted by both
   patients and non-patients, and low and high educated respondents,
   perhaps because higher educated respondents were more knowledgeable
   about sunscreen use and skin cancer. Third, a pro-active approach as
   conducted in our study is very well suited to reach various groups of
   people and is more likely to be successful than a reactive approach
ZB 5
ZA 0
TC 21
ZR 0
Z8 0
ZS 0
Z9 21
U1 0
U2 18
SN 1438-8871
UT WOS:000304530800011
PM 22547528
ER

PT J
AU Maloney, Stephen
   Haas, Romi
   Keating, Jenny L.
   Molloy, Elizabeth
   Jolly, Brian
   Sims, Jane
   Morgan, Prue
   Haines, Terry
TI Breakeven, Cost Benefit, Cost Effectiveness, and Willingness to Pay for
   Web-Based Versus Face-to-Face Education Delivery for Health
   Professionals
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 2
AR e47
DI 10.2196/jmir.2040
PD MAR-APR 2012
PY 2012
AB Background: The introduction of Web-based education and open
   universities has seen an increase in access to professional development
   within the health professional education marketplace. Economic
   efficiencies of Web-based education and traditional face-to-face
   educational approaches have not been compared under randomized
   controlled trial conditions.
   Objective: To compare costs and effects of Web-based and face-to-face
   short courses in falls prevention education for health professionals.
   Methods: We designed two short courses to improve the clinical
   performance of health professionals in exercise prescription for falls
   prevention. One was developed for delivery in face-to-face mode and the
   other for online learning. Data were collected on learning outcomes
   including participation, satisfaction, knowledge acquisition, and change
   in practice, and combined with costs, savings, and benefits, to enable a
   break-even analysis from the perspective of the provider,
   cost-effectiveness analysis from the perspective of the health service,
   and cost-benefit analysis from the perspective of the participant.
   Results: Face-to-face and Web-based delivery modalities produced
   comparable outcomes for participation, satisfaction, knowledge
   acquisition, and change in practice. Break-even analysis identified the
   Web-based educational approach to be robustly superior to face-to-face
   education, requiring a lower number of enrollments for the program to
   reach its break-even point. Cost-effectiveness analyses from the
   perspective of the health service and cost-benefit analysis from the
   perspective of the participant favored face-to-face education, although
   the outcomes were contingent on the sensitivity analysis applied (eg,
   the fee structure used).
   Conclusions: The Web-based educational approach was clearly more
   efficient from the perspective of the education provider. In the
   presence of relatively equivocal results for comparisons from other
   stakeholder perspectives, it is likely that providers would prefer to
   deliver education via a Web-based medium.
RI Haas, Romi/L-2066-2019; Haines, Terrence/E-9372-2015; Morgan, Prue/; Maloney, Stephen/; Molloy, Elizabeth/
OI Haas, Romi/0000-0001-9100-5509; Haines, Terrence/0000-0003-3150-6154;
   Morgan, Prue/0000-0002-2573-6562; Maloney, Stephen/0000-0003-2612-5162;
   Molloy, Elizabeth/0000-0001-9457-9348
TC 56
Z8 0
ZA 0
ZS 2
ZR 0
ZB 3
Z9 57
U1 0
U2 21
SN 1438-8871
UT WOS:000304530800018
PM 22469659
ER

PT J
AU Schneider, Francine
   van Osch, Liesbeth
   Schulz, Daniela N.
   Kremers, Stef P. J.
   de Vries, Hein
TI The Influence of User Characteristics and a Periodic Email Prompt on
   Exposure to an Internet-Delivered Computer-Tailored Lifestyle Program
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 2
AR e40
DI 10.2196/jmir.1939
PD MAR-APR 2012
PY 2012
AB Background: The Internet is a promising medium in the field of health
   promotion for offering tailored and targeted lifestyle interventions
   applying computer-tailored (CT) techniques to the general public. Actual
   exposure to CT interventions is not living up to its high expectations,
   as only a (limited) proportion of the target group is actually using
   these programs.
   Objective: To investigate exposure to an Internet-delivered, CT
   lifestyle intervention, targeting physical activity, fruit and vegetable
   intake, smoking behavior, and alcohol intake, we focused on three
   processes: first use, prolonged use, and sustained use. The first
   objectives were to identify user characteristics that predict initiation
   of an online CT lifestyle program (first use) and completion of this
   program (prolonged use). Furthermore, we studied the effect of using a
   proactive strategy, consisting of periodic email prompts, on program
   revisits (sustained use).
   Methods: The research population for this study consisted of Dutch
   adults participating in the Adult Health Monitor, offered by the
   regional public health services. We used a randomized controlled trial
   design to assess predictors of first use, prolonged use, and sustained
   use. Demographics and behavioral characteristics, as well as the
   strategy used for revisiting, were included as predictors in the model.
   Results: A total of 9169 participants indicated their interest in the
   new program and 5168 actually logged in to the program. Participants
   significantly more likely to initiate one of the CT modules were male,
   older, and employed, and had a lower income, higher body mass index, and
   relatively unhealthy lifestyle. Participants significantly more likely
   to complete one of the CT modules were older and had a higher income and
   a relatively healthier lifestyle. Finally, using a proactive strategy
   influenced sustained use, with people from the prompting condition being
   more likely to revisit the program (odds ratio 28.92, 95% confidence
   interval 10.65-78.52; P < .001).
   Conclusions: Older, male, and employed participants, and those with a
   lower income, higher body mass index, and a relatively unhealthy
   lifestyle were more likely to initiate a CT module. Module completers
   predominantly had a higher income and age. The current program therefore
   succeeded in reaching those people who benefit most from online
   lifestyle interventions. However, these people tended to disengage from
   the program. This underlines the importance of additional research into
   program adjustments and strategies that can be used to stimulate
   prolonged program use. Furthermore, sending periodic email prompts
   significantly increased revisits to the program. Though promising, this
   effect was modest and needs to be further examined, in order to maximize
   the potential of periodic email prompting.
OI Schulz, Daniela/0000-0002-1016-432X
ZA 0
ZR 0
ZS 0
Z8 0
ZB 0
TC 32
Z9 32
U1 1
U2 21
SN 1438-8871
UT WOS:000304530800003
PM 22382037
ER

PT J
AU Thompson, Lindsay A.
   Ferdig, Rick
   Black, Erik
TI Online Schools and Children With Special Health and Educational Needs:
   Comparison With Performance in Traditional Schools
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 2
AR e62
DI 10.2196/jmir.1947
PD MAR-APR 2012
PY 2012
AB Background: In the United States, primary and secondary online schools
   are institutions that deliver online curricula for children enrolled in
   kindergarten through 12th grade (K-12). These institutions commonly
   provide opportunities for online instruction in conjunction with local
   schools for students who may need remediation, have advanced needs,
   encounter unqualified local instructors, or experience scheduling
   conflicts. Internet-based online schooling may potentially help children
   from populations known to have educational and health disadvantages,
   such as those from certain racial or ethnic backgrounds, those of low
   socioeconomic status, and children with special health care needs
   (CSHCN).
   Objective: To describe the basic and applied demographics of US
   online-school users and to compare student achievement in traditional
   versus online schooling environments.
   Methods: We performed a brief parental survey in three states examining
   basic demographics and educational history of the child and parents, the
   child's health status as measured by the CSHCN Screener, and their
   experiences and educational achievement with online schools and
   class(es).
   Results were compared with state public-school demographics and
   statistical analyses controlled for state-specific independence.
   Results: We analyzed responses from 1971 parents with a response rate of
   14.7% (1971/13,384). Parents of online-school participants were more
   likely to report having a bachelor's degree or higher than were parents
   of students statewide in traditional schools, and more of their children
   were white and female. Most notably, the prevalence of CSHCN was high
   (476/1971, 24.6%) in online schooling. Children who were male, black, or
   had special health care needs reported significantly lower grades in
   both traditional and online schools. However, when we controlled for
   age, gender, race, and parental education, parents of CSHCN or black
   children reported significantly lower grades in online than in
   traditional schooling (adjusted odds ratio [aOR] 1.45, 95% confidence
   interval [CI] 1.29-1.62 for CSHCN, P < .001; aOR 2.73, 95% CI 2.11-3.53
   for black children, P < .001.) In contrast, parents with a bachelor's
   degree or higher reported significantly higher online-school grades than
   traditional-school grades for their children (aOR 1.45, 95% CI
   1.15-1.82, P < .001).
   Conclusions: The demographics of children attending online schools do
   not mirror those of the state-specific school populations. CSHCN seem to
   opt into online schools at a higher rate. While parents report
   equivalent educational achievement in online and traditional classrooms,
   controlling for known achievement risks suggests that CSHCN and black
   children have lower performance in online than in traditional schools.
   Given the millions of students now in online schools, future studies
   must test whether direct assistance in online schools, such as taking
   individualized education plans into consideration, will narrow known
   disparities in educational success. Only then can online schools emerge
   as a true educational alternative for at-risk populations.
RI Black, Erik W/B-6754-2009; Thompson, Lindsay/
OI Black, Erik W/0000-0002-5284-135X; Thompson, Lindsay/0000-0003-1082-2801
ZS 0
ZA 0
ZR 1
ZB 1
TC 11
Z8 0
Z9 12
U1 0
U2 27
SN 1438-8871
UT WOS:000304530800020
PM 22547538
ER

PT J
AU Hampson, Neil B.
   Bell, Jeneita
   Clower, Jacquelyn H.
   Dunn, Susan L.
   Weaver, Lindell K.
TI Partnering with a medical specialty society to perform online public
   health surveillance
SO UNDERSEA AND HYPERBARIC MEDICINE
VL 39
IS 2
BP 647
EP 655
PD MAR-APR 2012
PY 2012
AB While accidental carbon monoxide (CO) poisoning is common, it is felt to
   be largely preventable through targeted public education. Development of
   effective education programs requires accurate epidemiologic information
   about the condition. Many acute, severe cases of CO poisoning are
   treated with hyperbaric oxygen (HBO2) at hospital-based facilities
   staffed by members of the Undersea and Hyperbaric Medical Society
   (UHMS).
   In 2008, the Centers for Disease Control and Prevention (CDC) began
   sponsoring a UHMS proposal to use online reporting by UHMS members of
   cases treated with HBO2. This report describes development and
   implementation of the internet-based surveillance system, as well as its
   first year of operation. From August 2008 to July 2009, a total of 740
   cases were reported by the 82 hyperbaric facilities participating
   nationwide. Extensive epidemiologic information about CO poisoning in
   the United States has been collected, and the utility of partnering with
   a medical specialty society for disease-specific surveillance
   demonstrated.
ZB 3
TC 7
ZS 0
ZA 0
Z8 0
ZR 0
Z9 7
U1 0
U2 0
SN 1066-2936
UT WOS:000304293400004
PM 22530448
ER

PT J
AU Fletcher, Daniel J.
   Militello, Roberta
   Schoeffler, Gretchen L.
   Rogers, Catherine L.
TI Development and Evaluation of a High-Fidelity Canine Patient Simulator
   for Veterinary Clinical Training
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 39
IS 1
BP 7
EP 12
DI 10.3138/jvme.0711.073R
PD SPR 2012
PY 2012
AB High-fidelity human patient simulators have been used for decades in
   medical education to provide opportunities for students to practice
   technical skills, diagnostic and therapeutic planning, and communication
   skills in a safe environment. A high-fidelity canine patient simulator
   (CPS) was developed using components from a human patient simulator and
   a low-fidelity foam core canine mannequin. Ninety-six veterinary
   students participated in cardiopulmonary arrest scenarios in groups of
   three to five students. Afterwards, participants were asked to complete
   an anonymous online survey describing their experiences. A total of 70
   students (73%) completed the survey. All of the students (100%) felt
   that the simulator session expanded their cardiopulmonary resuscitation
   (CPR) knowledge base, and 97% responded that their skills and abilities
   had improved. Students also expressed positive opinions about the CPS,
   with 89% agreeing or strongly agreeing that the CPS was realistic and
   73% agreeing or strongly agreeing that the scenarios generated emotions
   similar to real clinical situations. Most participants (98.5%) agreed or
   strongly agreed that the simulator was an engaging learning experience.
   Students commonly commented that the simulations allowed them to
   practice communication and teamwork skills and were more effective than
   paper-based, problem-oriented learning opportunities and lecture.
   Students also commented that they wanted more opportunities to
   participate in simulation exercises. These results suggest that
   high-fidelity veterinary simulation is an engaging educational
   methodology that addresses some limitations of other forms of
   problem-based learning. More studies are needed to quantitatively
   determine the effectiveness of this novel veterinary educational
   technology in comparison with more traditional approaches.
ZA 0
ZR 0
Z8 0
ZB 2
TC 29
ZS 0
Z9 29
U1 1
U2 23
SN 0748-321X
EI 1943-7218
UT WOS:000303549800004
PM 22433738
ER

PT J
AU Pearson, Yvette E.
   Liu-Thompkins, Yuping
TI Consuming Direct-to-Consumer Genetic Tests: The Role of Genetic Literacy
   and Knowledge Calibration
SO JOURNAL OF PUBLIC POLICY & MARKETING
VL 31
IS 1
BP 42
EP 57
DI 10.1509/jppm.10.066
PD SPR 2012
PY 2012
AB As direct-to-consumer marketing of medical genetic tests grows in
   popularity, there is an increasing need to better understand the ethical
   and public policy implications of such products. The complexity of
   genetic tests raises serious concerns about whether consumers possess
   the knowledge to make sound decisions about their use. This research
   examines the effects of educational intervention and feedback on
   consumers' genetic literacy and calibration the gap between consumers'
   actual knowledge and how much they think they know. The authors find
   that consumers' genetic knowledge was generally low and that people
   tended to underestimate their knowledge level. Furthermore, consumers'
   perceived rather than actual knowledge levels drove attitude and
   purchase intention. Regarding the effect of educational intervention,
   exposure to an online educational module improved both genetic knowledge
   and calibration. Offering instant feedback resulted in greater knowledge
   gain than delayed feedback. The worst learning outcome occurred when
   feedback was both delayed and brief. On the basis of these findings, the
   authors offer recommendations for formulating ethically sound public
   policies in this area.
ZA 0
ZS 1
TC 20
Z8 0
ZR 0
ZB 1
Z9 21
U1 2
U2 31
SN 0743-9156
EI 1547-7207
UT WOS:000304131500005
ER

PT J
AU Swanson, Barbara
   Zeller, Janice M.
   Keithley, Joyce K.
   Fung, Sharon C.
   Johnson, Angela
   Suhayda, Rosemarie
   Phillips, Marcia
   Downie, Patrick
TI CASE-BASED ONLINE MODULES TO TEACH GRADUATE-LEVEL NURSING STUDENTS ABOUT
   COMPLEMENTARY AND ALTERNATIVE MEDICAL THERAPIES
SO JOURNAL OF PROFESSIONAL NURSING
VL 28
IS 2
BP 125
EP 129
DI 10.1016/j.profnurs.2011.11.005
PD MAR-APR 2012
PY 2012
AB We integrated complementary and alternative medicine (CAM)-related
   content into selected core courses in our master's-level curriculum. To
   facilitate students' application of the content, we developed
   evidence-based online case studies and evaluated their effectiveness by
   comparing students' pretest and posttest scores on multiple-choice
   quizzes. Findings suggest that evidence-based online case studies are an
   effective strategy for teaching graduate nursing students about the
   clinical issues surrounding patients' use of CAM therapies.
ZA 0
TC 3
ZB 0
Z8 0
ZR 0
ZS 0
Z9 3
U1 0
U2 14
SN 8755-7223
UT WOS:000302452500009
PM 22459143
ER

PT J
AU Crane, Marilyn J.
   Griffin, Mary T. Quinn
   Andrews, Claire M.
   Fitzpatrick, Joyce J.
TI The Level of Importance and Level of Confidence that Midwives in the
   United States Attach to Using Genetics in Practice
SO JOURNAL OF MIDWIFERY & WOMENS HEALTH
VL 57
IS 2
BP 114
EP 119
DI 10.1111/j.1542-2011.2011.00132.x
PD MAR-APR 2012
PY 2012
AB Introduction: The clinical application of genetic advances has the
   potential to transform preconception and pregnancy care and improve
   pregnancy outcomes. The study aim was to evaluate the level of
   importance and level of confidence that midwives in the United States
   attach to using genetics in practice.
   Methods: The study was a descriptive, cross-sectional, online survey
   with a convenience sample of certified nurse-midwives who were active
   members of the American College of Nurse-Midwives (ACNM) and provided
   midwifery care in the United States. The survey contained genetic case
   studies and questions related to genetic activities that occur in
   clinical practice. Participants were asked to rate how important each
   genetic activity is to midwifery practice generally and their personal
   level of confidence in carrying out the stated activity at the present
   time; questions were rated on a Likert-type scale of 1 (not at all
   important, not at all confident) to 4 (essential, confident to teach).
   Results: There were 612 survey responses fromamong the 4244 active
   members of ACNM(14.42%). Most midwives believed that genetics-related
   activities were very important or essential to their clinical practices,
   but they were only moderately confident in their abilities to perform
   these activities. The average importance survey score was 88%, and the
   average confidence survey score was 70%. Some midwives (17.5%) thought
   that taking a 3-generation family history was essential, and some
   midwives (20.9%) were extremely confident in their abilities to perform
   this activity. Almost all midwives (98.5%) indicated that they wanted to
   learn more about genetics and genomics.
   Discussion: Genetics education programs need to be developed and made
   available tomidwives to increase their confidence levels in using
   genetics in clinical practice. J MidwiferyWomens Health 2012; 57:
   114-119 (C) 2012 by the American College of Nurse-Midwives.
ZA 0
ZS 0
TC 8
Z8 0
ZR 0
ZB 1
Z9 8
U1 0
U2 3
SN 1526-9523
EI 1542-2011
UT WOS:000301712900004
PM 22432481
ER

PT J
AU McCrea, R. L.
   Berger, Y. G.
   King, M. B.
TI Body mass index and common mental disorders: exploring the shape of the
   association and its moderation by age, gender and education
SO INTERNATIONAL JOURNAL OF OBESITY
VL 36
IS 3
BP 414
EP 421
DI 10.1038/ijo.2011.65
PD MAR 2012
PY 2012
AB Background: Obesity is known to be associated with increased prevalence
   of common mental disorders (for example, depression and anxiety), and
   there is evidence of age and gender differences in this relationship.
   However, categorisation of body mass index (BMI) and age has limited our
   ability to understand the nature of these differences. This study used
   continuous values of BMI and age to explore the shape of the association
   between common mental disorders and BMI and whether it varied with age,
   gender and education.
   Method: The analysis used cross-sectional data on 7043 adults from the
   English 2007 Adult Psychiatric Morbidity Survey. Common mental disorders
   were assessed using the revised Clinical Interview Schedule (CIS-R).
   Cubic splines allowed BMI and age to have non-linear effects in the
   logistic regression analysis.
   Results: BMI was strongly associated with the presence of common mental
   disorders, and there was clear evidence that this association varied
   with gender and age. In young women the probability of having a disorder
   increased as BMI increased, whereas in young men the relationship was
   U-shaped-probabilities were higher for both underweight and obese men.
   These associations diminished in older age groups, particularly when
   potential confounders such as physical health were taken into account.
   There was no evidence that the relationship varied with education.
   Conclusions: Age and gender differences must be taken into account when
   investigating the link between BMI or obesity and common mental
   disorders. Furthermore, results of studies that categorise BMI may be
   highly sensitive to the width of the 'normal weight' reference category.
   International Journal of Obesity (2012) 36, 414-421;
   doi:10.1038/ijo.2011.65; published online 22 March 2011
RI King, Michael B/D-7477-2011; Berger, Yves/
OI King, Michael B/0000-0003-4715-7171; Berger, Yves/0000-0002-9128-5384
Z8 1
TC 49
ZS 0
ZA 0
ZR 0
ZB 21
Z9 50
U1 1
U2 13
SN 0307-0565
EI 1476-5497
UT WOS:000301421300014
PM 21427699
ER

PT J
AU Peter, C.
   Mueller, R.
   Cieza, A.
   Geyh, S.
TI Psychological resources in spinal cord injury: a systematic literature
   review
SO SPINAL CORD
VL 50
IS 3
BP 188
EP 201
DI 10.1038/sc.2011.125
PD MAR 2012
PY 2012
AB Study design: Systematic literature review.
   Objectives: The purpose of this study was to gain a systematic overview
   of the role of psychological resources in the adjustment to spinal cord
   injury (SCI).
   Methods: A systematic literature review was performed. The literature
   search was conducted in the databases Pubmed, PsycINFO, the Social
   Sciences Citation Index, the Education Resources Information Center,
   Embase and the Citation Index of Nursing and Allied Health Literature.
   The assessed variables, measurement instruments, results and the
   methodological quality of the studies were extracted, summarized and
   evaluated.
   Results: A total of 83 mainly cross-sectional studies were identified.
   Psychological resources were categorized into seven groups:
   self-efficacy (SE), self-esteem, sense of coherence (SOC), spirituality,
   optimism, intellect and other personality characteristics. SE and
   self-esteem were consistently associated with positive adjustment
   indicators such as high well-being and better mental health.
   Interrelations between psychological resources and key rehabilitation
   outcome variables such as participation were rarely studied. Only a few
   interventions, which were aimed at strengthening psychological resources
   were identified. Longitudinal studies suggested that SE, SOC,
   spirituality and purpose in life were potential determinants of
   adjustment outcomes in the long term.
   Conclusion: Research on psychological resources in SCI is broad, but
   fragmented. Associations of psychological resources with mental health
   and well-being were frequently shown, while associations with
   participation were rarely studied. Further development of resource-based
   interventions to strengthen persons with SCI is indicated. This review
   can serve as guide for clinical practice and can add to the design of
   future SCI research. Spinal Cord (2012) 50, 188-201;
   doi:10.1038/sc.2011.125; published online 29 November
ZR 0
ZB 15
ZA 0
TC 81
ZS 1
Z8 0
Z9 81
U1 4
U2 68
SN 1362-4393
EI 1476-5624
UT WOS:000301053300003
PM 22124343
ER

PT J
AU Franceschini, M.
   Pagliacci, M. C.
   Russo, T.
   Felzani, G.
   Aito, S.
   Marini, C.
CA Italian Grp Epidemiological Study
TI Occurrence and predictors of employment after traumatic spinal cord
   injury: the GISEM Study
SO SPINAL CORD
VL 50
IS 3
BP 238
EP 242
DI 10.1038/sc.2011.131
PD MAR 2012
PY 2012
AB Study design: Multicenter, prospective study.
   Objectives: To assess the occurrence and predictors of return to work
   after traumatic spinal cord injury (SCI).
   Setting: Italian rehabilitation centers.
   Methods: We evaluated patients previously included in the Italian Group
   for the Epidemiological Study of Spinal Cord Injuries study. A
   standardised telephone interview was used to collect data after a mean
   follow-up of 3.8 years. The main outcome measure was employment at the
   end of follow-up.
   Results: A total of 403 patients, 336 men and 67 women, with a mean age
   of 41.8 +/- 16.3 years, were included in the follow-up. In all, 42.1% of
   patients were employed at the moment of the interview, though 62%
   reported a worsening in their employment level. Predictors of employment
   were education (P < 0.0001), bowel continence (P=0.02), independence in
   mobility (P=0.0004), ability to drive (P < 0.0001), participating in the
   community (P=0.0001) and ability to live alone (P < 0.0001) while age (P
   < 0.0001), being married (P < 0.0001), tetraplegia (P=0.03), occurrence
   of recent medical problems (P=0.002), re-hospitalization (P=0.02),
   presence of architectonic barriers (P=0.009) and having a public welfare
   subsidy (P < 0.0001), predicted unemployment. On the basis of
   multivariate analysis, younger age, education, absence of tetraplegia,
   ability to drive, ability to live alone, previous employment were
   independent predictors of employment after SCI. Employment at follow-up
   was related to several indicators of quality of life.
   Conclusion: Employment after SCI was rather frequent and was related to
   several patient characteristics and social factors. Specific
   interventions on the patient and on the social environment may favor
   employment after SCI and improve quality of life. Spinal Cord (2012) 50,
   238-242; doi:10.1038/sc.2011.131; published online 29 November 2011
RI Felzani, Giorgio/AAA-7551-2022; Franceschini, Marco/
OI Franceschini, Marco/0000-0002-2131-1583
ZS 1
TC 22
ZR 0
ZA 0
Z8 0
ZB 6
Z9 22
U1 0
U2 7
SN 1362-4393
UT WOS:000301053300010
PM 22124342
ER

PT J
AU Calderon, Carlos
TI Teaching and learning the science of qualitative research in the health
   area
SO CIENCIA & SAUDE COLETIVA
VL 17
IS 3
BP 595
EP 602
DI 10.1590/S1413-81232012000300004
PD MAR 2012
PY 2012
AB Qualitative research constitutes a necessary perspective of knowledge
   within the field of health services. Healthcare always occurs in complex
   contexts and its enhancement requires research methodologies that
   address this complexity. Nevertheless, the knowledge and use of
   qualitative research in health services is still very limited. Among the
   different factors that affect its development, the teaching and learning
   of qualitative research proves to be fundamental, even beyond
   undergraduate education. Healthcare professionals and health services
   present certain specific aspects that must be considered in the design
   and development of the teaching and learning of qualitative research.
   Based on an eight-year online training experience with Primary
   Healthcare professionals, the main challenges are indentified and
   discussed.
ZS 4
TC 3
ZB 0
ZA 0
ZR 0
Z8 0
Z9 6
U1 0
U2 3
SN 1413-8123
EI 1678-4561
UT WOS:000301955400007
PM 22450399
ER

PT J
AU Garg, Amit
   Grant-Kels, Jane M.
TI Ethical considerations in dermatology residency
SO CLINICS IN DERMATOLOGY
VL 30
IS 2
BP 202
EP 209
DI 10.1016/j.clindermatol.2011.06.008
PD MAR-APR 2012
PY 2012
AB There are a number of ethical considerations relevant to dermatology
   training that are worthy of dialogue. In this contribution, social
   networking, relationships with mentors, relationships with patients, and
   moonlighting are discussed with the goal of encouraging ongoing
   discourse and reflection on these and other ethical considerations
   relevant to dermatology training. (C) 2012 Elsevier Inc. All rights
   reserved.
ZA 0
TC 4
ZB 0
ZS 0
Z8 0
ZR 0
Z9 4
U1 0
U2 1
SN 0738-081X
EI 1879-1131
UT WOS:000300867500009
PM 22330664
ER

PT J
AU Ben Romdhane, Habiba
   Ben Ali, Samir
   Skhiri, Hajer
   Traissac, Pierre
   Bougatef, Souha
   Maire, Bernard
   Delpeuch, Francis
   Achour, Noureddine
TI Hypertension among Tunisian adults: results of the TAHINA project
SO HYPERTENSION RESEARCH
VL 35
IS 3
BP 341
EP 347
DI 10.1038/hr.2011.198
PD MAR 2012
PY 2012
AB We performed a national survey to determine the prevalence, awareness,
   treatment and control of hypertension, one of the main cardiovascular
   risk factors, among the adult population in Tunisia. A total of 8007
   adults aged 35-70 years were included in the study. Blood pressure (BP)
   measurements were taken by physicians with a mercury sphygmomanometer,
   and standard interviewing procedures were used to record medical
   history, socio-demographic and cardiovascular disease (CVD) risk
   factors. Hypertension was defined as a systolic BP >= 140mmHg and/or
   diastolic BP >= 90mmHg or current treatment with antihypertensive drugs.
   The prevalence of hypertension was 30.6%, higher in women (33.5%) than
   in men (27.3%). Multiple logistic regression analyses identified a
   higher age, urban area, higher body mass index, type 2 diabetes and
   family history of CVD as important correlates to the prevalence of
   hypertension. Only 38.8% of those with hypertension were aware of their
   diagnosis, of which 84.8% were receiving treatment. BP control was
   achieved in only 24.1% of treated hypertensive persons. Women were more
   aware than men (44.8 vs. 28.8%), but the rates of treatment and control
   of hypertension did not differ between the two genders. Higher age,
   being female, lower education level and urban area emerged as important
   correlates of hypertension awareness. The study highlights the
   hypertension problem in a middle-income developing country. There is an
   urgent need for a comprehensive integrated population-based intervention
   program to ameliorate the growing problem of hypertension in Tunisians.
   Hypertension Research (2012) 35, 341-347; doi:10.1038/hr.2011.198;
   published online 1 December 2011
OI Traissac, Pierre/0000-0002-3184-5597
Z8 0
TC 34
ZA 0
ZR 0
ZB 9
ZS 0
Z9 34
U1 0
U2 2
SN 0916-9636
EI 1348-4214
UT WOS:000301188600017
PM 22129519
ER

PT J
AU Vanhille, Derek L.
   Maiberger, Patrick G.
   Peng, Angela
   Reiter, Evan R.
TI Sharps exposures among otolaryngology-head and neck surgery residents
SO LARYNGOSCOPE
VL 122
IS 3
BP 578
EP 582
DI 10.1002/lary.22469
PD MAR 2012
PY 2012
AB Objectives/Hypothesis: Examine the incidence of sharps exposures among
   otolaryngology residents, assess characteristics of exposures, and
   determine rates of reporting these potentially career- and
   life-impacting exposures.
   Study Design: Cohort study of otolaryngology-head and neck surgery
   residents.
   Methods: Survey was administered online to otolaryngology residents in
   the spring of 2008, gathering demographic information, characteristics
   of sharps exposures, and residents' self-reporting of sharps exposures.
   Results: Among 1,407 otolaryngology residents nationwide, 231 completed
   the survey. Of these, 168 (72.7%) had at least one sharps exposure
   during residency, with most due to solid-bore needles (51.7%) and
   occurring in the operating room (67%). Fifty percent of residents
   reported exposures occurring in postgraduate year (PGY)-3 or PGY-4,
   whereas exposures occurred at slightly lower rates in the other PGYs.
   There was no difference in incidence of sharps exposures based on gender
   (Fisher exact test, P = .2742) or history of sharps exposure during
   medical school (Fisher exact test, P = .7559). Seventy-four participants
   had an exposure that they did not report to the hospital, with the most
   common reason for not reporting being the perceived burden of the
   hospital testing protocol.
   Conclusions: Otolaryngology residents report a high rate of sharps
   exposures during residency training, with a significant number of these
   exposures going unreported. Better education may be needed to help
   decrease these often preventable workplace exposures and to improve
   compliance with reporting and testing procedures.
Z8 0
ZB 1
TC 3
ZR 0
ZA 0
ZS 1
Z9 4
U1 0
U2 0
SN 0023-852X
UT WOS:000300680200017
PM 22258933
ER

PT J
AU Bihan, H.
   Mejean, C.
   Castetbon, K.
   Faure, H.
   Ducros, V.
   Sedeaud, A.
   Galan, P.
   Le Clesiau, H.
   Peneau, S.
   Hercberg, S.
TI Impact of fruit and vegetable vouchers and dietary advice on fruit and
   vegetable intake in a low-income population
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 66
IS 3
BP 369
EP 375
DI 10.1038/ejcn.2011.173
PD MAR 2012
PY 2012
AB Background/Objectives: Lower-income subgroups consume fewer servings of
   fruit and vegetables (FVs) compared with their more advantaged
   counterparts. To overcome financial barriers, FV voucher delivery has
   been proposed.
   Subjects/Methods: In a 12-month trial, 302 low-income adults 18-60 years
   old (defined by evaluation of deprivation and inequalities in health
   examination centers, a specific deprivation score) were randomized into
   two groups: dietary advice alone ('advice'), or dietary advice plus FV
   vouchers ('FV vouchers') (10-40 euros/month) exchangeable for fresh
   fruits and vegetables. Self-reported data were collected on FV
   consumption and socioeconomic status at baseline, 3, 9 and 12 months.
   Anthropometric and blood pressure measurements were conducted at these
   periods, as well as blood samples obtained for determination of
   vitamins. Descriptive analyses, multiple linear regression and logistic
   regression were performed to evaluate the impact of FV.
   Results: Between baseline and 3-month follow-up, mean FV consumption
   increased significantly in both the 'advice' (0.62 +/- 1.29 times/day,
   P=0.0004) and 'FV vouchers' groups (0.74 +/- 1.90, P=0.002), with no
   difference between groups. Subjects in the FV vouchers group had
   significantly decreased risk of low FV consumption (<1 time/day)
   compared with those in the advice group (P=0.008). No change was noted
   in vitamin levels (vitamin C and beta-carotene). The high number of
   lost-to-follow-up cases did not permit analysis at 9 or 12 months.
   Conclusion: In the low-income population, FV voucher delivery decreased
   the proportion of low FV consumers at 3 months. Longer-term studies are
   needed to assess their impact on nutritional status. European Journal of
   Clinical Nutrition (2012) 66, 369-375; doi: 10.1038/ejcn.2011.173;
   published online 12 October 2011
RI HERCBERG, Serge/B-4429-2008; Peneau, Sandrine/F-2701-2017; Serge, Hercberg/F-3038-2017; Mejean, Caroline/F-2792-2017; Castetbon, Katia/F-2686-2017; CASTETBON, Katia/; Sedeaud, Adrien/
OI HERCBERG, Serge/0000-0002-3168-1350; Peneau,
   Sandrine/0000-0002-3463-0989; Serge, Hercberg/0000-0002-3168-1350;
   Mejean, Caroline/0000-0001-6467-5056; CASTETBON,
   Katia/0000-0002-1207-6729; Sedeaud, Adrien/0000-0002-8492-3579
ZR 0
ZA 0
TC 32
ZS 0
Z8 0
ZB 12
Z9 32
U1 1
U2 44
SN 0954-3007
EI 1476-5640
UT WOS:000301382400011
PM 21989324
ER

PT J
AU Kerfoot, B. Price
   Baker, Harley
TI An Online Spaced-Education Game to Teach and Assess Residents: A
   Multi-Institutional Prospective Trial
SO JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
VL 214
IS 3
BP 367
EP 373
DI 10.1016/j.jamcollsurg.2011.11.009
PD MAR 2012
PY 2012
AB BACKGROUND: While games are frequently used in resident education, there
   is little evidence supporting their efficacy. We investigated whether a
   spaced-education (SE) game can be both a reliable and valid method of
   assessing residents' knowledge and an effective means of teaching core
   content.
   STUDY DESIGN: The SE game consisted of 100 validated multiple-choice
   questions and explanations on core urology content. Residents were sent
   2 questions each day via email. Adaptive game mechanics re-sent the
   questions in 2 or 6 weeks if answered incorrectly and correctly,
   respectively. Questions expired if not answered on time (appointment
   dynamic). Residents retired questions by answering each correctly twice
   in a row (progression dynamic). Competition was fostered by posting
   relative performance amongresidents. Main outcomes measures were
   baseline scores (percentage of questions answered correctly on initial
   presentation) and completion scores (percentage of questions retired).
   RESULTS: Nine hundred thirty-one US and Canadian residents enrolled in
   the 45-week trial. Cronbach alpha reliability for the SE baseline scores
   was 0.87. Baseline scores (median 62%, interquartile range [IQR] 17%)
   correlated with scores on the 2008 American Urological Association
   in-service examination (ISE08), 2009 American Board of Urology
   qualifying examination (QE09), and ISE09 (r = 0.76, 0.46, and 0.64,
   respectively; all p < 0.001). Baseline scores varied by sex, country,
   medical degree, and year of training (all p <= 0.001). Completion scores
   (median 100%, IQR 2%) correlated with ISE08 and ISE09 scores (r = 0.35,
   p < 0.001 for both). Seventy-two percent of enrollees (667 of 931)
   requested to participate in future SE games.
   CONCLUSIONS: An SE game is a reliable and valid means to assess
   residents' knowledge and is a well-accepted method by which residents
   can master core content. (J Am Coll Surg 2012;214:367-373. (C) 2012 by
   the American College of Surgeons)
Z8 0
ZB 4
ZA 0
ZR 0
ZS 0
TC 33
Z9 33
U1 0
U2 11
SN 1072-7515
EI 1879-1190
UT WOS:000301770100015
PM 22225647
ER

PT J
AU Tanaka, Pedro Paulo
   Hawrylyshyn, Kathryn Ashley
   Macario, Alex
TI Use of Tablet (iPad (R)) as a Tool for Teaching Anesthesiology in an
   Orthopedic Rotation
SO REVISTA BRASILEIRA DE ANESTESIOLOGIA
VL 62
IS 2
BP 214
EP 222
PD MAR-APR 2012
PY 2012
AB Background and objectives: The goal of this study was to compare scores
   on house staff evaluations of "overall teaching quality" during a
   rotation in anesthesia for orthopedics in the first six months (n = 11
   residents were provided with curriculum in a printed binder) and in the
   final six months (n = 9 residents were provided with the same curriculum
   in a tablet computer (iPad, Apple (R), Inc, Cupertino, Ca)).
   Methods: At the beginning of the two-week rotation, the resident was
   given an iPad containing: a syllabus with daily reading assignments,
   rotation objectives according to the ACGME core competencies, and
   journal articles. Prior to the study, these curriculum materials had
   been distributed in a printed binder. The iPad also provided peer
   reviewed internet sites and direct access to online textbooks, but was
   not linked to the electronic medical record. At the end of the rotation,
   residents anonymously answered questions to evaluate the rotation on an
   ordinal scale from 1 (unsatisfactory) to 5 (outstanding). All residents
   were unaware that the data would be analyzed retrospectively for this
   study.
   Results: The mean global rating of the rotation as assessed by "overall
   teaching quality of this rotation" increased from 4.09 (N = 11
   evaluations before intervention, SD 0.83, median 4, range 3-5) to 4.89
   (N = 9 evaluations after intervention, SD 0.33, median 5, range 4-5) p =
   0.04.
   Conclusions: Residents responded favorably to the introduction of an
   innovative iPad based curriculum for the orthopedic anesthesia rotation.
   More studies are needed to show how such mobile computing technologies
   can enhance learning, especially since residents work at multiple
   locations, have duty hour limits, and the need to document resident
   learning in six ACGME core competencies.
RI Macario, Alex/ABB-3771-2020; Tanaka, Pedro/
OI Macario, Alex/0000-0002-2685-5256; Tanaka, Pedro/0000-0002-4723-3122
ZR 0
ZS 2
ZB 7
ZA 0
TC 27
Z8 0
Z9 30
U1 0
U2 14
SN 0034-7094
UT WOS:000301768500007
PM 22440376
ER

PT J
AU Barnett, David
   Whitby, Liam
   Wong, John
   Louzao, Raul
   Reilly, John T.
   Denny, Thomas N.
TI VERITAS?: A Time for VERIQAS (TM) and a new approach to training,
   education, and the quality assessment of CD4(+) T lymphocyte counting
   (I)
SO CYTOMETRY PART B-CLINICAL CYTOMETRY
VL 82B
IS 2
BP 93
EP 100
DI 10.1002/cyto.b.20624
PD MAR 2012
PY 2012
AB Background: The aim of clinical laboratories is to produce accurate and
   reproducible results to enable effective and reliable clinical practice
   and patient management. The standard approach is to use both internal
   quality control (IQC) and external quality assessment (EQA). IQC serves,
   in many instances, as a go, no go tool to provide real time assurance
   that instruments and reagent or test systems are performing within
   defined specifications. EQA however, takes a snapshot at a specific
   point in time of the full testing process, results are compared to other
   laboratories performing similar testing but inevitably has some built in
   delay from sample issue to performance data review. In addition, if IQC
   or EQA identify areas of concern it can be difficult to determine the
   exact nature of the problem. In an attempt to address this problem, we
   have developed an instant QA panel that we have termed VERIQAS(TM),
   specifically for CD4+ T lymphocyte counting, and have undertaken a proof
   of principle pilot study to examine how the use of VERIQAS(TM) could
   result in improvement of laboratory performance. In addition, we have
   examined how this approach could be used as a training and education
   tool (in a domestic/international setting) and potentially be of value
   in instrument validation/switch studies (a switch study being defined as
   a laboratory changing from one method/instrument to a new
   method/instrument with the VERIQAS(TM) panel being used as an adjunct to
   their standard switch study protocol).
   Methods: The basic panel consists of 20 stabilized samples, with
   predefined CD4(+) T lymphocyte counts, that span low clinically relevant
   to normal counts, including some blinded replicates (singlet up to
   quadruplicate combinations). The CD4(+) T lymphocyte target values for
   each specimen is defined as the trimmed mean +/- 2 trimmed standard
   deviations, where the trimmed values are derived from the CD4(+) T
   lymphocyte counts reported by the participating centers (similar to 780
   laboratories) that receive each UK NEQAS for Leucocyte Immunophenotyping
   send out. Results for the VERIQAS (TM) panel were returned online, via a
   specially designed website, and the participant was provided with an
   immediate assessment (pass or fail).
   Results: To date, the panel has been preliminary trialed by eight
   laboratories to (i) assess pre-EQA qualification (two laboratories);
   (ii) address performance issues (two laboratories); or (iii) validate
   new instruments or techniques (four laboratories). Interestingly, even
   in this pilot study, the panel has been instrumental in identifying
   specific technical problems in laboratories with EQA performance issues
   as well as confirming that implementation of new techniques or
   instruments have been successful.
   Conclusion: We report here a new and novel "proof of principle'' pilot
   study to quality assessment, that we have termed VERIQAS (TM), designed
   to provide instant feedback on performance. Participating laboratories
   receive 20 "blinded'' samples that are in singlet up to quadruplicate
   combinations. Once a centre reports its results via a website, immediate
   feedback is provided to both the participant and the EQA organizers,
   enabling, if required, the initiation of targeted remedial action. We
   have also shown that this approach has the potential to be used as a
   tool for prequalification, troubleshooting, training and instrument
   verification. Pilot phase field trials with VERIQAS (TM) have shown that
   the panel can highlight laboratory performance problems, such as
   suboptimal instrument set up, pipetting and gating strategies, in a
   rapid and efficient manner. VERIQAS (TM) will now be introduced, where
   appropriate, as a second phase study within UK NEQAS for Leucocyte
   Immunophenotyping to assist those laboratories that have performance
   issues and also made available to laboratories for training and
   education of staff and instrument validation studies. (C) 2011
   International Clinical Cytometry Society
RI Whitby, Liam/AGO-4150-2022; Barnett, David/; Denny, Thomas/
OI Whitby, Liam/0000-0002-5218-2593; Barnett, David/0000-0002-7658-5856;
   Denny, Thomas/0000-0002-7364-8276
Z8 0
ZR 0
TC 4
ZB 2
ZS 0
ZA 0
Z9 5
U1 0
U2 0
SN 1552-4949
UT WOS:000300692000006
PM 21998025
ER

PT J
AU Crilly, M. A.
   McNeill, G.
TI Arterial dysfunction in patients with rheumatoid arthritis and the
   consumption of daily fruits and daily vegetables
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 66
IS 3
BP 345
EP 352
DI 10.1038/ejcn.2011.199
PD MAR 2012
PY 2012
AB Background/Objectives: Rheumatoid arthritis (RA) is associated with
   increased arterial dysfunction and increased risk of cardiovascular
   disease. Regular fruit and vegetable consumption prevents cardiovascular
   disease, but their influence on arterial dysfunction in RA has not been
   investigated. We assessed the relationship between daily fruit-vegetable
   consumption and arterial dysfunction in this high-risk group.
   Subjects/Methods: Participants were recruited from a consecutive series
   of RA patients aged 40-65 years without overt cardiovascular disease
   attending rheumatology clinics. Standardised research nurse assessment
   included SphygmoCor pulse wave analysis using radial applanation
   tonometry (a higher augmentation index (AIX%) indicates arterial
   dysfunction), fasting blood sample, patient questionnaire and medical
   record review. Multivariable analysis was used to adjust for age, sex,
   cholesterol, mean arterial blood pressure, smoking habit, alcohol
   consumption, physical activity, cumulative inflammatory burden,
   rheumatoid nodules, disability and education.
   Results: We recruited 114 RA patients: 81% female, mean age 54 years,
   median arthritis duration 10 years and mean AIX% 31.5 (s.d. 7.7). Fruit
   and vegetable consumption were significantly correlated (Spearman's rho
   0.54, P << 0.0001) and on unadjusted analysis daily fruit and vegetable
   consumption was associated with a lower AIX% (-3.2; 95% CI -6.4 to -0.1,
   P=0.05). On adjusted analysis AIX% was lower with daily vegetable (-4.2;
   95% CI -7.9 to -0.5; P=0.003), but not with daily fruit (-0.02; 95% CI
   -3.9 to 3.8; P=0.99) consumption.
   Conclusions: Daily vegetable consumption, but not daily fruit
   consumption, was independently associated with more favourable arterial
   function in patients with RA. These findings are consistent with the
   enterosalivary circulation of nitrate having an influence on arterial
   function. European Journal of Clinical Nutrition (2012) 66, 345-352;
   doi: 10.1038/ejcn.2011.199; published online 30 November 2011
RI Crilly, Michael/G-3895-2014; McNeill, Geraldine/
OI Crilly, Michael/0000-0003-3914-7563; McNeill,
   Geraldine/0000-0003-0373-650X
TC 6
Z8 0
ZR 0
ZB 2
ZS 0
ZA 0
Z9 6
U1 0
U2 7
SN 0954-3007
EI 1476-5640
UT WOS:000301382400008
PM 22127333
ER

PT J
AU Thakur, S. K.
   Roy, S. K.
   Paul, K.
   Khanam, M.
   Khatun, W.
   Sarker, D.
TI Effect of nutrition education on exclusive breastfeeding for nutritional
   outcome of low birth weight babies
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 66
IS 3
BP 376
EP 381
DI 10.1038/ejcn.2011.182
PD MAR 2012
PY 2012
AB Background/Objectives: Low birth weight (LBW), defined as the body
   weight at birth of less than 2500 g, is a major public health problem in
   Bangladesh, where 37% of the babies are born with LBW. The objective of
   this study is to see the impact of nutrition education on growth of LBW
   babies with early initiation and exclusive breastfeeding compared to
   control group.
   Subjects/Methods: A total of 184 LBW babies and their mothers who
   attended the Maternal Care and Health Training Institute and Dhaka
   Medical College Hospital were randomly allocated to either intervention
   or control group. Enrollment of the study population started in May 2008
   and was completed in October 2008. Nutrition education was given to
   mothers twice weekly for 2 months, on initiation of breastfeeding within
   1 h, exclusive breastfeeding and increasing their dietary intake.
   Nutritional status of LBW babies was assessed for length and weight
   every 2 weeks. Data were analyzed using SPSS/Window's version 12.
   Comparison of mean of data was done using standard Student's t-test.
   Results: Mean initial body weight and length of LBW babies were similar
   in both groups (2261+/-198 g vs 2241+/-244 g, P=0.535 and 43.0+/-1.3 cm
   vs 43.0+/-1.7 cm, P=0.77). Body weight and length of the LBW babies
   after 2 months increased significantly (3620+/-229 g vs 3315+/-301 g,
   P<0.001 and 50.2+/-1.3 cm vs 48.7+/-1.6 cm, P<0.001). It was found that
   the intervention group suffered less from respiratory illness compared
   with the control group (39% vs 66%, P<0.001). The rate of early
   initiation of breastfeeding was also significantly higher with nutrition
   intervention (59.8% vs 37.2%, P<0.001). Exclusive breastfeeding rate was
   significantly higher in intervention group (59.8% vs 37%, P=0.003).
   Conclusions: The present study showed that weight and length gain of LBW
   babies significantly increased by breastfeeding and nutrition education.
   Therefore, nutrition education on breastfeeding proves to be a strong
   tool to reduce the high risk of malnutrition and mortality of the LBW
   babies. European Journal of Clinical Nutrition (2012) 66, 376-381; doi:
   10.1038/ejcn.2011.182; published online 16 November 2011
RI 杜, 美晨/S-4063-2016; thakur, saima/ABG-6344-2020; Roy, Prof. S. K/; Thakur, Saima Kamal/
OI 杜, 美晨/0000-0002-1562-1155; Roy, Prof. S. K/0000-0001-5175-0731; Thakur,
   Saima Kamal/0000-0002-4194-9613
ZS 0
ZR 0
Z8 0
ZA 0
ZB 8
TC 18
Z9 19
U1 0
U2 12
SN 0954-3007
EI 1476-5640
UT WOS:000301382400012
PM 22085870
ER

PT J
AU Tangvik, R. J.
   Guttormsen, A. B.
   Tell, G. S.
   Ranhoff, A. H.
TI Implementation of nutritional guidelines in a university hospital
   monitored by repeated point prevalence surveys
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 66
IS 3
BP 388
EP 393
DI 10.1038/ejcn.2011.149
PD MAR 2012
PY 2012
AB Background/Objectives: Malnutrition is present in 20-50% of hospitalized
   patients, and nutritional care is a challenge. The aim was to evaluate
   whether the implementation of a nutritional strategy would influence
   nutritional care performance in a university hospital.
   Subjects/Methods: This was a prospective quality improvement program
   implementing guidelines for nutritional care, with the aim of improving
   nutritional practice. The Nutrition Risk Screening (NRS) 2002 was used.
   Point prevalence surveys over 2 years to determine whether nutritional
   practice had improved.
   Results: In total, 3604 (70%) of 5183 eligible patients were screened
   and 1230 (34%) were at nutritional risk. Only 53% of the at-risk
   patients got nutritional treatment and 5% were seen by a dietician. The
   proportion of patients screened increased from the first to the eighth
   point prevalence survey (P=0.012), but not the proportion of patients
   treated (P=0.66). The four initial screening questions in NRS 2002
   identified 92% of the patients not at nutritional risk.
   Conclusions: Implementation of nutritional guidelines improved the
   screening performance, but did not increase the proportion of patients
   who received nutritional treatment. Point prevalence surveys were useful
   to evaluate nutritional practice in this university hospital. In order
   to improve practice, we suggest using only the four initial screening
   questions in NRS 2002 to identify patients not at risk, better education
   in nutritional care for physicians and nurses, and more dieticians
   employed. Audit of implementation of guidelines, performed by health
   authorities, and specific reimbursement for managing nutrition may also
   improve practice. European Journal of Clinical Nutrition (2012) 66,
   388-393; doi: 10.1038/ejcn.2011.149; published online 24 August 2011
RI Tell, Grethe/G-5639-2015
OI Tell, Grethe/0000-0003-1386-1638
TC 28
ZR 0
ZB 7
ZA 0
ZS 2
Z8 0
Z9 28
U1 0
U2 3
SN 0954-3007
EI 1476-5640
UT WOS:000301382400014
PM 21863042
ER

PT J
AU Montes, Guillermo
   Lotyczewski, Bohdan S.
   Halterman, Jill S.
   Hightower, Alan D.
TI School readiness among children with behavior problems at entrance into
   kindergarten: results from a US national study
SO EUROPEAN JOURNAL OF PEDIATRICS
VL 171
IS 3
BP 541
EP 548
DI 10.1007/s00431-011-1605-4
PD MAR 2012
PY 2012
AB The impact of behavior problems on kindergarten readiness is not known.
   Our objective was to estimate the association between behavior problems
   and kindergarten readiness on a US national sample. In the US
   educational system, kindergarten is a natural point of entry into formal
   schooling at age 5 because fewer than half of the children enter
   kindergarten with prior formal preschool education. Parents of 1,200
   children who were scheduled to enter kindergarten for the first time and
   were members of the Harris Interactive online national panel were
   surveyed. We defined behavior problems as an affirmative response to the
   question, "Has your child ever had behavior problems?" We validated this
   against attention deficit hyperactivity disorder diagnosis, scores on a
   reliable socioemotional scale, and child's receipt of early intervention
   services. We used linear, tobit, and logistic regression analyses to
   estimate the association between having behavior problems and scores in
   reliable scales of motor, play, speech and language, and school skills
   and an overall kindergarten readiness indicator. The sample included 176
   children with behavior problems for a national prevalence of 14%
   (confidence interval, 11.5-17.5). Children with behavior problems were
   more likely to be male and live in households with lower income and
   parental education. We found that children with behavior problems
   entered kindergarten with lower speech and language, motor, play, and
   school skills, even after controlling for demographics and region.
   Delays were 0.6-1 SD below scores of comparable children without
   behavior problems. Parents of children with behavior problems were 5.2
   times more likely to report their child was not ready for kindergarten.
   Childhood behavior problems are associated with substantial delays in
   motor, language, play, school, and socioemotional skills before entrance
   into kindergarten. Early screening and intervention is recommended.
OI Montes, Guillermo/0000-0002-7980-6044
Z8 0
ZA 0
TC 36
ZS 2
ZR 0
ZB 9
Z9 36
U1 2
U2 31
SN 0340-6199
UT WOS:000300668400019
PM 22016261
ER

PT J
AU Aarts, J. W. M.
   van den Haak, P.
   Nelen, W. L. D. M.
   Tuil, W. S.
   Faber, M. J.
   Kremer, J. A. M.
TI Patient-focused Internet interventions in reproductive medicine: a
   scoping review
SO HUMAN REPRODUCTION UPDATE
VL 18
IS 2
BP 211
EP 227
DI 10.1093/humupd/dmr045
PD MAR-APR 2012
PY 2012
AB The Internet has revolutionized fertility care since it became a popular
   source of information and support for infertile patients in the last
   decade. The aim of this scoping review is to map (i) the main categories
   of patient-focused Internet interventions within fertility care, (ii)
   the detailed composition of the interventions and (iii) how these
   interventions were evaluated.
   A literature search used various oInternet' and oInfertility' search
   terms to identify relevant studies published up to 1 September 2011. The
   selected studies had to include patients facing infertility and using an
   infertility-related Internet intervention. We charted data regarding
   categories of interventions, components of interventions and evaluation
   methodology. We categorized the stages of research using the UKs Medical
   Research Council framework for evaluating complex interventions.
   We included 20 studies and identified 3 educational interventions, 2
   self-help interventions, 1 human-supported therapeutic intervention, 9
   online support groups and 2 counselling services. Information provision,
   support and mental health promotion were common aims. Few interactive
   online components were present in the online programmes. Three studies
   were in the pilot phase and 17 were in the evaluation phase.
   Several categories of patient-focused Internet-based interventions in
   fertility care are primarily applied to provide support and education
   and promote mental health. The interventions could be improved by using
   more interactive and dynamic elements as their key components. Finally,
   more emphasis on methodological standards for complex interventions is
   needed to produce more rigorous evaluations. This review shows where
   further development or research into patient-focused Internet
   interventions in fertility-care practice may be warranted.
RI Kremer, J.A.M./H-8063-2014; Nelen, Willianne/N-4239-2013; Meinders, Marjan J/L-4302-2015; Aarts, Johanna WM/P-1244-2015
OI Kremer, J.A.M./0000-0002-0495-0201; Meinders, Marjan
   J/0000-0001-6491-7035; 
TC 26
ZS 1
ZR 0
Z8 0
ZB 9
ZA 0
Z9 27
U1 0
U2 17
SN 1355-4786
EI 1460-2369
UT WOS:000300722000007
PM 22108381
ER

PT J
AU Laurent, Michael R.
   Cremers, Saskia
   Verhoef, Gregor
   Dierickx, Daan
TI Internet use for health information among haematology outpatients: A
   cross-sectional survey
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 37
IS 2
BP 62
EP 73
DI 10.3109/17538157.2011.606481
PD MAR 2012
PY 2012
AB Patients are increasingly seeking health information on the Internet,
   but to the best of our knowledge, this has not been previously studied
   in haematology. We aimed to characterise online health information use
   and associated variables among adult outpatients in our tertiary-care
   centre in Flanders, Belgium. During a 6-week period, we distributed 477
   anonymous self-administered questionnaires and received 451 (response
   rate 94.5%), of which 444 (93.1% of total) contained information on
   Internet use for health information, the primary outcome. Two hundred
   and thirty-two respondents (52.3%) had ever sought any health
   information online, and 187 (33.1%) conducted searches pertaining to
   their haematological disease in the past year. The latter was
   independently associated with younger age and a higher level of
   education in multivariate analysis. Internet users ranked the Internet
   higher and other resources lower as health information resources. Among
   Internet users, 196 (89.5%) would be interested in a list of reliable
   websites about their disease. Patients reported positive and negative
   aspects of online health information-seeking; it increased anxiety in
   some while it stimulated coping in others. We conclude that
   haematological patients commonly use the Internet for health information
   and report both positive and negative aspects of using this medium.
RI Laurent, Michaël R./D-5748-2011; Schoemans, Helene/
OI Laurent, Michaël R./0000-0001-9681-8330; Schoemans,
   Helene/0000-0002-7568-8239
ZR 0
ZS 1
TC 15
ZB 4
Z8 0
ZA 0
Z9 16
U1 0
U2 12
SN 1753-8157
UT WOS:000300681100002
PM 22017473
ER

PT J
AU Stout, James W.
   Smith, Karen
   Zhou, Chuan
   Solomon, Cam
   Dozor, Allen J.
   Garrison, Michelle M.
   Mangione-Smith, Rita
TI Learning from a Distance: Effectiveness of Online Spirometry Training in
   Improving Asthma Care
SO ACADEMIC PEDIATRICS
VL 12
IS 2
BP 88
EP 95
PD MAR-APR 2012
PY 2012
AB OBJECTIVE: We evaluated the effectiveness of a virtually delivered
   quality improvement (QI) program designed to improve primary care
   management for children with asthma.
   METHODS: Thirty-six physicians, nurses, and medical assistants from 14
   primary care pediatric practices (7 matched practice pairs) participated
   in a cluster randomized trial from October 2007 to September 2008. All
   practices received a spirometer and standard vendor training. A 7-month
   QI program delivered during the study period included: I) Spirometry
   Fundamentals (TM) CD-ROM, a multimedia tutorial; 2) case-based,
   interactive webinars led by clinical experts; and 3) an internet-based
   spirometry quality feedback reporting system. Practice pairs were
   compared directly to each other, and between-group differences were
   analyzed with the use of mixed effects regression models. Our main
   outcome measures were the frequency of spirometry testing, percentage of
   acceptable quality spirometry tests, asthma severity documentation, and
   appropriate controller medication prescribing.
   RESULTS: Participating practices uploaded a total of 1028 spirometry
   testing sessions, of which 340 (33.1%) were of acceptable quality.
   During the 7-month intervention period, there was no difference between
   intervention and control practices in the frequency of spirometry tests
   performed. Intervention practices were estimated to have significantly
   greater odds of conducting tests with acceptable quality compared with
   matched control practices, adjusting for quality in the baseline period
   (odds ratio 2.85; 95% confidence interval 1.78-4.56, P < .001).
   Intervention providers also had significantly greater odds of
   documenting asthma severity during the intervention period (odds ratio
   2.9, 95% confidence interval 1.8-4.5; P < .001). Although use of
   controller medications among patients with Persistent asthma approached
   100% for both groups, the proportion of asthma patients labeled as
   persistent increased from 43% to 62% among intervention practices, and
   decreased from 57% to 50% among controls (NS).
   CONCLUSIONS: A multifaceted distance QI program resulted in increased
   spirometry quality and improved assessment of asthma severity levels.
   Successful participation in QI programs can occur over distance.
RI Zhou, Chuan/AAJ-1935-2020
TC 25
ZB 4
ZA 0
Z8 1
ZR 0
ZS 0
Z9 26
U1 0
U2 7
SN 1876-2859
UT WOS:000301627000004
PM 22424397
ER

PT J
AU Kind, Terry
   Greysen, S. Ryan
   Chretien, Katherine C.
TI Pediatric Clerkship Directors' Social Networking Use and Perceptions of
   Online Professionalism
SO ACADEMIC PEDIATRICS
VL 12
IS 2
BP 142
EP 148
PD MAR-APR 2012
PY 2012
AB OBJECTIVE: The use of social networking sites (SNS) is increasing among
   all ages, with implications for medical education faculty and trainee
   interactions. Our objective was to understand pediatric medical
   educators' use of SNS and perspectives on professional boundaries and
   posted content.
   METHODS: From September through December 2010, the Council on Medical
   Student Education in Pediatrics conducted its annual online survey. This
   survey included 11 questions regarding members' own SNS use,
   interactions with trainees, and perceptions about online behaviors by
   students. In addition, 3 open-ended questions about reasons for SNS
   use/nonuse and interactions with trainees were included. Bivariate and
   multivariable analyses were conducted with the use of logistic
   regression for predictors of clerkship directors' SNS use and views
   about behaviors. Open-ended questions were analyzed qualitatively to
   identify themes.
   RESULTS: Of the 65% (94/144) of clerkship directors responding to the
   survey, 34% (32/94) currently use SNS, 54% (51/94) never used SNS, and
   12% (11/94) previously used SNS. Lack of time was the main reason for
   non-use. Female respondents were more likely to perceive it as
   never/rarely acceptable to accept students' friend requests (odds ratio
   = 2.96, P = .03). Most felt hypothetical student online behaviors were
   rarely/never acceptable, such as photos of students holding alcohol
   (68/92, 74%), using discriminatory language (89/91, 98%), and sexually
   explicit posts (87/90, 97%).
   CONCLUSIONS: Approximately one-third of pediatric clerkship directors
   currently use SNS, with use less likely with increasing age. Fewer have
   SNS relationships with students than with residents. Perceptions of
   appropriateness of faculty SNS behaviors and students' postings varied.
   These perceptions by medical education leaders can stimulate discussion
   to inform consensus guidelines on professional SNS use.
OI Kind, Terry/0000-0002-3017-5683
ZA 0
ZB 4
TC 20
ZR 0
ZS 0
Z8 0
Z9 20
U1 0
U2 5
SN 1876-2859
EI 1876-2867
UT WOS:000301627000012
PM 22306287
ER

PT J
AU Sanfey, Hilary
   Boehler, Margaret
   DaRosa, Debra
   Dunnington, Gary L.
TI Career Development Needs of Vice Chairs for Education in Departments of
   Surgery
SO JOURNAL OF SURGICAL EDUCATION
VL 69
IS 2
BP 156
EP 161
DI 10.1016/j.jsurg.2011.08.002
PD MAR-APR 2012
PY 2012
AB AIM: To identify the career development needs Vice Chair for Education
   in Surgery Departments (VCESDs).
   METHODS: In all, 33 VCESDs were invited to complete an online survey to
   identify the scope of duties, scholarly activity, job satisfaction, and
   career development needs.
   RESULTS: A total of 29/33 (88%) VCESDs responded. Time constraints were
   the most frequent impediment for MDs vs. PhDs (p < 0.05). Dominant
   faculty development needs were conducting educational research (2.0 +/-
   0.78 for MDs, 1.33 +/- 0.76 for PhDs), developing resident selection
   systems (1.68 +/- 0.73), and mentorship programs (1.95 +/- 0.77) for
   MDs, and developing teach the teacher programs (1 +/- 0), and program
   performance evaluation systems (1.33 +/- 0.76) for PhDs. The skills
   deemed to be of greatest importance were ability to communicate
   effectively (1.27 +/- 0.55), resolve personnel conflicts (1.32 +/-
   0.57), and introduce change (1.41 +/- 0.59). PhDs revealed a greater
   need to learn strategies for dealing with disruptive faculty (1.0 +/- 0
   vs 2.15 +/- 0.87).
   CONCLUSIONS: This information will inform the future career development
   of VCESDs and will assist Department Chairs who wish to recruit and
   retain VCESDs. (J Surg 69: 156-161. (C) 2012 Association of Program
   Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
Z8 0
ZR 0
ZS 0
ZA 0
ZB 1
TC 12
Z9 12
U1 0
U2 6
SN 1931-7204
EI 1878-7452
UT WOS:000301316400006
PM 22365859
ER

PT J
AU Zendejas, Benjamin
   Cook, David A.
   Hernandez-Irizarry, Roberto
   Huebner, Marianne
   Farley, David R.
TI Mastery Learning Simulation-Based Curriculum for Laparoscopic TEP
   Inguinal Hernia Repair
SO JOURNAL OF SURGICAL EDUCATION
VL 69
IS 2
BP 208
EP 214
DI 10.1016/j.jsurg.2011.08.008
PD MAR-APR 2012
PY 2012
AB BACKGROUND: The laparoscopic totally extraperitoneal (TEP) inguinal
   herniorrhaphy requires 250 repairs to master. Simulation training could
   potentially accelerate this process. We describe the development,
   evaluation and implementation of a TEP mastery learning curriculum.
   DESIGN: We developed a 2-stage curriculum comprising online knowledge
   modules and skills practice on a simulator (the Guildford-MATTU TEP
   trainer; Limbs & Things, Ltd, Bristol, UK). Learners demonstrated
   mastery at each stage before advancing. The knowledge endpoint was a
   multiple-choice test. The skills endpoint was procedure time, as
   established by timing 5 experienced staff surgeons. Participants were
   proctored individually, receiving personalized feedback after each
   attempt until mastery time was achieved. The times to perform a
   simulated repair, number of attempts, and training time to reach mastery
   were compared between groups.
   RESULTS: The mastery time was established at 2 minutes. Nine medical
   students, 36 general surgery residents (PGY 1-5), and 3 surgery fellows
   participated as learners. All learners achieved the knowledge and skills
   mastery endpoints. For the skill endpoint, participants required a
   median of 69 minutes (range, 13-193 minutes) and 16 simulated repairs
   (range, 7-27 repairs). The mean number of attempts and total training
   time to reach mastery varied by group (p < 0.001); more experienced
   residents required fewer attempts and less time to reach mastery.
   CONCLUSIONS: When training with a mastery learning-type simulation-based
   curriculum, surgical trainees can achieve the technical skill required
   to perform key portions of the TEP repair under artificial conditions
   with a performance similar to that of an expert, and are ready to move
   to the next phase of training in the operating room. (J Surg 69:208-214.
   (C) 2012 Association of Program Directors in Surgery. Published by
   Elsevier Inc. All rights reserved.)
RI Huebner, Marianne/AAA-6882-2020; Huebner, Marianne/; Zendejas, Benjamin/
OI Huebner, Marianne/0000-0002-9694-9231; Zendejas,
   Benjamin/0000-0002-1231-5283
ZS 2
ZA 0
TC 38
ZB 5
ZR 0
Z8 0
Z9 39
U1 0
U2 4
SN 1931-7204
EI 1878-7452
UT WOS:000301316400014
PM 22365867
ER

PT J
AU Maurer, Juergen
   Harris, Katherine M.
   Black, Carla L.
   Euler, Gary L.
TI Support for Seasonal Influenza Vaccination Requirements among US
   Healthcare Personnel
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 33
IS 3
BP 213
EP 221
DI 10.1086/664056
PD MAR 2012
PY 2012
AB OBJECTIVE. To measure support for seasonal influenza vaccination
   requirements among US healthcare personnel (HCP) and its associations
   with attitudes regarding influenza and influenza vaccination and
   self-reported coverage by existing vaccination requirements.
   DESIGN. Between June 1 and June 30, 2010, we surveyed a sample of US HCP
   (n = 1,664) recruited using an existing probability-based online
   research panel of participants representing the US general population as
   a sampling frame.
   SETTING. General community.
   PARTICIPANTS. Eligible HCP who (1) reported having worked as medical
   doctors, health technologists, healthcare support staff, or other health
   practitioners or who (2) reported having worked in hospitals, ambulatory
   care facilities, long-term care facilities, or other health-related
   settings.
   METHODS. We analyzed support for seasonal influenza vaccination
   requirements for HCP using proportion estimation and multivariable
   probit models.
   RESULTS. A total of 57.4% (95% confidence interval, 53.3%-61.5%) of US
   HCP agreed that HCP should be required to be vaccinated for seasonal
   influenza. Support for mandatory vaccination was statistically
   significantly higher among HCP who were subject to employer-based
   influenza vaccination requirements, who considered influenza to be a
   serious disease, and who agreed that influenza vaccine was safe and
   effective.
   CONCLUSIONS. A majority of HCP support influenza vaccination
   requirements. Moreover, providing HCP with information about the safety
   of influenza vaccination and communicating that immunization of HCP is a
   patient safety issue may be important for generating staff support for
   influenza vaccination requirements.
OI /0000-0002-3923-677X
ZA 0
ZB 14
Z8 0
ZS 0
ZR 0
TC 23
Z9 23
U1 1
U2 15
SN 0899-823X
EI 1559-6834
UT WOS:000300041400001
PM 22314055
ER

PT J
AU Poot, Jeffrey D.
   Hartman, Matthew S.
   Daffner, Richard H.
TI Understanding the US Medical School Requirements and Medical Students'
   Attitudes about Radiology Rotations
SO ACADEMIC RADIOLOGY
VL 19
IS 3
BP 369
EP 373
DI 10.1016/j.acra.2011.11.005
PD MAR 2012
PY 2012
AB Rationale and Objectives: To learn what percentage of US medical schools
   require their students to complete rotations in radiology during the
   clinical years. A secondary goal was to survey students' opinions about
   radiology rotations.
   Materials and Methods: Data were collected from 159 US medical schools
   from the Association of American Medical Colleges (AAMC) for allopathic
   medical schools, the American Association of Colleges of Osteopathic
   Medicine (AACOM) for osteopathic medical schools, and by e-mailing
   curriculum directors at US medical schools with a survey. The secondary
   goal was achieved by e-mailing curriculum directors for voluntary
   medical student participation with an institutional review
   board-approved online survey.
   Results: Data from the 2009-2010 academic year from AAMC and AACOM
   showed that 25% of US medical schools required radiology as a clinical
   rotation. Our survey of curriculum directors corroborated the AAMC and
   AACOM data. Data from our medical student survey showed that 87% of
   students from institutions requiring radiology thought radiology should
   be required. From institutions not requiring radiology, 45% of students
   thought that radiology should be required as a standalone course. Of
   students not required to take radiology, 63% planned to take radiology
   as an elective.
   Conclusions: Students, regardless of requirements, think there is value
   in having radiology as a regular aspect of a medical school curriculum.
   Medical schools should consider ways of incorporating radiology into
   their clinical curriculum.
ZA 0
ZS 1
ZR 0
ZB 1
Z8 0
TC 39
Z9 40
U1 0
U2 1
SN 1076-6332
UT WOS:000300527300016
PM 22177282
ER

PT J
AU Gilbert, Alexandra
   Hockey, Peter
   Vaithianathan, Rhema
   Curzen, Nick
   Lees, Peter
TI Perceptions of junior doctors in the NHS about their training: results
   of a regional questionnaire
SO BMJ QUALITY & SAFETY
VL 21
IS 3
BP 234
EP 238
DI 10.1136/bmjqs-2011-000611
PD MAR 2012
PY 2012
AB Objective: To explore the views of doctors in training about their
   current roles and their potential value to the National Health Service
   (NHS) in improving healthcare quality and productivity.
   Methods: Online questionnaire sent via email to 3766 junior doctors
   (foundation year one to specialist trainee year 3+) in the NHS South
   Central region.
   Results: The response rate was 1479/3766 (39.3%). Respondents recognised
   the importance of leadership (89.7%), team working (89.2%) and
   professionalism (97%). Only 3.4% of junior doctors stated they have
   never acted in a leadership capacity. However, respondents reported a
   lack of receptivity from their organisations: the majority responded
   that they do not feel valued by managers (83.3%), the chief executive
   (77.7%), the organisation (77.3%), the NHS (79.3%) and consultants
   (58.2%). 91.2% of respondents have had ideas for improvement in their
   workplace; however, only 10.7% have had their ideas for change
   implemented. Respondents who had been on a NHS South Central leadership
   development course were significantly more likely to feel valued by all
   groups of staff in their organisation. They were also significantly more
   likely to report having their ideas implemented.
   Conclusions: Doctors in training have a desire and perceived ability to
   contribute to improvement in the NHS but do not perceive their working
   environment as receptive to their skills. Junior doctors who attend
   leadership training report higher levels of desire and ability to
   express these skills. This study suggests junior doctors are an untapped
   NHS resource and that they and their organisations would benefit from
   more formalised provision of training in leadership.
RI curzen, nick/AAD-8161-2020; Curzen, Nick/; Gilbert, Alexandra/
OI Curzen, Nick/0000-0001-9651-7829; Gilbert, Alexandra/0000-0002-9142-1227
ZS 0
ZA 0
ZB 2
TC 25
ZR 0
Z8 0
Z9 25
U1 0
U2 9
SN 2044-5415
UT WOS:000300637200010
PM 22282817
ER

PT J
AU Cheng, Yung-Ming
TI The Effects of Information Systems Quality on Nurses' Acceptance of the
   Electronic Learning System
SO JOURNAL OF NURSING RESEARCH
VL 20
IS 1
BP 19
EP 30
DI 10.1097/JNR.0b013e31824777aa
PD MAR 2012
PY 2012
AB Background: To ensure the quality of healthcare provision, nurses must
   continuously enhance their professional knowledge and competencies via
   continuing education. As compared with traditional learning, electronic
   learning (e-learning) is a more flexible method for nurses' in-service
   learning. Hence, e-learning is expected to play a key role in providing
   continuing education for nurses.
   Purpose: The main purpose of this study was to examine whether system
   quality, information quality, service quality, and user-interface design
   quality as the antecedents to nurse beliefs can affect nurses' intention
   to use the e-learning system.
   Methods: A cross-sectional design was used to investigate the effects of
   information systems quality on nurses' acceptance of the e-learning
   system. This study gathered sample data from nurses at 3 hospitals in
   Taiwan. A total of 450 questionnaires were distributed, and 320
   effective questionnaires were analyzed in this study, indicating an
   effective response rate of 71.1%. Collected data were analyzed using
   structural equation modeling.
   Results: System quality, information quality, and user-interface design
   quality had significant effects on perceived usefulness (PU), perceived
   ease of use (PEOU), and perceived enjoyment (PE), and service quality
   had significant effects on PU and PEOU. Moreover, PEOU had significant
   effects on PU and PE, and the effects of PU, PEOU, and PE on intention
   to use were significant.
   Conclusions/Implications for Practice: User-interface design quality is
   the most key antecedent that can make significant impacts on nurses' PU
   and PE, and more efforts should be made to develop a friendlier user
   interface via designing useful and enjoyable features to induce nurses
   to use the e-learning system. Moreover, system quality can make the
   greatest impact on nurses' PEOU; thus, medical institutions should
   effectively enhance system quality to deliver benefits and pleasure to
   boost nurses' usage intention of the e-learning system via reducing the
   complexity.
ZS 0
ZB 2
ZR 0
ZA 0
TC 25
Z8 0
Z9 25
U1 2
U2 51
SN 1682-3141
UT WOS:000300608400003
PM 22333963
ER

PT J
AU Soobrah, R.
   Clark, S. K.
TI Your patient information website: how good is it?
SO COLORECTAL DISEASE
VL 14
IS 3
BP e90
EP e94
DI 10.1111/j.1463-1318.2011.02792.x
PD MAR 2012
PY 2012
AB Aim The study was designed to evaluate the accessibility, reliability
   and readability of information on familial adenomatous polyposis (FAP)
   on the Web.
   Method We searched for the keywords 'familial adenomatous polyposis'
   using the three most popular search engines (Google (TM) Yahoo (TM), MSN
   (TM)) and looked at the first 50 websites. The LIDA tool (an online
   validation instrument for healthcare websites) was used to assess their
   accessibility, usability and reliability. The readability of each
   document was assessed using the Flesch Reading Ease (FRE) score. We also
   checked whether each site was certified by the Health on the Net
   Foundation Code of Conduct (HONcode) -the oldest and most trustworthy
   code for medical and health-related information available on the
   Internet.
   Results Of the 150 possible sites, only 48 were analysed because of
   repetitions (52), irrelevant content (21) or inaccessible links (29).
   Nineteen were HONcode-certified. The mean LIDA and FRE scores for all
   websites were 62.59% (SD = 10) and 32.9 (SD = 16) respectively.
   HONcode-certified websites have slightly higher reliability scores than
   HONcode-uncertified websites (38.5% vs 36.2%).
   Conclusion Good quality information on patients with FAP is difficult to
   obtain on the Internet. The websites analysed have alarmingly low
   reliability scores. The readability of their content is poor and they
   often do not appear among the top search results. There is a need to
   develop a clear, easily accessible and authoritative resource for
   patients with FAP.
RI Clark, Susan/J-8103-2012
OI Clark, Susan/0000-0002-6929-8082
Z8 0
ZB 5
ZR 0
TC 32
ZA 0
ZS 4
Z9 34
U1 0
U2 9
SN 1462-8910
UT WOS:000299949100002
PM 21883807
ER

PT J
AU Ross-Adjie, Gail
   McAllister, Helen
   Bradshaw, Sue
TI Graduated compression stockings for the prevention of postoperative
   venous thromboembolism in obstetric patients: a best practice
   implementation project.
SO International journal of evidence-based healthcare
VL 10
IS 1
BP 77
EP 81
DI 10.1111/j.1744-1609.2011.00249.x
PD 2012-Mar
PY 2012
AB AIMS: The aims of this project were twofold: to compare our current
   venous thromboembolism management in postoperative Caesarean section
   patients with the current best evidence on the use of graduated
   compression stockings and to standardise mechanical venous
   thromboembolism prophylaxis guidelines where multiple approaches had
   previously been used.
   METHOD: Thirty post-Caesarean section patients from a private hospital
   in Perth, Western Australia, were audited in a three-phase project: (i)
   the initial audit; (ii) clinical practice change including greater
   venous thromboembolism awareness and targeted education for midwives,
   standardised guidelines for mechanical prophylaxis, the development of
   an online venous thromboembolism module, a venous thromboembolism
   prophylaxis policy and heightened consumer involvement; and (iii) a
   follow-up audit.
   RESULTS: Our initial audit result demonstrated opportunities for
   improvement across all audit criteria. The interventions were undertaken
   over a 3-month period from August to October 2010. The follow-up audit
   results showed pleasing improvements across four audit criteria with one
   criterion unchanged.
   CONCLUSION: While the follow-up audit showed significant clinical
   improvements, the tight time frame for the development and
   implementation of multiple interventions created major challenges. We
   believe that given time to embed these changes, further improvements
   will be seen. Ongoing audits will be conducted to ensure the
   sustainability of these changes. The change in practice and subsequent
   improvements demonstrated at this private hospital provide evidence to
   encourage other midwifery units to pursue best practice in the
   management of this high-risk patient cohort.
Z8 0
ZR 0
TC 3
ZS 0
ZA 0
ZB 1
Z9 3
U1 0
U2 2
EI 1744-1609
UT MEDLINE:22405419
PM 22405419
ER

PT J
AU Oakley, Marnie
   Spallek, Heiko
TI Social Media in Dental Education: A Call for Research and Action
SO JOURNAL OF DENTAL EDUCATION
VL 76
IS 3
BP 279
EP 287
PD MAR 2012
PY 2012
AB Social media are part of the fabric of today's world, from which health
   care is not excluded. Based on its distribution capacity, a single
   individual can cause an amount of damage to an institution that only a
   few decades ago required access to a mainstream news media outlet.
   Despite the obvious parallels in professional standards in the medical
   and dental communities, the scholarly activity and resulting collegial
   discourse observed among medical professionals remain unmatched in the
   dental education literature. As a result, a rigorous research agenda on
   the topic is indicated. Once these results are evaluated and thoroughly
   vetted, actions should be tailored to address the needs, minimize the
   threats, and maximize the opportunities that have been already noted by
   the medical profession. Regardless of input, albeit internal or
   external, a cadre of individuals who are willing to develop philosophy,
   policy, and procedure related to the use of social media policies in
   dental education can then be identified to evaluate the issues unique to
   the institution and perhaps the profession.
RI Spallek, Heiko/H-9749-2019
OI Spallek, Heiko/0000-0001-6865-4818
ZA 0
ZR 0
ZB 1
ZS 1
Z8 0
TC 32
Z9 33
U1 0
U2 10
SN 0022-0337
EI 1930-7837
UT WOS:000301037200002
PM 22383595
ER

PT J
AU Chen, Innie
   Bajzak, Krisztina I
   Guo, Yanfang
   Singh, Sukhbir S
TI A national survey of endoscopic practice among gynaecologists in Canada.
SO Journal of obstetrics and gynaecology Canada : JOGC = Journal
   d'obstetrique et gynecologie du Canada : JOGC
VL 34
IS 3
BP 257
EP 263
DI 10.1016/S1701-2163(16)35186-6
PD 2012-Mar
PY 2012
AB OBJECTIVE: To assess the current status of endoscopic gynaecological
   surgery in Canada, as well as the attitudes, perceptions, and
   educational preferences regarding endoscopy among Canadian
   obstetrician-gynaecologists.
   METHODS: An electronic online survey was sent to 630
   obstetrician-gynaecologists in Canada through the Society of
   Obstetricians and Gynaecologists of Canada electronic mailing list.
   Survey respondents were asked about demographic variables, level of
   training and current practice of endoscopic procedures, reasons for and
   barriers to performing endoscopy, and interest in continuing surgical
   education in laparoscopy and hysteroscopy.
   RESULTS: A total of 178 responses (28.3%) were collected and 152 (85.4%)
   analyzed. The majority of respondents were general
   obstetrician-gynaecologists (78.0%). More gynaecologic surgeons
   performed abdominal (92.7%) and vaginal hysterectomies (89.7%) than
   laparoscopic (68.4%) and robotic hysterectomies (2.2%). Even though
   93.2% of respondents selected the endoscopic approach as the preferred
   approach to surgery for their patients, 38.7% of respondents did not
   feel that they had adequate training during residency to perform
   endoscopy. Lack of operating room resources and lack of time and
   opportunity for further training were frequently selected as major
   barriers to performing endoscopy. Participants identified weekend
   continuing medical education courses and trained endoscopic surgeon
   outreach as preferred methods of acquiring endoscopic skills.
   CONCLUSION: This survey provides a contemporary assessment of the
   current endoscopic practice patterns of Canadian
   obstetrician-gynaecologists, and it helps to identify some potentially
   modifiable factors hindering the practice of endoscopy and some possible
   solutions to overcoming these barriers.
OI Chen, Innie/0000-0002-6389-4617
ZR 0
ZS 1
Z8 0
TC 18
ZB 1
ZA 0
Z9 19
U1 0
U2 1
SN 1701-2163
UT MEDLINE:22385669
PM 22385669
ER

PT J
AU Ronn, Ruth
   Smith, Whitney
   Magee, Bryden
   Hahn, Philip M
   Reid, Robert L
TI Can online learning adequately prepare medical students to undertake a
   first female pelvic examination?
SO Journal of obstetrics and gynaecology Canada : JOGC = Journal
   d'obstetrique et gynecologie du Canada : JOGC
VL 34
IS 3
BP 264
EP 268
DI 10.1016/S1701-2163(16)35187-8
PD 2012-Mar
PY 2012
AB OBJECTIVE: To determine whether a novel web-based learning module could
   adequately prepare first-year undergraduate medical students to
   skilfully perform their first female pelvic examination.
   METHODS: First-year Queen's University medical students without prior
   training or experience in female pelvic examination were recruited for
   this study. After viewing key segments of the learning module, students
   were evaluated while performing a pelvic examination on a female
   volunteer using a standardized assessment checklist (total score = 30
   points). Descriptive and comparative statistics were generated.
   RESULTS: Forty-five students participated with a mean age of 24 years
   (range 20 to 40). The mean score (±SD) on the assessment checklist was
   23.9 ± 3.6 points, (range 17 to 30). All study participants received a
   passing grade of ≥ 50% (15/30 points), and 53.3% (24/45) received an
   honours grade of ≥ 80% (24/30 points). Of the participants, 88.9%
   (40/45) agreed that they were well prepared for their first female
   pelvic examination after viewing the training video. Mean scores were
   similar for male students (23.9, n = 22) and female students (23.8, n =
   23) (P = 0.90, t test). Mean scores were not higher in those who watched
   key segments of the learning module more than once.
   CONCLUSION: This learning module viewed immediately prior to a simulated
   clinic session afforded first-year medical students the necessary
   knowledge and skills to perform a first female pelvic examination. This
   was accomplished with as little as one viewing, and could lead to
   savings in organizational costs and instruction time for medical school
   curricula.
ZB 0
Z8 0
ZR 0
ZS 0
ZA 0
TC 10
Z9 10
U1 0
U2 0
SN 1701-2163
UT MEDLINE:22385670
PM 22385670
ER

PT J
AU Kuzma, Jerzy
   Hasola, Damien J.
   Lino, Tom
   Liko, Osborne
   Waine, Arnold
   Kevau, Ikau
TI Diabetic foot ulcers in Port Moresby General Hospital 2003-2008: review
   of the principles of effective prevention and management of diabetic
   foot
SO PAPUA NEW GUINEA MEDICAL JOURNAL
VL 55
IS 1-4
BP 61
EP 66
PD MAR-DEC 2012
PY 2012
AB Background: In the recent decade in Papua New Guinea and other Pacific
   countries there has been an increasing trend of lifestyle diseases,
   including obesity associated with diabetes mellitus. Foot ulceration and
   infection leading to amputation are common and feared complications of
   diabetes. Yet these are potentially the most preventable of all
   complications in diabetic patients. Several studies have shown that half
   of all diabetic foot ulcers can be prevented by education and simple
   foot care. The primary goal of this study was to depict the scale of the
   diabetic foot as a community health problem. The secondary goal was to
   review the current literature on diabetic foot in order to develop a
   more effective preventive strategy. Methodology: A retrospective study
   on the patients with diabetic foot admitted to the surgical unit at Port
   Moresby General Hospital (PMGH) in 2003 and 2008 was conducted. We also
   carried out an extensive online search on the prevention and management
   of diabetic foot ulcers. Results: Our study showed an increasing trend
   of diabetic foot ulcers and infections from 1.4 to 2.2% of all surgical
   patients at PMGH over a 5-year period. Interestingly, over that period
   the representation of females increased from one-third to almost half of
   all patients with diabetic foot. Furthermore, the patients with diabetic
   foot complications showed a lower average hospital stay of 35 days in
   2008 compared to 54 days in 2003. The literature review showed that the
   introduction of a diabetic podiatric team service providing simple
   education to diabetic patients in the form of one teaching session
   and/or preventive written materials, with a short explanation of
   diabetic foot pathology and simple preventive measures, reduced the
   number of amputations by half. Recommendation: The introduction of a
   comprehensive foot care education program and organizing a specialist
   foot clinic for diabetic patients can reduce bed occupancy and health
   expenditure on diabetic patients as well as the number of amputations
   and subsequent disability.
ZB 0
TC 0
ZA 0
ZR 0
ZS 0
Z8 0
Z9 0
U1 0
U2 4
SN 0031-1480
UT WOS:000209076500009
PM 25338476
ER

PT J
AU Xie, Fengbo
   Zhang, Dong
   Wu, Jinzhao
   Zhang, Yunfeng
   Yang, Qing
   Sun, Xuefeng
   Cheng, Jing
   Chen, Xiangmei
TI Design and implementation of the first nationwide, web-based Chinese
   Renal Data System (CNRDS)
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 12
AR 11
DI 10.1186/1472-6947-12-11
PD FEB 28 2012
PY 2012
AB Background: In April 2010, with an endorsement from the Ministry of
   Health of the People's Republic of China, the Chinese Society of
   Nephrology launched the first nationwide, web-based prospective renal
   data registration platform, the Chinese Renal Data System (CNRDS), to
   collect structured demographic, clinical, and laboratory data for
   dialysis cases, as well as to establish a kidney disease database for
   researchers and policy makers.
   Methods: The CNRDS program uses information technology to facilitate
   healthcare professionals to create a blood purification registry and to
   deliver an evidence-based care and education protocol tailored to
   chronic kidney disease, as well as online forum for communication
   between nephrologists. The online portal https://www.cnrds.net is
   implemented as a Java web application using an Apache Tomcat web server
   and a MySQL database. All data are stored in a central databank to
   establish a Chinese renal database for research and publication
   purposes.
   Results: Currently, over 270,000 clinical cases, including general
   patient information, diagnostics, therapies, medications, and laboratory
   tests, have been registered in CNRDS by 3,669 healthcare institutions
   qualified for hemodialysis therapy. At the 2011 annual blood
   purification forum of the Chinese Society of Nephrology, the CNRDS 2010
   annual report was reviewed and accepted by the society members and
   government representatives.
   Conclusions: CNRDS is the first national, web-based application for
   collecting and managing electronic medical records of patients with
   dialysis in China. It provides both an easily accessible platform for
   nephrologists to store and organize their patient data and acts as a
   communication platform among participating doctors. Moreover, it is the
   largest database for treatment and patient care of end-stage renal
   disease (ESRD) patients in China, which will be beneficial for
   scientific research and epidemiological investigations aimed at
   improving the quality of life of such patients. Furthermore, it is a
   model nationwide disease registry, which could potentially be used for
   other diseases.
ZR 0
ZA 0
ZB 10
ZS 0
Z8 8
TC 25
Z9 31
U1 1
U2 33
EI 1472-6947
UT WOS:000301937400001
PM 22369692
ER

PT J
AU Frederiksen, B. L.
   Dalton, S. O.
   Osler, M.
   Steding-Jessen, M.
   Brown, P. de Nully
TI Socioeconomic position, treatment, and survival of non-Hodgkin lymphoma
   in Denmark - a nationwide study
SO BRITISH JOURNAL OF CANCER
VL 106
IS 5
BP 988
EP 995
DI 10.1038/bjc.2012.3
PD FEB 28 2012
PY 2012
AB BACKGROUND: Not all patients have benefited equally from the advances in
   non-Hodgkin lymphoma (NHL) survival. This study investigates several
   individual-level markers of socioeconomic position (SEP) in relation to
   NHL survival, and explores whether any social differences could be
   attributed to comorbidity, disease and prognostic factors, or the
   treatment given.
   METHODS: This registry-based cohort study links clinical data on
   prognostic factors and treatment from the national Danish lymphoma
   database to individual socioeconomic information in Statistics Denmark
   including 6234 patients diagnosed with NHL in 2000-2008.
   RESULTS: All-cause mortality was 40% higher in NHL patients with short
   vs higher education diagnosed in the period 2000-2004 (hazard ratio (HR)
   = 1.40 (1.27-1.54)), and 63% higher in the period 2005-2008 (HR = 1.63
   (1.40-1.90)). Further, mortality was increased in unemployed and
   disability pensioners, those with low income, and singles. Clinical
   prognostic factors attenuated, but did not eliminate the association
   between education and mortality. Radiotherapy was less frequently given
   to those with a short education (odds ratio (OR) = 0.84 (0.77-0.92)),
   low income (OR = 0.80 (0.70-0.91)), and less frequent to singles (OR =
   0.79 (0.64-0.96)). Patients living alone were less likely to receive all
   treatment modalities.
   CONCLUSION: Patients with low SEP have an elevated mortality rate after
   a NHL diagnosis, and more advanced disease at the time of diagnosis
   explained a part of this disparity. Thus, socioeconomic disparities in
   NHL survival might be reduced by improving early detection among
   patients of low SEP. British Journal of Cancer (2012) 106, 988-995.
   doi:10.1038/bjc.2012.3 www.bjcancer.com Published online 7 February 2012
   (C) 2012 Cancer Research UK
RI Osler, Merete/AAF-7885-2019; Dalton, Susanne Oksbjerg/; Osler, Merete/
OI Dalton, Susanne Oksbjerg/0000-0002-5485-2730; Osler,
   Merete/0000-0002-6921-220X
ZS 0
ZR 0
Z8 0
ZA 0
ZB 22
TC 51
Z9 51
U1 0
U2 0
SN 0007-0920
EI 1532-1827
UT WOS:000300894300028
PM 22315055
ER

PT J
AU Matthews, Jonathan E.
   Stephenson, Rob
   Sullivan, Patrick S.
TI Factors Associated with Self-Reported HBV Vaccination among HIV-Negative
   MSM Participating in an Online Sexual Health Survey: A Cross-Sectional
   Study
SO PLOS ONE
VL 7
IS 2
AR e30609
DI 10.1371/journal.pone.0030609
PD FEB 17 2012
PY 2012
AB Background: A substantial proportion of men who have sex with men (MSM)
   in the United States remain unvaccinated against hepatitis B. We sought
   to understand which factors are associated with vaccination among
   HIV-negative MSM.
   Methodology/Principal Findings: Data were from a 2010 web-based survey
   of adult MSM. We calculated the prevalence of self-reported hepatitis B
   vaccination among 1,052 HIV-negative or HIV-untested men who knew their
   hepatitis B vaccination status, and used multivariate logistic
   regression to determine associated factors. 679 (64.5%) MSM reported
   being vaccinated. Younger men were more likely to report being
   vaccinated than older men, and there was a significant interaction
   between age and history of hepatitis B testing. Men with at least some
   college education were at least 2.1 times as likely to be vaccinated as
   men with a high school education or less (95% CI = 1.4-3.1). Provider
   recommendation for vaccination (aOR = 4.2, 95% CI = 2.4-7.4) was also
   significantly associated with receipt of vaccination.
   Conclusions/Significance: Providers should assess sexual histories of
   male patients and offer those patients with male sex partners testing
   for hepatitis infection and vaccinate susceptible patients. There may be
   particular opportunities for screening and vaccination among older and
   more socioeconomically disadvantaged MSM.
RI Stephenson, Rob/J-9876-2012; Sullivan, Patrick Sean/
OI Sullivan, Patrick Sean/0000-0002-7728-0587
TC 16
Z8 1
ZB 6
ZS 0
ZA 0
ZR 0
Z9 17
U1 0
U2 1
SN 1932-6203
UT WOS:000302853600040
PM 22363453
ER

PT J
AU Butler, Christopher C.
   Simpson, Sharon A.
   Dunstan, Frank
   Rollnick, Stephen
   Cohen, David
   Gillespie, David
   Evans, Meirion R.
   Alam, M. Fasihul
   Bekkers, Marie-Jet
   Evans, John
   Moore, Laurence
   Howe, Robin
   Hayes, Jamie
   Hare, Monika
   Hood, Kerenza
TI Effectiveness of multifaceted educational programme to reduce antibiotic
   dispensing in primary care: practice based randomised controlled trial
SO BMJ-BRITISH MEDICAL JOURNAL
VL 344
AR d8173
DI 10.1136/bmj.d8173
PD FEB 2 2012
PY 2012
AB Objective To evaluate the effectiveness and costs of a multifaceted
   flexible educational programme aimed at reducing antibiotic dispensing
   at the practice level in primary care.
   Design Randomised controlled trial with general practices as the unit of
   randomisation and analysis. Clinicians and researchers were blinded to
   group allocation until after randomisation.
   Setting 68 general practices with about 480 000 patients in Wales,
   United Kingdom.
   Participants 34 practices were randomised to receive the educational
   programme and 34 practices to be controls. 139 clinicians from the
   intervention practices and 124 from control practices had agreed to
   participate before randomisation. Practice level data covering all the
   clinicians in the 68 practices were analysed.
   Interventions Intervention practices followed the Stemming the Tide of
   Antibiotic Resistance (STAR) educational programme, which included a
   practice based seminar reflecting on the practices' own dispensing and
   resistance data, online educational elements, and practising consulting
   skills in routine care. Control practices provided usual care.
   Main outcome measures Total numbers of oral antibiotic items dispensed
   for all causes per 1000 practice patients in the year after the
   intervention, adjusted for the previous year's dispensing. Secondary
   outcomes included reconsultations, admissions to hospital for selected
   causes, and costs.
   Results The rate of oral antibiotic dispensing (items per 1000
   registered patients) decreased by 14.1 in the intervention group but
   increased by 12.1 in the control group, a net difference of 26.1. After
   adjustment for baseline dispensing rate, this amounted to a 4.2% (95%
   confidence interval 0.6% to 7.7%) reduction in total oral antibiotic
   dispensing for the year in the intervention group relative to the
   control group (P=0.02). Reductions were found for all classes of
   antibiotics other than penicillinase-resistant penicillins but were
   largest and significant individually for phenoxymethylpenicillins
   (penicillin V) (7.3%, 0.4% to 13.7%) and macrolides (7.7%, 1.1% to
   13.8%). There were no significant differences between intervention and
   control practices in the number of admissions to hospital or in
   reconsultations for a respiratory tract infection within seven days of
   an index consultation. The mean cost of the programme was 2923 pound
   ((sic)3491, $4572) per practice (SD 1187) pound. There was a 5.5%
   reduction in the cost of dispensed antibiotics in the intervention group
   compared with the control group (-0.4% to 11.4%), equivalent to a
   reduction of about 830 pound a year for an average intervention
   practice.
   Conclusion The STAR educational programme led to reductions in all cause
   oral antibiotic dispensing over the subsequent year with no significant
   change in admissions to hospital, reconsultations, or costs.
RI Hood, Kerenza/C-2528-2008; Alam, M Fasihul/AAD-7268-2020; Simpson, Sharon Anne/; Butler, Christopher/; Alam, M Fasihul/; Moore, Laurence/; Evans, Meirion/C-2990-2008; Gillespie, David/
OI Hood, Kerenza/0000-0002-5268-8631; Simpson, Sharon
   Anne/0000-0002-6219-1768; Butler, Christopher/0000-0002-0102-3453; Alam,
   M Fasihul/0000-0003-2590-851X; Moore, Laurence/0000-0003-2182-823X;
   Evans, Meirion/0000-0003-3578-1866; Gillespie, David/0000-0002-6934-2928
Z8 0
ZS 2
ZB 62
ZA 0
TC 172
ZR 0
Z9 173
U1 0
U2 22
SN 1756-1833
UT WOS:000300088500002
PM 22302780
ER

PT J
AU Stuenkel, Aaron J.
   Campion, MaryAnn
   Allain, Dawn
   Hampel, Heather
TI Transition to the Clinical Doctorate: Attitudes of the Genetic
   Counseling Training Program Directors in North America
SO JOURNAL OF GENETIC COUNSELING
VL 21
IS 1
BP 136
EP 149
DI 10.1007/s10897-011-9407-4
PD FEB 2012
PY 2012
AB In North America, genetic counseling is an allied health profession
   where entry level practitioners currently must hold a master's degree
   earned from a graduate program accredited by the American Board of
   Genetic Counseling. This is one of many health care professions that
   could transition to an entry level clinical doctorate degree. This study
   explored the attitudes of genetic counseling training program directors
   toward such a transition. Thirty-one North American program directors
   were invited to complete an online survey and a follow-up telephone
   interview. Twenty-one program directors completed the survey and ten
   directors also completed a follow up phone interview. There was
   disagreement among the respondents on the issue of transitioning to a
   clinical doctorate degree (nine in favor, six against and six
   undecided). Respondents disagreed about whether the transition would
   lead to higher salaries (six yes, eight no, and seven unsure) or
   increased professional recognition (eight yes, eight no, and four
   unsure). Approximately half (n=10) of directors were not sure if the
   transition to a clinical doctorate would help or hurt minority
   recruitment; six thought it would help and four thought it would hurt.
   However, the majority (n=13) thought a clinical doctorate would help
   genetic counselors to obtain faculty positions. If the field transitions
   to a clinical doctorate, 11 of the directors thought their program would
   convert, seven were unsure and one thought their program would shut
   down. Themes identified in interview data included 1) implications for
   the profession 2) institution-specific considerations and 3) perception
   of the unknown. Opinions are quite varied at this time regarding the
   possible transition to the clinical doctorate among genetic counseling
   training program directors.
RI Hampel, Heather/AAV-4041-2020; Allain, Dawn/E-2634-2011; Campion, MaryAnn/; Campion, MaryAnn/
OI Hampel, Heather/0000-0001-7558-9794; Campion,
   MaryAnn/0000-0003-4464-6316; Campion, MaryAnn/0000-0002-8627-7048
TC 3
ZR 0
ZS 0
Z8 0
ZA 0
ZB 1
Z9 3
U1 1
U2 6
SN 1059-7700
UT WOS:000303889000017
PM 21892706
ER

PT J
AU Novak, D.
   Novak, M.
TI Use of the Internet for home testing for Chlamydia trachomatis in
   Sweden: who are the users?
SO INTERNATIONAL JOURNAL OF STD & AIDS
VL 23
IS 2
BP 83
EP 87
DI 10.1258/ijsa.2011.011030
PD FEB 2012
PY 2012
AB Sweden was the first country to introduce online Chlamydia trachomatis
   testing for both men and women and this article provides information
   about the user characteristics and which risk groups are reached with
   this method. During the years 2005-2007 a questionnaire was administered
   with a response rate of 86% (n = 6025) (62.5% women, 37.5% men). Over
   60% of respondents were aged below 26 years and single. The average
   years of education for men and women was 14 (range 9.0-26.0). The mean
   Internet usage time was 22.4 hours/week among men and 15.5 hours/week
   among women. Only 22% men and 34% women had tested themselves for C.
   trachomatis at clinics previously. Respondents reported a higher
   frequency of previous sexually transmitted infections (STIs) compared
   with other Internet users (i.e. C. trachomatis: men 19%, women 24%).
   Eighty percent of online test users had engaged in sex with >= 2
   partners without a condom during the previous year. Online C.
   trachomatis test users are mostly young people with high sexual risk
   behaviour.
OI Novak, Daniel/0000-0002-7892-7880
ZA 0
ZB 6
Z8 0
ZR 0
TC 13
ZS 0
Z9 13
U1 0
U2 5
SN 0956-4624
EI 1758-1052
UT WOS:000303096200002
PM 22422680
ER

PT J
AU Phua, J.
   See, K. C.
   Khalizah, H. J.
   Low, S. P.
   Lim, T. K.
TI Utility of the electronic information resource UpToDate for clinical
   decision-making at bedside rounds
SO SINGAPORE MEDICAL JOURNAL
VL 53
IS 2
BP 116
EP 120
PD FEB 2012
PY 2012
AB INTRODUCTION Clinical questions often arise at daily hospital bedside
   rounds. Yet, little information exists on how the search for answers may
   be facilitated. The aim of this prospective study was, therefore, to
   evaluate the overall utility, including the feasibility and usefulness
   of incorporating searches of UpToDate, a popular online information
   resource, into rounds.
   METHODS Doctors searched UpToDate for any unresolved clinical questions
   during rounds for patients in general medicine and respiratory wards,
   and in the medical intensive care unit of a tertiary teaching hospital.
   The nature of the questions and the results of the searches were
   recorded. Searches were deemed feasible if they were completed during
   the rounds and useful if they provided a satisfactory answer.
   RESULTS A total of 157 UpToDate searches were performed during the study
   period. Questions were raised by all ranks of clinicians from junior
   doctors to consultants. The searches were feasible and performed
   immediately during rounds 44% of the time. Each search took a median of
   three minutes (first quartile: two minutes, third quartile: five
   minutes). UpToDate provided a useful and satisfactory answer 75% of the
   time, a partial answer 17% of the time and no answer 9% of the time. It
   led to a change in investigations, diagnosis or management 37% of the
   time, confirmed what was originally known or planned 38% of the time and
   had no effect 25% of the time.
   CONCLUSION Incorporating UpToDate searches into daily bedside rounds was
   feasible and useful in clinical decision-making.
ZA 0
ZS 0
ZR 0
ZB 5
Z8 0
TC 19
Z9 19
U1 1
U2 10
SN 0037-5675
UT WOS:000302582800016
PM 22337186
ER

PT J
AU Htwe, T. T.
   Sabaridah, I
   Rajyaguru, K. M.
   Mazidah, A. M.
TI Pathology crossword competition: an active and easy way of learning
   pathology in undergraduate medical education
SO SINGAPORE MEDICAL JOURNAL
VL 53
IS 2
BP 121
EP 123
PD FEB 2012
PY 2012
AB INTRODUCTION In line with the trend to engage students in active
   learning, it is imperative to introduce new strategies that make
   learning more interesting, especially in undergraduate curricula. This
   study aimed to determine students' performance and perception in
   pathology crosswords as an active way of learning and to assess their
   ability to memorise difficult terms in pathology.
   METHODS A crossword competition in pathology was conducted for two
   batches (year 2009 and 2010) of Phase 2 medical students in Malaysia.
   Crossword puzzles were prepared using an online application. Two sets of
   puzzles were prepared, with 20 questions for the assessment of general
   pathology and 20 for systemic pathology. The purpose was to compare the
   students' recent and remote memorising abilities, as general pathology
   was taught a year before proceeding to systemic pathology teaching.
   There were 12 groups per batch, with 8-10 students in a group. Survey
   questionnaires were used to assess the students' perception of the
   competition. Descriptive analysis was performed for comparison of
   performance.
   RESULTS The mean score of correctly answered questions in general
   pathology was 12.75 and 11.50 in batch 2009 and 2010, respectively. The
   mean score for systemic pathology was 14.50 in 2009 and 13.83 in 2010.
   Students in the 2009 batch performed better, but this was not
   statistically significant (p-value > 0.05). A positive response was
   observed from the questionnaires.
   CONCLUSION Applying crossword puzzles as a new strategy is a useful and
   easy way for undergraduate medical students to learn pathology.
ZA 0
ZR 0
ZS 0
TC 7
ZB 2
Z8 0
Z9 7
U1 0
U2 9
SN 0037-5675
UT WOS:000302582800017
PM 22337187
ER

PT J
AU Dufield, Dawn R.
   Radabaugh, Melissa R.
TI Online immunoaffinity LC/MS/MS. A general method to increase sensitivity
   and specificity: How do you do it and what do you need?
SO METHODS
VL 56
IS 2
BP 236
EP 245
DI 10.1016/j.ymeth.2011.08.012
PD FEB 2012
PY 2012
AB There is an increased emphasis on hyphenated techniques such as
   immunoaffinity LC/MS/MS (IA-LC/MS/MS) or IA-LC/MRM. These techniques
   offer competitive advantages with respect to sensitivity and selectivity
   over traditional LC/MS and are complementary to ligand binding assays
   (LBA) or ELISA's. However, these techniques are not entirely
   straightforward and there are several tips and tricks to routine sample
   analysis. We describe here our methods and procedures for how to perform
   online IA-LC/MS/MS including a detailed protocol for the preparation of
   antibody (Ab) enrichment columns. We have included sample trapping and
   Ab methods. Furthermore, we highlight tips, tricks, minimal and optimal
   approaches. This technology has been shown to be viable for several
   applications, species and fluids from small molecules to proteins and
   biomarkers to PK assays. (C) 2011 Elsevier Inc. All rights reserved.
ZB 22
ZR 0
ZS 0
Z8 1
ZA 0
TC 28
Z9 29
U1 0
U2 15
SN 1046-2023
UT WOS:000302105400018
PM 21872661
ER

PT J
AU Katzer, Robert
   Cabanas, Jose G.
   Martin-Gill, Christian
TI Emergency Medical Services Education in Emergency Medicine Residency
   Programs: A National Survey
SO ACADEMIC EMERGENCY MEDICINE
VL 19
IS 2
BP 174
EP 179
DI 10.1111/j.1553-2712.2011.01274.x
PD FEB 2012
PY 2012
AB Objectives: Emergency medical services (EMS) was recently approved as a
   subspecialty by the American Board of Medical Specialties, highlighting
   the core content of knowledge that encompasses prehospital emergency
   patient care. This study aimed to describe the current state of EMS
   education at emergency medicine (EM) residency programs in the United
   States.
   Methods: The authors distributed an online survey containing
   multiple-choice and free-response questions pertaining to resident EMS
   education to the directors of EM residency programs in the United States
   between July 21 and September 10, 2010.
   Results: Of 154 programs, 117 (75%) responded to the survey, and 108
   (70%) completed the survey by answering all required questions. Of
   completed surveys, 82 programs (76%) reported the cumulative time
   devoted to EMS didactic education during the course of residency
   training, a median of 20 hours (range = 3 to 300 hours; interquartile
   range [IQR] = 12 to 36 hours). There is a designated EMS rotation in 89%
   of programs, with a median duration of 3 weeks (range = 1 to 9 weeks;
   IQR = 2 to 4 weeks). Most programs involve residents on EMS rotations
   strictly as in-field observers (63%), some as in-field providers (20%),
   and the rest with some combination of the two roles. Ground ride-along
   is required in 94% of programs, while air ride-along is mandatory in 4%
   and optional in 81% of programs. Direct medical oversight (DMO)
   certification is required in 41% of residency programs, but not
   available in 26% of program jurisdictions. Residents in 92% of programs
   provide DMO. In those programs, most residents (77%) provide DMO
   primarily while working in the emergency department (ED), 13% during
   dedicated EMS or medical oversight shifts, and 4% during a combination
   of these shifts. Disaster-preparedness was most frequently listed as the
   component programs would like to add to their EMS curricula.
   Conclusions: There is a wide range in the didactic, online, and in-field
   EMS educational experiences provided as part of EM training. Most
   residents participate in ground ride-along activities, provide DMO, and
   have a dedicated EMS rotation. Disaster-preparedness is the most common
   desired addition to existing EMS rotations.
ZB 0
ZR 1
TC 9
ZS 0
ZA 0
Z8 0
Z9 10
U1 0
U2 3
SN 1069-6563
UT WOS:000300044500008
PM 22288771
ER

PT J
AU Patel, Vishal
   Aggarwal, Rajesh
   Osinibi, Elizabeth
   Taylor, Dave
   Arora, Sonal
   Darzi, Ara
TI Operating room introduction for the novice
SO AMERICAN JOURNAL OF SURGERY
VL 203
IS 2
BP 266
EP 275
DI 10.1016/j.amjsurg.2011.03.003
PD FEB 2012
PY 2012
AB BACKGROUND: This study assessed the implementation of a theater
   induction curriculum through a didactic lecture, an online Second Life
   operating room, and a simulated operating suite.
   METHODS: Sixty operating room novices were randomized into 4 groups:
   control (n = 15), didactic lecture (n = 15), Second Life (n = 15), and
   simulated operating suite (n = 15). The study followed a pretest and
   posttest design with a training intervention between operating room
   attendances. Outcome measures were knowledge, skills, and attitudes,
   measured using observed behavior and a self-report scale, with knowledge
   further assessed using multiple-choice questionnaires.
   RESULTS: The lecture, Second Life, and simulated operating suite groups
   demonstrated significant improvements in all outcome measures. After the
   intervention, these 3 groups had significantly higher behavior (P <
   .001), self-report (P < .05), and knowledge (P < .05) scores than the
   control group.
   CONCLUSIONS: This study demonstrates the value of delivering a theater
   induction curriculum for operating room preparation. (C) 2012 Elsevier
   Inc. All rights reserved.
RI Taylor, Dave/AAD-5830-2021
OI Taylor, Dave/0000-0003-0864-9966
ZS 0
Z8 0
TC 37
ZA 0
ZB 1
ZR 0
Z9 37
U1 0
U2 2
SN 0002-9610
EI 1879-1883
UT WOS:000300770700022
PM 21703594
ER

PT J
AU Hull, K. M.
   Kerridge, I.
   Schifter, M.
TI Long-term oral complications of allogeneic haematopoietic SCT
SO BONE MARROW TRANSPLANTATION
VL 47
IS 2
BP 265
EP 270
DI 10.1038/bmt.2011.63
PD FEB 2012
PY 2012
AB This study assessed the incidence of long-term oral complications in 88
   survivors of allogeneic haematopoietic cell transplantation (HCT).
   Patients examined were between 6 months and 6 years post-HCT and aged
   from 19 to 65 years. Subjects were investigated for both the subjective
   and objective features of long-term adverse oral effects of HCT. The
   most common oral symptoms reported were xerostomia (44%, n = 39) and
   reduction in taste (20%, n = 18). Only a minority of patients (15%)
   reported that oral disease had a significant adverse impact upon their
   quality of life. The majority of patients (53%) had clinical markers of
   oral chronic GVHD (cGVHD). The most frequently identified feature was
   salivary hypofunction, with 34% of subjects demonstrating a reduction in
   stimulated saliva. Oral mucosal changes consistent with cGVHD affected
   21% of subjects. Oral cGVHD commonly occurs after allogeneic HCT, often
   coexists with cutaneous, hepatic or ocular cGVHD and may lead to
   debilitating symptoms. Transplant type and pre-existing acute GVHD are
   the major risk factors for oral cGVHD. The identification of risk
   factors specific for oral cGVHD may allow clinicians some foresight into
   identifying patients at high risk of developing oral cGVHD and encourage
   attention to education, regular oral surveillance and rigorous
   preventative oral health strategies both pre- and post-transplant. Bone
   Marrow Transplantation (2012) 47, 265-270; doi:10.1038/bmt.2011.63;
   published online 28 March 2011
OI Kerridge, Ian/0000-0001-7445-4660
ZA 0
ZS 0
TC 34
ZR 0
ZB 9
Z8 0
Z9 34
U1 0
U2 5
SN 0268-3369
EI 1476-5365
UT WOS:000300415100016
PM 21441960
ER

PT J
AU Armenian, S. H.
   Sun, C-L
   Francisco, L.
   Baker, K. S.
   Weisdorf, D. J.
   Forman, S. J.
   Bhatia, S.
TI Health behaviors and cancer screening practices in long-term survivors
   of hematopoietic cell transplantation (HCT): a report from the BMT
   Survivor Study
SO BONE MARROW TRANSPLANTATION
VL 47
IS 2
BP 283
EP 290
DI 10.1038/bmt.2011.60
PD FEB 2012
PY 2012
AB Patients undergoing hematopoietic cell transplantation (HCT) are at
   increased risk of chronic health conditions, including second malignant
   neoplasms and cardiovascular disease. Little is known about health
   behaviors and cancer screening practices among HCT survivors that could
   moderate the risk of these conditions. The BM transplant survivor study
   examined health behaviors and cancer screening practices in individuals
   who underwent HCT between 1976 and 1998, and survived 2+ years. Health
   behavior was deemed as high risk, if an individual was a current smoker
   and if they reported risky alcohol intake (>= 4 drinks per day (males),
   >= 3 drinks per day (females)) on days of alcohol consumption. Cancer
   screening assessment was per American Cancer Society recommendations.
   There were 1040 survivors: 42.7% underwent allogeneic HCT; 43.8% were
   female; median time from HCT: 7.4 years (range 2.0-27.7 years). Median
   age at study participation: 43.8 years (range 18.3-73.0 years).
   Multivariate regression analysis revealed younger age (<35 years) at
   study participation (Odds ratio (OR) = 4.7; P<0.01) and lower education
   (<college: OR = 2.1; P<0.01) to be significantly associated with
   high-risk behavior. Survivors were significantly less likely to report
   high-risk behavior (OR = 0.5; P<0.01) and more likely to have had a
   screening mammogram (OR = 2.8; P = 0.05) when compared with
   gender-matched sibling controls (N = 309). Bone Marrow Transplantation
   (2012) 47, 283-290; doi:10.1038/bmt.2011.60; published online 21March
   2011
Z8 0
ZS 0
ZB 7
TC 20
ZA 0
ZR 0
Z9 20
U1 0
U2 3
SN 0268-3369
EI 1476-5365
UT WOS:000300415100019
PM 21423125
ER

PT J
AU Deneuve, Sophie
   Rivera, Caroline
   Carrabin, Nicolas
   Douard, Antoine
   Plard, Laurent
   Peyre, Mathieu
   Mordant, Pierre
CA AJCO
TI Insights of young French surgical oncologists: motives and training
SO BULLETIN DU CANCER
VL 99
IS 2
BP 155
EP 162
DI 10.1684/bdc.2011.1532
PD FEB 2012
PY 2012
AB Introduction. In France, surgical oncology is not recognized as a unique
   specialty, but as a sub-specialization offered to surgeons in training.
   To date, their motives and training have not been studied. Materials and
   methods. We set a dedicated online survey suggested to 102 surgeons
   applying for the specific national degree in surgical oncology. Results.
   The answer rate was 60%. Responders were constituted of a majority of
   male (61%), their median age was 31 years. They were mainly residents
   (33%) and fellows working in university (25%) or non-university (28%)
   hospitals. Most responders have chosen their organ specialization at the
   beginning, and their oncologic sub-specialization at the middle of their
   residency, after a meeting with a senior surgeon. Regarding practical
   education, 85% used surgical videos, 62% mechanical training devices,
   60% animal surgery, and 38% cadaver dissection. Regarding career
   expectations, 67% would like to work in a cancer centre, 51% in a
   university hospital, and 26% in a private institution. To explain these
   choices, 51% referred to research and 65% to teaching interests.
   Conclusion. This study outlines the role of mentorship and the lack of
   practical teaching outside the operating room during the training in
   surgical oncology in France.
RI Mordant, Pierre/J-3603-2017; Peyre, Matthieu/
OI Peyre, Matthieu/0000-0001-8470-9516
ZR 1
ZB 0
ZS 0
TC 0
ZA 0
Z8 0
Z9 1
U1 0
U2 0
SN 0007-4551
EI 1769-6917
UT WOS:000300615100009
PM 22265907
ER

PT J
AU Piper, Brian J.
   Gray, Hilary M.
   Birkett, Melissa A.
TI Maternal smoking cessation and reduced academic and behavioral problems
   in offspring
SO DRUG AND ALCOHOL DEPENDENCE
VL 121
IS 1-2
BP 62
EP 67
DI 10.1016/j.drugalcdep.2011.08.004
PD FEB 1 2012
PY 2012
AB Background: There is some debate whether smoking during pregnancy causes
   or is only a risk factor for negative academic outcomes and increased
   risk of psychopathology in offspring. This study evaluated whether
   maternal smoking cessation would reduce the risk of adverse outcomes in
   school-aged children.
   Methods: Women completed an online survey that included items about
   child scholastic performance and the Child Behavior Checklist (CBCL).
   Mothers were divided based on pre-pregnancy and pregnancy smoking status
   into: (1) Nonsmokers (N=320): (2) Women that smoked in the 3 months
   preceding and throughout pregnancy (Smokers, N=83); and (3) Smoking
   before, but not during pregnancy (Quitters, N=72).
   Results: The Smokers and Quitters groups each had lower education and
   incomes compared to Nonsmokers but were indistinguishable from each
   other on these measures. The offspring of Smokers were more likely
   (p<.05) to be behind their peers on standardized tests in math (27.8%)
   relative to both Nonsmokers (17.4%) and Quitters (13.0%) with similar
   findings for reading. Smokers reported more behavioral problems by their
   children in several areas including Hyperactivity and Impulsivity,
   Social problems, and Externalizing problems including Aggression and
   Rule-Breaking. Further, the children of Quitters had significantly fewer
   Attention and Externalizing problems than Smokers. These outcomes were
   observed even after accounting for the variance attributable to maternal
   education and several other potential confounds.
   Conclusions: Together, these findings indicate that smoking cessation is
   associated with reduced risk of having children with academic and
   neuropsychological difficulties. These outcomes are discussed within the
   framework that nicotine may be a neurobehavioral teratogen. (C) 2011
   Elsevier Ireland Ltd. All rights reserved.
RI Birkett, Melissa A/O-1313-2013
OI Birkett, Melissa A/0000-0001-7376-4851
ZR 0
Z8 0
TC 6
ZA 0
ZS 0
ZB 2
Z9 6
U1 0
U2 18
SN 0376-8716
EI 1879-0046
UT WOS:000300334500009
PM 21937170
ER

PT J
AU Huh, Sun
TI Can computerized tests be introduced to the Korean Medical Licensing
   Examination?
SO JOURNAL OF THE KOREAN MEDICAL ASSOCIATION
VL 55
IS 2
BP 124
EP 130
DI 10.5124/jkma.2012.55.2.124
PD FEB 2012
PY 2012
AB In November 2011, the standing Committee of the Korean Medical Licensing
   Examination (KMLE) recommended that the National Health Personnel
   Licensing Examination Board introduce computerized testing to the KMLE.
   Therefore this article contextualizes and explores the possibility of
   applying computerized testing to the KMLE. Computerized testing
   comprises computer-based testing (CBT), ubiquitous-based testing (UBT),
   intemet-based testing (IBT), and computerized adaptive testing (CAT).
   CBT refers to testing administered via a computer as the user interface,
   while testing with a smart phone or smart pad as the user interface is
   known as UBT. IBT is testing done online, and CAT is testing tailored so
   that each item provided fits the examinee's ability level. The benefits
   and drawbacks of each computerized testing option were surveyed. Among
   them, I propose CAT as the final goal for KMLE. In order to implement
   the computerized testing more effectively, it is recommended that items
   contain multimedia data and should involve interpretation or
   problem-solving. More evidence is needed to support the positive impact
   of computerized testing for undergraduate medical education and primary
   health care. Since the rapid progress of information technology such as
   internet bandwidth and human-computer interface methods, the
   introduction of computerized testing to KMLE will soon be plausible. It
   is possible to increase the quality of the KMLE with the introduction of
   computerized testing. Medical schools should prepare for the new testing
   environment of the KMLE by recruiting or training specialists in this
   field.
RI Huh, Sun/A-3068-2011
OI Huh, Sun/0000-0002-8559-8640
ZB 0
ZA 0
ZR 0
TC 4
Z8 0
ZS 0
Z9 4
U1 0
U2 3
SN 1975-8456
EI 2093-5951
UT WOS:000300598400004
ER

PT J
AU Gupta, N.
   Loong, B.
   Leong, G.
TI Comparing and contrasting knowledge of pressure ulcer assessment,
   prevention and management in people with spinal cord injury among
   nursing staff working in two metropolitan spinal units and
   rehabilitation medicine training specialists in a three-way comparison
SO SPINAL CORD
VL 50
IS 2
BP 159
EP 164
DI 10.1038/sc.2011.88
PD FEB 2012
PY 2012
AB Aim: To assess for differences in knowledge of pressure ulcer (PU)
   prevention and management among nurses working in two metropolitan
   spinal cord injury (SCI) units, and between nurses and rehabilitation
   registrars (doctors).
   Background: There is anecdotal evidence of wide variation in PU
   management. An understanding of current knowledge is fundamental to
   evidence-based practice implementation.
   Methods: This was a prospective survey, using a multiple choice question
   format developed with nurse wound specialists. A total of 10 questions
   assessed PU prevention and 10 assessed management. It was distributed to
   nurses working at the spinal units and rehabilitation registrars. The
   results from the groups were analysed for similarities and differences
   using one- and two-way analysis of variance (ANOVA) tests and tests for
   significance of specific linear combinations of group means.
   Results: The response rate was 79% (19/24) and 71% (20/ 28) from the two
   SCI units, and 46% (13/28) from doctors. Doctors performed better than
   nurses on prevention questions (P<0.005) but worse on management
   (P<0.05). There was a significant difference in management knowledge
   (P<0.001) between nurses working in the two units but not in prevention
   knowledge (P<0.5) and interestingly years of experience did not
   correlate with performance (P<0.2 for prevention and P<0.5 for
   management questions).
   Conclusions: Rehabilitation registrars score better in prevention
   questions, but poorer in management questions, which reflects academic
   rather than experiential knowledge. There are also differences in
   management knowledge among nurses, based on work area rather than years
   of experience. Although knowledge does not necessarily reflect practice,
   this calls for better standardisation and implementation of wound
   management pathways. Spinal Cord (2012) 50, 159-164;
   doi:10.1038/sc.2011.88; published online 6 September 2011
ZA 0
ZS 1
ZR 0
TC 8
Z8 0
ZB 1
Z9 9
U1 0
U2 10
SN 1362-4393
EI 1476-5624
UT WOS:000300125500014
PM 21894165
ER

PT J
AU Shuter, Jonathan
   Salmo, Lauren N.
   Shuter, Avishai D.
   Nivasch, Esther C.
   Fazzari, Melissa
   Moadel, Alyson B.
TI Provider Beliefs and Practices Relating to Tobacco Use in Patients
   Living with HIV/AIDS: A National Survey
SO AIDS AND BEHAVIOR
VL 16
IS 2
BP 288
EP 294
DI 10.1007/s10461-011-9891-4
PD FEB 2012
PY 2012
AB The entire online HIV Medical Association US registry was invited to
   complete a questionnaire regarding beliefs and practices related to
   smoking in persons living with HIV/AIDS (PLWHAs). 363/486 returned
   completed questionnaires. Respondents from 43 states reported caring for
   76,570 PLWHAs. Only 22.9% had ever received formal tobacco treatment
   training. Respondents generally agreed that smoking is an important
   issue in PLWHAs, but reported low levels of cessation-promoting
   activities. Providers with larger patient panels, "primarily HIV"
   practices, and formal cessation training had higher questionnaire
   scores, indicating stronger beliefs in the harms of smoking, benefits of
   quitting, and effectiveness of cessation strategies.
OI Fazzari, Melissa/0000-0002-5674-3589
ZS 1
ZB 14
Z8 0
ZA 0
ZR 0
TC 31
Z9 31
U1 0
U2 4
SN 1090-7165
UT WOS:000300278300005
PM 21301950
ER

PT J
AU Daniluk, Judith C.
   Koert, Emily
   Cheung, Anthony
TI Childless women's knowledge of fertility and assisted human
   reproduction: identifying the gaps
SO FERTILITY AND STERILITY
VL 97
IS 2
BP 420
EP 426
DI 10.1016/j.fertnstert.2011.11.046
PD FEB 2012
PY 2012
AB Objective: To determine the knowledge about fertility and assisted human
   reproduction (AHR) treatments of a large sample of childless women.
   Design: Self-report questionnaire comprising two self-ratings of current
   fertility and AHR knowledge, and 16 knowledge questions related to
   fertility and AHR.
   Setting: Online.
   Patient(s): A total of 3,345 childless women between the ages of 20 and
   50.
   Intervention(s): None.
   Main Outcome Measure(s): Knowledge of fertility and AHR.
   Result(s): The majority of participants rated themselves as having some
   knowledge or being fairly knowledgeable about fertility and AHR.
   However, on the 16 knowledge questions, overall knowledge was low, with
   50% or more of the sample answering only 6 of 16 questions correctly.
   Conclusion(s): The data suggest that the women in the study have no
   coherent body of knowledge regarding age-related fertility and AHR
   treatment options. With an increasing number of women electing to delay
   childbearing, there is a critical need for public education regarding
   age-related fertility declines and the availability, costs, and
   limitations of AHR. This study offers important mental health
   contributions to infertility prevention and public health education
   efforts. (Fertil Steril(R) 2012;97:420-6. (C) 2012 by American Society
   for Reproductive Medicine.)
OI Cheung, Anthony P/0000-0002-3266-494X
TC 101
ZS 0
ZR 0
Z8 0
ZA 0
ZB 29
Z9 101
U1 1
U2 30
SN 0015-0282
EI 1556-5653
UT WOS:000299961800032
PM 22192349
ER

PT J
AU McCunn, Maureen
   Speck, Rebecca M.
   Chung, Insung
   Atkins, Joshua H.
   Raiten, Jesse M.
   Fleisher, Lee A.
TI Global health outreach during anesthesiology residency in the United
   States: a survey of interest, barriers to participation, and proposed
   solutions
SO JOURNAL OF CLINICAL ANESTHESIA
VL 24
IS 1
BP 38
EP 43
DI 10.1016/j.jclinane.2011.06.007
PD FEB 2012
PY 2012
AB Study Objective: To assess the interest in and barriers to pursuing
   global health outreach (GHO) experiences for anesthesiology residents in
   the United States.
   Design: Survey instrument.
   Setting: Academic department of anesthesiology.
   Subjects: Anesthesiology residents who were members of the American
   Society of Anesthesiologists (ASA).
   Measurements: An online survey was administered to residents in
   anesthesiology via the ASA membership database. Descriptive statistics,
   including means, frequencies, and percentages were calculated.
   Main Results: 91% of participants indicated an interest in 0140, of whom
   fewer than half (44%) had done a GHO medical mission. Seventy-nine
   percent reported that GHO affected their current practice or education;
   33% commented they were now less wasteful with supplies and resources.
   Permission from work or obtaining work coverage were the primary
   barriers for both those with and without previous GHO participation. Of
   all respondents, 78% agreed that the availability of a GHO residency
   track would influence their ranking of that program for training, and
   71% would pursue a GHO fellowship if available.
   Conclusions: Anesthesiology residents have an interest in residency and
   fellowship GHO programs. Formalization of GHO programs during training
   may reduce work-related barriers associated with GHO participation and
   broaden academic program recruitment. (C) 2012 Elsevier Inc. All tights
   reserved.
RI Lee A, Fleisher/Q-9894-2019
TC 17
ZB 4
Z8 0
ZR 0
ZA 0
ZS 0
Z9 17
U1 0
U2 2
SN 0952-8180
EI 1873-4529
UT WOS:000300141700009
PM 22284317
ER

PT J
AU Aziz, Shahid R.
   Ziccardi, Vincent B.
   Chuang, Sung-Kiang
TI Survey of Residents Who Have Participated in Humanitarian Medical
   Missions
SO JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
VL 70
IS 2
BP E147
EP E157
DI 10.1016/j.joms.2011.10.007
PD FEB 2012
PY 2012
AB Purpose: To survey physicians who participated in humanitarian missions
   as residents to assess the value of this experience on residency
   training and future career choices.
   Materials and Methods: An anonymous 26-question survey was
   electronically mailed to 45 individuals identified as having
   participated in a cleft lip/palate mission during residency. The survey
   was created and distributed, and the data were collected using the
   online survey engine Survey Monkey.
   Results: Thirty-nine individuals (86.7%) completed the survey. Of these,
   27 were men (69.2%) and 12 were women (30.8%). Thirty-two (82.1%) were
   oral and maxillofacial surgeons, 4 (10.3) were plastic and
   reconstructive surgeons, 1 (2.6%) was an otolaryngologist, and 2 (5.1%)
   were pediatric dentists. Twenty-five respondents (64.1%) stated that,
   before their first mission, they had not operated on a primary cleft
   lip; 21 (53.8%) noted that they had not operated on a primary cleft
   palate before their first mission. Thirty-six (92.3%) noted that their
   mission experience improved their ability to repair facial clefts.
   Thirty-seven (94.9%) believed their mission experience improved their
   overall surgical skill. All respondents (n = 39, 100%) believed their
   mission experience improved their overall ability to evaluate patients
   with cleft. Thirty-six (92.3%) believed their experience in humanitarian
   missions made them more culturally sensitive/competent health care
   providers. Thirty-eight respondents (97.4%) believed these missions made
   them more socially aware of the differences in access/availability of
   health care globally. Thirty-eight (97.4%) believed that participation
   in a humanitarian mission was a high point of their residency.
   Thirty-seven (94.9%) planned to participate in humanitarian medical
   missions during their career after residency.
   Conclusion: All respondents believed that participation in a
   humanitarian mission during residency was a positive part of their
   training. In addition, these missions allowed the residents to develop
   as surgeons and improve their awareness of global health care and
   cultural competence. Given these important educational aspects,
   participation in a humanitarian mission should be considered a required
   part of residency training. c 2012 Published by Elsevier Inc on behalf
   of the American Association of Oral and Maxillofacial Surgeons J Oral
   Maxillofac Surg 70:e147-e157, 2012
ZB 0
TC 28
ZR 0
ZS 4
ZA 0
Z8 0
Z9 32
U1 0
U2 5
SN 0278-2391
EI 1531-5053
UT WOS:000300053900007
PM 22260917
ER

PT J
AU Fonjungo, Peter N.
   Kebede, Yenew
   Messele, Tsehaynesh
   Ayana, Gonfa
   Tibesso, Gudeta
   Abebe, Almaz
   Nkengasong, John N.
   Kenyon, Thomas
TI Laboratory equipment maintenance: A critical bottleneck for
   strengthening health systems in sub-Saharan Africa?
SO JOURNAL OF PUBLIC HEALTH POLICY
VL 33
IS 1
BP 34
EP 45
DI 10.1057/jphp.2011.57
PD FEB 2012
PY 2012
AB Properly functioning laboratory equipment is a critical component for
   strengthening health systems in developing countries. The laboratory can
   be an entry point to improve population health and care of individuals
   for targeted diseases - prevention, care, and treatment of TB, HIV/AIDS,
   and malaria, plus maternal and neonatal health - as well as those
   lacking specific attention and funding. We review the benefits and
   persistent challenges associated with sustaining laboratory equipment
   maintenance. We propose equipment management policies as well as a
   comprehensive equipment maintenance strategy that would involve
   equipment manufacturers and strengthen local capacity through
   pre-service training of biomedical engineers. Strong country leadership
   and commitment are needed to assure development and sustained
   implementation of policies and strategies for standardization of
   equipment, and regulation of its procurement, donation, disposal, and
   replacement. Journal of Public Health Policy (2012) 33, 34-45.
   doi:10.1057/jphp.2011.57; published online 10 November 2011
Z8 0
ZR 0
ZA 0
TC 27
ZB 11
ZS 1
Z9 27
U1 1
U2 15
SN 0197-5897
EI 1745-655X
UT WOS:000299910800003
PM 22071568
ER

PT J
AU Dalsing, Michael C.
   Makaroun, Michel S.
   Harris, Linda M.
   Mills, Joseph L.
   Eidt, John
   Eckert, George J.
TI Association of Program Directors in Vascular Surgery (APDVS) survey of
   program selection, knowledge acquisition, and education provided as
   viewed by vascular trainees from two different training paradigms
SO JOURNAL OF VASCULAR SURGERY
VL 55
IS 2
BP 588
EP 598
DI 10.1016/j.jvs.2011.09.011
PD FEB 2012
PY 2012
AB Methods of learning may differ between generations and even the level of
   training or the training paradigm, or both. To optimize education, it is
   important to optimize training designs, and the perspective of those
   being trained can aid in this quest. The Association of Program
   Directors in Vascular Surgery leadership sent a survey to all vascular
   surgical trainees (integrated [0/5], independent current and new
   graduates [5 + 2]) addressing various aspects of the educational
   experience. Of 412 surveys sent, 163 (similar to 40%) responded: 46
   integrated, 96 fellows, and 21 graduates. The survey was completed by
   52% of the integrated residents, 59% of the independent residents, and
   20% of the graduates. When choosing a program for training, the
   integrated residents are most concerned with program atmosphere and the
   independent residents with total clinical volume. Concerns after
   training were thoracic and thoracoabdominal aneurysm procedures and
   business aspects: 40% to 50% integrated, and 60% fellows/graduates.
   Integrated trainees found periprocedural discussion the best feedback
   (79%), with 9% favoring written test review. Surgical training and
   vascular laboratory and venous training were judged "just right" by 87%
   and similar to 71%, whereas business aspects needed more emphasis
   (65%-70%). Regarding the 80-hour workweek, 82% felt it prevented
   fatigue, and 24% thought it was detrimental to patient care. Independent
   program trainees also found periprocedural discussion the best feedback
   (71%), with 12% favoring written test review. Surgical training and
   vascular laboratory/venous training were "just right" by 87% and 60% to
   70%, respectively, whereas business aspects needed more emphasis
   (similar to 65%-70%). Regarding the 80-hour workweek, 62% felt it was
   detrimental to patient care, and 42% felt it prevented fatigue. A
   supportive environment and adequate clinical volume will attract
   trainees to a program. For "an urgent need to know," the integrated
   trainees are especially turning to online texts rather than traditional
   textbooks, which suggests an opportunity for a shift in educational
   focus. Point-of-care is the best time for education and feedback,
   suggesting a continued need for dedicated faculty. The business side of
   training is underserved and should be addressed. (J Vase Surg
   2012;55:588-98.)
CT Vascular Annual Meeting of the Society-for-Vascular-Surgery/Plenary
   Session of William von Liebig Forum/36th Annual Meeting of the
   Peripheral-Vascular-Surgery-Society
CY JUN 15-18, 2011
CL Chicago, IL
SP Soc Vasc Surg; Peripheral Vasc Surg Soc
RI Eidt, John/AAH-8842-2020; Mills, Joseph L./L-2023-2019; Mills, Joseph/J-2966-2019
OI Mills, Joseph/0000-0002-4955-4384
ZA 0
ZB 7
ZS 0
TC 14
Z8 0
ZR 0
Z9 14
U1 0
U2 3
SN 0741-5214
UT WOS:000299446600043
PM 22119243
ER

PT J
AU Turner, Jeffrey M.
   Bauer, Carolyn
   Abramowitz, Matthew K.
   Melamed, Michal L.
   Hostetter, Thomas H.
TI Treatment of chronic kidney disease
SO KIDNEY INTERNATIONAL
VL 81
IS 4
BP 351
EP 362
DI 10.1038/ki.2011.380
PD FEB 2012
PY 2012
AB Treatment of chronic kidney disease (CKD) can slow its progression to
   end-stage renal disease (ESRD). However, the therapies remain limited.
   Blood pressure control using angiotensin-converting enzyme (ACE)
   inhibitors or angiotensin II receptor blockers (ARBs) has the greatest
   weight of evidence. Glycemic control in diabetes seems likely to retard
   progression. Several metabolic disturbances of CKD may prove to be
   useful therapeutic targets but have been insufficiently tested. These
   include acidosis, hyperphosphatemia, and vitamin D deficiency. Drugs
   aimed at other potentially damaging systems and processes, including
   endothelin, fibrosis, oxidation, and advanced glycation end products,
   are at various stages of development. In addition to the paucity of
   proven effective therapies, the incomplete application of existing
   treatments, the education of patients about their disease, and the
   transition to ESRD care remain major practical barriers to better
   outcomes. Kidney International (2012) 81, 351-362;
   doi:10.1038/ki.2011380; published online 14 December 2011
ZS 1
ZR 2
Z8 5
ZB 57
ZA 0
TC 106
Z9 111
U1 10
U2 49
SN 0085-2538
EI 1523-1755
UT WOS:000299850400005
PM 22166846
ER

PT J
AU Crotty, K. C.
   Ahronovich, M. D.
   Baron, I. S.
   Baker, R.
   Erickson, K.
   Litman, F. R.
TI Neuropsychological and behavioral effects of postnatal dexamethasone in
   extremely low birth weight preterm children at early school age
SO JOURNAL OF PERINATOLOGY
VL 32
IS 2
BP 139
EP 146
DI 10.1038/jp.2011.62
PD FEB 2012
PY 2012
AB Objective: To study postnatal. dexamethasone treatment effects on
   cognitive, neuropsychological and behavioral functioning at early School
   age in preterm children.
   Study Design: We recruited 222 children born between 1998 and 2003: 114
   extremely low birth weight (< 1000 g;60 dexamethasone-treated; 54
   untreated) and 108 term-born. Data were analyzed using multivariate
   methods.
   Result: Preterm performed below term-born on all measures.
   Dexamethasone-treated performed below dexamethasone-untreated in
   immediate visual memory, visual-motor integration, mathematical skill
   and motor dexterity. However, stepwise regression indicated that Medical
   and sociodemographic factors other than dexamethasone contributed to
   preterm group differences.
   Conclusion: Dexamethasone alone does not explain neurocognitive
   impairment in preterm children. Medical and sociodemographic factors
   (illness severity, male gender and parental education) are influential.
   Prospective longitudinal neuropsychological and behavioral Study from
   preschool to school age that considers medical and sociodemographic.
   variables will best address effects of dexamethasone exposure. Journal
   of Perinatology (2012) 32, 139-146; doi:10.1038/jp.2011.62; published
   online 5 May 2011
ZB 7
ZR 0
Z8 1
ZS 1
TC 11
ZA 0
Z9 13
U1 0
U2 5
SN 0743-8346
EI 1476-5543
UT WOS:000299860800011
PM 21546939
ER

PT J
AU Palumbo, Aimee J.
   Loveless, P. Ann
   Moll, Maria E.
   Ostroff, Stephen
TI Evaluation of Healthcare-Associated Infection Surveillance in
   Pennsylvania Hospitals
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 33
IS 2
BP 105
EP 111
DI 10.1086/663709
PD FEB 2012
PY 2012
AB OBJECTIVE. In Pennsylvania, reporting of healthcare-associated
   infections (HAIs) was mandated in 2007, and hospitals were encouraged to
   implement qualified electronic surveillance (QES) systems to assist HAI
   detection. This study evaluated the usefulness of these systems in
   reducing HAIs.
   DESIGN. Online survey and retrospective cohort study. Eligible
   facilities had a QES or manual system in place for the entire study
   period and sufficient data in selected hospital units.
   METHODS. Surveys were sent to infection preventionists (IPs) in all
   Pennsylvania hospitals to gather qualitative information about their
   systems. National Healthcare Safety Network data from Pennsylvania
   hospitals for July 2008 through June 2010 were used to compare
   catheter-associated urinary tract infection (CAUTI) rates in facilities
   with and without a QES system.
   PARTICIPANTS. IPs from 174 facilities responded to the survey. Data from
   119 of 234 hospitals were analyzed. results. IPs in facilities with a
   QES system reported spending as much time on data management and
   education as IPs in hospitals with manual surveillance. Significant
   interaction was observed in CAUTI rates over time between groups of
   facilities with and without a QES system after controlling for
   device-utilization ratio, location within hospital, and licensed bed
   size (P < .01). QES hospitals showed a significant decline in CAUTI
   rates (P < .01); manual surveillance facilities showed no change in
   rates (P > .05).
   CONCLUSIONS. Over the 2-year period, a significant decline in CAUTI
   rates was observed in facilities with a QES system. This suggests that
   electronic systems may aid in reducing HAI rates. Additional data are
   needed to see whether these improvements and trends persist. Infect
   Control Hosp Epidemiol 2012;33(2):105-111
RI Palumbo, Aimee/AAE-1762-2022
OI Palumbo, Aimee/0000-0003-0769-6015
ZS 0
ZR 0
TC 10
ZB 3
Z8 0
ZA 0
Z9 10
U1 0
U2 2
SN 0899-823X
UT WOS:000299085400001
PM 22227977
ER

PT J
AU Cowan, G. M.
   Burton, F.
   Newton, A.
TI Prehospital anaesthesia: a survey of current practice in the UK
SO EMERGENCY MEDICINE JOURNAL
VL 29
IS 2
BP 136
EP 140
DI 10.1136/emj.2010.105304
PD FEB 2012
PY 2012
AB Aim To establish the national picture of prehospital anaesthesia in the
   UK and to reference practice against the Association of prior to
   Anaesthetists of Great Britain and Ireland safety guideline on
   prehospital anaesthesia.
   Methods Lead clinicians were identified for all prehospital services in
   the UK that could potentially be performing prehospital anaesthesia and
   invited to complete a detailed online survey. The survey requested
   details on team structure, the process for prehospital anaesthesia,
   drugs and equipment used and training and governance arrangements.
   Results 55 responses were received from 63 invitations sent (87.3%)
   yielding usable data for 47 services. 31 of the 47 services (70%)
   responded that they performed prehospital anaesthesia. All services
   performing prehospital anaesthesia utilised a doctor but only 18
   services (58%) always utilised a trained assistant. 28 services (90%)
   maintained a database and over half of services (55%) performed less
   than 20 prehospital anaesthetics annually. 23 services (74%) had a
   designated lead clinician for prehospital anaesthesia and 25 (81%) had a
   written difficult airway plan. 19 services (61%) had mandatory continual
   training requirements.
   Conclusions The majority of services are currently complying with the
   recommendations in the Association of prior to Anaesthetists of Great
   Britain and Ireland safety guideline. There are still areas of concern,
   particularly with regard to ongoing training and the high numbers of
   services that do not use a trained assistant for the process of
   prehospital anaesthesia.
ZS 0
ZA 0
ZB 2
TC 9
Z8 0
ZR 0
Z9 10
U1 0
U2 4
SN 1472-0205
EI 1472-0213
UT WOS:000299310500014
PM 21398693
ER

PT J
AU Eduardo Urrutia, Luis
TI Multimedia courses
SO ARCHIVOS ARGENTINOS DE PEDIATRIA
VL 110
IS 1
BP 6
EP 7
DI 10.5546/aap.2012.6
PD FEB 2012
PY 2012
ZA 0
ZB 0
TC 0
Z8 0
ZS 0
ZR 0
Z9 0
U1 0
U2 0
SN 0325-0075
UT WOS:000301289100008
PM 22307416
ER

PT J
AU McEvoy, Michelle
   Butler, Bryan
   MacCarrick, Geraldine
TI Teaching professionalism through virtual means.
SO The clinical teacher
VL 9
IS 1
BP 32
EP 6
DI 10.1111/j.1743-498X.2011.00487.x
PD 2012-Feb
PY 2012
AB OBJECTIVES: Virtual patients are used across a variety of clinical
   disciplines for both teaching and assessment, but are they an
   appropriate environment in which to develop professional skills? This
   study aimed to evaluate students' perceived effectiveness of an online
   interactive virtual patient developed to augment a personal professional
   development curriculum, and to identify factors that would maximise the
   associated educational benefits.
   METHODS: Student focus group discussions were conducted to explore
   students' views on the usefulness and acceptability of the virtual
   patient as an educational tool to teach professionalism, and to identify
   factors for improvement. A thematic content analysis was used to capture
   content and synthesise the range of opinions expressed.
   RESULTS: Overall there was a positive response to the virtual patient.
   The students recognised the need to teach and assess professionalism
   throughout their curriculum, and viewed the virtual patient as a
   potentially engaging and valuable addition to their curriculum. We
   identified factors for improvement to guide the development of future
   virtual patients.
   CONCLUSION: It is possible to improve approaches to teaching and
   learning professionalism by exploring students' views on innovative
   teaching developments designed to augment personal professional
   development curricula.
ZB 0
TC 2
ZA 0
ZR 0
ZS 0
Z8 0
Z9 2
U1 0
U2 6
EI 1743-498X
UT MEDLINE:22225890
PM 22225890
ER

PT J
AU Hall, Justin N.
   Moore, Spencer
   Shiell, Alan
TI The influence of organizational jurisdiction, organizational attributes,
   and training measures on perceptions of public health preparedness in
   Alberta
SO INTERNATIONAL JOURNAL OF PUBLIC HEALTH
VL 57
IS 1
BP 159
EP 166
DI 10.1007/s00038-011-0261-9
PD FEB 2012
PY 2012
AB Recent international events including the H1N1 influenza pandemic and
   the rising incidence of West Nile Virus throughout North America have
   brought critical attention to the Canadian public health system and how
   prepared the system is to respond to various types of contemporary
   public health threats. The current work assessed the association of
   organizational jurisdiction, organizational attributes, and training
   opportunities with three different measures of public health
   preparedness in the province of Alberta, Canada.
   Organizational representatives involved in the delivery of public health
   systems completed an online questionnaire that asked about
   organizational attributes and training opportunities available to
   employees, their perception of organizational preparedness, and their
   connections to other organizations in Alberta.
   Findings revealed that (1) perceived human and material resources
   preparedness was associated with training opportunities, (2) perceived
   informational needs was associated with organizational size, and (3)
   whether an organization exercised their written preparedness plan in
   2006 was associated with organizational jurisdiction.
   These findings help fill a gap in the literature with respect to
   identifying how organizational characteristics are associated with
   different aspects of preparedness.
RI Shiell, Alan/AAL-4146-2020
OI Shiell, Alan/0000-0001-5914-1084
ZA 0
ZR 0
TC 2
ZB 0
ZS 0
Z8 0
Z9 2
U1 0
U2 0
SN 1661-8556
EI 1661-8564
UT WOS:000300551400023
PM 21541784
ER

PT J
AU Rathleff, Michael S.
   Roos, Ewa M.
   Olesen, Jens L.
   Rasmussen, Sten
TI Early intervention for adolescents with Patellofemoral Pain Syndrome - a
   pragmatic cluster randomised controlled trial
SO BMC MUSCULOSKELETAL DISORDERS
VL 13
AR 9
DI 10.1186/1471-2474-13-9
PD JAN 27 2012
PY 2012
AB Background: Self-reported knee pain is highly prevalent among
   adolescents. As much as 50% of the non-specific knee pain may be
   attributed to Patellofemoral Pain Syndrome (PFPS). In the short term,
   exercise therapy appears to have a better effect than patient education
   consisting of written information and general advice on exercise or
   compared with placebo treatment. But the long-term effect of exercise
   therapy compared with patient education is conflicting. The purpose of
   this study is to examine the short-and long-term effectiveness of
   patient education compared with patient education and multimodal
   physiotherapy applied at a very early stage of the condition among
   adolescents.
   Methods/Design: This study is a single blind pragmatic cluster
   randomised controlled trial. Four upper secondary schools have been
   invited to participate in the study (approximately 2500 students, aged
   15-19 years). Students are asked to answer an online questionnaire
   regarding musculoskeletal pain. The students who report knee pain are
   contacted by telephone and offered a clinical examination by a
   rheumatologist. Subjects who fit the inclusion criteria and are
   diagnosed with PFPS are invited to participate in the study. A minimum
   of 102 students with PFPS are then cluster-randomised into two
   intervention groups based on which school they attend. Both intervention
   groups receive written information and education. In addition to patient
   education, one group receives multimodal physiotherapy consisting
   primarily of neuromuscular training of the muscles around the foot, knee
   and hip and home exercises.
   The students with PFPS fill out self-reported questionnaires at
   baseline, 3, 6, 12 and 24 months after inclusion in the study. The
   primary outcome measure is perception of recovery measured on a 7-point
   Likert scale ranging from "completely recovered" to "worse than ever" at
   12 months.
   Discussion: This study is designed to investigate the effectiveness of
   patient education compared with patient education combined with
   multimodal physiotherapy. If patient education and multimodal
   physiotherapy applied at an early stage of Patellofemoral Pain Syndrome
   proves effective, it may serve as a basis for optimising the clinical
   pathway for those suffering from the condition, where specific emphasis
   can be placed on early diagnosis and early treatment.
RI Roos, Ewa M/A-5416-2012; Rasmussen, Sten/N-3916-2013; Roos, Ewa/X-5028-2019; Rathleff, Michael Skovdal/; Olesen, Jes/
OI Roos, Ewa M/0000-0001-5425-2199; Rasmussen, Sten/0000-0002-8664-352X;
   Roos, Ewa/0000-0001-5425-2199; Rathleff, Michael
   Skovdal/0000-0003-1173-0335; Olesen, Jes/0000-0002-6712-2702
ZR 0
ZS 0
TC 25
ZB 7
ZA 0
Z8 0
Z9 26
U1 0
U2 21
SN 1471-2474
UT WOS:000302909500001
PM 22280484
ER

PT J
AU Cribb, V. L.
   Warren, J. M.
   Emmett, P. M.
TI Contribution of inappropriate complementary foods to the salt intake of
   8-month-old infants
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 66
IS 1
BP 104
EP 110
DI 10.1038/ejcn.2011.137
PD JAN 2012
PY 2012
AB Background/Objective: Complementary feeding is a critical developmental
   time for establishing variety, and appropriate feeding practices are
   important. These include recommendations for a maximum intake of sodium
   (salt), because of the potential harmful effect of excessive intake on
   the developing kidneys and blood pressure in later life. Sodium intakes
   were examined to establish, if inappropriate complementary feeding
   practices were contributing to high intakes.
   Subjects/Methods: Data were collected from a cohort of 1178 8-month-old
   infants born in 1991/92, participating in the Avon Longitudinal Study of
   Parents and Children, using a 3-day dietary records completed by their
   mothers. Sodium and energy intakes were calculated and infants were
   categorised into quartiles of sodium intake.
   Results: Majority of infants were first introduced to solids around 3-4
   months, with plain baby rice, rusks and other cereals being the first
   foods consumed during complementary feeding. In the whole sample, 70%
   consumed in excess, of 400 mg sodium per day, the maximum UK
   recommendation for children up to age 12 months. The mean sodium intake
   for the highest quartile was 1060 mg per day. Infants in this quartile
   were often consuming cows' milk as a main drink; eating three times the
   amount of bread compared with the lowest quartile and used salty
   flavourings such as yeast extract and gravy.
   Conclusions: Sodium intakes in this cohort of infants were higher than
   recommendations. Clear and practical education is needed on
   complementary feeding practice for mothers highlighting what foods to
   introduce and when. Manufacturers have a responsibility to reduce the
   sodium content of food products. European Journal of Clinical Nutrition
   (2012) 66, 104-110. doi:10.1038/ejcn.2011.137; published online 20 July
   2011
RI Emmett, Pauline/AAL-6815-2021; Emmett, Pauline/
OI Emmett, Pauline/0000-0003-1076-4779
Z8 0
TC 22
ZA 0
ZB 8
ZS 3
ZR 0
Z9 22
U1 0
U2 16
SN 0954-3007
EI 1476-5640
UT WOS:000299094800016
PM 21772314
ER

PT J
AU van Deursen, Alexander J. A. M.
TI Internet skill-related problems in accessing online health information
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 81
IS 1
BP 61
EP 72
DI 10.1016/j.ijmedinf.2011.10.005
PD JAN 2012
PY 2012
AB Purpose: Despite the amount of health information available online,
   there are several barriers that limit the Internet from being adopted as
   a source of health information. The purpose of this study was to
   identify individual skill-related problems that users experience when
   accessing the Internet for health information and services.
   Methods: Between November 2009 and February 2010, 88 subjects
   participated in a performance test in which participants had to complete
   health-related assignments on the Internet. Subjects were randomly
   selected from a telephone book. A selective quota sample was used and
   was divided over equal subsamples of gender, age, and education. Each
   subject was required to complete nine assignments on the Internet.
   Results: The general population experiences many Internet skill-related
   problems, especially those related to information and strategic Internet
   skills. Aging and lower levels of education seemed to contribute to the
   amount of operational and formal skill-related problems experienced.
   Saving files, bookmarking websites, and using search engines were
   troublesome for these groups of people. With respect to information
   skills, the higher the level of educational attainment, the less
   problems the participants experienced. Although younger subjects
   experienced far less operational and formal skill-related problems, it
   was revealed that older subjects were less likely to select and use
   irrelevant search results and unreliable sources. Concerning the
   strategic Internet skills it was revealed that older subjects were less
   likely to make inappropriate decisions based on information gathered.
   Conclusions: The amount of online health-related information and
   services is consistently growing; however, it appears that the general
   population experiences many skill-related problems, particularly those
   related to information and strategic Internet skills, and they become
   very important when it comes to health. These skills are also
   problematic for younger generations who are often seen as skilled
   Internet users. The results of the study call for policies that account
   for low levels of Internet skills. (C) 2011 Elsevier Ireland Ltd. All
   rights reserved.
RI van Deursen, Alexander J.A.M./AAF-7076-2021; Deursen, Alexander v/A-6730-2015
OI van Deursen, Alexander J.A.M./0000-0002-0225-2637; 
TC 59
ZS 0
ZR 0
ZA 0
Z8 0
ZB 6
Z9 59
U1 0
U2 33
SN 1386-5056
EI 1872-8243
UT WOS:000298152700007
PM 22079240
ER

PT J
AU Edirippulige, Sisira
   Armfield, Nigel R.
   Smith, Anthony C.
TI A qualitative study of the careers and professional practices of
   graduates from an e-health postgraduate programme
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 18
IS 8
BP 455
EP 459
DI 10.1258/jtt.2012.GTH107
PD 2012
PY 2012
AB We studied the careers and professional practices of graduates from an
   e-health postgraduate programme at the University of Queensland (UQ).
   The information was collected using an online questionnaire distributed
   to those who graduated from 2005 to 2010. A total of 35 surveys were
   completed, a response rate of 89%. The majority of respondents (n = 20,
   57%) were male, and most of them (n = 27, 77%) were aged 30-49 years.
   Most of the respondents (n = 19, 54%) had graduated from the Graduate
   Certificate in E-healthcare programme; 12 had graduated from the Master
   of E-healthcare and 4 had graduated from the Graduate Diploma programme.
   The majority of respondents (n = 29, 83%) perceived that e-health study
   at UQ helped in their career development. The current occupation of the
   majority of respondents (n = 24, 69%) was related to health or medicine,
   and most (n = 27, 77%) had worked in an e-health related job since
   graduating. Overall, the level of satisfaction regarding the learning
   experience doing e-health study at UQ was high.
CT 2nd International Conference on Global Telehealth
CY NOV 26-28, 2012
CL Sydney, AUSTRALIA
RI Armfield, Nigel R./B-4896-2010; Edirippulige, Sisira/A-7380-2011; Smith, Anthony C./E-9538-2010
OI Armfield, Nigel R./0000-0003-4218-0030; Edirippulige,
   Sisira/0000-0001-6196-5437; Smith, Anthony C./0000-0002-7756-5136
ZR 0
ZA 0
Z8 0
TC 4
ZS 0
ZB 0
Z9 4
U1 0
U2 1
SN 1357-633X
UT WOS:000314139400007
PM 23209263
ER

PT J
AU Puget, A.
   Mejino, J. L. V., Jr.
   Detwiler, L. T.
   Franklin, J. D.
   Brinkley, J. F.
TI Spatial-symbolic Query Engine in Anatomy
SO METHODS OF INFORMATION IN MEDICINE
VL 51
IS 6
BP 463
EP 478
DI 10.3414/ME11-01-0047
PD 2012
PY 2012
AB Objectives: Currently, the primary means for answering anatomical
   questions such as 'what vital organs would potentially be impacted by a
   bullet wound to the abdomen?' is to look them up in textbooks or to
   browse online sources. In this work we describe a semantic web service
   and spatial query processor that permits a user to graphically pose such
   questions as joined queries over separately defined spatial and symbolic
   knowledge sources.
   Methods: Spatial relations (e.g. anterior) were defined by two anatomy
   experts, and based on a 3-D volume of labeled images of the thorax, all
   the labeled anatomical structures were queried to retrieve the target
   structures for every query structure and every spatial relation. A web
   user interface and a web service were designed to relate existing
   symbolic information from the Foundational Model of Anatomy ontology
   (FMA) with spatial information provided by the spatial query processor,
   and to permit users to select anatomical structures and define queries.
   Results: We evaluated the accuracy of results returned by the queries,
   and since there is no independent gold standard, we used two anatomy
   experts' opinions as the gold standard for comparison. We asked the same
   experts to define the gold standard and to define the spatial relations.
   The F-measure for the overall evaluation is 0.90 for rater 1 and 0.56
   for rater 2. The percentage of observed agreement is 99% and Cohen's
   kappa coefficient reaches 0.51. The main source of disagreement relates
   to issues with the labels used in the dataset, and not with the tool
   itself.
   Conclusions: In its current state the system can be used as an end-user
   application but it is likely to be of most use as a framework for
   building end-user applications such as displaying the results as a 3-D
   anatomical scene. The system promises potential practical utility for
   obtaining and navigating spatial and symbolic data.
ZB 1
ZR 0
ZA 0
TC 7
Z8 0
ZS 0
Z9 7
U1 0
U2 6
SN 0026-1270
UT WOS:000312613700002
PM 22614739
ER

PT J
AU Antonini, Tanya N.
   Raj, Stacey P.
   Oberjohn, Karen S.
   Wade, Shari L.
TI An online positive parenting skills programme for paediatric traumatic
   brain injury: feasibility and parental satisfaction
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 18
IS 6
BP 333
EP 338
DI 10.1258/jtt.2012.120404
PD 2012
PY 2012
AB We examined the feasibility of and parental satisfaction with a training
   programme for parents with children who had suffered traumatic brain
   injury (TBI). Families who did not have a home computer and/or webcam
   were loaned the necessary equipment. Skype was used for
   videoconferencing. After the initial treatment session in the family's
   home, the remaining nine sessions were conducted online. Each session
   had two parts: (1) a self-guided web session with information about a
   particular skill; (2) a videoconference session with the therapist.
   Three of the 20 families (15%) dropped out prior to the final 6-month
   follow-up visit. Of the remaining 17 families, 13 (65% of those
   enrolled) completed 9-14 sessions. Almost all of the caregivers (87%)
   said that the Skype sessions were helpful compared to a conventional
   office visit. Almost all parents were satisfied with the programme and
   the technology that was used. Parental satisfaction with the programme
   was not influenced by prior computer ownership or comfort with
   technology. The programme appears to be feasible for a wide range of
   parents of children with TBI and provides an alternative to conventional
   office-based sessions that may not be accessible to all families.
ZS 1
TC 19
Z8 0
ZR 0
ZA 0
ZB 4
Z9 19
U1 0
U2 16
SN 1357-633X
EI 1758-1109
UT WOS:000309375400006
PM 22941332
ER

PT J
AU Mobasheri, Mahmoud
   Sharifi, Abolghasem
TI The study of students' computer knowledge in the Shahrekord University
   of Medical Sciences
SO LIFE SCIENCE JOURNAL-ACTA ZHENGZHOU UNIVERSITY OVERSEAS EDITION
VL 9
IS 4
BP 5511
EP 5516
PD 2012
PY 2012
AB Today's world is facing daily with advances in technology. Computer is
   one of the most important displays of such development. Nowadays,
   computers play a vital role in business, technical activities, and
   general fields of activity and the use of it has turned into an
   essential skill. The meaning of computer knowledge is the ability of a
   person to use a computer to get their required information for
   professional or general purposes. Just as literacy plays an important
   role in the individual and social life of people, computer knowledge is
   also unavoidable for students and computers are considered a change in
   the way of teaching. The purpose of this research was to study the level
   of students' computer knowledge of students and to aid in educational
   planning. This descriptive - analytic research carried out on 300
   students in Shahrekord university of Medical Sciences. Data gathered
   using standard valid - questionnaires containing demographic data of the
   students, and questions about passing a training course and their
   inclination on passing a course in the future. The gathered data was
   processed analyzed by SPSS13, descriptive parameters, Chi-square test,
   independent t-test and ANOVA. Sixty five percent of the students were
   female and 35% were male. Sixty percent of them had a personal computer.
   Most of their usage was to search the internet for information,
   searching for information through Medline and computer games; while the
   least usage was for programming, using Excel, using statistical
   software, and chatting online. 57.7% had passed a computer training
   course. The biggest students' interest was to take part in classes for
   advanced searching and using Microsoft Office Word. The most computer
   knowledge belonged to the students of medicine and the least, to the
   family health students. This, of course, was directly related to owning
   a private computer. Computer knowledge was greater among native and
   daily students. This also was directly related to owning a private
   computer. There was not a significant difference between female and male
   student's computer knowledge. A significant difference between female
   and male didn't observe in having a passed computer course, possessing a
   private computer and computer knowledge score, whereas there was a
   significant difference between native and non-native students. The
   findings of this research indicates that the assessment and analysis of
   computer knowledge of students can determine the type and the content of
   the courses chosen for them, which is in turn essential for the
   improvement of their skill and knowledge of computer. Planning and
   putting an IT course is essential in the student's educational
   curriculum with emphasis on how to search for scientific sources in the
   internet. [Mobasheri M, Sharifi A. The study of students' computer
   knowledge in the Shahrekord University of Medical Sciences. Life Sci J
   2012;9(4):5511-5516] (ISSN:1097-8135). http://www.lifesciencesite.com.
   817
RI Sharifi, Abolghasem/; Mobasheri, Mahmoud/K-1583-2017
OI Sharifi, Abolghasem/0000-0002-8213-5907; Mobasheri,
   Mahmoud/0000-0002-3305-4502
ZS 0
ZR 0
ZB 0
ZA 0
Z8 0
TC 0
Z9 0
U1 0
U2 6
SN 1097-8135
UT WOS:000316686000194
ER

PT J
AU Mair, Sarah
   Soyer, H. Peter
   Youl, Philippa
   Hurst, Cameron
   Marshall, Alison
   Janda, Monika
TI Personalised electronic messages to improve sun protection in young
   adults
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 18
IS 5
BP 247
EP 252
DI 10.1258/jtt.2011.111101
PD 2012
PY 2012
AB We studied the acceptability and feasibility of delivering sun
   protection messages via electronic media such as short message services
   (SMS) to people aged 18-40 years. An online survey was conducted using a
   pre-established panel of volunteers. We compared the characteristics of
   those who indicated that they would like to be alerted to the UV index,
   with those who would not, using bivariate logistic regression.
   Characteristics found to be associated with a desire to receive such
   advice were entered into a multivariate logistic regression analysis.
   The median age of the 141 participants was 34 years. Overall, 80% of
   participants agreed that they would like to receive some form of sun
   protection advice. Of these, 20% preferred to receive it via SMS and 42%
   via email. Willingness to receive electronic messages about the UV index
   was associated with being unsure about whether a suntanned person would
   look healthy and greater use of sun protection in the past. Careful
   attention to message framing and timing of message delivery, and focus
   on the short-term effects of sun exposure such as sunburn and skin
   ageing should increase the acceptability of such messages to young
   people. Sun protection messages delivered to young adults via electronic
   media appear to be feasible and acceptable.
RI Soyer, H. Peter/E-6000-2010; Janda, Monika/C-3723-2009; Hurst, Cameron/AAD-5753-2019; Hurst, Cameron P/P-5175-2017; Soyer, H. Peter/W-3791-2017; Marshall, Alison/
OI Soyer, H. Peter/0000-0002-4770-561X; Janda, Monika/0000-0002-1728-8085;
   Hurst, Cameron/0000-0002-4577-8962; Hurst, Cameron
   P/0000-0002-4577-8962; Soyer, H. Peter/0000-0002-4770-561X; Marshall,
   Alison/0000-0001-5707-9424
ZA 0
ZR 0
Z8 0
ZB 4
TC 7
ZS 0
Z9 7
U1 0
U2 2
SN 1357-633X
UT WOS:000307680900002
PM 22302765
ER

PT J
AU Huang, E.
   Chang, C.-C.A.
   Khurana, P.
TI Users' preferred interactive e-health tools on hospital web sites
SO International Journal of Pharmaceutical and Healthcare Marketing
VL 6
IS 3
BP 215
EP 29
DI 10.1108/17506121211259395
PD 2012
PY 2012
AB Purpose - Healthcare is becoming an important part of people's online
   content consumption, with people searching for information on diseases
   or medical problems, treatments or procedures, particular doctors or
   hospitals, or about parking. This paper aims to investigate what users
   deem essential on patient-oriented interactive e-health tools on
   hospital web sites. Design/methodology/approach - The findings are based
   on 242 patients/users from diverse backgrounds in a purposive sample. A
   modified Delphi technique was used in two rounds of survey to collect
   and analyze data. Findings - The respondents highly desire core-business
   tools, especially access to medical records and lab results, while
   discounting hospitals' efforts to connect to social media. Hospitals'
   e-health implementation on their web sites has greatly lagged behind the
   users' needs for interacting with hospitals online. It is concluded
   that, while continuing to provide traditional functional tools,
   hospitals should expedite their development in providing core e-business
   tools and emerging functional tools in order to accomplish multiple
   objectives, including service, education, and marketing. Research
   limitations/implications - Hospitals' e-health development efforts have
   been behind the users' expectations at large. Future research should
   explore whether such lagging has resulted mainly from the lack of
   technical know-how, lack of funding, and/or lack of vision on the
   administrative level. Practical implications - The paper provides solid
   empirical evidence for US hospitals to (re)consider how to prioritize
   their efforts in implementing e-health online so as to build a
   user-centric web site. Originality/value - Most US hospitals have
   implemented some form of e-health online to serve their patients/users,
   but rarely have researchers studied such efforts. As a result, hospitals
   have had little evidence to gauge their implementation success. This is
   the first empirical study that investigates from the patient/user
   perspective the usefulness of various interactive e-health tools online.
RI Chang, Angela/ABI-7798-2020
ZR 0
ZA 0
ZS 1
Z8 0
ZB 1
TC 13
Z9 14
U1 0
U2 3
SN 1750-6123
UT INSPEC:13472022
ER

PT J
AU Lynch, Jay
   Gay, Shirley
TI A survey of telehealth coordinators in Canada
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 18
IS 4
BP 231
EP 234
DI 10.1258/jtt.2012.110903
PD 2012
PY 2012
AB Telehealth coordinators practising in Canada were invited to respond to
   an online survey and participate in a telephone interview. For the
   present study, the definition of 'telehealth' was limited to the use of
   videoconferencing. The coordinators were recruited with the assistance
   of the Ontario Telemedicine Network (OTN) and the Canadian Telehealth
   Forum (CTF). The response rate to the online survey from the OTN cohort
   was 4% (n = 13) and from the CTF cohort was 36% (n = 34). Of the 47
   people who completed the survey, 16 also participated in a telephone
   interview. Most respondents were female; their mean age was 40 years.
   Most telehealth coordinators had some form of post-secondary education.
   Most, 66% (n = 31) coordinated both clinical and educational
   videoconferences. About half of the telehealth coordinators (55%, n =
   26) indicated that their job was dedicated solely to telehealth,
   although 32% (n = 15) reported that their jobs involved responsibilities
   outside telehealth. About half of the respondents worked full-time (51%,
   n = 24). Most respondents either strongly agreed or agreed with the
   statement that 'If a telehealth coordinator's role involves patient care
   then that individual should be a member of a regulated health
   profession'. The need for organizations to more clearly define the role,
   better recognize and support telehealth coordinators and develop
   mechanisms for continuing professional education and certification were
   recurrent themes in the interviews.
ZS 0
ZB 1
Z8 0
TC 2
ZR 0
ZA 0
Z9 2
U1 0
U2 7
SN 1357-633X
UT WOS:000306046100010
PM 22604279
ER

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