﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Schaffer, S.P.
   Kim, H.
TI Responsive evaluation as a guide to design and implementation: Case
   study of an e-health learning system
SO Performance Improvement Quarterly
VL 25
IS 2
BP 9
EP 25
DI 10.1002/piq.21119
PD 2012
PY 2012
AB Evaluation of the design and implementation of a web-based e-health
   application offers an opportunity to apply extensive research findings
   and evidence-based practices from the learning and performance
   literature. In this study, we examined how interactions between
   stakeholders influenced the design, implementation, and outcomes of an
   e-health education system. The online system was designed for adults
   with diabetes. A midsized suburban medical practice in the Midwest
   partnered with a private sector information technology provider and a
   university research team to develop the system for patients. Design of
   the support system was based on a model developed by Schaffer and
   colleagues, and the implementation strategy was informed by Ely's
   conditions-of-change model. Analyses of design and pilot study
   implementation processes were accomplished through the lens of
   responsive evaluation. Discussion of the successes, tensions, and
   challenges related to the design of learning and performance
   environments in the e-health context will guide future system design and
   evaluation efforts.
ZS 0
ZB 0
Z8 0
TC 3
ZA 0
ZR 0
Z9 3
U1 0
U2 0
SN 0898-5952
UT INSPEC:13467450
ER

PT J
AU Sadideen, Hazim
   Hamaoui, Karim
   Saadeddin, Munir
   Kneebone, Roger
TI Simulators and the simulation environment: Getting the balance right in
   simulation-based surgical education
SO INTERNATIONAL JOURNAL OF SURGERY
VL 10
IS 9
BP 458
EP 462
DI 10.1016/j.ijsu.2012.08.010
PD 2012
PY 2012
AB Introduction: Simulation occupies a central position in surgical
   education. It offers a safe environment for trainees to develop and
   improve their skills through sustained deliberate self-practice and
   appropriate feedback. This review explores the role of simulators and
   the simulation environment in light of educational theory to promote
   effective learning.
   Data sources: Information was obtained from peer-reviewed publications,
   books and online material.
   Conclusion: A simplistic perspective frames simulation as a means of
   gaining technical skills on basic models by offering a safe alternative
   to carrying out procedures on real patients. Although necessary, that
   aspect of simulation requires greater depth to satisfy the growing
   demand for alternatives to traditional clinical learning. A more
   realistic view should frame simulation as a means to gaining mastery
   within a complex clinical world. In order to strike the balance on
   simulating an ideal clinical scenario, alignment of the simulator and
   the simulation environment in the appropriate context appears crucial.
   (C) 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights
   reserved.
OI Sadideen, Hazim/0000-0002-1452-2331
ZB 8
ZS 1
ZR 0
Z8 0
TC 40
ZA 0
Z9 41
U1 0
U2 13
SN 1743-9191
EI 1743-9159
UT WOS:000316935700012
PM 22935356
ER

PT J
AU Folcher, V.
   Lompre, N.
TI ACCESSIBILITY FOR USE AND ACCESSIBILITY IN USE
SO TRAVAIL HUMAIN
VL 75
IS 1
BP 89
EP 120
DI 10.3917/th.751.0089
PD JAN 2012
PY 2012
AB ACCESSIBILITY FOR USE AND ACCESSIBILITY IN USE
   Accessibility can be identified as the offering of equal rights, equal
   opportunities and full participation for all citizens in society. As a
   social issue, accessibility is situated within an important legal and
   normative framework that covers all dimensions of human activities,
   including employment, working conditions, access to the built
   environment, transport, use of resources, online education and training.
   However, whilst directives, regulations and technical standards specify
   the desirable characteristics of environments, such as built
   environment, transport, public spaces and new technologies, they do so
   in a disjointed way. Thus, accessibility can bring a universal approach
   to the inclusion of all in society; however, in reality, it is
   implemented in a piecemeal fashion. Because it extends across different
   areas and is included in the diverse and evolutionary dynamics of
   people, accessibility can be tackled within the approach developed by
   francophone ergonomics. Such a systemic approach focuses on the
   intrinsic and aims to contribute to a design environment that is
   accessible to everyone. We begin with a definition of accessibility and
   identify the reasons why this issue is of interest to ergonomics. We
   then present the legislative policy changes that have occurred in the
   fields of disability and accessibility in recent decades. Finally, we
   discuss the problem of accessibility in terms of designing appropriate
   situations for everyone through the bringing together of
   accessibility-for-use and accessibility-in-use criteria. Our proposal is
   grounded on the historical contributions from the fields of ergonomics
   and psychology on which it draws.
Z8 0
ZB 1
ZA 0
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TC 5
ZR 0
Z9 5
U1 1
U2 34
SN 0041-1868
EI 2104-3663
UT WOS:000302890100006
ER

PT J
AU Bleich, Sara N.
   Bennett, Wendy L.
   Gudzune, Kimberly A.
   Cooper, Lisa A.
TI National survey of US primary care physicians' perspectives about causes
   of obesity and solutions to improve care
SO BMJ OPEN
VL 2
IS 6
AR e001871
DI 10.1136/bmjopen-2012-001871
PD 2012
PY 2012
AB Objective: To describe physician perspectives on the causes of and
   solutions to obesity care and identify differences in these perspectives
   by number of years since completion of medical school.
   Design: National cross-sectional online survey from 9 February to 1
   March 2011.
   Setting: USA.
   Participants: 500 primary care physicians.
   Main Measures: We evaluated physician perspectives on: (1) causes of
   obesity, (2) competence in treating obese patients, (3) perspectives on
   the health professional most qualified to help obese patients lose or
   maintain weight and (4) solutions for improving obesity care.
   Results: Primary care physicians overwhelmingly supported additional
   training (such as nutrition counselling) and practice-based changes
   (such as having scales report body mass index) to help them improve
   their obesity care. They also identified nutritionists/dietitians as the
   most qualified providers to care for obese patients. Physicians with
   fewer than 20 years since completion of medical school were more likely
   to identify lack of information about good eating habits and lack of
   access to healthy food as important causes of obesity. They also
   reported feeling relatively more successful helping obese patients lose
   weight. The response rate for the survey was 25.6%.
   Conclusions: Our results indicate a perceived need for improved medical
   education related to obesity care.
OI Bennett, Wendy/0000-0001-9828-0706
ZS 0
TC 62
ZA 0
ZB 13
ZR 0
Z8 0
Z9 62
U1 0
U2 21
SN 2044-6055
UT WOS:000315081400113
PM 23257776
ER

PT J
AU Stebbings, Simon
   Bagheri, Nasser
   Perrie, Kellie
   Blyth, Phil
   McDonald, Jenny
TI Blended learning and curriculum renewal across three medical schools:
   The rheumatology module at the University of Otago
SO AUSTRALASIAN JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 28
IS 7
BP 1176
EP 1189
PD 2012
PY 2012
AB In response to the challenges created by the implementation of a new
   medical school curriculum at the University of Otago in 2008, we aimed
   to develop a blended learning course for teaching rheumatology within
   the existing musculoskeletal course. We developed a multimedia online
   learning resource structured to support class based problem-based
   learning (PBL) sessions, and enhance student engagement and promote
   clinical reasoning. We also aimed to align teaching over three
   geographically separate campuses, promote more student-centred
   approaches to learning and meet the challenge of the limited teaching
   time available for undergraduate learning in the field of rheumatology.
   Our redesigned course was evaluated longitudinally over eighteen months
   through student focus groups, Blackboard and Moodle electronic access
   data, and course evaluation questionnaires. The data collected indicated
   an overwhelmingly positive response to the changes in teaching methods.
   Online materials integrated into the new curriculum and combined with
   in-class PBL and clinical sessions, proved popular with students.
   Students accessed the newly developed online materials far more
   frequently than the previously available unstructured content, which
   they felt to be of limited value or relevance to their studies.
   Furthermore the blended learning approach allowed delivery of common
   content across three separate campuses.
RI bagheri, nasser/Z-3094-2019; Stebbings, simon/AAF-1894-2021
OI bagheri, nasser/0000-0003-1097-2797; 
ZS 0
Z8 0
ZA 0
ZR 0
TC 5
ZB 0
Z9 5
U1 1
U2 10
SN 1449-3098
EI 1449-5554
UT WOS:000314400200007
ER

PT C
AU Wu, Yunfeng
   Zheng, Fang
   Cai, Suxian
   Xiang, Ning
   Zhong, Zhangting
   He, Jia
   Xu, Fang
GP IEEE
TI Effective Collaborative Learning in Biomedical Education Using a
   Web-Based Infrastructure
SO 2012 ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE
   AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 5070
EP 5073
PD 2012
PY 2012
AB This paper presents a feature-rich web-based system used for biomedical
   education at the undergraduate level. With the powerful groupware
   features provided by the wiki system, the instructors are able to
   establish a community-centered mentoring environment that capitalizes on
   local expertise to create a sense of online collaborative learning among
   students. The web-based infrastructure can help the instructors
   effectively organize and coordinate student research projects, and the
   groupware features may support the interactive activities, such as
   interpersonal communications and data sharing. The groupware features
   also provide the web-based system with a wide range of additional ways
   of organizing collaboratively developed materials, which makes it become
   an effective tool for online active learning. Students are able to learn
   the ability to work effectively in teams, with an improvement of project
   management, design collaboration, and technical writing skills. With the
   fruitful outcomes in recent years, it is positively thought that the
   web-based collaborative learning environment can perform an excellent
   shift away from the conventional instructor-centered teaching to
   community-centered collaborative learning in the undergraduate
   education.
CT 34th Annual International Conference of the IEEE
   Engineering-in-Medicine-and-Biology-Society (EMBS)
CY AUG 28-SEP 01, 2012
CL San Diego, CA
SP IEEE; Engn Med & Biol Soc (EMBS); CAS; SMC; PubMed; MEDLINE
RI Wu, Yunfeng/B-9337-2009; Wu, Yunfeng/AAU-8937-2021
OI Wu, Yunfeng/0000-0002-3612-7818; Wu, Yunfeng/0000-0002-3612-7818
Z8 0
ZR 0
ZA 0
TC 1
ZB 0
ZS 0
Z9 1
U1 0
U2 7
SN 1557-170X
BN 978-1-4577-1787-1
UT WOS:000313296505071
PM 23367068
ER

PT C
AU Luis Fernandez-Aleman, Jose
   Jayne, Chrisina
   Belen Sanchez, Ana
   Manuel Carrillo-de-Gea, Juan
   Toval, Ambrosio
GP IEEE
TI Neural network-based data analysis for medical-surgical nursing learning
SO 2012 ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE
   AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 6036
EP 6039
PD 2012
PY 2012
AB This paper presents the results of a project on neural network-based
   data analysis for knowledge clustering in a second-year course on
   medical-surgical nursing. Data was collected from 208 nursing students
   which performed one Multiple Choice Question (MCQ) test at the end of
   the first term. A total of 23 pattern groups were created using
   snap-drift. Data obtained can be integrated with an on-line MCQ system
   for training purposes. Findings about how students are classified
   suggest that the level of knowledge of the individuals can be addressed
   by customized feedback to guide them towards a greater understanding of
   particular concepts.
CT 34th Annual International Conference of the IEEE
   Engineering-in-Medicine-and-Biology-Society (EMBS)
CY AUG 28-SEP 01, 2012
CL San Diego, CA
SP IEEE; Engn Med & Biol Soc (EMBS); CAS; SMC; PubMed; MEDLINE
RI Toval, Ambrosio/P-1180-2014; Carrillo de Gea, Juan Manuel/P-1224-2014; Fernández-Alemán, José Luis/G-1282-2011; Jayne, Chrisina/AAR-5028-2021; Fernández-Alemán, José Luis/H-5256-2019
OI Toval, Ambrosio/0000-0002-8273-5937; Carrillo de Gea, Juan
   Manuel/0000-0002-3320-622X; Fernández-Alemán, José
   Luis/0000-0002-0176-450X; Jayne, Chrisina/0000-0001-7292-2109;
   Fernández-Alemán, José Luis/0000-0002-0176-450X
ZB 1
Z8 0
TC 1
ZR 0
ZS 0
ZA 0
Z9 1
U1 0
U2 3
SN 1557-170X
BN 978-1-4577-1787-1
UT WOS:000313296506059
PM 23367305
ER

PT J
AU Maon, Siti
   Edirippulige, Sisira
   Ware, Robert
   Batch, Jennifer
TI The use of web-based interventions to prevent excessive weight gain
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 18
IS 1
BP 37
EP 41
DI 10.1258/jtt.2011.110306
PD 2012
PY 2012
AB We reviewed web-based interventions for overweight and obesity
   prevention. A literature search was conducted using seven electronic
   databases. Manually searched articles were also included. Thirty studies
   fulfilled the inclusion criteria. Of these, 13 studied physical
   activity, eight studied dietary practices and nine studied a combination
   of physical activity and dietary practice. Twenty-eight of the studies
   (93%) reported positive changes in moderate to vigorous physical
   activity level, fruit and vegetable intake and psychological factors. A
   meta-analysis showed there were improvements, though not significant, in
   fruit and vegetable consumption (standardised mean difference, SMD =
   0.61; 95% CI = -0.13 to 1.35) and physical activity (SMD = 0.15; 95% CI
   = -0.06 to 0.35). The review suggests that web-based interventions are a
   useful educational tool for increasing awareness and making healthy
   behaviour changes in relation to an excessive weight gain problem.
RI Maon, Siti/AAB-5545-2019; Edirippulige, Sisira/A-7380-2011; Batch, Jennifer/A-6094-2011; Ware, Robert S./B-2024-2014
OI Maon, Siti/0000-0002-3295-8817; Edirippulige,
   Sisira/0000-0001-6196-5437; Ware, Robert S./0000-0002-6129-6736
ZA 0
TC 14
ZR 0
Z8 0
ZS 0
ZB 3
Z9 15
U1 0
U2 14
SN 1357-633X
EI 1758-1109
UT WOS:000299865700008
PM 22101608
ER

PT J
AU Burnette, Margaret H.
   De Groote, Sandra L.
   Dorsch, Josephine L.
TI Medical informatics in the curriculum: development and delivery of an
   online elective
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 100
IS 1
BP 61
EP 63
DI 10.3163/1536-5050.100.1.011
PD JAN 2012
PY 2012
RI De Groote, Sandra/L-6094-2019; Burnette, Margaret H/M-9934-2014; De Groote, Sandra L/B-4206-2008
OI De Groote, Sandra/0000-0002-1862-188X; Burnette, Margaret
   H/0000-0002-2693-0797; 
ZR 0
ZA 0
Z8 0
ZS 0
ZB 0
TC 6
Z9 6
U1 0
U2 8
SN 1536-5050
UT WOS:000299869600011
PM 22272161
ER

PT J
AU Keene, Adam B.
   Shiloh, Ariel L.
   Dudaie, Ronen
   Eisen, Lewis A.
   Savel, Richard H.
TI Online testing from Google Docs (TM) to enhance teaching of core topics
   in critical care: A pilot study
SO MEDICAL TEACHER
VL 34
IS 12
BP 1075
EP 1077
DI 10.3109/0142159X.2012.716553
PD 2012
PY 2012
AB Background: Recent evidence suggests that retrieval practice, or
   learning by testing, may lead to more effective knowledge retention than
   standard educational techniques.
   Aim: The purpose of this pilot project was to document successful
   teaching of evidence-based guidelines in critical care by augmenting
   interactive problem-based teaching sessions with online pre- and
   post-testing.
   Methods: We used a free, internet-based document collaboration system
   (Google Docs (TM)) 1 to develop and share pre-tests and pre-session
   teaching files with the fellows. At the teaching sessions the pre-tests
   were reviewed interactively, and additional case-based questions were
   presented. One week after the sessions, the fellows were sent a
   post-test and a post-session survey. Results of the pre- and post-tests
   as well as the post-session surveys were tabulated by the document
   collaboration system.
   Results: The mean score was 54.6% (SD = 21.4%) on the pre-tests and
   87.0% (SD = 15.8%) on the post-tests (p < 0.01). On a scale of 1-10, the
   median ratings given by the fellows were 9.5 (IQR = 9-10) for utility of
   the teaching sessions, 9 for utility of the test questions (IQR = 9-10),
   and 10 (IQR = 9-10) for utility of the teaching files.
   Conclusion: Google Docs (TM) can be successfully used to integrate
   retrieval practice into the teaching of evidence-based guidelines in
   critical care.
ZA 0
ZB 1
ZR 0
TC 5
ZS 0
Z8 0
Z9 5
U1 0
U2 12
SN 0142-159X
EI 1466-187X
UT WOS:000312010400019
PM 22931149
ER

PT J
AU Tam, Chun Wah Michael
   Eastwood, Anne
TI Available, intuitive and free! Building e-learning modules using web 2.0
   services
SO MEDICAL TEACHER
VL 34
IS 12
BP 1078
EP 1080
DI 10.3109/0142159X.2012.731105
PD 2012
PY 2012
AB Background: E-learning is part of the mainstream in medical education
   and often provides the most efficient and effective means of engaging
   learners in a particular topic. However, translating design and content
   ideas into a useable product can be technically challenging, especially
   in the absence of information technology (IT) support. There is little
   published literature on the use of web 2.0 services to build e-learning
   activities.
   Aim: To describe the web 2.0 tools and solutions employed to build the
   GP Synergy evidence-based medicine and critical appraisal online course.
   Methods: We used and integrated a number of free web 2.0 services
   including: Prezi, a web-based presentation platform; YouTube, a video
   sharing service; Google Docs, a online document platform; Tiny. cc, a
   URL shortening service; and Wordpress, a blogging platform.
   Results: The course consisting of five multimedia-rich, tutorial-like
   modules was built without IT specialist assistance or specialised
   software. The web 2.0 services used were free. The course can be
   accessed with a modern web browser.
   Conclusions: Modern web 2.0 services remove many of the technical
   barriers for creating and sharing content on the internet. When used
   synergistically, these services can be a flexible and low-cost platform
   for building e-learning activities. They were a pragmatic solution in
   our context.
OI Tam, Chun Wah Michael/0000-0001-8645-4756
Z8 0
TC 10
ZS 0
ZA 0
ZR 0
ZB 1
Z9 10
U1 0
U2 27
SN 0142-159X
UT WOS:000312010400020
PM 23101967
ER

PT J
AU Narula, Neeraj
   Ahmed, Liban
   Rudkowski, Jill
TI An evaluation of the '5 Minute Medicine' video podcast series compared
   to conventional medical resources for the internal medicine clerkship
SO MEDICAL TEACHER
VL 34
IS 11
BP E751
EP E755
DI 10.3109/0142159X.2012.689446
PD 2012
PY 2012
AB Background: '5 Minute Medicine' (5MM) is a series of video podcasts,
   that in approximately 5 min, each explain a core objective of the
   internal medicine clerkship that all clinical clerks should understand.
   Video podcasts are accessible at www.5minutemedicine.com
   Aim: The aim of this study was to investigate how well received 5MM
   video podcasts are as an educational tool for clinical clerks to use
   while on call.
   Methods: Clinical clerks rotating through their internal medicine
   clerkship rotation were asked to use the 5MM video podcasts or
   conventional resources to prepare themselves prior to seeing patients.
   Questionnaires were distributed to students to determine effectiveness,
   appropriateness and time-efficiency of the resources students used.
   Results: Students almost unanimously strongly agreed or agreed that the
   5MM video podcasts were effective learning tools, appropriate for
   clinical clerks and time-efficient, more so than conventionally used
   resources. The vast majority of clerks selected the 5MM videos as their
   preferred resource of all resources available to them. Most clerks felt
   the 5MM videos were better than textbooks and conventional online
   resources.
   Conclusion: Video podcasts such as the 5MM videos are welcomed as
   educational tools and may have a role in the future of undergraduate
   medical education.
ZR 0
TC 24
ZB 2
ZA 0
Z8 0
ZS 1
Z9 25
U1 0
U2 10
SN 0142-159X
EI 1466-187X
UT WOS:000312009800005
PM 22646299
ER

PT J
AU Greenberg, Charles J
   Wang, Lei
TI Building Health Literacy Among an Urban Teenage Population by Creating
   Online Health Videos for Public and School Health Curriculum Use.
SO Journal of consumer health on the Internet
VL 16
IS 2
BP 135
EP 146
PD 2012
PY 2012
AB Healthflicks is a 2010-2011 National Network of Libraries of Medicine
   outreach project conducted in New Haven, CT, targeting health
   information literacy among urban teens through the creation of web
   videos. Students from a public magnet school with a health careers
   curriculum track volunteered. Yale University students were hired as
   video mentors. Partners included the Cushing/Whitney Medical Library,
   Hill Regional Career High School, the New Haven Free Public Library, and
   Yale University's Office of New Haven and State Affairs. Outcomes
   included a Healthflicks YouTube channel and an ongoing partnership
   between an academic medical library and a high school with a health
   careers curriculum track.
OI Wang, Lei/0000-0002-2448-8149; Greenberg, Charles J/0000-0001-7573-5130
ZS 0
TC 11
Z8 0
ZR 0
ZB 1
ZA 0
Z9 11
U1 0
U2 13
SN 1539-8285
UT MEDLINE:22866023
PM 22866023
ER

PT J
AU Christian-Kopp, S.
   Sinha, M.
   Chen, A.C.-C.
   Lovecchio, F.
TI Social media use among adolescent patients visiting an inner city
   pediatric emergency department
SO Journal of Consumer Health on the Internet
VL 16
IS 2
BP 147
EP 61
DI 10.1080/15398285.2012.673463
PD April-June 2012
PY 2012
AB The objective of the research was to study the pattern of social media
   use among adolescents visiting an inner city hospital emergency
   department. A brief survey (English/Spanish) regarding social media use
   was conducted between January and March 2010. Participants were 215
   teens (13-18 years), 59% of whom were Hispanic. The majority (78.6%) of
   participants were current users of social media. MySpace (65%) was the
   favored social networking web site. The study revealed that 44% of
   adolescents mostfrequently (>5 times/day) connected with their
   proxiniate peers, and 36 teens sought health information "once in a
   while." We concluded that social media networking was popular among our
   adolescent study subjects and may have future potential as an effective
   health education tool.
ZB 0
ZS 0
ZR 0
ZA 0
Z8 0
TC 1
Z9 1
U1 0
U2 1
SN 1539-8285
UT INSPEC:13438695
ER

PT J
AU O'Neal, M.R.
   Geiger, B.F.
   Cellitti, M.A.
   Chandan, P.
   Smith, K.H.
TI Web sense: Assisting individuals with disabilities and caregivers to
   find online health information
SO Journal of Consumer Health on the Internet
VL 16
IS 3
BP 295
EP 306
DI 10.1080/15398285.2012.700267
PD July-Sept. 2012
PY 2012
AB Retrieving online health information can be challenging for many
   individuals with disabilities and their caregivers. Librarians and other
   informed mediators have an important role to guide consumers and
   caregivers to web sites posting authoritative, unbiased, and current
   health information specific to an individual's needs using the mnemonic
   "A-B-C" (Authority, Bias, and Currency). Users can also identify quality
   indicators from accrediting or certifying organizations. Reliable
   information benefits individuals with disabilities and caregivers,
   facilitating active participation and informed decision making about
   health. This article provides a brief process for librarians and health
   educators to use when assisting individuals with disabilities and their
   caregivers.
OI Smith, Kay/0000-0002-0932-1412
ZR 0
Z8 0
TC 1
ZA 0
ZS 0
ZB 0
Z9 1
U1 0
U2 0
SN 1539-8285
UT INSPEC:13559014
ER

PT J
AU Lovett, Kimberly M.
   Mackey, Timothy K.
   Liang, Bryan A.
TI Evaluating the evidence: direct-to-consumer screening tests advertised
   online
SO JOURNAL OF MEDICAL SCREENING
VL 19
IS 3
BP 141
EP 153
DI 10.1258/jms.2012.012025
PD 2012
PY 2012
AB Objectives Unsupervised online direct-to-consumer (DTC) access to
   medical services has rapidly expanded to medical screening tests, which
   have not been critically evaluated for their evidence basis. The
   objective of this study is to identify the scope of online-advertised
   DTC screening tests, outline the evidence for use of available DTC
   testing and suggest regulatory reform to address the relevant issues.
   Methods An observational study of website advertisements, testing
   services and counselling/follow-up services for DTC testing was
   conducted. Data were collected from websites between 4 April and 1 June
   2011. Each website was assessed for tests offered, advertised
   indications and availability of counselling/follow-up services.
   Advertised testing indications were compared with US Preventive Services
   Task Force recommendations and/or specialty guidelines and categorized
   as Supported, Against, Insufficient Evidence or No Guidance.
   Results Of 20 companies identified as offering DTC screening tests, 95%
   (19/20) do not clearly offer pretest counselling, post-test counselling
   and/or test follow-up. One hundred and twenty-seven different tests were
   identified. Only 19/127 (15%) could be Supported for screening in a
   target group selected for testing; 38/127 (30%) were given
   recommendations to avoid use in specific target group(s) selected for
   testing ('Against recommendations'); 29/127 (23%) had Insufficient
   Evidence of value, and for 64/127 (50%) No Guidance could be given. Only
   4/127 (3%) tests were Supported for general screening use.
   Conclusions Virtually all identified medical tests advertised and
   offered DTC are not recommended for use in screening by evidence-based
   guidelines. Limited oversight may lead to inaccurate self-diagnosis,
   treatment and wasted health resources.
RI Mackey, Tim/H-9156-2013
OI Mackey, Tim/0000-0002-2191-7833
ZB 11
ZS 0
ZR 0
TC 18
ZA 0
Z8 0
Z9 18
U1 0
U2 8
SN 0969-1413
EI 1475-5793
UT WOS:000311174200007
PM 23093732
ER

PT J
AU Sweet, Jerry J.
   Perry, William
   Ruff, Ronald M.
   Shear, Paula K.
   Breting, Leslie M. Guidotti
TI The Inter-Organizational Summit on Education and Training (ISET) 2010
   Survey on the Influence of the Houston Conference Training Guidelines
SO CLINICAL NEUROPSYCHOLOGIST
VL 26
IS 7
BP 1055
EP 1076
DI 10.1080/13854046.2012.705565
PD 2012
PY 2012
AB A conference specific to the education and training of clinical
   neuropsychology was held in 1997, which led to a report published in the
   Archives of Clinical Neuropsychology (Hannay, J., Bieliauskas, L.,
   Crosson, B., Hammeke, T., Hamsher, K., & Koffler, S. (1998).
   Proceedings of the Houston Conference on Specialty Education and
   Training in Clinical Neuropsychology. Archives of Clinical
   Neuropsychology, 13, 157-250.). The guidelines produced by this
   conference have been referred to as the Houston Conference (HC)
   guidelines. Since that time, there has been considerable discussion, and
   some disagreement, about whether the HC guidelines produced a positive
   outcome in the training of neuropsychologists. To explore this question
   and determine how widely the HC guidelines were implemented, a meeting
   was held in 2006. Present and past leaders of the American Psychological
   Association Division 40 (Clinical Neuropsychology), the National Academy
   of Neuropsychology, and the Association of Postdoctoral Programs in
   Clinical Neuropsychology met to discuss the possible need for an
   Inter-Organizational Summit on Education and Training (ISET). A decision
   was reached to have the ISET Steering Committee conduct a survey of
   clinical neuropsychologists that could address the extent to which HC
   guidelines were present in the specialty and whether the influence of
   the HC guidelines was positive. An online survey was constructed, with
   data gathered in 2010. The current paper presents and discusses the ISET
   survey results. Specific findings need to be viewed cautiously due to
   the relatively low response rate. However, with some direct parallels to
   a larger recent survey of clinical neuropsychologists, the following
   general conclusions appear well founded: (a) the demographics of
   respondents in the ISET survey are comparable with a recent larger
   professional practice survey and thus may reasonably represent the
   specialty; (b) the HC guidelines appear to have been widely adopted by
   training programs, in that a large proportion of younger practitioners
   endorsed having had HC-adherent training; and (c) HC-adherent training
   is associated with a higher frequency endorsement of being well prepared
   to engage in key professional activities subsequent to the completion of
   training when compared with those not having HC-adherent training.
   Overall, the ISET Steering Committee has concluded that the HC
   guidelines have been widely adopted and that trainees associate
   participation in HC-adherent training as advantageous. A potential
   revision based on unfavorable outcomes is deemed unnecessary.
   Nonetheless, the ISET Steering Committee recognizes that training needs
   change as a function of the broadening of our field and the introduction
   of related new technologies, which may prompt updates. The ISET Steering
   Committee supports the idea that periodic review and updating of
   training models may be is prudent.
Z8 0
TC 12
ZS 0
ZB 0
ZA 0
ZR 0
Z9 12
U1 0
U2 1
SN 1385-4046
EI 1744-4144
UT WOS:000310331200001
PM 22867106
ER

PT J
AU Bandla, Hari
   Franco, Rose A.
   Simpson, Deborah
   Brennan, Kimberly
   McKanry, Jennifer
   Bragg, Dawn
TI Assessing Learning Outcomes and Cost Effectiveness of an Online Sleep
   Curriculum for Medical Students
SO JOURNAL OF CLINICAL SLEEP MEDICINE
VL 8
IS 4
BP 439
EP 443
DI 10.5664/jcsm.2042
PD 2012
PY 2012
AB Objective: Sleep disorders are highly prevalent across all age groups
   but often remain undiagnosed and untreated, resulting in significant
   health consequences. To overcome an inadequacy of available curricula
   and learner and instructor time constraints, this study sought to
   determine if an online sleep medicine curriculum would achieve
   equivalent learner outcomes when compared with traditional,
   classroom-based, face-to-face instruction at equivalent costs.
   Method: Medical students rotating on a required clinical clerkship
   received instruction in 4 core clinical sleep-medicine competency
   domains in 1 of 2 delivery formats: a single 2.5-hour face-to-face
   workshop or 4 asynchronous e-learning modules. Immediate learning
   outcomes were assessed in a subsequent clerkship using a multiple-choice
   examination and standardized patient station, with long-term outcomes
   assessed through analysis of students' patient write-ups for inclusion
   of sleep complaints and diagnoses before and after the intervention.
   Instructional costs by delivery format were tracked. Descriptive and
   inferential statistical analyses compared learning outcomes and costs by
   instructional delivery method (face-to-face versus e-learning).
   Results: Face-to-face learners, compared with online learners, were more
   satisfied with instruction. Learning outcomes (i.e., multiple-choice
   examination, standardized patient encounter, patient write-up), as
   measured by short-term and long-term assessments, were roughly
   equivalent. Design, delivery, and learner-assessment costs by format
   were equivalent at the end of 1 year, due to higher ongoing teaching
   costs associated with face-to-face learning offsetting online
   development and delivery costs.
   Conclusions: Because short-term and long-term learner performance
   outcomes were roughly equivalent, based on delivery method, the cost
   effectiveness of online learning is an economically and educationally
   viable instruction platform for clinical clerkships.
OI McKanry, Jennifer/0000-0003-4779-4437
ZR 0
ZS 1
Z8 1
ZB 5
ZA 0
TC 23
Z9 25
U1 0
U2 13
SN 1550-9389
UT WOS:000310059400014
PM 22893775
ER

PT J
AU O'Grady, Laura
   Wathen, C. Nadine
   Charnaw-Burger, Jill
   Betel, Lisa
   Shachak, Aviv
   Luke, Robert
   Hockema, Stephen
   Jadad, Alejandro R.
TI The use of tags and tag clouds to discern credible content in online
   health message forums
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 81
IS 1
BP 36
EP 44
DI 10.1016/j.ijmedinf.2011.10.001
PD JAN 2012
PY 2012
AB Background: Web sites with health-oriented content are potentially
   harmful if inaccurate or inappropriate medical information is used to
   make health-related decisions. Checklists, rating systems and guidelines
   have been developed to help people determine what is credible, but
   recent Internet technologies emphasize applications that are
   collaborative in nature, including tags and tag clouds, where site users
   'tag' or label online content, each using their own labelling system.
   Concepts such as the date, reference, author, testimonial and quotations
   are considered predictors of credible content. An understanding of these
   descriptive tools, how they relate to the depiction of credibility and
   how this relates to overall efforts to label data in relation to the
   semantic web has yet to emerge.
   Purpose: This study investigates how structured (pre-determined) and
   unstructured (user-generated) tags and tag clouds with a multiple word
   search feature are used by participants to assess credibility of
   messages posted in online message forums. The targeted respondents were
   those using web sites message forums for disease self-management. We
   also explored the relevancy of our findings to the labelling or indexing
   of data in the context of the semantic web.
   Method: Diabetes was chosen as the content area in this study, since (a)
   this is a condition with increasing prevalence and (b) diabetics have
   been shown to actively use the Internet to manage their condition. From
   January to March 2010 participants were recruited using purposive
   sampling techniques. A screening instrument was used to determine
   eligibility. The study consisted of a demographic and computer usage
   survey, a series of usability tests and an interview. We tested
   participants (N = 22) on two scenarios, each involving tasks that
   assessed their ability to tag content and search using a tag cloud that
   included six structured credibility terms (statistics, date, reference,
   author, testimonial and quotations). MORAE Usability software (version
   3.1) was employed to record participants' use of the study environment.
   The surveys were analyzed using SPSS version 17. Interviews with
   participants were transcribed, coded and analyzed using thematic text
   analysis with the aid of NVivo8.
   Findings: Most participants had experience with Internet resources.
   However, less than one quarter of this sample had seen or used tags or a
   tag clouds. The ways in which participants used tags to label the
   content posted in the message forums varied. Some participants were
   tagging the information for their own subsequent use, whereas others
   viewed this process from the perspective of others: they tagged the
   content in ways that they thought other users would find beneficial.
   Many participants did not use the structured credibility tags when asked
   to search for credible content. The interviews corroborated these
   findings by confirming participants were not considering credibility
   foremost when tagging.
   Conclusion: Many participants in this study focused on assessing whether
   the information was relevant to their current circumstances, after which
   they would proceed to determine its credibility by corroborating with
   other sources. The use of structured tags to label information may not
   be a useful way to encourage the use of tagging, or to indicate
   credibility in this context. Current applications used in the semantic
   web automate this process. Therefore it may be useful to engage
   consumers of online content, in particular health-related content, to be
   more directly involved in the annotation of this content. (C) 2011
   Elsevier Ireland Ltd. All rights reserved.
OI Shachak, Aviv/0000-0002-1166-609X
ZB 5
ZS 0
Z8 0
TC 18
ZA 0
ZR 0
Z9 18
U1 1
U2 36
SN 1386-5056
EI 1872-8243
UT WOS:000298152700004
PM 22030035
ER

PT J
AU Leonard, Steven N.
   Murphy, Kendrick
   Zaeem, Maryam
   DiVall, Margarita V.
TI An Introductory Review Module For an Anti-Infectives Therapeutics Course
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 76
IS 7
AR 135
DI 10.5688/ajpe767135
PD 2012
PY 2012
AB Objective. To determine whether an introductory review module using a
   hybrid-learning approach helped students learn infectious disease
   management in an anti-infectives therapeutics course.
   Design. An introductory module consisting of an online pharmacology
   review, pre-class assignment, 2 classroom lectures, and 1 case-based
   lecture was developed and implemented.
   Assessment. Among the 110 students who completed pre- and post-tests on
   the material covered, average scores increased from 71% to 83%
   (p<0.0001). Performance on knowledge-based question improved for 8 out
   of 10 questions (p<0.05) and student confidence increased from the first
   lecture to completion of the module (p<0.001 for all comparisons). Of
   the 129 students who completed an evaluation of the introductory module,
   98% strongly agreed or agreed that the content was essential for course
   success.
   Conclusion. The addition of an introductory module using a
   hybrid-learning approach to review and solidify concepts of medical
   microbiology and pharmacology provided the foundation necessary for
   success in an infectious diseases module.
ZR 0
TC 5
ZA 0
ZS 0
Z8 0
ZB 0
Z9 5
U1 0
U2 1
SN 0002-9459
EI 1553-6467
UT WOS:000308809800018
PM 23049107
ER

PT J
AU Szychta, Pawel
   Zielinski, Tomasz
   Rykala, Jan
   Witmanowski, Henryk
   Kruk-Jeromin, Julia
TI Role of the internet in communication between patient and surgeon before
   rhinoplasty
SO JOURNAL OF PLASTIC SURGERY AND HAND SURGERY
VL 46
IS 3-4
BP 248
EP 251
DI 10.3109/2000656X.2012.697376
PD 2012
PY 2012
AB Our aim was to assess the use of the interne for patients considering
   rhinoplasty, to identify the influence of the medical information
   acquired, and to review favourable and adverse aspects of the acquired
   knowledge online. A prospective study was conducted on 106 patients
   listed for post-traumatic or aesthetic rhinoplasty. We surveyed 18
   questions to evaluate demographic and sociological data, and the
   importance of the information acquired from the internet. Respondents
   searched online for description of operations, contact with other
   patients, and with the surgeon, and for preoperative and postoperative
   pictures. Patients who were considering aesthetic rhinoplasty were given
   medical information by a third party or from the internet, and those who
   were having post-traumatic corrections were usually referred by their
   general practitioner. We conclude that the internet is an important
   source of medical information about rhinoplasty for patients, but it
   does not contain enough data. It plays an essential part, particularly
   for those patients having the operation for aesthetic reasons, in
   contrast to those having post-traumatic correction. Reviewing and
   certifying the plastic surgical websites would validate certified
   services. Independent, direct contact with the doctor helps patients to
   obtain more accurate, personalised knowledge. in addition, surgeons
   should support patients by giving them a list of verified websites,
   which would contribute to increased doctor-patient communication.
OI Zielinski, Tomasz/0000-0003-3196-3478; Rykala, Jan/0000-0001-7193-9558
ZS 0
ZR 0
TC 18
Z8 0
ZB 1
ZA 0
Z9 18
U1 0
U2 4
SN 2000-656X
UT WOS:000308854000023
PM 22909242
ER

PT J
AU Jacobs, Joshua L.
TI How to find a web interface for successful education (WISEbyte)
SO MEDICAL TEACHER
VL 34
IS 9
BP 748
EP 750
DI 10.3109/0142159X.2012.687491
PD 2012
PY 2012
AB 'Give a man a fish and you feed him for a day. Teach him how to fish,
   and you feed him for a lifetime ... '. Although the exact origin of this
   proverb is unknown, its meaning is clear and wisdom self-evident. In the
   field of health professions education, there are many websites that can
   be used as teaching aids, some of which have undergone peer review. Some
   organizations have created repositories of online teaching materials
   hosted by various organizations. You can certainly find a lot of 'fish'
   there to feed your appetite for high-quality teaching materials. For
   examples of repositories that contain online teaching materials, see
   Table 1. However, these repositories and other lists of websites cannot
   be comprehensive, so it is important to know the basic review skills to
   evaluate websites that may be useful for your teaching that you come
   across in your journeys around the web. This article intends to teach
   you 'how to fish' for useful web-based teaching resources to help you
   succeed as a clinical teacher.
RI Jacobs, Joshua/AAI-3787-2020
OI Jacobs, Joshua/0000-0003-4567-1927
TC 2
ZA 0
ZR 0
Z8 0
ZS 0
ZB 0
Z9 2
U1 0
U2 0
SN 0142-159X
EI 1466-187X
UT WOS:000308000000017
PM 22905659
ER

PT J
AU Hodgens, C.
   Sendall, M.C.
   Evans, L.
TI Post-graduate health promotion students assess their information
   literacy
SO Reference Services Review
VL 40
IS 3
BP 408
EP 22
DI 10.1108/00907321211254670
PD 2012
PY 2012
AB Purpose - The purpose of this paper is to examine post-graduate health
   promotion students' self-perceptions of information literacy skills
   prior to, and after completing PILOT, an online information literacy
   tutorial. Design/methodology/approach - Post-graduate students at
   Queensland University of Technology enrolled in PUP038 New Developments
   in Health Promotion completed a pre- and post-self-assessment
   questionnaire. From 2008-2011 students were required to rate their
   academic writing and research skills before and after completing the
   PILOT online information literacy tutorial. Quantitative trends and
   qualitative themes were analysed to establish students' self-assessment
   and the effectiveness of the PILOT tutorial. Findings - The results from
   four years of post-graduate students' self-assessment questionnaires
   provide evidence of perceived improvements in information literacy
   skills after completing PILOT. Some students continued to have trouble
   with locating quality information and analysis as well as issues
   surrounding referencing and plagiarism. Feedback was generally positive
   and students' responses indicated they found the tutorial highly
   beneficial in improving their research skills. Originality/value - This
   paper is original because it describes post-graduate health promotion
   students' self-assessment of information literacy skills over a period
   of four years. The literature is limited in the health promotion domain
   and self-assessment of post-graduate students' information literacy
   skills.
OI Sendall, Marguerite Claire/0000-0002-1239-9173
ZB 0
ZA 0
TC 9
ZR 0
ZS 1
Z8 0
Z9 9
U1 0
U2 1
SN 0090-7324
UT INSPEC:12950205
ER

PT J
AU Kassan, Elisabeth C.
   Williams, Randi M.
   Kelly, Scott P.
   Barry, Samantha A.
   Penek, Sofiya
   Fishman, Mary B.
   Cole, Carmella A.
   Miller, Edward M.
   Taylor, Kathryn L.
TI Men's Use of an Internet-Based Decision Aid for Prostate Cancer
   Screening
SO JOURNAL OF HEALTH COMMUNICATION
VL 17
IS 6
BP 677
EP 697
DI 10.1080/10810730.2011.579688
PD 2012
PY 2012
AB Most medical organizations recommend informed decision making before
   undergoing prostate cancer screening. The authors conducted a detailed
   evaluation of men's use of an interactive, Web-based prostate cancer
   screening decision aid. Participants (N=531) were 57 years old (SD=6.8),
   37% were African American, and 92% had Internet access. Men completed 2
   telephone interviews, pre- and 1-month post-Web site availability. Half
   of the sample (n=256) accessed the Web site. Multivariate analysis
   revealed that users were more likely than nonusers to be White (OR=2.37,
   CI 1.6-3.6), previously screened (OR=2.13, CI 1.07-4.26), have Internet
   access (OR=3.66, CI 1.15-11.58), and to report daily Internet use
   (OR=2.58, CI 1.47-4.55). Agreement between self-reported and actual Web
   site use was moderate (kappa=.67). Tracking software revealed a mean of
   1.3 (SD=0.5) log-ons and a median of 38 min per log-on. Of participants,
   84% used the values clarification tool, and more than 50% viewed each
   video testimonial. Baseline screening preference was associated with
   values clarification tool responses and Web site feedback. This study
   revealed that, beyond the digital divide, Web site use depended on more
   than Internet access. Further, electronic tracking of Web site use
   demonstrated overestimation of self-reported use, high use of
   interactive features, and effect of baseline screening preference on
   men's response to the Web site.
RI Kelly, Scott/D-3195-2013; Williams, Randi/
OI Kelly, Scott/0000-0002-0375-1040; Williams, Randi/0000-0003-0837-9281
ZA 0
ZR 0
ZS 0
ZB 3
Z8 0
TC 19
Z9 19
U1 0
U2 10
SN 1081-0730
EI 1087-0415
UT WOS:000306320100005
PM 21919646
ER

PT J
AU Jain, Anuja
   Malani, Preeti N.
   Fitzgerald, James T.
   Vitale, Caroline A.
TI Internal medicine house officers' attitudes and experience with patients
   who overstep patient-physician boundaries
SO MEDICAL TEACHER
VL 34
IS 8
BP 643
EP 648
DI 10.3109/0142159X.2012.687489
PD 2012
PY 2012
AB Maintenance of appropriate social boundaries is an essential aspect of
   patient care. Given limited clinical experience, house officers may be
   especially vulnerable to such transgressions. We studied the frequency
   of patients' transgressions of boundaries and house officer responses to
   these transgressions. An online survey was administered to internal
   medicine house officers at the University of Michigan Health System that
   addressed the frequency of patient-physician boundary transgressions,
   house officer responses to transgressions, and the perceived need for
   education regarding transgressions. The frequency of reported patient
   transgressions of various boundaries during the past 6 months ranged
   from 0 to more than 30. The most common reported incident was being
   called by their first name, and the least common incidents included
   patients engaging/attempting to engage in sexual contact and attempting
   to give expensive gifts. Most respondents denied the need for education
   regarding appropriate boundaries with patients; however, most perceived
   a need for training on how to respond to transgressions. Overall, there
   was a wide range in reported frequencies of transgressions. The
   frequency of transgressions reported by house officers was greater than
   what is previously described for attending physicians though their
   responses to transgressions were similar.
Z8 0
ZA 0
ZB 1
TC 1
ZS 0
ZR 0
Z9 1
U1 0
U2 0
SN 0142-159X
UT WOS:000306755800015
PM 22830321
ER

PT J
AU Sandars, John
   Kokotailo, Patricia
   Singh, Gurmit
TI The importance of social and collaborative learning for online
   continuing medical education (OCME): Directions for future development
   and research
SO MEDICAL TEACHER
VL 34
IS 8
BP 649
EP 652
DI 10.3109/0142159X.2012.687847
PD 2012
PY 2012
AB Background: There is an increasing use of online continuing medical
   education (OCME), but the potential use of social and collaborative
   learning to change professional performance and improve patient care has
   yet to be fully realised.
   Methods: The integration of the main themes from the presentations and
   comments from participants at a symposium at AMEE 2011.
   Results: Sociological perspectives on change in professional performance
   highlight the need for social and collaborative learning in OCME so that
   learners can share information (explicit knowledge) and opinion (tacit
   knowledge). The educational topic should be relevant to the complexity
   of professional practice and use iterative cycles of implementation and
   critical reflection in social networks so that proposed solutions can be
   tested in actual practice. The challenge of developing effective online
   discussions for collaborative learning is recognised.
   Conclusion: The provision of OCME requires a shift in both policy and
   practice to emphasise the importance of social and collaborative
   learning. Further research is recommended, especially to evaluate the
   implementation and impact of social and collaborative learning for OCME
   on patient care and the use of newer Web 2.0 approaches.
ZR 0
Z8 0
TC 9
ZA 0
ZB 1
ZS 0
Z9 9
U1 0
U2 10
SN 0142-159X
UT WOS:000306755800016
PM 22830322
ER

PT J
AU Tanner, T. Bradley
   Wilhelm, Susan E.
   Rossie, Karen M.
   Metcalf, Mary P.
TI Web-Based SBIRT Skills Training for Health Professional Students and
   Primary Care Providers
SO SUBSTANCE ABUSE
VL 33
IS 3
SI SI
BP 316
EP 320
DI 10.1080/08897077.2011.640151
PD 2012
PY 2012
AB The authors have developed and assessed 2 innovative, case-based,
   interactive training programs on substance abuse, one for health
   professional students on alcohol and one for primary care providers on
   screening, brief intervention, and referral to treatment (SBIRT). Both
   programs build skills in substance abuse SBIRT. Real-world effectiveness
   trials involving medical students (n = 10) and nursing students (n = 60)
   were completed; trials involving primary care providers (n = 65) are in
   progress during 2011. Medical students and nursing students had
   similarly low baseline scores on assessments that benefited from
   training: knowledge, confidence, and clinical performance measured via
   an online standardized patient case and encounter note all improved
   post-training. Preliminary results indicate that practicing providers
   improved on knowledge, attitude, and brief intervention skill
   performance after a similar training. Results suggest that SBIRT skills
   can be improved with this model for case-based interactive training
   programs, and thus, that this training has the potential to impact
   patient outcomes.
ZA 0
ZR 0
Z8 0
ZB 1
ZS 0
TC 27
Z9 27
U1 1
U2 9
SN 0889-7077
UT WOS:000306463600015
PM 22738013
ER

PT J
AU Hightow-Weidman, Lisa B.
   Pike, Emily
   Fowler, Beth
   Matthews, Derrick M.
   Kibe, Jessica
   McCoy, Regina
   Adimora, Adaora A.
TI HealthMpowerment.org: Feasibility and acceptability of delivering an
   Internet intervention to young Black men who have sex with men
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 24
IS 7
BP 910
EP 920
DI 10.1080/09540121.2011.647677
PD 2012
PY 2012
AB Young Black men who have sex with men (BMSM) are disproportionately
   affected by HIV/AIDS in the USA and continue to experience rapidly
   increasing HIV incidence. We designed a tailored, theory-based
   interactive HIV/STI prevention website for young BMSM, called
   HealthMpowerment.org (HMP) and conducted a small pilot trial comparing
   HMP to currently available HIV/STI websites. We present findings
   demonstrating feasibility and acceptability of delivering the
   intervention to the target population of young BMSM. Retention rates
   were 90% and 78% at one-and three-month follow-ups, respectively.
   Evaluation immediately after the intervention's completion revealed that
   participants who used the HMP website reported high levels of user
   satisfaction and interest and low levels of website difficulty and
   frustration. At the end of the intervention, there was a trend in
   increased behavioral intentions to use condoms and engage in preparatory
   condom use behaviors in the intervention group compared to the control
   group (p = 0.10). We observed a reduction in mean scores on the CES-D
   scale among those in the intervention group that was not seen in the
   control group at the one-month follow-up, though this was not
   statistically significant. Feedback from exit interviews with study
   participants suggested that HMP is relevant to the prevention needs of
   young BMSM. Overall, the findings support the acceptability and
   feasibility of delivering this prevention program to a group that has
   few interventions despite bearing a significant burden of the epidemic.
   Future trials, combining Internet and mobile phone technologies, are
   planned to test HMP among larger and more diverse populations of young
   BMSM.
RI Matthews, Derrick D./H-4136-2019; Core, CHAI/AAD-5240-2022
OI Matthews, Derrick D./0000-0002-3579-3608; 
TC 63
ZS 0
ZA 0
Z8 0
ZB 16
ZR 0
Z9 63
U1 0
U2 17
SN 0954-0121
EI 1360-0451
UT WOS:000305973900013
PM 22272759
ER

PT J
AU Gormley, Gerard J.
   Johnston, Jenny
   Thomson, Clare
   McGlade, Kieran
TI Awarding global grades in OSCEs: Evaluation of a novel eLearning
   resource for OSCE examiners
SO MEDICAL TEACHER
VL 34
IS 7
BP 587
EP 589
DI 10.3109/0142159X.2012.682745
PD 2012
PY 2012
AB Background: A novel online resource has been developed to aid OSCE
   examiner training comprising a series of videos of OSCE performances
   that allow inter-examiner comparison of global grade decisions.
   Aims: To evaluate this training resource in terms of usefulness and
   ability to improve examiner confidence in awarding global grades in
   OSCEs.
   Method: Data collected from the first 200 users included global grades
   awarded, willingness to change grades following peer comparison and
   confidence in awarding grades before and after training.
   Results: Most (86.5%) agreed that the resource was useful in developing
   global grade scoring ability in OSCEs, with a significant improvement in
   confidence in awarding grades after using the training package
   (p<0.001).
   Conclusions: This is a useful and effective online training package. As
   an adjunct to traditional training it offers a practical solution to the
   problem of availability of examiners.
OI Thomson, Clare/0000-0002-8608-4801
ZS 0
ZB 0
Z8 0
ZA 0
TC 8
ZR 0
Z9 8
U1 0
U2 4
SN 0142-159X
UT WOS:000305905800021
PM 22632277
ER

PT J
AU Koehler, Nicole
   McMenamin, Christine
TI Would you consent to being examined by a medical student? Western
   Australian general public survey
SO MEDICAL TEACHER
VL 34
IS 7
BP E518
EP E528
DI 10.3109/0142159X.2012.668628
PD 2012
PY 2012
AB Background: Patients generally have positive attitudes regarding being
   examined by a supervised medical student as part of their medical care.
   However, it is difficult to obtain model patients for students to
   examine purely for teaching purposes (i.e. in the absence of medical
   treatment).
   Aims: This study explored the effects of participants' demographics,
   characteristics of medical students, and the type of
   examination/procedure on whether individuals would consent to be
   examined by a medical student purely for teaching purposes.
   Method: Four-hundred-and-two Western Australians completed an online
   survey in 2009.
   Results: Individuals were generally unconcerned regarding a medical
   student's gender and ethnicity. However, they would either not permit or
   wanted more advanced medical students to examine more intimate body
   regions and conduct more invasive procedures. Less observing medical
   students were permitted to be present for intimate examinations.
   Individuals who were male, aged >= 25 years, Caucasian, and of no
   religious affiliation were more likely to permit formative year medical
   students to examine and conduct procedures on them. Additionally, these
   individuals were more likely to have had prior experience with a medical
   student and/or been hospitalised previously.
   Conclusions: This information may be useful in terms of recruiting
   patient models for teaching purposes.
Z8 0
ZR 0
ZA 0
TC 9
ZS 0
ZB 2
Z9 9
U1 0
U2 4
SN 0142-159X
UT WOS:000305905800007
PM 22475439
ER

PT J
AU Richard-Greenblatt, Melissa
   Ginis, Kathleen A. Martin
   Leber, Ben
   Ditor, David
TI Knowledge mobilization regarding activity and exercise after spinal cord
   injury: a Canadian undergraduate curriculum scan
SO DISABILITY AND REHABILITATION
VL 34
IS 17
BP 1456
EP 1460
DI 10.3109/09638288.2011.644025
PD 2012
PY 2012
AB Purpose: The purpose of this study was to conduct a curriculum scan of
   Canadian undergraduate university programs to determine the relative
   emphasis placed on the activity and exercise after spinal cord injury
   (SCI), in the context of physical disability studies. Method:
   Eighty-three Canadian Universities were evaluated for courses
   discussing: (i) general information about SCI, (ii) physical activity
   and exercise after SCI, (iii) general information about other physical
   disabilities and (iv) physical activity and exercise for such
   disabilities. Online course calendars (2009) were scanned, and their
   accuracy was verified by instructors or administrative assistants.
   Results: The curriculum scan revealed 113 courses that discuss physical
   disability. Seventy-four of these courses cover information regarding
   SCI, 47 of which include content relating to activity and exercise. In
   comparison, 104 courses discuss other physical disabilities, 76 of which
   cover material related to activity and exercise. Further, the 47 courses
   that cover activity and exercise after SCI are only offered in 22
   Canadian Universities, and only 31 are mandatory for a degree.
   Conclusions: A substantial number of future healthcare professionals
   lack exposure to material regarding activity and exercise after SCI
   during their undergraduate education. This curricular oversight likely
   contributes to ineffective exercise strategies and the relative
   inactivity of the SCI population.
OI Richard-Greenblatt, Melissa/0000-0001-6717-8856; MARTIN GINIS,
   KATHLEEN/0000-0002-7076-3594
ZR 0
ZS 0
ZB 0
TC 0
Z8 0
ZA 0
Z9 0
U1 0
U2 5
SN 0963-8288
UT WOS:000305794900006
PM 22206494
ER

PT J
AU Aper, Leen
   Reniers, Jan
   Koole, Sebastiaan
   Valcke, Martin
   Derese, Anselme
TI Impact of three alternative consultation training formats on
   self-efficacy and consultation skills of medical students
SO MEDICAL TEACHER
VL 34
IS 7
BP E500
EP E507
DI 10.3109/0142159X.2012.668627
PD 2012
PY 2012
AB Background: Conducting a consultation is a core competence of medical
   professionals. Consultation training of medical students centers on
   clinical, communication, reasoning and reflection skills. The training
   incorporates practice with a standardized simulated patient and
   supervising physician, to prepare for real patient encounters. To meet
   the request for more training, while dealing with an increasing student
   population and limited staff availability, alternative formats of
   consultation training were developed and evaluated.
   Aim: To investigate the impact of three consultation training formats on
   students' self-efficacy beliefs and their consultation skills
   acquisition. The three formats comprised (1) traditional training with
   supervising physician, (2) autonomous training with feedback from
   simulated patients and peers, without direct supervision and (3) online
   training based on video fragments and answering guiding questions.
   Methods: A quasi-experimental pre/posttest study was set up, with random
   assignment of students to a training condition. The differential impact
   was tested on two dependent measures: self-efficacy and consultation
   performance. Self-efficacy was tested with a nine-item scale and the
   cognitive component of consultation performance was tested on the base
   of responses to a standardized video case.
   Results: The autonomous training has a significant positive effect on
   students' self-efficacy (p = 0.016). The traditional training and the
   online training did only positively influence the cognitive component of
   the consultation competence (p < 0.001 and p = 0.003).
   Conclusions: Each consultation training contributes to the learning
   process in a different way. In order to achieve optimum learning
   effects, medical educators should be aware of the particular impact of
   specific trainings on the cognitive and motivational side of skills and
   pursue a balanced mixture of instructional formats.
RI Valcke, Martin/H-6693-2012; Valcke, Martin/N-1311-2019
OI Valcke, Martin/0000-0001-9544-4197; Valcke, Martin/0000-0001-9544-4197
Z8 0
ZS 1
ZA 0
TC 19
ZR 0
ZB 0
Z9 20
U1 0
U2 25
SN 0142-159X
EI 1466-187X
UT WOS:000305905800005
PM 22746968
ER

PT J
AU Rihtar, Tatja Kostnapfel
   Berger, Tatjana
   Susic, Tonka Poplas
   Selic, Polona
   Vajd, Rajko
   Car, Josip
TI ANALYSIS OF VISITS TO WEBSITES WITH HEALTH INFORMATION: A PRESENTATION
   OF VISITS AND THE VISITORS' MOST COMMON QUESTIONS
SO ZDRAVSTVENO VARSTVO
VL 51
IS 3
BP 173
EP 181
DI 10.2478/v10152-012-0020-1
PD 2012
PY 2012
AB Introduction: Internet use is important for health education, patient
   support, professional medical education and healthcare quality. Medical
   information is amongst the most important information on the internet.
   Aim: The aim of the research was an analysis of modern information
   sources, especially the websites and email of the Institute of Public
   Health of Ljubljana (IPH Lj).
   Methods: Using statistical analysis of the website, its' "behaviour"
   online was evaluated in detail. This was done with a tool for presenting
   statistical data - Google Analytics. We reviewed how IPH Lj provides
   information to users online: general information about the activities of
   the Institute at www.zzv-lj.si, and information on travel medicine at
   www.zdravinapot.si.
   Results: In 2009, there were 107,233 visits to www.zzv-lj.si and 528,175
   viewed pages, and 138,694 visits and 667,280 viewed pages at
   www.zdravinapot.net. In the period between 2003 and 2010, users asked
   2,063 questions, 52 % were about travel medicine. Frequently asked
   questions, submitted by email (info@zzv-lj.si), were analysed. Questions
   were divided into seven areas, covered by the Institute's activities,
   though a proportion of the questions regard areas not covered by the
   Institute.
   Conclusion: Statistical analysis of the web portals gave us information
   that will help improve the quality of the IPH Lj website and adjust its
   contents.
RI Car, Josip/H-6755-2015; Selic-Zupancic, Polona/AAJ-8354-2020
OI Car, Josip/0000-0001-8969-371X; Selic-Zupancic,
   Polona/0000-0002-5949-0580
ZR 0
ZS 0
ZB 0
Z8 0
TC 0
ZA 0
Z9 0
U1 0
U2 9
SN 0351-0026
UT WOS:000305833800003
ER

PT J
AU Mirsu-Paun, Anca
   Tucker, Carolyn M.
   Hardt, Nancy S.
TI Medical Students' Self-evaluations of Their Patient-Centered Cultural
   Sensitivity: Implications for Cultural Sensitivity/Competence Training
SO JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION
VL 104
IS 1-2
BP 38
EP 45
DI 10.1016/S0027-9684(15)30127-9
PD JAN-FEB 2012
PY 2012
AB The goals of this study were to (1) empirically assess the need for
   training in patient-centered culturally sensitive health care among
   medical students and (2) determine if training in such care needs to be
   customized to some degree based on individual or subgroup differences.
   Two hundred seventeen advanced (third- and fourth-year) medical students
   from 4 medical schools participated. Participants self-reported their
   current levels of engagement in patient-centered culturally sensitive
   health care using an online version of the Tucker-Culturally Sensitive
   Health Care Inventory Provider Form. Results indicated that
   participating advanced medical students gave self-ratings of engagement
   in patient-centered culturally sensitive health care that indicate high
   engagement in some but not all of the behaviors and attitudes that
   indicate this care. Additionally, their self-ratings differed in
   association with their gender, race/ethnicity, being fluent in a
   language other than English, and prior experience providing health care
   to racial/ethnic minority patients. Conclusions include that some
   medical students need training in patient-centered culturally sensitive
   health care, and this training ideally should be assessment-based and
   customized to address areas where there are low self-ratings of
   engagement in patient-centered culturally sensitive health care.
TC 6
ZR 0
Z8 0
ZS 0
ZA 0
ZB 1
Z9 6
U1 0
U2 11
SN 0027-9684
EI 1943-4693
UT WOS:000304633300005
PM 22708246
ER

PT J
AU Knowlden, Adam
   Sharma, Manoj
TI A Feasibility and Efficacy Randomized Controlled Trial of an Online
   Preventative Program for Childhood Obesity: Protocol for the EMPOWER
   Intervention.
SO JMIR research protocols
VL 1
IS 1
BP e5
EP e5
DI 10.2196/resprot.2141
PD 2012 Jun 21
PY 2012
AB BACKGROUND: The home and family environment is a highly influential
   psychosocial antecedent of pediatric obesity. Implementation of
   conventional family- and home-based childhood obesity interventions is
   challenging for parents, often requiring them to attend multiple
   educational sessions. Attrition rates for traditional interventions are
   frequently high due to competing demands for parents' time. Under such
   constraints, an Internet-based intervention has the potential to modify
   determinants of childhood obesity while making judicious use of parents'
   time. Theory-based interventions offer many advantages over atheoretical
   interventions, including reduced intervention dosage, increased
   likelihood of behavioral change, and efficient resource allocation.
   Social cognitive theory (SCT) is a robust theoretical framework for
   addressing childhood obesity. SCT is a behavior change model rooted in
   reciprocal determinism, a causal paradigm that states that human
   functioning is the product of a dynamic interplay of behavioral,
   personal, and environmental factors.
   OBJECTIVES: To evaluate the efficacy of the Enabling Mothers to Prevent
   Childhood Obesity Through Web-Based Education and Reciprocal Determinism
   (EMPOWER) program, an Internet-based, theory-driven intervention for
   preventing childhood overweight and obesity. The project goal is
   supported by two specific aims: (1) modification of four obesogenic
   protective factors related to childhood obesity (minutes engaged in
   physical activity, servings of fruits and vegetables consumed, servings
   of sugar-sweetened and sugar-free beverages consumed, and minutes
   engaged in screen time), and (2) reification of five maternal-mediated
   constructs of SCT (environment, expectations, emotional coping,
   self-control, and self-efficacy).
   METHODS: We will recruit mothers with children ages 4 to 6 years from
   childcare centers and randomly assign them to either the theory-based
   (experimental) or knowledge-based (control) arm of the trial. Data for
   the intervention will be collected at three intervals: baseline (week
   0), posttest (week 4), and follow-up (8 weeks). At each phase of data
   collection, we will collect from both groups (1) measures of the four
   obesogenic protective factors, and (2) summated SCT construct scores.
   Constructs will be measured by a psychometrically valid and reliable
   SCT-based instrument. Behaviors will be evaluated by a behavior log. We
   will use a repeated-measures one-between-, one-within-participants
   design to evaluate intervention results. Constructs will be modified
   through Web-based learning modules, online interactive worksheets, and
   mother-child home-based activities. Process evaluation will assess
   program fidelity.
RI Sharma, Manoj/AAN-6133-2020
OI Sharma, Manoj/0000-0002-4624-2414
ZS 0
ZR 0
ZB 0
Z8 0
TC 12
ZA 0
Z9 12
U1 0
U2 3
SN 1929-0748
UT MEDLINE:23611831
PM 23611831
ER

PT J
AU Chu, Li-Ling
   Chan, Agnes L. F.
   Tsai, Ming-Ling
   Hu, Shu-Bauh
   Chuang, Jui-Jung
   Huang, Yaw-Bin
   Chien, Tsair-Wei
TI Computer detection of duplicate prescriptions for hypnotic-sedatives: An
   experience in Taiwan
SO HEALTHMED
VL 6
IS 4
BP 1115
EP 1121
PD 2012
PY 2012
AB Background: Duplicate use of drugs is an important issue for pharmacists
   and providers in delivering quality care and ensuring patient safety.
   The extent of drug duplication is rarely reported in healthcare,
   especially for insomnia patients. With the advent of fast and cheap
   computing, computer monitoring is expected to help health providers
   detect duplicate prescriptions and reduce their occurrence, which will
   increase patient safety and reduce unnecessary drug waste.
   Methods: A total of 1,083 patients in 3 medical centers and 2 regional
   hospitals in Taiwan participated in this study and completed a
   questionnaire regarding duplicate use of hypnotic-sedatives to treat a
   sleep disorder. Additionally, patients were required to receive
   assistance from a pharmacist over the telephone to evaluate their
   knowledge regarding the appropriate use of hypnotic-sedatives, their
   adverse effects, and the source of duplicate prescriptions of
   hypnotic-sedatives provided by physicians. Two strategies were launched
   1) to educate patients about preventing duplication of prescriptions and
   2) to develop a computer system to a) alert physicians to duplicate
   prescriptions online, b) remind pharmacists of duplication prescriptions
   when dispensing medicine to the patient, and c) periodically monitor the
   number of duplicate drug prescriptions and their description.
   Results: We found that 1) 60.2% of patients did not know the long-term
   side effects of taking hypnotic-sedatives; 2) more than 84% of patients
   were repeatedly prescribed hypnotic-sedatives by doctors at the same
   hospital; 3) education by pharmacists had a slightly significant effect,
   29.5% of patients decreased the quantity of hypnotic-sedatives used
   after three months; 4) computer programs are an effective way to prevent
   physicians and pharmacists from prescribing or filling duplicate
   prescriptions for patients and to significantly decrease the number of
   duplicate prescriptions of hypnotic-sedatives (t=35.21, p<.0001).
   Conclusions: Individual patient drug profiles should be well established
   and stored in a single hospital. These drug files can then be monitored
   and effectively prevent duplication of prescriptions. It is necessary to
   educate patients and remind physicians to appropriately reduce the dose
   and quantity of hypnotic-sedatives when the quality-of-sleep has
   improved.
RI smile, chien/AAA-1053-2022; Huang, Yaw-Bin/
OI Huang, Yaw-Bin/0000-0002-6024-0108
ZR 0
TC 0
ZA 0
ZB 0
ZS 0
Z8 0
Z9 0
U1 0
U2 2
SN 1840-2291
UT WOS:000304300200005
ER

PT J
AU Rushing, Stephanie Craig
   Stephens, David
TI TRIBAL RECOMMENDATIONS FOR DESIGNING CULTURALLY APPROPRIATE
   TECHNOLOGY-BASED SEXUAL HEALTH INTERVENTIONS TARGETING NATIVE YOUTH IN
   THE PACIFIC NORTHWEST
SO AMERICAN INDIAN AND ALASKA NATIVE MENTAL HEALTH RESEARCH
VL 19
IS 1
SI SI
BP 76
EP 101
PD 2012
PY 2012
AB Media technologies, including the Internet, cell phones, and video
   games, offer new avenues to reach Native youth on sensitive health
   topics. Project Red Talon, a sexually transmitted disease (STD)/HIV
   prevention project that serves the 43 federally recognized tribes in
   Oregon, Washington, and Idaho, used community-based participatory
   research methods in partnership with the Northwest tribes to review
   existing technology-based interventions and generate recommendations for
   designing interventions that reflect the culture, needs, and
   organizational capacities of participating tribes and Native youth.
   These findings are now being used to guide the development of
   technology-based health interventions targeting American Indian/Alaska
   Native teens and young adults.
OI Craig Rushing, Stephanie/0000-0001-6800-4647
ZR 0
ZB 0
TC 19
Z8 0
ZS 0
ZA 0
Z9 19
U1 0
U2 26
SN 1533-7731
UT WOS:000304056500006
PM 22569726
ER

PT J
AU Myers, Tristan L.
   DeHart, Renee M.
   Dunn, Eddie B.
   Gardner, Stephanie F.
TI A Summer Pharmacy Camp for High School Students as a Pharmacy Student
   Recruitment Tool
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 76
IS 4
AR 60
DI 10.5688/ajpe76460
PD 2012
PY 2012
AB Objective. To determine the effectiveness of a summer pharmacy camp on
   participants' pursuit of enrollment in doctor of pharmacy degree
   programs.
   Methods. All participants (n = 135) in a pharmacy camp at the University
   of Arkansas for Medical Sciences (UAMS) College of Pharmacy from
   2007-2010 were invited to complete an anonymous online survey
   instrument.
   Results. Seventy-three students completed the survey instrument (54%
   response rate). Ninety-six percent of pharmacy camp participants said
   that they would recommend pharmacy camp to a friend, and 76% planned to
   apply or had applied to doctor of pharmacy degree program. Seven of the
   camp participants had enrolled in the UAMS College of Pharmacy.
   Conclusions. The pharmacy summer camp at UAMS is effective in
   maintaining high school students' interest in the profession of
   pharmacy. Continued use of the pharmacy camp program as a recruitment
   tool is warranted; however, additional research on this topic is needed.
Z8 0
ZA 0
ZR 0
TC 9
ZB 2
ZS 0
Z9 9
U1 0
U2 4
SN 0002-9459
UT WOS:000304034800005
PM 22611269
ER

PT J
AU Kye, Su Yeon
   Park, Keeho
   Park, Hyeong Geun
   Kim, Myung-hyun
TI Psychological Impact of Health Risk Appraisal of Korean Women at
   Different Levels of Breast Cancer Risk: Neglected Aspect of the
   Web-based Cancer Risk Assessment Tool
SO ASIAN PACIFIC JOURNAL OF CANCER PREVENTION
VL 13
IS 2
BP 437
EP 441
DI 10.7314/APJCP.2012.13.2.437
PD 2012
PY 2012
AB Objective: Health risk appraisal is often utilized to modify
   individual's health behavior, especially concerning disease prevention,
   and web-based health risk appraisal services are being provided to the
   general public in Korea. However, little is known about the
   psychological effect of the health risk appraisal even though poorly
   communicated information by the web-based service may result in
   unintended adverse health outcomes. This study was conducted to explore
   the psychological effect of health risk appraisal using epidemiological
   risk factor profile. Methods: We conducted a randomized trial comparing
   risk factor list type health risk appraisal and risk score type health
   risk appraisal. We studied 60 women aged 30 years and older who had no
   cancer. Anxiety level was assessed using the Spielberger State-Trait
   Anxiety Inventory YZ. Results: The results of multivariate analysis
   showed that risk status was the independent predictors of increase of
   state anxiety after health risk appraisal intervention when age,
   education, health risk appraisal type, numeracy, state anxiety, trait
   anxiety, and health risk appraisal type by risk status interaction was
   adjusted. Women who had higher risk status had an odd of having
   increased anxiety that was about 5 times greater than women who had
   lower risk status. Conclusions: Our findings indicate that communicating
   the risk status by individual health risk appraisal service can induce
   psychological sequelae, especially in women having higher risk status.
   Hospitals, institutes, or medical schools that are operating or planning
   to operate the online health risk appraisal service should take side
   effects such as psychological sequelae into consideration.
Z8 0
TC 3
ZB 1
ZR 0
ZA 0
ZS 0
Z9 3
U1 0
U2 5
SN 1513-7368
UT WOS:000304081800004
PM 22524802
ER

PT J
AU Papinczak, Tracey
   Peterson, Raymond
   Babri, Awais Saleem
   Ward, Kym
   Kippers, Vaughan
   Wilkinson, David
TI Using student-generated questions for student-centred assessment
SO ASSESSMENT & EVALUATION IN HIGHER EDUCATION
VL 37
IS 4
BP 439
EP 452
DI 10.1080/02602938.2010.538666
PD 2012
PY 2012
AB In small groups, medical students were involved in generating questions
   to contribute to an online item bank. This study sought to support
   collaborative question-writing and enhance students' metacognitive
   abilities, in particular, their ability to self-regulate learning and
   moderate understanding of subject material. The study focused on
   supporting students to write questions requiring higher order cognitive
   processes. End-of-year formal examinations comprised 25%
   student-generated questions (SGQs), while mid-year examination items
   were completely unseen. Data were gathered from repeated administration
   of a questionnaire and from examination results. No statistically
   significant changes were identified in self-rated monitoring of
   understanding and regulation of learning. The activity of generating
   questions supported students to work collaboratively in developing
   questions and answers. The bank of questions was appreciated by students
   as a source of revision material, even though it was not strongly
   focused on higher order processes. Based on scores, it would appear that
   many students chose to memorise the question bank as a 'high-yield'
   strategy for mark inflation, paradoxically favouring surface rather than
   deep learning. The study has not identified directly improvements in
   metacognitive capacity and this is an area for further investigation.
   Continual refinement of the study method will be undertaken, with an
   emphasis on education of students in developing questions addressing
   higher order cognitive processes. Although students may have memorised
   the questions and answers, there is no evidence that they do not
   understand the information.
RI Papinczak, Tracey/B-6360-2017; Babri, Awais/I-4147-2014
OI Papinczak, Tracey/0000-0002-0177-3086; Babri, Awais/0000-0002-0944-4877
TC 17
ZB 0
ZS 0
ZA 0
Z8 0
ZR 0
Z9 17
U1 2
U2 32
SN 0260-2938
EI 1469-297X
UT WOS:000304174300004
ER

PT J
AU Jaganath, Devan
   Gill, Harkiran K.
   Cohen, Adam C.
   Young, Sean D.
TI Harnessing Online Peer Education (HOPE): Integrating C-POL and social
   media to train peer leaders in HIV prevention
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 24
IS 5
BP 593
EP 600
DI 10.1080/09540121.2011.630355
PD 2012
PY 2012
AB Novel methods, such as Internet-based interventions, are needed to
   combat the spread of HIV. While past initiatives have used the Internet
   to promote HIV prevention, the growing popularity, decreasing digital
   divide, and multi-functionality of social networking sites, such as
   Facebook, make this an ideal time to develop innovative ways to use
   online social networking sites to scale HIV prevention interventions
   among high-risk groups. The UCLA Harnessing Online Peer Education study
   is a longitudinal experimental study to evaluate the feasibility,
   acceptability, and preliminary effectiveness of using social media for
   peer-led HIV prevention, specifically among African American and Latino
   Men who have Sex with Men (MSM). No curriculum currently exists to train
   peer leaders in delivering culturally aware HIV prevention messages
   using social media. Training was created that adapted the Community
   Popular Opinion Leader (C-POL) model, for use on social networking
   sites. Peer leaders are recruited who represent the target population
   and have experience with both social media and community outreach. The
   curriculum contains the following elements: discussion and role playing
   exercises to integrate basic knowledge of HIV/AIDS, awareness of
   sociocultural HIV/AIDS issues in the age of technology, and
   communication methods for training peer leaders in effective,
   interactive social media-based HIV prevention. Ethical issues related to
   Facebook and health interventions are integrated throughout the
   sessions. Training outcomes have been developed for long-term assessment
   of retention and efficacy. This is the first C-POL curriculum that has
   been adapted for use on social networking websites. Although this
   curriculum has been used to target African-American and Latino MSM, it
   has been created to allow generalization to other high-risk groups.
OI Young, Sean D./0000-0001-6052-4875; Jaganath, Devan/0000-0002-8555-5667
ZB 10
ZR 0
TC 57
ZS 1
Z8 1
ZA 0
Z9 58
U1 0
U2 47
SN 0954-0121
EI 1360-0451
UT WOS:000303563100007
PM 22149081
ER

PT J
AU Ram, S.
   Rao, N.L.
TI iBIRA - integrated bioinformatics information resource access:
   organizing the bioinformatics resourceome
SO Reference Services Review
VL 40
IS 2
BP 326
EP 43
DI 10.1108/00907321211228354
PD 2012
PY 2012
AB Purpose - Bioinformatics is an emerging discipline where the
   interdisciplinary research holds great promise for the advancement of
   research and development in many complex areas. The research output
   generates a huge amount of data and information. Because of the
   heterogeneous nature of bioinformatics resources, difficulty in
   accessing pertinent information is the biggest challenge for the
   bioinformatics community. The integration of bioinformatics resources in
   a comprehensive manner is advocated by the bioinformatics user community
   as well as by information scientists serving this community. There are
   have already been some efforts made for integration of bioinformatics
   resources by the discrete bioinformatics community, but these are based
   on the requirement of their own area and arena. This paper aims to
   discuss the design and development of a tool for the integration of
   various heterogeneous bioinformatics information resources available
   over the internet. Design/methodology/approach - The authors have
   developed a tool with the acronym ldquoiBIRArdquo (Integrated
   Bioinformatics Information Resource Access) that associates the
   bioinformatics community with the bioinformatics ldquoresourceomerdquo
   (the term suggested for the ldquofull set of bioinformatics
   resourcesrdquo by Cannata et al.). Available over the internet. iBIRA
   (www.ibiranet.in) integrates bioinformatics resources in a way such that
   it is possible to locate, connect and communicate different categories
   of resources in a cohesive manner. A software engineering and
   database-driven approach was used for the integration and organization
   of bioinformatics resources. Computational programming such as Hypertext
   Preprocessor (PHP), a server-side dynamic web programming language, and
   MySQL as a database management system have been used. Dublin Core
   Metadata Standards have been used for the design of metadata for
   bioinformatics resources.. Findings - The term ldquoresourcerdquo in the
   area of bioinformatics covers various entities such as journals,
   molecular biology databases, online annotation tools, patents, published
   documents (articles, books, etc), protocols, software tools, and web
   servers. It has been found that bioinformatics resources are
   heterogeneous in nature and available over the internet in different
   forms and formats. The fact that bioinformatics resources are scattered
   over the internet makes resource discovery difficult for the
   bioinformatics community, and there is need for a system that
   reorganizes these resources. The integration of all the resources of
   bioinformatics at a single platform (called ldquoiBIRArdquo) provides
   significant ldquovalue addedrdquo to the bioinformatics community, those
   serving this population. Originality/value - The iBIRA tool is a
   meta-server developed to provide information service about the
   availability of various bioinformatics resources to the bioinformatics
   community. This will provide a value-added benefit to the population in
   helping them to locate relevant resources for their education, research
   and training.
RI Ram, Shri/I-4916-2019; Ram, Shri/D-6705-2011
OI Ram, Shri/0000-0002-2002-753X; Ram, Shri/0000-0002-2002-753X
ZS 0
ZR 0
ZA 0
ZB 0
Z8 0
TC 4
Z9 4
U1 0
U2 3
SN 0090-7324
UT INSPEC:12722426
ER

PT J
AU Reddy, M.
   Sengupta, S.
TI Online medical education: determinants and development prospects with
   reference to Indian institutions
SO On the Horizon
VL 20
IS 2
BP 117
EP 25
DI 10.1108/10748121211235778
PD 2012
PY 2012
AB Purpose - The purpose of this paper is to present an initial discussion
   on issues related to imparting medical education through the e-learning
   mode in India. Design/methodology/approach - The approach takes the form
   of the authors' observations as well as reflections on discussions with
   medical practitioners. Findings - Online medical education has the
   potential to address the issue of shortage of medical professionals in
   India. This study provides insights into the receptiveness of the
   faculty members regarding the paradigm shift from traditional classroom
   to online learning environment. It describes the apprehensions, the
   hurdles and the probable way forward to aid e-learning in medical
   education. The discussion can influence policy makers with regard to
   required accreditation systems for offering and acceptance of online
   degrees. It can also aid the cause of increasing the doctor-population
   ratio, which may lower the deficiency of skilled professionals in the
   rural regions, thereby ensuring the availability of quality medical
   education and service to all strata of society at affordable options.
   Originality/value - This paper draws on the knowledge, experiences and
   insights of medical practitioners and trainers in India who regularly
   interact with faculty, administrators, students and policy makers. As an
   initial work in this crucial area, the paper raises several questions
   and identifies areas in need of immediate examination.
ZA 0
ZB 0
Z8 0
TC 0
ZR 0
ZS 0
Z9 0
U1 2
U2 2
SN 1074-8121
UT INSPEC:12708905
ER

PT J
AU Silbert, Benjamin I.
   Lake, Fiona R.
TI Peer-assisted learning in teaching clinical examination to junior
   medical students
SO MEDICAL TEACHER
VL 34
IS 5
BP 392
EP 397
DI 10.3109/0142159X.2012.668240
PD 2012
PY 2012
AB Background: In medical education, peer-assisted learning (PAL) refers to
   teaching occurring between fellow students. Few descriptions of its use
   to teach clinical examination have been published. Student Grand Rounds
   (SGR) is a student-led initiative whereby senior students volunteer to
   teach clinical examination to pre-clinical peers. Student tutors attend
   a modified Teaching on the Run (TOTR) course originally designed to
   train clinicians to teach students and junior doctors.
   Aim: We investigated the value of SGR in teaching pre-clinical students,
   and evaluated the effectiveness of TOTR.
   Methods: Over 9 months, tutors and participants in each SGR tutorial
   completed an online survey. At the conclusion of annual TOTR workshops
   (2004-2010), participants evaluated their impressions of the course.
   Results: A total of 64 SGR tutorials were attended by a total of 321
   students. All agreed that tutorials were beneficial and enjoyable, with
   a threefold increase in the number of students self-identifying as able
   to perform the skills required. TOTR participants classified the course
   as both relevant and beneficial, and all course outcomes were achieved.
   SGR tutors reported improved knowledge and confidence in teaching
   following SGR and TOTR.
   Conclusion: PAL is effective in supplementing teaching of clinical
   examination. Senior students learn valuable skills and gain experience
   in teaching.
RI Silbert, Benjamin/O-3141-2014
OI Silbert, Benjamin/0000-0003-0936-8867
ZB 3
ZS 0
ZR 0
TC 50
ZA 0
Z8 0
Z9 50
U1 0
U2 29
SN 0142-159X
UT WOS:000303241700016
PM 22471912
ER

PT J
AU Magarik, Jordan
   Kavolus, Joseph
   Louis, Robert
TI An American Medical Student's Experience in Global Neurosurgery: Both in
   Their Infancy
SO WORLD NEUROSURGERY
VL 77
IS 1
BP 28
EP 31
DI 10.1016/j.wneu.2010.05.039
PD JAN 2012
PY 2012
AB There are only three fully trained neurosurgeons to care for Tanzania's
   population of more than 41 million people. Madaktari was founded in 2006
   to serve as a physician training partnership to establish more
   self-sufficient health care through education and training. Medical
   students play a valuable role in Madaktari as they are primarily
   responsible for collecting postneurosurgical outcome data on operations
   performed by Tanzanian physicians trained by our organization. In
   addition, medical students represent the future of global medicine.
   Thus, it is important to determine the extent that Madaktari has
   affected student interest in global health.
   Our purpose in this article is to explore one student's experience
   working in global neurosurgery while working with Madaktari. In addition
   we attempted to determine the effect Madaktari may play on the future
   medical careers of eight medical student volunteers. To determine that
   effect we conducted a six-question online survey of medical student
   volunteers. We received responses from four of our eight medical student
   volunteers, all of whom stated they had a good or excellent experience
   volunteering with Madaktari and that their experience further increased
   their desire to incorporate global health into their careers. After
   working with Madaktari nearly half of the medical student volunteers
   have pursued or will be pursuing year-long funded global health research
   during their medical school careers. Madaktari is not only pioneering a
   path toward increased and more independent neurosurgical capabilities in
   Tanzania, but it is also helping foster increased interest and
   participation among U. S. medical students in global neurosurgery.
ZA 0
ZS 0
Z8 0
ZR 0
TC 6
ZB 0
Z9 6
U1 1
U2 4
SN 1878-8750
UT WOS:000302300300008
PM 22079820
ER

PT J
AU Fenner, Yeshe
   Garland, Suzanne M.
   Moore, Elya E.
   Jayasinghe, Yasmin
   Fletcher, Ashley
   Tabrizi, Sepehr N.
   Gunasekaran, Bharathy
   Wark, John D.
TI Web-Based Recruiting for Health Research Using a Social Networking Site:
   An Exploratory Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 1
AR e20
DI 10.2196/jmir.1978
PD JAN-FEB 2012
PY 2012
AB Background: Recruitment of young people for health research by
   traditional methods has become more expensive and challenging over
   recent decades. The Internet presents an opportunity for innovative
   recruitment modalities.
   Objective: To assess the feasibility of recruiting young females using
   targeted advertising on the social networking site Facebook.
   Methods: We placed an advertisement on Facebook from May to September
   2010, inviting 16- to 25-year-old females from Victoria, Australia, to
   participate in a health study. Those who clicked on the advertisement
   were redirected to the study website and were able to express interest
   by submitting their contact details online. They were contacted by a
   researcher who assessed eligibility and invited them to complete a
   health-related survey, which they could do confidentially and securely
   either at the study site or remotely online.
   Results: A total of 551 females responded to the advertisement, of whom
   426 agreed to participate, with 278 completing the survey (139 at the
   study site and 139 remotely). Respondents' age distribution was
   representative of the target population, while 18- to 25-year-olds were
   more likely to be enrolled in the study and complete the survey than 16-
   to 17-year-olds (prevalence ratio = 1.37, 95% confidence interval
   1.05-1.78, P = .02). The broad geographic distribution (major city,
   inner regional, and outer regional/remote) and socioeconomic profile of
   participants matched the target population. Predictors of participation
   were older age, higher education level, and higher body mass index.
   Average cost in advertising fees per compliant participant was US $20,
   making this highly cost effective.
   Conclusions: Results demonstrate the potential of using modern
   information and communication technologies to engage young women in
   health research and penetrate into nonurban communities. The success of
   this method has implications for future medical and population research
   in this and other demographics.
ZS 2
ZB 44
Z8 0
ZR 1
ZA 0
TC 239
Z9 240
U1 1
U2 83
SN 1438-8871
UT WOS:000301925700019
ER

PT J
AU Gao, Guodong Gordon
   McCullough, Jeffrey S.
   Agarwal, Ritu
   Jha, Ashish K.
TI A Changing Landscape of Physician Quality Reporting: Analysis of
   Patients' Online Ratings of Their Physicians Over a 5-Year Period
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 1
AR e38
DI 10.2196/jmir.2003
PD JAN-FEB 2012
PY 2012
AB Background: Americans increasingly post and consult online physician
   rankings, yet we know little about this new phenomenon of public
   physician quality reporting. Physicians worry these rankings will become
   an outlet for disgruntled patients.
   Objective: To describe trends in patients' online ratings over time,
   across specialties, to identify what physician characteristics influence
   online ratings, and to examine how the value of ratings reflects
   physician quality.
   Methods: We used data from RateMDs.com, which included over 386,000
   national ratings from 2005 to 2010 and provided insight into the
   evolution of patients' online ratings. We obtained physician demographic
   data from the US Department of Health and Human Services' Area Resource
   File. Finally, we matched patients' ratings with physician-level data
   from the Virginia Medical Board and examined the probability of being
   rated and resultant rating levels.
   Results: We estimate that 1 in 6 practicing US physicians received an
   online review by January 2010. Obstetrician/gynecologists were twice as
   likely to be rated (P < .001) as other physicians. Online reviews were
   generally quite positive (mean 3.93 on a scale of 1 to 5). Based on the
   Virginia physician population, long-time graduates were more likely to
   be rated, while physicians who graduated in recent years received higher
   average ratings (P < .001). Patients gave slightly higher ratings to
   board-certified physicians (P = .04), those who graduated from highly
   rated medical schools (P = .002), and those without malpractice claims
   (P = .1).
   Conclusion: Online physician rating is rapidly growing in popularity and
   becoming commonplace with no evidence that they are dominated by
   disgruntled patients. There exist statistically significant correlations
   between the value of ratings and physician experience, board
   certification, education, and malpractice claims, suggesting a positive
   correlation between online ratings and physician quality. However, the
   magnitude is small. The average number of ratings per physician is still
   low, and most rating variation reflects evaluations of punctuality and
   staff. Understanding whether they truly reflect better care and how they
   are used will be critically important.
Z8 1
ZB 24
ZS 0
ZR 0
TC 236
ZA 0
Z9 237
U1 4
U2 49
SN 1438-8871
UT WOS:000301925700022
PM 22366336
ER

PT J
AU Schneider, Francine
   van Osch, Liesbeth
   de Vries, Hein
TI Identifying Factors for Optimal Development of Health-Related Websites:
   A Delphi Study Among Experts and Potential Future Users
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 1
AR e18
DI 10.2196/jmir.1863
PD JAN-FEB 2012
PY 2012
AB Background: The Internet has become a popular medium for offering
   tailored and targeted health promotion programs to the general public.
   However, suboptimal levels of program use in the target population limit
   the public health impact of these programs. Optimizing program
   development is considered as one of the main processes to increase usage
   rates.
   Objective: To distinguish factors potentially related to optimal
   development of health-related websites by involving both experts and
   potential users. By considering and incorporating the opinions of
   experts and potential users in the development process, involvement in
   the program is expected to increase, consequently resulting in increased
   appreciation, lower levels of attrition, and higher levels of sustained
   use.
   Methods: We conducted a systematic three-round Delphi study through the
   Internet. Both national and international experts (from the fields of
   health promotion, health psychology, e-communication, and technical Web
   design) and potential users were invited via email to participate.
   During this study an extensive list of factors potentially related to
   optimal development of health-related websites was identified, by
   focusing on factors related to layout, general and risk information
   provision, questionnaire use, additional services, and ease of use.
   Furthermore, we assessed the extent to which experts and potential users
   agreed on the importance of these factors. Differences as well as
   similarities among experts and potentials users were deduced.
   Results: In total, 20 of 62 contacted experts participated in the first
   round (32% response rate); 60 of 200 contacted experts (30% response
   rate) and 210 potential users (95% response rate) completed the
   second-round questionnaire, and 32 of 60 contacted experts completed the
   third round (53% response rate). Results revealed important factors
   consented upon by experts and potential users (eg, ease of use, clear
   structure, and detailed health information provision), as well as
   differences regarding important factors consented upon by experts (eg,
   visual aids, self-monitoring tool, and iterative health feedback) or by
   potential users only (eg, bread crumb navigation and prevention of
   receiving spam).
   Conclusions: This study is an important first step in determining the
   agreed-upon factors that should be taken into account when developing
   online health promotion programs. The public health impact of these
   programs will be improved by optimizing the development process in line
   with these factors.
RI Schneider, Francine/E-3629-2012
Z8 0
ZS 0
ZB 8
ZR 0
TC 42
ZA 0
Z9 42
U1 1
U2 23
SN 1438-8871
UT WOS:000301925700003
PM 22357411
ER

PT J
AU Kool, Marianne B.
   Geenen, Rinie
TI Loneliness in Patients with Rheumatic Diseases: The Significance of
   Invalidation and Lack of Social Support
SO JOURNAL OF PSYCHOLOGY
VL 146
IS 1-2
SI SI
BP 229
EP 241
DI 10.1080/00223980.2011.606434
PD 2012
PY 2012
AB Rheumatic diseases affect about 20% of the population, leading to common
   symptoms such as joint problems, pain, fatigue, and stiffness.
   Loneliness is prevalent in individuals with rheumatic diseases. This
   could be due to not receiving social support and being stigmatized and
   invalidated, which might be most common in fibromyalgia, a rheumatic
   disease that lacks medical evidence. The aim of this study was to
   compare loneliness in distinct rheumatic diseases and to examine the
   association of loneliness with social support and invalidation.
   Participants were 927 patients with ankylosing spondylitis (n = 152),
   fibromyalgia (n = 341), osteoarthritis (n = 150), rheumatoid arthritis
   (n = 171), or systemic diseases (n = 113). They completed online
   questionnaires including an 11-point Likert scale assessing loneliness,
   the Illness Invalidation Inventory (3*I; Kool et al., 2010), and the
   Social Support Survey (SSS; De Boer, Wijker, Speelman, & De Haes, 1996;
   Sherbourne & Stewart, 1991). Patients with fibromyalgia experienced
   significantly more loneliness than patients with ankylosing spondylitis
   and patients with rheumatoid arthritis. Besides being younger, having
   lower education, and not working, in multiple regression analyses both
   lack of social support and invalidation were independently correlated
   with loneliness. This suggests that to decrease loneliness, therapeutic
   attention should be given to both increasing social support as well as
   decreasing invalidation in patients with rheumatic diseases, especially
   in patients with fibromyalgia.
RI Geenen, Rinie/G-3408-2012
ZB 18
ZS 2
Z8 0
ZA 0
ZR 0
TC 66
Z9 67
U1 0
U2 21
SN 0022-3980
UT WOS:000302607900015
PM 22303622
ER

PT J
AU Shah, Nasir
   Ashraf, Hiba
   Anwar, Fahad
   Khan, Asma
   Akhtar, Hina
   Abro, Mairaj Anwar
TI Status of Postgraduate Training and Continuing Medical Education of
   Family Physicians in Pakistan
SO PAKISTAN JOURNAL OF MEDICAL SCIENCES
VL 28
IS 1
BP 4
EP 8
PD JAN-MAR 2012
PY 2012
AB Objectives: The study aimed to find out the status of postgraduate
   training and continuing medical education (CME) of family physicians of
   Pakistan.
   Methodology: It was a 10 months postal survey between November 2009 and
   September 2010. Postal questionnaires were sent to randomly selected
   1200 family physicians. The data was analyzed using SPSS v-17.
   Results: The response rate of survey was 24%. The number of family
   physicians receiving any kind of post graduate training was 104 (36%)
   while 184 (64%) had no postgraduate training at all. Medicine was the
   most common subject in postgraduate training (N=19, 18% of 104). The
   number of family physicians holding any degree was 87 (30%). Mean weekly
   time spent on self education was 6.5 hours with a range of 1 to 10
   hours.
   Conclusions: Most of family physicians are practicing without training
   and mostly update their knowledge from books and use of online CME is
   low.
RI Anwer, Fahad/D-4522-2015
ZA 0
ZR 0
Z8 0
ZB 3
ZS 0
TC 4
Z9 4
U1 0
U2 0
SN 1682-024X
UT WOS:000302186400002
ER

PT J
AU Fernandez-Luque, Luis
   Karlsen, Randi
   Melton, Genevieve B.
TI HealthTrust: A Social Network Approach for Retrieving Online Health
   Videos
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 1
AR e22
DI 10.2196/jmir.1985
PD JAN-FEB 2012
PY 2012
AB Background: Social media are becoming mainstream in the health domain.
   Despite the large volume of accurate and trustworthy health information
   available on social media platforms, finding good-quality health
   information can be difficult. Misleading health information can often be
   popular (eg, antivaccination videos) and therefore highly rated by
   general search engines. We believe that community wisdom about the
   quality of health information can be harnessed to help create tools for
   retrieving good-quality social media content.
   Objectives: To explore approaches for extracting metrics about
   authoritativeness in online health communities and how these metrics
   positively correlate with the quality of the content.
   Methods: We designed a metric, called HealthTrust, that estimates the
   trustworthiness of social media content (eg, blog posts or videos) in a
   health community. The HealthTrust metric calculates reputation in an
   online health community based on link analysis. We used the metric to
   retrieve YouTube videos and channels about diabetes. In two different
   experiments, health consumers provided 427 ratings of 17 videos and
   professionals gave 162 ratings of 23 videos. In addition, two
   professionals reviewed 30 diabetes channels.
   Results: HealthTrust may be used for retrieving online videos on
   diabetes, since it performed better than YouTube Search in most cases.
   Overall, of 20 potential channels, HealthTrust's filtering allowed only
   3 bad channels (15%) versus 8 (40%) on the YouTube list. Misleading and
   graphic videos (eg, featuring amputations) were more commonly found by
   YouTube Search than by searches based on HealthTrust. However, some
   videos from trusted sources had low HealthTrust scores, mostly from
   general health content providers, and therefore not highly connected in
   the diabetes community. When comparing video ratings from our reviewers,
   we found that HealthTrust achieved a positive and statistically
   significant correlation with professionals (Pearson r(10) = .65, P =
   .02) and a trend toward significance with health consumers (r(7) = .65,
   P = .06) with videos on hemoglobinA(1c), but it did not perform as well
   with diabetic foot videos.
   Conclusions: The trust-based metric HealthTrust showed promising results
   when used to retrieve diabetes content from YouTube. Our research
   indicates that social network analysis may be used to identify
   trustworthy social media in health communities.
RI Fernandez-Luque, Luis/C-6723-2011; Melton-Meaux, Genevieve/
OI Fernandez-Luque, Luis/0000-0001-8165-9904; Melton-Meaux,
   Genevieve/0000-0001-5193-1663
ZS 0
Z8 1
ZB 2
ZA 0
TC 32
ZR 0
Z9 33
U1 6
U2 61
SN 1438-8871
UT WOS:000301925700030
PM 22356723
ER

PT J
AU Neter, Efrat
   Brainin, Esther
TI eHealth Literacy: Extending the Digital Divide to the Realm of Health
   Information
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 1
AR e19
DI 10.2196/jmir.1619
PD JAN-FEB 2012
PY 2012
AB Background: eHealth literacy is defined as the ability of people to use
   emerging information and communications technologies to improve or
   enable health and health care.
   Objective: The goal of this study was to explore whether literacy
   disparities are diminished or enhanced in the search for health
   information on the Internet. The study focused on (1) traditional
   digital divide variables, such as sociodemographic characteristics,
   digital access, and digital literacy, (2) information search processes,
   and (3) the outcomes of Internet use for health information purposes.
   Methods: We used a countrywide representative random-digital-dial
   telephone household survey of the Israeli adult population (18 years and
   older, N = 4286). We measured eHealth literacy; Internet access; digital
   literacy; sociodemographic factors; perceived health; presence of
   chronic diseases; as well as health information sources, content, search
   strategies, and evaluation criteria used by consumers.
   Results: Respondents who were highly eHealth literate tended to be
   younger and more educated than their less eHealth-literate counterparts.
   They were also more active consumers of all types of information on the
   Internet, used more search strategies, and scrutinized information more
   carefully than did the less eHealth-literate respondents. Finally,
   respondents who were highly eHealth literate gained more positive
   outcomes from the information search in terms of cognitive, instrumental
   (self-management of health care needs, health behaviors, and better use
   of health insurance), and interpersonal (interacting with their
   physician) gains.
   Conclusions: The present study documented differences between
   respondents high and low in eHealth literacy in terms of background
   attributes, information consumption, and outcomes of the information
   search. The association of eHealth literacy with background attributes
   indicates that the Internet reinforces existing social differences. The
   more comprehensive and sophisticated use of the Internet and the
   subsequent increased gains among the high eHealth literate create new
   inequalities in the domain of digital health information. There is a
   need to educate at-risk and needy groups (eg, chronically ill) and to
   design technology in a mode befitting more consumers.
RI Tang, Zeng/G-8085-2012; Neter, Efrat/K-5800-2015
OI Neter, Efrat/0000-0002-2162-0474
ZA 0
ZR 0
ZB 21
TC 348
ZS 3
Z8 1
Z9 350
U1 55
U2 337
SN 1438-8871
UT WOS:000301925700029
PM 22357448
ER

PT J
AU Newcombe, Peter A.
   Dunn, Tamara L.
   Casey, Leanne M.
   Sheffield, Jeanie K.
   Petsky, Helen
   Anderson-James, Sophie
   Chang, Anne B.
TI Breathe Easier Online: Evaluation of a Randomized Controlled Pilot Trial
   of an Internet-Based Intervention to Improve Well-being in Children and
   Adolescents With a Chronic Respiratory Condition
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 1
AR e23
DI 10.2196/jmir.1997
PD JAN-FEB 2012
PY 2012
AB Background: Chronic respiratory illnesses are the most common group of
   childhood chronic health conditions and are overrepresented in socially
   isolated groups.
   Objective: To conduct a randomized controlled pilot trial to evaluate
   the efficacy of Breathe Easier Online (BEO), an Internet-based
   problem-solving program with minimal facilitator involvement to improve
   psychosocial well-being in children and adolescents with a chronic
   respiratory condition.
   Methods: We randomly assigned 42 socially isolated children and
   adolescents (18 males), aged between 10 and 17 years to either a BEO
   (final n = 19) or a wait-list control (final n = 20) condition. In
   total, 3 participants (2 from BEO and 1 from control) did not complete
   the intervention. Psychosocial well-being was operationalized through
   self-reported scores on depression symptoms and social problem solving.
   Secondary outcome measures included self-reported attitudes toward their
   illness and spirometry results. Paper-and-pencil questionnaires were
   completed at the hospital when participants attended a briefing session
   at baseline (time 1) and in their homes after the intervention for the
   BEO group or a matched 9-week time period for the wait-list group (time
   2).
   Results: The two groups were comparable at baseline across all
   demographic measures (all F < 1). For the primary outcome measures,
   there were no significant group differences on depression (P = .17) or
   social problem solving (P = .61). However, following the online
   intervention, those in the BEO group reported significantly lower
   depression (P = .04), less impulsive/careless problem solving (P = .01),
   and an improvement in positive attitude toward their illness (P = .04)
   compared with baseline. The wait-list group did not show these
   differences. Children in the BEO group and their parents rated the
   online modules very favorably.
   Conclusions: Although there were no significant group differences on
   primary outcome measures, our pilot data provide tentative support for
   the feasibility (acceptability and user satisfaction) and initial
   efficacy of an Internet-based intervention for improving well-being in
   children and adolescents with a chronic respiratory condition.
RI Chang, Anne/F-2066-2013; Newcombe, Peter/C-1480-2016; Petsky, Helen/None
OI Chang, Anne/0000-0002-1331-3706; Newcombe, Peter/0000-0002-5969-396X;
   Petsky, Helen/0000-0002-5315-9002
ZB 0
ZR 0
TC 11
Z8 0
ZS 1
ZA 0
Z9 12
U1 0
U2 17
SN 1438-8871
UT WOS:000301925700011
PM 22356732
ER

PT J
AU Solomon, Michael
   Wagner, Stephen L.
   Goes, James
TI Effects of a Web-Based Intervention for Adults With Chronic Conditions
   on Patient Activation: Online Randomized Controlled Trial
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 1
AR e32
DI 10.2196/jmir.1924
PD JAN-FEB 2012
PY 2012
AB Background: With almost one-half of Americans projected to have at least
   one chronic condition before 2020, a vital role of the health care
   system is to develop informed, engaged individuals who are effective
   self-managers of their health. Self-management interventions (SMIs)
   delivered face-to-face or by telephone (traditional SMIs) are associated
   with improved self-management knowledge, skills, and self-efficacy,
   which are expressed by the composite construct of patient activation, a
   predictor of health outcomes. Web-based interventions to support
   self-management across the spectrum of chronic diseases have the
   potential to reach a broader population of patients for extended periods
   than do traditional SMIs. However, evidence of the effectiveness of
   Web-based interventions on patient activation is sparse. High-quality
   studies featuring controlled comparisons of patients with different
   chronic conditions are needed to explore the interaction of Web-based
   interventions and patient activation.
   Objective: To explore the effect of a Web-based intervention on the
   patient activation levels of patients with chronic health conditions,
   measured as attitudes toward knowledge, skills, and confidence in
   self-managing health.
   Methods: For this 12-week study, prospective participants were selected
   from the patient panel of a regional health care system in the United
   States. The 201 eligible participants were randomly assigned to two
   groups. Intervention group participants had access to MyHealth Online, a
   patient portal featuring interactive health applications accessible via
   the Internet. Control participants had access to a health education
   website featuring various topics. Patient activation was assessed pre-
   and posttest using the 13-item patient activation measure. Parametric
   statistical models (t test, analysis of variance, analysis of
   covariance) were applied to draw inferences.
   Results: The Web-based intervention demonstrated a positive and
   significant effect on the patient activation levels of participants in
   the intervention group. A significant difference in posttest patient
   activation scores was found between the two groups (F-1,F-123 = 4.438, P
   = .04, r = .196). Patients starting at the most advanced development of
   patient activation (stage 4) in the intervention group did not
   demonstrate significant change compared with participants beginning at
   earlier stages.
   Conclusions: To our knowledge, this is the first study to measure change
   in patient activation when a Web-based intervention is used by patients
   living with different chronic conditions. Results suggest that Web-based
   interventions increase patient activation and have the potential to
   enhance the self-management capabilities of the growing population of
   chronically ill people. Activated patients are more likely to adhere to
   recommended health care practices, which in turn leads to improved
   health outcomes. Designing Web-based interventions to target a specific
   stage of patient activation may optimize their effectiveness. For
   Web-based interventions to reach their potential as a key component of
   chronic disease management, evidence is needed that this technology
   produces benefits for a sustained period among a diverse population.
ZB 7
ZA 0
ZR 0
Z8 0
TC 113
ZS 0
Z9 113
U1 0
U2 66
SN 1438-8871
UT WOS:000301925700012
PM 22353433
ER

PT J
AU Tercyak, Kenneth P.
   Mays, Darren
   DeMarco, Tiffani A.
   Sharff, McKane E.
   Friedman, Susan
TI Results of an Online Community Needs Assessment for Psychoeducational
   Interventions Among Partners of Hereditary Breast Cancer Previvors and
   Survivors
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 14
IS 1
AR e15
DI 10.2196/jmir.1847
PD JAN-FEB 2012
PY 2012
AB Background: Spouses and partners ("partners") of women at-risk for
   ("previvors") and surviving with hereditary breast/ovarian cancer are a
   primary source of support within their families. Yet, little is known
   about partners' needs for psychoeducational intervention to enhance
   their cancer risk knowledge, coping, and support role functioning.
   Objective: To determine the type and range of need for psychoeducational
   intervention among partners of hereditary breast cancer previving and
   surviving women, and to understand the potential role of the Internet
   and other communication channels in meeting that need.
   Methods: We conducted a secondary data analysis on partners' needs that
   were originally assessed via an online community-based organization
   devoted to hereditary breast cancer. Partners' demographic
   characteristics, need for psychoeducation, and likelihood of using
   various communication channels were assessed along with other
   constructs. Analyses examined commonly-occurring clusters of likely
   intervention use and by communication channel.
   Results: Partners (n = 143) endorsed a moderately high level of need for
   psychoeducation and did so across multiple content areas (e. g., role
   functioning, decision making, communication, intimacy). Factor analysis
   identified three commonly-preferred communication channels: 1) self-help
   materials, 2) online interactions, and 3) interpersonal interactions. A
   cluster analysis among these factors identified three groups of partners
   based on their likelihood of psychoeducational intervention use (low
   [18%], moderate [55%], and high [27%] users). In a covariate-adjusted
   MANOVA, moderate and high intervention users reported significantly
   greater need for psychoeducation compared to low users (F-2,F-132 =
   9.15, P <. 001).
   Conclusions: A majority of assessed partners perceived a need for
   psychoeducational interventions surrounding hereditary breast cancer
   risk. Internet-based, interactive resources may be an efficient
   mechanism to reach large numbers of partners with tailored content.
   Research is warranted to inform the design and deployment of these
   resources to ensure quality and high impact, and ultimately to examine
   ways to integrate these resources into clinical care.
ZB 4
ZA 0
ZR 0
ZS 0
TC 11
Z8 0
Z9 11
U1 0
U2 19
SN 1438-8871
UT WOS:000301925700024
PM 22257650
ER

PT J
AU Mulvaney, Shelagh A.
   Anders, Shilo
   Smith, Annie K.
   Pittel, Eric J.
   Johnson, Kevin B.
TI A pilot test of a tailored mobile and web-based diabetes messaging
   system for adolescents
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 18
IS 2
BP 115
EP 118
DI 10.1258/jtt.2011.111006
PD 2012
PY 2012
AB We conducted a pilot trial of a new mobile and web-based intervention to
   improve diabetes adherence. The text messaging system was designed to
   motivate and remind adolescents about diabetes self-care tasks. Text
   messages were tailored according to individually-reported barriers to
   diabetes self-care. A total of 23 adolescents with type 1 diabetes used
   the system for a period of three months. On average, they received 10
   text messages per week (range 8-12). A matched historical control group
   from the same clinic was used for comparison. After three months, system
   users rated the content, usability and experiences with the system,
   which were very favourable. Comparison of the intervention and control
   groups indicated a significant interaction between group and time. Both
   groups had similar HbA(1c) levels at baseline. After three months, the
   mean HbA(1c) level in the intervention group was unchanged (8.8%), but
   the mean level in the control group was significantly higher (9.9%), P =
   0.006. The results demonstrate the feasibility of the messaging system,
   user acceptance and a promising effect on glycaemic control. Integrating
   this type of messaging system with online educational programming could
   prove to be beneficial.
ZR 0
Z8 0
ZA 0
ZS 1
ZB 12
TC 76
Z9 76
U1 0
U2 19
SN 1357-633X
UT WOS:000301811300012
PM 22383802
ER

PT J
AU Martin, Annette Lenzi
TI Changes and Consistencies in Diabetes Education Over 5 Years Results of
   the 2010 National Diabetes Education Practice Survey
SO DIABETES EDUCATOR
VL 38
IS 1
BP 35
EP 46
DI 10.1177/0145721711427611
PD JAN-FEB 2012
PY 2012
AB Purpose
   The purpose of the National Diabetes Education Practice Survey (NPS) of
   the American Association of Diabetes Educators (AADE) is to describe the
   current diabetes education practice and specific interventions and
   responsibilities of diabetes educators in the United States.
   Method
   The 2010 NPS contained 52 items addressing diabetes education program
   structure, processes, interventions, outcomes, quality improvement, and
   adoption of health care reform models and AADE guidelines. The survey
   was hosted online, with 2513 AADE members participating. The 2010
   results were compared with those from previous surveys.
   Results
   The majority of 2010 respondents provided diabetes education at one
   site, most commonly in a clinical outpatient/managed care setting. A
   wide range of services, including patient support, were provided. Team
   member functions, hours spent, and instructional methods also varied
   widely. More than half of programs measured at least one behavioral and
   clinical outcome in 2010. Most programs engaged in quality improvement.
   Many respondents were unfamiliar with the patient-centered medical home
   and accountable care organization models.
   Conclusions
   The results highlight the need for educators to increase their reporting
   of outcomes. Educators are also urged to raise their knowledge of health
   care delivery reform models. Wider adoption of AADE diabetes education
   practice guidelines will help ensure effective team involvement and
   optimal patient-centered education. Despite an increase in hours spent
   on diabetes self-management education and training (DSME/T) and clinical
   functions in diabetes education, many programs operated at a financial
   loss in 2010, underscoring the need for improved reimbursement of these
   services. Continuation of the NPS biannually is recommended.
ZR 0
Z8 1
ZA 0
ZB 3
ZS 2
TC 16
Z9 18
U1 0
U2 5
SN 0145-7217
UT WOS:000301860300003
PM 22127678
ER

PT J
AU Alamro, Ahmad S.
   Schofield, Susie
TI Supporting traditional PBL with online discussion forums: A study from
   Qassim Medical School
SO MEDICAL TEACHER
VL 34
BP S20
EP S24
DI 10.3109/0142159X.2012.656751
SU 1
PD 2012
PY 2012
AB Background: The Qassim Medical School first year curriculum includes a
   5-week problem-based learning (PBL) block. Student evaluation has
   highlighted inadequate feedback and lack of student-student and
   student-tutor interactions. An online intervention may alleviate this.
   Methodology: For each problem, a discussion forum (DF) was created with
   14 threads (one for each group) in virtual PBL rooms. Students' and
   tutors' perceived satisfaction of the intervention was evaluated and
   types of posts were classified.
   Results: By the end of the block, all academic staff involved and 123
   students (95%) had participated in the DFs. There were around 2800 posts
   and 28,500 views. All 14 tutors and 102 (78%) students completed the
   online questionnaire. Of the students, 66 (76%) male and 36 (92%) female
   students responded. Overall, both students and tutors perceived the
   intervention positively. Posts included: reforming and finalizing
   learning objectives, posting the concept map constructed in the
   face-to-face session and questioning, encouraging and motivating each
   other. In addition, posts included tutors' feedback and redirection.
   Conclusions: Blending e-learning with conventional PBL may help overcome
   student-perceived shortcomings of conventional PBL and improve the
   learning experience, making learning more interactive and interesting.
ZB 3
Z8 0
ZS 0
TC 23
ZA 0
ZR 0
Z9 23
U1 0
U2 8
SN 0142-159X
EI 1466-187X
UT WOS:000301461500005
PM 22409186
ER

PT J
AU Winterbottom, Anna E.
   Bekker, Hilary L.
   Conner, Mark
   Mooney, Andrew F.
TI Patient stories about their dialysis experience biases others' choices
   regardless of doctor's advice: an experimental study
SO NEPHROLOGY DIALYSIS TRANSPLANTATION
VL 27
IS 1
BP 325
EP 331
DI 10.1093/ndt/gfr266
PD JAN 2012
PY 2012
AB Background. Renal services provide resources to support patients in
   making informed choices about their dialysis modality. Many encourage
   new patients to talk with those already experiencing dialysis. It is
   unclear if these stories help or hinder patients' decisions, and few
   studies have been conducted into their effects. We present two studies
   comparing the impact of patient and doctor stories on hypothetical
   dialysis modality choices among an experimental population.
   Methods. In total, 1694 participants viewed online information about
   haemodialysis and continuous cycling peritoneal dialysis and completed a
   questionnaire. In Study 1, using actors, treatment information was
   varied by presenter (Doctor, Patient), order of presenter (Patient
   first, Doctor first) and mode of delivery (written, video). Information
   in Study 2 was varied (using actors) by presenter (Doctor, Patient),
   order of presenter (Patient first, Doctor first), inclusion of a
   decision table (no table, before story, after story) and sex of the
   'patient' (male, female) and 'Doctor' (male, female). Information was
   controlled to ensure comparable content and comprehensibility.
   Results. In both studies, participants were more likely to choose the
   dialysis modality presented by the patient rather than that presented by
   the doctor. There was no effect for mode of delivery (video versus
   written) or inclusion of a decision table.
   Conclusions. As 'new' patients were making choices based on past patient
   experience of those already on dialysis, we recommend caution to
   services using patient stories about dialysis to support those new to
   the dialysis in delivering support to those who are new to the decision
   making process for dialysis modality.
RI Conner, Mark/N-9063-2013; Conner, Mark/; Bekker, Hilary/; Winterbottom, Anna/
OI Conner, Mark/0000-0002-6229-8143; Bekker, Hilary/0000-0003-1978-5795;
   Winterbottom, Anna/0000-0002-1206-9430
Z8 0
ZA 0
ZS 1
ZB 10
TC 51
ZR 0
Z9 51
U1 1
U2 13
SN 0931-0509
EI 1460-2385
UT WOS:000299957700049
PM 21642512
ER

PT J
AU Fung, Kar-Ming
   Hassell, Lewis A.
   Talbert, Michael L.
   Wiechmann, Allan F.
   Chaser, Brad E.
   Ramey, Joel
TI Whole slide images and digital media in pathology education, testing,
   and practice: the Oklahoma experience
SO ANALYTICAL CELLULAR PATHOLOGY
VL 35
IS 1
BP 37
EP 40
DI 10.1155/2012/103857
PD 2012
PY 2012
AB Examination of glass slides is of paramount importance in pathology
   training. Until the introduction of digitized whole slide images that
   could be accessed through computer networks, the sharing of pathology
   slides was a major logistic issue in pathology education and practice.
   With the help of whole slide images, our department has developed
   several online pathology education websites. Based on a modular
   architecture, this program provides online access to whole slide images,
   still images, case studies, quizzes and didactic text at different
   levels. Together with traditional lectures and hands-on experiences, it
   forms the back bone of our histology and pathology education system for
   residents and medical students. The use of digitized whole slide images
   has also greatly improved the communication between clinicians and
   pathologist in our institute.
ZR 0
ZS 1
TC 12
ZA 0
Z8 0
ZB 5
Z9 13
U1 1
U2 5
SN 2210-7177
EI 2210-7185
UT WOS:000300102100007
PM 21965282
ER

PT J
AU Dobbins, Montie T
   Tarver, Talicia
   Adams, Mararia
   Jones, Dixie A
TI Learning Curves: Making Quality Online Health Information Available at a
   Fitness Center.
SO Journal of consumer health on the Internet
VL 16
IS 1
BP 66
EP 76
PD 2012
PY 2012
AB Meeting consumer health information needs can be a challenge. Research
   suggests that women seek health information from a variety of resources,
   including the Internet. In an effort to make women aware of reliable
   health information sources, the Louisiana State University Health
   Sciences Center - Shreveport Medical Library engaged in a partnership
   with a franchise location of Curves International, Inc. This article
   will discuss the project, its goals and its challenges.
TC 1
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
Z9 1
U1 1
U2 4
SN 1539-8285
UT MEDLINE:22545020
PM 22545020
ER

PT J
AU Shin, Dong Sun
   Chung, Min Suk
   Park, Jin Seo
TI Systematized Methods of Surface Reconstruction From the Serial Sectioned
   Images of a Cadaver Head
SO JOURNAL OF CRANIOFACIAL SURGERY
VL 23
IS 1
BP 190
EP 194
DI 10.1097/SCS.0b013e3182418e87
PD JAN 2012
PY 2012
AB Three-dimensional models have played important roles in medical
   simulation and education. Surface models can be manipulated in real time
   and even online; surface models have significant features for an
   interactive simulation system. The objective surface models are
   obtainable from accumulation of each structure's outlines, followed by
   surface reconstruction. The aim of this research was to suggest the
   arranged methods of surface reconstruction, which might be applied to
   building surface models from serial images, such as computed tomographic
   scans and magnetic resonance images. We used recent state-of-the-art
   sectioned images of a cadaver head in which several structures were
   delineated. Four reconstruction methods were regulated according to the
   structure's morphology: all outlines of a structure are overlapped and
   singular (method 1), overlapped and not singular (method 2), not
   overlapped but singular (method 3), and neither overlapped nor singular
   (method 4). From the trials with various kinds of head structures, we
   strongly suggested methods 1 and 2, in which volume reconstruction
   before surface reconstruction accelerated the processing speed on
   3D-DOCTOR. So as to use methods 1 and 2, how to make the neighboring
   outlines overlapped in advance was discussed. The surface models of
   detailed head structures prepared in this investigation will hopefully
   contribute to various simulations for clinical practice. The value of
   the surface models are enhanced if they are placed over the original
   sectioned images, outlined images, and magnetic resonance images of the
   same cadaver.
ZS 2
ZB 10
ZA 0
TC 18
ZR 0
Z8 0
Z9 18
U1 0
U2 4
SN 1049-2275
UT WOS:000300234900070
PM 22337405
ER

PT J
AU Lanfer, A.
   Knof, K.
   Barba, G.
   Veidebaum, T.
   Papoutsou, S.
   de Henauw, S.
   Soos, T.
   Moreno, L. A.
   Ahrens, W.
   Lissner, L.
CA IDEFICS Consortium
TI Taste preferences in association with dietary habits and weight status
   in European children: results from the IDEFICS study
SO INTERNATIONAL JOURNAL OF OBESITY
VL 36
IS 1
BP 27
EP 34
DI 10.1038/ijo.2011.164
PD JAN 2012
PY 2012
AB Background: Increased preference for fat and sugar may have a role in
   overweight and obesity development. However, this effect is likely to
   vary across different food cultures. To date, few studies on this topic
   have been conducted in children and none have employed an international,
   multi-centre design.
   Objective: To document taste preferences for fat and sweet in children
   from eight European countries and to investigate their association with
   weight status and dietary habits.
   Design: A total of 1696 children aged 6-9 years from survey centres in
   Italy, Estonia, Cyprus, Belgium, Sweden, Germany, Hungary and Spain
   tasted and subsequently chose between a high-versus a low-fat cracker
   and a natural versus a sugar-sweetened apple juice. Children's
   consumption frequency of fatty and sweet foods and demographic variables
   were obtained from parental-reported questionnaires. Weight and height
   of the children were measured.
   Results: Fat and sweet taste preferences varied substantially across
   survey centres. Independent of survey centre, age, sex, parental
   education and parental BMI, overweight including obesity was positively
   associated with fat preference and sweet preference. Fat preference
   associations were stronger in girls. Girls-but not boys-with a combined
   preference for fat and sweet had an especially high probability of being
   overweight or obese. Adjusted models with BMI z-score as the dependent
   variable were consistent with results of the analyses with BMI
   categories, but with significant results only for fat preference in
   girls. Frequent consumption of fatty foods was related to fat preference
   in bivariate analyses; however, adjusting for survey centre attenuated
   the association. Sweet preference was not related to consumption of
   sweet foods, either in crude or in adjusted analyses.
   Conclusions: Fat and sweet taste preferences are related to weight
   status in European children across regions with varying food cultures.
   International Journal of Obesity (2012) 36, 27-34;
   doi:10.1038/ijo.2011.164; published online 16 August 2011
RI Moreno, Luis/S-1780-2019; Ahrens, Wolfgang/A-2740-2012
OI Moreno, Luis/0000-0003-0454-653X; Ahrens, Wolfgang/0000-0003-3777-570X
TC 101
ZS 2
Z8 0
ZR 0
ZB 48
ZA 0
Z9 102
U1 0
U2 37
SN 0307-0565
EI 1476-5497
UT WOS:000299306700004
PM 21844876
ER

PT J
AU Hughes, J. P.
   Quraishi, M. S.
TI YouTube resources for the otolaryngology trainee
SO JOURNAL OF LARYNGOLOGY AND OTOLOGY
VL 126
IS 1
BP 61
EP 62
DI 10.1017/S0022215111002337
PD JAN 2012
PY 2012
AB Contemporary surgical training faces many challenges. However, modern
   technology, including internet-based resources, provides the trainee
   with a wealth of materials to complement their traditional teaching.
   YouTube is an online repository of video clips, and contains many
   instructional resources of value to the otolaryngology trainee.
ZR 0
Z8 0
ZB 2
TC 14
ZA 0
ZS 0
Z9 14
U1 0
U2 1
SN 0022-2151
UT WOS:000299817200013
PM 21899784
ER

PT J
AU Cokely, Edward T.
   Galesic, Mirta
   Schulz, Eric
   Ghazal, Saima
   Garcia-Retamero, Rocio
TI Measuring Risk Literacy: The Berlin Numeracy Test
SO JUDGMENT AND DECISION MAKING
VL 7
IS 1
BP 25
EP 47
PD JAN 2012
PY 2012
AB We introduce the Berlin Numeracy Test, a new psychometrically sound
   instrument that quickly assesses statistical numeracy and risk literacy.
   We present 21 studies (n=5336) showing robust psychometric
   discriminability across 15 countries (e. g., Germany, Pakistan, Japan,
   USA) and diverse samples (e. g., medical professionals, general
   populations, Mechanical Turk web panels). Analyses demonstrate desirable
   patterns of convergent validity (e. g., numeracy, general cognitive
   abilities), discriminant validity (e. g., personality, motivation), and
   criterion validity (e. g., numerical and non-numerical questions about
   risk). The Berlin Numeracy Test was found to be the strongest predictor
   of comprehension of everyday risks (e. g., evaluating claims about
   products and treatments; interpreting forecasts), doubling the
   predictive power of other numeracy instruments and accounting for unique
   variance beyond other cognitive tests (e. g., cognitive reflection,
   working memory, intelligence). The Berlin Numeracy Test typically takes
   about three minutes to complete and is available in multiple languages
   and formats, including a computer adaptive test that automatically
   scores and reports data to researchers (www.riskliteracy.org). The
   online forum also provides interactive content for public outreach and
   education, and offers a recommendation system for test format selection.
   Discussion centers on construct validity of numeracy for risk literacy,
   underlying cognitive mechanisms, and applications in adaptive decision
   support.
RI Galesic, Mirta/B-8327-2012; Garcia-Retamero, Rocio/
OI Galesic, Mirta/0000-0002-3537-8359; Garcia-Retamero,
   Rocio/0000-0001-9140-8519
TC 383
ZB 66
ZA 0
ZS 3
ZR 1
Z8 0
Z9 385
U1 1
U2 111
SN 1930-2975
UT WOS:000300401900003
ER

PT J
AU Al-Jumah, Khalaf Ali
   Qureshi, Naseem Akhtar
TI Impact of pharmacist interventions on patients' adherence to
   antidepressants and patient-reported outcomes: a systematic review
SO PATIENT PREFERENCE AND ADHERENCE
VL 6
BP 87
EP 100
DI 10.2147/PPA.S27436
PD 2012
PY 2012
AB Background: Pharmacist intervention in improving patient adherence to
   antidepressants is coupled with better outcomes.
   Aims: The aim of this investigation was to systematically examine the
   published literature to explore different types of pharmacist
   interventions used for enhancing patient adherence to antidepressant
   medications. Three specific questions guided the review: what is the
   impact of pharmacist interventions on adherence to antidepressant
   medication? What is the impact of pharmacist interventions on
   patient-reported outcomes and patient satisfactions? What are the types
   of interventions used by pharmacists to enhance patients' adherence to
   antidepressants?
   Search strategies: A systematic review of the literature was conducted
   during August-November 2010 using PubMed, BIOSIS Previews (R) Web of
   Science, ScienceDirect, the Cochrane Library, PsycINFO (R),
   IngentaConnect (TM), Cambridge Journals Online, and Medscape databases.
   Key text words and medical subject headings included pharmacist
   intervention, medication intervention, depression, medication adherence,
   health-related quality of life, patient-reported outcomes, and
   antidepressants.
   Results: A total of 119 peer-reviewed papers were retrieved; 94 were
   excluded on the basis of abstract review and 13 after full-text
   analysis, resulting in twelve studies suitable for inclusion and
   intensive review. The most common intervention strategy that pharmacists
   utilized was a combination of patient education and drug monitoring. A
   cumulative patient adherence improvement in this review ranged from 15%
   to 27% attributed to utilization of different interventions and
   different combinations of interventions together with patient
   satisfaction with the treatment when depression improved.
   Conclusion: This review suggests that pharmacist intervention is
   effective in the improvement of patient adherence to antidepressants.
   This may be a basis for more studies examining the effectiveness of
   innovative interventions by pharmacists to enhance patient adherence to
   antidepressant medications.
ZB 8
ZS 2
Z8 1
ZA 0
ZR 0
TC 50
Z9 51
U1 0
U2 12
SN 1177-889X
UT WOS:000300165200001
PM 22346345
ER

PT J
AU Sandars, John
   Homer, Matthew
   Walsh, Kieran
   Rutherford, Alaster
TI Don't forget the learner: an essential aspect for developing effective
   hypermedia online learning in continuing medical education.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 23
IS 2
BP 90
EP 4
PD 2012-Mar
PY 2012
AB There is increasing use of hypermedia online learning in continuing
   medical education (CME) that presents the learner with a wide range of
   different learning resources, requiring the learner to use
   self-regulated learning (SRL) skills. This study is the first to apply
   an SRL perspective  to understand how learners engage with hypermedia
   online learning in CME. We found that the main SRL skills used by
   learners were use of strategies and monitoring. The increasing use of
   strategies was associated with increasing interest in the topic and with
   increasing satisfaction with the  learning experience. Further research
   is recommended to understand SRL processes and its impact on learning in
   other aspects of hypermedia online learning across the different phases
   of medical education. Research is also recommended to implement and
   evaluate the learning impact of a variety  of approaches to develop the
   SRL skills of hypermedia online learners in CME.
OI Homer, Matt/0000-0002-1161-5938
ZA 0
ZS 0
ZB 0
ZR 0
Z8 1
TC 0
Z9 1
U1 0
U2 3
SN 1473-9879
UT MEDLINE:22449463
PM 22449463
ER

PT J
AU Farah, Sam
   Winter, Matthew
   Smith, Julian A.
TI Current medical students' understanding of Surgical Education and
   Training
SO ANZ JOURNAL OF SURGERY
VL 82
IS 1-2
BP 12
EP 16
DI 10.1111/j.1445-2197.2011.05944.x
PD JAN-FEB 2012
PY 2012
AB Background: The current Surgical Education and Training (SET) programme
   in Australia and New Zealand has been implemented to streamline surgical
   training. As applications to the SET programme can occur as early as the
   2nd post-graduate year, early preparation is vital to ensure a
   successful outcome in gaining a SET position. We wish to demonstrate to
   what degree medical students are aware of the SET structure and
   application requirements to determine if further assistance to future
   SET candidates is required.
   Methods: A standardized questionnaire was delivered to students of an
   Australian Medical School via an online medium. Ethics approval was
   granted, and all surveys were completed anonymously and voluntarily. One
   hundred eighty- two completed surveys were received.
   Results: Eighteen percent of surveyed participants felt they had a good
   understanding of the SET programme, with 82% stating they had minimal or
   no understanding of the programme. Fourteen percent felt they had the
   information needed to pursue a career in surgery. Fifty- three percent
   were unaware that the College outlined areas of core competencies
   required in their training, with 75% unable to name any core
   competencies.
   Conclusion: There are a large proportion of medical students potentially
   considering a career in surgery. However, only a small number feel that
   they have been adequately equipped throughout their medical course to
   understand the steps needed to build a strong application for SET.
OI Smith, Julian/0000-0003-1244-4277
Z8 0
ZA 0
ZR 0
ZS 0
ZB 0
TC 1
Z9 1
U1 0
U2 6
SN 1445-1433
UT WOS:000299774700007
PM 22507489
ER

PT J
AU Pernar, Luise I. M.
   Beleniski, Florencia
   Rosen, Heather
   Lipsitz, Stuart
   Hafler, Janet
   Breen, Elizabeth
TI Spaced Education Faculty Development May Not Improve Faculty Teaching
   Performance Ratings in a Surgery Department
SO JOURNAL OF SURGICAL EDUCATION
VL 69
IS 1
BP 52
EP 57
DI 10.1016/j.jsurg.2011.06.013
PD JAN-FEB 2012
PY 2012
AB OBJECTIVES: To determine the effectiveness of spaced education as a
   faculty development tool designed to improve teaching skills in a
   surgery department.
   DESIGN: Faculty members were randomized to receive either weekly spaced
   education e-mails with content designed to improve teaching skills
   (group A) or no e-mails (group B). Using qualitative and quantitative
   surveys, we assessed both medical students' perception of faculty
   members' teaching effectiveness and faculty members' perception of the
   usefulness of the spaced education e-mails.
   SETTING: Academic medical center.
   PARTICIPANTS: Twenty-nine surgery faculty members with teaching
   responsibility for medical students in their Core Surgery Clerkship.
   RESULTS: All 41 medical students who rotated through the Core Surgery
   Clerkship rated the quality of teaching for each faculty members; 172
   online rating surveys were completed. Overall, faculty members received
   high ratings on the teaching skills included on the surveys.
   Additionally, no significant differences were found between the
   perceived skill level of the faculty members who received the weekly
   e-mails and those who did not. Specifically, 53.8% and 54% (p = 0.47) of
   the faculty were felt to deliver feedback more than three times per
   week; 87.1% and 89.9% (p = 0.15) of faculty were felt to deliver useful
   feedback; 89.2% and 90.8% (p = 0.71) of faculty were perceived to
   encourage student autonomy; and 78.1% and 81.9% (p = 0.89) of faculty
   were felt to set clear learning expectations for students. Postprogram
   comments from faculty revealed they did not find the e-mails useful as a
   faculty development tool.
   CONCLUSIONS: Students perceived high levels of teaching skills among the
   clinical faculty. Faculty members who received e-mail-based spaced
   education-based faculty development were not rated to be more effective
   teachers on the student surveys. Electronically based faculty
   development does not satisfy faculty expectations. (J Surg 69:52-57. (C)
   2012 Association of Program Directors in Surgery. Published by Elsevier
   Inc. All rights reserved.)
RI Pernar, Luise I/ABC-9742-2020
OI Pernar, Luise I/0000-0002-2142-7252
ZA 0
ZR 0
TC 8
ZS 0
Z8 0
ZB 0
Z9 8
U1 0
U2 5
SN 1931-7204
UT WOS:000299460600011
PM 22208833
ER

PT J
AU Huang, Patty
   Kao, Trudy
   Curry, Allison E.
   Durbin, Dennis R.
TI Factors Associated With Driving in Teens With Autism Spectrum Disorders
SO JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
VL 33
IS 1
BP 70
EP 74
DI 10.1097/DBP.0b013e31823a43b7
PD JAN 2012
PY 2012
AB Objective: To compare the characteristics of driving and nondriving
   teens and explore the driving outcomes for teens with higher functioning
   autism spectrum disorders. Methods: Parents of teens aged 15 to 18 years
   with a parent-reported diagnosis of an autism spectrum disorder enrolled
   in Interactive Autism Network, an online research registry, were
   eligible for this cross-sectional study. An online survey was used for
   data collection. Results: A total of 297 parents completed the survey.
   Sixty-three percent of teens currently drive or plan to drive.
   Twenty-nine percent of the teens who are age-eligible to drive currently
   drive. Compared with age-eligible but nondriving teens, a greater
   proportion of driving teens were in full-time regular education (p <
   .005), planned to attend college (p < .001), and held a paid job (p =
   .008). A greater proportion of parents of driving teens had taught >= 1
   teen to drive previously (p <. 001). There were no differences in
   gender, autism subtype, attention deficit/hyperactivity disorder
   diagnosis, parental age or education, or access to public
   transportation. Driving predictors included individualized education
   plans with driving goals, indicators of functional status (classroom
   placement, college aspiration, and job experience), and parent
   experience with teaching teens to drive. Twelve percent of teens
   received driving citations, and 12% of teens had been involved in a
   motor vehicle crash. Conclusions: Although a significant proportion of
   teens with higher functioning autism spectrum disorders were driving or
   learning to drive, the fact that most driving teens' individualized
   education plans did not include driving goals suggests an area of
   opportunity for improvement in transition planning. Driving teens were
   more frequently in regular education settings with college aspirations,
   which could help schools identify potential drivers.
RI Durbin, Dennis/AAD-7829-2022; Curry, Allison/
OI Curry, Allison/0000-0001-7076-3538
ZA 0
Z8 1
ZR 0
TC 45
ZB 13
ZS 0
Z9 46
U1 0
U2 17
SN 0196-206X
EI 1536-7312
UT WOS:000299391700015
PM 22157351
ER

PT J
AU Saunders, L. L.
   Krause, J. S.
   Focht, K. L.
TI A longitudinal study of depression in survivors of spinal cord injury
SO SPINAL CORD
VL 50
IS 1
BP 72
EP 77
DI 10.1038/sc.2011.83
PD JAN 2012
PY 2012
AB Study design: Cohort study.
   Objectives: The objective of this study is to assess depression over a
   5-year period in persons with spinal cord injury (SCI) and to assess
   risk factors for depression over time.
   Setting: Rehabilitation hospitals in the Southeast and Midwest.
   Methods: Participants included 801 adults with residual effects from a
   traumatic SCI averaging over 15 years post injury. Participants
   responded to two questionnaires, one in 2002 (Time1) and another in 2008
   (Time 2). Probable major depression (PMD) was measured by the Older
   Adult Health and Mood Questionnaire.
   Results: In all, 22.1% of participants had PMD at Time 1 and 20.2% at
   Time 2. There was a nonsignificant trend for change in PMD status (P =
   0.058). Of those who had PMD at Time 1, 55.7% had PMD at Time 2. Between
   the two time points, the most change occurred in the group with
   clinically significant symptomatology. Demographic factors (race-gender,
   age, time since injury) and health behaviors (pain medication use, hours
   out of bed, days out of the house, exercise) were significantly
   associated with PMD over time. Socioeconomic factors (income, education)
   were significantly related to depression but were not significant after
   controlling for behavioral factors.
   Conclusion: Depression is fairly consistent over time in persons with
   SCI, with the majority of change coming from those in the clinically
   significant symptomatology group. Examining depression at multiple time
   points, our results underscore the importance of health behaviors in
   relation to PMD, even after controlling for demographic, injury and
   environmental factors. Spinal Cord (2012) 50, 72-77;
   doi:10.1038/sc.2011.83; published online 2 August 2011
TC 59
ZB 16
ZR 0
ZA 0
ZS 0
Z8 0
Z9 59
U1 1
U2 15
SN 1362-4393
UT WOS:000299314000014
PM 21808257
ER

PT J
AU Inuwa, Ibrahim Muhammad
   Taranikanti, Varna
   Al-Rawahy, Maimouna
   Habbal, Omar
TI Anatomy practical examinations: How does student performance on
   computerized evaluation compare with the traditional format?
SO ANATOMICAL SCIENCES EDUCATION
VL 5
IS 1
BP 27
EP 32
DI 10.1002/ase.254
PD JAN-FEB 2012
PY 2012
AB Practical examinations in anatomy are usually conducted on specimens in
   the anatomy laboratory (referred to here as the traditional method).
   Recently, we have started to administer similar examinations online
   using the quiz facility in Moodle(TM) In this study, we compare student
   scores between two assessment environments viz. online and traditional
   environments. We hypothesized that regardless of the examination medium
   (traditional or online) overall student performance would not be
   significantly different. For the online medium, radiological images,
   prosected specimens, and short video clips demonstrating muscle action
   were first acquired from resources used for teaching during anatomy
   practical classes. These were optimized for online viewing and then
   uploaded onto Moodle learning management software. With regards to the
   traditional format, actual specimens were usually laid out in a circular
   stream. Identification tags were then attached to specific spots on the
   specimens and questions asked regarding those identified spots. A cohort
   of students taking practical examinations in six courses was studied.
   The courses were divided into three pairs with each pair credit-weight
   matched. Each pair consisted of a course where the practical examination
   was conducted online and the other in the traditional format. There was
   no significant difference in the mean scores within each course pair. In
   addition, a significant positive correlation between score in
   traditional and online formats was found. We conclude that mean grades
   in anatomy practical examination conducted either online or in the
   traditional format were comparable. These findings should reassure
   teachers intending to use either format for their practical
   examinations. Anat Sci Educ. (C) 2011 American Association of
   Anatomists.
RI Taranikanti, Varna/AAF-4085-2020
OI Taranikanti, Varna/0000-0002-9319-1816
ZB 2
ZR 0
ZS 0
Z8 1
TC 47
ZA 0
Z9 48
U1 0
U2 15
SN 1935-9772
EI 1935-9780
UT WOS:000298980000005
PM 21916021
ER

PT J
AU Porta, Christopher R.
   Sebesta, James A.
   Brown, Tommy A.
   Steele, Scott R.
   Martin, Matthew J.
TI Training Surgeons and the Informed Consent Process Routine Disclosure of
   Trainee Participation and Its Effect on Patient Willingness and Consent
   Rates
SO ARCHIVES OF SURGERY
VL 147
IS 1
BP 57
EP 62
DI 10.1001/archsurg.2011.235
PD JAN 2012
PY 2012
AB Objectives: To examine patient perceptions and willingness to
   participate in resident education and to assess the effect on patient
   willingness and consent rates.
   Design: Anonymous questionnaire designed to capture demographics,
   overall opinions of teaching programs, and willingness to consent to
   various scenarios of trainee participation. Descriptive and univariate
   analyses were performed.
   Setting: Tertiary-level referral center.
   Patients: Three hundred sixteen individuals scheduled for elective
   surgery.
   Main Outcome Measures: Consent rates for various scenarios.
   Results: Of the 316 patients who completed the questionnaire, most
   expressed overall support of resident training: 91.2% opined that their
   care would be equivalent to or better than that of a private hospital,
   68.3% believed they derived benefit from participation, and most
   consented to having an intern (85.0%) or a resident (94.0%) participate
   in their surgical procedure. However, when given specific, realistic
   scenarios involving trainee participation, major variations in the
   consent rate were observed. Affirmative consent rates decreased from
   94.0% to 18.2% as the level of resident participation increased.
   Patients also were more willing to consent to the participation of a
   senior resident (83.1%) vs a junior resident (57.6%) or an intern
   (54.5%). Patients overwhelmingly opined that they should be informed of
   the level of resident participation and that this information could
   change their decision of whether to consent.
   Conclusions: Most patients expressed approval of teaching facilities and
   resident education. However, consent rates were significantly altered
   when more detailed information was provided and they declined with
   increasing levels of resident participation. Providing detailed informed
   consent is preferred by patients but it could adversely affect resident
   participation and training. Arch Surg. 2012; 147(1): 57-62. Published
   online September 19, 2011. doi: 10.1001/archsurg. 2011.235
RI Martin, Matthew/B-2676-2014
OI Martin, Matthew/0000-0002-9169-9069
ZS 0
ZB 5
TC 44
ZR 0
Z8 0
ZA 0
Z9 44
U1 0
U2 5
SN 0004-0010
UT WOS:000299126300015
PM 21930977
ER

PT J
AU Gur, Ilia
   Gur, Daniel
   Recabaren, James A.
TI The Computerized Synoptic Operative Report A Novel Tool in Surgical
   Residency Education
SO ARCHIVES OF SURGERY
VL 147
IS 1
BP 71
EP 74
DI 10.1001/archsurg.2011.228
PD JAN 2012
PY 2012
AB Hypothesis: As opposed to the traditional dictated report, the use of a
   computer-based synoptic operative report will mandate that the surgical
   resident have a better understanding of all facets of the procedure.
   Design: A prospective study over a 10-month period.
   Setting: A 636-bed community teaching hospital.
   Patients: A total of 57 consecutive patients and 60 operative procedures
   for breast cancer.
   Main Outcome Measures: A total of 60 consecutive breast cancer narrative
   operative reports, dictated by the attending surgeon, were compared with
   synoptic computerized operative reports filled by an operating resident.
   It included a total of 36 items containing data on demographics,
   preoperative history, diagnostic evaluation, and precise intraoperative
   findings. The 2 types of reports were compared for overall completeness
   and for the completeness of individual items.
   Results: Comparison of the narrative and synoptic reports showed that
   there was significant improvement in data completeness with the use of
   the synoptic report. The overall analysis showed that the synoptic
   operating report contained 94.7% of the preoperative and operative data,
   whereas the dictated operative report was able to capture only 66% of
   the data (P<.001). Eleven of 15 items in the general and preoperative
   sections of the dictated report and 6 of 21 items in the intraoperative
   section of the dictated report were underreported compared with those
   same items in the synoptic report (P=.004-.001).
   Conclusion: The computerized synoptic operative report is superior to
   the dictated report in the documentation of important preoperative and
   intraoperative data. Although checklists and templates are not new in
   medicine, the use of a synoptic operative report as a surgical
   educational tool is a novel concept. Each resident who participated in
   our study had to develop a better understanding of the operative
   procedure in order to complete a more accurate synoptic report. Arch
   Surg. 2012; 147(1): 71-74. Published online September 19, 2011. doi:
   10.1001/archsurg.2011.228
ZA 0
TC 35
Z8 0
ZS 0
ZR 0
ZB 3
Z9 35
U1 0
U2 2
SN 0004-0010
EI 1538-3644
UT WOS:000299126300019
PM 21930975
ER

PT J
AU Donovan, Elizabeth
   Wood, Mollie
   Frayjo, Kezia
   Black, Ryan A.
   Surette, Daniel A.
TI A randomized, controlled trial to test the efficacy of an online,
   parent-based intervention for reducing the risks associated with
   college-student alcohol use
SO ADDICTIVE BEHAVIORS
VL 37
IS 1
BP 25
EP 35
DI 10.1016/j.addbeh.2011.09.007
PD JAN 2012
PY 2012
AB Alcohol consumption among college students remains a major public health
   concern. Universal, Web-based interventions to reduce risks associated
   with student alcohol consumption have been found to be effective in
   changing their alcohol-related behavior. Recent studies also indicate
   that parent-based interventions, delivered in booklet form, are
   effective. A parent-based intervention that is also Web-based may be
   well suited to a dispersed parent population; however, no such tool is
   currently available.. The purpose of this study was to test the efficacy
   of an online parent-based intervention designed to (1) increase
   communication between parents and students about alcohol and (2) reduce
   risks associated with alcohol use to students. A total of 558
   participants, comprising 279 parent-teen dyads, were enrolled in the
   study. The findings suggested that parents who participated in the
   online intervention were more likely to discuss protective behavioral
   strategies, particularly those related to manner of drinking and
   stopping/limiting drinking, with their teens, as compared with parents
   in an e-newsletter control group. Moreover, students whose parents
   received the intervention were more likely to use a range of protective
   behavioral strategies, particularly those related to manner of drinking
   and stopping/limiting drinking, as compared with students whose parents
   did not receive the intervention. A universal, online, parent-based
   intervention to reduce risks associated with student alcohol consumption
   may be an efficient and effective component of a college's overall
   prevention strategy. (C) 2011 Elsevier Ltd. All rights reserved.
Z8 0
TC 25
ZB 4
ZA 0
ZS 1
ZR 0
Z9 26
U1 1
U2 15
SN 0306-4603
EI 1873-6327
UT WOS:000297532700003
PM 21963316
ER

PT J
AU Kumar, Supriya
   Quinn, Sandra Crouse
   Kim, Kevin H.
   Daniel, Laura H.
   Freimuth, Vicki S.
TI The Impact of Workplace Policies and Other Social Factors on
   Self-Reported Influenza-Like Illness Incidence During the 2009 H1N1
   Pandemic
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 102
IS 1
BP 134
EP 140
DI 10.2105/AJPH.2011.300307
PD JAN 2012
PY 2012
AB Objectives. We assessed the impact of social determinants of potential
   exposure to H1N1 - which are unequally distributed by race/ethnicity in
   the United States on - incidence of influenza-like illness (ILI) during
   the 2009 H1N1 pandemic.
   Methods. In January 2010 we surveyed a nationally representative sample
   (n = 2079) of US adults from the Knowledge Networks online research
   panel, with Hispanic and African American oversamples. The completion
   rate was 56%.
   Results. Path analysis examining ILI incidence, race, and social
   determinants of potential exposure to H1N1 demonstrated that higher ILI
   incidence was related to workplace policies, such as lack of access to
   sick leave, and structural factors, such as number of children in the
   household. Hispanic ethnicity was related to a greater risk of ILI
   attributable to these social determinants, even after we controlled for
   income and education.
   Conclusions. The absence of certain workplace policies, such as paid
   sick leave, confers a population-attributable risk of 5 million
   additional cases of ILI in the general population and 1.2 million cases
   among Hispanics. Federal mandates for sick leave could have significant
   health impacts by reducing morbidity from ILI, especially in Hispanics.
   (Am J Public Health. 2012;102:134-140. doi:10.2105/AJPH.2011.300307)
OI Kumar, Supriya/0000-0001-8373-105X
ZS 1
Z8 0
ZB 32
ZR 0
ZA 0
TC 95
Z9 96
U1 0
U2 13
SN 0090-0036
EI 1541-0048
UT WOS:000298449400025
PM 22095353
ER

PT J
AU Omurtag, Kenan
   Jimenez, Patricia T.
   Ratts, Valerie
   Odem, Randall
   Cooper, Amber R.
TI The ART of social networking: how SART member clinics are connecting
   with patients online
SO FERTILITY AND STERILITY
VL 97
IS 1
BP 88
EP 94
DI 10.1016/j.fertnstert.2011.10.001
PD JAN 2012
PY 2012
AB Objective: To study and describe the use of social networking websites
   among Society for Assisted Reproductive Technology (SART) member
   clinics.
   Design: Cross-sectional study.
   Setting: University-based practice.
   Patient(s): Not applicable.
   Intervention(s): Not applicable.
   Main Outcome Measure(s): Prevalence of social networking websites among
   SART member clinics and evaluation of content, volume, and location
   (i.e., mandated state, region) using multivariate regression analysis.
   Result(s): A total of 384 SART-registered clinics and 1,382 social
   networking posts were evaluated. Of the clinics, 96% had a website and
   30% linked to a social networking website. The majority of clinics (89%)
   with social networking websites were affiliated with nonacademic
   centers. Social networking posts mostly provided information (31%)
   and/or advertising (28%), and the remaining offered support (19%) or
   were irrelevant (17%) to the target audience. Only 5% of posts involved
   patients requesting information. Clinic volume correlated with the
   presence of a clinic website and a social networking website.
   Conclusion(s): Almost all SART member clinics have a website. Nearly
   one-third of these clinics host a social networking website such as
   Facebook, Twitter, and/or a blog. Large-volume clinics commonly host
   social networking websites. These sites provide new ways to communicate
   with patients, but clinics should maintain policies on the incorporation
   of social networks into practice. (Fertil Steril (R) 2012;97:88-94. (C)
   2012 by American Society for Reproductive Medicine.)
ZB 4
ZA 0
ZR 0
TC 23
Z8 0
ZS 0
Z9 23
U1 0
U2 21
SN 0015-0282
EI 1556-5653
UT WOS:000298367600019
PM 22088209
ER

PT J
AU Bandukwala, Taha
   Arora, Sourabh
   Athreya, Sriharsha
TI Net Assets: Review of Online Radiology Resources. Part II. Organizations
   and Societies
SO RADIOLOGY
VL 262
IS 1
BP 19
EP 24
DI 10.1148/radiol.11101427
PD JAN 2012
PY 2012
ZR 0
Z8 0
TC 7
ZS 0
ZA 0
ZB 0
Z9 7
U1 0
U2 1
SN 0033-8419
UT WOS:000298611500006
PM 22190654
ER

PT J
AU Furnham, Adrian
   Leno, Virginia Carter
TI Psychiatric literacy and the conduct disorders
SO RESEARCH IN DEVELOPMENTAL DISABILITIES
VL 33
IS 1
BP 24
EP 31
DI 10.1016/j.ridd.2011.08.001
PD JAN-FEB 2012
PY 2012
AB Past research regarding mental health literacy has indicated that public
   knowledge is lamentably poor. This study aimed to examine the effect of
   demographics, experience and personality, as predictors for
   understanding conduct disorders. An opportunistic sample of 125
   participants with a mean age of 24.29 years completed an online
   questionnaire in which they were asked to describe and evaluate
   vignettes of 4 conduct disorders. They were asked for their view of what
   the diagnosis may be: "What is the main problem", confidence in their
   diagnosis, and how the person could be helped. The correct diagnosis was
   given by 42% of the participants in one case but only 8% in another. A
   content analysis suggested that five types of diagnosis were given:
   psychological/psychiatric, behavioural, parenting, socio-emotional and
   lifestyle.
   There were significant differences in what treatments were thought to be
   useful between the cases though psychotherapy was thought to be most
   useful. Limitations of this study are considered. (C) 2011 Elsevier Ltd.
   All rights reserved.
RI Furnham, Adrian/ABB-2072-2020
ZR 0
Z8 1
ZS 0
ZA 0
ZB 1
TC 12
Z9 13
U1 0
U2 4
SN 0891-4222
UT WOS:000297661500003
PM 22093644
ER

PT J
AU Lindenthal, Jacob Jay
   Delisa, Joel A
TI Promoting appreciation of the study and practice of medicine: inner
   workings of a Mini-Med program.
SO Advances in medical education and practice
VL 3
BP 73
EP 8
DI 10.2147/AMEP.S30495
PD 2012 Jun 18
PY 2012
AB Dissatisfaction with the restrictions of the health care system,
   diminished reliance on the word of health care professionals, increased
   costs of medical care, and access to information online have increased
   consumers' interest in their own health care as well as their thirst for
   medical literacy. Mini-Med programs run by medical schools offer a more
   reliable method of learning about disease and disorders than does the
   indiscriminate surfing of the Internet. This article describes the
   efforts of the University of Medicine and Dentistry of New Jersey - the
   largest public university of the health sciences in the nation - to run
   and maintain such a program. The Mini-Med course provides lay students
   with insight into what a student undergoes while studying medicine and
   guides them through complex topics that range from anatomy and basic
   life support to the latest in stem cell research. It also provides early
   guidance for potential medical students, addresses patients' concerns,
   and gives some insight into the levels of comprehension of current
   medical students.
ZS 0
ZR 0
TC 5
ZA 0
Z8 0
ZB 1
Z9 5
U1 0
U2 1
SN 1179-7258
UT MEDLINE:23762004
PM 23762004
ER

PT J
AU Schoendorfer, Niikee
   Emmett, David
TI Use of certainty-based marking in a second-year medical student cohort:
   a pilot study.
SO Advances in medical education and practice
VL 3
BP 139
EP 43
DI 10.2147/AMEP.S35972
PD 2012 Dec 20
PY 2012
AB BACKGROUND: Assessments which consider both competence and confidence
   attempt to provide insight into actual performance in order to optimize
   physician capabilities, providing motivation and direction for future
   learning. The aim of this project was to assess medical students'
   thoughts and opinions of the utility of a certainty-based marking (CBM)
   protocol with respect to improving their learning experiences.
   METHODS: Second-year medical students at the University of Queensland
   were provided with a series of optional online formative assessment
   tools, in the form of 10 sample questions, to support their current
   module learning outcomes. During four consecutive weeks, CBM was offered
   on weeks 1, 2, and 4, with week 3 being provided in the usual
   question-answer format. A mixed-method survey was distributed at the
   conclusion of the trial period to obtain feedback on the students'
   impressions of learning via this technique.
   RESULTS: Of the 400 students, 15%, 11%, 9%, and 8% used the resource
   over the four-week period, respectively. During the four-week module
   directly prior to the test module, 46%, 44%, 44%, and 40% of the
   students accessed the sample questions which were delivered in the usual
   multiple choice format. A majority of the students either agreed or
   strongly agreed that CBM was easy to understand (52%) and useful (57%),
   but took more time (67%) because they needed to consider their certainty
   level for every question (76%). A number of students (43%) also stated
   that CBM affected their attitudes toward decision-making, while 86%
   thought it would be most useful for revision as opposed to an
   examination format.
   DISCUSSION: Despite the inherent benefits of gaining experience in
   higher order thinking processes, students were less likely to
   participate in the CBM tasks than standard multiple choice, even though
   these did not count toward their final grades.
   CONCLUSION: Utilizing such practices at the beginning of an educational
   program may minimize apparent resistance and alter learning practices to
   become conducive to deeper levels of learning. This has been
   corroborated in other studies aiming to encourage similar higher order
   cognitive processes.
ZS 0
Z8 0
ZR 0
ZB 0
ZA 0
TC 7
Z9 7
U1 0
U2 1
SN 1179-7258
UT MEDLINE:23762012
PM 23762012
ER

PT C
AU Ribeiro, Raul C.
BE Quintana, Y
   Villalobos, AV
   May, D
TI Improving Survival of Children with Cancer Worldwide: the St. Jude
   International Outreach Program Approach
SO ADVANCING CANCER EDUCATION AND HEALTHY LIVING IN OUR COMMUNITIES:
   PUTTING VISIONS AND INNOVATIONS INTO ACTION
SE Studies in Health Technology and Informatics
VL 172
BP 9
EP 13
DI 10.3233/978-1-61499-088-8-9
PD 2012
PY 2012
AB The mission of the St. Jude International Outreach Program (IOP) is to
   improve the survival rate of children with cancer and other catastrophic
   diseases worldwide, through the sharing of knowledge, technology, and
   organizational skills. There are an estimated 160,000 newly diagnosed
   cases of childhood cancer worldwide each year, and cancer is emerging as
   a major cause of childhood death in the developing regions of Asia,
   South and Central America, northwest Africa, and the Middle East. Over
   the past 30 years improved therapy has dramatically increased survival
   rates for children with cancer, but still more than 70% of the world's
   children with cancer lack access to modern treatment. Although sick
   children from around the world have traveled to our hospital in Memphis,
   Tennessee, since its inception, treating children in their own countries
   is more efficient and less disruptive for them and their families. In
   the context of St. Jude's culture of sharing knowledge about the
   management of children with cancer, we now use modern technology to
   reach far more children than would ever be able to come to St. Jude
   Children's Research Hospital. St. Jude strives to address the needs of
   those children in countries that lack sufficient resources and to help
   them manage their own burden of cases effectively. By sharing knowledge
   and technology with the local governments, health care providers, and
   the private sector in these countries, St. Jude is improving diagnoses
   and treatments to increase the survival rates of children all across the
   globe. In addition to training medical teams locally, St. Jude
   Children's Research Hospital hosts many visiting fellows at our campus
   in Memphis. St. Jude helps partner medical institutions develop tailored
   evidence-based protocols for treating children with cancer and other
   catastrophic diseases. St. Jude physicians serve as mentors to
   physicians at our partner sites and consult on difficult cases. Nurses
   are trained on best practices in clinical care and pathologists on
   techniques for accurate diagnosis. We also partner with local
   fundraising foundations that support the medical programs. This model
   has proved to be highly effective in providing poor children in
   developing countries access to modern treatment and care. True to the
   commitment of St. Jude to sharing information with the worldwide medical
   community, in 2002 St. Jude launched Cure4Kids, a comprehensive online
   resource dedicated to supporting the care of children with cancer and
   other catastrophic diseases. Today Cure4Kids (www.Cure4Kids. org) has
   over 27,000 registered users in more than 175 countries. In 2006 St.
   Jude launched the Cancer Education for Children Program (Cure4Kids for
   Kids) that helps school children, their parents, and teachers understand
   the basic science and treatment of cancer. The IOP is ambitious, widely
   inclusive, and relentless in its pursuit of the dream of St. Jude's
   founder Danny Thomas that "no child should die in the dawn of life." No
   child, anywhere in the world.
CT St. Jude Cure4Kids Global Summit
CY JUN 09-11, 2011
CL St Jude Childrens Res Hosp, Memphis, TN
HO St Jude Childrens Res Hosp
ZR 0
TC 18
ZS 2
ZA 0
ZB 5
Z8 0
Z9 18
U1 0
U2 14
SN 0926-9630
BN 978-1-61499-088-8; 978-1-61499-087-1
UT WOS:000350282200002
PM 22910495
ER

PT J
AU Rosenberg, Roger N.
TI Online First All the Time and More Continuing Medical Education Credit
   Too!
SO ARCHIVES OF NEUROLOGY
VL 69
IS 1
BP 21
EP 21
DI 10.1001/archneurol.2011.2250
PD JAN 2012
PY 2012
Z8 0
TC 1
ZR 0
ZS 0
ZA 0
ZB 0
Z9 1
U1 0
U2 0
SN 0003-9942
UT WOS:000298944500002
PM 22213408
ER

PT J
AU Briggs, Andrew M
   Lee, Nadia
   Sim, Moira
   Leys, Toby J
   Yates, Piers J
TI Hospital discharge information after elective total hip or knee joint
   replacement surgery: A clinical audit of preferences among general
   practitioners.
SO The Australasian medical journal
VL 5
IS 10
BP 544
EP 50
DI 10.4066/AMJ.2012.1471
PD 2012
PY 2012
AB The demand for elective joint replacement (EJR) surgery for degenerative
   joint disease continues to rise in Australia, and relative to earlier
   practices, patients are discharged back to the care of their general
   practitioner (GP) and other community-based providers after a shorter
   hospital stay and potentially greater post-operative acuity. In order to
   coordinate safe and effective post-operative care, GPs rely on accurate,
   timely and clinically-informative information from hospitals when their
   patients are discharged. The aim of this project was to undertake an
   audit with GPs regarding their preferences about the components of
   information provided in discharge summaries for patients undergoing EJR
   surgery for the hip or knee.GPs in a defined catchment area were invited
   to respond to an online audit instrument, developed by an
   interdisciplinary group of clinicians with knowledge of orthopaedic
   surgery practices. The 15-item instrument required respondents to rank
   the importance of components of discharge information developed by the
   clinician working group, using a three-point rating scale.Fifty-three
   GPs and nine GP registrars responded to the audit invitation (11.0%
   response rate). All discharge information options were ranked as
   'essential' by a proportion of respondents, ranging from 14.8-88.5%.
   Essential information requested by the respondents included early
   post-operative actions required by the GP, medications prescribed,
   post-operative complications encountered and noting of any allergies.
   Non-essential information related to the prosthesis used. The provision
   of clinical guidelines was largely rated as 'useful' information
   (47.5-56.7%).GPs require a range of clinical information to safely and
   effectively care for their patients after discharge from hospital for
   EJR surgery. Implementation of changes to processes used to create
   discharge summaries will require engagement and collaboration between
   clinical staff, hospital administrators and information technology
   staff, supported in parallel by education provided to junior medical
   staff.
RI Sim, Moira/D-5120-2013
OI Sim, Moira/0000-0001-5962-6639
ZB 0
Z8 0
ZA 0
ZR 0
ZS 0
TC 6
Z9 6
U1 1
U2 2
EI 1836-1935
UT MEDLINE:23173019
PM 23173019
ER

PT J
AU Cooper, Simon
   Beauchamp, Alison
   Bogossian, Fiona
   Bucknall, Tracey
   Cant, Robyn
   Devries, Brett
   Endacott, Ruth
   Forbes, Helen
   Hill, Robyn
   Kinsman, Leigh
   Kain, Victoria J
   McKenna, Lisa
   Porter, Jo
   Phillips, Nicole
   Young, Susan
TI Managing patient deterioration: a protocol for enhancing undergraduate
   nursing students' competence through web-based simulation and feedback
   techniques.
SO BMC nursing
VL 11
IS 1
BP 18
EP 18
DI 10.1186/1472-6955-11-18
PD 2012 Sep 28
PY 2012
AB UNLABELLED: 
   AIMS: To describe a funded proposal for the development of an on-line
   evidence based educational program for the management of deteriorating
   patients.
   BACKGROUND: There are international concerns regarding the management of
   deteriorating patients with issues around the 'failure to rescue'. The
   primary response to these issues has been the development of medical
   emergency teams with little focus on the education of primary first
   responders.
   DESIGN/METHODS: A mixed methods triangulated convergent design.In this
   four phase proposal we plan to 1. examine nursing student team ability
   to manage deteriorating patients and based upon these findings 2.
   develop web based educational material, including interactive scenarios.
   This educational material will be tested and refined in the third Phase
   3, prior to evaluation and dissemination in the final phase.
   CONCLUSION: This project aims to enhance knowledge development for the
   management of deteriorating patients through rigorous assessment of team
   performance and to produce a contemporary evidence-based online training
   program.
RI McKenna, Lisa/K-2603-2013; Endacott, Ruth/B-1333-2013; Kinsman, Leigh D/F-5433-2015; Kinsman, Leigh/AAU-7848-2020; Bucknall, Tracey K/A-4055-2010; Kain, Victoria J/B-5148-2014; Forbes, Helen/F-1331-2015; Young, Susan/F-6152-2013; Cooper, Simon JR/K-5732-2013; Bogossian, Fiona E/F-2273-2010; Phillips, Nicole (Nikki)/; Cant, Robyn/; Beauchamp, Alison/; Forbes, Helen/; Porter, Joanne/
OI McKenna, Lisa/0000-0002-0437-6449; Endacott, Ruth/0000-0002-4352-4600;
   Kinsman, Leigh D/0000-0002-0790-5887; Kinsman,
   Leigh/0000-0002-0790-5887; Bucknall, Tracey K/0000-0001-9089-3583; Kain,
   Victoria J/0000-0001-8801-0040; Cooper, Simon JR/0000-0001-5561-3099;
   Bogossian, Fiona E/0000-0001-9909-5852; Phillips, Nicole
   (Nikki)/0000-0002-6821-4983; Cant, Robyn/0000-0001-5430-3275; Beauchamp,
   Alison/0000-0001-6555-6200; Forbes, Helen/0000-0001-8826-8156; Porter,
   Joanne/0000-0002-1784-3165
TC 19
Z8 0
ZS 0
ZA 0
ZR 0
ZB 1
Z9 19
U1 0
U2 6
SN 1472-6955
UT MEDLINE:23020906
PM 23020906
ER

PT J
AU Huisma, Felicity F.
   Potts, James E.
   Gibbs, Karen A.
   Sanatani, Shubhayan
TI Assessing the knowledge of sudden unexpected death in the young among
   Canadian medical students and recent graduates: a cross-sectional study
SO BMJ OPEN
VL 2
IS 6
AR qe001798
DI 10.1136/bmjopen-2012-001798
PD 2012
PY 2012
AB Objective: To determine the level of knowledge concerning Sudden
   Unexpected Death in the Young (SUDY) among Canadian medical students and
   recent graduates (<= 5 years after graduating).
   Design: A cross-sectional study was conducted by distributing a
   standardised, multiple choice, online questionnaire which assessed basic
   knowledge of SUDY.
   Setting: Canadian medical schools and residency training programmes.
   Participants: 614 Canadian medical students (in either their penultimate
   or final year) and recent graduates (<= 5 years after graduating)
   completed an anonymous online questionnaire.
   Primary and secondary outcome measures: The level of knowledge regarding
   molecular aetiology, clinical presentation, pharmacological management
   and modes of inheritance of six of the commonest conditions causing
   SUDY, including hypertrophic cardiomyopathy (HCM), arrhythmogenic right
   ventricular cardiomyopathy (ARVC), Brugada syndrome, catecholaminergic
   polymorphic ventricular tachycardia (CPVT), long QT syndrome (LQT) and
   Wolff-Parkinson White syndrome (WPW), were compared between medical
   students and recent graduates. Questions were broken down into basic
   knowledge and advanced categories and analysed as a secondary outcome
   measure.
   Results: Of 614 responses, approximately two-thirds were answered by
   recent graduates, who generally scored 10% higher on all subject
   categories than medical students. Overall, questions regarding HCM were
   best answered (40%), followed by WPW syndrome (32%), CPVT (30%), ARVC
   (23%), Brugada syndrome (21%) and LQT syndrome (17%). Questions
   categorised as basic knowledge were answered 30% and 39% correctly in
   medical student and recent graduate groups, respectively, and those in
   the advanced category were answered 20% and 25% correctly.
   Conclusions: Survey respondents fared poorly when answering questions
   regarding SUDY, which may be a reflection of inadequate medical
   education regarding these disorders. Standardised teaching regarding
   SUDY needs to occupy a stronger focus in Canadian medical curricula in
   order to prevent more unnecessary deaths by these syndromes in the
   future.
OI Sanatani, Shubhayan/0000-0001-9296-7400
Z8 1
TC 3
ZA 0
ZB 1
ZR 0
ZS 0
Z9 3
U1 0
U2 2
SN 2044-6055
UT WOS:000315081400100
PM 23242483
ER

PT J
AU Wallace, Sean
   Clark, Marcia
   White, Jonathan
TI 'It's on my iPhone': attitudes to the use of mobile computing devices in
   medical education, a mixed-methods study
SO BMJ OPEN
VL 2
IS 4
AR e001099
DI 10.1136/bmjopen-2012-001099
PD 2012
PY 2012
AB Objective: The last decade has seen the introduction of new technology
   which has transformed many aspects of our culture, commerce,
   communication and education. This study examined how medical teachers
   and learners are using mobile computing devices such as the iPhone in
   medical education and practice, and how they envision them being used in
   the future.
   Design: Semistructured interviews were conducted with medical students,
   residents and faculty to examine participants' attitudes about the
   current and future use of mobile computing devices in medical education
   and practice. A thematic approach was used to summarise ideas and
   concepts expressed, and to develop an online survey. A mixed methods
   approach was used to integrate qualitative and quantitative findings.
   Setting and participants: Medical students, residents and faculty at a
   large Canadian medical school in 2011.
   Results: Interviews were conducted with 18 participants ( 10 students, 7
   residents and 1 faculty member). Only 213 participants responded to the
   online survey ( 76 students, 65 residents and 41 faculty members). Over
   85% of participants reported using a mobile-computing device. The main
   uses described for mobile devices related to information management,
   communication and time management. Advantages identified were
   portability, flexibility, access to multimedia and the ability to look
   up information quickly. Challenges identified included: superficial
   learning, not understanding how to find good learning resources,
   distraction, inappropriate use and concerns about access and privacy.
   Both medical students and physicians expressed the view that the use of
   these devices in medical education and practice will increase in the
   future.
   Conclusions: This new technology offers the potential to enhance
   learning and patient care, but also has potential problems associated
   with its use. It is important for leadership in medical schools and
   healthcare organisations to set the agenda in this rapidly developing
   area to maximise the benefits of this powerful new technology while
   avoiding unintended consequences.
RI Clark, Marcia/T-5817-2019; White, Jonathan/
OI White, Jonathan/0000-0001-5254-506X
ZS 8
ZR 0
TC 220
ZA 0
Z8 0
ZB 18
Z9 227
U1 2
U2 34
SN 2044-6055
UT WOS:000315049300055
PM 22923627
ER

PT J
AU Ewen, Heidi H
   Carr, Dawn C
   Reynolds, Courtney
TI Tomorrow belongs to those who prepare for it today: gerontology doctoral
   students career aspirations.
SO Gerontology & geriatrics education
VL 33
IS 2
BP 166
EP 82
DI 10.1080/02701960.2012.661807
PD 2012
PY 2012
AB This research seeks to examine the characteristics and goals of students
   enrolled in gerontology doctoral education. The authors seek to identify
   the unique characteristics of scholars enrolled in the interdisciplinary
   study of aging and elicit discussion on the ways in which these scholars
   will contribute to the growth and development of the field. This article
   describes results from an ongoing longitudinal study examining the
   relationship between gerontology doctoral education and overarching
   frameworks that define and advance the field. Four cohorts of first-year
   doctoral students were invited to participate in an online survey.
   Results reveal three distinct typologies of gerontology doctoral
   students: traditional academics, applied specialists, and general
   educators. Traditional academics are seeking postdoc and tenure-track
   faculty positions upon completion of the doctoral degree whereas the
   applied specialists intend to pursue careers in allied health fields or
   within a government setting. Educators plan to seek academic positions
   within teaching intensive or balanced teaching-research institutions.
   Gerontology doctoral students are being trained to serve as leaders in
   practice and research by linking and integrating multiple perspectives.
   Doctoral education will continue to facilitate applications of research
   to practice, identify the meaning of being a "gerontologist," and to
   advance the field of gerontology. However, students are entering with
   diverse academic and professional backgrounds and have varied career
   goals.
RI Ewen, Heidi H/S-9285-2019; Carr, Dawn/K-5457-2019; Ewen, Heidi/; Carr, Dawn/
OI Ewen, Heidi/0000-0002-4215-6551; Carr, Dawn/0000-0003-1091-1759
ZB 0
ZR 0
TC 8
Z8 0
ZS 1
ZA 0
Z9 8
U1 0
U2 1
EI 1545-3847
UT MEDLINE:22490073
PM 22490073
ER

PT J
AU McMullen, Tara L
   Brown, Candace S
   Canham, Sarah L
   De Medeiros, Kate
TI How are gerontology doctoral graduates viewed in the academic job
   market? Findings from an exploratory study.
SO Gerontology & geriatrics education
VL 33
IS 2
BP 183
EP 97
DI 10.1080/02701960.2012.661809
PD 2012
PY 2012
AB Although doctorally trained gerontologists have unique types of
   expertise as a result of their interdisciplinary training, research
   exploring perceptions of their hirability in faculty positions is
   lacking. This exploratory study examined the perceptions of
   administrators and faculty at institutions identified as having a
   doctoral program in gerontology or a doctoral program in another
   aging-related area. A short, semistructured 27 question survey was
   disseminated online. Twenty-five (N=25) deans, associate deans, or other
   faculty participated in this study. Results indicate varying views of
   the attractiveness of hiring doctorally trained gerontologists, who or
   what is a gerontologist, and the value of having a doctorally trained
   gerontologist as a faculty member.
RI Canham, Sarah/J-2927-2019
OI Canham, Sarah/0000-0002-0421-2612
ZB 0
TC 2
ZR 0
Z8 0
ZS 0
ZA 0
Z9 2
U1 0
U2 0
EI 1545-3847
UT MEDLINE:22490074
PM 22490074
ER

PT J
AU Hietanen, Heidi
   Lyyra, Tiina-Mari
   Parkatti, Terttu
   Heikkinen, Eino
TI The current state and developments in higher education in gerontology in
   the nordic countries.
SO Gerontology & geriatrics education
VL 33
IS 2
BP 218
EP 31
DI 10.1080/02701960.2011.611555
PD 2012
PY 2012
AB The growing size of the older population challenges not only researchers
   but also higher education in gerontology. On the basis of an online
   survey the authors describe the situation of Nordic higher education in
   gerontology in 2008 and 2009 and also give some good examples of Nordic-
   and European-level collaboration. The survey results showed that
   gerontological education was given in every Nordic country, in 31
   universities and 60 other higher education institutions. Although
   separate aging-related courses and modules were relatively numerous,
   programs for majors were relatively few. Networking in the Nordic region
   offers a good example on how to further develop higher education in
   gerontology. Emphasis should be put on strengthening networking on the
   European and trans-Atlantic levels.
TC 2
ZB 0
Z8 0
ZS 0
ZR 0
ZA 0
Z9 2
U1 0
U2 0
EI 1545-3847
UT MEDLINE:22490076
PM 22490076
ER

PT J
AU Innes, Anthea
   Kelly, Fiona
   McCabe, Louise
TI An evaluation of an online postgraduate dementia studies program.
SO Gerontology & geriatrics education
VL 33
IS 4
BP 364
EP 82
DI 10.1080/02701960.2012.702166
PD 2012
PY 2012
AB Education is key to addressing the challenges of providing high-quality
   care to the ever growing number of people with dementia. Although
   dementia education is required for multiple professions and disciplines
   working with people with dementia and their families and friends, there
   is a gap in knowledge of students' views about university-level online
   dementia education. This article reports on an evaluation, via an online
   questionnaire, of student views of the delivery modes and learning
   impact for the first online postgraduate program in Dementia Studies
   worldwide. The majority of our respondents (65%) reported their
   participation in the Dementia Studies program as broadening their
   thinking, with 61% reporting that it broadened their practice. Students
   also reported on the utility of initial face-to-face teaching and the
   extent to which they are able to apply their learning to practice. The
   article concludes by suggesting that a blended learning approach,
   comprising online and face-to-face teaching with an emphasis on
   reflexivity has the potential to meet the global demand for skilled
   dementia care practitioners and to create leaders in the dementia care
   field.
RI Innes, Anthea/GLT-8871-2022; Innes, Anthea/
OI Innes, Anthea/0000-0002-5591-4083
ZA 0
ZB 0
ZS 0
ZR 0
Z8 1
TC 8
Z9 9
U1 1
U2 4
EI 1545-3847
UT MEDLINE:23095221
PM 23095221
ER

PT J
AU Tupesis, Janis P
   Babcock, Christine
   Char, Doug
   Alagappan, Kumar
   Hexom, Braden
   Kapur, G Bobby
TI Optimizing global health experiences in emergency medicine residency
   programs: a consensus statement from the Council of Emergency Medicine
   Residency Directors 2011 Academic Assembly global health specialty
   track.
SO International journal of emergency medicine
VL 5
IS 1
BP 43
EP 43
DI 10.1186/1865-1380-5-43
PD 2012 Nov 13
PY 2012
AB UNLABELLED: 
   BACKGROUND: An increasing number of emergency medicine (EM) residency
   training programs have residents interested in participating in clinical
   rotations in other countries. However, the policies that each individual
   training program applies to this process are different. To our
   knowledge, little has been done in the standardization of these
   experiences to help EM residency programs with the evaluation,
   administration and implementation of a successful global health clinical
   elective experience. The objective of this project was to assess the
   current status of EM global health electives at residency training
   programs and to establish recommendations from educators in EM on the
   best methodology to implement successful global health electives.
   METHODS: During the 2011 Council of Emergency Medicine Residency
   Directors (CORD) Academic Assembly, participants met to address this
   issue in a mediated discussion session and working group. Session
   participants examined data previously obtained via the CORD online
   listserve, discussed best practices in global health applications,
   evaluations and partnerships, and explored possible solutions to some of
   the challenges. In addition a survey was sent to CORD members prior to
   the 2011 Academic Assembly to evaluate the resources and processes for
   EM residents' global experiences.
   RESULTS: Recommendations included creating a global health working group
   within the organization, optimizing a clearinghouse of elective
   opportunities for residents and standardizing elective application
   materials, site evaluations and resident assessment/feedback methods.
   The survey showed that 71.4% of respondents have global health
   partnerships and electives. However, only 36.7% of programs require
   pre-departure training, and only 20% have formal competency requirements
   for these global health electives.
   CONCLUSIONS: A large number of EM training programs have global health
   experiences available, but these electives and the trainees may benefit
   from additional institutional support and formalized structure.
ZA 0
ZR 0
TC 20
ZS 0
ZB 3
Z8 0
Z9 20
U1 0
U2 1
EI 1865-1380
UT MEDLINE:23148459
PM 23148459
ER

PT J
AU Thompson, S. Anthony
TI Thrice disabling disability: enabling inclusive, socially just teacher
   education
SO INTERNATIONAL JOURNAL OF INCLUSIVE EDUCATION
VL 16
IS 1
BP 99
EP 117
DI 10.1080/13603111003671640
PD 2012
PY 2012
AB The goal of this inquiry was to create a social justice-oriented
   inclusive and enabling pedagogy by situating traditional individualised
   views of disability alongside three alternative understandings: a
   disability studies in education perspective, a First Nations view of
   disability and one based upon the autism pride/autism-as-culture
   movement. Using both these conventional and somewhat unconventional
   views of disability, a self-reflective case study was conducted in which
   the author attempted to facilitate an inclusive pedagogy in a university
   class, 'Working with Diversity and Difference'. At course conclusion,
   the author explored teacher candidates' notions of disablement and
   inclusive practices/strategies. Data sources included five focus group
   transcripts, 12 weeks of online discussion board postings and eight
   student assignments, namely inclusive teacher resource files. Data were
   triangulated and second-level member checks completed. Some students
   reported how the pedagogy enabled a reflective practice such that it
   disrupted their ableistic educational impulses, while others talked more
   about specific classroom implications to facilitate inclusion.
   Interestingly, when most students entered into the inclusive
   conversation beginning from a particular exceptionality, label, or
   diagnosis (such as intellectual disability), they tended to do so
   exclusively from an individualised medical model view of disability.
   Implications for inclusive teacher education pedagogies are discussed.
Z8 0
ZR 0
ZA 0
TC 8
ZS 0
ZB 0
Z9 8
U1 0
U2 11
SN 1360-3116
EI 1464-5173
UT WOS:000301949100007
ER

PT J
AU Cordier, Cristophe
   Lambert, Debby
   Voelckel, Marie-Antoinette
   Hosterey-Ugander, Ulrika
   Skirton, Heather
TI A profile of the genetic counsellor and genetic nurse profession in
   European countries.
SO Journal of community genetics
VL 3
IS 1
BP 19
EP 24
DI 10.1007/s12687-011-0073-x
PD 2012-Jan
PY 2012
AB Quality genetic healthcare services should be available throughout
   Europe. However, due to enhanced diagnostic and genetic testing options,
   the pressure on genetic counselling services has increased. It has been
   shown in many countries that appropriately trained genetic counsellors
   and genetic nurses can offer clinical care for patients seeking
   information or testing for a wide range of genetic conditions. The
   European Society of Human Genetics is setting up a system of
   accreditation for genetic counsellors, to ensure safe practice, however
   there has been little information about the practice and education of
   non-medical genetic counsellors in Europe. To collect baseline data, we
   approached key informants (leaders in national genetics organisations or
   experienced practitioners) to complete an online survey, reporting on
   the situation in their own country. Twenty-nine practitioners responded,
   providing data from 18 countries. The findings indicate huge variation
   in genetic counsellor numbers, roles, and education across Europe. For
   example, in UK and The Netherlands, there are more than four counsellors
   per million population, while in Germany, Hungary, Turkey, and Czech
   Republic, there are no non-medical counsellors. There are specific
   educational programmes for genetic counsellors in seven countries, but
   only France has a specific governing legal framework for genetic
   counsellors. In the post-genomic era, with added pressure on health
   systems due to increases in availability and use of genetic testing,
   these disparities are likely to result in inequalities in service
   provided to European citizens. This study underpins the need for a
   coherent European approach to accreditation of genetic counsellors.
OI Skirton, Heather/0000-0002-3639-5265; Lambert,
   Deborah/0000-0003-0967-0476
ZB 13
Z8 0
ZR 0
ZS 1
TC 29
ZA 0
Z9 29
U1 0
U2 6
EI 1868-6001
UT MEDLINE:22167623
PM 22167623
ER

PT J
AU Deorari, Ashok
   Thukral, Anu
   Aruna, V.
TI Online learning in newborn health: A distance learning model
SO NATIONAL MEDICAL JOURNAL OF INDIA
VL 25
IS 1
BP 31
EP 32
PD JAN-FEB 2012
PY 2012
ZS 0
ZA 0
TC 4
ZB 3
ZR 0
Z8 0
Z9 4
U1 1
U2 2
SN 0970-258X
UT WOS:000304687000008
PM 22680321
ER

PT J
AU Kumar, Gautam
   Ni, Andrew
   Lawrence, Sarah E.
   Doja, Asif
TI Incorporating CanMEDS and subspecialty training into paediatric
   residency programs: Why are we still deficient?
SO PAEDIATRICS & CHILD HEALTH
VL 17
IS 1
BP 9
EP 13
DI 10.1093/pch/17.1.e7
PD JAN 2012
PY 2012
AB BACKGROUND: The Royal College of Physician and Surgeons of Canada
   mandates that paediatric training programs in Canada incorporate
   subspecialty training and the teaching and evaluation of the seven
   CanMEDS roles into their curriculum. The literature suggests that newly
   practicing paediatricians feel inadequately prepared in many
   subspecialties and CanMEDS roles.
   HYPOTHESIS: That either current training programs underestimate the
   importance of these areas for future practice, or that residents
   themselves feel that these areas are less important.
   METHOD: An online survey of Canadian paediatric residents and paediatric
   residency program directors was conducted to determine their views on
   various subspecialty areas and CanMEDS roles.
   RESULTS: Fourteen of 16 Canadian paediatric programs participated, and
   127 of 486 (26%) paediatric residents completed the survey. Overall,
   trainees were satisfied with their current training (86%), and 90%
   believed they would be adequately prepared for independent practice.
   Forty-six residents (40%) believed training programs place less
   importance on 10 of the subspecialties that newly practicing
   paediatricians felt less comfortable with (from a previous study
   conducted in 2006). However, at least 25% of residents themselves placed
   less importance on nine of these 10 areas. Residents also place less
   importance on two CanMEDS competencies which practicing paediatricians
   felt less comfortable with, including the medical aspects of palliative
   care (medical expert) and managing an efficient office practice
   (manager).
   CONCLUSIONS: Residents and programs place less importance on specific
   areas of paediatric training, thus creating potential deficiencies in
   graduating paediatricians. Promotion of these topics during training may
   better prepare residents for future practice.
OI Doja, Asif/0000-0003-1457-071X
ZA 0
Z8 0
ZR 0
ZB 0
ZS 1
TC 8
Z9 8
U1 0
U2 0
SN 1205-7088
EI 1918-1485
UT WOS:000300041200003
PM 23277759
ER

PT C
AU Mazzoleni, M. Cristina
   Maugeri, Chiara
   Rognoni, Carla
   Cantoni, Alessio
   Imbriani, Marcello
BE Mantas, J
   Andersen, SK
   Mazzoleni, MC
   Blobel, B
   Quaglini, S
   Moen, A
TI Is it Worth Investing in Online Continuous Education for Healthcare
   Staff?
SO QUALITY OF LIFE THROUGH QUALITY OF INFORMATION
SE Studies in Health Technology and Informatics
VL 180
BP 939
EP 943
DI 10.3233/978-1-61499-101-4-939
PD 2012
PY 2012
AB Educational activities for hospital staff don't easily match with the
   congestive rhythm of healthcare personnel working life. Online learning
   could make it easier for healthcare personnel to attend courses, but
   there is still uncertainty about the feasibility of using distance
   learning to effectively meet education goals in healthcare institutions.
   Fondazione Salvatore Maugeri (FSM) started an online educational
   program, as pilot project, in October 2010. The present study hence is
   aimed at evaluating the impact of this initiative (in terms of extent
   and intensity of healthcare staff attendance; objective and subjective
   effectiveness) in order to take informed decisions for the future. In 15
   months, 5 elearning courses have been provided to 2261 potential users
   of 14 FSM hospitals, in parallel with traditional education. 1099 users
   from all the hospital have intensively attended the courses (58% of
   nurses, 50% of therapists, 44%, of technicians, 25% of physicians) for a
   total of 27459 CME credits. Effectiveness in terms of knowledge gain is
   satisfactory and subjective evaluation is good (more than 95% of
   satisfied users). Elearning is not appropriate for all the educational
   needs and is not a panacea, but the reported results point out that it
   may be an effective and economically convenient mean to support massive
   educational interventions reaching results hardly attainable with
   traditional education. Users should be better educated about how to
   exploit online education at best.
CT 24th Medical Informatics in Europe Conference (MIE)
CY AUG 26-29, 2012
CL Pisa, ITALY
SP European Federat Med Informat; Italian Med Informat Assoc; Italian E
   Hlth Community
RI Imbriani, Marcello/AAB-1171-2021; ROGNONI, CARLA/
OI Imbriani, Marcello/0000-0002-2752-1565; ROGNONI,
   CARLA/0000-0002-6330-0591
ZB 1
TC 8
ZR 0
ZA 0
ZS 0
Z8 0
Z9 8
U1 0
U2 7
SN 0926-9630
EI 1879-8365
BN 978-1-61499-101-4
UT WOS:000335219500182
PM 22874331
ER

PT C
AU Pakonstantinou, Despoina
   Poulymenopoulou, Mikaela
   Malamateniou, Flora
   Vassilacopoulos, George
BE Mantas, J
   Andersen, SK
   Mazzoleni, MC
   Blobel, B
   Quaglini, S
   Moen, A
TI Towards a mLearning Training Solution to the Adoption of a CPOE system
SO QUALITY OF LIFE THROUGH QUALITY OF INFORMATION
SE Studies in Health Technology and Informatics
VL 180
BP 973
EP 977
DI 10.3233/978-1-61499-101-4-973
PD 2012
PY 2012
AB Computerized Physician Order Entry (CPOE) has been introduced as a
   solution that can fundamentally change the way healthcare is provided,
   affecting all types of healthcare stakeholders and improving healthcare
   decisions, patient outcomes, patient safety and efficiency. However, a
   relatively small proportion of healthcare organizations have implemented
   CPOE systems, due to its technological complexity and to its low
   acceptance rate by healthcare professionals who largely disregard the
   value of CPOE in efficient healthcare delivery. An online training
   facility embedded within a CPOE service may increase the likelihood of
   its adoption by healthcare professionals as it offers them guidelines on
   how to perform each task of the CPOE service. In contrast to CPOE, on
   the other hand, handheld devices and other mobile technologies have
   showed an increased adoption rate. This paper considers a CPOE service
   that can be accessed by authorized healthcare professionals through
   their mobile devices anytime anywhere, and allows embedded training
   content, which has been developed through a learning management system
   (LMS) to be presented to the user automatically upon request.
CT 24th Medical Informatics in Europe Conference (MIE)
CY AUG 26-29, 2012
CL Pisa, ITALY
SP European Federat Med Informat; Italian Med Informat Assoc; Italian E
   Hlth Community
ZS 0
ZR 0
ZB 0
ZA 0
Z8 0
TC 1
Z9 1
U1 0
U2 4
SN 0926-9630
EI 1879-8365
BN 978-1-61499-101-4
UT WOS:000335219500189
PM 22874338
ER

PT C
AU Koh, Myungja
   Dev, Parvati
   Lee, Eun-Jung
   Koo, Byung-Ki
   Lee, Kyung-Oak
   Ha, Kukhwa
   Yang, Heesun
   Kang, Gilwon
   Lee, Youngsung
BE Mantas, J
   Andersen, SK
   Mazzoleni, MC
   Blobel, B
   Quaglini, S
   Moen, A
TI Development and Management of Public Health Education System Against
   Emerging Infectious Diseases
SO QUALITY OF LIFE THROUGH QUALITY OF INFORMATION
SE Studies in Health Technology and Informatics
VL 180
BP 1221
EP 1223
DI 10.3233/978-1-61499-101-4-1221
PD 2012
PY 2012
AB With recent spread of infectious diseases, worldwide emergency
   strategies against them have been made. As one of such efforts we
   planned to develop an educational program for public health manpower
   using IT, and produced 4 to 8 minute-long flash animations of the
   following subjects selected by Education Training Expert Committee:
   Self-care guideline on H1N1; Instruction for medical hospital;
   Prevention of hospital acquired infections; Method of sampling &
   transporting. Demonstrative education using an online education system
   was conducted targeting 10 doctors working in a rural health center to
   evaluate the developed animations. They received good marks in the
   factors of credibility and accuracy, but needed to improve in that of
   interaction with educatees. Our suggestion is that we use the result of
   our study as a prototype of education contents on infectious diseases,
   and modify its contents accordingly when a specific disease breaks out.
CT 24th Medical Informatics in Europe Conference (MIE)
CY AUG 26-29, 2012
CL Pisa, ITALY
SP European Federat Med Informat; Italian Med Informat Assoc; Italian E
   Hlth Community
Z8 1
ZA 0
ZR 0
TC 0
ZS 0
ZB 0
Z9 1
U1 0
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-61499-101-4
UT WOS:000335219500256
PM 22874407
ER

PT B
AU Baxendale, Steven
BA Hogan, R
TI The Pacific Open Learning Health Net: Providing Health Education in the
   Pacific
SO TRANSNATIONAL DISTANCE LEARNING AND BUILDING NEW MARKETS FOR
   UNIVERSITIES
BP 247
EP 258
DI 10.4018/978-1-4666-0206-9.ch015
PD 2012
PY 2012
AB Online learning offers the opportunity for health workers to improve
   their knowledge and skills while serving in remote locations. Through
   online continuing professional development, they are able to stay
   abreast of the latest developments in medicine. Convenient Internet
   access also provides the opportunity for health professionals to
   participate with the global medical community in research and consult
   with both peers and experts from around the world. This chapter
   describes the experiences of the Pacific Open Learning Health Net
   (POLHN) in providing online, face-to-face, and blended professional
   education to health professionals in 12 developing Pacific island
   countries. The chapter reviews the establishment of learning centers
   with Internet access in hospitals, nursing schools, and health centers.
Z8 0
TC 0
ZS 0
ZR 0
ZB 0
ZA 0
Z9 0
U1 0
U2 0
BN 978-1-4666-0207-6; 978-1-4666-0206-9
UT WOS:000363441600017
D2 10.4018/978-1-4666-0206-9
ER

PT J
AU Haaf, Gunter
TI [When simple meets false: challenges to science journalism].
FT Nach einfach kommt falsch: Herausforderungen im
   Wissenschaftsjournalismus.
SO Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
VL 106
IS 3
BP 174
EP 84
DI 10.1016/j.zefq.2012.03.013
PD 2012
PY 2012
AB Science journalists working for public media are caught between the two
   poles of factual correctness ("Thou shalt not harm") and entertaining
   presentation ("Thou shalt not bore"). Writing about (in most cases)
   complex topics they need to stand their ground against the mass media,
   the consumption of which is--in contrast to science and technology
   media--inherently voluntary. Within the general framework of the mass
   media, science journalism has emerged from a "late department" to become
   an important, but by no means leading part of the press arena. The trend
   is moving away from interpreting towards critically accompanying
   science. Due to the strong support to high-quality science journalism
   that major foundations provided during the past thirty years, the
   numbers of better trained scientific journalists operating in Germany
   have considerably increased, but so have the requirements: higher levels
   of work stress and a higher demand for real-time information,
   particularly from online media, the risk of economic and other
   organisations taking control over information by intensifying their
   public relations campaigns.
ZS 0
ZA 0
Z8 0
ZB 0
ZR 0
TC 0
Z9 0
U1 0
U2 7
SN 1865-9217
UT MEDLINE:22682413
PM 22682413
ER

PT J
AU Shabi, Iwok N.
   Shabi, Olabode M.
   Akewukereke, Modupe A.
   Udofia, Emem P.
TI Physicians utilisation of internet medical databases at the tertiary
   health institutions in Osun State, South West, Nigeria
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 28
IS 4
BP 313
EP 320
DI 10.1111/j.1471-1842.2011.00962.x
PD DEC 2011
PY 2011
AB Objectives: To determine the extent, purpose, determinants and the
   impact of the utilization of Internet medical databases among the
   respondents.
   Methodology: A descriptive cross sectional survey of 540 randomly
   selected physicians at the two tertiary health institutions in Osun
   State, South west, Nigeria.
   Result: A total of 444 (82.2%) physicians completed the questionnaires.
   All the respondents have used the internet medical databases within the
   last 4 weeks of the study. Majority, (53.8%) used the internet resources
   at least once in 2 weeks, while 12.2% used the resources every day. The
   online resources are mainly sought for Routine patient care and for
   Research purposes. PUBMED (70.3%), HINARI (69.0%), and Free medical
   journals (60.1%) are the frequently used online databases/digital
   archives. The internet resources has positively impacted the Clinical
   practice (40.0%) and Research output (65.5%) of the physicians.
   Conclusion: There had been considerable increase in the extent and
   quality of utilization of online medical databases which has positively
   impacted on the Clinical practice and Research output of the physicians.
   Ease of finding the needed information and the availability of evidence
   based resources are the major determinants of the databases utilized.
ZA 0
ZB 2
Z8 0
ZR 0
TC 11
ZS 1
Z9 12
U1 0
U2 5
SN 1471-1834
EI 1471-1842
UT WOS:000297244600009
PM 22051130
ER

PT J
AU Baumann, Martin
   Perlitz, Volker
TI Can contextual online exams in practical biomedical education increase
   comprehension and motivation ? A pilot project
SO BIOMEDIZINISCHE TECHNIK
VL 56
IS 6
BP 351
EP 358
DI 10.1515/BMT.2011.027
PD DEC 2011
PY 2011
AB The exclusive reproduction of short-term learned and pool-based contents
   in examinations may impede development of in-depth understanding. This
   pilot project suggests an approach useful to overcome this shortcoming
   by enhancing students' motivation for comprehensive learning using
   automatically added contextual questions in electronic examinations.
   Installed in practical courses teaching pain physiology, digital data
   acquisition and examination work-stations were interlinked via a network
   connection. The data acquisition software was substantiated by
   algorithms that evaluated data acquired before their transmission to
   examination workstations. These data were used by the assessment
   software operating on these workstations to automatically compose new
   examination questions. Examinations thus combined pool questions with
   newly generated questions with authentic digitized data from the
   preceding course. This helped confront students with questions based on
   their individual data that had resulted from the courses examined.
   Formative evaluation showed an increase in motivation and alertness for
   practical tasks and acquired results. This suggests usefulness of this
   setting in examining the preparation and comprehension of course
   contents. There is reason to assume that this approach is suitable to be
   transferred to other practical courses using digital acquisition of
   practical and examination data.
RI Baumann, Martin/B-9333-2008
OI Baumann, Martin/0000-0002-0360-3005
ZA 0
TC 0
ZS 0
Z8 0
ZR 0
ZB 0
Z9 0
U1 0
U2 3
SN 0013-5585
UT WOS:000299936100007
PM 22149923
ER

PT J
AU Philip, K.E.J.
   Lee, A.
TI Online Public Health Education for Low and Middle-income Countries:
   Factors Influencing Successful Student Outcomes
SO International Journal of Emerging Technologies in Learning
VL 6
IS 4
BP 65
EP 9
DI 10.3991/ijet.v6i4.1797
PD Dec. 2011
PY 2011
AB Background: Affordable, online public health education could assist
   health and development in low and middle-income countries. The
   Peoples-uni (www.Peoples- uni.org ) aims to provide this through a fully
   accredited, low cost, online Masters in Public Health. Although
   literature exists relating to online learners in general, we lack
   research regarding the characteristics of successful learners in this
   new student group. This study assessed which readily available
   information on learners could predict success in course modules.
   Methods: A descriptive survey method was used to assess correlations
   between pass rates with students' personal characteristics (gender,
   nationality etc) and indicators of course engagement (discussion
   contributions, online profile etc). We sampled all students starting
   modules between September 2009 and March 2010 (n=218). Results: All
   indicators of engagement correlated strongly with pass rates,
   particularly online presence (photo/personal information on profile).
   Paying for modules correlated with higher pass rates than not.
   Interestingly, waiving fees correlated with lower pass rates than those
   who had not paid. Personal characteristics were not related to pass
   rates. Conclusion: Engagement is important for success, and indicators
   of which can predict pass rates, the personal characteristics
   investigated were not related to success. Further research is required
   to understand the nature of associations this study highlights.
RI Lee, Andrew CK/A-2153-2010; Philip, Keir/
OI Lee, Andrew CK/0000-0002-9795-3793; Philip, Keir/0000-0001-9614-3580
ZR 0
TC 3
Z8 0
ZA 0
ZS 0
ZB 0
Z9 3
U1 0
U2 0
SN 1863-0383
UT INSPEC:12494496
ER

PT J
AU Farrell, Timothy W.
TI Review of a Geriatric Health Literacy Workshop for Medical Students and
   Residents
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 59
IS 12
BP 2347
EP 2349
DI 10.1111/j.1532-5415.2011.03720.x
PD DEC 2011
PY 2011
AB The Geriatric Health Literacy Workshop for Medical Students and
   Residents developed by Seema Limaye, MD, introduces medical students and
   residents to important concepts in communicating with older adults with
   low health literacy through a variety of teaching modalities. The
   workshop is available on the Portal of Geriatric Online Education
   (POGOe) and includes a didactic session, role-playing exercises, and a
   critique of patient education handouts. A preworkshop health literacy
   module and postworkshop clinical observation sessions reinforce the
   workshop content. The activity is designed to take approximately 2.5
   hours to administer to small groups of three to five learners and is
   also suitable for interdisciplinary teams of health professions
   trainees. This POGOe product review highlights important features of the
   workshop and suggests opportunities for improvement. J Am Geriatr Soc
   59: 2347-2349, 2011.
TC 3
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
Z9 3
U1 0
U2 4
SN 0002-8614
EI 1532-5415
UT WOS:000298600300022
PM 22092069
ER

PT J
AU DeCampli, William M.
TI Joint programmes in paediatric cardiothoracic surgery: a survey and
   descriptive analysis
SO CARDIOLOGY IN THE YOUNG
VL 21
BP 159
EP 164
DI 10.1017/S1047951111001740
SU 2
PD DEC 2011
PY 2011
AB Background: Joint programmes, as opposed to regionalisation of
   paediatric cardiac care, may improve outcomes while preserving
   accessibility. We determined the prevalence and nature of joint
   programmes. Methods: We sent an online survey to 125 paediatric cardiac
   surgeons in the United States in November, 2009 querying the past or
   present existence of a joint programme, its mission, structure,
   function, and perceived success. Results: A total of 65 surgeon
   responses from 65 institutions met the criteria for inclusion. Of the 65
   institutions, 22 currently or previously conducted a joint programme.
   Compared with primary institutions, partner institutions were less often
   children's hospitals (p=0.0004), had fewer paediatric beds (p=0.005),
   and performed fewer cardiac cases (p=0.03). Approximately 47% of partner
   hospitals performed fewer than 50 cases per year. The median distance
   range between hospitals was 41-60 miles, ranging from 5 to 1000 miles.
   Approximately 54% of partner hospitals had no surgeon working primarily
   on-site, and 31% of the programmes conducted joint conferences.
   Approximately 67% of the programmes limited the complexity of cases at
   the partner hospital, and 83% of the programmes had formal contracts
   between hospitals. Of the six programmes whose main mission was to
   increase referrals to the primary hospital, three were felt to have
   failed. Of the nine programmes whose mission was to increase regional
   quality, eight were felt to be successful. Conclusion: Joint programmes
   in paediatric cardiac surgery are common but are heterogeneous in
   structure and function. Programmes whose mission is to improve the
   quality of regional care seem more likely to succeed. Joint programmes
   may be a practical alternative to regionalisation to achieve better
   outcomes.
ZR 0
ZB 0
ZS 0
Z8 0
ZA 0
TC 1
Z9 1
U1 0
U2 1
SN 1047-9511
EI 1467-1107
UT WOS:000299264900021
PM 22152543
ER

PT J
AU Allen, Jason
   Montalto, Melissa
   Lovejoy, Jennifer
   Weber, Wendy
TI Detoxification in Naturopathic Medicine: A Survey
SO JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE
VL 17
IS 12
BP 1175
EP 1180
DI 10.1089/acm.2010.0572
PD DEC 2011
PY 2011
AB Objectives: This study sought to assess the use of clinical
   detoxification therapies used by licensed naturopathic doctors (NDs) in
   the United States.
   Design: This was a qualitative, descriptive, online survey of a
   convenience sample of NDs.
   Methods: An online survey was conducted of NDs who were licensed in the
   United States. Responses were analyzed descriptively regarding the use
   of clinical detoxification therapies. Respondents were recruited from a
   membership list provided by the American Association of Naturopathic
   Physicians, and from alumni e-mail lists of Council of Naturopathic
   Medical Education accredited naturopathic medical schools.
   Results: Surveys were sent out to 1442 e-mail addresses (261 were
   returned to sender); a total of 196 respondents completed the survey
   (16.6%). Ninety-two percent (92%) of respondents reported using clinical
   detoxification therapies. Over 75% of respondents utilized
   detoxification therapies primarily to treat patients for environmental
   exposures, general cleansing/preventive medicine, gastrointestinal
   disorders, and autoimmune disease. Regarding methods used, >75% reported
   using dietary measures, reducing environmental exposures, and using
   botanicals as detoxification therapies. Eighty-three percent (83%) of
   NDs surveyed reported using follow-up measurements to determine efficacy
   of detoxification therapies. The most common were patient symptom
   questionnaires (66%), patient medical histories (54%), and urinary
   provocative challenge testing (53%).
   Conclusions: The majority of NDs responding to this survey reported
   routine use of clinical detoxification therapies to treat a range of
   medical conditions utilizing multiple therapeutic approaches. Although
   the majority of NDs reported using some follow-up measurements after
   detoxification therapy, few of these are an objective means to determine
   treatment efficacy. Further research is needed in the field of
   complementary and alternative medicine clinical detoxification to
   determine the safety and efficacy of these approaches.
ZA 0
ZR 0
TC 8
ZB 6
ZS 1
Z8 0
Z9 10
U1 0
U2 11
SN 1075-5535
EI 1557-7708
UT WOS:000298156200015
PM 22103982
ER

PT J
AU Polich, Ann L.
   Etherton, Gale M.
   Knezevich, Jon T.
   Rousek, Justin B.
   Masek, Chris M.
   Hallbeck, M. Susan
TI Can Eliminating Risk Stratification Improve Medical Residents' Adherence
   to Venous Thromboembolism Prophylaxis?
SO ACADEMIC MEDICINE
VL 86
IS 12
BP 1518
EP 1524
DI 10.1097/ACM.0b013e318235c3f6
PD DEC 2011
PY 2011
AB Purpose
   Hospital-acquired venous thromboembolism (VTE) is a common and
   preventable adverse event that most patients are at risk of developing
   during their hospital stay. VTE prophylactic anticoagulation
   (chemoprophylaxis) is the preferred pharmacological assignment for
   reducing risk of VTE, but it is underused in current practices involving
   risk stratification (RS) for VTE prevention. The purpose of this study
   was to determine whether a protocol that eliminates the RS step (non-RS
   protocol) is more likely to lead residents to evidence-based VTE
   assignment than the currently used RS protocol. The non-RS protocol
   follows a methodology that reduces complexity by assuming that the risk
   of VTE is present and uses contraindications to determine appropriate
   VTE assignment.
   Method
   In 2009, 41 medicine residents at the Nebraska Western Iowa Veterans
   Affairs clinic participated in an online comparison of two different
   protocols (RS and non-RS) for assigning chemoprophylaxis for VTE. Six
   validated, hypothetical patient scenarios were used to compare
   appropriate (evidence-based) VTE assignments for VTE and completion
   times for each protocol.
   Results
   Statistical analyses found that the non-RS protocol produced
   significantly faster (P < .001) scenario completion times and
   significantly more (P < .001) appropriate VTE assignments than the RS
   protocol for four of the six patient scenarios.
   Conclusions
   This study used a new, streamlined protocol (non-RS), which improved VTE
   assignment and the use of chemoprophylaxis and simplified the process
   when compared with the use of a traditional RS protocol.
OI Hallbeck, Susan/0000-0002-1669-8058
ZB 0
ZA 0
Z8 0
ZR 0
ZS 0
TC 0
Z9 0
U1 0
U2 4
SN 1040-2446
EI 1938-808X
UT WOS:000298137900012
PM 22030760
ER

PT J
AU Chretien, Katherine C.
   Farnan, Jeanne M.
   Greysen, S. Ryan
   Kind, Terry
TI To Friend or Not to Friend? Social Networking and Faculty Perceptions of
   Online Professionalism
SO ACADEMIC MEDICINE
VL 86
IS 12
BP 1545
EP 1550
DI 10.1097/ACM.0b013e3182356128
PD DEC 2011
PY 2011
AB Purpose
   To assess faculty perceptions of professional boundaries and
   trainee-posted content on social networking sites (SNS).
   Method
   In June 2010, the Clerkship Directors in Internal Medicine conducted its
   annual survey of U. S. and Canadian member institutions. The survey
   included sections on demographics and social networking. The authors
   used descriptive statistics and tests of association to analyze the
   Likert scale responses and qualitatively analyzed the free-text
   responses.
   Results
   Of 110 institutional members, 82 (75%) responded to the survey. Of the
   40 respondents who reported current or past SNS use, 21 (53%) reported
   receiving a "friend request" from a current student and 25 (63%) from a
   current resident. Of these, 4 (19%) accepted the student request and 12
   (48%) accepted the resident request. Sixty-three of 80 (79%) felt it was
   inappropriate to send a friend request to a current student, 61 (76%) to
   accept a current student's request, 42 (53%) to become friends with a
   current resident, and 61 (81%) to become friends with a current patient.
   Becoming friends with a former student, former resident, or colleague
   was perceived as more appropriate. Younger respondents were less likely
   to deem specific student behaviors inappropriate (odds ratio [OR]
   0.18-0.79; adjusted OR 0.12-0.86, controlling for respondents' sex,
   rank, and SNS use), although none reached statistical significance.
   Conclusions
   Some internal medicine educators are using SNSs and interacting with
   trainees online. Their perceptions on the appropriateness of social
   networking behaviors provide some consensus for professional boundaries
   between faculty and trainees in the digital world.
OI Kind, Terry/0000-0002-3017-5683
ZR 0
ZB 9
ZA 0
ZS 0
Z8 0
TC 44
Z9 44
U1 1
U2 23
SN 1040-2446
EI 1938-808X
UT WOS:000298137900016
PM 22030752
ER

PT J
AU Seluakumaran, Kumar
   Jusof, Felicita Fedelis
   Ismail, Rosnah
   Husain, Ruby
TI Integrating an open-source course management system (Moodle) into the
   teaching of a first-year medical physiology course: a case study
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 35
IS 4
BP 369
EP 377
DI 10.1152/advan.00008.2011
PD DEC 2011
PY 2011
AB Seluakumaran K, Jusof FF, Ismail R, Husain R. Integrating an open-source
   course management system (Moodle) into the teaching of a first-year
   medical physiology course: a case study. Adv Physiol Educ 35: 369-377,
   2011; doi:10.1152/advan.00008.2011.-Educators in medical schools around
   the world are presently experimenting with innovative ways of using
   web-based learning to supplement the existing teaching and learning
   process. We have recently used a popular open-source course management
   system (CMS) called the modular object-oriented dynamic learning
   environment (Moodle) to construct an online site (DPhysiol) to
   facilitate our face-to-face teaching of physiology to a group of
   first-year students in the Bachelor of Medicine and Bachelor of Surgery
   program. The integration of the Moodle site into our teaching was
   assessed using online log activity, student examination marks, and
   feedback from students. The freely available Moodle platform was simple
   to use, helped to effectively deliver course materials, and has features
   that allowed cooperative learning. Students used the CMS throughout
   their academic year and commented favorably regarding its use as a
   complement to the face-to-face classroom sessions. The group of students
   who used the CMS obtained significantly higher scores in the final
   examination compared with the previous class that did not use the CMS.
   In addition, there was a significant correlation between student
   participation and performance in online quizzes and their final
   examination marks. However, students' overall online usage of the CMS
   did not correlate with their examination marks. We recommend Moodle as a
   useful tool for physiology educators who are interested in integrating
   web-based learning into their existing teaching curriculum.
RI Jusof, Felicita Fedelis/S-3174-2017; HUSAIN, RUBY/B-9636-2010; Ismail, Rosnah/B-9619-2010; Seluakumaran, Kumar/B-8814-2010
OI Jusof, Felicita Fedelis/0000-0002-7597-6601; 
ZA 0
TC 59
Z8 0
ZS 1
ZR 0
ZB 4
Z9 61
U1 0
U2 58
SN 1043-4046
EI 1522-1229
UT WOS:000298151300009
PM 22139773
ER

PT J
AU Rio, I.
   Castello-Pastor, A.
   del Val Sandin-Vazquez, M.
   Barona, C.
   Jane, M.
   Mas, R.
   Rebagliato, M.
   Bolumar, F.
TI Breastfeeding initiation in immigrant and non-immigrant women in Spain
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 12
BP 1345
EP 1347
DI 10.1038/ejcn.2011.121
PD DEC 2011
PY 2011
AB Research about inequities between native and immigrant women regarding
   the quality of health care is still scarce. Initiation of breastfeeding
   in hospital is considered a quality care indicator. In this study, we
   explore the association between the geographical origin of the women and
   the establishment of breastfeeding in Spanish hospitals. Prevalence of
   breastfeeding initiation is higher for women from Latin America, Eastern
   Europe, Maghreb or sub-Saharan Africa than for Spanish women, and lower
   for Chinese women. Compared with Spanish women the odds of not
   breastfeeding in hospital were lower in all these immigrant groups but
   more than five times higher for Chinese immigrants. Culturally adapted
   health services are necessary to maintain breastfeeding rates in most
   immigrant groups. Moreover, it seems urgent to identify the factors
   influencing patterns of breastfeeding in Chinese immigrants and to
   develop innovative strategies to encourage breastfeeding initiation in
   hospital. European Journal of Clinical Nutrition (2011) 65, 1345-1347;
   doi:10.1038/ejcn.2011.121; published online 29 June 2011
RI Mas, Rosa/AFR-7448-2022; Castello, Adela/C-3829-2014; Rebagliato, Marisa/L-6116-2018
OI Castello, Adela/0000-0002-1308-9927; Rebagliato,
   Marisa/0000-0001-5825-0190
ZA 0
Z8 0
ZR 0
ZB 1
ZS 1
TC 27
Z9 27
U1 0
U2 11
SN 0954-3007
EI 1476-5640
UT WOS:000298170300012
PM 21712837
ER

PT J
AU Choovuthayakorn, J.
   Hansapinyo, L.
   Ittipunkul, N.
   Patikulsila, D.
   Kunavisarut, P.
TI Predictive factors and outcomes of posterior segment intraocular foreign
   bodies
SO EYE
VL 25
IS 12
BP 1622
EP 1626
DI 10.1038/eye.2011.229
PD DEC 2011
PY 2011
AB Purpose To identify the predictive factors for anatomical and visual
   outcomes in posterior segment intraocular foreign body (IOFB) patients
   managed by pars plana vitrectomy (PPV).
   Methods A retrospective chart review was performed for 77 patients, who
   had PPV for IOFBs removal between January 2001 and July 2007. Univariate
   and multivariate analyses were conducted to evaluate the predictive
   factors.
   Results The mean age of the patients was 33.4 years. The nature of IOFBs
   was mainly metal, with injuries most commonly caused by an electric
   grass trimmer. The mean time interval between injury and IOFBs removal
   was 30.7 days. The mean preoperative visual acuity (VA) was 1.82
   logarithm of the minimal angle of resolution (logMAR), and mean final
   was VA 1.10 logMAR. From multivariate analysis, good visual outcome was
   correlated with the corneoscleral entry site, and poor visual outcome
   was correlated with the presence of relative afferent pupillary defect.
   Conclusions In noncombat IOFBs, most cases were work-related. Delayed
   IOFBs removal was acceptable when primary wounds were repaired
   appropriately and extensive antibiotics administered. Even though
   advancement in vitreoretinal surgery can reduce the frequency of
   blindness, further promotion and education on eye protection during work
   are needed. Eye (2011) 25, 1622-1626; doi:10.1038/eye.2011.229;
   published online 16 September 2011
OI Choovuthayakorn, Janejit/0000-0001-5972-0270; Hansapinyo,
   Linda/0000-0002-4718-798X; kunavisarut, paradee/0000-0003-4997-6285
TC 18
ZR 1
ZB 6
Z8 0
ZA 0
ZS 0
Z9 19
U1 0
U2 25
SN 0950-222X
UT WOS:000298152800016
PM 21921948
ER

PT J
AU Bell, Robert A.
   Hu, Xinyi
   Orrange, Sharon E.
   Kravitz, Richard L.
TI Lingering questions and doubts: Online information-seeking of support
   forum members following their medical visits
SO PATIENT EDUCATION AND COUNSELING
VL 85
IS 3
BP 525
EP 528
DI 10.1016/j.pec.2011.01.015
PD DEC 2011
PY 2011
AB Objective: To examine the prevalence and predictors of patients'
   post-appointment online health information-seeking and the reasons
   behind their information searches.
   Methods: Survey of 274 Internet support community members who had been
   seen by a physician within 30 days. The questionnaire included measures
   of trust in the physician, health worries, changes in amount of worrying
   following the visit, online health information-seeking, and standard
   demographic and visit characteristics.
   Results: A majority of respondents (68%) went online in search of
   information after their visits. In a logistic regression analysis, going
   online was associated with lower trust (P=.002), greater worrying
   (P=.049), and becoming more (P=.024) or less worried (P=.05) by the
   visit. Among those who went online, the most common reasons for doing so
   were sheer curiosity (71%) and disappointment with some aspect of the
   physician's behavior (32%).
   Conclusion: Patients in this online forum routinely turned to the
   Internet after their medical visits, but were especially likely to do so
   when trust in the physician was low, anxieties were high, and the visit
   altered (for better or worse) their anxiety levels.
   Practice Implications: Since many patients seek online information after
   their appointments, physicians should suggest credible websites suited
   to the circumstances of each patient. (C) 2011 Elsevier Ireland Ltd. All
   rights reserved.
RI Kravitz, Richard/AAF-7425-2021; Kravitz, Richard/
OI Kravitz, Richard/0000-0001-5575-529X
ZR 0
ZA 0
Z8 0
TC 51
ZB 6
ZS 1
Z9 51
U1 1
U2 37
SN 0738-3991
UT WOS:000298219800030
PM 21315538
ER

PT J
AU Tochel, C.
   Beggs, K.
   Haig, A.
   Roberts, J.
   Scott, H.
   Walker, K.
   Watson, M.
TI Use of web based systems to support postgraduate medical education
SO POSTGRADUATE MEDICAL JOURNAL
VL 87
IS 1034
BP 800
EP 806
DI 10.1136/postgradmedj-2011-130007
PD DEC 2011
PY 2011
AB Background To meet the demands of delivering the Foundation programme
   across a geographically diverse country, two web based systems
   (ePortfolio and eLearning) were developed to promote accessibility to
   training material and assessment tools on standardised platforms. This
   study evaluated the use of both tools throughout an entire academic
   year.
   Methods All Scottish Foundation trainees' online learning and assessment
   data in 2007/08 were analysed, providing a national breakdown of post
   specialty, completion rates of mandatory assessments (including summary
   analysis of anonymised scores), and trainees' use of non-mandatory
   learning tools. Independent verification of competence data was sought
   from Deaneries.
   Results There were high levels of engagement with both the ePortfolio
   (75-97% assessment completion) and eLearning systems (89-98% induction
   course completion), and the majority of trainees completed all required
   elements. There was extensive use of ePortfolio beyond mandatory levels
   for recording of learning events, including almost 20 000 personal
   learning records submitted by second year trainees. There was evidence
   that ePortfolio was used to record achievement of clinical competence
   rather than to track improvements towards competence (median workplace
   based assessment scores were 'high' or 'very high'). Online learning
   modules received positive feedback and its flexible format suited the
   trainees' working environment. External verification of formal
   assessment data revealed good correlation with locally stored outcomes,
   both indicating approximately 99% programme completion rates.
   Conclusions Core components of the Foundation programme have been
   delivered successfully to thousands of trainees across Scotland using
   web based systems to deliver and support education and assessment. There
   is great potential for further exploration of this carefully managed,
   rich dataset at individual, regional, and national levels to inform the
   future of medical education.
Z8 0
TC 8
ZB 2
ZS 0
ZA 0
ZR 0
Z9 8
U1 0
U2 16
SN 0032-5473
UT WOS:000298077800003
PM 21984741
ER

PT J
AU Cherny, Nathan I.
CA European Soc Med Oncology
TI Factors influencing the attitudes and behaviors of oncologists regarding
   the truthful disclosure of information to patients with advanced and
   incurable cancer
SO PSYCHO-ONCOLOGY
VL 20
IS 12
BP 1269
EP 1284
DI 10.1002/pon.1853
PD DEC 2011
PY 2011
AB Objective: To evaluate the attitudes of the European Oncologists to
   information disclosure to patients with advanced cancer, their
   self-reported behaviors, and the factors that influence both attitudes
   and behaviors.
   Methods: ESMO members were invited to complete an online questionnaire
   to evaluate both attitudes and clinical behaviors relating to the
   disclosure of information to patients with advanced cancer. Data were
   analyzed to evaluate demographic, educational and social factors
   influencing attitudes and behaviors.
   Results: Two hundred and ninety-eight completed surveys were returned.
   The survey demonstrated strong internal consistency construct validity.
   The responses indicate that individual clinicians generally display a
   range of behaviors including non-disclosive as well as disclosive
   behaviors depending on the dynamics of individual interactions between
   oncologist and specific patient. Although regional cultural norms
   influence oncologists' attitudes toward disclosure and, indirectly,
   their self-reported behaviors, the impact is influenced by other
   factors: in particular, perceived institutional professional norms, the
   degree of training in breaking bad news and the frequency of exposure to
   requests by family members to withhold information from the patient.
   Conclusions: Positive attitudes regarding disclosure of information to
   patients and disclosive behaviors can be encouraged, even in non-Western
   countries, by the development of strong professional norms and education
   in breaking bad news and coping with the emotional responses of
   patients. Copyright (C) 2010 John Wiley & Sons, Ltd.
RI Cherny, Nathan/C-3609-2013; GRIGORESCU, Alexandru Calin/M-7751-2018; Cherny, Nathan/
OI Cherny, Nathan/0000-0003-1976-8952
Z8 0
ZR 0
ZA 0
ZB 4
TC 22
ZS 0
Z9 22
U1 1
U2 22
SN 1057-9249
EI 1099-1611
UT WOS:000298169100004
PM 20878723
ER

PT J
AU Ooi, A. L.
   Julia, P. E.
TI The use of unconventional pressure redistributing cushion in spinal cord
   injured individuals
SO SPINAL CORD
VL 49
IS 12
BP 1203
EP 1205
DI 10.1038/sc.2011.81
PD DEC 2011
PY 2011
AB Study design: Case report.
   Objectives: To report an unconventional pressure-redistributing cushion
   used by spinal cord injured individuals.
   Setting: Department of Rehabilitation of Medicine, University Malaya,
   Kuala Lumpur, Malaysia.
   Methods: Description of three cases of persons with spinal cord injury
   (SCI) using unconventional pressure relieving cushions, and despite high
   pressure noted on pressure mapping they did not develop pressure ulcer.
   Conclusion: Education and awareness of pressure ulcer prevention is most
   important in SCI population, as technology is still an adjunct. Spinal
   Cord ( 2011) 49, 1203-1205; doi:10.1038/sc.2011.81; published online 26
   July 2011
RI Engkasan, Julia Patrick/M-5547-2018
OI Engkasan, Julia Patrick/0000-0003-0599-4908
Z8 0
ZS 0
TC 2
ZR 0
ZB 2
ZA 0
Z9 2
U1 0
U2 13
SN 1362-4393
UT WOS:000297939400011
PM 21788957
ER

PT J
AU Banfield, Michelle A.
   Griffiths, Kathleen M.
   Christensen, Helen M.
   Barney, Lisa J.
TI SCOPE for Research: mental health consumers' priorities for research
   compared with recent research in Australia
SO AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
VL 45
IS 12
BP 1078
EP 1085
DI 10.3109/00048674.2011.624084
PD DEC 2011
PY 2011
AB Objective: The aim of this study was to identify consumer priorities for
   research on depression and bipolar disorder in Australia.
   Method: Australian consumers with personal experience of depression or
   bipolar disorder were surveyed online about research priorities for
   their condition using a questionnaire developed from an earlier
   qualitative phase of the SCOPE for Research project. Participants were
   asked to rate the importance of a number of broad research areas,
   specific research topics, target groups and settings in which to conduct
   research. These ratings were then compared to the content of relevant
   Australian research published between 1997 and 2006.
   Results: Consumers rated research into the management and treatment of
   depression and bipolar disorder of highest priority. Further, consumers
   rated those at risk of a mood disorder as the most important target
   groups for research and prioritized research conducted in health
   settings such as community mental health services ahead of research in
   other settings. There was some concordance between consumers' ratings of
   the broad topic areas and settings in which to conduct research and the
   amount of published research on these topic areas and settings. However,
   there was little published research on the highest ranked consumer-rated
   specific topics and target groups for research.
   Conclusions: Overall, there were substantial differences between the
   priorities of consumers and the recent research output, suggesting gaps
   in the Australian research base on mood disorders. The results of this
   study should be used to inform future research to ensure that it is
   guided by the priorities of the ultimate beneficiaries of the research,
   mental health consumers.
RI Griffiths, Kathleen/A-9872-2012; Christensen, Helen/
OI Christensen, Helen/0000-0003-0435-2065
ZB 1
TC 11
ZS 0
ZA 0
ZR 0
Z8 0
Z9 11
U1 0
U2 4
SN 0004-8674
UT WOS:000297469300012
PM 22034831
ER

PT J
AU Kavanaugh, Megan L.
   Carlin, Elizabeth E.
   Jones, Rachel K.
TI Patients' attitudes and experiences related to receiving contraception
   during abortion care
SO CONTRACEPTION
VL 84
IS 6
BP 585
EP 593
DI 10.1016/j.contraception.2011.03.009
PD DEC 2011
PY 2011
AB Background: High risk for additional unintended pregnancies among
   abortion patients makes the abortion care setting an ideal one for
   facilitating access to contraception. This study documents attitudes of
   abortion patients about contraceptive services during their receipt of
   abortion services and identifies patient characteristics associated with
   desire for contraception and interest in using a long-acting reversible
   contraceptive method (LARC).
   Study Design: Structured surveys were administered to 542 patients at
   five US abortion-providing facilities between March and June of 2010.
   Supplementary information was collected from 161 women who had had
   abortions in the past 5 years through an online survey.
   Results: Among abortion patients, two thirds reported wanting to leave
   their appointments with a contraceptive method and 69% felt that the
   abortion setting was an appropriate one for receiving contraceptive
   information. Having Medicaid and having ever used oral contraceptives
   were predictive of wanting to leave with a method. Women having a second
   or higher-order abortion were over twice as likely as women having a
   first abortion to indicate interest in LARC, while black women were half
   as likely as white women to indicate this interest. Conclusion: Many
   women are interested in learning about and obtaining contraceptive
   methods, including LARC, in the abortion care setting. (C) 2011 Elsevier
   Inc. All rights reserved.
OI Carlin, Elizabeth/0000-0002-5635-6239
ZA 0
ZS 1
Z8 0
ZR 0
TC 43
ZB 26
Z9 43
U1 0
U2 14
SN 0010-7824
UT WOS:000297714100008
PM 22078187
ER

PT J
AU Gradisar, Michael
   Dohnt, Hayley
   Gardner, Greg
   Paine, Sarah
   Starkey, Karina
   Menne, Annemarie
   Slater, Amy
   Wright, Helen
   Hudson, Jennifer L.
   Weaver, Edward
   Trenowden, Sophie
TI A Randomized Controlled Trial of Cognitive-Behavior Therapy Plus Bright
   Light Therapy for Adolescent Delayed Sleep Phase Disorder
SO SLEEP
VL 34
IS 12
BP 1671
EP 1680
DI 10.5665/sleep.1432
PD DEC 1 2011
PY 2011
AB Objective: To evaluate cognitive-behavior therapy plus bright light
   therapy (CBT plus BLT) for adolescents diagnosed with delayed sleep
   phase disorder (DSPD).
   Design: Randomized controlled trial of CBT plus BLT vs. waitlist (WL)
   control with comparisons at pre- and post-treatment. There was 6-month
   follow-up for the CBT plus BLT group only.
   Setting: Flinders University Child & Adolescent Sleep Clinic, Adelaide,
   South Australia.
   Patients: 49 adolescents (mean age 14.6 +/- 1.0 y, 53% males) diagnosed
   with DSPD; mean chronicity 4 y 8 months; 16% not attending school.
   Eighteen percent of adolescents dropped out of the study (CBT plus BLT:
   N = 23 vs WL: N = 17).
   Interventions: CBT plus BLT consisted of 6 individual sessions,
   including morning bright light therapy to advance adolescents' circadian
   rhythms, and cognitive restructuring and sleep education to target
   associated insomnia and sleep hygiene.
   Measurements and Results: DSPD diagnosis was performed via a clinical
   interview and 7-day sleep diary. Measurements at each time-point
   included online sleep diaries and scales measuring sleepiness, fatigue,
   and depression symptoms. Compared to WL, moderate-to-large improvements
   (d = 0.65-1.24) were found at post-treatment for CBT plus BLT
   adolescents, including reduced sleep latency, earlier sleep onset and
   rise times, total sleep time (school nights), wake after sleep onset,
   sleepiness, and fatigue. At 6-month follow-up (N = 15), small-to-large
   improvements (d = 0.24-1.53) continued for CBT plus BLT adolescents,
   with effects found for all measures. Significantly fewer adolescents
   receiving CBT plus BLT met DPSD criteria at post-treatment (WL = 82% vs.
   CBT plus BLT = 13%, P < 0.0001), yet 13% still met DSPD criteria at the
   6-month follow-up.
   Conclusions: CBT plus BLT for adolescent DSPD is effective for improving
   multiple sleep and daytime impairments in the immediate and long-term.
   Studies evaluating the treatment effectiveness of each treatment
   component are needed.
OI Slater, Amy/0000-0002-9413-2586; Hudson, Jennie/0000-0001-5778-2670; ,
   Michael/0000-0002-5146-2657
ZR 0
TC 116
Z8 0
ZS 3
ZA 1
ZB 27
Z9 119
U1 1
U2 39
EI 1550-9109
UT WOS:000297689800012
PM 22131604
ER

PT J
AU Wearne, Susan
   Greenhill, Jennene
   Berryman, Carolyn
   Sweet, Linda
   Tietz, Lori
TI An online course in clinical education Experiences of Australian
   clinicians
SO AUSTRALIAN FAMILY PHYSICIAN
VL 40
IS 12
BP 1000
EP 1003
PD DEC 2011
PY 2011
AB Aims
   We aimed to understand clinicians' experience of online training in the
   area of clinical education.
   Methods
   We conducted semistructured in-depth interviews with a purposive sample
   of 20 clinicians studying clinical education online. Interviews were
   transcribed verbatim into N-Vivo qualitative analysis software. Data
   were analysed against a template derived from open coding merged with a
   priori themes from a program logic model.
   Results
   Clinicians in this study found learning online convenient but there was
   a trade off between this convenience and developing an authentic online
   community of learners. Optional intensives were important for developing
   relationships with staff and other students. Clinicians faced
   significant time pressures when adding study to their busy workloads and
   lives. Protected study time, assistance with course fees, information
   technology support, facilitated discussion and a flexible approach to
   assignment submission dates were cited as useful.
   Conclusion
   Clinicians can develop as educators online if given appropriate time and
   support.
RI Sweet, Linda/X-9885-2019; Berryman, Carolyn/E-7917-2015; Wearne, Susan/; greenhill, jennene/
OI Berryman, Carolyn/0000-0002-5316-0847; Wearne,
   Susan/0000-0002-8079-9304; greenhill, jennene/0000-0001-8325-2139
ZS 0
Z8 1
ZA 0
TC 13
ZR 0
ZB 0
Z9 14
U1 0
U2 3
SN 0300-8495
UT WOS:000298065100013
PM 22146331
ER

PT J
AU Ho, Albert See Long
   Soh, Nerissa L.
   Walter, Garry
   Touyz, Stephen
TI Comparison of nutrition knowledge among health professionals, patients
   with eating disorders and the general population
SO NUTRITION & DIETETICS
VL 68
IS 4
BP 267
EP 272
DI 10.1111/j.1747-0080.2011.01549.x
PD DEC 2011
PY 2011
AB Aim: To investigate and compare the level of nutrition knowledge of
   health professionals, patients with eating disorders and individuals
   without an eating disorder as controls.
OI touyz, stephen/0000-0002-1290-6243
TC 11
ZS 0
ZA 0
ZB 3
ZR 0
Z8 0
Z9 11
U1 1
U2 16
SN 1446-6368
UT WOS:000298085500006
ER

PT J
AU Sanfey, Hilary
   Cofer, Joe
   Hiatt, Jonathan R.
   Hyser, Matthew
   Jakey, Colleen
   Markwell, Stephen
   Mellinger, John
   Sidwell, Richard
   Smink, Douglas
   Wise, Stephen
   Wohltman, Chris
   Dunnington, Gary
TI Service or Education In the Eye of the Beholder
SO ARCHIVES OF SURGERY
VL 146
IS 12
BP 1389
EP 1395
DI 10.1001/archsurg.2011.292
PD DEC 2011
PY 2011
AB Objectives: To elicit and compare surgical resident and program director
   (PD) perspectives on service and education in surgical training and the
   conditions that influence these opinions.
   Design: Cross-sectional, multi-institutional national study conducted
   through an online survey.
   Setting: General surgical residency programs in the United States.
   Participants: General surgical residents and PDs.
   Main Outcome Measures: Resident and PD perspectives on the
   circumstances, conditions, and context in which activities are perceived
   as service vs education.
   Results: Respondents scored 24 resident activities on 5-point Likert
   scales and commented on conditions that influenced these scores. From 17
   residency programs, 105 of 218 PDs (48.4%) responded, and 407 of 645
   residents (63.1%) responded. Compared with residents, PDs rated 21 of 24
   activities (87.5%) as more educational than service (P <= .05). In more
   than half these activities, notable minorities (>= 25%) of residents
   stated that these activities were service and educational, depending on
   factors that included the particular attending physician, case
   complexity, and experience with the activity. Postgraduate year
   seniority correlated with service and educational perceptions in 12
   activities (P < .05). Attending physician teaching and learning
   environment correlated positively (P < .05) with perception as
   educational in 8 and 5 activities, respectively.
   Conclusions: This study demonstrated significant differences in service
   and education definitions for PDs and residents. The implication that
   these activities are mutually exclusive may devalue residents'
   perceptions of the importance of patient care as an essential component
   of surgical competency. In an era of diminished work hours and
   continuity of care, educators must teach residents to appreciate the
   educational value in providing care for all patients and develop a sense
   of patient ownership in both faculty and residents.
OI Smink, Douglas/0000-0002-8240-9760; Mellinger, John/0000-0002-4230-311X
ZB 1
ZR 0
ZS 0
ZA 0
Z8 0
TC 25
Z9 25
U1 0
U2 7
SN 0004-0010
EI 1538-3644
UT WOS:000298256900014
PM 22184301
ER

PT J
AU Prochaska, Judith J.
   Benowitz, Neal L.
   Glantz, Stanton A.
   Hudmon, Karen Suchanek
   Grossman, William
TI Cardiology Rx for Change: Improving Clinical Attention to Tobacco Use
   and Secondhand Smoke Exposure in Cardiology
SO CLINICAL CARDIOLOGY
VL 34
IS 12
BP 738
EP 743
DI 10.1002/clc.20982
PD DEC 2011
PY 2011
AB Background: Heart disease is the leading cause of tobacco-related death
   in smokers and of deaths due to secondhand smoke (SHS) exposure in
   nonsmokers. This study centers on the development and evaluation of an
   evidence-based model curriculum for improving clinical attention to
   tobacco use and SHS exposure in cardiology.
   Hypothesis: We hypothesized that the curriculum would be associated with
   improvements in clinician tobacco-related knowledge, attitudes,
   confidence, and counseling behaviors from pre-to post-training and at
   the 3-month follow-up. Methods: The 1-hour Cardiology Rx for Change
   curriculum was evaluated with 22 cardiology fellows and 77 medical
   residents with consistent training effects observed between the 2
   groups.
   Results: Trainees' tobacco treatment knowledge increased significantly
   from pre-to post-training (t[81] = 6.51, P< 0.001), and perceived
   barriers to providing cessation treatment decreased significantly (t[81]
   = -3.97, P< 0.001). The changes, however, were not sustained at the
   3-month follow-up, suggesting the need for booster training efforts.
   From pretraining to 3-month follow-up, the training was associated with
   significant sustained gains in clinician confidence for treating tobacco
   dependence (t[61] = 3.69, P = 0.001) and with improvements in clinicians
   assessing patients' readiness to quit smoking (from 61% to 79%, t[59] =
   3.69, P< 0.001) and providing assistance with quitting (from 47% to 59%,
   t[59] = 2.12, P = 0.038). Asking patients about tobacco use, advising
   cessation, and arranging follow-up also increased over time, but not
   significantly. All participants (100%) recommended the curriculum for
   dissemination to other training programs.
   Conclusions: Available online via http:// rxforchange. ucsf. edu,
   Cardiology Rx for Change offers a packaged training tool for improving
   treatment of tobacco use and SHS exposure in cardiology care.
RI Prochaska, Judith J/I-4510-2013
OI Prochaska, Judith J/0000-0001-7925-326X
Z8 0
ZA 0
ZS 0
ZR 0
ZB 5
TC 11
Z9 11
U1 0
U2 4
SN 0160-9289
EI 1932-8737
UT WOS:000297632500003
PM 21987417
ER

PT J
AU Goodie, Jeffrey L.
   Williams, Pamela M.
   Kurzweil, Dina
   Marcellas, K. Beth
TI Can Blended Classroom and Distributed Learning Approaches be Used to
   Teach Medical Students How to Initiate Behavior Change Counseling During
   a Clinical Clerkship?
SO JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
VL 18
IS 4
BP 353
EP 360
DI 10.1007/s10880-011-9261-4
PD DEC 2011
PY 2011
AB Medical school curricula often provide insufficient time and instruction
   for health behavior change counseling. We examined the feasibility of
   blending classroom and distributed learning experiences to teach medical
   students how to initiate health behavior change counseling and analyzed
   the impact of this approach on their attitudes, knowledge, and skills.
   Usage patterns and pre- to post-class attitude and knowledge changes
   were assessed with self-report questions among 153 third year family
   medicine clerkship students. Most students viewed at least 90% of the
   online written content and took an average of 41 min (SD = 24 min 35 s)
   to view all of the content. Students' confidence in their ability to
   help patients change unhealthy behaviors significantly improved (p <
   .01). The blended learning curriculum facilitated learning of behavior
   change skills, encouraged interaction with course materials, and
   improved medical students' self confidence for using health behavior
   change skills.
RI Goodie, Jeffrey/AAU-1318-2020
Z8 0
TC 5
ZA 0
ZB 0
ZR 0
ZS 0
Z9 5
U1 0
U2 9
SN 1068-9583
EI 1573-3572
UT WOS:000297368000004
PM 21948183
ER

PT J
AU O'Neill, E.
   Stevens, N. T.
   Clarke, E.
   Cox, P.
   O'Malley, B.
   Humphreys, H.
TI Use of e-learning to enhance medical students' understanding and
   knowledge of healthcare-associated infection prevention and control
SO JOURNAL OF HOSPITAL INFECTION
VL 79
IS 4
BP 368
EP 370
DI 10.1016/j.jhin.2011.08.008
PD DEC 2011
PY 2011
AB An online infection prevention and control programme for medical
   students was developed and assessed. There was a statistically
   significant improvement (P < 0.0001) in the knowledge base among 517
   students after completing two modules. The majority of students who
   completed the evaluation were positive about the learning experience.
   (C) 2011 The Healthcare Infection Society. Published by Elsevier Ltd.
   All rights reserved.
RI Humphreys, Hilary/C-9918-2012; O'Neill, Eoghan/; Humphreys, Hilary/; Stevens, Niall/; Clarke, Eric/
OI O'Neill, Eoghan/0000-0001-5222-8339; Humphreys,
   Hilary/0000-0002-9646-2183; Stevens, Niall/0000-0002-1296-0717; Clarke,
   Eric/0000-0003-0375-6797
ZR 0
ZS 1
ZA 0
Z8 0
TC 21
ZB 7
Z9 22
U1 0
U2 5
SN 0195-6701
UT WOS:000296918200019
PM 21945066
ER

PT J
AU Motevalian, Seyed-Abbas
   Haddadi, Mashyaneh
   Akbari, Hesam
   Khorramirouz, Reza
   Saadat, Soheil
   Tehrani, Arash
   Rahimi-Movaghar, Vafa
TI Strengthening injury surveillance system in iran.
SO Chinese journal of traumatology = Zhonghua chuang shang za zhi
VL 14
IS 6
BP 348
EP 53
PD 2011
PY 2011
AB OBJECTIVE: To strengthen the current Injury Surveillance System (IS
   System) in order to better monitor injury conditions, improve protection
   ways and promote safety.
   METHODS: At first we carried out a study to evaluate the frameworks of
   IS System in the developed countries. Then all the available documents
   from World Health Organization, Eastern Mediterranean Regional
   Organization, as well as Minister of Health and Medical Education
   concerning Iran were reviewed. Later a national stakeholder's
   consultation was held to collect opinions and views. A national workshop
   was also intended for provincial representatives from 41 universities to
   identify the barriers and limitations of the existing program and
   further to strengthen injury surveillance.
   RESULTS: The evaluation of the current IS System revealed many problems,
   mainly presented as lack of accurate pre- and post-hospital death
   registry, need of precise injury data registry in outpatient medical
   centers, incomplete injury data registry in hospitals and lack of
   accuracy in definition of variables in injury registry. The five main
   characteristics of current IS System including flexibility,
   acceptability, simplicity, usefulness and timeliness were evaluated as
   moderate by experts.
   CONCLUSIONS: Major revisions must be considered in the current IS System
   in Iran. The following elements should be added to the questionnaire:
   identifier, manner of arrival to the hospital, situation of the injured
   patient, consumption of alcohol and opioids, other involved participants
   in the accident, intention, severity and site of injury, side effects of
   surgery and medication, as well as one month follow-up results. Data
   should be collected from 10% of all hospitals in Iran and analyzed every
   3 months. Simultaneously data should be online to be retrieved by
   researches.
RI Rahimi-Movaghar, Vafa/L-6339-2019; Saadat, Soheil/J-1595-2014; De Robbio, Antonella/G-6496-2010; Brunner, Paul H/A-9690-2013; Motevalian, Seyed Abbas/ABC-2213-2021; Tehrani-Banihashemi, Arash/L-5964-2018; Berndt, Chris C/D-1597-2014; Motevalian, Seyed Abbas/; Tehrani Banihashemi, Seyed Arash/; adibzadeh, amir/; Khorramirouz, Reza/
OI Saadat, Soheil/0000-0002-2744-7983; De Robbio,
   Antonella/0000-0001-6617-444X; Brunner, Paul H/0000-0003-0091-8236;
   Motevalian, Seyed Abbas/0000-0002-0404-4495; Tehrani Banihashemi, Seyed
   Arash/0000-0001-6911-9817; adibzadeh, amir/0000-0002-5703-0759;
   Khorramirouz, Reza/0000-0003-2143-6068
ZS 0
Z8 4
ZA 0
ZR 0
TC 8
ZB 0
Z9 8
U1 0
U2 1
SN 1008-1275
UT MEDLINE:22152138
PM 22152138
ER

PT J
AU Gosselink, Manon J
TI Medical weblogs: advocacy for positive cyber role models.
SO The clinical teacher
VL 8
IS 4
BP 245
EP 8
DI 10.1111/j.1743-498X.2011.00483.x
PD 2011-Dec
PY 2011
AB BACKGROUND: The development of empathy and of medical professionalism is
   important in medical education. Research has shown a decline in empathy
   during medical study. An important factor that may contribute to this
   decline is the lack of positive role models. Students identify positive
   and negative role models in the clinical ward and in classrooms.
   Positive clinical role models, showing good professionalism, will foster
   the student's professional growth.
   CONTEXT: Students base both knowledge and opinions on information they
   find on the internet, such as 'medical weblogs'. These weblogs may be
   regarded as a new aspect of the 'informal curriculum', even though they
   might be written by 'negative role models'. In our experience, students
   frequently require debriefing of the undifferentiated, frequently
   disrespectful, grotesque or unprofessional approaches they encounter in
   general, and in this aspect online in particular.
   INNOVATION: When written by appropriate professionals, medical weblogs
   can provide a unique opportunity for the medical student to follow the
   writings of positive role models. Would it be a worthwhile investment if
   globally distributed medical professionals from different specialties
   put time and effort into writing weblogs on their daily practice and
   reflections? These weblogs could be assembled on one international
   educational website, labelled as 'professionally approved' and made
   easily accessible. Medical students internationally would have access to
   the daily practice of medical professionals who are excellent positive
   role models. They could also be encouraged to discuss issues with them.
   We hypothesise that witnessing the encounters of these globally
   distributed doctors, and following their reflections, may add to the
   growth of empathy and professionalism in students.
TC 4
ZS 0
ZB 0
ZA 0
ZR 0
Z8 0
Z9 4
U1 0
U2 0
EI 1743-498X
UT MEDLINE:22085000
PM 22085000
ER

PT J
AU Ahearn, David
   Bhat, Sarita
   Lakinson, Tracey
   Baker, Paul
TI Maximising responses to quality assurance surveys.
SO The clinical teacher
VL 8
IS 4
BP 258
EP 62
DI 10.1111/j.1743-498X.2011.00477.x
PD 2011-Dec
PY 2011
AB BACKGROUND: In the UK all postgraduate trainees complete an annual
   online quality assurance survey. If the response rate is poor, then this
   has significant implications for the validity and usefulness of the data
   collected. In this article we address the issue of survey response
   rates, with particular reference to quality assurance surveys, although
   the principles can be applied generally.
   METHOD: We have employed mostly evidence-based techniques (predominantly
   from general survey literature rather than published medical education
   work). We list the techniques that we have employed. These include a
   five-stage process of repeated and incremental contact with those who do
   not complete the survey, backed up by personal contact with an
   influential figure. Stressing the importance of completing the survey,
   assuring responses are confidential and keeping the invitation email
   brief are examples of the techniques used.
   RESULTS: Over a 3-year period we have managed to improve the response
   rate from 57 per cent to over 80 per cent.
   DISCUSSION: We note that role models remain the single most important
   determinant of medical behaviour, and that if they embrace quality
   assurance, trainees will too. It is important to employ and build upon
   the existing literature within the survey methodology. By doing this we
   can enhance the response rate and validity of future quality assurance
   surveys, thus reinforcing their role as a key tool as we strive to
   maximise the effectiveness of interventions in postgraduate medical
   education.
TC 1
ZS 0
Z8 0
ZA 0
ZR 0
ZB 0
Z9 1
U1 0
U2 0
EI 1743-498X
UT MEDLINE:22085003
PM 22085003
ER

PT J
AU Sivakumar, Sharanya
   Weiland, Tracey J.
   Gerdtz, Marie F.
   Knott, Jonathon
   Jelinek, George A.
TI Mental health-related learning needs of clinicians working in Australian
   emergency departments: A national survey of self-reported confidence and
   knowledge
SO EMERGENCY MEDICINE AUSTRALASIA
VL 23
IS 6
BP 697
EP 711
DI 10.1111/j.1742-6723.2011.01472.x
PD DEC 2011
PY 2011
AB Objective: To identify the mental health-related learning needs of
   doctors and nurses working in Australian EDs.
   Methods: A purpose-designed survey was developed, and face validity was
   verified by 12 doctors and nurses. A cross-sectional survey of a
   national sample of nurses and senior doctors ( registrars and
   consultants) working in EDs across Australia was then undertaken. The
   survey consisted of 130 items and required approximately 20 min for
   completion. The survey was delivered online through email invitation by
   the College of Emergency Nurses Australasia or the Australasian College
   for Emergency Medicine. A hardcopy format of the survey was also
   delivered at a national conference.
   Results: Mental health presentations that involved a diagnosis of
   personality disorder, psychosis or behavioural disturbance, and the
   management of these conditions were patient factors that were considered
   problematic by up to 46.3% (118/255; 95% CI 40.26-52.40) of doctors and
   66.1% (72/109; 95% CI 56.74-74.28) of nurses. Determining care plans,
   conducting mental status examinations, assessing risk of self-harm,
   pharmacology for treatment and for chemical restraint, management of
   patient aggression or violence, and alcohol or drug intoxication were
   also found to be areas of knowledge deficit.
   Conclusion: Doctors and nurses reported deficits in confidence and
   knowledge in tasks and patient presentations that they might frequently
   be expected to manage. These data can be used to inform future curricula
   at both undergraduate and postgraduate levels. Ultimately, this might
   pave the way for improved care and management of patients with mental
   health problems presenting to the ED.
RI Weiland, Tracey/Y-2029-2018; gerdtz, marie/; Jelinek, George/
OI Weiland, Tracey/0000-0002-4053-5507; gerdtz, marie/0000-0002-2100-994X;
   Jelinek, George/0000-0001-6157-0910
ZR 0
TC 29
ZS 1
ZB 0
ZA 0
Z8 0
Z9 30
U1 1
U2 19
SN 1742-6731
UT WOS:000297930000006
PM 22151668
ER

PT J
AU McInnes, Nicholas
   Haglund, Bo J. A.
TI Readability of online health information: implications for health
   literacy
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 36
IS 4
BP 173
EP 189
DI 10.3109/17538157.2010.542529
PD DEC 2011
PY 2011
AB Accessibility is one of six quality criteria articulated by the European
   Commission in its code of conduct for health websites. Readability plays
   an integral part in determining a website's accessibility. Health
   information that is hard to read may remain inaccessible to people with
   low health literacy. This study aimed to calculate the readability of
   websites on various causes of disease. The names of 22 health conditions
   were entered into five search engines, and the readability of the first
   10 results for each search were evaluated using Gunning FOG, SMOG,
   Flesch-Kincaid and Flesch Reading Ease tests (n = 352). Readability was
   stratified and assessed by search term, search term complexity,
   top-level domain and paragraph position. The mean reading grade was
   12.30, and the mean FRE was 46.08, scores considered 'difficult'.
   Websites on certain topics were found to be even harder to read than
   average. Where conditions had multiple names, searching for the simplest
   one led to the most readable results. Websites with .gov and .nhs TLDs
   were the most readable while .edu sites were the least. Within texts, a
   trend of increasing difficulty was found with concluding paragraphs
   being the hardest to read. It was also found that some of the most
   frequent search results (such as Wikipedia pages) were amongst the
   hardest to read. Health professionals, with the help of public and
   specialised libraries, need to create and direct patients towards
   high-quality, plain language health information in multiple languages.
TC 127
ZA 0
ZB 17
ZS 0
Z8 0
ZR 0
Z9 127
U1 2
U2 52
SN 1753-8157
EI 1753-8165
UT WOS:000296019100001
PM 21332302
ER

PT J
AU Dwyer, Drew
TI Experiences of registered nurses as managers and leaders in residential
   aged care facilities: a systematic review.
SO International journal of evidence-based healthcare
VL 9
IS 4
BP 388
EP 402
DI 10.1111/j.1744-1609.2011.00239.x
PD 2011-Dec
PY 2011
AB BACKGROUND: The phenomenon of an ageing population is being experienced
   globally, as countries struggle to change and improve residential models
   of care and provide services to the elderly. The role of the registered
   nurse (RN) is considered crucial to the clinical governance and
   management of care given. To date, however, no systematic review has
   examined the RN's experience in leadership and management.
   OBJECTIVES: The objective of this review is to critically appraise,
   synthesise and present best available evidence on the experiences of RNs
   as clinical leaders and managers in residential aged care facilities.
   INCLUSION CRITERIA: This review considered qualitative research papers
   that addressed the experiences of RNs as clinical leaders and managers
   in residential aged care facilities. Participants of interest were RNs,
   nurse leaders, nurses holding registration and or regulation under a
   board of nursing, nurses working in residential aged care and long-term
   care facilities. The diversity and use of language to describe nurses'
   roles and models of care for the elderly care environment were
   considered in the review.
   SEARCH STRATEGY: The search strategy sought to find both published
   studies and papers, limited to the English language and published
   between January 1997 and February 2011. An initial limited search was
   done in Medical Literature Analysis and Retrieval System Online
   (MEDLINE) and Cumulative Index to Nursing and Allied Health Literature
   databases to identify the key words contained in the title or abstract
   and index terms used to describe the relevant terms in the article. A
   second extensive search was undertaken and extended to other relevant
   databases using all identified keywords and index terms. The third step
   involved searching reference lists and bibliographies of chosen articles
   for additional studies.
   METHODOLOGICAL QUALITY: Each paper was assessed by two independent
   reviewers for methodological quality prior to inclusion in the review
   using an appropriate critical appraisal instrument from the System for
   the Unified Management, Assessment and Review of Information package. As
   both reviewers were in agreement on all studies included, a third
   reviewer was not required.
   RESULTS: A final total of eight papers, qualitative in nature, were
   included in the review. The majority of papers examined the experiences
   of nurses' leadership styles and the management characteristics within
   their organisations. The qualitative papers were analysed using The
   Joanna Briggs Institute-Qualitative Assessment and Review Instrument.The
   process of meta-synthesis embodied in this programme involves the
   aggregation or synthesis of findings or conclusions. Five syntheses were
   derived with key themes related to education, professional nursing
   development, positive attitudes to aged care and the need for a
   supportive environment.
   CONCLUSION: Nurses that work in the aged care environment show a strong
   motivation to work in care and provide the best outcomes in nursing the
   elderly. Geriatric nursing is considered a specialised and complex area
   of healthcare by the nursing profession. Nurses experience a lack of
   professional support and collaboration from allied health and medical
   colleagues. There is a lack of specific education that is focused in
   clinical leadership and health team management. There is no current
   structured pathway of learning and development for nursing careers in
   aged care. Nurses identify with their leadership role in residential
   aged care, and experience paradoxical feelings of being valued by the
   clients and devalued by the system at the same time. Organisational
   barriers are strong in preventing continuing education and skills
   development for nurse leaders in aged care environments.
   IMPLICATIONS FOR PRACTICE: Overall the themes presented in the review
   reported the negative experiences of nurses in residential aged care and
   geriatrics. Nurses will continue to be devalued if there is no
   professional identity and support for their roles and need to have a
   career pathway when making the decision to enter into aged and geriatric
   practice. Clinical leadership training is needed for nurses to
   transition through practice into specialised roles such as the RN team
   leader and Geriatric Nurse Practitioner (GNP). Providing a career
   structure and choice in the industry for the nurse to become a clinical
   leader or a manager of health services will improve recruitment and
   retention. IMPLICATION FOR RESEARCH: More research is needed to identify
   the skills gaps experienced by nurses in aged care and geriatric care.
   This research could lead to the design and implementation of a skills
   audit to identify candidates for specialised courses so that clinical
   leadership and governance in aged care are improved. More research is
   needed for role construction and the professional development of the
   GNP. Organisations can benefit from research currently being conducted
   on the role of the RN in aged care and geriatrics, by mapping the skills
   mix of candidate RNs to the key performance indicators in the role.
   Organisations must change their perception and value of RNs as clinical
   leaders in care teams.
ZB 2
TC 54
ZS 0
ZA 0
Z8 1
ZR 0
Z9 55
U1 0
U2 19
EI 1744-1609
UT MEDLINE:22093388
PM 22093388
ER

PT J
AU Estrada, Carlos A.
   Krishnamoorthy, Periyakaruppan
   Smith, Ann
   Staton, Lisa
   Korf, Michele J.
   Allison, Jeroan J.
   Houston, Thomas K.
TI Marketing to Increase Participation in a Web-Based Continuing Medical
   Education Cultural Competence Curriculum
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 31
IS 1
BP 21
EP 27
DI 10.1002/chp.20097
PD WIN 2011
PY 2011
AB Introduction: CME providers may be interested in identifying effective
   marketing strategies to direct users to specific content. Online
   advertisements for recruiting participants into activities such as
   clinical trials, public health programs, and continuing medical
   education (CME) have been effective in some but not all studies. The
   purpose of this study was to compare the impact of 2 marketing
   strategies in the context of an online CME cultural competence
   curriculum (www.c-comp.org).
   Methods: In an interrupted time-series quasi-experimental design, 2
   marketing strategies were tested: (1) wide dissemination to relevant
   organizations over a period of approximately 4 months, and (2) Internet
   paid search using Google Ads (5 consecutive 8-week periods-control 1,
   cultural/CME advertisement, control 2, hypertension/content
   advertisement, control 3). Outcome measures were CME credit requests,
   Web traffic (visits per day, page views, pages viewed per visit), and
   cost.
   Results: Overall, the site was visited 19,156 times and 78,160 pages
   were viewed. During the wide dissemination phase, the proportion of
   visits requesting CME credit decreased between the first (5.3%) and
   second (3.3%) halves of this phase (p = .04). During the Internet paid
   search phase, the proportion of visits requesting CME credit was highest
   during the cultural/CME advertisement period (control 1, 1.4%;
   cultural/CME ad, 4.3%; control 2, 1.5%; hypertension/content ad, 0.6%;
   control 3, 0.8%; p < .001). All measures of Web traffic changed during
   the Internet paid search phase (p < .01); however, changes were
   independent of the advertisement periods. The incremental cost for the
   cultural advertisement per CME credit requested was US$0.64.
   Discussion: Internet advertisement focusing on cultural competence and
   CME was associated with about a threefold increase in requests for CME
   credit at an incremental cost of under US$1; however, Web traffic
   changes were independent of the advertisement strategy.
RI Houston, Thomas/F-2469-2013; Allison, Jeroan/
OI Allison, Jeroan/0000-0003-4472-2112
ZR 0
Z8 0
TC 9
ZA 0
ZB 1
ZS 0
Z9 9
U1 0
U2 4
SN 0894-1912
EI 1554-558X
UT WOS:000288611600004
PM 21425356
ER

PT J
AU Llambi, Laura
   Esteves, Elba
   Martinez, Elisa
   Forster, Thais
   Garcia, Sofia
   Miranda, Natalia
   Lopez Arredondo, Antonio
   Margolis, Alvaro
TI Teaching Tobacco Cessation Skills to Uruguayan Physicians Using
   Information and Communication Technologies
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 31
IS 1
BP 43
EP 48
DI 10.1002/chp.20100
PD WIN 2011
PY 2011
AB Introduction: Since 2004, with the ratification of the Framework
   Convention on Tobacco Control, Uruguay has implemented a wide range of
   legal restrictions designed to reduce the devastating impacts of
   tobacco. This legal process generated an increase in demand for tobacco
   cessation treatment, which led to the need to train a large number of
   physicians. Information and Communication Technologies (ICTs) are
   evolving constantly, creating new opportunities to make online education
   more interactive. The evolution of ICTs presents an opportunity to
   develop innovative continuing medical education (CME) experiences to
   meet the increasing demand for this topic.
   Methods: A blended-learning course on tobacco cessation was developed
   and implemented, combining face-to-face and online activities.
   Educational strategy focused on (1) facilitating interaction among
   generalists and between generalists and experts, and (2) providing high
   impact CME incorporating multifaceted interventions with wiki-type
   collaborative construction of practical knowledge. Multiple-choice tests
   and commitments-to-change were used for evaluation.
   Results: Three hundred thirty-five health professionals participated in
   the course. Of these, 145 (43.3%) attended the on-site workshop, 216
   (64.5%) participated in the online activities, and 109 (32.5%) completed
   both phases. Fifty of the 105 (47.6%) participants completing the
   pretest had a passing score, while 78.1% received a passing score on the
   final test (p < .001). Differences between mean pretest and posttest
   scores among those who completed both phases compared with those who
   only did the online phase were statistically significant (p = .003 and p
   = .009, respectively).
   Discussion: The need to train physicians on tobacco cessation skills can
   be addressed via ICTs and educational activities that include
   participant interaction.
OI Margolis, Alvaro/0000-0002-2631-2323
ZA 0
Z8 0
ZB 1
TC 16
ZR 0
ZS 1
Z9 16
U1 0
U2 7
SN 0894-1912
EI 1554-558X
UT WOS:000288611600007
PM 21425359
ER

PT J
AU Demers, Anne L.
   Mamary, Edward
   Ebin, Vicki J.
TI Creating Opportunities for Training California's Public Health Workforce
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 31
IS 1
BP 64
EP 69
DI 10.1002/chp.20102
PD WIN 2011
PY 2011
AB Introduction: Today there are significant challenges to public health,
   and effective responses to them will require complex approaches and
   strategies implemented by a qualified workforce. An adequately prepared
   workforce requires long-term development; however, local health
   departments have limited financial and staff resources. Schools and
   programs accredited by the Council for Education on Public Health (
   CEPH) are required to provide continuing education but are constrained
   by the lack of resources, limited time, and geography.
   Method: To meet these challenges, a statewide university/community
   collaborative model for delivering continuing education programs was
   developed. A needs assessment of California's public health workforce
   was conducted to identify areas of interest, and two continuing
   education trainings were developed and implemented using innovative
   distance education technology.
   Results: Thirty-six percent of the participants completed electronic
   evaluations of learning outcomes and use of the digital technology
   platform. Participants indicated a significant increase in knowledge,
   reported that the trainings were cost effective and convenient, and said
   that they would participate in future online trainings. Collaborative
   partners found that this model provides a cost-effective,
   environmentally sound, and institutionally sustainable method for
   providing continuing education to public health professionals.
   Discussion: Offering continuing education via distance technology
   requires substantial institutional infrastructure and resources that are
   often beyond what many public institutions can provide alone. This
   project provides a model for collaborating with community partners to
   provide trainings, using a digital technology platform that requires
   minimal training and allows presenters and participants to log on from
   anywhere there is Internet access.
Z8 1
ZR 0
TC 9
ZB 1
ZA 0
ZS 2
Z9 10
U1 0
U2 7
SN 0894-1912
EI 1554-558X
UT WOS:000288611600010
PM 21425362
ER

PT J
AU Sharif, Adnan
   Jawad, Haifaa
   Nightingale, Peter
   Hodson, James
   Lipkin, Graham
   Cockwell, Paul
   Ball, Simon
   Borrows, Richard
TI A Quantitative Survey of Western Muslim Attitudes to Solid Organ
   Donation
SO TRANSPLANTATION
VL 92
IS 10
BP 1108
EP 1114
DI 10.1097/TP.0b013e318231ea17
PD NOV 27 2011
PY 2011
AB Background. It is imperative for healthcare providers to examine Western
   Muslim attitudes on organ donation, because they are reluctant donors.
   We explored such opinion with the aid of a quantitative survey.
   Methods. Voluntary completion of an anonymous survey was promoted
   (online and paper sampling). For a population target of approximately
   1.6 billion, we targeted a completed sample size of 664 to achieve 5%
   error margins and 99% confidence intervals (assuming 50% response
   distribution). Logistic regression analysis was performed to assess
   independent predictors for organ donation approval.
   Results. In total, 891 global Muslims took the survey with 728 full
   completions (81.7% completion rate). Paper survey (14% of total)
   response rate was 62% (124 completed/200 distributed). Western Muslims
   comprised 76% of participants (n = 675) and formed the basis of the
   analysis. A total of 68.5% of Western Muslims agreed with organ
   donation, but just 39.3% believed it was compatible with Islam (only
   12.7% were registered donors). A total of 1.9% would refuse an organ
   transplant if required, with 72.4% happy to receive and 25.7% undecided.
   The main constraints cited by Western Muslims were interpretation of
   religious scripture (76.5%) and advice from local mosque (70.2%).
   Predictors for organ donation approval among all global Muslims included
   younger age, lesser degree of self-rated religiosity, awareness of organ
   shortages, higher education, and knowing someone with kidney
   disease/dialysis (all P<0.05).
   Conclusion. Concern exists among Western Muslims regarding organ
   donation. Our speculative work should form the basis of larger and more
   representative assessment of global Muslims to facilitate targeted
   initiatives to raise awareness.
OI Sharif, Adnan/0000-0002-7586-9136; Cockwell, Paul/0000-0003-1975-266X;
   Ball, Simon/0000-0001-7410-5268; Hodson, James/0000-0003-3487-0090
ZR 0
TC 35
ZA 0
Z8 0
ZS 0
ZB 6
Z9 35
U1 1
U2 6
SN 0041-1337
UT WOS:000296798100013
PM 21956200
ER

PT J
AU Boyce, Philip
   Spratt, Christine
   Davies, Mark
   McEvoy, Prue
TI Using entrustable professional activities to guide curriculum
   development in psychiatry training
SO BMC MEDICAL EDUCATION
VL 11
AR 96
DI 10.1186/1472-6920-11-96
PD NOV 23 2011
PY 2011
AB Background: Clinical activities that trainees can be trusted to perform
   with minimal or no supervision have been labelled as Entrustable
   Professional Activities (EPAs). We sought to examine what activities
   could be entrusted to psychiatry trainees in their first year of
   specialist training.
   Methods: We conducted an online survey of Fellows of the Royal
   Australian and New Zealand College of Psychiatrists (RANZCP).
   Results: The majority of respondents considered initiating patients with
   the common medications, discharging patient suffering from
   schizophrenia, bipolar disorder or following a crisis admission,
   conducting risk assessments and managing psychiatric emergencies were
   activities that trainees could be entrusted with by the end of the first
   stage of training.
   Conclusions: Four activities were identified that trainees should be
   entrusted with by the end of their first year of training. Each of these
   activities comprises a set of competencies in each of the CanMEDS roles.
   When a trainee is unable to satisfactorily perform an EPA, deficits in
   the underpinning competencies can be a focus for remediation. Further
   EPAs are being identified in areas of more specialised practice for use
   within more advanced training.
RI , Philip/N-8430-2019; Boyce, Philip M/B-6255-2012
OI Boyce, Philip M/0000-0002-9816-7356
ZS 0
ZR 0
ZA 0
TC 57
ZB 8
Z8 0
Z9 57
U1 0
U2 8
SN 1472-6920
UT WOS:000301449700001
ER

PT J
AU Blas, Magaly M.
   Alva, Isaac E.
   Cabello, Robinson
   Carcamo, Cesar
   Kurth, Ann E.
TI Risk Behaviors and Reasons for not Getting Tested for HIV among Men Who
   Have Sex with Men: An Online Survey in Peru
SO PLOS ONE
VL 6
IS 11
AR e27334
DI 10.1371/journal.pone.0027334
PD NOV 9 2011
PY 2011
AB Background: Men who have sex with men (MSM) account for the greatest
   burden of the HIV epidemic in Peru. Given that MSM are frequent users of
   the Internet, understanding the risk behaviors and the reasons for not
   getting tested among MSM who surf the Internet may improve the tailoring
   of future online behavioral interventions.
   Methods: From October 2007 to April 2008, we conducted an online survey
   among users of seven Peruvian gay websites.
   Results: We received 1,481 surveys, 1,301 of which were included in the
   analysis. The median age of the participants was 22.5 years (range 12 -
   71), 67% were homosexual, and the remainder was bisexual. Of survey
   respondents, 49.4% had never been tested for HIV and only 11.3% were
   contacted in-person during the last year by peer health educators from
   the Peruvian Ministry of Health and NGOs. Additionally, 50.8% had
   unprotected anal or vaginal sex at last intercourse, and a significant
   percentage reported a condom broken (22.1%), slipped (16.4%) or sexual
   intercourse initiated without wearing a condom (39.1%). The most common
   reasons for not getting tested for HIV among high-risk MSM were "I fear
   the consequences of a positive test result" (n = 55, 34.4%), and "I
   don't know where I can get tested" (n = 50, 31.3%).
   Conclusions: A small percentage of Peruvian MSM who answered our online
   survey, were reached by traditional peer-based education programs. Given
   that among high-risk MSM, fear of a positive test result and lack of
   awareness of places where to get tested are the most important reasons
   for not taking an HIV test, Internet interventions aimed at motivating
   HIV testing should work to reduce fear of testing and increase awareness
   of places that offer free HIV testing services to MSM.
RI Kurth, Ann E/A-1615-2013; Oliveira, Claudia DL/G-8618-2011
ZB 16
ZS 2
ZR 0
ZA 0
TC 31
Z8 0
Z9 32
U1 0
U2 2
SN 1932-6203
UT WOS:000297350800043
PM 22096551
ER

PT J
AU Kofranek, Jiri
   Matousek, Stanislav
   Rusz, Jan
   Stodulka, Petr
   Privitzer, Pavol
   Matejak, Marek
   Tribula, Martin
TI The Atlas of Physiology and Pathophysiology: Web-based multimedia
   enabled interactive simulations
SO COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
VL 104
IS 2
BP 143
EP 153
DI 10.1016/j.cmpb.2010.12.007
PD NOV 2011
PY 2011
AB The paper is a presentation of the current state of development for the
   Atlas of Physiology and Pathophysiology (Atlas). Our main aim is to
   provide a novel interactive multimedia application that can be used for
   biomedical education where (a) simulations are combined with tutorials
   and (b) the presentation layer is simplified while the underlying
   complexity of the model is retained. The development of the Atlas
   required the cooperation of many professionals including teachers,
   system analysts, artists, and programmers. During the design of the
   Atlas, tools were developed that allow for component-based creation of
   simulation models, creation of interactive multimedia and their final
   coordination into a compact unit based on the given design. The Atlas is
   a freely available online application, which can help to explain the
   function of individual physiological systems and the causes and symptoms
   of their disorders. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
RI Rusz, Jan/S-2054-2018; Kofranek, Jiri/S-3812-2019; Kofranek, Jiri/C-6886-2011; Mateják, Marek/F-7112-2017; Rusz, Jan/X-5427-2019; Matousek, Stanislav/; Tribula, Martin/O-1103-2017
OI Rusz, Jan/0000-0002-1036-3054; Kofranek, Jiri/0000-0002-1183-2748;
   Mateják, Marek/0000-0002-8844-0937; Rusz, Jan/0000-0002-1036-3054;
   Matousek, Stanislav/0000-0002-5582-0722; Tribula,
   Martin/0000-0003-4045-5846
ZA 0
TC 9
ZB 4
ZS 0
Z8 0
ZR 0
Z9 9
U1 0
U2 7
SN 0169-2607
EI 1872-7565
UT WOS:000296945100013
PM 21232813
ER

PT J
AU Morrow, Cathleen E.
   Reed, Virginia A.
   Eliassen, Scottie
   Imset, Inger
TI Shared Decision Making: Skill Acquisition for Year III Medical Students
SO FAMILY MEDICINE
VL 43
IS 10
BP 721
EP 725
PD NOV-DEC 2011
PY 2011
AB BACKGROUND: A foundation of care within a Patient-centered Medical Home
   (PCMH) is respect for patients' values and preferences. Shared decision
   making (SDM) involves a set of principles and approaches to working with
   patients that integrates medical information and data with the
   preferences, values, and support systems of individual patients facing
   medical decisions. The value of SDM is increasingly evidenced by the
   incorporation of principles of SDM into the definitions of
   patient-centered care and PCMHs, accountable care organizations, and the
   language of the Health Reform Act of 2010.
   METHODS: We developed and integrated a curriculum on SDM in the
   third-year Family Medicine Clerkship at Dartmouth Medical School. The
   curriculum consisted of a mix of experiential, classroom, and online
   experiences designed to provide students with opportunities to learn
   content, practice skills, and share observations from their
   preceptorships.
   RESULTS: Student feedback was an important component of evaluating the
   SDM curriculum. Themes identified from students' reflections on their
   own behavior in a Simulated Patient Encounter included an increase in
   confidence and competence in their ability to use SDM, while noting the
   disconnect that may exist between what is taught in the clerkship and
   what they experience in their preceptorships.
   CONCLUSIONS: As this curriculum has developed, we have acquired a deep
   appreciation of the benefits and challenges of attempting to teach
   sophisticated communication and decision-making precepts to medical
   students who are working to master fundamentals of clinical work and who
   may or may not see such precepts reinforced in practice.
ZA 0
ZS 0
Z8 0
TC 22
ZR 0
ZB 1
Z9 22
U1 0
U2 16
SN 0742-3225
UT WOS:000306198200006
PM 22076715
ER

PT J
AU Karp, Julie K.
   Weston, Christine M.
   King, Karen E.
TI Transfusion medicine in American undergraduate medical education
SO TRANSFUSION
VL 51
IS 11
BP 2470
EP 2479
DI 10.1111/j.1537-2995.2011.03154.x
PD NOV 2011
PY 2011
AB BACKGROUND: Blood transfusion is the most common procedure performed in
   American hospitals, and transfusions are commonly ordered by physicians
   without formal training in transfusion medicine. Several transfusion
   medicine curricula have been proposed, including those developed through
   the Transfusion Medicine Academic Awards (TMAA). To our knowledge, no
   comprehensive study has assessed how transfusion medicine is
   incorporated into undergraduate medical education.
   STUDY DESIGN AND METHODS: We conducted an online survey to determine the
   manner in which transfusion medicine is incorporated into American
   undergraduate medical education. The survey was e-mailed to
   administrators of medical education at all of the 129 American medical
   schools accredited by the Association of American Medical Colleges.
   RESULTS: Eighty-six (67%) of the 129 identified medical school
   administrators responded. Seventy-one (83%) of the 86 administrators
   reported that their undergraduate medical education curriculum provides
   didactic lectures in transfusion medicine, with 48% of medical schools
   providing 1 or 2 hours of lecture-based instruction. A minority reported
   small group sessions devoted to transfusion medicine topics. While a
   slim majority reported the availability of transfusion medicine
   electives, only one of 84 administrators reported that such a rotation
   is required. Seventy-six of 83 (92%) administrators were unfamiliar with
   either the 1989 or the 1995 TMAA transfusion medicine curricula.
   CONCLUSION: Transfusion medicine content in American undergraduate
   medical education is variable and the influence of the TMAA program on
   contemporary medical school curricula is questionable. Future efforts in
   this area should focus on standardizing and improving undergraduate
   medical education in transfusion medicine.
OI Karp, Julie/0000-0002-5970-4585
ZR 0
ZA 0
TC 40
Z8 0
ZS 2
ZB 24
Z9 41
U1 0
U2 6
SN 0041-1132
UT WOS:000296371300026
PM 21542851
ER

PT J
AU Lenchus, Joshua D.
TI Strategies for Venous Thromboembolism Prophylaxis Programs
SO POSTGRADUATE MEDICINE
VL 123
IS 6
BP 91
EP 101
DI 10.3810/pgm.2011.11.2499
PD NOV 2011
PY 2011
AB Prevention of venous thromboembolism (VTE) is often overlooked in
   clinical practice, despite being a frequent and serious complication of
   various medical conditions and surgical procedures. The need to reduce
   hospital-acquired VIE is becoming increasingly recognized in the United
   States, and various quality-improvement initiatives have been developed.
   Prevention of VTE through evidence-based, practice-informed pathways
   includes assessing the patient's risk of VIE and provision of VIE at
   different stages: at admission, during hospitalization, and after
   hospital discharge. A multidisciplinary approach, involving physicians
   working with pharmacists, nurses, and other staff, can ensure that VTE
   prevention is routinely addressed. Patients admitted to hospitals should
   undergo VIE risk assessment, and the appropriate dose, type, and
   duration of medication should be administered with regular monitoring
   for VTE events and bleeding complications. Venous thromboembolism risk
   assessment should continue throughout hospitalization with appropriate
   prophylaxis when necessary. Patients may need to continue
   anticoagulation into the outpatient setting to achieve adequate
   prophylaxis duration. Useful approaches to ensure successful transition
   of care include patient education and support, with the accurate and
   timely transfer of information from the hospital to the primary care
   physician. Various strategies and tools are available to help physicians
   establish good VIE practices at each stage, including risk assessment
   models, reminders, clinical decision support systems, educational
   programs, and online resources, such as those from the Society of
   Hospital Medicine. Effective use of these strategies by physicians, with
   the engagement and support of nurses and pharmacists, should help to
   improve current practices and to reduce the considerable burden of VTE.
OI Lenchus, Joshua/0000-0003-1220-0803
ZA 0
ZR 0
ZS 0
Z8 0
TC 5
ZB 3
Z9 5
U1 0
U2 2
SN 0032-5481
EI 1941-9260
UT WOS:000303420000009
PM 22104458
ER

PT J
AU Stutchfield, B. M.
   Harrison, E. M.
   Wigmore, S. J.
   Parks, R. W.
   Garden, O. J.
TI Outcomes following a dedicated period of research during surgical
   training
SO SCOTTISH MEDICAL JOURNAL
VL 56
IS 4
BP 206
EP 209
DI 10.1258/smj.2011.011159
PD NOV 2011
PY 2011
AB With recent 'working-time'-related changes to surgical training
   structure, the value of dedicated research during surgical training has
   been questioned. Online survey examining career and academic outcomes
   following a period of surgically related dedicated research at a
   Scottish University between 1972 and 2007. Of 58 individuals identified,
   contact details were available for 49 and 43 (88%) responded.
   Ninety-five percent (n = 41) of respondents continue to pursue a career
   in surgery and 41% (n = 17) are currently in academic positions.
   Ninety-one percent (n = 39) had published one or more first-author
   peer-reviewed articles directly related to their research, with 53% (n =
   23) publishing three or more. Respondents with a clinical component to
   their research published significantly more papers than those with
   purely laboratory-based research (P = 0.04). Eighty-one percent (n = 35)
   thought that research was necessary for career progression, but only 42%
   (n = 18) felt research should be integral to training. In conclusion,
   the majority of surgical trainees completing a dedicated research
   period, published papers and continued to pursue a surgical career with
   a research interest. A period of dedicated research was thought
   necessary for career progression, but few thought dedicated research
   should be integral to surgical training.
RI Wigmore, Stephen/AAF-3562-2019; Harrison, Ewen/
OI Wigmore, Stephen/0000-0002-3614-8002; Harrison, Ewen/0000-0002-5018-3066
Z8 0
ZR 0
TC 2
ZS 0
ZB 1
ZA 0
Z9 2
U1 0
U2 1
SN 0036-9330
EI 2045-6441
UT WOS:000298830800006
PM 22089041
ER

PT J
AU Eissen, Marco
   Backhaus, Donata
TI Pharmaceuticals in the environment: an educational perspective
SO ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH
VL 18
IS 9
BP 1555
EP 1566
DI 10.1007/s11356-011-0512-6
PD NOV 2011
PY 2011
AB Purpose Pharmaceuticals are an integral part of a dignified life.
   However, a lack of degradability and threats to the welfare of living
   beings cause concern due to their emission into the environment. There
   is also a lack of knowledge about cause and consequence. Therefore, we
   intend to contribute to the development of educational programmes which
   should increasingly include the topic 'pharmaceuticals in the
   environment'.
   Methods Considering the current literature, we developed a corresponding
   series of worksheets (Online Resource) and sample solutions on an
   introductory level and integrated them into our curriculum.
   Results The material compiled for the worksheets was arranged in a
   logical order and considers several subtopics. The worksheets aim to
   support the examination of related aspects such as environmental
   effects, emissions, wastewater treatment plants, degradation,
   degradation by-products, advanced oxidation processes, hydraulic
   retention times, half-life times, biosolids, exposition pathways,
   precautionary principle, classification schemes for pharmaceuticals and,
   related to the structure-activity relationship, the design for
   degradability. The students managed to work on the tasks in an
   appropriate manner and received a good overview of the occurrence and
   fate of pharmaceuticals in the environment.
   Conclusions Tasks that were presented to students regarding the topic
   'pharmaceuticals in the environment' contributed to a better
   understanding of the possible risks of medical care on an introductory
   level. The tasks have been incorporated into a logic series of
   worksheets (Online Resource) with sample solutions available.
   Alternatively, the material would be appropriate for the preparation of
   a corresponding lecture on this topic.
ZS 0
Z8 1
ZA 0
TC 11
ZR 0
ZB 2
Z9 12
U1 0
U2 56
SN 0944-1344
EI 1614-7499
UT WOS:000298986200011
PM 21573924
ER

PT J
AU Armstrong, Kirk J.
   Weidner, Thomas G.
TI Preferences for and Barriers to Formal and Informal Athletic Training
   Continuing Education Activities
SO JOURNAL OF ATHLETIC TRAINING
VL 46
IS 6
BP 680
EP 687
PD NOV-DEC 2011
PY 2011
AB Context: Our previous research determined the frequency of participation
   and perceived effect of formal and informal continuing education (CE)
   activities. However, actual preferences for and barriers to CE must be
   characterized.
   Objective: To determine the types of formal and informal CE activities
   preferred by athletic trainers (ATs) and barriers to their participation
   in these activities.
   Design: Cross-sectional study.
   Setting: Athletic training practice settings.
   Patients or Other Participants: Of a geographically stratified random
   sample of 1000 ATs, 427 ATs (42.7%) completed the survey.
   Main Outcome Measure(s): As part of a larger study, the Survey of Formal
   and Informal Athletic Training Continuing Education Activities (FIATCEA)
   was developed and administered electronically. The FIATCEA consists of
   demographic characteristics and Likert scale items (1 = strongly
   disagree, 5 = strongly agree) about preferred CE activities and barriers
   to these activities. Internal consistency of survey items, as determined
   by Cronbach alpha, was 0.638 for preferred CE activities and 0.860 for
   barriers to these activities. Descriptive statistics were computed for
   all items. Differences between respondent demographic characteristics
   and preferred CE activities and barriers to these activities were
   determined via analysis of variance and dependent t tests. The alpha
   level was set at .05.
   Results: Hands-on clinical workshops and professional networking were
   the preferred formal and informal CE activities, respectively. The most
   frequently reported barriers to formal CE were the cost of attending and
   travel distance, whereas the most frequently reported barriers to
   informal CE were personal and job-specific factors. Differences were
   noted between both the cost of CE and travel distance to CE and all
   other barriers to CE participation (F-1,F-411 = 233.54, P < .001).
   Conclusions: Overall, ATs preferred formal CE activities. The same
   barriers (eg, cost, travel distance) to formal CE appeared to be
   universal to all ATs. Informal CE was highly valued by ATs because it
   could be individualized.
OI Armstrong, Kirk/0000-0002-4926-4846
ZS 0
TC 6
ZA 0
ZB 0
ZR 0
Z8 0
Z9 6
U1 0
U2 7
SN 1062-6050
EI 1938-162X
UT WOS:000298019200014
PM 22488195
ER

PT J
AU Devonshire, Elizabeth
   Siddall, Philip J.
TI Joining forces: Collaborating internationally to deliver high-quality,
   online postgraduate education in pain management
SO PAIN RESEARCH & MANAGEMENT
VL 16
IS 6
BP 411
EP 415
DI 10.1155/2011/762983
PD NOV-DEC 2011
PY 2011
AB The effective management of pain is a complex and costly global issue,
   requiring a range of innovative educational strategies to enable
   culturally appropriate and high-quality health care provision. In
   response to this issue, the Pain Management Research Institute at the
   University of Sydney (Sydney, Australia) has established several
   strategic alliances with other overseas universities to deliver online
   postgraduate education in pain management. The present article discusses
   the rationale for joining forces, and the approach adopted in creating
   and maintaining these alliances. It also provides insights into the
   benefits, challenges and opportunities associated with collaborative
   educational initiatives of this nature, from institutional, academic and
   student perspectives.
OI Devonshire, Elizabeth/0000-0003-4461-025X
ZA 0
ZS 0
ZB 0
ZR 0
TC 3
Z8 0
Z9 3
U1 0
U2 8
SN 1203-6765
EI 1918-1523
UT WOS:000298229500004
PM 22184549
ER

PT J
AU Bavan, Brindha
   Porzig, Ellen
   Baker, Valerie L.
TI An assessment of female university students' attitudes toward screening
   technologies for ovarian reserve
SO FERTILITY AND STERILITY
VL 96
IS 5
BP 1195
EP 1199
DI 10.1016/j.fertnstert.2011.08.018
PD NOV 2011
PY 2011
AB Objective: To assess female university students' attitudes toward
   screening technologies for ovarian reserve and their potential influence
   on career and family planning decisions.
   Design: Online survey.
   Setting: Not applicable.
   Patient(s): Respondents from 4 universities in Northern California.
   Intervention(s): None.
   Main Outcome Measure(s): Proportion with interest in screening
   technologies for ovarian reserve.
   Result(s): Of the 328 respondents, 79% were interested in learning about
   the current status of their ovarian reserve. Hypothetically, if informed
   that ovarian reserve was very low, 53% would consider oocyte
   cryopreservation (even when informed that it is experimental); however,
   only 29% would consider stopping educational or professional pursuits to
   focus on conceiving. Participants also demonstrated gaps in knowledge,
   believing that the decline in ovarian reserve starts later than it
   actually does, that diet and nutrition can preserve ovarian reserve, and
   that infertility treatments are highly effective regardless of how
   severe the depletion of the egg supply is.
   Conclusion(s): Women attending universities are interested in assessing
   their own ovarian reserve. Gaps in knowledge about ovarian reserve exist
   among these reproductive-aged women. (Fertil Steril (R) 2011; 96:
   1195-9. (C) 2011 by American Society for Reproductive Medicine.)
ZS 1
TC 37
ZR 0
ZB 13
ZA 0
Z8 0
Z9 37
U1 0
U2 7
SN 0015-0282
EI 1556-5653
UT WOS:000296572000031
PM 21924717
ER

PT J
AU Hallingbye, Thor
   Serafini, Mario
TI Assessment of the Quality of Postherpetic Neuralgia Treatment
   Information on the Internet
SO JOURNAL OF PAIN
VL 12
IS 11
BP 1149
EP 1154
DI 10.1016/j.jpain.2011.05.005
PD NOV 2011
PY 2011
AB The objective of this study was to assess the quality of websites
   presenting treatment information for postherpetic neuralgia. The term
   "postherpetic neuralgia treatment" was searched using the Google and
   Yahoo search engines. Fifty websites from each were evaluated using the
   Journal of the American Medical Association (JAMA) benchmarks, the
   Health on the Net (HON) seal, and the DISCERN instrument. The treatments
   suggested on each website were compared with 3 recognized first-line
   treatment options (antidepressants, anticonvulsants, and topical
   lidocaine). Less than half of the included websites fulfilled all JAMA
   benchmark requirements. Less than one-third of the websites displayed
   the HON seal. The DISCERN instrument evaluation revealed that most
   websites were of moderate quality. Commercial websites tended to be
   inferior in comparison to noncommercial websites. Most websites
   recommended at least 2 of the 3 recommended treatments as well as
   several second- and third-line treatments. One-third to one-half of
   websites recommended a nonbeneficial treatment. In conclusion, many
   different postherpetic neuralgia treatments are found on the Internet
   and patients may be left separating recommended treatments from
   nonrecommended treatments without help from their healthcare providers.
   Perspective: This study examined the quality of websites related to
   postherpetic neuralgia treatment. The results demonstrated that most
   websites offering advice on postherpetic neuralgia treatment are of only
   moderate quality and often offer treatment suggestions that are
   nonbeneficial. Patients and providers must use caution when taking
   advice from these sites. (C) 2011 by the American Pain Society
ZR 0
ZB 0
ZA 0
TC 11
Z8 0
ZS 0
Z9 11
U1 0
U2 2
SN 1526-5900
UT WOS:000297379800004
PM 21807567
ER

PT J
AU Megaw, R.
   Rane-Malcolm, T.
   Brannan, S.
   Smith, R.
   Sanders, R.
TI Revalidation and electronic cataract surgery audit: a Scottish survey on
   current practice and opinion
SO EYE
VL 25
IS 11
BP 1471
EP 1477
DI 10.1038/eye.2011.203
PD NOV 2011
PY 2011
AB Purpose To determine current knowledge and opinion on revalidation, and
   methods of cataract surgery audit in Scotland and to outline the current
   and future possibilities for electronic cataract surgery audit.
   Methods In 2010 we conducted a prospective, cross-sectional,
   Scottish-wide survey on revalidation knowledge and opinion, and cataract
   audit practice among all senior NHS ophthalmologists. Results were
   anonymised and recorded manually for analysis.
   Results In all, 61% of the ophthalmologists surveyed took part. Only 33%
   felt ready to take part in revalidation, whereas 76% felt they did not
   have adequate information about the process. Also, 71% did not feel
   revalidation would improve patient care, but 85% agreed that cataract
   surgery audit is essential for ophthalmic practice. In addition, 91%
   audit their cataract outcomes; 52% do so continuously. Further, 63%
   audit their subspecialist surgical results. Only 25% audit their
   cataract surgery practice electronically, and only 12% collect clinical
   data using a hospital PAS system. Funding and system incompatibility
   were the main reasons cited for the lack of electronic audit setup.
   Currently, eight separate hospital IT patient administration systems are
   used across 14 health boards in Scotland.
   Conclusion Revalidation is set to commence in 2012. The Royal College of
   Ophthalmologists will use cataract outcome audit as a tool to ensure
   surgical competency for the process. Retrospective manual auditing of
   cataract outcome is time consuming, and can be avoided with an
   electronic system. Scottish ophthalmologists view revalidation with
   scepticism and appear to have inadequate knowledge of the process.
   However, they strongly agree with the concept of cataract surgery audit.
   The existing and future electronic applications that may support
   surgical audit are commercial electronic records, web-based
   applications, centrally funded software applications, and robust NHS
   connections between community and hospital. Eye (2011) 25, 1471-1477;
   doi:10.1038/eye.2011.203; published online 26 August 2011
OI Megaw, Roly/0000-0001-5605-4540
ZB 0
TC 1
Z8 0
ZA 0
ZS 0
ZR 0
Z9 1
U1 0
U2 2
SN 0950-222X
UT WOS:000297209400012
PM 21869834
ER

PT J
AU Hart, Danielle
   Joing, Scott
TI The Millennial Generation and "The Lecture"
SO ACADEMIC EMERGENCY MEDICINE
VL 18
IS 11
BP 1186
EP 1187
DI 10.1111/j.1553-2712.2011.01215.x
PD NOV 2011
PY 2011
AB ACADEMIC EMERGENCY MEDICINE 2011; 18:11861187 (C) 2011 by the Society
   for Academic Emergency Medicine
ZA 0
TC 14
ZS 0
ZB 0
Z8 0
ZR 0
Z9 14
U1 0
U2 15
SN 1069-6563
EI 1553-2712
UT WOS:000297107800013
PM 22092900
ER

PT J
AU Worster, Andrew
   Kulasegaram, Kulamakan
   Carpenter, Christopher R.
   Vallera, Teresa
   Upadhye, Suneel
   Sherbino, Jonathan
   Haynes, R. Brian
TI Consensus Conference Follow-up: Inter-rater Reliability Assessment of
   the Best Evidence in Emergency Medicine (BEEM) Rater Scale, a Medical
   Literature Rating Tool for Emergency Physicians
SO ACADEMIC EMERGENCY MEDICINE
VL 18
IS 11
BP 1193
EP 1200
DI 10.1111/j.1553-2712.2011.01214.x
PD NOV 2011
PY 2011
AB Background: Studies published in general and specialty medical journals
   have the potential to improve emergency medicine (EM) practice, but
   there can be delayed awareness of this evidence because emergency
   physicians (EPs) are unlikely to read most of these journals. Also, not
   all published studies are intended for or ready for clinical practice
   application. The authors developed Best Evidence in Emergency Medicine
   (BEEM) to ameliorate these problems by searching for, identifying,
   appraising, and translating potentially practice-changing studies for
   EPs. An initial step in the BEEM process is the BEEM rater scale, a
   novel tool for EPs to collectively evaluate the relative clinical
   relevance of EM-related studies found in more than 120 journals. The
   BEEM rater process was designed to serve as a clinical relevance filter
   to identify those studies with the greatest potential to affect EM
   practice. Therefore, only those studies identified by BEEM raters as
   having the highest clinical relevance are selected for the subsequent
   critical appraisal process and, if found methodologically sound, are
   promoted as the best evidence in EM. Objectives: The primary objective
   was to measure inter-rater reliability (IRR) of the BEEM rater scale.
   Secondary objectives were to determine the minimum number of EP raters
   needed for the BEEM rater scale to achieve acceptable reliability and to
   compare performance of the scale against a previously published evidence
   rating system, the McMaster Online Rating of Evidence (MORE), in an EP
   population. Methods: The authors electronically distributed the title,
   conclusion, and a PubMed link for 23 recently published studies related
   to EM to a volunteer group of 134 EPs. The volunteers answered two
   demographic questions and rated the articles using one of two randomly
   assigned seven-point Likert scales, the BEEM rater scale (n = 68) or the
   MORE scale (n = 66), over two separate administrations. The IRR of each
   scale was measured using generalizability theory. Results: The IRR of
   the BEEM rater scale ranged between 0.90 (95% confidence interval [CI] =
   0.86 to 0.93) to 0.92 (95% CI = 0.89 to 0.94) across administrations.
   Decision studies showed a minimum of 12 raters is required for
   acceptable reliability of the BEEM rater scale. The IRR of the MORE
   scale was 0.82 to 0.84. Conclusions: The BEEM rater scale is a highly
   reliable, single-question tool for a small number of EPs to collectively
   rate the relative clinical relevance within the specialty of EM of
   recently published studies from a variety of medical journals. It
   compares favorably with the MORE system because it achieves a high IRR
   despite simply requiring raters to read each articles title and
   conclusion.
RI Kulasegaram, Kulamakan/H-6663-2016; Carpenter, Christopher R./E-3720-2013
OI Carpenter, Christopher R./0000-0002-2603-7157
ZB 0
ZA 0
ZS 0
TC 8
ZR 0
Z8 0
Z9 8
U1 0
U2 3
SN 1069-6563
UT WOS:000297107800017
PM 22092904
ER

PT J
AU Cox, LeeAnn M.
   Logio, Lia S.
TI Patient Safety Stories: A Project Utilizing Narratives in Resident
   Training
SO ACADEMIC MEDICINE
VL 86
IS 11
BP 1473
EP 1478
DI 10.1097/ACM.0b013e318230efaa
PD NOV 2011
PY 2011
AB Incident reports have traditionally been the vehicle for identifying,
   assessing, and responding to quality gaps in hospitals. Yet because of a
   variety of barriers, residents often fail to participate in this formal
   process. The authors created a project to engage residents in incident
   reporting through the use of an online, anonymous narrative format,
   faculty-facilitated discussion groups, and involvement of patient safety
   officers in the educational process. During three months, 36 residents
   submitted a total of 79 stories about patient care that did not "go as
   intended." The authors reviewed and scored each story for contributing
   factors and outcomes. The residents met monthly in small groups with
   trained faculty facilitators to analyze the stories, which were also
   shared with the patient safety officers. The stories, narratives of both
   personal involvement and observed events, ranged from near-misses to
   sentinel events. Key contributing factors included lapses of
   professionalism, decision errors, communication/information mishaps,
   transition mix-ups, and workload difficulties. The narrative format
   proved a feasible tool for collecting significant, previously
   unrecognized patient safety issues. Internal medicine residents were
   willing to discuss gaps in care when given the tools and opportunity for
   anonymous storytelling and blame-free dialogue.
ZS 1
ZA 0
TC 12
ZR 0
Z8 0
ZB 1
Z9 13
U1 0
U2 10
SN 1040-2446
UT WOS:000296624900060
PM 21952066
ER

PT J
AU Shaw, Graham P.
   Molnar, David
TI Non-native english language speakers benefit most from the use of
   lecture capture in medical school
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 39
IS 6
BP 416
EP 420
DI 10.1002/bmb.20552
PD NOV-DEC 2011
PY 2011
AB Medical education in the United States and Canada continues to evolve.
   However, many of the changes in pedagogy are being made without
   appropriate evaluation. Here, we attempt to evaluate the effectiveness
   of lecture capture technology as a learning tool in Podiatric medical
   education. In this pilot project, student performance in an inaugural
   lecture capture-supported biochemistry course was compared to that in
   the previous academic year. To examine the impact of online lecture
   podcasts on student performance a within-subjects design was
   implemented, a two way ANCOVA with repeated measures. The use of lecture
   capture-supported pedagogy resulted in significantly higher student test
   scores, than achieved historically using traditional pedagogy. The
   overall course performance using this lecture capture-supported pedagogy
   was almost 6% higher than in the previous year. Non-native English
   language speakers benefitted more significantly from the lecture
   capture-supported pedagogy than native English language speakers, since
   their performance improved by 10.0 points. Given that underrepresented
   minority (URM) students, whose native language is not English, makes up
   a growing proportion of medical school matriculates, these observations
   support the use of lecture capture technology in other courses.
   Furthermore, this technology may also be used as part of an academic
   enrichment plan to improve performance on the American Podiatric Medical
   Licensing Examination, reduce the attrition of URM students and
   potentially address the predicted minority physician shortage in 2020.
   BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION Vol. 39, No. 6, pp. 416420,
   2011
ZB 1
TC 34
ZS 0
ZR 0
ZA 0
Z8 0
Z9 34
U1 2
U2 19
SN 1470-8175
EI 1539-3429
UT WOS:000297105000003
PM 22081545
ER

PT J
AU Smith, Colleen
   Gillham, David
   McCutcheon, Helen
   Ziaian, Tahereh
TI Scenariation: Scenario generation for online teaching in nursing and
   health sciences
SO BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 42
IS 6
BP 962
EP 972
DI 10.1111/j.1467-8535.2010.01105.x
PD NOV 2011
PY 2011
AB There are increased opportunities for online delivery innovation within
   the education sector because of rapid advances in Internet technology.
   This paper describes a unique and efficient approach to simulation
   called 'scenariation'. The scenariation project aimed to establish
   efficient processes for the development of scenariation content and
   evaluate the use of a specific scenariation nurse education module.
   Students were presented with video simulating the workplace and then
   prompted to make clinical decisions such as selecting treatment options.
   The scenariation approach was implemented with a group of 380 1st-year
   nursing students and evaluated using multifaceted online evaluation. The
   results of this qualitative evaluation highlight not just the potential
   of scenariation but also some of the difficulties associated with online
   delivery to large and diverse student groups. Students valued the
   relevance to practice and interactive nature of scenariation, but some
   reported technical difficulties. The paper concludes by extending the
   discussion of scenariation to the areas of inter-professional learning
   and the integration of scenariation with face-to-face high fidelity
   simulation.
RI Smith, Colleen/B-1758-2009; Ziaian, Tahereh/F-3745-2013
OI Smith, Colleen/0000-0002-4885-6823; Ziaian, Tahereh/0000-0003-3174-2405
TC 6
ZB 0
ZR 0
ZA 0
ZS 0
Z8 0
Z9 6
U1 1
U2 13
SN 0007-1013
EI 1467-8535
UT WOS:000296968800028
ER

PT J
AU Eloranta, A. M.
   Lindi, V.
   Schwab, U.
   Kiiskinen, S.
   Kalinkin, M.
   Lakka, H. M.
   Lakka, T. A.
TI Dietary factors and their associations with socioeconomic background in
   Finnish girls and boys 6-8 years of age: the PANIC Study
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 11
BP 1211
EP 1218
DI 10.1038/ejcn.2011.113
PD NOV 2011
PY 2011
AB Background/Objectives: To study nutrient intake, food consumption and
   meal pattern, and their associations with socioeconomic background in
   Finnish children.
   Subjects/Methods: The subjects were a population sample of 424 children
   (211 girls, 213 boys) 6-8 years of age. Nutrient intake and meal pattern
   were measured by food records, and food intake and socioeconomic
   characteristics were assessed by questionnaires.
   Results: Intakes of saturated fat, sucrose and salt were higher, and
   intakes of vitamin D, iron and fibre and unsaturated-to-saturated fat
   ratio lower than recommended. Less than 5% of children consumed
   vegetables, fruit and berries as recommended. Children with highest
   parental education more likely ate fish (odds ratio (OR) 2.20, 95%
   confidence interval (CI) 1.06-4.54), fibre-rich bread (OR 5.06, 95% CI
   1.80-14.29) and main meals (OR 2.54, 95% CI 1.34-4.83), but less likely
   used soft margarine (OR 0.43, 95% CI 0.20-0.94) as recommended than
   children with lowest parental education. Children with highest household
   income more likely consumed skimmed milk (OR 2.43, 95% CI 1.21-4.88) and
   fish (OR 2.21, 95% CI 1.12-4.36) as recommended than children with
   lowest household income. Only 34% of girls and 45% of boys ate all main
   meals daily. Snacks provided as much as 42% of total energy intake.
   Conclusions: Children do not meet recommendations in all important
   nutrients. Children from lowest socioeconomic position least likely
   consumed fish, skimmed milk and fibre-rich bread and ate main meals, but
   most likely used soft margarine as recommended. Less than half of
   children ate all main meals daily. European Journal of Clinical
   Nutrition (2011) 65, 1211-1218; doi: 10.1038/ejcn.2011.113; published
   online 22 June 2011
RI Lindi, Virpi/K-9008-2018; Eloranta, Aino-Maija/F-5170-2014; Lakka, Timo/
OI Lindi, Virpi/0000-0001-6257-7209; Lakka, Timo/0000-0002-9199-2871
ZR 0
Z8 0
TC 42
ZA 0
ZB 22
ZS 0
Z9 42
U1 0
U2 8
SN 0954-3007
EI 1476-5640
UT WOS:000296717300004
PM 21697818
ER

PT J
AU Foroudi, Farshad
   Wong, Jacky
   Kron, Tomas
   Rolfo, Aldo
   Haworth, Annetre
   Roxby, Paul
   Thomas, Jessica
   Herschtal, A.
   Pham, Daniel
   Williams, Scott
   Tai, Keen Hun
   Duchesne, Gillian
TI ONLINE ADAPTIVE RADIOTHERAPY FOR MUSCLE-INVASIVE BLADDER CANCER: RESULTS
   OF A PILOT STUDY
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 81
IS 3
BP 765
EP 771
DI 10.1016/j.ijrobp.2010.06.061
PD NOV 1 2011
PY 2011
AB Purpose: To determine the advantages and disadvantages of daily online
   adaptive image-guided radiotherapy (RT) compared with conventional RT
   for muscle-invasive bladder cancer.
   Methods and Materials: Twenty-seven patients with T2-T4 transitional
   cell carcinoma of the bladder were treated with daily online adaptive
   image-guided RT using cone-beam computed tomography (CBCT). From day 1
   daily soft tissue based isocenter positioning was performed using CBCT
   images acquired before treatment. Using a composite of the initial
   planning CT and the first five daily CBCT scans, small, medium, and
   large adaptive plans were created. Each of these adaptive plans used a
   0.5-cm clinical target volume (CTV) to planning target volume expansion.
   For Fractions 8-32, treatment involved daily soft tissue based isocenter
   positioning and selection of suitable adaptive plan of the day. Treating
   radiation therapists completed a credentialing program, and one
   radiation oncologist performed all the contouring. Comparisons were made
   between adaptive and conventional treatment on the basis of CTV coverage
   and normal tissue sparing.
   Results: All 27 patients completed treatment per protocol. Bladder
   volume decreased with time or fraction number (p < 0.0001). For the
   adaptive component (Fractions 8-32) the small, medium, large, and
   conventional plans were used in 9.8%, 49.2%, 39.5%, and 1.5% of
   fractions, respectively. For the adaptive strategy, 2.7% of occasions
   resulted in a CTV V95 <99%, compared with 4.8% of occasions for the
   conventional approach (p = 0.42). Mean volume of normal tissue receiving
   a dose >45 Gy was 29% (95% confidence interval, 24-35%) less with
   adaptive RT compared with conventional RT. The mean volume of normal
   tissue receiving >5 Gy was 15% (95% confidence interval, 11-18%) less
   with adaptive RT compared with conventional RT.
   Conclusions: Online adaptive radiotherapy is feasible in an academic
   radiotherapy center. The volume of normal tissue irradiated can be
   significantly smaller without reducing CTV coverage. (C) 2011 Elsevier
   Inc.
RI Haworth, Annette/AAV-1028-2020; Kron, Tomas/A-7217-2010; Duchesne, Gillian/
OI Haworth, Annette/0000-0003-1382-7747; Kron, Tomas/0000-0002-5189-4046;
   Duchesne, Gillian/0000-0002-2390-3451
ZA 0
ZS 0
ZB 33
TC 94
Z8 0
ZR 0
Z9 94
U1 0
U2 5
SN 0360-3016
EI 1879-355X
UT WOS:000296115500023
PM 20932678
ER

PT J
AU Kuy, SreyRam
   Greenberg, Caprice C.
   Gusani, Niraj J.
   Dimick, Justin B.
   Kao, Lillian S.
   Brasel, Karen J.
TI Health Services Research Resources for Surgeons
SO JOURNAL OF SURGICAL RESEARCH
VL 171
IS 1
BP E69
EP E73
DI 10.1016/j.jss.2011.07.005
PD NOV 2011
PY 2011
AB Background. Health services research examines how people get access to
   health care, how much care costs, and what happens to patients as a
   result of this care. Some of the challenges to conducting
   methodologically rigorous health services research as a surgeon are
   support, training, funding, acquisition of data, and resources.
   Materials and Methods. A review of support, training, funding, data, and
   organizational resources useful for surgeons interested in health
   services research, with a focus on existing online resources relevant to
   surgical health services researchers.
   Results. Opportunities for research collaboration and mentoring are
   available through the Association for Academic Surgery, Society of
   University Surgeons, American College of Surgeons and surgical specialty
   societies. Advanced training is essential to performing high-impact
   health services research and is available through private foundations
   such as the Robert Wood Johnson Clinical Scholars program, the American
   College of Surgeons Fellowship, government funded fellowships, and
   institution hosted fellowships. Funding sources for health services
   research exist through academic surgical societies, private sector, and
   government sources. A variety of data sources for health services
   research are available, with different limitations, strengths, and ease
   of accessibility. Organizational resources in health services research
   include AcademyHealth, the Health Services Research Projects in Progress
   database, and the National Library of Medicine's Health Services
   Research Resources.
   Conclusions. The resources highlighted describe some of the
   opportunities available to surgeons pursuing health services research.
   It is valuable for surgeons to tap into the available resources and
   collaborate with existing expertise to facilitate methodologically
   rigorous surgical health services research. (C) 2011 Elsevier Inc. All
   rights reserved.
RI Gusani, Niraj J/C-8171-2013; Kao, Lillian/GOV-7076-2022
OI Gusani, Niraj J/0000-0002-7695-5108; 
TC 2
ZS 0
ZB 1
ZA 0
Z8 0
ZR 0
Z9 2
U1 0
U2 3
SN 0022-4804
UT WOS:000296368000010
PM 21920545
ER

PT J
AU Gobern, Joseph M.
   Novak, Christopher M.
   Lockrow, Ernest G.
TI Survey of Robotic Surgery Training in Obstetrics and Gynecology
   Residency
SO JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
VL 18
IS 6
BP 755
EP 760
DI 10.1016/j.jmig.2011.08.004
PD NOV-DEC 2011
PY 2011
AB To examine the status of resident training in robotic surgery in
   obstetrics and gynecology programs in the United States, an online
   survey was emailed to residency program directors of 247 accredited
   programs identified through the Accreditation Council for Graduate
   Medical Education website. Eighty-three of 247 program directors
   responded, representing a 34% response rate. Robotic surgical systems
   for gynecologic procedures were used at 65 (78%) institutions. Robotic
   surgery training was part of residency curriculum at 48 (58%) residency
   programs. Half of respondents were undecided on training effectiveness.
   Most program directors believed the role of robotic surgery would
   increase and play a more integral role in gynecologic surgery. Robotic
   surgery was widely reported in residency training hospitals with limited
   availability of effective resident training. Robotic surgery training in
   obstetrics and gynecology residency needs further assessment and may
   benefit from a structured curriculum. Journal of Minimally Invasive
   Gynecology (2011) 18,755-760 Published by Elsevier Inc. on behalf of
   AAGL.
Z8 0
ZA 0
ZR 0
ZS 0
ZB 2
TC 30
Z9 30
U1 0
U2 2
SN 1553-4650
UT WOS:000296942100013
PM 22024262
ER

PT J
AU Gordon, Morris
   Findley, Rebecca
TI Educational interventions to improve handover in health care: a
   systematic review
SO MEDICAL EDUCATION
VL 45
IS 11
BP 1081
EP 1089
DI 10.1111/j.1365-2923.2011.04049.x
PD NOV 2011
PY 2011
AB CONTEXT Effective handover within the health care setting is vital to
   patient safety. Despite published literature discussing strategies to
   improve handover, the extent to which educational interventions have
   been used and how such interventions relate to the published theoretical
   models of handover remain unclear. These issues were investigated
   through a systematic review of the literature.
   METHODS Any studies involving educational interventions to improve
   handover amongst undergraduate or postgraduate doctors or nurses were
   considered. A standardised search of online databases was carried out
   independently by both authors and consensus reached on the inclusion of
   studies. Data extraction and quality assessment were also completed
   independently, after which a content analysis of interventions was
   conducted and key themes extracted.
   RESULTS Ten studies met the inclusion criteria. Nine studies reported
   outcomes demonstrating improved attitudes or knowledge and skills, and
   one demonstrated transfer of skills to the workplace. Amongst the
   included studies, the strength of conclusions was variable. Poor
   reporting of interventions impeded replication. Analysis of available
   content revealed themes in three major areas: teamwork and leadership;
   professional responsibility with regard to error prevention, and
   information management systems. Methods used included exercises based on
   simulation and role- play, and group discussions or lectures focused on
   errors and patient safety.
   CONCLUSIONS There is a paucity of research describing educational
   interventions to improve handover and assessing their effectiveness. The
   quality of published studies is generally poor. Some evidence exists to
   demonstrate that skills can be transferred to the workplace, but none
   was found to demonstrate that interventions improve patient safety.
OI Gordon, Morris/0000-0002-1216-5158
Z8 0
ZA 0
ZS 4
ZR 0
TC 102
ZB 11
Z9 104
U1 0
U2 32
SN 0308-0110
EI 1365-2923
UT WOS:000296437100005
PM 21933243
ER

PT J
AU Underhill, Meghan L.
   Dickerson, Suzanne S.
TI Engaging in Medical Vigilance: Understanding the Personal Meaning of
   Breast Surveillance
SO ONCOLOGY NURSING FORUM
VL 38
IS 6
BP 686
EP 694
DI 10.1188/11.ONF.686-694
PD NOV 2011
PY 2011
AB Purpose/Objectives: To explore how women with a hereditary risk of
   breast cancer experience living with and managing that risk through
   surveillance.
   Research Approach: Hermeneutic phenomenology guided the qualitative
   research design.
   Setting: The Facing Our Risk of Cancer Empowered online organization.
   Participants: 9 women undergoing breast surveillance for hereditary
   breast cancer risk recruited through purposive sampling.
   Methodologic Approach: Data were collected through semistructured
   interviews lasting about an hour. A team approach guided data analysis
   of transcribed interview text based on a modified Diekelman, Allen, and
   Tanner method.
   Main Research Variables: Lived experience and personal meaning of
   hereditary breast cancer risk and surveillance.
   Findings: Hereditary risk of breast cancer involves a change in one's
   view of life and necessitates engaging in medical vigilance, often
   making these women feel ill when they are otherwise healthy. Most have
   personal family experiences of cancer and value surveillance, although
   they live with the "what if" of a cancer diagnosis when waiting for
   surveillance results. All women discussed a need for accurate
   information, support, and guidance from healthcare providers.
   Conclusions: Women became their own experts at living with and managing
   hereditary breast cancer risk. Experiences and interactions within the
   healthcare system influenced the meaning of breast surveillance.
   Interpretation: Nurses should be aware of the high level of knowledge
   among women living with hereditary risk and respect their knowledge by
   providing accurate and informed care. That can occur only through proper
   education of nurses and all healthcare professionals working with women
   at risk for hereditary breast cancer so that they understand current
   standards of care and how hereditary breast cancer risk-is defined and
   managed.
OI Underhill-Blazey, Meghan/0000-0002-1433-5915
ZR 0
TC 8
ZB 0
Z8 0
ZS 0
ZA 0
Z9 8
U1 2
U2 9
SN 0190-535X
EI 1538-0688
UT WOS:000296933100010
PM 22037331
ER

PT J
AU Robson, Jean
   de Wet, Carl
   McKay, John
   Bowie, Paul
TI Do we know what foundation year doctors think about patient safety
   incident reporting? Development of a web based tool to assess attitude
   and knowledge
SO POSTGRADUATE MEDICAL JOURNAL
VL 87
IS 1033
BP 750
EP 756
DI 10.1136/pgmj.2011.117366
PD NOV 2011
PY 2011
AB Background Making healthcare safer is an international priority. Patient
   safety modules are now taught in medical schools, and methods to assess
   related student knowledge and attitudes have been developed. However,
   little is known about the attitudes and knowledge which foundation
   doctors are developing to patient safety and incident reporting in the
   healthcare workplace, since a specific assessment tool appears to be
   lacking.
   Aims To develop, content validate and pilot test an online questionnaire
   survey to elicit foundation doctors' knowledge and experience of patient
   safety and incident reporting, and assess related attitudes and
   behaviours.
   Methods Questionnaire content validity was facilitated through: a
   steering group; literature review; feedback from foundation year doctors
   and consultant staff; a modified Delphi group; and completion of a
   content validity index by experts. In 2010 a cross-sectional online
   survey of 110 foundation year 1 and 2 doctors was then undertaken in
   three Scottish NHS board areas, utilising the developed 25 item
   questionnaire.
   Results The questionnaire was validated, and piloted among 69 foundation
   year doctors who responded to the questionnaire. The pilot has provided
   valuable insights into trainee attitudes and experience. For example, 32
   (48%) believed that most safety incidents were due to things that they
   could not do anything about; and 31 (43%) admitted to being involved in
   medication errors which were not formally reported.
   Conclusions The pilot study was successful in taking the first steps to
   developing a validated survey questionnaire for a key staff group,
   foundation year doctors, in a priority area. However, the findings raise
   concerns about trainee experience of and attitudes to reporting, and the
   frequency with which incidents go unreported.
ZS 0
ZR 0
TC 9
ZB 1
ZA 0
Z8 0
Z9 9
U1 0
U2 4
SN 0032-5473
UT WOS:000296728400004
PM 21803929
ER

PT J
AU Seden, Kay
   Back, David
TI Directly acting antivirals for hepatitis C and antiretrovirals:
   potential for drug-drug interactions
SO CURRENT OPINION IN HIV AND AIDS
VL 6
IS 6
BP 514
EP 526
DI 10.1097/COH.0b013e32834b54dc
PD NOV 2011
PY 2011
AB Purpose of review
   Boceprevir and telaprevir are directly acting antivirals (DAAs) that
   have recently been licensed for treatment of hepatitis C virus (HCV)
   infection. Data in both untreated and previously treated patients
   indicate a significantly increased sustained virological response (SVR)
   compared with that observed with conventional therapy. However, the
   advent of DAA therapy poses specific challenges for HCV treatment in
   terms of managing drug-drug interactions (DDIs). This review aims to
   provide a comprehensive summary of DDI with the recently licensed DAAs,
   including pharmacokinetic data and current recommendations made by the
   manufacturers and with particular reference to antiretrovirals.
   Potential for DDIs with the DAAs in clinical development and the
   mechanisms of interaction are also discussed.
   Recent findings
   Targeted pharmacokinetic drug interaction studies have demonstrated that
   both boceprevir and telaprevir are potent inhibitors of the metabolic
   enzyme cytochrome P4503A4, making them perpetrators of interactions with
   co-administered medications which are metabolized by this enzyme. In
   addition, co-administered medications may affect plasma levels of
   boceprevir and telaprevir via various mechanisms, some of which remain
   to be fully elucidated.
   Summary
   As a result of DDIs, the concomitant use of some medicines with DAA will
   be contraindicated, whereas other combinations may require caution,
   monitoring, or dose modification of the co-administered drug. Management
   of DDIs with these novel agents will pose a new challenge, and
   prescriber awareness of the potential for DDIs is fundamental for safe
   prescribing. Online resources are likely to play a key role in
   prescriber education and clinical decision-making.
OI Seden, Kay/0000-0001-6612-7344
Z8 0
ZS 2
ZB 18
ZA 0
ZR 0
TC 36
Z9 38
U1 0
U2 1
SN 1746-630X
EI 1746-6318
UT WOS:000296360000011
PM 22001895
ER

PT J
AU Singh, Daram G.
   Boudville, Neil
   Corderoy, Robert
   Ralston, Sue
   Tait, Clare P.
TI Impact on the dermatology educational experience of medical students
   with the introduction of online teaching support modules to help address
   the reduction in clinical teaching
SO AUSTRALASIAN JOURNAL OF DERMATOLOGY
VL 52
IS 4
BP 264
EP 269
DI 10.1111/j.1440-0960.2011.00804.x
PD NOV 2011
PY 2011
AB Background/Objectives: With increasing medical student numbers and
   decreasing clinical teaching opportunities, there has been a need to
   develop alternative learning resources. The aim of this study was to
   examine the effectiveness of a new dermatology online teaching resource,
   from a student perspective.
   Methods: The Australasian College of Dermatologists developed an
   undergraduate dermatology curriculum and subsequently created online
   teaching modules in partnership with the University of Sydney. These
   modules were introduced to final year medical students at the University
   of Western Australia in 2010. The dermatology learning experiences of
   these 142 students were compared with the 2009 medical student cohort
   who did not have access to this resource. A self-administered
   questionnaire, with a 5-point rating scale, was used.
   Results: The 2010 cohort described an improved educational experience
   using the online modules. Despite a reduction in the number of clinics
   attended, knowledge and skills gained were scored higher among the 2010
   cohort. The student's confidence in their ability to manage common
   dermatological conditions was also statistically higher in the cohort
   with the online teaching resource. The learning experience for
   dermatology compared to other sub-specialty teaching in medical school
   was ranked as a significantly more positive experience in the 2010
   cohort.
   Conclusions: Our results suggest that the introduction of the online
   modules described in this paper to support learning have improved the
   perceived educational experience of medical students and should be
   incorporated as a way to improve student teaching in the face of reduced
   clinic teaching.
RI Boudville, Neil/H-8864-2014; Tait, Clare/; Boudville, Neil/
OI Tait, Clare/0000-0002-3391-3127; Boudville, Neil/0000-0002-5884-640X
Z8 0
ZR 0
ZS 0
ZB 0
TC 24
ZA 0
Z9 24
U1 0
U2 6
SN 0004-8380
UT WOS:000296895700044
PM 22070700
ER

PT J
AU Desai, Tejas
   Christiano, Cynthia
   Ferris, Maria
TI Understanding the mobile internet to develop the next generation of
   online medical teaching tools
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 18
IS 6
BP 875
EP 878
DI 10.1136/amiajnl-2011-000259
PD NOV 2011
PY 2011
AB Healthcare providers (HCPs) use online medical information for
   self-directed learning and patient care. Recently, the mobile internet
   has emerged as a new platform for accessing medical information as it
   allows mobile devices to access online information in a manner
   compatible with their restricted storage. We investigated mobile
   internet usage parameters to direct the future development of mobile
   internet teaching websites. Nephrology On-Demand Mobile (NODM)
   (http://www.nephrologyondemand.org) was made accessible to all mobile
   devices. From February 1 to December 31, 2010, HCP use of NODM was
   tracked using code inserted into the root files. Nephrology On-Demand
   received 15 258 visits, of which approximately 10% were made to NODM,
   with the majority coming from the USA. Most access to NODM was through
   the Apple iOS family of devices and cellular connections were the most
   frequently used. These findings provide a basis for the future
   development of mobile nephrology and medical teaching tools.
RI Maria, Ferris E/A-5143-2012; Christiano, Cynthia/
OI Maria, Ferris E/0000-0003-1694-886X; Christiano,
   Cynthia/0000-0002-0547-8359
ZA 0
ZS 0
ZR 0
TC 4
Z8 0
ZB 0
Z9 4
U1 0
U2 12
SN 1067-5027
EI 1527-974X
UT WOS:000296491600022
PM 21659443
ER

PT J
AU Kelley, Robin K.
   Wang, Grace
   Venook, Alan P.
TI Biomarker Use in Colorectal Cancer Therapy
SO JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK
VL 9
IS 11
BP 1293
EP 1302
DI 10.6004/jnccn.2011.0105
PD NOV 2011
PY 2011
AB Biomarkers reflective of the molecular and genetic heterogeneity in
   colorectal cancers now guide certain aspects of clinical management and
   offer great potential for enrichment, stratification, and identification
   of novel therapeutic targets in drug development. Using case-based
   examples, this article reviews biomarkers that have an established role
   in the clinical management of colorectal cancer: mismatch repair protein
   testing and KRAS and BRAF mutational analysis. A selection of biomarkers
   undergoing validation for future clinical application is presented, and
   the dynamic and challenging interface between biomarkers in research and
   clinical practice is discussed. (JNCCN 2011;9:1293-1303)
ZA 0
ZS 0
ZR 1
ZB 19
Z8 0
TC 28
Z9 30
U1 0
U2 8
SN 1540-1405
EI 1540-1413
UT WOS:000296853400006
PM 22056657
ER

PT J
AU Abrams, Gina Baral
   Kolligian, John, Jr.
   Mills, Douglas Lane
   DeJong, William
TI Failure of College Students to Complete an Online Alcohol Education
   Course as a Predictor of High-Risk Drinking That Requires Medical
   Attention
SO AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE
VL 37
IS 6
BP 515
EP 519
DI 10.3109/00952990.2011.600383
PD NOV 2011
PY 2011
AB Background: AlcoholEdu (R) for College and other computer-based
   education programs have been developed to reduce alcohol use and related
   problems among students. Objectives: This study investigated whether the
   failure of incoming first-year students to complete AlcoholEdu predicts
   future high-risk drinking that requires medical attention. Methods: A
   review of clinical records kept by a single university's health service
   identified 684 undergraduates (classes of 2007-2011) who had presented
   for an alcohol event (September 2003 through June 2008). We used
   survival analysis to determine whether students who partially completed
   the course or failed to take it were disproportionately represented
   among student patients who presented with elevated blood alcohol
   concentration (BAC). Results: Students who failed to take the online
   course were 4.64 times more likely than those who completed it to
   experience an alcohol event (p < .0001), while those students who had
   partially completed the course were 1.52 times more likely (p < .0001).
   Amount of online alcohol education and gender were not significantly
   related to students' measured BAC level. Conclusion: Students who had
   completed AlcoholEdu were less likely to present for an alcohol event
   than were students who partially completed or failed to take the course.
   Campus administrators should consider whether students who fail to
   complete an online alcohol course should be flagged for more focused
   interventions (e. g., brief motivational interview, mandatory education
   classes). Scientific Significance: This is the first study to show a
   relationship between first-year college students' non-completion of an
   online alcohol course and subsequent high-risk drinking that requires
   medical attention.
OI DeJong, William/0000-0003-4964-0466
ZA 0
Z8 0
ZR 0
ZB 2
TC 6
ZS 0
Z9 6
U1 0
U2 3
SN 0095-2990
EI 1097-9891
UT WOS:000295884600006
PM 21846304
ER

PT J
AU Postel, Marloes G.
   de Haan, Hein A.
   ter Huurne, Elke D.
   Becker, Eni S.
   de Jong, Cor A. J.
TI Characteristics of Problem Drinkers in E-therapy versus Face-to-Face
   Treatment
SO AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE
VL 37
IS 6
BP 537
EP 542
DI 10.3109/00952990.2011.600388
PD NOV 2011
PY 2011
AB Background: The availability of online treatment programs offers the
   potential to reach more problem drinkers. This study compared the client
   populations of an e-therapy program (asynchronous client-therapist
   communication via the Internet) and a face-to-face treatment program.
   Objective: To determine whether e-therapy and face-to-face groups
   differed from each other and changed over time. Methods: We compared the
   baseline characteristics of four naturalistic groups (N = 4593): two
   e-therapy groups (2005-2006 and 2008-2009) and two consecutive series of
   ambulant face-to-face clients admitted for treatment as usual. The
   characteristics we were interested in were gender, age, education level,
   working situation, and earlier treatment for drinking problems. Results:
   The results showed that the baseline characteristics of e-therapy and
   face-to-face clients differed by gender, education level, work
   situation, prior alcohol treatment, and age. We also found that both
   e-therapy groups differed over time by gender, work situation, and prior
   alcohol treatment. Conclusions: The e-therapy program successfully
   attracted clients who were different from those who were represented in
   regular face-to-face alcohol treatment services. This indicates that
   e-therapy decreases the barriers to treatment facilities and enhances
   the accessibility. However, the e-therapy population changed over time.
   Although the e-therapy program still reached an important new group of
   clients in 2008-2009, this group showed more overlap with the
   traditional face-to-face group of clients probably as a result of
   improved acceptance of e-therapy in the general population. Scientific
   Significance: Although e-therapy seems to be better accepted in the
   general population, anonymous treatment seems necessary to reach a
   broader range of problem drinkers.
RI DeJong, Cornelis A.J./G-3957-2012; Becker, Eni S/A-2668-2010; ter Huurne, Elke/; Postel, Marloes/
OI Becker, Eni S/0000-0003-3524-426X; ter Huurne, Elke/0000-0002-9489-6770;
   Postel, Marloes/0000-0002-4027-6867
TC 10
ZA 0
ZB 2
ZS 0
ZR 0
Z8 0
Z9 10
U1 0
U2 9
SN 0095-2990
UT WOS:000295884600010
PM 21797813
ER

PT J
AU Phelps, Andrew
   Naeger, David M.
   MacKenzie, John
   Qayyum, Aliya
TI Educating Radiology Residents in the New Era: Implementation and
   Evaluation of Online End-of-Rotation Examinations
SO ACADEMIC RADIOLOGY
VL 18
IS 11
BP 1442
EP 1446
DI 10.1016/j.acra.2011.07.005
PD NOV 2011
PY 2011
AB Rationale and Objectives: The aim of this report is to describe
   preliminary experience with an educational tool implemented to improve
   radiology education and documentation, in anticipation of upcoming
   changes from the American Board of Radiology and the Accreditation
   Council for Graduate Medical Education.
   Materials and Methods: Monthly online end-of-rotation examinations were
   developed for junior radiology residents. Examinations were administered
   over a period of 6 months, after which satisfaction surveys were
   administered to residents and faculty members.
   Results: Satisfaction with end-of-rotation examinations was high for
   residents and faculty members, but the level of resident satisfaction
   was not statistically different when compared to that of residents who
   had taken fewer examinations.
   Conclusions: End-of-rotation examinations are relatively straightforward
   to implement and facilitate recurring, structured, and meaningful
   resident evaluation and feedback. Future studies will explore whether
   examinations such as these result in improved clinical competency.
OI Naeger, David/0000-0002-1884-280X
ZS 0
ZR 0
ZB 0
ZA 0
TC 5
Z8 0
Z9 5
U1 0
U2 2
SN 1076-6332
EI 1878-4046
UT WOS:000296042800015
PM 21971261
ER

PT J
AU Promberger, Marianne
   Brown, Rebecca C. H.
   Ashcroft, Richard E.
   Marteau, Theresa M.
TI Acceptability of financial incentives to improve health outcomes in UK
   and US samples
SO JOURNAL OF MEDICAL ETHICS
VL 37
IS 11
BP 682
EP 687
DI 10.1136/jme.2010.039347
PD NOV 2011
PY 2011
AB In an online study conducted separately in the UK and the US,
   participants rated the acceptability and fairness of four interventions:
   two types of financial incentives (rewards and penalties) and two types
   of medical interventions (pills and injections). These were stated to be
   equally effective in improving outcomes in five contexts: (a) weight
   loss and (b) smoking cessation programmes, and adherence in treatment
   programmes for (c) drug addiction, (d) serious mental illness and (e)
   physiotherapy after surgery. Financial incentives (weekly rewards and
   penalties) were judged less acceptable and to be less fair than medical
   interventions (weekly pill or injection) across all five contexts.
   Context moderated the relative preference between rewards and penalties:
   participants from both countries favoured rewards over penalties in
   weight loss and treatment for serious mental illness. Only among US
   participants was this relative preference moderated by perceived
   responsibility of the target group. Overall, participants supported
   funding more strongly for interventions when they judged members of the
   target group to be less responsible for their condition, and vice versa.
   These results reveal a striking similarity in negative attitudes towards
   the use of financial incentives, rewards as well as penalties, in
   improving outcomes across a range of contexts, in the UK and the USA.
   The basis for such negative attitudes awaits further study.
OI Marteau, Theresa/0000-0003-3025-1129
Z8 0
ZR 0
ZA 0
ZS 1
ZB 21
TC 64
Z9 65
U1 0
U2 8
SN 0306-6800
UT WOS:000296202900010
PM 21670321
ER

PT J
AU Bandukwala, Taha
   Arora, Sourabh
   Athreya, Sriharsha
TI Net Assets: Review of Online Radiology Resources. Part I. Educational
   Resources
SO RADIOLOGY
VL 261
IS 2
BP 350
EP 356
DI 10.1148/radiol.11101426
PD NOV 2011
PY 2011
ZR 0
ZS 0
ZA 0
ZB 1
Z8 0
TC 9
Z9 9
U1 0
U2 1
SN 0033-8419
UT WOS:000296524600005
PM 22012902
ER

PT J
AU Roux, X.
   Puyade, M.
   Aumaitre, O.
CA Amicale Jeunes Internistes
TI Training in internal medicine: The young internists' point of view
SO REVUE DE MEDECINE INTERNE
VL 32
IS 11
BP 714
EP 716
DI 10.1016/j.revmed.2011.07.006
PD NOV 2011
PY 2011
AB In France, internal medicine is a speciality obtained after 5 years of
   theoretical and practical training, often completed by additional years.
   The last version of the official training program was released in 2004
   and was characterised by its polyvalence. After the reform of medical
   studies was announced, the French young internists group decided to
   carry out a survey in order to know the vision of the young internist
   about their initial theoretical and practical training. This survey was
   done online using a questionnaire from February 10th to April 8th, 2010.
   One hundred and twenty-three young internists under training completed
   the questionnaire. The results showed that a high number of trainees
   chose a subspeciality and took a complementary training afterwards.
   About 63% of them would rather have more theoretical training through
   lectures (72%) and oral presentations (58%). Eighty-eight per cent of
   young internists would rather have a national frame of reference with a
   common training program. According to 73% of the young internists who
   completed the survey, the practical training is adapted but 95% of them
   would like to be given the opportunity to have some consultation during
   their initial training. Seventy-nine per cent of the young internists
   seem to be interested in the clinical research but most of them (89%)
   think to be not well trained enough to do it. (C) 2011 Societe nationale
   francaise de medecine interne (SNFMI). Published by Elsevier Masson SAS.
   All rights reserved.
RI Roux, Xavier/AAQ-6414-2021; Puyade, Mathieu/AGK-5305-2022; roux, xavier/Y-9661-2019
OI Puyade, Mathieu/0000-0002-5639-0138; 
Z8 0
ZB 0
TC 4
ZR 0
ZS 0
ZA 0
Z9 4
U1 0
U2 4
SN 0248-8663
UT WOS:000297180000012
PM 21852024
ER

PT J
AU Lagasse, Lisa P.
   Rimal, Rajiv N.
   Smith, Katherine C.
   Storey, J. Douglas
   Rhoades, Elizabeth
   Barnett, Daniel J.
   Omer, Saad B.
   Links, Jonathan
TI How Accessible Was Information about H1N1 Flu? Literacy Assessments of
   CDC Guidance Documents for Different Audiences
SO PLOS ONE
VL 6
IS 10
AR e23583
DI 10.1371/journal.pone.0023583
PD OCT 25 2011
PY 2011
AB We assessed the literacy level and readability of online communications
   about H1N1/09 influenza issued by the Centers for Disease Control and
   Prevention (CDC) during the first month of outbreak. Documents were
   classified as targeting one of six audiences ranging in technical
   expertise. Flesch-Kincaid (FK) measure assessed literacy level for each
   group of documents. ANOVA models tested for differences in FK scores
   across target audiences and over time. Readability was assessed for
   documents targeting non-technical audiences using the Suitability
   Assessment of Materials (SAM). Overall, there was a main-effect by
   audience, F(5, 82) = 29.72, P<.001, but FK scores did not vary over
   time, F(2, 82) = .34, P>.05. A time-by-audience interaction was
   significant, F(10, 82) = 2.11, P<.05. Documents targeting non-technical
   audiences were found to be text-heavy and densely-formatted. The
   vocabulary and writing style were found to adequately reflect audience
   needs. The reading level of CDC guidance documents about H1N1/09
   influenza varied appropriately according to the intended audience;
   sub-optimal formatting and layout may have rendered some text difficult
   to comprehend.
RI Omer, Saad B/K-1182-2012; Barnett, Daniel/
OI Omer, Saad B/0000-0002-5383-3474; Barnett, Daniel/0000-0003-1382-6197
Z8 0
TC 29
ZR 0
ZB 3
ZA 0
ZS 1
Z9 29
U1 0
U2 11
SN 1932-6203
UT WOS:000296517000002
PM 22039401
ER

PT J
AU Schopf, Thomas
   Flytkjaer, Vibeke
TI Doctors and nurses benefit from interprofessional online education in
   dermatology
SO BMC MEDICAL EDUCATION
VL 11
AR 84
DI 10.1186/1472-6920-11-84
PD OCT 14 2011
PY 2011
AB Background: Benefits of online learning in the health sector have been
   demonstrated in previous studies. We examined the potential benefits of
   a joint web-based curriculum on atopic eczema for health personnel.
   Methods: Enrolled doctors and nurses had access to the curriculum for 8
   weeks. After the course learners completed a questionnaire. Two
   dermatologists rated the quality of the submitted homework assignments.
   Based on data from the project's budget and the Norwegian Medical
   Association, we estimated the saved travel expenses.
   Results: Eighty-eight learners (46 doctors) registered for the course.
   We received 55 questionnaires (response rate 63%). Twenty-seven learners
   (31%; 16 doctors, 11 nurses; chi(2) = 0.03; P = 0.87) used the
   discussion forum. We found no significant differences in the total
   questionnaire scores between doctors and nurses. The homework
   assignments were given an average score of 3.6 for doctors and 3.5 for
   nurses (P = 0.8) by rater 1. Rater 2 scored 3.9 and 3.6 for doctors and
   nurses respectively (P = 0.2). The break-even between travel/hotel
   expenses and course development costs occurred at 135 saved travel
   refund applications.
   Conclusions: Doctors and nurses were equally satisfied with a joint
   web-based course on atopic eczema. The use of an online discussion forum
   was limited but similar between doctors and nurses. There were no
   significant differences in the quality of submitted homework
   assignments. The cost of developing the course was 716 841 NOK and the
   first 86 learners saved 455 198 NOK in travel expenses.
ZS 0
ZR 0
ZB 1
Z8 0
ZA 0
TC 8
Z9 8
U1 0
U2 6
EI 1472-6920
UT WOS:000296777200001
PM 21999114
ER

PT J
AU Jansen, L.
   Hoffmeister, M.
   Chang-Claude, J.
   Brenner, H.
   Arndt, V.
TI Benefit finding and post-traumatic growth in long-term colorectal cancer
   survivors: prevalence, determinants, and associations with quality of
   life
SO BRITISH JOURNAL OF CANCER
VL 105
IS 8
BP 1158
EP 1165
DI 10.1038/bjc.2011.335
PD OCT 11 2011
PY 2011
AB BACKGROUND: As research on quality of life of colorectal cancer (CRC)
   survivors has mainly focused on downsides of cancer survivorship, the
   aim of this study is to investigate benefit finding (BF) and
   post-traumatic growth (PTG) in long-term CRC survivors.
   METHODS: Benefit finding, PTG, and quality of life were assessed 5 years
   after diagnosis in a population-based cohort of 483 CRC patients using
   the benefit finding scale, the post-traumatic growth inventory, and the
   EORTC QLQ-C30. Prevalence of BF and PTG, determinants of
   moderate-to-high BF and PTG, and the association between BF, PTG, and
   quality of life were investigated.
   RESULTS: Moderate to high levels of BF and PTG were experienced by 64%
   and 46% of the survivors, respectively. Survivors with the highest level
   of education and with higher depression scores reported less BF and PTG.
   The PTG increased with increasing stage and self-reported burden of
   diagnosis. Quality of life only correlated weakly with PTG (Pearson's r
   = 0.1180, P = 0.0112) and not with BF (r = 0.0537, P = 0.2456).
   CONCLUSION: Many long-term CRC survivors experience BF and PTG. As these
   constructs were not strongly correlated with quality of life, focusing
   solely on quality of life after cancer misses an important aspect of
   survivorship. British Journal of Cancer (2011) 105, 1158-1165.
   doi:10.1038/bjc.2011.335 www.bjcancer.com Published online 30 August
   2011 (C) 2011 Cancer Research UK
RI Brenner, Hermann/ABE-6383-2020; Hoffmeister, Michael/T-7187-2019; Arndt, Volker/B-4999-2014; /AAM-5330-2020; Brenner, Hermann/B-4627-2017; Arndt, Volker/AAI-7282-2020; Hoffmeister, Michael/AAB-2321-2022; Jansen, Lina/D-7255-2016; Hoffmeister, Michael/B-5745-2012
OI Brenner, Hermann/0000-0002-6129-1572; Hoffmeister,
   Michael/0000-0002-8307-3197; Arndt, Volker/0000-0001-9320-8684; Brenner,
   Hermann/0000-0002-6129-1572; Arndt, Volker/0000-0001-9320-8684;
   Hoffmeister, Michael/0000-0002-8307-3197; Jansen,
   Lina/0000-0001-8004-4940; Hoffmeister, Michael/0000-0002-8307-3197
ZB 16
ZR 0
TC 96
ZS 0
ZA 0
Z8 1
Z9 97
U1 0
U2 30
SN 0007-0920
EI 1532-1827
UT WOS:000296144900009
PM 21878935
ER

PT J
AU Escudier, M. P.
   Newton, T. J.
   Cox, M. J.
   Reynolds, P. A.
   Odell, E. W.
TI University students' attainment and perceptions of computer delivered
   assessment; a comparison between computer-based and traditional tests in
   a 'high-stakes' examination
SO JOURNAL OF COMPUTER ASSISTED LEARNING
VL 27
IS 5
BP 440
EP 447
DI 10.1111/j.1365-2729.2011.00409.x
PD OCT 2011
PY 2011
AB This study compared higher education dental undergraduate student
   performance in online assessments with performance in traditional
   paper-based tests and investigated students' perceptions of the fairness
   and acceptability of online tests, and showed performance to be
   comparable. The project design involved two parallel cross-over trials,
   one in Year 3 (n = 132) of the dental curriculum, one in Year 5 (n =
   134). A total of 266 students undertook related tests of the same
   knowledge base in both online and traditional paper formats. Order of
   presentation of the test form was randomized. One hundred and thirty-two
   students in Year 3 additionally completed questions concerning their
   perceptions of the acceptability and fairness of the online examination
   process. Focus group discussions were held with groups of students (n =
   30) from both Year 3 and 5 to explore their perceptions of the online
   format. The online tests were created using the commercial software
   package MaxExam (Bristol, UK). The results were analysed using repeated
   measures analysis of variance (ANOVA) with the order of presentation
   being entered as a variable in the analysis. The results of the study
   showed that for both Years 3 and 5 students there was a high degree of
   consistency in performance between the two versions of the tests,
   although a minority of students performed better in the online version
   of the test. Over 70% of students rated the online test as acceptable,
   and 90% felt that the online format did not disadvantage them even in a
   'high-stakes' situation. From these results, we conclude that online
   assessment does not confer any disadvantage to students. Students
   perceive such assessment to be both fair and acceptable, and to have
   some advantages over the traditional paper-based methods of assessment.
RI Newton, Jonathon T/B-7015-2009; odell, edward w/E-9920-2012; Newton, Jonathon Timothy/; Reynolds, Patricia/; Cox, Margaret/
OI odell, edward w/0000-0001-8435-0048; Newton, Jonathon
   Timothy/0000-0003-4082-6942; Reynolds, Patricia/0000-0002-9185-4161;
   Cox, Margaret/0000-0002-7002-808X
TC 17
ZA 0
ZB 0
ZR 0
ZS 0
Z8 0
Z9 17
U1 0
U2 28
SN 0266-4909
UT WOS:000295004900006
ER

PT J
AU Gupta, Samir
   Wan, Flora T.
   Newton, David
   Bhattacharyya, Onil K.
   Chignell, Mark H.
   Straus, Sharon E.
TI WikiBuild: A New Online Collaboration Process For Multistakeholder Tool
   Development and Consensus Building
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 4
AR e108
DI 10.2196/jmir.1833
PD OCT-DEC 2011
PY 2011
AB Background: Production of media such as patient education tools requires
   methods that can integrate multiple stakeholder perspectives. Existing
   consensus techniques are poorly suited to design of visual media, can be
   expensive and logistically demanding, and are subject to caveats arising
   from group dynamics such as participant hierarchies.
   Objective: Our objective was to develop a method that enables
   multistakeholder tool building while averting these difficulties.
   Methods: We developed a wiki-inspired method and tested this through the
   collaborative design of an asthma action plan (AAP). In the development
   stage, we developed the Web-based tool by (1) establishing AAP content
   and format options, (2) building a Web-based application capable of
   representing each content and format permutation, (3) testing this tool
   among stakeholders, and (4) revising this tool based on stakeholder
   feedback. In the wiki stage, groups of participants used the revised
   tool in three separate 1-week "wiki" periods during which each group
   collaboratively authored an AAP by making multiple online selections.
   Results: In the development stage, we recruited 16 participants (9/16
   male) (4 pulmonologists, 4 primary care physicians, 3 certified asthma
   educators, and 5 patients) for system testing. The mean System Usability
   Scale (SUS) score for the tool used in testing was 72.2 (SD 10.2). In
   the wiki stage, we recruited 41 participants (15/41 male) (9
   pulmonologists, 6 primary care physicians, 5 certified asthma educators,
   and 21 patients) from diverse locations. The mean SUS score for the
   revised tool was 75.9 (SD 19.6). Users made 872, 466, and 599 successful
   changes to the AAP in weeks 1, 2, and 3, respectively. The site was used
   actively for a mean of 32.0 hours per week, of which 3.1 hours per week
   (9.7%) constituted synchronous multiuser use (2-4 users at the same
   time). Participants averaged 23 (SD 33) minutes of login time and made
   7.7 (SD 15) changes to the AAP per day. Among participants, 28/35 (80%)
   were satisfied with the final AAP, and only 3/34 (9%) perceived
   interstakeholder group hierarchies.
   Conclusion: Use of a wiki-inspired method allowed for effective
   collaborative design of content and format aspects of an AAP while
   minimizing logistical requirements, maximizing geographical
   representation, and mitigating hierarchical group dynamics. Our method
   faced unique software and hardware challenges, and raises certain
   questions regarding its effect on group functioning. Potential uses of
   our method are broad, and further studies are required.
RI Chignell, Mark/AAQ-8314-2020; Newton, David/
OI Chignell, Mark/0000-0001-8120-6905; Newton, David/0000-0001-9680-2726
TC 30
ZA 0
ZS 0
ZR 0
ZB 5
Z8 0
Z9 30
U1 0
U2 14
SN 1438-8871
UT WOS:000299313300047
PM 22155694
ER

PT J
AU Paul, Christine Louise
   Carey, Mariko Leanne
   Hall, Alix Edna
   Lynagh, Marita Clare
   Sanson-Fisher, Robert W.
   Henskens, Frans Alexander
TI Improving Access to Information and Support for Patients With Less
   Common Cancers: Hematologic Cancer Patients' Views About Web-Based
   Approaches
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 4
AR e112
DI 10.2196/jmir.1894
PD OCT-DEC 2011
PY 2011
AB Background: Meeting the psychosocial needs of vulnerable groups such as
   cancer survivors remains an ongoing challenge. This is particularly so
   for those who have less access to the usual forms of medical specialist
   and in-person support networks. Internet-based approaches offer an
   opportunity to better meet patients' information and support needs by
   overcoming the barrier of geographic isolation.
   Objective: The aim of the study was to assess the reported level of
   access to the Internet, preferred sources of information, and preferred
   sources of support among survivors of hematologic cancers.
   Method: A population-based, Australian state cancer registry invited
   eligible survivors to complete a survey about psychosocial needs,
   including items measuring Internet access and patterns of use. Of the
   732 eligible survivors invited to participate, 268 (36.6%) completed and
   returned the pen-and-paper-based survey.
   Results: The majority of participants (186/254, 73.2%) reported a high
   level of access to the Internet, with higher Internet access associated
   with a higher level of education, larger household, younger age, and
   being married or employed. A total of 62.2% (156/251) of survivors
   indicated they were likely to use the Internet for accessing
   information, with the percentage much lower (69/251, 28%) for accessing
   support via the Internet. Likelihood of using the Internet for support
   was associated with feeling anxious and being employed.
   Conclusions: While the Internet appears to offer promise in increasing
   equitable access to information and support for cancer survivors for
   both metropolitan and regional areas, it is viewed less favorably for
   support and by particular subgroups (eg, older people and those without
   a university degree) within the survivor population. Promoting greater
   understanding of this mode of support may be required to achieve its
   potential. Information and support options other than Web-based
   approaches may continue to be needed by vulnerable groups of cancer
   survivors.
RI HALL, ALIX/AAX-8626-2021; LYNAGH, MARITA/G-6984-2013; CAREY, MARIKO/ABC-2842-2021; Sanson-Fisher, Rob/; Henskens, Frans/
OI HALL, ALIX/0000-0002-1043-6110; CAREY, MARIKO/0000-0002-0549-1115;
   Sanson-Fisher, Rob/0000-0001-6022-2949; Henskens,
   Frans/0000-0003-2358-5630
ZR 0
TC 18
Z8 1
ZB 2
ZS 0
ZA 0
Z9 19
U1 0
U2 6
SN 1438-8871
UT WOS:000299313300034
PM 22189354
ER

PT J
AU Wangberg, Silje C.
   Nilsen, Olav
   Antypas, Konstantinos
   Gram, Inger Torhild
TI Effect of Tailoring in an Internet-Based Intervention for Smoking
   Cessation: Randomized Controlled Trial
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 4
AR e121
DI 10.2196/jmir.1605
PD OCT-DEC 2011
PY 2011
AB Background: Studies suggest that tailored materials are superior to
   nontailored materials in supporting health behavioral change. Several
   trials on tailored Internet-based interventions for smoking cessation
   have shown good effects. There have, however, been few attempts to
   isolate the effect of the tailoring component of an Internet-based
   intervention for smoking cessation and to compare it with the
   effectiveness of the other components.
   Objective: The study aim was to isolate the effect of tailored emails in
   an Internet-based intervention for smoking cessation by comparing two
   versions of the intervention, with and without tailored content.
   Methods: We conducted a two-arm, randomized controlled trial of the open
   and free Norwegian 12-month follow-up, fully automated Internet-based
   intervention for smoking cessation, slutta.no. We collected information
   online on demographics, smoking, self-efficacy, use of the website, and
   participant evaluation at enrollment and subsequently at 1, 3, and 12
   months. Altogether, 2298 self-selected participants aged 16 years or
   older registered at the website between August 15, 2006 and December 7,
   2007 and were randomly assigned to either a multicomponent, nontailored
   Internet-based intervention for smoking cessation (control) or a version
   of the same Internet-based intervention with tailored content delivered
   on the website and via email.
   Results: Of the randomly assigned participants, 116 (of 419, response
   rate = 27.7%) in the intervention group and 128 (of 428, response rate =
   29.9%) in the control group had participated over the 12 months and
   responded at the end of follow-up. The 7-day intention-to-treat
   abstinence rate at 1 month was 15.2% (149/982) among those receiving the
   tailored intervention, compared with 9.4% (94/999) among those who
   received the nontailored intervention (P < .001). The corresponding
   figures at 3 months were 13.5% (122/902) and 9.4% (84/896, P = .006) and
   at 12 months were 11.2% (47/419) and 11.7% (50/428, P = .91). Likewise,
   the intervention group had higher self-efficacy and perceived tailoring
   at 1 and 3 months. Self-efficacy was found to partially mediate the
   effect of the intervention.
   Conclusion: Tailoring an Internet-based intervention for smoking
   cessation seems to increase the success rates in the short term, but not
   in the long term.
OI Wangberg, Silje/0000-0001-9501-0989; Nilsen, Olav/0000-0003-0777-2997
ZA 0
ZB 7
Z8 2
TC 46
ZS 0
ZR 0
Z9 48
U1 0
U2 14
SN 1438-8871
UT WOS:000299313300013
PM 22169631
ER

PT J
AU Postel, Marloes G.
   de Haan, Hein A.
   ter Huurne, Elke D.
   van der Palen, Job
   Becker, Eni S.
   de Jong, Cor A. J.
TI Attrition in Web-Based Treatment for Problem Drinkers
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 4
AR e117
DI 10.2196/jmir.1811
PD OCT-DEC 2011
PY 2011
AB Background: Web-based interventions for problem drinking are effective
   but characterized by high rates of attrition. There is a need to better
   understand attrition rates in order to improve the completion rates and
   the success of Web-based treatment programs.
   Objective: The objectives of our study were to (1) examine attrition
   prevalence and pretreatment predictors of attrition in a sample of
   open-access users of a Web-based program for problem drinkers, and (2)
   to further explore attrition data from our randomized controlled trial
   (RCT) of the Web-based program.
   Methods: Attrition data from two groups of Dutch-speaking problem
   drinkers were collected: (1) open-access participants enrolled in the
   program in 2009 (n = 885), and (2) RCT participants (n = 156).
   Participants were classified as noncompleters if they did not complete
   all 12 treatment sessions (9 assignments and 3 assessments). In both
   samples we assessed prevalence of attrition and pretreatment predictors
   of treatment completion. Logistic regression analysis was used to
   explore predictors of treatment completion. In the RCT sample, we
   additionally measured reasons for noncompletion and participants'
   suggestions to enhance treatment adherence. The qualitative data were
   analyzed using thematic analysis.
   Results: The open-access and RCT group differed significantly in the
   percentage of treatment completers (273/780, 35.0% vs 65/144, 45%,
   chi(2)(1) = 5.4, P = .02). Logistic regression analysis revealed a
   significant contribution of treatment readiness, gender, education
   level, age, baseline alcohol consumption, and readiness to change to
   predict treatment completion. The key reasons for noncompletion were
   personal reasons, dissatisfaction with the intervention, and
   satisfaction with their own improvement. The main suggestions for
   boosting strategies involved email notification and more flexibility in
   the intervention.
   Conclusions: The challenge of Web-based alcohol treatment programs no
   longer seems to be their effectiveness but keeping participants involved
   until the end of the treatment program. Further research should
   investigate whether the suggested strategies to improve adherence
   decrease attrition rates in Web-based interventions. If we can succeed
   in improving attrition rates, the success of Web-based alcohol
   interventions will also improve and, as a consequence, their public
   health impact will increase.
RI DeJong, Cornelis A.J./G-3957-2012; Becker, Eni S/A-2668-2010; ter Huurne, Elke/; van der Palen, Job/; Postel, Marloes/
OI Becker, Eni S/0000-0003-3524-426X; ter Huurne, Elke/0000-0002-9489-6770;
   van der Palen, Job/0000-0003-1071-6769; Postel,
   Marloes/0000-0002-4027-6867
ZR 0
ZS 1
Z8 0
ZB 12
ZA 0
TC 49
Z9 49
U1 1
U2 24
SN 1438-8871
UT WOS:000299313300012
PM 22201703
ER

PT J
AU van der Vaart, Rosalie
   van Deursen, Alexander J. A. M.
   Drossaert, Constance H. C.
   Taal, Erik
   van Dijk, Jan A. M. G.
   van de Laar, Mart A. F. J.
TI Does the eHealth Literacy Scale (eHEALS) Measure What it Intends to
   Measure? Validation of a Dutch Version of the eHEALS in Two Adult
   Populations
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 4
AR e86
DI 10.2196/jmir.1840
PD OCT-DEC 2011
PY 2011
AB Background: The Internet increases the availability of health
   information, which consequently expands the amount of skills that health
   care consumers must have to obtain and evaluate health information.
   Norman and Skinner in 2006 developed an 8-item self-report eHealth
   literacy scale to measure these skills: the eHealth Literacy Scale
   (eHEALS). This instrument has been available only in English and there
   are no data on its validity.
   Objectives: The objective of our study was to assess the internal
   consistency and the construct and predictive validity of a Dutch
   translation of the eHEALS in two populations.
   Methods: We examined the translated scale in a sample of patients with
   rheumatic diseases (n = 189; study 1) and in a stratified sample of the
   Dutch population (n = 88; study 2). We determined Cronbach alpha
   coefficients and analyzed the principal components. Convergent validity
   was determined by studying correlations with age, education, and current
   (health-related) Internet use. Furthermore, in study 2 we assessed the
   predictive validity of the instrument by comparing scores on the eHEALS
   with an actual performance test.
   Results: The internal consistency of the scale was sufficient: alpha =
   .93 in study 1 and alpha = .92 in study 2. In both studies the 8 items
   loaded on 1 single component (respectively 67% and 63% of variance).
   Correlations between eHEALS and age and education were not found.
   Significant, though weak, correlations were found between the eHEALS and
   quantity of Internet use (r = .24, P = .001 and r = .24, P = .02,
   respectively). Contrary to expectations, correlations between the eHEALS
   and successfully completed tasks on a performance test were weak and
   nonsignificant: r = .18 (P = .09). The t tests showed no significant
   differences in scores on the eHEALS between participants who scored
   below and above median scores of the performance test.
   Conclusions: The eHEALS was assessed as unidimensional in a principal
   component analysis and the internal consistency of the scale was high,
   which makes the reliability adequate. However, findings suggest that the
   validity of the eHEALS instrument requires further study, since the
   relationship with Internet use was weak and expected relationships with
   age, education, and actual performance were not significant. Further
   research to develop a self-report instrument with high correlations with
   people's actual eHealth literacy skills is warranted.
RI Tang, Zeng/G-8085-2012; van Dijk, Jan/AAP-7922-2020; van Deursen, Alexander J.A.M./AAF-7076-2021; Taal, Erik/F-2827-2010; Deursen, Alexander v/A-6730-2015; Drossaert, Constance/; van der Vaart, Rosalie/
OI van Deursen, Alexander J.A.M./0000-0002-0225-2637; Taal,
   Erik/0000-0002-9822-4488; Drossaert, Constance/0000-0002-7083-3169; van
   der Vaart, Rosalie/0000-0002-8787-4186
Z8 0
ZS 3
ZR 0
TC 170
ZB 10
ZA 0
Z9 170
U1 7
U2 95
SN 1438-8871
UT WOS:000299313300036
PM 22071338
ER

PT J
AU DuHamel, Martha B.
   Hirnle, Constance
   Karvonen, Colleen
   Sayre, Cindy
   Wyant, Sheryl
   Smith, Nancy Colobong
   Keener, Sheila
   Barrett, Shannon
   Whitney, JoAnne D.
TI Enhancing Medical-Surgical Nursing Practice: Using Practice Tests and
   Clinical Examples to Promote Active Learning and Program Evaluation
SO JOURNAL OF CONTINUING EDUCATION IN NURSING
VL 42
IS 10
BP 457
EP 462
DI 10.3928/00220124-20110701-01
PD OCT 2011
PY 2011
AB In a 14-week medical-surgical nursing review course, two teaching
   strategies are used to promote active learning and assess the transfer
   of knowledge to nursing practice. Practice tests and clinical examples
   provide opportunities for participants to engage in self-assessment and
   reflective learning and enhance their nursing knowledge, skills, and
   practice. These strategies also contribute to program evaluation and are
   adaptable to a variety of course formats, including traditional
   classroom, web conference, and online self-study. J Contin Educ Nurs
   2011;42(10):457-462.
CT 37th Annual National Conference on Professional Nursing Education and
   Development - Gateway to Innovation and Creativity in Nursing
   Education/Professional Nurse Educators Group (PNEG)
CY OCT 21-24, 2010
CL Baltimore, MD
TC 2
ZA 0
Z8 0
ZB 0
ZR 0
ZS 0
Z9 2
U1 0
U2 2
SN 0022-0124
UT WOS:000299738000006
PM 21736250
ER

PT J
AU Schaefer, Michael
TI PAIN EDUCATION - a modular learning approach
SO CURRENT MEDICAL RESEARCH AND OPINION
VL 27
IS 10
BP 2081
EP 2082
DI 10.1185/03007995.2011.619450
PD OCT 2011
PY 2011
RI Schäfer, Michael/AAB-1395-2020; Schaefer, Michael/
OI Schaefer, Michael/0000-0002-1581-706X
TC 0
ZS 0
ZB 0
ZR 0
Z8 0
ZA 0
Z9 0
U1 0
U2 3
SN 0300-7995
UT WOS:000295081700029
PM 21929438
ER

PT J
AU Ritter, M.
   Sacu, S.
   Matt, G.
   Dunavoelgyi, R.
   Buehl, W.
   Pruente, C.
   Schmidt-Erfurth, U.
TI Continuing Medical Education: Use of systemic steroid after successful
   macular surgery in eyes with epiretinal membrane: a randomized,
   controlled clinical study
SO EYE
VL 25
IS 10
BP 1284
EP 1293
DI 10.1038/eye.2011.190
PD OCT 2011
PY 2011
AB Purpose To evaluate the functional and morphological outcomes of
   postoperative systemic steroid therapy after successful macular surgery
   in eyes with macular edema due to idiopathic macular epiretinal
   membranes (ERMs).
   Design Prospective, randomized, investigator-masked, controlled clinical
   study.
   Methods Twenty-eight patients scheduled for 23-gauge vitrectomy combined
   with ERM and inner limiting membrane (ILM) peeling for macular edema due
   to ERM were included in this single center trial. Patients were
   randomized to receive oral steroid therapy (Prednisolone, 100 mg per day
   for 5 days) or no oral steroid (control group) after surgery. Main
   outcome measures included best corrected visual acuity (BCVA; Early
   Treatment Diabetic Retinopathy Study), central retinal thickness (CRT),
   retinal volume (RV), and macular morphology as determined by spectral
   domain optical coherence tomography (SD-OCT, Cirrus). Examinations were
   carried out preoperatively and at week 1, at months 1 and 3,
   postoperatively.
   Results At month 3, mean BCVA improved to a eight-letter gain in each
   study group (P<0.01 compared with baseline for both groups), showing no
   statistically significant difference between both the groups (P = 0.19).
   Morphologically, retinal surface folds resolved within 1 month after
   surgery in both treatment groups, followed by a progressive recovery of
   retinal layer integrity and a statistical significant (P<0.01) decrease
   in CRT and RV without significant differences between both groups (P =
   0.62, P = 0.13, respectively, ANOVA between the groups).
   Conclusion The early postoperative use of systemic steroid treatment
   after successful vitrectomy combined with ERM and ILM peeling does not
   seem to improve significantly the anatomic and functional outcomes in
   eyes with ERM. Eye (2011) 25, 1284-1293; doi:10.1038/eye.2011.190;
   published online 2 September 2011
OI Schmidt-Erfurth, Ursula/0000-0002-7788-7311; Dunavoelgyi,
   Roman/0000-0002-1842-240X; Ritter, Markus/0000-0003-1406-8340
ZA 0
TC 12
Z8 0
ZB 4
ZR 1
ZS 0
Z9 13
U1 0
U2 3
SN 0950-222X
UT WOS:000296558100005
PM 21886189
ER

PT J
AU Tan, C. S. H.
   Chan, Y. H.
   Wong, T. Y.
   Gazzard, G.
   Niti, M.
   Ng, T-P
   Saw, S. M.
TI Prevalence and risk factors for refractive errors and ocular biometry
   parameters in an elderly Asian population: the Singapore Longitudinal
   Aging Study (SLAS)
SO EYE
VL 25
IS 10
BP 1294
EP 1301
DI 10.1038/eye.2011.144
PD OCT 2011
PY 2011
AB Purpose To determine the prevalence rates of refractive errors and
   pattern of ocular biometry in a multi-ethnic elderly Asian population.
   Methods A population-based study of 1835 residents aged 55-85 years,
   evaluating the refractive error and ocular biometry parameters,
   including axial length (AL) and anterior chamber depth.
   Results The age-standardized prevalence of myopia, hyperopia,
   astigmatism, and anisometropia were 30.0% (95% confidence interval (CI):
   29.6, 30.4), 41.5% (95% CI: 41.1, 41.9), 43.5% (95% CI: 43.1, 44.0), and
   22.1% (95% CI: 21.7, 22.4), respectively. Male gender (P = 0.02), age >=
   75 years (P = 0.033), and higher educational level (P<0.001) were
   significantly associated with higher rates of myopia in multivariate
   analyses. The prevalence of astigmatism was higher in persons with
   diabetes (odds ratio (OR) 1.4, 95% CI: 1.03, 1.90, P - 0.031). AL was
   longer in Chinese than other ethnic groups (23.7 vs 23.4 mm, P = 0.018),
   and in men compared with women (24.2 vs 23.4 mm, P<0.001). AL was
   associated with increasing height (AL increased by 0.3 mm for every 10
   cm increase in height, P<0.001).
   Conclusion There is a high prevalence of myopia in elderly Singaporeans,
   consistent with trends seen in younger populations in Asia. Male gender
   and higher education were independent risk factors for myopia. These
   data suggest that higher rates of myopia in East Asians compared with
   Caucasians may not be a recent phenomenon. Eye (2011) 25, 1294-1301;
   doi:10.1038/eye.2011.144; published online 1 July 2011
RI Wong, Tien Y/AAC-9724-2020; Tan, Colin S/K-8972-2012; Gazzard, Gus/
OI Wong, Tien Y/0000-0002-8448-1264; Tan, Colin S/0000-0003-3088-5690;
   Gazzard, Gus/0000-0003-1982-5005
TC 47
ZS 1
ZR 0
ZB 17
ZA 0
Z8 1
Z9 49
U1 2
U2 7
SN 0950-222X
UT WOS:000296558100006
PM 21720418
ER

PT J
AU Sadiq, S. A.
   Usmani, H. A.
   Saeed, S. R.
TI Effectiveness of a multidisciplinary facial function clinic
SO EYE
VL 25
IS 10
BP 1360
EP 1364
DI 10.1038/eye.2011.183
PD OCT 2011
PY 2011
AB Objectives To analyse the usefulness of a multidisciplinary facial
   function clinic (FFC). Design Retrospective case-note review. Setting
   The FFC was established in July 2006 at the Manchester Royal Eye
   Hospital with attending consultants from Ophthalmology, Skull-Base
   Otolaryngology, Plastic Surgery, and Physiotherapy.
   Participants We retrospectively reviewed the case notes for 59
   consecutive patients seen at the FFC from July 2006 to February 2009.
   Main outcome measures We documented demographic data, including distance
   travelled and average journey time.
   Results The 59 patients (mean age 46 years) made a total of 106 clinical
   visits (mean 1.8). The mean distance travelled by a patient was 31.9
   miles with an estimated journey time of 47 min, each way. At
   presentation the average House-Brackmann grade of facial nerve weakness
   was IV. Ophthalmologist's advice was needed for 58 (98.3%),
   otolaryngologist's for 57 (96.6%), plastic surgeon for 49 (83.0%),
   physiotherapist for 58 (98.3%), and 4 (6.8%) were referred for
   psychological counselling. In all, 47 (79.7%) of our patients needed
   input from all four consultants during their visit at the FFC. By
   combining the presence of several consultants in one clinic, we saved an
   average of 5.1 visits (325.4 miles; 8 h travel time) for each patient.
   Conclusion We and our patients feel our multidisciplinary facial
   function clinic has been an effective service and has continued to work.
   Eye (2011) 25, 1360-1364; doi:10.1038/eye.2011.183; published online 29
   July 2011
OI Saeed, Shakeel/0000-0002-2316-5655; Sadiq, Saghir
   Ahmed/0000-0003-1888-9170
TC 2
ZS 0
Z8 0
ZB 1
ZR 0
ZA 0
Z9 2
U1 0
U2 8
SN 0950-222X
EI 1476-5454
UT WOS:000296558100017
PM 21799520
ER

PT J
AU Sinha, S. K.
   Astbury, N.
TI Evaluation of the effectiveness of ophthalmic assistants as screeners
   for glaucoma in North India
SO EYE
VL 25
IS 10
BP 1310
EP 1316
DI 10.1038/eye.2011.154
PD OCT 2011
PY 2011
AB Aim To assess whether ophthalmic assistants are effective in screening
   people for glaucoma in India.
   Methodology The study subjects were examined by both trained ophthalmic
   assistants and an ophthalmologist in both hospital and community
   settings. Specific tests for the diagnosis of glaucoma suspects included
   visual field examination using frequency doubling technology perimetry,
   intraocular pressure measurement (Tonopen), A-scan central anterior
   chamber depth measurement and dilated optic disc examination. The
   findings recorded by the ophthalmic assistants were masked to the
   ophthalmologist to avoid measurement bias.
   Results In the hospital setting, there was a substantial level of
   agreement between the ophthalmic assistants and the ophthalmologist in
   the diagnosis of glaucoma suspects (89.29%, k = 0.7, 95% confidence
   interval (CI) = 0.54-0.86). The diagnostic accuracy of the ophthalmic
   assistants in detecting glaucoma suspects was high for sensitivity
   (95.2%, 95% CI = 91.4-97.7%) but lower for specificity at 71.4% (95% CI
   = 60.0-78.7%). In the community setting, there was a moderate level of
   agreement between the ophthalmic assistants and the ophthalmologist in
   the diagnosis of glaucoma suspects (78.23%, k = 0.50, 95% CI =
   0.37-0.64). The diagnostic accuracy of the ophthalmic assistants in
   detecting glaucoma suspects was moderate for sensitivity (82.9, 95% CI =
   69.7-91.5%) but lower for specificity at 76.8% (95% CI = 72.7-79.5%).
   Conclusion Ophthalmic assistants can be used for opportunistic case
   detection of glaucoma suspects in the community. Structured training of
   the ophthalmic assistants together with enhanced clinical experience
   would improve their performance in detecting glaucoma suspects in the
   community. Eye (2011) 25, 1310-1316; doi:10.1038/eye.2011.154; published
   online 1 July 2011
OI Astbury, Nicholas/0000-0002-8123-4823
TC 2
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
Z9 2
U1 0
U2 2
SN 0950-222X
EI 1476-5454
UT WOS:000296558100008
PM 21720416
ER

PT J
AU Keswani, Rajesh N.
   Taft, Tiffany H.
   Cote, Gregory A.
   Keefer, Laurie
TI Increased Levels of Stress and Burnout Are Related to Decreased
   Physician Experience and to Interventional Gastroenterology Career
   Choice: Findings From a US Survey of Endoscopists
SO AMERICAN JOURNAL OF GASTROENTEROLOGY
VL 106
IS 10
BP 1734
EP 1740
DI 10.1038/ajg.2011.148
PD OCT 2011
PY 2011
AB OBJECTIVES: Physician stress and burnout can decrease job satisfaction,
   increase medical errors, and reduce quality of life. Gastrointestinal
   endoscopic practice is increasing in complexity, with an associated
   increase in complications. These factors may result in more stress and
   burnout in younger gastroenterologists (GEs) and interventional GEs
   (IGEs) who perform more complex endoscopic procedures. We aimed to
   create a valid measure of GE endoscopic practice stress and to evaluate
   stress and burnout related to endoscopist experience and IGE versus
   non-IGE practice.
   METHODS: We used both a qualitative and a cross-sectional correlation
   design. Semistructured interviews were conducted and thematically coded
   to create a measure of stressors in GE practice, the Gastroenterologist
   Stress Inventory (GESI). Gastroenterology fellows and attending
   physicians were approached to participate. Four GEs were interviewed,
   and 489 completed the online survey. Endoscopists completed the Maslach
   Burnout Inventory, the GESI, and demographic, training, and practice
   data.
   RESULTS: The GESI met reliability standards. Junior IGEs and junior
   non-IGEs reported more stress related to endoscopic practice than senior
   attendings. All GEs reported moderate levels of burnout; decreased
   physician experience was a predictor of burnout for IGEs.
   CONCLUSIONS: GEs report moderate levels of stress and burnout. IGEs and
   those who have experienced an endoscopic complication report
   significantly more stress. Less experience is related to more stress and
   burnout, with junior IGEs reporting the highest levels.
RI Taft, Tiffany/AAF-2060-2020
OI Taft, Tiffany/0000-0002-4670-2441
ZB 13
Z8 0
ZS 0
ZR 0
ZA 0
TC 46
Z9 46
U1 0
U2 9
SN 0002-9270
EI 1572-0241
UT WOS:000295926600001
PM 21979198
ER

PT J
AU Fremeaux, A. E.
   Mallam, K. M.
   Metcalf, B. S.
   Hosking, J.
   Voss, L. D.
   Wilkin, T. J.
TI The impact of school-time activity on total physical activity: the
   activitystat hypothesis (EarlyBird 46)
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 10
BP 1277
EP 1283
DI 10.1038/ijo.2011.52
PD OCT 2011
PY 2011
AB Objectives: To explore the activitystat hypothesis in primary school
   children by asking whether more physical activity (PA) in school time is
   compensated for by less PA at other times.
   Study Design: Observational, repeated measures (four consecutive
   occasions over a 12-month period).
   Setting: South-west England.
   Participants: A total of 206 children (115 boys, aged 8-10 years) from 3
   primary schools (S1, S2 and S3), which recorded large differences in PA
   during school time.
   Measurements: Total PA (TPA) and its moderate-and-vigorous component
   were recorded weekly by accelerometry, in school and out of school, and
   adjusted for local daily rainfall and daylight hours. Habitual PA was
   assessed by linear mixed-effects modelling on repeated measures.
   Results: S1 children recorded 64% more in-school PA, but S2 and S3
   children compensated with correspondingly more out-of-school PA, so that
   TPA between the three schools was no different: 35.6 (34.3-36.9), 37.3
   (36.0-38.6) and 36.2 (34.9-37.5) Units, respectively (P=0.38).
   Conclusions: The PA of children seems to compensate in such a way that
   more activity at one time is met with less activity at another. The
   failure of PA programmes to reduce childhood obesity could be
   attributable to this compensation. International Journal of Obesity
   (2011) 35, 1277-1283; doi: 10.1038/ijo.2011.52; published online 15
   March 2011
RI Frémeaux, Alissa/AAK-9154-2021; Fremeaux, Alissa/
OI Fremeaux, Alissa/0000-0002-0626-5646
ZS 0
ZA 0
ZR 0
ZB 18
Z8 0
TC 68
Z9 68
U1 0
U2 10
SN 0307-0565
UT WOS:000296061600004
PM 21407175
ER

PT J
AU Jaaskelainen, A.
   Pussinen, J.
   Nuutinen, O.
   Schwab, U.
   Pirkola, J.
   Kolehmainen, M.
   Jarvelin, M-R
   Laitinen, J.
TI Intergenerational transmission of overweight among Finnish adolescents
   and their parents: a 16-year follow-up study
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 10
BP 1289
EP 1294
DI 10.1038/ijo.2011.150
PD OCT 2011
PY 2011
AB Objective: Previous studies have shown strong parental influences on
   adolescent overweight. However, longitudinal data is scarce on
   gender-specific effects of parental body mass index (BMI) on offspring
   overweight. The objective of this study was to examine the associations
   of parental pre-pregnancy BMI, weight change, BMI and BMI class
   transition 16 years after pregnancy with the BMI of their 16-year-old
   children.
   Subjects and methods: The study population was derived from the general
   population-based Northern Finland Birth Cohort 1986. A total of 4788
   child-mother-father trios (2325 boys, 2463 girls) were analysed. Weight
   and height of the adolescents were measured and overweight and obesity
   defined according to the International Obesity Task Force. For the
   parents, self-reported data were obtained and overweight and obesity
   defined according to the World Health Organization. Associations of
   parental BMI status and weight change with offspring BMI were assessed
   using binary logistic regression analyses stratified by gender and
   adjusted for parental age and education.
   Results: Children whose both parents were overweight or obese both
   before pregnancy and after 16-year follow-up had a strikingly high risk
   of overweight at age 16 years (boys odds ratio (OR) 5.66 95% confidence
   interval (CI) 3.12, 10.27; girls OR 14.84 95% CI 7.41, 29.73). Parental
   pre-pregnancy obesity strongly predicted offspring overweight
   (mother-son OR 4.36 95% CI 2.50, 7.59; mother-daughter OR 3.95 95% CI
   2.34, 6.68; father-son OR 3.17 95% CI 1.70, 5.92; father-daughter OR
   5.58 95% CI 3.09, 10.07).
   Conclusion: Parental overweight conveys a major risk for overweight in
   children for which both parents' long-term overweight (BMI >= 25 kg
   m(-2) before pregnancy and after 16-year follow-up) was the strongest
   single predictor. Preventing intergenerational transmission of obesity
   by helping parents to maintain a healthy weight is an essential target
   for public health. International Journal of Obesity (2011) 35,
   1289-1294; doi: 10.1038/ijo.2011.150; published online 9 August 2011
OI Jarvelin, Marjo-Riitta/0000-0002-2149-0630
TC 61
ZA 0
ZB 29
ZR 0
ZS 1
Z8 1
Z9 62
U1 0
U2 13
SN 0307-0565
EI 1476-5497
UT WOS:000296061600006
PM 21829157
ER

PT J
AU Baig, Samir
   Cunningham, Michael J.
TI Otolaryngology Education in Family Medicine and Communication Sciences
   Training
SO ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 137
IS 10
BP 984
EP 988
DI 10.1001/archoto.2011.159
PD OCT 2011
PY 2011
AB Objectives: To characterize the extent and format of otolaryngology
   instruction during family medicine and communication disorders training
   and to determine the comfort level of graduate trainees to assess
   specific hearing disorders.
   Design: Online surveys were sent to program directors in the fields of
   family medicine, audiology, and speech pathology. Directors were asked
   to delineate methods of teaching otolaryngology-related material and to
   define how often otolaryngologists were involved in their curricula.
   They were also asked to rate their graduate trainees' ability to manage
   3 clinical scenarios involving pediatric hearing impairment.
   Participants: A total of 682 surveys were sent using e-mail addresses
   from the American Medical Association and the Council of Academic
   Programs in Communication Sciences and Disorders.
   Results: Response rates were 20% for family medicine programs and 30%
   for each of the communication science disciplines. Virtually all
   respondent family medicine programs have dedicated instruction in
   otolaryngology, typically in the form of a clinical rotation (98%).
   Ninety-five percent of audiology programs involve an otolaryngologist in
   teaching compared with 55% of speech pathology programs.
   Otolaryngology-related diagnostic examination skills are taught by most
   programs in all 3 disciplines; confirmation of skills acquisition,
   however, is lacking. Directors rated the competence of their trainees to
   manage hearing disorders at an average of 3.4 for audiology, 2.7 for
   speech pathology, and 2.6 for family medicine graduates on a 4-point
   scale.
   Conclusions: Respondent directors from all 3 disciplines make a
   concerted effort to teach otolaryngology-related topics. A greater
   emphasis on those otolaryngology disorders requiring multidisciplinary
   care appears necessary, as does more formal instruction in and
   competency evaluation of diagnostic examination skills.
ZS 0
TC 2
ZB 0
ZA 0
ZR 0
Z8 0
Z9 2
U1 0
U2 3
SN 0886-4470
UT WOS:000295940400002
PM 21930974
ER

PT J
AU Carriero, A.
   Zobel, B. Beomonte
   Bonomo, L.
   Meloni, G.
   Cotroneo, A.
   Cova, M.
   Ettorre, G. C.
   Fugazzola, C.
   Garlaschi, G.
   Macarini, L.
   Mucelli, R. Pozzi
   Sironi, S.
   Torricelli, P.
   Capaccioli, L.
   Zuiani, C.
TI E-learning in radiology: Italian multicentre experience
SO RADIOLOGIA MEDICA
VL 116
IS 7
BP 989
EP 999
DI 10.1007/s11547-011-0679-4
PD OCT 2011
PY 2011
AB Purpose. The aim of our work was to design, implement and evaluate an
   e-learning programme in favour of trainee radiologists enrolled at the
   many specialty schools located throughout Italy, in the spirit of
   "sharing culture".
   Materials and methods. Once a common educational programme and time slot
   had been identified and planned, the programme was delivered via
   Internet-based video conferencing once a week for 2-h lectures. Each
   lecture was followed by interaction between the teaching staff and
   trainees at the individual sites. The universities involved were
   Trieste, Udine, Verona, Milano Bicocca, Novara, Varese, Genova, Sassari,
   Rome "Campus", Rome "Cattolica", Chieti, Foggia, Catania, Modena and
   Firenze. The University of Rome "Cattolica" participated in the project
   with two locations: Rome "Policlinico Gemelli" and Rome "Cattolica
   Campus of Campobasso".
   Results. Eighteen lectures were conducted, for a total of 36 h.
   "Transient" connection interruption occurred 13 times for a total of 33
   min over 2,160 min of lessons. Video quality and, in particular, details
   of radiological images shown in slides or moving pictures, were rated as
   very good by 71% of trainees, good by 24% and satisfactory by 4.5%; no
   one gave a rating of unsatisfactory.
   Conclusions. Based on our experience, whereas e-learning in radiology
   has become established and compulsory, there is the need for legislation
   that on the one hand protects online teaching activity and on the other
   allows study and continuing medical education (CME) credits to be
   recognised.
RI Mucelli, Roberto Pozzi/M-3277-2017; CARRIERO, Alessandro/AAL-3790-2020; Zobel, Bruno Beomonte/C-2676-2013; sironi, sandro/AAL-3740-2020; Meloni, Giovanni Battista/; Ettorre, Giovanni Carlo/
OI Mucelli, Roberto Pozzi/0000-0002-3163-0596; CARRIERO,
   Alessandro/0000-0001-7481-7169; Zobel, Bruno
   Beomonte/0000-0001-9227-5535; Meloni, Giovanni
   Battista/0000-0002-2536-8464; Ettorre, Giovanni
   Carlo/0000-0001-5460-5193
ZS 0
TC 7
Z8 0
ZA 0
ZB 2
ZR 0
Z9 7
U1 0
U2 7
SN 0033-8362
EI 1826-6983
UT WOS:000296362100001
PM 21509552
ER

PT J
AU Burkhardt, John
   Kowalenko, Terry
   Meurer, William
TI Academic Career Selection in American Emergency Medicine Residents
SO ACADEMIC EMERGENCY MEDICINE
VL 18
SI SI
BP S48
EP S53
DI 10.1111/j.1553-2712.2011.01181.x
SU 2
PD OCT 2011
PY 2011
AB Background: The future of academic emergency medicine (EM) is based on
   the continued successful recruitment and cultivation of new faculty from
   EM residents. Little data exist as to the current rate of residents
   initially choosing an academic career path or which residency programs
   are best situated to result in new faculty.
   Objectives: Our study was designed to initially describe the current
   career demographics of graduating residents and then through statistical
   analysis investigate likely programmatic factors that affect academic
   career selection.
   Methods: Data were collected via an online survey sent to EM residency
   program directors. Responders were asked to describe their graduates and
   their program characteristics over the past 5 years. A total of 103
   survey responses, with complete data from 65 (76 responses contained
   enough data for national career selection rates), were received.
   Relevant covariates were tested for association with academic career
   entry using t-tests or analysis of variance. An adjusted multivariable
   linear regression analysis model was then fitted.
   Results: Survey responses indicated that 26.1% of residents chose an
   academic career (community 57.1%, fellowship 13.5%, military/Veteran's
   Administration [VA] 2.6%, other 0.6%) with an approximately normal
   distribution. There were no significant differences found between
   programs when presence of mentorship programs, career track programs, or
   city size were analyzed. Multivariable linear regression analysis
   demonstrated significantly greater academic career choice among programs
   located in the Northeast/Mid-Atlantic and the Midwest, larger programs
   (>12 residents/year), and programs with increased resident academic
   productivity (presentations given, non-peer-reviewed publications), but
   did not demonstrate a difference between 3- and 4-year programs.
   Overall, the model fitted using the above variables accounted for
   approximately 30% of the variation seen between programs (adjusted R(2)
   = 0.295).
   Conclusions: Our data indicate that program region, size, and research
   productivity were best associated with academic career selection.
   Program length was not found to be significantly associated with
   academic career selection by residents, in contrast to previous studies.
   While many of these factors are not changeable, academic productivity
   can be cultivated by decision-makers wishing to increase their
   residents' academic career selection as opposed to changing program
   length to extend training for an additional year. It is our belief that
   our model provides a good description of programmatic factors affecting
   career choice. Additional research is necessary to further validate
   these findings, as well to provide important context to their general
   applicability for policy-makers and program directors.
   ACADEMIC EMERGENCY MEDICINE 2011; 18:S48-S53 (C) 2011 by the Society for
   Academic Emergency Medicine
RI Meurer, William J/A-7547-2010; Burkhardt, John C/J-5701-2019
OI Meurer, William J/0000-0002-1158-5302; Burkhardt, John
   C/0000-0001-6273-8762
ZR 0
ZA 0
TC 31
ZB 1
ZS 0
Z8 0
Z9 31
U1 0
U2 7
SN 1069-6563
UT WOS:000296048200006
PM 21999558
ER

PT J
AU Ilgen, Jonathan S.
   Bowen, Judith L.
   Yarris, Lalena M.
   Fu, Rongwei
   Lowe, Robert A.
   Eva, Kevin
TI Adjusting Our Lens: Can Developmental Differences in Diagnostic
   Reasoning Be Harnessed to Improve Health Professional and Trainee
   Assessment?
SO ACADEMIC EMERGENCY MEDICINE
VL 18
SI SI
BP S79
EP S86
DI 10.1111/j.1553-2712.2011.01182.x
SU 2
PD OCT 2011
PY 2011
AB Objectives: Research in cognition has yielded considerable understanding
   of the diagnostic reasoning process and its evolution during clinical
   training. This study sought to determine whether or not this literature
   could be used to improve the assessment of trainees' diagnostic skill by
   manipulating testing conditions that encourage different modes of
   reasoning.
   Methods: The authors developed an online, vignette-based instrument with
   two sets of testing instructions. The "first impression" condition
   encouraged nonanalytic responses while the "directed search" condition
   prompted structured analytic responses. Subjects encountered six cases
   under the first impression condition and then six cases under the
   directed search condition. Each condition had three straightforward
   (simple) and three ambiguous (complex) cases. Subjects were stratified
   by clinical experience: novice (third-and fourth-year medical students),
   intermediate (postgraduate year [PGY] 1 and 2 residents), and
   experienced (PGY 3 residents and faculty). Two investigators scored the
   exams independently. Mean diagnostic accuracies were calculated for each
   group. Differences in diagnostic accuracy and reliability of the
   examination as a function of the predictor variables were assessed.
   Results: The examination was completed by 115 subjects. Diagnostic
   accuracy was significantly associated with the independent variables of
   case complexity, clinical experience, and testing condition. Overall,
   mean diagnostic accuracy and the extent to which the test consistently
   discriminated between subjects (i.e., yielded reliable scores) was
   higher when participants were given directed search instructions than
   when they were given first impression instructions. In addition, the
   pattern of reliability was found to depend on experience: simple cases
   offered the best reliability for discriminating between novices, complex
   cases offered the best reliability for discriminating between
   intermediate residents, and neither type of case discriminated well
   between experienced practitioners.
   Conclusions: These results yield concrete guidance regarding test
   construction for the purpose of diagnostic skill assessment. The
   instruction strategy and complexity of cases selected should depend on
   the experience level and breadth of experience of the subjects one is
   attempting to assess.
   ACADEMIC EMERGENCY MEDICINE 2011; 18:S79-S86 (C) 2011 by the Society for
   Academic Emergency Medicine
CT 17th Annual Trainees Research Conference on National Research Service
   Award (NRSA)
CY JUN, 2011
CL Seattle, WA
RI Lowe, Robert A/A-4926-2008
OI Lowe, Robert A/0000-0002-4732-9634
ZB 4
ZS 2
ZA 0
ZR 0
TC 24
Z8 0
Z9 25
U1 0
U2 12
SN 1069-6563
EI 1553-2712
UT WOS:000296048200011
PM 21999563
ER

PT J
AU Smith, S. L.
   Wai, E. S.
   Alexander, C.
   Singh-Carlson, S.
TI Caring for survivors of breast cancer: perspective of the primary care
   physician
SO CURRENT ONCOLOGY
VL 18
IS 5
BP E218
EP E226
PD OCT 2011
PY 2011
AB Background and Objectives
   Increasing numbers of women are surviving breast cancer, and
   survivorship care is becoming more complex. Primary care physicians
   provide care for most survivors of breast cancer in the Canadian
   province of British Columbia. The present study offers insight into the
   confidence of primary care physicians in their abilities to provide such
   care. It also explores potential ways to assist those providers in
   enhancing this aspect of their practice.
   Methods
   A questionnaire was mailed to 1000 primary care physicians caring for
   survivors of breast cancer. The questionnaire explored the perspectives
   of the responding physicians on their ability to manage various aspects
   of survivorship care for breast cancer patients, identified preferences
   for the content and format of communication from oncologists at the time
   of transition from active oncology treatment to survivorship, and
   determined the means most commonly used to obtain knowledge about breast
   cancer. This 1-page, 31-item checkbox and open-answer questionnaire
   assessed the perceptions of primary care physicians about the care of
   breast cancer survivors after completion of active treatment and their
   personal preferences for resources providing information about breast
   cancer.
   Results
   The questionnaire response rate was 59%. Primary care physicians
   reported being most confident in screening for recurrence and managing
   patient anxiety; they were least confident in managing lymphedema and
   providing psychosocial counselling. Compared with physicians following
   fewer survivors of breast cancer, those who followed more breast cancer
   survivors had higher confidence in managing the biomedical aspects of
   follow-up and in providing counselling about nutrition and exercise.
   Most physicians found discharge letters from oncologists to be useful.
   Point-form discharge information was preferred by 43%; detailed
   description, by 19%; and both formats, by 38%. The most useful
   information items identified for inclusion in a discharge letter were a
   diagnosis and treatment summary and the recommended surveillance and
   endocrine therapy. Continuing medical education events and online
   resources were the means most commonly used to obtain knowledge about
   breast cancer.
   Conclusions
   Primary care physicians who provide follow-up for survivors of breast
   cancer report that they are confident in managing care and satisfied
   with discharge letters containing a diagnosis and treatment summary, and
   recommendations for surveillance and endocrine treatment. At the time of
   patient discharge, additional information about common medical and
   psychosocial issues in this patient population would be useful to
   primary care physicians. Preferred means to access current breast cancer
   information include continuing medical education events and online
   resources.
ZR 0
ZS 0
Z8 0
ZB 8
ZA 0
TC 33
Z9 33
U1 0
U2 22
SN 1198-0052
UT WOS:000296181000008
PM 21980253
ER

PT J
AU Schapiro, Renie
   Stickford-Becker, Amy E.
   Foertsch, Julie A.
   Remington, Patrick L.
   Seibert, Christine S.
TI Integrative Cases for Preclinical Medical Students Connecting Clinical,
   Basic Science, and Public Health Approaches
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 41
IS 4
BP S187
EP S192
DI 10.1016/j.amepre.2011.06.004
SU 3
PD OCT 2011
PY 2011
AB Background: Healthcare and public health systems are each transforming,
   resulting in a need for better integration between clinical and
   population-based approaches to improve the health of populations. These
   changes also demand substantial transformations in the curriculum for
   medical students. Integrative Cases were designed for all first-and
   second-year medical students to provide them with more awareness,
   knowledge, and skills in integrating public health into clinical
   medicine. Each case examines basic science factors, clinical approaches,
   and public health determinants, including risk factors and direct and
   indirect contributing factors.
   Purpose: This study was designed to evaluate the effectiveness of
   Integrative Cases in the medical student curriculum.
   Methods: Integrative Cases were formatively evaluated using standardized
   online post-event questionnaires emailed to students after each case.
   The questionnaires focused on goals specific to each case, ratings of
   particular sessions and facilitators, general impressions of the case,
   and student suggestions for improvement.
   Results: Student evaluations indicate that Integrative Cases achieved
   their goals, especially providing experiences that offer a more
   expansive view of medicine and public health, stimulating interest and
   questions that anticipate future learning and making connections across
   basic science, medicine, and health. Students also indicated that these
   cases added to their understanding of public health issues and how to
   apply what they had learned to patient care.
   Conclusions: Integrative Cases demonstrate the effectiveness of a
   comprehensive approach that integrates clinical medicine with basic
   science and public health perspectives. (Am J Prev Med
   2011;41(4S3):S187-S192) (C) 2011 American Journal of Preventive Medicine
ZS 1
Z8 0
ZR 0
ZA 0
ZB 1
TC 13
Z9 14
U1 0
U2 11
SN 0749-3797
EI 1873-2607
UT WOS:000295827300010
PM 21961663
ER

PT J
AU Lam, Byron L.
   Zheng, D. Diane
   Davila, Evelyn P.
   Arheart, Kristopher L.
   Ocasio, Manuel A.
   McCollister, Kathryn E.
   Caban-Martinez, Alberto J.
   Lee, David J.
TI Trends in Glaucoma Medication Expenditure Medical Expenditure Panel
   Survey 2001-2006
SO ARCHIVES OF OPHTHALMOLOGY
VL 129
IS 10
BP 1345
EP 1350
DI 10.1001/archophthalmol.2011.142
PD OCT 2011
PY 2011
AB Objective: To study trends of glaucoma medication expenditure from 2001
   to 2006 using a nationally representative sample of US adults.
   Methods: We analyzed glaucoma medication expenditure trends among
   participants of the 2001-2006 Medical Expenditure Panel Survey, a
   subsample of the National Health Interview Survey, which is a continuous
   multipurpose, multistage area probability survey of the US civilian
   noninstitutionalized population. After adjusting for survey design and
   inflation using the 2009 inflation index, data from 1404 participants 18
   years and older using glaucoma medication were analyzed.
   Results: Mean annual glaucoma medication expenditure per subject
   increased from $445 in 2001 to $557 in 2006 (slope=20.8; P < .001).
   Subgroup analysis showed expenditure increased significantly in women
   (P=.02), those with public-only insurance (P < .001), and those with
   less than a high school education (P < .008). Over the survey period, a
   significant decrease in expenditures on beta-blockers (P=.048) and
   significant increases in expenditures on prostaglandin analogs (P=.01)
   and alpha-agonists (P=.01) were found.
   Conclusions: Factors associated with increasing glaucoma medication
   expenditure trends include the increasing use of prostaglandin analogs,
   changes in insurance coverage, and possibly more aggressive glaucoma
   treatment. The findings are pertinent to the development of
   cost-effective strategies that optimize treatment and reduce
   expenditures. Arch Ophthalmol. 2011;129(10):1345-1350. Published online
   June 13, 2011. doi: 10.1001/archophthalmol.2011.142
RI Caban-Martinez, Alberto/AAG-1499-2019
OI Caban-Martinez, Alberto/0000-0002-5960-1308
Z8 0
TC 13
ZB 4
ZS 0
ZA 0
ZR 0
Z9 13
U1 0
U2 2
SN 0003-9950
UT WOS:000295697300012
PM 21670329
ER

PT J
AU Gompels, L. L.
   Chinoy, H.
   Devakumar, V.
   Bax, D.
   Mackworth-Young, C. G.
TI Academic training in rheumatology in 2009: a UK trainee survey
SO CLINICAL MEDICINE
VL 11
IS 5
BP 434
EP 437
DI 10.7861/clinmedicine.11-5-434
PD OCT 2011
PY 2011
AB Significant changes to the structure and entry into specialist training
   continue to be implemented. This is likely to have had a long-term
   impact on rheumatology service provision and the proportion of trainees
   undertaking academic medicine. An online questionnaire was sent to all
   trainees on the Joint Royal Colleges Postgraduate Training Board
   (JRCPTB) database. Out of 211 trainees, 141 responded (66.8%). Of these,
   33 (23%) were registered for, or had been awarded, an MD or PhD with a
   wide variety of funding sources. Mainstream funding sources included
   Arthritis Research UK, the Medical Research Council, the National
   Institute for Health Research and the Wellcome Trust, but a substantial
   number of trainees (n=17, 51.5%) also utilised other sources of funding.
   The data from this study will be valuable in the planning of future
   rheumatology training and academic career pathways and provide useful
   comparative data for other medical specialties.
RI Chinoy, Hector/C-7832-2013
OI Chinoy, Hector/0000-0001-6492-1288
ZB 1
TC 4
ZS 0
ZR 0
ZA 0
Z8 0
Z9 4
U1 0
U2 1
SN 1470-2118
UT WOS:000295656500007
PM 22034700
ER

PT J
AU Joynt, Gavin M.
   Zimmerman, Janice
   Li, Thomas S. T.
   Gomersall, Charles D.
TI A systematic review of short courses for nonspecialist education in
   intensive care
SO JOURNAL OF CRITICAL CARE
VL 26
IS 5
AR 533. el
DI 10.1016/j.jcrc.2011.01.007
PD OCT 2011
PY 2011
AB Purpose: The availability of reliable and accessible educational
   material for the training of nonspecialist intensive care physicians is
   potentially advantageous. We assessed the availability, cost, and
   content of generic short courses designed to teach basic critical care
   skills to junior physicians or nonspecialist intensive care physicians
   taking up duties in intensive care units.
   Materials and Methods: A PubMed and Internet searches were conducted to
   identify and compare short courses that provide a curriculum similar to
   that proposed by the Society of Critical Care Medicine and the
   Australian and New Zealand College of Anaesthetists for resident
   training purposes. Course material available should allow the short
   course to be conducted independently by third parties.
   Results: Two courses, Basic Assessment and Support in Intensive Care and
   Fundamental Critical Care Support, met most of the Society of Critical
   Care Medicine and Australian and New Zealand College of Anaesthetists
   curriculum requirements and can be independently conducted by third
   parties.
   Conclusions: Both identified courses use a mixture self-learning,
   didactic lectures, and experiential learning using manikins and
   "minisimulations." Organizing bodies provide administrative support and
   can readily be located and contacted online. Basic Assessment and
   Support in Intensive Care charges no license fee, whereas Fundamental
   Critical Care Support offers fees at a reduced rate for developing
   countries. Both courses are recognized and conducted internationally.(C)
   2011 Elsevier inc. all reserved
RI Gomersall, Charles D/J-1540-2012; Joynt, Gavin M/C-7606-2009
OI Gomersall, Charles D/0000-0002-8494-8063; Joynt, Gavin
   M/0000-0002-5823-3435
Z8 0
ZS 1
TC 18
ZA 0
ZB 3
ZR 0
Z9 18
U1 1
U2 6
SN 0883-9441
UT WOS:000295968800025
PM 21454036
ER

PT J
AU Pagel, P. S.
   Hudetz, J. A.
TI H-index is a sensitive indicator of academic activity in highly
   productive anaesthesiologists: results of a bibliometric analysis
SO ACTA ANAESTHESIOLOGICA SCANDINAVICA
VL 55
IS 9
BP 1085
EP 1089
DI 10.1111/j.1399-6576.2011.02508.x
PD OCT 2011
PY 2011
AB Background: H-index distinguishes differences in scholarly output across
   faculty ranks in anaesthesiologists, but whether h-index also identifies
   differences in other aspects of productivity is unknown. We tested the
   hypothesis that h-index is an indicator of not only publication record,
   but also grant funding and mentoring in highly productive US academic
   anaesthesiologists.
   Methods: We conducted an internet analysis of the Foundation for
   Anesthesia Education and Research Academy of Research Mentors in
   Anesthesiology (n = 43). Publications, citations, citations per
   publication, and h-index for each investigator were obtained using the
   Scopus (R). Total grants, active grants, years of funding, and duration
   of longest funded grant were recorded using the US National Institutes
   of Health Research Portfolio Online Reporting Tools (R). Members were
   surveyed to identify the number of their career trainees and those who
   obtained independent funding.
   Results: The median [IRQ (Interquartile range)] h-index of members was
   23 [17-32 (8-50)]. Members published 136 [100-225 (39-461)] papers with
   3573 [1832-5090 (150-11,601)] citations and 21 [15-32 (4-59)] citations
   per publication. Members received four [3-7 (0-10)] grants and were
   funded for 29 [17-45 (0-115)] grant-years. Survey respondents (79%)
   mentored 40 [26-69 (15-191)] trainees, three [2-6 (0-20)] of which
   subsequently received funding. Members with h-indices greater than the
   median had more publications, citations, citations per publication,
   grants, and years of funding compared with their counterparts. H-index
   was associated with total citations, active grants, and the number of
   trainees.
   Conclusions: In addition to publication record, h-index sensitively
   indicates grant funding and mentoring in highly productive US academic
   anaesthesiologists.
ZR 0
ZA 0
TC 75
ZS 1
Z8 0
ZB 24
Z9 75
U1 0
U2 20
SN 0001-5172
UT WOS:000295102500007
PM 22092205
ER

PT J
AU Moradkhani, Anilga
   Kerwin, Lauren
   Dudley-Brown, Sharon
   Tabibian, James H.
TI Disease-Specific Knowledge, Coping, and Adherence in Patients with
   Inflammatory Bowel Disease
SO DIGESTIVE DISEASES AND SCIENCES
VL 56
IS 10
BP 2972
EP 2977
DI 10.1007/s10620-011-1714-y
PD OCT 2011
PY 2011
AB Little is known about the effects of disease-related education and
   knowledge in individuals with inflammatory bowel disease (IBD). The
   limited available research on this topic suggests there may be potential
   benefits to disease-related patient education. We hypothesized that
   individuals with greater IBD knowledge would have more coping strategies
   and higher medication adherence.
   A total of 111 adults with IBD residing in the United States were
   recruited online by convenience sampling from IBD support group forums.
   IBD knowledge, coping, and medication adherence were assessed using
   standardized questionnaires. Data on seventeen clinico-demographic
   variables were also collected. A Pearson correlation was conducted to
   examine the relationship between IBD knowledge and use of coping
   strategies and also between IBD knowledge and medication adherence.
   Multivariate regression and one-way ANOVA tests were used to assess the
   continuous and categorical clinico-demographic variables, respectively,
   for potential confounding.
   A significant positive association was found between greater IBD
   knowledge and active coping scores (r = 0.189, P = 0.024), instrumental
   support scores (r = 0.160, P = 0.047), planning scores (r = 0.159, P =
   0.048), and emotional support scores (r = 0.159, P = 0.048). A
   relationship between knowledge and adherence score was not found.
   Significant relationships were found between four clinico-demographic
   variables and coping.
   Greater IBD knowledge appears to be associated with the use of more
   adaptive coping strategies in patients with IBD, suggesting that
   providing disease-related patient education may enhance coping in this
   population. Future studies should explore the utility of formal
   disease-related patient education in improving these and other outcomes.
ZB 14
Z8 1
TC 53
ZR 0
ZS 0
ZA 0
Z9 55
U1 0
U2 9
SN 0163-2116
UT WOS:000295164600045
PM 21538016
ER

PT J
AU Palilonis, Mary A.
   Martin, Terri R.
   Jacobs, David
   Gersin, Keith S.
   Iannitti, David A.
   McKillop, Iain H.
   Heniford, B. Todd
TI Perceptions of Student-Observers in the Operating Room
SO JOURNAL OF SURGICAL RESEARCH
VL 170
IS 2
BP 195
EP 201
DI 10.1016/j.jss.2011.03.046
PD OCT 2011
PY 2011
AB Background. Student observation of surgical procedures is standard
   practice performed at the discretion of the attending surgeon and the
   participating medical facility. The goal of our study was to evaluate
   patient, physician, and operating room (OR) staff opinions concerning
   student observation of surgical procedures at different levels of
   academic training.
   Materials and Methods. Following Institutional Review Board approval,
   patients undergoing elective surgery were consented to participate in
   the survey. An anonymous online survey was sent to attending surgeons
   and OR staff.
   Results. The majority of patients (97), physicians (91), and OR staff
   (71) believe that OR observational experience is important to medical
   student training. Patients (92%) and OR staff (97%) more so than
   physicians (72%) rated OR observational experience as important for
   nursing student education (P < 0.001). Comparatively, all groups believe
   this experience is less important for college and high school students
   (P < 0.01). When asked if patients should be informed preoperatively of
   student-observer presence during procedures, more patients and OR staff
   replied affirmatively compared with physicians (P < 0.001). Similarly,
   patients and OR staff more frequently believed that informed consent for
   OR student-observers was necessary (P < 0.0001).
   Conclusion. All groups acknowledged the educational value of student
   observational experience, although significant disparity was noted
   relative to academic level and the group responding. Additionally,
   opinions of the OR staff were more closely aligned with those of
   patients. Further assessment of the role of informed consent for
   student-observer OR presence and potential implications is needed. (C)
   2011 Elsevier Inc. All rights reserved.
Z8 0
TC 4
ZS 0
ZR 0
ZB 1
ZA 0
Z9 4
U1 0
U2 2
SN 0022-4804
UT WOS:000295128600015
PM 21683372
ER

PT J
AU Hanson, Anne H.
   Krause, L. Kendall
   Simmons, Rachel N.
   Ellis, Jeffrey I.
   Gamble, Ryan G.
   Jensen, J. Daniel
   Noble, Melissa N.
   Orser, Michael L.
   Suarez, Andrea L.
   Dellavalle, Robert P.
TI Dermatology education and the Internet: Traditional and cutting-edge
   resources
SO JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
VL 65
IS 4
BP 836
EP 842
DI 10.1016/j.jaad.2010.05.049
PD OCT 2011
PY 2011
AB Background. The number and variety of dermatological medical resources
   available online has grown exponentially over the past decade.
   Internet-based resources allow for immediate and easy access to
   information for both medical education and reference purposes. Although
   clinicians continue to turn to the Internet for clinical information and
   still images, tech,savvy medical students are currently accessing a
   variety of exciting new resources, including discussion boards, wikis,
   streaming video, podcasts, journal clubs, online communities, and
   interactive diagnostic experiences to augment their medical education.
   Objective: The objective of this study was to identify traditional and
   cutting-edge online dermatology resources.
   Methods: We present a sampling of the top dermatology Internet
   resources, as assessed by a group of medical students in our university
   dermatology research lab. These resources were ranked by using a matrix
   derived from the Silberg Criteria, which assessed authorship,
   attribution, disclosure, currency, and content. Results indicate
   comparable ranking and approval of cutting-edge resources as traditional
   online sources. The ranked resources in each category are provided with
   URLs for readers' use.
   Conclusions: These cutting-edge online dermatology resources represent
   excellent sources for continuing education for students and clinicians
   alike. Resources such as these likely represent the future of medical
   education, as they allow for self-directed and supplementary education
   as well as remote access. (J Am Acad Dermatol 2011;65:836-42.)
RI Dellavalle, Robert/L-2020-2013
OI Dellavalle, Robert/0000-0001-8132-088X
TC 17
ZB 0
ZA 0
Z8 0
ZS 0
ZR 0
Z9 17
U1 1
U2 7
SN 0190-9622
UT WOS:000295189300019
PM 21820206
ER

PT J
AU Linnen, Heidi
   Krampe, Henning
   Neumann, Tim
   Weiss-Gerlach, Edith
   Heinz, Andreas
   Wernecke, Klaus-Dieter
   Spies, Claudia D.
TI Depression and essential health risk factors in surgical patients in the
   preoperative anaesthesiological assessment clinic
SO EUROPEAN JOURNAL OF ANAESTHESIOLOGY
VL 28
IS 10
BP 733
EP 741
DI 10.1097/EJA.0b013e3283478361
PD OCT 2011
PY 2011
AB Background and objective Depression is common in patients with medical
   illness. However, little is known about frequency and clinical relevance
   of preoperative depression in surgical patients. The objective of this
   study was to investigate the frequency of depression, essential health
   risk factors and hospital length of stay (LOS) of patients in
   preoperative anaesthesiological assessment.
   Methods Patients were consecutively screened in the preoperative
   anaesthesiological assessment clinics. In total, 5429 patients gave
   written informed consent to perform a computerised self-assessment of
   lifestyle factors, including alcohol use, tobacco smoking, weight,
   physical status, physical exercise, sleeping disturbance, subjective
   health and sense of coherence (SOC). Depression was defined by a WHO-5
   well-being score of 13 or less. LOS was obtained from the electronic
   patient management system.
   Results A clinically relevant depressive state was found in 29.7% of the
   patients. Patients with depression had a median LOS of 6.0 days as
   compared to patients with positive well-being who had a LOS of 4.8 days
   (P<0.001). Worse subjective health, less physical exercise and
   experience of SOC, as well as more severe sleeping disturbances were
   independently and significantly associated with depression (P<0.001).
   Conclusion Clinically significant depressive states are frequent
   conditions in surgical patients of preoperative anaesthesiological
   assessment and are associated with an increased LOS. Different clinical
   pathways delivering adequate preoperative information according to the
   needs, considering subjective health and SOC of the patient as well as
   avoiding immobilisation and sleep disturbances during hospital stay
   should be considered. Long-term treatment programmes including brief
   intervention in the hospital and an outpatient concept should be
   offered. Eur J Anaesthesiol 2011;28:733-741 Published online 14
   September 2011
RI Heinz, Andreas/ABB-7736-2020; Neumann, Tim/; Spies, Claudia/
OI Heinz, Andreas/0000-0001-5405-9065; Neumann, Tim/0000-0003-2344-2162;
   Spies, Claudia/0000-0002-1062-0495
Z8 1
ZR 0
ZA 0
ZB 3
TC 12
ZS 0
Z9 13
U1 0
U2 12
SN 0265-0215
EI 1365-2346
UT WOS:000294800900007
PM 21610503
ER

PT J
AU Bowker, Anne
   D'Angelo, Nadia M.
   Hicks, Robin
   Wells, Kerry
TI Treatments for Autism: Parental Choices and Perceptions of Change
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 41
IS 10
BP 1373
EP 1382
DI 10.1007/s10803-010-1164-y
PD OCT 2011
PY 2011
AB Empirically conducted studies of the efficacy of various treatments for
   autism are limited, which leaves parents with little evidence on which
   to base their treatment decisions (Kasari, Journal of Autism and
   Developmental Disorders, 32: 447-461, 2002). The purpose of this study
   was to examine the types of treatments in current use by families of
   children with ASD. In addition, parents' perceptions of improvement in
   their child's functioning were explored. Through an online survey, a
   sample of 970 parents of ASD children reported on the treatments
   currently in use, those discontinued, and reasons for discontinuation.
   Results indicate that most families adopt multiple treatment approaches.
   Parents were most likely to discontinue non-evidence based treatments
   when they did not see improvement in their child's functioning.
ZR 0
ZB 13
ZS 2
Z8 0
TC 65
ZA 0
Z9 66
U1 2
U2 33
SN 0162-3257
UT WOS:000294908300008
PM 21161676
ER

PT J
AU Nathavitharana, K. A.
TI Online generic induction for doctors in training: an end to repetition?
SO BRITISH JOURNAL OF HOSPITAL MEDICINE
VL 72
IS 10
BP 586
EP 589
DI 10.12968/hmed.2011.72.10.586
PD OCT 2011
PY 2011
AB Multi-professional collaboration across the West Midlands has developed
   an online generic induction package consisting of 18 statutory,
   mandatory and general modules. The material incorporates best practises
   in e-learning, including an assessment component.
ZS 0
ZB 0
Z8 0
ZR 0
TC 4
ZA 0
Z9 4
U1 0
U2 2
SN 1750-8460
EI 1759-7390
UT WOS:000297834400024
PM 22041730
ER

PT J
AU Archambault, Patrick Michel
TI WikiBuild: A New Application to Support Patient and Health Care
   Professional Involvement in the Development of Patient Support Tools
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 4
AR e114
DI 10.2196/jmir.1961
PD OCT-DEC 2011
PY 2011
AB Active patient and public involvement as partners in their own health
   care and in the development of health services is key to achieving a
   health care system that is responsive to patients' needs and values. It
   promotes better use of the health care system, and improves health
   outcomes, quality of life and patient satisfaction. By involving
   patients and health care professionals as partners in the creation and
   updating of patient health support tools, wikis-highly accessible,
   interactive vehicles of communication-have the potential to empower
   users to implement these support tools in daily life. Acknowledging the
   potential of wikis, and recognizing that they capitalize on the free and
   open access to information, scientists, opinion leaders and patient
   advocates have suggested that wikis could help decision-making
   constituencies improve the delivery of health care. They might also
   decrease its cost and improve access to knowledge within developing
   countries. However, little is known about the efficacy of wikis in
   helping to attain these goals. There is also a need to know more about
   the intention of patients and health care workers to use wikis, in what
   circumstances and what factors will influence their use of wikis. In
   this issue of the Journal of Medical Internet Research, Gupta et al
   describe how they developed and tested a new wiki-inspired application
   to improve asthma care. The researchers involved patients with asthma,
   primary care physicians, pulmonologists and certified asthma educators
   in the construction of an asthma action plan. Their paper-entitled
   "WikiBuild: a new online collaboration process for multistakeholder tool
   development and consensus building"-is the first description of a
   wiki-inspired technology built to involve patients and health care
   professionals in the development of a patient support tool. This
   innovative study has made important contributions toward how wikis could
   be generalized to involve multiple stakeholders in the development of
   other knowledge translation tools such as clinical practice guidelines
   or decision aids. More specifically, Gupta et al have uncovered
   potential action mechanisms toward increasing usage of these tools by
   patients and health care professionals. These are decreasing
   hierarchical influences, increasing usability and adapting a tool to
   local context. More research is now needed to determine if the use of
   the resulting wiki-developed plan will actually be higher than a plan
   developed using other methods. Furthermore, there is also a need to
   assess the intention of participants to continue using wiki-based
   processes on an ongoing basis. It is in this dynamic and continuous
   retroaction loop that the support tool users-both patients and health
   care professionals-can adapt and improve the product after its real-life
   shortcomings are revealed and as new evidence becomes available. As
   such, a wiki would be more than a simple patient support development
   tool, but could also become a dynamic and interactive repository and
   delivery tool that would facilitate ongoing and sustainable patient and
   professional engagement.
TC 23
ZS 2
Z8 0
ZR 0
ZB 5
ZA 0
Z9 23
U1 1
U2 33
SN 1438-8871
UT WOS:000299313300003
PM 22155746
ER

PT J
AU Croucher, R.
   Islam, S. S.
   Nunn, H.
TI Campaign awareness and oral cancer knowledge in UK resident adult
   Bangladeshi: a cross-sectional study
SO BRITISH JOURNAL OF CANCER
VL 105
IS 7
BP 925
EP 930
DI 10.1038/bjc.2011.317
PD SEP 27 2011
PY 2011
AB BACKGROUND: This study reports awareness of the 'Open up to Mouth
   Cancer' campaign materials and oral cancer knowledge among two UK adult
   Bangladeshi communities, both at high risk for oral cancer.
   METHODS: Differences in the outcomes of campaign awareness and knowledge
   of oral cancer risk factors and early signs were compared between
   campaign and comparison areas. Home-based interviews were conducted with
   representative samples from both areas by bilingual interviewers. Data
   collected included a modified 36-item Humphris Oral Cancer Knowledge
   Scale and socio-demographic information. The data were collected 4 weeks
   after the campaign completion and analysed using chi(2)-tests and binary
   logistic regressions.
   RESULTS: The response rate was 77%. Both awareness of the campaign
   materials (29.99% (95% confidence interval (CI) 15.82, 46.99) vs 8.12%
   (95% CI 6.16, 10.62)) and the mean Humphris Oral Cancer Knowledge Scale
   scores (13.32 (95% CI 11.06, 15.57) vs 8.27 (95% CI 6.59, 9.94)) were
   higher in the campaign area. The campaign area sample was significantly
   more likely to be aware of the materials (odds ratio (OR) = 6.03, 95% CI
   3.00, 12.1).
   CONCLUSION: Superior awareness and oral cancer knowledge was identified
   in the community with access to the campaign materials. Further
   evaluation to identify long-term campaign impact is required. British
   Journal of Cancer (2011) 105, 925-930. doi:10.1038/bjc.2011.317
   www.bjcancer.com Published online 23 August 2011 (C) 2011 Cancer
   Research UK
Z8 0
TC 8
ZA 0
ZB 0
ZS 3
ZR 0
Z9 10
U1 1
U2 3
SN 0007-0920
UT WOS:000295357900009
PM 21863022
ER

PT J
AU Dalton, S. O.
   Frederiksen, B. L.
   Jacobsen, E.
   Steding-Jessen, M.
   Osterlind, K.
   Schuez, J.
   Osler, M.
   Johansen, C.
TI Socioeconomic position, stage of lung cancer and time between referral
   and diagnosis in Denmark, 2001-2008
SO BRITISH JOURNAL OF CANCER
VL 105
IS 7
BP 1042
EP 1048
DI 10.1038/bjc.2011.342
PD SEP 27 2011
PY 2011
AB INTRODUCTION: We investigated the association between socioeconomic
   position, stage at diagnosis, and length of period between referral and
   diagnosis in a nationwide cohort of lung cancer patients.
   METHODS: Through the Danish Lung Cancer Register, we identified 18 103
   persons diagnosed with lung cancer (small cell and non-small cell) in
   Denmark, 2001-2008, and obtained information on socioeconomic position
   and comorbidity from nationwide administrative registries. The odds
   ratio (OR) for a diagnosis of advanced-stage lung cancer (stages
   IIIB-IV) and for a diagnosis 428 days after referral were analysed by
   multivariate logistic regression models.
   RESULTS: The adjusted OR for advanced-stage lung cancer was reduced
   among persons with higher education (OR, 0.92; 95% confidence interval
   (CI), 0.84-0.99), was increased in persons living alone (OR, 1.06; 95%
   CI, 1.01-1.13) and decreased stepwise with increasing comorbidity.
   Higher education was associated with a reduced OR for >28 days between
   referral and diagnosis as was high income in early-stage patients. Male
   gender, age and severe comorbidity were associated with increased ORs in
   advanced-stage patients.
   INTERPRETATION: Differences by socioeconomic position in stage at
   diagnosis and in the period between referral and diagnosis indicate that
   vulnerable patients presenting with lung cancer symptoms require special
   attention. British Journal of Cancer (2011) 105, 1042-1048.
   doi:10.1038/bjc.2011.342 www.bjcancer.com Published online 6 September
   2011 (C) 2011 Cancer Research UK
RI Johansen, Christoffer/AAG-7916-2020; Osler, Merete/AAF-7885-2019; Jakobsen, Erik/; Dalton, Susanne Oksbjerg/; Osler, Merete/
OI Johansen, Christoffer/0000-0002-4384-206X; Jakobsen,
   Erik/0000-0002-0052-7705; Dalton, Susanne Oksbjerg/0000-0002-5485-2730;
   Osler, Merete/0000-0002-6921-220X
Z8 0
ZA 0
ZS 2
ZR 0
ZB 31
TC 60
Z9 60
U1 0
U2 10
SN 0007-0920
EI 1532-1827
UT WOS:000295357900025
PM 21897390
ER

PT J
AU Wathen, C. Nadine
   Sibbald, Shannon L.
   Jack, Susan M.
   MacMillan, Harriet L.
TI Talk, trust and time: a longitudinal study evaluating knowledge
   translation and exchange processes for research on violence against
   women
SO IMPLEMENTATION SCIENCE
VL 6
AR 102
DI 10.1186/1748-5908-6-102
PD SEP 6 2011
PY 2011
AB Background: Violence against women (VAW) is a major public health
   problem. Translation of VAW research to policy and practice is an area
   that remains understudied, but provides the opportunity to examine
   knowledge translation and exchange (KTE) processes in a complex,
   multi-stakeholder context. In a series of studies including two
   randomized trials, the McMaster University VAW Research Program studied
   one key research gap: evidence about the effectiveness of screening
   women for exposure to intimate partner violence. This project developed
   and evaluated KTE strategies to share research findings with
   policymakers, health and community service providers, and women's
   advocates.
   Methods: A longitudinal cross-sectional design, applying concurrent
   mixed data collection methods (surveys, interviews, and focus groups),
   was used to evaluate the utility of specific KTE strategies, including a
   series of workshops and a day-long Family Violence Knowledge Exchange
   Forum, on research sharing, uptake, and use.
   Results: Participants valued the opportunity to meet with researchers,
   provide feedback on key messages, and make personal connections with
   other stakeholders. A number of factors specific to the knowledge
   itself, stakeholders' contexts, and the nature of the knowledge gap
   being addressed influenced the uptake, sharing, and use of the research.
   The types of knowledge use changed across time, and were specifically
   related to both the types of decisions being made, and to stage of
   decision making; most reported use was conceptual or symbolic, with few
   examples of instrumental use. Participants did report actively sharing
   the research findings with their own networks. Further examination of
   these second-order knowledge-sharing processes is required, including
   development of appropriate methods and measures for its assessment. Some
   participants reported that they would not use the research evidence in
   their decision making when it contradicted professional experiences,
   while others used it to support apparently contradictory positions. The
   online wiki-based 'community of interest' requested by participants was
   not used.
   Conclusions: Mobilizing knowledge in the area of VAW practice and policy
   is complex and resource-intensive, and must acknowledge and respect the
   values of identified knowledge users, while balancing the objectivity of
   the research and researchers. This paper provides important lessons
   learned about these processes, including attending to the potential
   unintended consequences of knowledge sharing.
RI Sibbald, Shannon/AAO-6236-2020; MacMillan, Harriet/B-4530-2016
OI Sibbald, Shannon/0000-0002-4328-6489; MacMillan,
   Harriet/0000-0002-1223-706X
ZA 0
ZR 0
Z8 0
TC 32
ZB 1
ZS 0
Z9 32
U1 0
U2 16
SN 1748-5908
UT WOS:000295472500001
PM 21896170
ER

PT J
AU Kurkjian, T. Jonathan
   Kenkel, Jeffrey M.
   Sykes, Jonathan M.
   Duffy, Stephen C.
TI Impact of the Current Economy on Facial Aesthetic Surgery
SO AESTHETIC SURGERY JOURNAL
VL 31
IS 7
BP 770
EP 774
DI 10.1177/1090820X11417124
PD SEP 2011
PY 2011
AB Background: American Society for Aesthetic Plastic Surgery (ASAPS)
   survey data showed a 16.7% decrease in the total number of aesthetic
   surgical procedures from 2008 to 2009, whereas plastic surgeons have
   seen an increase of 0.6% in their nonsurgical cosmetic procedures.
   Objective: The authors describe the results of two surveys-one
   administered to potential patients, one to physicians-assessing the
   impact of the economy on patient choices in aesthetic facial surgery.
   Methods: Two surveys were conducted for this study-one from the American
   Academy of Facial Plastic and Reconstructive Surgeons (AAFPRS) and one
   from the Aesthetic Surgery Education and Research Foundation (ASERF).
   Both surveys utilized the unique maximum difference (MaxDiff) scaling
   format, which assesses respondent opinions through attribute/question
   grouping and multiple exposures to the same parameter, rather than
   traditional one-time questioning. In this way, MaxDiff analysis helped
   identify the varied drivers of patients' medical antiaging treatment
   (MAT) selection. The AAFPRS survey was conducted online through
   Synovate's Global Opinion Panel to identify an appropriate audience of
   potential patients. The ASERF survey contained both MaxDiff and
   traditional questions and was e-mailed to 2267 ASAPS members.
   Results: Data from the AAFPRS patient survey showed that 53% of
   respondents had been affected by the economy in their decisions
   regarding MAT procedures, with many seeking out less-costly options such
   as microdermabrasion. An overwhelming majority (95%) also reported that
   they would prefer a longer-lasting treatment over an immediate effect
   with shorter duration; furthermore, 60% felt that duration of treatment
   was more important than cost in selecting a facial aesthetic procedure.
   In the ASERF surgeon-based portion of the study, 61% of plastic surgeons
   felt that patients preferred long-lasting results over immediate ones,
   but 63% also reported that cost was a more important factor for their
   patients than duration.
   Conclusions: Extrapolating from the patient-reported survey preferences,
   the authors conclude that nonsurgical facial aesthetic treatment plans
   should currently be focused more on longevity rather than on immediate
   impact. There is currently a disconnect between patient preferences and
   surgeon perception of those preferences, which may be remedied with
   increased education for both groups. It is worth noting that many
   patients would be willing to accept a higher cost if it was correlated
   with a longer-lasting result.
ZR 0
TC 16
ZA 0
ZS 0
Z8 0
ZB 1
Z9 16
U1 0
U2 7
SN 1090-820X
UT WOS:000298244000004
PM 21835968
ER

PT J
AU Young, Kevin J.
   Kim, Julie J.
   Yeung, George
   Sit, Christina
   Tobe, Sheldon W.
TI Physician Preferences for Accredited Online Continuing Medical Education
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 31
IS 4
BP 241
EP 246
DI 10.1002/chp.20136
PD FAL 2011
PY 2011
AB Introduction: The need for up-to-date and high-quality continuing
   medical education (CME) is growing while the financial investment in CME
   is shrinking. Despite online technology's potential to efficiently
   deliver electronic CME (eCME) to large numbers of users, it has not yet
   displaced traditional CME. The purpose of this study was to explore what
   health care providers want in eCME and how they want to use it.
   Methods: This was a qualitative study. Two 3-hour focus groups were held
   with physicians in both academic and community practices as well as
   trainees knowledgeable in the hypertension clinical practice guidelines
   with a willingness to discuss eCME. Content/thematic analysis was used
   to examine the data.
   Results: Three main themes emerged: credibility, content/context, and
   control. Credibility was the most consistent and dominant theme.
   Affiliations with medical organizations and accreditation were suggested
   as methods by which eCME can gain credibility. The content and need for
   discussion of the content emerged as a key pivot point between eCME and
   traditional CME: a greater need for discussion was linked to a
   preference for traditional face-to-face CME. Control over the content
   and how it was accessed was an emergent theme, giving learners the
   ability to control the depth of learning and the time spent. They valued
   the ability to quickly find information that was in a format (podcast,
   video, mobile device) that best suited their learning needs or
   preferences at the time.
   Discussion: This study provides insight into physician preferences for
   eCME and hypotheses that can be used to guide further research.
ZA 0
ZS 0
Z8 0
ZR 0
TC 44
ZB 3
Z9 44
U1 0
U2 17
SN 0894-1912
EI 1554-558X
UT WOS:000298483900004
PM 22189987
ER

PT J
AU Smith, Brian Daniel
   Silk, Kami
TI Cultural Competence Clinic: An Online, Interactive, Simulation for
   Working Effectively With Arab American Muslim Patients
SO ACADEMIC PSYCHIATRY
VL 35
IS 5
BP 312
EP 316
DI 10.1176/appi.ap.35.5.312
PD SEP-OCT 2011
PY 2011
AB Objective: This pilot study investigates the impact of an online,
   interactive simulation involving an Arab American Muslim patient on the
   knowledge, skills, and attitudes of 2nd-year medical students regarding
   culturally competent healthcare, both in general and specific to Arab
   American Muslim patients.
   Method: Participants (N=199), were 2nd-year Michigan State University
   College of Osteopathic Medicine students enrolled in a behavioral
   medicine course that included instruction on culturally competent
   healthcare. Students were randomly assigned to a control (N=102) or an
   experimental group (N=97). The experimental group was directed to an
   online, interactive patient simulation that featured an Arab American
   Muslim patient, and both groups completed a modified Clinical Cultural
   Competence Questionnaire to assess their knowledge, skills, and
   attitudes about culturally competent healthcare in general and specific
   to Arab American Muslim patients.
   Results: There were knowledge and skills differences on two outcome
   measures for Arab American Muslim cultural competence measures in the
   experimental group. Across all of the measures, bilingual participants
   scored higher than English-speaking only participants.
   Conclusion: Preliminary data support the hypothesis that an online,
   interactive patient simulation involving the care of an Arab American
   Muslim patient has the potential to improve the knowledge and skills of
   2nd-year medical students regarding the care of Arab American Muslim
   patients beyond the basic cultural-competence curriculum.
Z8 0
ZS 0
TC 15
ZA 0
ZR 0
ZB 2
Z9 15
U1 0
U2 3
SN 1042-9670
UT WOS:000296892500009
PM 22007089
ER

PT J
AU Lajoie, Travis
   Sonkiss, Joshua
   Rich, Anne
TI Development and Clinical Outcomes of a Dialectical Behavior Therapy
   Clinic
SO ACADEMIC PSYCHIATRY
VL 35
IS 5
BP 325
EP 327
DI 10.1176/appi.ap.35.5.325
PD SEP-OCT 2011
PY 2011
AB Objective: The authors describe the first 6 months of-a dialectical
   behavior therapy (DBT) clinic operated by trainees in a general adult
   psychiatry residency program. The purpose of this report is to provide a
   model for the creation and maintenance of a formalized resident DST
   clinic.
   Methods: Residents participated in the DBT clinic, attended a weekly
   combined lecture series and consultation group supervised by the clinic
   director, and completed a 20-hour online Continuing Medical Education
   course in DBT skills training.
   Results: Eight residents participated in the clinic, each carrying one
   patient with Borderline Personality Disorder. The clinic did not
   experience any major administrative problems during 6 months of
   operation.
   Conclusion: A Resident DBT Clinic was successfully implemented as an
   elective rotation in the adult psychiatry residency training program at
   the University of Utah.
TC 4
ZA 0
ZS 0
ZB 0
ZR 0
Z8 0
Z9 4
U1 0
U2 1
SN 1042-9670
UT WOS:000296892500012
PM 22007092
ER

PT J
AU Goldberg, Gabrielle R.
   Gliatto, Peter
   Karani, Reena
TI Effect of a 1-Week Clinical Rotation in Palliative Medicine on Medical
   School Graduates' Knowledge of and Preparedness in Caring for Seriously
   Ill Patients
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 59
IS 9
BP 1724
EP 1729
DI 10.1111/j.1532-5415.2010.03312.x
PD SEP 2011
PY 2011
AB OBJECTIVES: To assess the effect of a required 1-week clinical rotation
   in palliative medicine during a 12-week internal medicine-geriatrics
   clerkship on graduating medical students' knowledge and self-assessed
   preparedness in caring for seriously ill patients.
   DESIGN: Historical control trial.
   SETTING: Mount Sinai School of Medicine (MSSM), New York, New York.
   PARTICIPANTS: Students from the MSSM classes of 2007 (MS07) and 2008
   (MS08).
   INTERVENTION: MS08 was the first class to complete the required clinical
   rotation in palliative medicine. MS07 served as a historical control,
   having received only didactics in palliative care but no clinical
   rotation.
   MEASUREMENTS: Both classes were invited to complete an anonymous online
   survey designed to assess experiences and preparedness in caring for
   seriously ill patients and a 30-question multiple choice knowledge
   examination.
   RESULTS: Fifty-eight (55%) students from MS07 and 59 (51%) students from
   MS08 completed the survey. Students from MS08 rated their skill level in
   several areas of pain management and communication more favorably than
   did students from MS07. Mean scores on the knowledge portion of the
   survey were not significantly different between the two classes.
   CONCLUSION: Graduating medical students who had a 1-week clinical
   rotation in palliative medicine had higher self-assessed skills in pain
   management and communication than students who received no clinical
   exposure. A brief clinical experience in palliative care should be
   considered for integration into the curriculum at all medical schools. J
   Am Geriatr Soc 59: 1724-1729, 2011.
OI Goldberg, Gabrielle/0000-0001-7837-7041
TC 13
ZR 0
Z8 0
ZB 1
ZS 0
ZA 0
Z9 13
U1 0
U2 3
SN 0002-8614
UT WOS:000295615000022
PM 21366546
ER

PT J
AU Salzer, Helmut J. F.
   Hoenigl, Martin
   Kessler, Harald H.
   Stigler, Florian L.
   Raggam, Reinhard B.
   Rippel, Karoline E.
   Langmann, Hubert
   Sprenger, Martin
   Krause, Robert
TI Lack of risk-awareness and reporting behavior towards HIV infection
   through needlestick injury among European medical students
SO INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH
VL 214
IS 5
BP 407
EP 410
DI 10.1016/j.ijheh.2011.05.002
PD SEP 2011
PY 2011
AB Medical students are at risk for occupational needlestick injuries
   (NSIs) which can result in substantial health consequences and
   psychological stress. Therefore, an open online survey among final year
   medical students from Austria, Germany, and the United Kingdom (UK) was
   conducted. The aim of the study was to evaluate risk-awareness and
   reporting behavior regarding needlestick injury (NSI), post-exposure
   prophylaxis, and level of education regarding the transmission of HIV
   through NSIs. Of 674 medical students, 226 (34%) reported at least one
   NSI during medical school. Respondents from Austria and Germany
   experienced a significantly higher number of NSIs in comparison to
   respondents from the UK. Seventy-six respondents (34%) did not report
   their most recent injury to an employee health office. Almost one third
   were not familiar with reporting procedures in case of a NSI and 45% of
   the study population feared that reporting an injury might have an
   adverse effect on their study success. 176 respondents (78%) who had
   suffered a NSI were not aware of the patient's HIV status. Education
   regarding NSIs and HIV transmission reduced the actual risk of
   experiencing a NSI significantly. These data indicate that medical
   students are at high risk of suffering NSIs during medical school. The
   rate of nonreporting of such injuries to an employee health service is
   alarmingly high. Improved medical curricula including precise
   recommendations may contribute to a more efficient prevention of
   occupational HIV infection in medical students. (C) 2011 Elsevier GmbH.
   All rights reserved.
RI Hoenigl, Martin/E-8802-2010; Sprenger, Martin/; Salzer, Helmut/
OI Hoenigl, Martin/0000-0002-1653-2824; Sprenger,
   Martin/0000-0002-7232-6515; Salzer, Helmut/0000-0003-0146-8310
ZB 17
ZS 1
TC 35
Z8 1
ZA 0
ZR 0
Z9 36
U1 0
U2 8
SN 1438-4639
EI 1618-131X
UT WOS:000295553600009
PM 21665538
ER

PT J
AU Cataletto, Mary
   Abramson, Stuart
   Meyerson, Karen
   Arney, Traci
   Bollmeier, Suzanne
   Dennis, Rose
   Hargrove, Joyce Keith
   Harver, Andrew
   Wissing, Dennis
   Williams, Dennis
CA Natl Asthma Educator Certification
TI The Certified Asthma Educator: The United States Experience
SO PEDIATRIC ALLERGY IMMUNOLOGY AND PULMONOLOGY
VL 24
IS 3
BP 159
EP 163
DI 10.1089/ped.2011.0083
PD SEP 2011
PY 2011
AB Asthma is responsible for significant healthcare costs in the United
   States. Although advances in pharmacology and environmental science have
   provided many opportunities to improve asthma control, asthma remains a
   major cause of missed school days, acute care visits, and
   hospitalizations. Patient education is a key component of asthma care.
   The National Asthma Educator Certification Board was established in
   February 2000 and charged with the mission of "promoting optimal asthma
   management and quality of life for individuals with asthma, their
   families and communities by advancing excellence in asthma education
   through the certified asthma educator process.'' This study was
   performed to describe the workforce of certified asthma educators (AE-Cs
   (R)) by surveying a sample of educators who completed the
   recertification process. AE-Cs (R) who had completed the recertification
   process were invited to participate in an anonymous online survey. Sixty
   five of 135 (48%) recertificants completed the survey. The primary
   training of respondents was in respiratory therapy (51.6%) and nursing
   (42.2%). Respondents were primarily female (92.3%) and Caucasian
   (95.4%). The majority worked in specialty care outpatient (59.3%) or
   hospital inpatient (40.7%) settings. Twenty percent reported an increase
   in job responsibilities as a result of achieving their initial
   certification as an AE-C (R). Most AE-Cs (R) have their basic training
   in either respiratory therapy or nursing. The workforce of AE-Cs (R)
   does not reflect the racial or ethnic percentages seen in the asthma
   population in the United States. More educators are needed to serve the
   growing numbers of individuals with asthma. Achievement of certification
   as an AE-C (R) resulted in additional job responsibilities in 20% of
   survey respondents.
RI Harver, Andrew/A-5589-2015
OI Harver, Andrew/0000-0002-5926-6327
ZS 0
ZA 0
ZR 0
Z8 0
TC 6
ZB 2
Z9 6
U1 2
U2 5
SN 2151-321X
UT WOS:000295694600007
PM 35927875
ER

PT J
AU Wagner, Julie Ann
   Pfeiffer, Carol A.
   Harrington, Karen L.
TI Evaluation of Online Instruction to Improve Medical and Dental Students'
   Communication and Counseling Skills
SO EVALUATION & THE HEALTH PROFESSIONS
VL 34
IS 3
SI SI
BP 383
EP 397
DI 10.1177/0163278710380612
PD SEP 2011
PY 2011
AB Online, interactive video modules were created to demonstrate good
   skills in history taking, counseling, and communication. The authors
   evaluated the effect of the modules on students' data gathering,
   counseling, and communication skills with standardized patients (SPs). A
   student cohort without the online modules (n = 76 medical students and n
   = 43 dental students) was compared to a cohort of different students who
   were assigned the modules (n = 88 medical students and n = 39 dental
   students). Students were evaluated by SPs using case-specific content
   checklists and the Master Interview Rating Scale (MIRS). Compared to
   their counterparts who did not use the modules, medical and dental
   students who used the modules showed significantly higher performance on
   several outcomes. The areas that showed benefit were those that were
   novel to students. Student accuracy in grading others was generally
   unrelated to their own performance. In conclusion, the online,
   interactive video modules were associated with improvements in a
   majority of clinical skills.
ZA 0
Z8 0
ZS 0
ZR 0
TC 13
ZB 1
Z9 13
U1 0
U2 8
SN 0163-2787
EI 1552-3918
UT WOS:000295326100010
PM 21613245
ER

PT J
AU Klein, Melissa D.
   Kahn, Robert S.
   Baker, Raymond C.
   Fink, Elaine E.
   Parrish, Donita S.
   White, Deanna C.
TI Training in Social Determinants of Health in Primary Care: Does it
   Change Resident Behavior?
SO ACADEMIC PEDIATRICS
VL 11
IS 5
BP 387
EP 393
DI 10.1016/j.acap.2011.04.004
PD SEP-OCT 2011
PY 2011
AB OBJECTIVE: The aim of this study was to examine the effects of a new
   social determinants of health curriculum on pediatric interns'
   attitudes, knowledge, documentation, and clinical practice.
   METHODS: A nonrandomized mixed-methods study of an educational
   intervention conducted over a 1-year period was performed. The 2008-2009
   pediatric interns (intervention group) participated in a new social
   determinants of health curriculum; prior year interns were controls, An
   anonymous online survey at the end of internship to both groups
   (post-tests) and the beginning of internship to the intervention group
   (pretest) assessed attitudes and knowledge. Documentation from the
   electronic medical record of social history questions was audited during
   the same 3-month period in successive years. Medical-legal partnership
   (MLP) referrals from both groups were compared.
   RESULTS: Intervention interns (n = 20) were more comfortable discussing
   issues (100% vs 71%; P < .01) and felt more knowledgeable regarding
   issues (100% vs 64%; P = .005), community resources (94% vs 29%; P <
   .001), and housing (39% vs 6%; P = .04) than control group interns (n =
   18). No differences regarding the importance of social hardships or
   screening for food security or education issues were found. Knowledge
   was greater in the intervention group post-test in all domains: benefits
   (72% vs 52%), housing (48% vs 21%), and education (52% vs 33%; P < .001
   for all). Intervention interns were more likely to document each issue
   (benefits 98% vs 60%, housing 93% vs 57%, food 74% vs 56%; P < .001 for
   all). The intervention group had a slightly higher rate of referral to
   MLP, although the difference did not reach statistical significance.
   CONCLUSION: The educational intervention increased interns' comfort and
   knowledge of social determinants of health and community resources.
   Documentation of social questions also increased.
RI Baker, Raymond C/D-1545-2015
OI Baker, Raymond C/0000-0001-6777-1000
ZA 0
ZR 0
ZB 11
ZS 0
Z8 0
TC 77
Z9 76
U1 0
U2 22
SN 1876-2859
UT WOS:000295347100008
PM 21640683
ER

PT J
AU Marshall, Nina L.
   Spooner, Muirne
   Galvin, P. Leo
   Ti, Joanna P.
   McElvaney, N. Gerald
   Lee, Michael J.
TI Evaluation of an e-Learning Platform for Teaching Medical Students
   Competency in Ordering Radiologic Examinations
SO RADIOGRAPHICS
VL 31
IS 5
BP 1463
EP 1474
DI 10.1148/rg.315105081
PD SEP-OCT 2011
PY 2011
AB A preliminary audit of orders for computed tomography was performed to
   evaluate the typical performance of interns ordering radiologic
   examinations. According to the audit, the interns showed only minimal
   improvement after 8 months of work experience. The online radiology
   ordering module (ROM) program included baseline assessment of student
   performance (part I), online learning with the ROM (part II), and
   follow-up assessment of performance with simulated ordering with the ROM
   (part III). A curriculum blueprint determined the content of the ROM
   program, with an emphasis on practical issues, including provision of
   logistic information, clinical details, and safety-related information.
   Appropriate standards were developed by a committee of experts, and
   detailed scoring systems were devised for assessment. The ROM program
   was successful in addressing practical issues in a simulated setting. In
   the part I assessment, the mean score for noting contraindications for
   contrast media was 24%; this score increased to 59% in the part III
   assessment (P = .004). Similarly, notification of methicillin-resistant
   Staphylococcus aureus status and pregnancy status and provision of
   referring physician contact information improved significantly. The
   quality of the clinical notes was stable, with good initial scores. Part
   III testing showed overall improvement, with the mean score increasing
   from 61% to 76% (P < .0001). In general, medical students lack the core
   knowledge that is needed for good-quality ordering of radiology
   services, and the experience typically afforded to interns does not
   address this lack of knowledge. The ROM program was a successful
   intervention that resulted in statistically significant improvements in
   the quality of radiologic examination orders, particularly with regard
   to logistic and radiation safety issues.
RI McElvaney, Noel/A-6809-2010; Ti, Joanna/; mcelvaney, Noel/
OI Ti, Joanna/0000-0002-1784-1821; mcelvaney, Noel/0000-0002-0152-4370
ZS 0
ZB 1
ZR 0
ZA 0
TC 16
Z8 0
Z9 16
U1 1
U2 5
SN 0271-5333
UT WOS:000295121700023
PM 21775674
ER

PT J
AU Huybrechts, I.
   Lin, Y.
   De Keyzer, W.
   Sioen, I.
   Mouratidou, T.
   Moreno, L. A.
   Slimani, N.
   Jenab, M.
   Vandevijvere, S.
   De Backer, G.
   De Henauw, S.
TI Dietary sources and sociodemographic and economic factors affecting
   vitamin D and calcium intakes in Flemish preschoolers
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 9
SI SI
BP 1039
EP 1047
DI 10.1038/ejcn.2011.71
PD SEP 2011
PY 2011
AB Background/Objectives: Low calcium and vitamin D intakes have been
   associated with health risks in childhood and adulthood. This study aims
   to investigate dietary sources of calcium and vitamin D intake, and its
   associated sociodemographic, economic and lifestyle factors among
   preschoolers.
   Subjects/Methods: Three-day estimated diet records from 696 Flemish
   preschoolers 2.5-6.5 years old (51% boys) were used (66% of 1052
   collected diaries). Contribution of 58 food groups to calcium and
   vitamin D intake were computed. Multiple linear regression was used to
   examine associations of intakes with sociodemographic, economic and
   lifestyle factors.
   Results: Mean calcium intake (844 mg per day) was above, and mean
   vitamin D intake (2.0 mu g per day) largely below the Belgian
   recommendations. Milk, sweetened milk drinks and cheese were the main
   sources of calcium intakes (26, 25 and 11%, respectively). Butter and
   margarine were the main vitamin D sources (26%), followed by growth milk
   (-fortified milk) (20%) and fish (15%). Calcium and vitamin D intake
   were negatively associated with participants' age, and calcium
   positively with parental education and family size. The child's gender,
   supplement use and physical activity level, and the employment status
   and smoking behaviour of the parents were not associated with calcium or
   vitamin D intake.
   Conclusions: Flemish preschoolers had too low vitamin D intakes while
   most had adequate calcium intakes. Milk (including sweetened,
   fortified/growth milk) was the main food source of calcium intake and
   the second important source of vitamin D intake after butter and
   margarine. Calcium intake was positively associated with parental
   education, while vitamin D intake was not. European Journal of Clinical
   Nutrition (2011) 65, 1039-1047; doi: 10.1038/ejcn.2011.71; published
   online 11 May 2011
RI De Backer, Guy/AAI-4607-2021; Moreno, Luis/S-1780-2019; Jenab, Mazda/
OI Moreno, Luis/0000-0003-0454-653X; Jenab, Mazda/0000-0002-0573-1852
TC 25
ZA 0
ZB 13
ZS 0
Z8 0
ZR 0
Z9 25
U1 0
U2 1
SN 0954-3007
EI 1476-5640
UT WOS:000294665500008
PM 21559036
ER

PT J
AU McGowan, C. A.
   Byrne, J.
   Walsh, J.
   McAuliffe, F. M.
TI Insufficient vitamin D intakes among pregnant women
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 9
SI SI
BP 1076
EP 1078
DI 10.1038/ejcn.2011.110
PD SEP 2011
PY 2011
AB Vitamin D has an important role in pregnancy in promoting fetal skeletal
   health. Maternal dietary intake is a key factor influencing both
   maternal and fetal status. There are limited data available on food
   groups contributing to vitamin D intake in pregnancy. The aim of this
   study was to determine dietary intakes of vitamin D throughout pregnancy
   in 64 women and to determine the main food groups contributing to
   vitamin D intake. Results showed that median dietary intakes of vitamin
   D ranged from 1.9-2.1 mu g/d during pregnancy, and were 80% below the
   current recommendation. The principal food groups contributing to
   vitamin D intake were meat, egg and breakfast cereal groups. Oily fish,
   the best dietary source of vitamin D, was consumed by <25% of women.
   These data call for more education; they question the role of vitamin D
   supplementation and highlight the contribution of other food groups more
   frequently consumed, namely, breakfast cereals, meat and eggs. European
   Journal of Clinical Nutrition (2011) 65, 1076-1078; doi:
   10.1038/ejcn.2011.110; published online 22 June 2011
TC 17
ZS 0
Z8 0
ZA 0
ZB 6
ZR 0
Z9 17
U1 0
U2 10
SN 0954-3007
UT WOS:000294665500013
PM 21697816
ER

PT J
AU Azuara-Blanco, A.
   Reddy, A.
   Wilkinson, G.
   Flin, R.
TI Safe eye surgery: non-technical aspects
SO EYE
VL 25
IS 9
BP 1109
EP 1111
DI 10.1038/eye.2011.127
PD SEP 2011
PY 2011
AB The traditional training of surgeons focused exclusively on developing
   knowledge, clinical expertise, and technical (surgical) skills. However,
   analyses of the reasons for adverse events in surgery have revealed that
   many underlying causes originate from behavioural or non-technical
   aspects of performance (eg, poor communication among members of the
   surgical team) rather than from a lack of surgical (ie, technical)
   skills. Therefore, technical skills appear to be necessary but not
   sufficient to ensure patient safety. Paying attention to non-technical
   skills, such as team working, leadership, situation awareness, decision
   making, and communication, will increase the likelihood of maintaining
   high levels of error-free performance. Identification and training of
   non-technical skills has been developed for high-risk careers, such as
   civil aviation and nuclear power. Only recently, training in
   non-technical skills has been adopted by the surgical world and
   anaesthetists. Non-technical skills need to be tailored to the
   environment where they are used, and eye surgery has some substantial
   differences compared with other surgical areas, for example, high volume
   of surgery, use of local anaesthetics, and very sophisticated equipment.
   This review highlights the need for identification of the non-technical
   skills relevant to eye surgeons and promotion of their use in the
   training of eye surgeons. Eye (2011) 25, 1109-1111;
   doi:10.1038/eye.2011.127; published online 3 June 2011
RI Flin, Rhona/C-5243-2008; Azuara-Blanco, Augusto/
OI Flin, Rhona/0000-0003-4044-5699; Azuara-Blanco,
   Augusto/0000-0002-4805-9322
ZR 0
ZS 0
ZA 0
TC 12
ZB 6
Z8 0
Z9 12
U1 1
U2 8
SN 0950-222X
UT WOS:000294760300002
PM 21637301
ER

PT J
AU Golan, S.
   Shalev, V.
   Treister, G.
   Chodick, G.
   Loewenstein, A.
TI Continuing Medical Education: Reconsidering the connection between
   vitamin D levels and age-related macular degeneration
SO EYE
VL 25
IS 9
BP 1122
EP 1129
DI 10.1038/eye.2011.174
PD SEP 2011
PY 2011
AB Purpose Recent evidence has suggested a correlation between reduced
   vitamin D levels and delayed angiogenesis and reduced inflammatory
   response, which are known to have a major role in the development and
   progression of age-related macular degeneration (AMD).
   Design Cross-sectional study.
   Participants Members of the Maccabi Healthcare Services (MHS, one of the
   four largest Israeli Health Maintenance Organization) aged >= 60 years,
   whose vitamin D levels were taken as part of routine examinations
   between 2000 and 2008.
   Methods All data for this study were obtained from MHS databases that
   include medical information on 1.8 million subscribers.
   Main outcome measures Serum 25-OH vitamin D levels.
   Results The total study population comprised of 1045 members diagnosed
   as having AMD, and 8124 as non-AMD, for whom there was information on
   vitamin D levels. The mean +/- SD level of 25-OH vitamin D was 24.1 +/-
   9.41 ng/ml (range 0.8-120) for the AMD patients and 24.13 +/- 9.50 ng/ml
   (range 0.0-120) for the controls (P = ns). One-third (33.6%) of the AMD
   patients and 32.86% of the controls had a 25-OH vitamin D level < 16
   ng/ml, and the proportions of tests in which the 25-OH vitamin D level
   was > 74 ng/ml were 0.19 and 0.14%, respectively (P = ns)
   Conclusions No association was detected between vitamin D levels and the
   presence of AMD in this cross-sectional study. These results raise some
   doubt about an association between reduced vitamin D levels and the
   prevalence of AMD. Eye (2011) 25, 1122-1129; doi: 10.1038/eye.2011.174;
   published online 5 August 2011
OI /0000-0002-5189-8995
ZS 1
ZA 0
TC 33
Z8 0
ZR 0
ZB 22
Z9 33
U1 0
U2 8
SN 0950-222X
EI 1476-5454
UT WOS:000294760300004
PM 21818133
ER

PT J
AU Handa, S.
   Woo, J. H.
   Wagle, A. M.
   Htoon, H. M.
   Eong, K. G. Au
TI Awareness of blindness and other smoking-related diseases and its impact
   on motivation for smoking cessation in eye patients
SO EYE
VL 25
IS 9
BP 1170
EP 1176
DI 10.1038/eye.2011.143
PD SEP 2011
PY 2011
AB Purpose Cigarette smoking is a major cause of morbidity and mortality.
   The association between smoking and eye diseases is less widely
   recognised relative to other better-known smoking-related conditions.
   This study aims to assess the awareness and fear of known
   smoking-related diseases among current smokers attending an
   ophthalmology outpatient clinic and to evaluate their relative impact on
   the likelihood of smoking cessation.
   Patients and methods A cross-sectional survey using a structured
   interview of randomly selected current smokers attending an eye clinic
   was conducted. The knowledge of six smoking-related diseases (lung
   cancer, heart attack, stroke, blindness, other cancers, and other lung
   diseases) was assessed. The fear of smoking-related conditions and the
   relative impact of each smoking-related condition on the smoker's
   motivation to quit smoking were evaluated.
   Results Out of 200 current smokers aged from 14 to 83 years, only 42.5%
   (85 patients) were aware that smoking causes blindness. Smokers'
   perception of harm caused by smoking was 6.53 +/- 3.21 (mean +/- SD) on
   a visual analogue scale of 0 to 10. Patients placed blindness as the
   second most important motivating factor to quit smoking immediately,
   within 1 year and 5 years, after lung cancer.
   Conclusion The awareness of the risk of blindness from smoking was
   lowest compared with five other smoking-related diseases among eye
   patients who smoke. However, blindness remains a key motivational factor
   in smoking cessation and hence should be emphasised as an important
   negative health consequence of smoking in public health education and
   anti-smoking campaigns. Eye (2011) 25, 1170-1176;
   doi:10.1038/eye.2011.143; published online 24 June 2011
ZS 0
ZA 0
ZR 0
TC 22
Z8 0
ZB 7
Z9 22
U1 0
U2 12
SN 0950-222X
UT WOS:000294760300010
PM 21701524
ER

PT J
AU Mok-Lin, Evelyn
   Missmer, Stacey
   Berry, Katharine
   Lehmann, Lisa Soleymani
   Ginsburg, Elizabeth S.
TI Public perceptions of providing IVF services to cancer and HIV patients
SO FERTILITY AND STERILITY
VL 96
IS 3
BP 722
EP U252
DI 10.1016/j.fertnstert.2011.06.051
PD SEP 2011
PY 2011
AB Objective: To assess the attitudes of the general U.S. population toward
   the use of IVF to assist adults with a history of cancer or human
   immunodeficiency virus (HIV).
   Design: Cross-sectional survey study.
   Setting: Online.
   Patient(s): A total of 1,183 adult men and women across the U.S.
   Intervention(s): Questionnaire consisting of multiple-choice and
   open-ended questions.
   Main Outcome Measure(s): Attitudes toward IVF for cancer and HIV
   patients.
   Result(s): A total of 82% supported IVF for cancer patients compared
   with 38% for HIV patients. The most common reasons for support was the
   anticipation of normal life expectancies and a belief in the universal
   right to have children, although nearly twice as many participants
   believed this to be a "right'' for cancer patients than for HIV
   patients. Young respondent ages, higher educational attainment, Jewish
   religion, and a personal history of infertility were associated with
   higher likelihood of support. Lower education level, higher annual
   household income, and having children were predictors of discordance in
   support of IVF for cancer versus HIV patients.
   Conclusion(s): Despite advancements in the treatment of cancer and HIV,
   which have allowed patients to have longer life expectancies and
   improved chances of parenthood, there is significant disparity in the
   support of providing IVF to these patient groups. (Fertil Steril (R)
   2011;96:722-7. (C)2011 by American Society for Reproductive Medicine.)
ZA 0
ZS 0
ZB 3
ZR 0
TC 8
Z8 0
Z9 8
U1 0
U2 2
SN 0015-0282
UT WOS:000294417000052
PM 21782165
ER

PT J
AU Powell, J.
   Cooles, F. A. H.
   Carrie, S.
   Paleri, V.
TI Is undergraduate medical education working for ENT surgery? A survey of
   UK medical school graduates
SO JOURNAL OF LARYNGOLOGY AND OTOLOGY
VL 125
IS 9
BP 896
EP 905
DI 10.1017/S0022215111001575
PD SEP 2011
PY 2011
AB Background: Despite the patient numbers and scope of ENT surgery, it is
   under-represented in most undergraduate medical curricula.
   Method: An online questionnaire was e-mailed, at National Health Service
   trust level, to 3544 newly qualified doctors from 30 UK medical schools.
   Undergraduate ENT exposure, confidence and educational value were
   measured on a Likert scale.
   Results: We received 444 eligible responses. The mean undergraduate ENT
   exposure was 3.4 days of pre-clinical teaching plus 5.0 days of ENT
   departmental experience. However, 15.8 per cent of respondents reported
   no formal departmental ENT experience, and 65.8 per cent would have
   liked further undergraduate experience. Teaching modalities with a lower
   perceived educational value were generally offered more frequently than
   those with a higher perceived educational value. Graduates felt
   significantly less confident with ENT history-taking, examination and
   management, compared with their cardiology clinical competencies (p <
   0.001).
   Conclusion: These results highlight the lack of UK ENT undergraduate
   education, and the significant effect this has on junior doctors'
   clinical confidence. In addition, commonly used teaching methods may not
   be optimally effective.
OI Cooles, Faye/0000-0002-8529-3337
ZS 1
ZA 0
Z8 0
ZR 0
TC 47
ZB 18
Z9 47
U1 0
U2 9
SN 0022-2151
EI 1748-5460
UT WOS:000294677100005
PM 21774848
ER

PT J
AU George, J. T.
   Warriner, D.
   McGrane, D. J.
   Rozario, K. S.
   Price, H. C.
   Wilmot, E. G.
   Kar, P.
   Stratton, I. M.
   Jude, E. B.
   McKay, G. A.
CA TOPDOC Diabet Study Team
TI Lack of confidence among trainee doctors in the management of diabetes:
   the Trainees Own Perception of Delivery of Care (TOPDOC) Diabetes Study
SO QJM-AN INTERNATIONAL JOURNAL OF MEDICINE
VL 104
IS 9
BP 761
EP 766
DI 10.1093/qjmed/hcr046
PD SEP 2011
PY 2011
AB Aim: To determine levels of confidence of doctors in training in the
   management of diabetes and establish their training needs in this area
   of clinical practice
   Design: A national online survey of trainee doctors in the UK using a
   pre-validated questionnaire.
   Methods: A four-point confidence rating scale was used to rate
   confidence in the management of diabetes and comparators. A six-point
   scale was used to quantify how often trainees would contribute to the
   management of patients with diabetes and trainees were asked about their
   training in managing diabetes.
   Results: A total of 2149 doctors completed the survey. The percentage
   'fully confident' in diagnosing diabetes was 27%, diagnosing and
   managing hypoglycaemia 55%, diagnosing and managing diabetic
   ketoacidosis 43%, managing intravenous (IV) insulin 27%, prescribing IV
   fluids for patients with diabetes 39% and altering diabetes therapy
   prior to surgery/other procedure 18%. In comparison, 66% and 65% were
   'fully confident' in the management of angina and asthma, respectively
   (P < 0.05). Forty-one percent would take the initiative to optimize
   glycaemic control for patients under their care > 80% of the time.
   Respectively, 19% and 35% of respondents reported that their
   undergraduate and postgraduate training had prepared them adequately to
   optimize treatment of diabetes. The majority (> 70%) wanted further
   training in managing all aspects of diabetes care.
   Conclusions: Trainee doctors in the UK lack confidence in the management
   of diabetes, are unlikely to take the initiative to optimize glycaemic
   control and report a need for further training.
RI Chudleigh, Richard/AAP-8603-2020; Kar, Partha/AAT-4839-2020; George, Jyothis T/B-3349-2011; stratton, irene/AAZ-3627-2020; Black, Neil/; Vas, Prashanth/; Atkin, Stephen/D-7400-2014; George, Jyothis/; Wilmot, Emma G/
OI Chudleigh, Richard/0000-0003-4784-7746; stratton,
   irene/0000-0003-1172-7865; Black, Neil/0000-0003-3167-422X; Vas,
   Prashanth/0000-0001-7448-2995; Atkin, Stephen/0000-0002-5887-7257;
   George, Jyothis/0000-0002-5299-775X; Wilmot, Emma G/0000-0002-8698-6207
ZA 0
ZR 1
Z8 0
TC 55
ZS 0
ZB 6
Z9 56
U1 0
U2 4
SN 1460-2725
EI 1460-2393
UT WOS:000294552900004
PM 21511736
ER

PT J
AU Ramakrishnan, K.
   Loh, S. Y.
   Omar, Z.
TI Earnings among people with spinal cord injury
SO SPINAL CORD
VL 49
IS 9
BP 986
EP 989
DI 10.1038/sc.2011.47
PD SEP 2011
PY 2011
AB Study design: Secondary analysis of cross-sectional data.
   Objectives: To identify differences in earnings among participants with
   spinal cord injury (SCI) and their relation to demographic, injury,
   educational and employment-related factors.
   Setting: People living with SCI in the community who were members of a
   disability support organization.
   Methods: A total of 76 members who have had traumatic SCI for at least 2
   years, between 15 and 64 years of age at time of study and were working
   before SCI were interviewed over the phone. The earnings were
   categorized as more, same or less than before SCI or no income for those
   unemployed.
   Results: Of the 76 participants (who averaged about 15.1 years post
   SCI), only 13 participants (17.1%) were earning more than before injury,
   whereas majority were in the category of having no income, being
   unemployed at time of study, n = 36 (47.4%). Factors positively related
   to earnings were having more years in education, both at time of injury
   and at time of survey. As anticipated, those currently in full time and
   paid employments were earning more while receipt of financial
   compensation was negatively related to earnings.
   Conclusion: Despite a lengthy period of time post SCI, only a minority
   were earning more, reflecting poorly on the quality of post SCI
   employment experience. The rehabilitation team should therefore focus on
   improving both educational and vocational opportunities for persons with
   SCI and aim for full time, paid employments. The current workers'
   compensation scheme renders the recipient at a static income and may
   need to be revised. Spinal Cord (2011) 49, 986-989;
   doi:10.1038/sc.2011.47; published online 10 May 2011
RI Dr Siew Yim, Loh/B-2796-2010
OI Dr Siew Yim, Loh/0000-0002-6924-8368
ZA 0
ZS 1
ZB 4
ZR 0
Z8 1
TC 11
Z9 12
U1 0
U2 7
SN 1362-4393
UT WOS:000294490900008
PM 21556013
ER

PT J
AU Logan, Jessica M.
   Thompson, Andrew J.
   Marshak, David W.
TI Testing to Enhance Retention in Human Anatomy
SO ANATOMICAL SCIENCES EDUCATION
VL 4
IS 5
BP 243
EP 248
DI 10.1002/ase.250
PD SEP-OCT 2011
PY 2011
AB Recent work in cognitive psychology has shown that repeatedly testing
   one's knowledge is a powerful learning aid and provides substantial
   benefits for retention of the material. To apply this in a human anatomy
   course for medical students, 39 fill-in-the-blank quizzes of about SO
   questions each, one for each region of the body, and four about the
   nervous system, were developed. The quizzes were optional, and no credit
   was awarded. They were posted online using Blackboard, which provided
   feedback, and they were very popular. To determine whether the quizzes
   had any effect on retention, they were given in a controlled setting to
   21 future medical and dental students. The weekly quizzes included
   questions on regional anatomy and an expanded set of questions on the
   nervous system. Each question about the nervous system was given three
   times, in a slightly different form each time. The second quiz was given
   approximately half an hour after the first one, and the third was given
   one week after the second to assess retention. The quizzes were
   unpopular, but students showed robust improvement on the questions about
   the nervous system. The scores increased by almost 9% on the second
   quiz, with no intervention except viewing the correct answers. The
   scores were 29% higher on the third quiz than on the first, and there
   was also a positive correlation between the grades on the quizzes and
   the final examination. Thus, repeated testing is an effective strategy
   for learning and retaining information about human anatomy. Anat Sci
   Educ 4: 243-248. (C) 2011 American Association of Anatomists.
Z8 0
ZB 3
TC 31
ZA 0
ZS 1
ZR 0
Z9 31
U1 3
U2 25
SN 1935-9772
UT WOS:000294987200001
PM 21805688
ER

PT J
AU Bessman, Sara C.
   Agada, Noah O.
   Ding, Ru
   Chiang, Wesley
   Bernstein, Steven L.
   McCarthy, Melissa L.
TI Comparing National Institutes of Health Funding of Emergency Medicine to
   Four Medical Specialties
SO ACADEMIC EMERGENCY MEDICINE
VL 18
IS 9
BP 1001
EP 1004
DI 10.1111/j.1553-2712.2011.01138.x
PD SEP 2011
PY 2011
AB Objectives: The purpose of this study was to compare National Institutes
   of Health (NIH) funding received in 2008 by emergency medicine (EM) to
   the specialties of internal medicine, pediatrics, anesthesiology, and
   family medicine. The hypothesis was that EM would receive fewer NIH
   awards and less funding dollars per active physician and per medical
   school faculty member compared to the other four specialties.
   Methods: Research Portfolio Online Reporting Tools (RePORT) were used to
   identify NIH-funded grants to 125 of the 133 U.S. allopathic medical
   schools for fiscal year 2008 (the most recent year with all grant
   funding information). Eight medical schools were excluded because six
   were not open in 2008, one did not have a website, and one did not have
   funding data available by medical specialty. From RePORT, all grants
   awarded to EM, internal medicine, family medicine, anesthesiology, and
   pediatric departments of each medical school were identified for fiscal
   year 2008. The authors extracted the project number, project title,
   dollars awarded, and name of the principal investigator for each grant.
   Funds awarded to faculty in divisions of EM were accounted for by
   identifying the department of the EM division and searching for all
   grants awarded to EM faculty within those departments using the name of
   the principal investigator. The total number of active physicians per
   medical specialty was acquired from the Association of American Medical
   Colleges' 2008 Physician Specialty report. The total number of faculty
   per medical specialty was collected by two research assistants who
   independently counted the faculty listed on each medical school website.
   The authors compared the total number of NIH awards and total funding
   per 1,000 active physicians and per 1,000 faculty members by medical
   specialty.
   Results: Of the 125 medical schools included in the study, 84 had
   departments of EM (67%). In 2008, NIH awarded over 9,000 grants and
   approximately $4 billion to the five medical specialties of interest.
   Less than 1% of the grants and funds were awarded to EM. EM had the
   second-lowest number of awards and funding per active physician, and the
   lowest number of awards and funding per faculty member. A higher
   percentage of grants awarded to EM were career development awards (26%,
   vs. a range of 11% to 19% for the other specialties) and cooperative
   agreements (26%, vs. 2% to 10%). In 2008, EM was the only specialty of
   the five not to have a fellowship or T32 training grant. EM had the
   lowest proportion of research project awards (42%, vs. 58% to 73%).
   Conclusions: Compared to internal medicine, pediatrics, anesthesiology,
   and family medicine, EM received the least amount of NIH support per
   active faculty member and ranked next to last for NIH support by active
   physician. Given the many benefits of research both for the specialty
   and for society, EM needs to continue to develop and support an adequate
   cohort of independent investigators. ACADEMIC EMERGENCY MEDICINE 2011;
   18: 1001-1004 (C) 2011 by the Society for Academic Emergency Medicine
RI Bernstein, Steven L./AAW-1705-2020; Agada, Noah/
OI Bernstein, Steven L./0000-0002-9964-7036; Agada,
   Noah/0000-0001-6991-5995
ZS 0
ZB 1
ZR 0
Z8 0
TC 16
ZA 0
Z9 16
U1 0
U2 4
SN 1069-6563
UT WOS:000294764200016
PM 21854480
ER

PT J
AU MacLellan, Deborah
   Morley, Catherine
   Traviss, Karol
   Cividin, Theresa
TI Toward Evidence-based, Client-centred Nutrition Education Guidelines:
   Dietitian and Consumer Survey Results
SO CANADIAN JOURNAL OF DIETETIC PRACTICE AND RESEARCH
VL 72
IS 3
BP 111
EP 116
DI 10.3148/72.3.2011.111
PD FAL 2011
PY 2011
AB Purpose: Dietitian and consumer perspectives on nutrition education
   needs and preferences were explored, as these relate to health status.
   Methods: Phases 1 and 2 of a three-phase, mixed-methods study are
   reported. Phase 1 was a national online survey of dietitians, which was
   designed to inform the development of a consumer survey (Phase 2).
   Consumers responded to an online survey about their demographics,
   medical conditions, and nutrition education needs (what they wanted to
   learn) and preferences (how they wanted to learn). Phase 3 involved
   teleconferenced discussion groups with dietitians across Canada to
   develop guidelines for nutrition education.
   Results: Dietitian respondents (n=441) perceived that consumer health
   status was important in predicting needs and preferences for nutrition
   education; emotional support was considered most important for consumers
   with life-altering medical conditions. Consumers (n=680) expressed
   interest in an array of nutrition education approaches; cooking tips,
   recipes, and supplement advice were the most popular. Respondents with
   and without medical conditions had similar nutrition education needs and
   preferences.
   Conclusions: Because of the complexity of nutrition education and
   consumers' preference for a spectrum of approaches and delivery methods,
   evidence-based nutrition education guidelines are important to inform
   dietetics training for the provision of client-centred nutrition
   education.
ZR 0
ZA 0
ZB 0
TC 4
ZS 0
Z8 0
Z9 4
U1 0
U2 9
SN 1486-3847
EI 2292-9592
UT WOS:000294741400003
PM 21896244
ER

PT J
AU Ferris, D. J.
   Frisbie, D. D.
   McIlwraith, C. W.
   Kawcak, C. E.
TI Current joint therapy usage in equine practice: A survey of
   veterinarians 2009
SO EQUINE VETERINARY JOURNAL
VL 43
IS 5
BP 530
EP 535
DI 10.1111/j.2042-3306.2010.00324.x
PD SEP 2011
PY 2011
AB Reasons for performing study: Medications are frequently employed to
   treat intra-articular (IA) problems in the performance horse. Actual
   usage of the different IA medications in horses is not available.
   Objectives: To determine the most common usage of these medications,
   members of the American Association of Equine Practitioners (AAEP) were
   surveyed.
   Methods: An email link to an online survey was electronically sent to
   6305 AAEP members and the responses tabulated and analysed with a
   logistic regression model.
   Results: A total of 831 survey responses were submitted and tabulated.
   Eighty per cent of the respondents indicated that they see 100% equine
   cases in their practice. The majority of respondents (77%) use
   triamcinolone acetonide (TA) to treat high motion joints and 73% use
   methylprednisolone acetate (MPA) to treat low motion joints.
   Veterinarians treating the Western performance and Sport horse were
   significantly more likely to use TA in high motion joints compared to
   MPA (P = 0.0201 and P<0.0001, respectively). Triamcinolone acetonide use
   compared to MPA in high motion joints by racehorse veterinarians was
   significantly lower compared to other veterinarians (P<0.0001).
   Polysulphated glycosaminoglycan (Adequan) and hyaluronate sodium
   (Legend) were the most commonly used disease modifying products (63 and
   57% of respondents, respectively). Sport horse practitioners were
   significantly more likely than race or show horse veterinarians to
   utilise IRAP products (P = 0.0035 and P = 0.04, respectively).
   Respondents who had been in practice for more than 10 years were
   significantly less likely to use antimicrobials in their joint
   injections compared to those in practice for less than 10 years
   (P<0.0001).
   Conclusions: Significant differences existed in usage of medications
   related to primary discipline treated and years practicing.
   Potential relevance: The results of this study aid in defining the
   current usage of different joint therapy medications within equine
   practice. This knowledge can guide further research as well as
   education.
ZA 0
Z8 0
ZR 0
TC 70
ZB 38
ZS 2
Z9 70
U1 0
U2 58
SN 0425-1644
UT WOS:000293700200007
PM 21668486
ER

PT J
AU van der Vaart, Rosalie
   Drossaert, Constance H. C.
   Taal, Erik
   van de Laar, Mart A. F. J.
TI Patient preferences for a hospital-based rheumatology Interactive Health
   Communication Application and factors associated with these preferences
SO RHEUMATOLOGY
VL 50
IS 9
BP 1618
EP 1626
DI 10.1093/rheumatology/ker161
PD SEP 2011
PY 2011
AB Objectives. To examine current disease-related Internet use and
   intentions to use various online support services on a hospital-based
   Interactive Health Communication Application (IHCA) of patients with
   rheumatic diseases. Furthermore, to examine which variables are
   associated with the intentions to use different services.
   Methods. Questionnaires were sent to a random sample of 484 patients of
   a large hospital's rheumatology clinic: response was 47% (n = 227).
   Questions included socio-demographics, health characteristics, health
   literacy, patients' current disease-related Internet use and their
   intentions to use eight different support services: (i) information
   about disease and treatment; (ii) information about care and support;
   (iii) peer communication; (iv) e-consultation; (v) autonomous symptom
   monitoring; (vi) symptom monitoring with telemonitoring; (vii)
   self-management support; and (viii) access to their electronic medical
   records.
   Results. Although most patients with Internet access had used it in
   relation to their disease (82%), Internet use was mainly limited to
   searching information. Many patients (45-68%), however, intended to use
   seven out of eight possible online services if offered on a
   hospital-based rheumatology IHCA. An exception was peer communication;
   only 11% intended to use this service. Of all the services, access to
   the electronic medical record was mostly preferred, followed by
   information provision. Demographics, health characteristics and health
   literacy did not show clear significant relationships with the reported
   intentions.
   Conclusion. Results show that patients with rheumatic diseases are
   interested in online support from the hospital and that they intend to
   use an IHCA, if it is available. Clear associating variables with
   reported intentions to use the different services were not found.
RI Taal, Erik/F-2827-2010; van der Vaart, Rosalie/; Drossaert, Constance/
OI Taal, Erik/0000-0002-9822-4488; van der Vaart,
   Rosalie/0000-0002-8787-4186; Drossaert, Constance/0000-0002-7083-3169
ZA 0
TC 31
ZS 1
Z8 0
ZR 0
ZB 6
Z9 32
U1 0
U2 11
SN 1462-0324
EI 1462-0332
UT WOS:000294068500014
PM 21551221
ER

PT J
AU Friedman, Adam
   Nasir, Adnan
TI Nanotechnology and Dermatology Education in the United States: Data From
   a Pilot Survey
SO JOURNAL OF DRUGS IN DERMATOLOGY
VL 10
IS 9
BP 1037
EP 1041
PD SEP 2011
PY 2011
AB Background: Nanotechnology is a rapidly growing discipline with
   important implications for consumers, patients, physicians and
   investigators. In an era when nanotechnology is being both incorporated
   into educational requirements for medical fields such as radiology and
   oncology and vigorously pursued and developed by cosmeceutical
   companies, dermatology is falling behind. A survey was conducted to
   ascertain knowledge, attitudes and perception of nanotechnology in
   dermatology teaching programs.
   Methods: To ascertain baseline knowledge, attitudes and preceptions
   regarding nanotechnology among dermatology trainees, dermatology
   investigators and dermatology faculty in US academic medical centers, an
   online survey was sent out to random members of the dermatology
   community and data analyzed (100 participants, 23% response rate).
   Participants responded to a questionnaire on a five-point scale ranging
   from strongly disagree, disagree, uncertain, agree, to strongly agree.
   Due to the low response rate, strongly disagree/disagree and strongly
   agree/agree values were combined and compared to uncertain responses.
   Results: Approximately equal numbers of faculty vs. chief residents
   responded to the survery (52% vs. 47.75%, respectively). The majority of
   respondents had not previously attended any educational activity on
   nanotechnology (69.57%). The majority of participants agreed that more
   education on nanotechnology for dermatologists is needed (78.26% agreed
   vs. 21.74% uncertain) and that it should be incorporated into the
   residency training curriculum (60.87% agree vs. 13.04% disagree).
   Participants mostly agreed that nanotechnology research can contribute
   to better fundamental understanding of skin disease (78.26%), to
   advances in the diagnosis of skin disease (73.91%) and to therapies
   (78.26%). Participants mostly agreed that more research is needed
   (82.60%) and that this research should be funded (78.26%). Not
   surprisingly, respondents were uncertain with respect to issues of
   nanotechnology safety both in the pharmaceutical realm (60.87%) and
   cosmeceutical realm (69.57%). Furthermore, the overwhelming majority
   responded that research is also needed to evaluate nanomaterial safety
   (86.96%).
   Limitations: Both the populations size and response rate were low,
   possibly affecting the power and significance of the results in this
   study.
   Conclusion: The survey results indicate a significant gap in dermatology
   training. Participants indicated a need for more training and education
   in the area of nanotechnology, and called for more research to evaluate
   the potential pitfalls associated with nanomaterials as well and to seek
   new advances in diagnostic and therapeutic modalities.
OI Friedman, Adam/0000-0001-8925-1620
TC 5
ZR 0
ZA 0
ZB 1
Z8 0
ZS 1
Z9 5
U1 0
U2 1
SN 1545-9616
UT WOS:000294518900016
PM 22052274
ER

PT J
AU Schonfeld, Toby
   Dahlke, Erin L.
   Longo, John M.
TI Pre-Test/Post-Test Results from an Online Ethics Course: Qualitative
   Assessment of Student Learning
SO TEACHING PHILOSOPHY
VL 34
IS 3
BP 273
EP 290
DI 10.5840/teachphil201134333
PD SEP 2011
PY 2011
AB Although online education is becoming increasingly commonplace in health
   professional education, methods to evaluate student progress and
   knowledge base adequately remain uncertain. This paper describes a
   project that attempted to assess whether or not an online course was an
   effective way to teach applied ethics to students preparing for the
   health professions by qualitatively analyzing responses to a pre-test
   and post-test administered to students in the course. While previous
   studies have reported various findings regarding the success of online
   ethics courses, our study failed to demonstrate that students gained a
   greater understanding of key concepts in ethics-respect for autonomy,
   decisional capacity, informed consent, and role of the provider. Our
   findings demonstrate the need for better subjective methods of
   evaluation and raise questions regarding the efficacy of current models
   of online ethics courses for health professional students.
OI Schonfeld, Toby/0000-0001-6798-1278
TC 1
ZS 0
ZA 0
Z8 0
ZR 0
ZB 0
Z9 1
U1 1
U2 14
SN 0145-5788
UT WOS:000294577100004
ER

PT J
AU Ordonez, Tiago Nascimento
   Yassuda, Monica Sanches
   Cachioni, Meire
TI Elderly online: Effects of a digital inclusion program in cognitive
   performance
SO ARCHIVES OF GERONTOLOGY AND GERIATRICS
VL 53
IS 2
BP 216
EP 219
DI 10.1016/j.archger.2010.11.007
PD SEP-OCT 2011
PY 2011
AB There is little empirical data about the impact of digital inclusion on
   cognition among older adults. This paper aimed at investigating the
   effects of a digital inclusion program in the cognitive performance of
   older individuals who participated in a computer learning workshop named
   "Idosos On-Line'' (Elderly Online). Forty-two aged individuals
   participated in the research study: 22 completed the computer training
   workshop and 20 constituted the control group. All subjects answered a
   sociodemographic questionnaire and completed the Addenbrooke's cognitive
   examination, revised (ACE-R), which examines five cognitive domains:
   orientation and attention, memory, verbal fluency, language, and
   visuo-spatial skills. It was noted that the experimental group's
   cognitive performance significantly improved after the program,
   particularly in the language and memory domains, when compared to the
   control group. These findings suggest that the acquisition of new
   knowledge and the use of a new tool, that makes it possible to access
   the Internet, may bring gains to cognition. (C) 2010 Elsevier Ireland
   Ltd. All rights reserved.
RI Meire, Cachioni/I-5643-2012; Yassuda, Monica S/C-9693-2012; Yassuda, Monica Sanches/AAC-6219-2022; Ordonez, Tiago Nascimento TNO/P-7055-2016
OI Meire, Cachioni/0000-0001-5220-410X; Yassuda, Monica
   Sanches/0000-0002-9182-2450; Ordonez, Tiago Nascimento
   TNO/0000-0003-0307-5895
Z8 0
ZB 3
ZS 8
TC 31
ZR 0
ZA 0
Z9 38
U1 2
U2 58
SN 0167-4943
EI 1872-6976
UT WOS:000292547000052
PM 21131070
ER

PT J
AU Walsh, John P.
   Sun, Jerry Chih-Yuan
   Riconscente, Michelle
TI Online Teaching Tool Simplifies Faculty Use of Multimedia and Improves
   Student Interest and Knowledge in Science
SO CBE-LIFE SCIENCES EDUCATION
VL 10
IS 3
BP 298
EP 308
DI 10.1187/cbe.11-03-0031
PD SEP 2011
PY 2011
AB Digital technologies can improve student interest and knowledge in
   science. However, researching the vast number of websites devoted to
   science education and integrating them into undergraduate curricula is
   time-consuming. We developed an Adobe ColdFusion- and Adobe Flash-based
   system for simplifying the construction, use, and delivery of electronic
   educational materials in science. The Online Multimedia Teaching Tool
   (OMTT) in Neuroscience was constructed from a ColdFusion-based online
   interface, which reduced the need for programming skills and the time
   for curriculum development. The OMTT in Neuroscience was used by faculty
   to enhance their lectures in existing curricula. Students had unlimited
   online access to encourage user-centered exploration. We found the OMTT
   was rapidly adapted by multiple professors, and its use by undergraduate
   students was consistent with the interpretation that the OMTT improved
   performance on exams and increased interest in the field of
   neuroscience.
RI Walsh, John/GQI-2785-2022; Sun, Jerry Chih-Yuan/
OI Sun, Jerry Chih-Yuan/0000-0002-7892-4313
ZR 0
ZS 1
ZA 0
Z8 0
ZB 1
TC 16
Z9 18
U1 1
U2 23
SN 1931-7913
UT WOS:000294480000008
PM 21885826
ER

PT J
AU Xu, Di
   Jaggars, Shanna Smith
TI The Effectiveness of Distance Education Across Virginia's Community
   Colleges: Evidence From Introductory College-Level Math and English
   Courses
SO EDUCATIONAL EVALUATION AND POLICY ANALYSIS
VL 33
IS 3
BP 360
EP 377
DI 10.3102/0162373711413814
PD SEP 2011
PY 2011
AB Although online learning is rapidly expanding in the community college
   setting, there is little evidence regarding its effectiveness among
   community college students. In the current study, the authors used a
   statewide administrative data set to estimate the effects of taking
   one's first college-level math or English course online rather than face
   to face, in terms of both course retention and course performance.
   Several empirical strategies were used to minimize the effects of
   student self-selection, including multilevel propensity score. The
   findings indicate a robust negative impact of online course taking for
   both subjects. Furthermore, by comparing the results of two matching
   methods, the authors conclude that within-school matching on the basis
   of a multilevel model addresses concerns regarding selection issues more
   effectively than does traditional propensity score matching across
   schools.
ZB 1
ZA 0
Z8 0
TC 93
ZR 0
ZS 0
Z9 93
U1 0
U2 33
SN 0162-3737
EI 1935-1062
UT WOS:000293707200005
ER

PT J
AU Andretta, Susie
TI Evaluating information literacy educators' practices before and after
   the course facilitating information literacy education: from tutor to
   learner-centred
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 28
IS 3
BP 171
EP 178
DI 10.1111/j.1471-1842.2011.00946.x
PD SEP 2011
PY 2011
AB Objective: The article gives an account of a study on the impact of
   facilitating information literacy education (FILE) on its participants,
   health librarians who have attended this course between 2007 and 2010.
   Methods: The analysis presented here is based on the first stage of the
   research, funded by the Higher Education Academy Information and
   Computer Sciences and consisting of an online survey. This survey was
   conducted in Autumn 2010 and examined the respondents' examples of
   information literacy practice before and after FILE.
   Results and conclusion: Two main outcomes can be drawn from the data.
   First, that overall the respondents' provision of information literacy
   education has shifted from a tutor-centred approach (where the trainer
   decides what the learner needs) to a learner-centred approach (where the
   learner decides what he/she needs). And secondly, that the impact of
   FILE should be seen in terms of a self-perpetuating professional
   development, rather than measured in terms of specific changes that
   occur at set times (e. g., at the end of the course or 6 months after
   completion). As one FILE participant puts it: 'When FILE ends your
   career as an information literacy professional starts.'
Z8 0
ZA 0
ZB 0
ZR 0
ZS 0
TC 6
Z9 6
U1 0
U2 35
SN 1471-1834
UT WOS:000293747700003
PM 21831216
ER

PT J
AU Kim, Hyojin
   Park, Sun-Young
   Bozeman, Ingrid
TI Online health information search and evaluation: observations and
   semi-structured interviews with college students and maternal health
   experts
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 28
IS 3
BP 188
EP 199
DI 10.1111/j.1471-1842.2011.00948.x
PD SEP 2011
PY 2011
AB Background: While the Internet is a popular source of health
   information, health seekers' inadequate skills to locate and discern
   quality information pose a potential threat to their healthcare
   decision-making.
   Objectives: We aimed to examine health information search and appraisal
   behaviours among young, heavy users of the Internet.
   Methods: In study 1, we observed and interviewed 11 college students
   about their search strategies and evaluation of websites. In study 2,
   three health experts evaluated two websites selected as the best
   information sources in study 1.
   Results: Familiarity with health websites and confidence in search
   strategies were major factors affecting search and evaluation
   behaviours. Website quality was mostly judged by aesthetics and
   peripheral cues of source credibility and message credibility. In
   contrast to users' favourable website evaluation, the experts judged the
   websites to be inappropriate and untrustworthy.
   Conclusion: Our results highlight a critical need to provide young
   health seekers with resources and training that are specifically geared
   toward health information search and appraisal. The role of health
   seekers' knowledge and involvement with the health issue in search
   effort and success warrants future research.
ZA 0
TC 51
ZS 0
ZR 0
Z8 1
ZB 2
Z9 52
U1 2
U2 49
SN 1471-1834
UT WOS:000293747700005
PM 21831218
ER

PT J
AU Harlan, Linda C.
   Lynch, Charles F.
   Keegan, Theresa H. M.
   Hamilton, Ann S.
   Wu, Xiao-Cheng
   Kato, Ikuko
   West, Michele M.
   Cress, Rosemary D.
   Schwartz, Stephen M.
   Smith, Ashley W.
   Deapen, Dennis
   Stringer, Sonja M.
   Potosky, Arnold L.
CA AYA HOPE Study Collaborative Grp
TI Recruitment and follow-up of adolescent and young adult cancer
   survivors: the AYA HOPE Study
SO JOURNAL OF CANCER SURVIVORSHIP-RESEARCH AND PRACTICE
VL 5
IS 3
BP 305
EP 314
DI 10.1007/s11764-011-0173-y
PD SEP 2011
PY 2011
AB Introduction Cancer is rare in adolescents and young adults (AYA), but
   these patients have seen little improvement in survival in contrast to
   most other age groups. Furthermore, participation in research by AYAs is
   typically low. We conducted a study to examine the feasibility of
   recruiting a population-based sample of AYA survivors to examine issues
   of treatment and health outcomes.
   Methods Individuals diagnosed in 2007-08 and age 15-39 at the time of
   diagnosis with acute lymphocytic leukemia, Hodgkin lymphoma, non-Hodgkin
   lymphoma, germ cell cancer or sarcoma were identified by 7 Surveillance,
   Epidemiology, and End-Results (SEER) cancer registries, mailed surveys
   within 14 months after diagnosis and again a year later, and had medical
   records reviewed.
   Results 525 (43%) of the eligible patients responded, 39% refused and
   17% were lost to follow-up. Extensive efforts were required for most
   potential respondents (87%). 76% of respondents completed the paper
   rather than online survey version. In a multivariate model, age, cancer
   site, education and months from diagnosis to the first mailing of the
   survey were not associated with participation, although males (p <
   0.01), Hispanics and non-Hispanic blacks (p < 0.001) were less likely to
   participate. 91% of survivors completing the initial survey completed
   the subsequent survey.
   Discussion Despite the response rate, those who participated adequately
   reflected the population of AYA cancer survivors. The study demonstrates
   that cancer registries are valuable foundations for conducting
   observational, longitudinal population-based research on AYA cancer
   survivors.
   Implications for Cancer Survivors Achieving a reasonable response rate
   in this population is possible, but requires extensive resources.
TC 117
ZB 36
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ZS 1
ZA 0
ZR 0
Z9 118
U1 0
U2 11
SN 1932-2259
UT WOS:000294174700010
PM 21274648
ER

PT J
AU VanDevanter, Nancy
   Kwon, Simona
   Sim, Shao-Chee
   Chun, Kay
   Trinh-Shevrin, Chau
CA B Free CEED Coalition
TI Evaluation of Community-Academic Partnership Functioning: Center for the
   Elimination of Hepatitis B Health Disparities
SO PROGRESS IN COMMUNITY HEALTH PARTNERSHIPS-RESEARCH EDUCATION AND ACTION
VL 5
IS 3
SI SI
BP 223
EP 233
DI 10.1353/cpr.2011.0032
PD FAL 2011
PY 2011
AB Background: Process evaluation of community academic partnership
   function and fidelity to principles of community-based participatory
   research (CBPR) is essential to achievement of intermediate and long
   term partnership goals.
   Objectives: This article describes the evaluation of B Free CEED, a
   community academic partnership created to address hepatitis health
   disparities in Asian American and Pacific Islander (API) communities.
   Methods: A mixed methods approach with an online survey and qualitative
   key informant interviews was conducted with all partnership members at
   baseline and follow-up, 18 months later.
   Results: Survey findings showed stability over time, with some
   consistent differences in community and academic perspectives. Academic
   members were somewhat more satisfied with the partnership functioning.
   Key informant interviews provided contextual data key to further
   defining partnership functioning.
   Conclusions: Conducting ongoing partnership evaluations is necessary to
   reassess and align processes and protocols to enhance partnership
   functioning and strengthen group cohesion.
OI Kwon, Simona/0000-0003-2398-704X
ZR 0
Z8 0
ZA 0
ZB 1
ZS 0
TC 16
Z9 16
U1 1
U2 5
SN 1557-0541
EI 1557-055X
UT WOS:000208610300005
PM 22080771
ER

PT J
AU Furnham, Adrian
   Abajian, Natasha
   McClelland, Alastair
TI Psychiatric literacy and personality disorders
SO PSYCHIATRY RESEARCH
VL 189
IS 1
BP 110
EP 114
DI 10.1016/j.psychres.2011.02.024
PD AUG 30 2011
PY 2011
AB Past literature suggests that mental health literacy among the general
   public is lamentably poor. The study aimed to examine the effect of
   demographics, knowledge of psychology and psychiatry, and experience of
   mental illness as predictors for understanding and recognising
   personality disorders from vignette descriptions. An opportunistic
   sample of 187 participants with a mean age of 28 years completed an
   online questionnaire in which they were asked to describe and evaluate
   vignettes of 10 personality disorders. The results revealed major
   differences between the personality disorders in terms of recognition,
   and identification and perceived adjustment. The results showed that
   those who were female, older and had experienced a mental health problem
   were more accurate and mental health literate. (C) 2011 Elsevier Ireland
   Ltd. All rights reserved.
RI Furnham, Adrian/ABB-2072-2020
Z8 0
ZB 5
TC 19
ZR 0
ZS 0
ZA 0
Z9 19
U1 0
U2 5
SN 0165-1781
UT WOS:000295073500018
PM 21440310
ER

PT J
AU Pulver, Lisa K.
   Wai, Angela
   Maxwell, David J.
   Robertson, Marion B.
   Riddell, Steven
TI Implementation and evaluation of a multisite drug usage evaluation
   program across Australian hospitals - a quality improvement initiative
SO BMC HEALTH SERVICES RESEARCH
VL 11
AR 206
DI 10.1186/1472-6963-11-206
PD AUG 29 2011
PY 2011
AB Background: With the use of medicines being a broad and extensive part
   of health management, mechanisms to ensure quality use of medicines are
   essential. Drug usage evaluation (DUE) is an evidence-based quality
   improvement methodology, designed to improve the quality, safety and
   cost-effectiveness of drug use. The purpose of this paper is to describe
   a national DUE methodology used to improve health care delivery across
   the continuum through multi-faceted intervention involving audit and
   feedback, academic detailing and system change, and a qualitative
   assessment of the methodology, as illustrated by the Acute Postoperative
   Pain Management (APOP) project.
   Methods: An established methodology, consisting of a baseline audit of
   inpatient medical records, structured patient interviews and general
   practitioner surveys, followed by an educational intervention and
   follow-up audit, is used. Australian hospitals, including private,
   public, metropolitan and regional, are invited to participate on a
   voluntary basis. De-identified data collected by hospitals are collated
   and evaluated nationally to provide descriptive comparative analyses.
   Hospitals benchmark their practices against state and national results
   to facilitate change. The educational intervention consists of academic
   detailing, group education, audit and feedback, point-of-prescribing
   prompts and system changes. A repeat data collection is undertaken to
   assess changes in practice. An online qualitative survey was undertaken
   to evaluate the APOP program. Qualitative assessment of hospitals'
   perceptions of the effectiveness of the overall DUE methodology and
   changes in procedure/prescribing/policy/clinical practice which resulted
   from participation were elicited.
   Results: 62 hospitals participated in the APOP project. Among 23
   respondents to the evaluation survey, 18 (78%) reported improvements in
   the documentation of pain scores at their hospital. 15 (65%) strongly
   agreed or agreed that participation in APOP directly resulted in
   increased prescribing of multimodal analgesia for pain relief in
   postoperative patients.
   Conclusions: This national DUE program has facilitated the engagement
   and participation of a number of acute health care facilities to address
   issues relating to quality use of medicine. This approach has been
   perceived to be effective in helping them achieve improvements in
   patient care.
RI Pulver, Lisa/A-1602-2016; Riddell, Steven/
OI Riddell, Steven/0000-0002-7950-2788
TC 2
Z8 0
ZR 0
ZS 0
ZB 2
ZA 0
Z9 3
U1 0
U2 7
SN 1472-6963
UT WOS:000295416200001
PM 21871132
ER

PT J
AU Dhillon, P. K.
   Yeole, B. B.
   Dikshit, R.
   Kurkure, A. P.
   Bray, F.
TI Trends in breast, ovarian and cervical cancer incidence in Mumbai, India
   over a 30-year period, 1976-2005: an age-period-cohort analysis
SO BRITISH JOURNAL OF CANCER
VL 105
IS 5
BP 723
EP 730
DI 10.1038/bjc.2011.301
PD AUG 23 2011
PY 2011
AB BACKGROUND: Demographic, socioeconomic and cultural changes in India
   have increased longevity, delayed childbearing, decreased parity and
   resulted in a more westernised lifestyle, contributing to the increasing
   burden of cancer, especially among women.
   METHODS: We evaluated secular changes in the incidence of breast,
   cervical and ovarian cancer in Mumbai women aged 30-64 between 1976 and
   2005. Age-standardised incidence rates were calculated and presented by
   site and calendar period. An age-period-cohort (APC) analysis quantified
   recent time trends and the significance of birth cohort and calendar
   period effects. The estimated annual percent change (EAPC) was obtained
   from the drift parameter, expressing the linear time trend common to
   both calendar period and birth cohort.
   RESULTS: Over the 30-year study period, the age-standardised rates
   significantly increased for breast cancer (EAPC: 1.1% (95% confidence
   interval (CI): 1.0, 1.3)), significantly decreased for cervical cancer
   (EAPC: -1.8% (95% CI: -2.0, -1.6)) and there was no statistically
   significant change for ovarian cancer (EAPC: 0.3% (95% CI: -0.1, 0.6)).
   For breast and cervical cancer, the best-fitting model was the APC
   model.
   CONCLUSIONS: The rates of breast, cervical and ovarian cancer remain low
   in comparison with western countries, and the divergent trends of breast
   (increasing) and cervical cancer (decreasing) in Mumbai were similar to
   those observed in several other Asian countries. The changing risk
   profile in successive generations - improved education, higher
   socioeconomic status, later age at marriage and at first child, and
   lower parity - may in combination partially explain the diverging
   generational changes in breast and cervical cancer in Mumbai in the last
   decades. British Journal of Cancer (2011) 105, 723-730.
   doi:10.1038/bjc.2011.301 www.bjcancer.com Published online 9 August 2011
   (C) 2011 Cancer Research UK
OI Bray, Freddie/0000-0002-3248-7787
ZB 26
TC 61
ZA 0
ZR 0
Z8 1
ZS 0
Z9 62
U1 1
U2 16
SN 0007-0920
EI 1532-1827
UT WOS:000294207800018
PM 21829198
ER

PT J
AU Walsh, Carolyn O.
   Ziniel, Sonja I.
   Delichatsios, Helen K.
   Ludwig, David S.
TI Nutrition attitudes and knowledge in medical students after completion
   of an integrated nutrition curriculum compared to a dedicated nutrition
   curriculum: a quasi-experimental study
SO BMC MEDICAL EDUCATION
VL 11
AR 58
DI 10.1186/1472-6920-11-58
PD AUG 12 2011
PY 2011
AB Background: Nutrition education has presented an ongoing challenge to
   medical educators. In the 2007-2008 academic year, Harvard Medical
   School replaced its dedicated Preventive Medicine and Nutrition course
   with an integrated curriculum. The objective of the current study was to
   assess the effect of the curriculum change on medical student attitudes
   and knowledge about nutrition.
   Methods: A survey was administered in a quasi-experimental design to
   students in the last class of the dedicated curriculum (n = 131) and the
   first class of the integrated curriculum (n = 135) two years after each
   class completed the required nutrition course. Main measures were
   attitude scores based on modified Nutrition in Patient care Survey and
   satisfaction ratings, performance on a nutrition knowledge test, and
   demographic variables. Two-tailed t-tests were performed.
   Results: Response rates were 50.4% and 42.2%. There were no differences
   between the groups in attitude scores from the Nutrition in Patient care
   Survey (p = 0.43) or knowledge scores (p = 0.63). Students with the
   integrated curriculum were less satisfied with both the quantity (p <
   0.0001) and quality (p = 0.008) of their nutrition education, and were
   more likely to have completed optional online nutrition training modules
   (p = 0.0089).
   Conclusions: Medical student attitudes and knowledge about nutrition
   were not affected by the model of nutrition education they receive,
   though students in an integrated curriculum may feel their education is
   inadequate and seek additional training.
RI Ziniel, Sonja/U-2180-2019
OI Ziniel, Sonja/0000-0002-7953-6398
Z8 0
ZA 0
TC 17
ZS 0
ZB 3
ZR 0
Z9 17
U1 1
U2 11
EI 1472-6920
UT WOS:000294905200001
ER

PT J
AU Kandula, Sasikiran
   Ancker, Jessica S.
   Kaufman, David R.
   Currie, Leanne M.
   Zeng-Treitler, Qing
TI A new adaptive testing algorithm for shortening health literacy
   assessments
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 11
AR 52
DI 10.1186/1472-6947-11-52
PD AUG 6 2011
PY 2011
AB Background: Low health literacy has a detrimental effect on health
   outcomes, as well as ability to use online health resources. Good health
   literacy assessment tools must be brief to be adopted in practice; test
   development from the perspective of item-response theory requires
   pretesting on large participant populations. Our objective was to
   develop a novel classification method for developing brief assessment
   instruments that does not require pretesting on large numbers of
   research participants, and that would be suitable for computerized
   adaptive testing.
   Methods: We present a new algorithm that uses principles of measurement
   decision theory (MDT) and Shannon's information theory. As a
   demonstration, we applied it to a secondary analysis of data sets from
   two assessment tests: a study that measured patients' familiarity with
   health terms (52 participants, 60 items) and a study that assessed
   health numeracy (165 participants, 8 items).
   Results: In the familiarity data set, the method correctly classified
   88.5% of the subjects, and the average length of test was reduced by
   about 50%. In the numeracy data set, for a two-class classification
   scheme, 96.9% of the subjects were correctly classified with a more
   modest reduction in test length of 35.7%; a three-class scheme correctly
   classified 93.8% with a 17.7% reduction in test length.
   Conclusions: MDT-based approaches are a promising alternative to
   approaches based on item-response theory, and are well-suited for
   computerized adaptive testing in the health domain.
OI Ancker, Jessica/0000-0002-3859-9130
Z8 0
ZS 0
ZB 0
ZA 0
ZR 0
TC 2
Z9 2
U1 0
U2 15
EI 1472-6947
UT WOS:000295293500001
PM 21819614
ER

PT J
AU Brummett, Beverly H.
   Babyak, Michael A.
   Siegler, Ilene C.
   Shanahan, Michael
   Harris, Kathleen Mullan
   Elder, Glen H.
   Williams, Redford B.
TI Systolic Blood Pressure, Socioeconomic Status, and Biobehavioral Risk
   Factors in a Nationally Representative US Young Adult Sample
SO HYPERTENSION
VL 58
IS 2
BP 161
EP U85
DI 10.1161/HYPERTENSIONAHA.111.171272
PD AUG 2011
PY 2011
AB In the National Longitudinal Study of Adolescent Health, a US
   longitudinal study of >15 000 young adults, we examined the extent to
   which socioeconomic status is linked to systolic blood pressure (SBP)
   and whether biobehavioral risk factors mediate the association. More
   than 62% of the participants had SBP >120 mm Hg and 12% had SBP >140 mm
   Hg. More than 66% were classified as at least overweight (body mass
   index >25 kg/m(2)), with >36% meeting criteria for at least class I
   obesity (body mass index >30 kg/m(2)). Multivariate models showed that
   higher household income and being married were independently associated
   with lower SBP. Higher body mass index, greater waist circumference,
   smoking, and higher alcohol intake were each independently associated
   with higher SBP. Meditational analyses suggested that higher education
   level was associated with lower SBP by way of lower body mass, smaller
   waist circumference, and lower resting heart rate. When these indirect
   effects were accounted for, education was not significantly associated
   with SBP. In contrast, household income remained associated with SBP
   even with control for all of the covariates. Results reinforce current
   public health concerns about rates of obesity and high blood pressure
   among young adults and suggest that disparities in education level and
   household income may play an important role in the observed decrements
   in health. Identifying modifiable mechanisms that link socioeconomic
   status to SBP using data from a large representative sample may improve
   risk stratification and guide the development of effective
   interventions. (Hypertension. 2011;58:161-166.). Online Data Supplement
ZA 0
ZS 4
Z8 1
ZB 25
TC 73
ZR 3
Z9 78
U1 0
U2 4
SN 0194-911X
EI 1524-4563
UT WOS:000292918000018
PM 21730296
ER

PT J
AU Dolor, Rowena J.
   Greene, Sarah M.
   Thompson, Ella
   Baldwin, Laura-Mae
   Neale, Anne Victoria
TI Partnership-Driven Resources to Improve and Enhance Research (PRIMER): A
   Survey of Community-Engaged Researchers and Creation of an Online
   Toolkit
SO CTS-CLINICAL AND TRANSLATIONAL SCIENCE
VL 4
IS 4
BP 259
EP 265
DI 10.1111/j.1752-8062.2011.00310.x
PD AUG 2011
PY 2011
AB Objective: This project aimed to develop an open-access website
   providing adaptable resources to facilitate best practices for multisite
   research from initiation to closeout.
   Methods: A web-based assessment was sent to the leadership of the
   Clinical and Translational Science Award (CTSA) Community Engagement Key
   Functions Committee (n = 38) and the CTSA-affiliated Primary Care
   Practice-based Research Networks (PBRN, n = 55). Respondents rated the
   benefits and barriers of multisite research, the utility of available
   resources, and indicated their level of interest in unavailable
   resources. Then, existing research resources were evaluated for
   relevance to multisite research, adaptability to other projects, and
   source credibility.
   Results: Fifty-five (59%) of invited participants completed the survey.
   Top perceived benefits of multisite research were the ability to conduct
   community-relevant research through academic-community partnerships
   (34%) and accelerating translation of research into practice (31%). Top
   perceived barriers were lack of research infrastructure to support PBRNs
   and community partners (31%) and inadequate funding to support multisite
   collaborations (26%). Over 200 resources were evaluated, of which 120
   unique resources were included in the website.
   Conclusion: The PRIMER Research Toolkit (www.researchtoolkit.org)
   provides an array of peer-reviewed resources to facilitate translational
   research for the conduct of multisite studies within PBRNs and
   community-based organizations. Clin Trans Sci 2011; Volume 4: 259-265
OI Dolor, Rowena/0000-0001-7317-9468; Neale, Anne/0000-0003-0387-5884
Z8 0
ZB 1
TC 9
ZS 0
ZR 0
ZA 0
Z9 9
U1 0
U2 8
SN 1752-8054
UT WOS:000294566300011
PM 21884512
ER

PT J
AU Steinhaeuser, J.
   Annan, N.
   Roos, M.
   Szecsenyi, J.
   Joos, S.
TI Approaches to reduce shortage of general practitioners in rural areas -
   results of an online survey of trainee doctors
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 136
IS 34-35
BP 1715
EP 1719
DI 10.1055/s-0031-1272576
PD AUG 2011
PY 2011
AB Approaches to reduce shortage of general practitioners in rural areas -
   results of an online survey of trainee doctors
   Background: In times of shortage of general practitioners (GPs),
   especially in rural areas, it is of particular interest to explore
   expectations and interests of GP trainees relating to their future work.
   The aim of this study was, to survey the willingness of trainee doctors
   to work in or open a general practice, as well as their expectations and
   plans concerning future work as a GP in a rural area.
   Methods: The survey was conducted online between April to October 2010
   with trainee doctors. The questionaire contained 25 questions about the
   trainees' sociodemographic status, expectations and conception of their
   future work, factors influencing setting up a GP practice and their
   ideas about working in a rural area.
   Results: 492 trainee doctors from across Germany responded. More than
   half of them were female, more than 40% older than 35 years. 89% could
   image themselves settling in a GP practice, 77% in a rural area. The
   three most important factors influencing working in a rural practice
   were family friendly surrounding, the rural village itself and
   cooperation with colleagues. Most trainees would accepted having to
   travel 30 minutes to work.
   Conclusion: As the basic willingness to set up practice in rural areas
   is quite high, relevant influencing factors such as family friendly
   surroundings, out-of-hour services arrangements und working models
   offering the opportunity to work in group handed practices should be
   emphasized in recruitment.
RI Roos, Marco/A-1856-2019; Steinhaeuser, Jost/D-8283-2012; Joos, Stefanie/
OI Roos, Marco/0000-0003-1596-5908; Joos, Stefanie/0000-0002-5810-529X
TC 35
Z8 0
ZS 0
ZB 2
ZA 0
ZR 0
Z9 35
U1 3
U2 18
SN 0012-0472
EI 1439-4413
UT WOS:000294459300004
PM 21815130
ER

PT J
AU Carney, Ryan M.
   Ahearn, Sean C.
   McConchie, Alan
   Glaser, Carol
   Jean, Cynthia
   Barker, Chris
   Park, Bborie
   Padgett, Kerry
   Parker, Erin
   Aquino, Ervic
   Kramer, Vicki
TI Early Warning System for West Nile Virus Risk Areas, California, USA
SO EMERGING INFECTIOUS DISEASES
VL 17
IS 8
BP 1445
EP 1454
DI 10.3201/eid1708.100411
PD AUG 2011
PY 2011
AB The Dynamic Continuous-Area Space-Time (DYCAST) system is a biologically
   based spatiotemporal model that uses public reports of dead birds to
   identify areas at high risk for West Nile virus (WNV) transmission to
   humans. In 2005, during a statewide epidemic of WNV (880 cases), the
   California Department of Public Health prospectively implemented DYCAST
   over 32,517 km(2) in California. Daily risk maps were made available
   online and used by local agencies to target public education campaigns,
   surveillance, and mosquito control. DYCAST had 80.8% sensitivity and
   90.6% specificity for predicting human cases, and K analysis indicated
   moderate strength of chance-adjusted agreement for >4 weeks. High-risk
   grid cells (populations) were identified an average of 37.2 days before
   onset of human illness; relative risk for disease was >39x higher than
   for low-risk cells. Although prediction rates declined in subsequent
   years, results indicate DYCAST was a timely and effective early warning
   system during the severe 2005 epidemic.
RI Barker, Christopher/K-1415-2018
OI Barker, Christopher/0000-0002-7941-346X
ZR 0
ZS 0
TC 21
Z8 1
ZB 12
ZA 0
Z9 22
U1 1
U2 28
SN 1080-6040
UT WOS:000293676200015
PM 21801622
ER

PT J
AU Tamler, Ronald
   Green, Dina E.
   Skamagas, Maria
   Breen, Tracy L.
   Looker, Helen C.
   Babyatsky, Mark
   LeRoith, Derek
TI Effect of Case-Based Training for Medical Residents on Inpatient
   Glycemia
SO DIABETES CARE
VL 34
IS 8
BP 1738
EP 1740
DI 10.2337/dc11-0517
PD AUG 2011
PY 2011
AB OBJECTIVE-To determine whether an educational intervention for medical
   house staff improves blood glucose (BG) in hospitalized patients.
   RESEARCH DESIGN AND METHODS-All 116 medicine residents at an academic
   medical center were assigned to online or classroom training on
   inpatient dysglycemia in fall 2008. Both groups were offered an online
   refresher course in spring 2009 addressing gaps in clinical practice
   identified on chart review. We assessed event BG, the first BG of any
   3-h period, on two teaching wards.
   RESULTS-A total of 108 residents (93.1%) completed the initial training.
   The primary outcome, median event BG, decreased from 152 mg/dL in August
   2008 to 139 mg/dL in December 2008 (P < 0.0001). Prevalence of event BC
   >200 mg/dL decreased from 25.5 to 22.7% (P = 0.0207), at the expense of
   more event BGs <70 mg/dL (2.0-3.9%, P = 0.0124).
   CONCLUSIONS-A curriculum for medicine residents on inpatient glycemia
   led to lower inpatient BG.
TC 14
Z8 0
ZA 0
ZB 3
ZS 0
ZR 0
Z9 14
U1 0
U2 2
SN 0149-5992
EI 1935-5548
UT WOS:000294035400011
PM 21715520
ER

PT J
AU Vaughan, Louella
   McAlister, Graeme
   Bell, Derek
TI 'August is always a nightmare': results of the Royal College of
   Physicians of Edinburgh and Society of Acute Medicine August transition
   survey
SO CLINICAL MEDICINE
VL 11
IS 4
BP 322
EP 326
DI 10.7861/clinmedicine.11-4-322
PD AUG 2011
PY 2011
AB An electronic survey was used to assess perceptions of the disruption
   caused by the August transition and explore support for possible
   solutions. In total, 763 responses from members and fellows of the Royal
   College of Physicians of Edinburgh and the Society of Acute Medicine
   were received. The majority perceived the August transition to have a
   negative impact on patient care (93.1%), patient safety (90.4%) and
   training (57.8%) for a period of up to one month. In total 680/737
   respondents wished to shift away from a single changeover day, with
   strong support for a staggered changeover by grade. Changes to
   consultant working practices were felt to be beneficial, especially the
   cancellation of outpatient clinics (75%) and the restriction of leave
   (69.9%). Further use of shadowing (74.1%) and online induction (37%) was
   supported. This paper concludes that there is a high degree of support
   for structured change to the current provisions for junior doctor
   changeover.
RI Vaughan, Louella/AAE-3679-2019; Bell, Derek/
OI Bell, Derek/0000-0002-9944-1097
Z8 0
ZS 0
ZR 0
TC 27
ZB 2
ZA 0
Z9 27
U1 0
U2 6
SN 1470-2118
UT WOS:000293667900006
PM 21853824
ER

PT J
AU Coppins, D. F.
   Margetts, B. M.
   Fa, J. L.
   Brown, M.
   Garrett, F.
   Huelin, S.
TI Effectiveness of a multi-disciplinary family-based programme for
   treating childhood obesity (The Family Project)
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 8
BP 903
EP 909
DI 10.1038/ejcn.2011.43
PD AUG 2011
PY 2011
AB Background/Objectives: To determine if a multi-component family focused
   education package is more effective than a waiting list control group in
   treating overweight and obese children.
   Subjects/Methods: A 2-year randomised controlled trial; 65 overweight
   and obese children aged 6-14 years were allocated to active intervention
   in either the first or second year, with body composition monitoring
   alone in the control period. Anthropometric measurements were undertaken
   at six monthly intervals and a 7-day food and activity diary were
   issued.
   Results: Over the 2 years of the study body mass index (BMI) SDS (z
   score) fell significantly in the intervention/control (I/C) group, but
   not in the control/intervention (C/I) group. The difference between
   groups was 0.3, which was borderline significant (95% confidence
   interval (95% CI) -0.62 to 0.02, P=0.06) before adjusting for potential
   confounding factors. Thirty-three percent of the I/C group and 12% of
   the C/I group achieved the target reduction of 0.5 BMI SDS. The I/C
   group had a significantly greater reduction in the percentage with a BMI
   above the 99.6th centile at 24 months (P=0.04) and gained 5.7 kg less
   over the time of the study. There were no significant differences
   between groups for mean percentage attendance at physical activity
   sessions (I/C group 24.1%, 95% CI, 15.4-32.9; C/I group 31.7%, 95% CI,
   22.4-41.1, P=0.229).
   Conclusions: Children given active intervention followed by body
   composition monitoring alone reduced their BMI SDS, and fewer children
   were classified as grossly overweight by the end of the study. If these
   findings are true, there are important implications for the provision of
   services managing overweight in the community. European Journal of
   Clinical Nutrition (2011) 65, 903-909; doi:10.1038/ejcn.2011.43;
   published online 13 April 2011
ZB 3
TC 18
ZR 0
ZA 0
ZS 1
Z8 0
Z9 19
U1 0
U2 16
SN 0954-3007
EI 1476-5640
UT WOS:000293517700004
PM 21487425
ER

PT J
AU Usher, Wayne T.
TI Australian health professionals' health website recommendation trends
SO HEALTH PROMOTION JOURNAL OF AUSTRALIA
VL 22
IS 2
BP 134
EP 141
DI 10.1071/HE11134
PD AUG 2011
PY 2011
AB Introduction:This study was concerned with indentifying motivations and
   trends associated with a health website recommendation from eight of
   Australia's major health professions to the health consumer. Health
   professions included in this study are: psychiatrists, general
   practitioners, social workers, dietitians, chiropractors,
   physiotherapists, optometrists and pharmacists.
   Methods: An online survey (www.limesurvey.org) was developed from a
   common set of questions negotiated between all eight health professions.
   Survey questions were constructed in an attempt to identify
   participants' reasons for or against recommending a health website to a
   patient. A 5-point scale (not, slightly, neutral, moderately, strongly)
   to measure influence was used throughout the question set.
   Results: This study indicates that Australian general practitioners
   (GPs) were the highest Australian health professionals to undertake a
   health website recommendation (86%), followed by psychiatrists (80%),
   with the lowest being physiotherapists (42%) and optometrists (33%). A
   profile of the Australian health professional who recommends a health
   website is identified as male, aged above 50 years, has had more than 10
   years experience, works in a major city, is in private practice and has
   patient numbers exceeding 500 in a 12-month period (2009).
   Conclusion: Recommendations from this study include the need to develop
   mechanisms that identify high-quality online medical information and the
   development and implementation of Continuing Professional Development
   (CPD) courses which up-skill health professionals concerning the
   recommendation of health websites for health care delivery.
ZR 0
Z8 0
ZB 0
ZS 0
TC 7
ZA 0
Z9 7
U1 0
U2 6
SN 1036-1073
EI 2201-1617
UT WOS:000293547200011
PM 21819357
ER

PT J
AU Millichap, John J.
   Goldstein, Joshua L.
TI Neurology Journal Club A new subsection
SO NEUROLOGY
VL 77
IS 9
BP 915
EP 917
DI 10.1212/WNL.0b013e31822b00f0
PD AUG 2011
PY 2011
AB The term "journal club" traditionally refers to a gathering of
   physicians for the critical review of current medical literature and
   discussion regarding the clinical application of the results. Since the
   formation of the first documented journal club over 130 years ago, the
   organization and purpose of this academic tool has gone through many
   changes. Despite the advent of "virtual" online journal clubs, most
   academic departments still employ a physical meeting between trainees
   and the faculty. The Neurology (R) Journal Club is a new subsection of
   the Resident & Fellow Section with the goal of enhancing the traditional
   journal club experience by publishing examples of structured critical
   appraisals of medical literature. The Journal Club critiques, written by
   neurology residents and fellows with faculty supervision, will examine
   each article for key features of hypothesis and design, methods,
   results, and interpretation. Neurology (R) 2011;77:915-917
RI JJ, Millichap/D-5008-2009
OI JJ, Millichap/0000-0002-0798-0131
Z8 0
ZA 0
ZB 1
TC 10
ZS 0
ZR 0
Z9 10
U1 0
U2 0
SN 0028-3878
UT WOS:000294537000023
PM 21876198
ER

PT J
AU Savageau, Judith A.
   Ferguson, Warren J.
   Bohlke, Joan L.
   Cragin, Linda J.
   O'Connell, Elizabeth
TI Recruitment and Retention of Primary Care Physicians at Community Health
   Centers: A Survey of Massachusetts Physicians
SO JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
VL 22
IS 3
BP 817
EP 835
PD AUG 2011
PY 2011
AB As the backbone of the safety-net system, community health centers
   (CHCs) provide access to essential services, yet contend with high
   provider turnover. Using an online survey, primary care physicians
   (PCPs) at 62 Massachusetts League of Community Health Centers member
   sites were queried about recruitment and retention factors. Nearly 300
   (n=294) PCPs representing 46 CHCs completed the survey. Female
   physicians, those practicing in the greater Boston area, and those in
   practice for 10 or more years reported a higher likelihood of remaining
   in a CHC. Additional factors included: residency preparedness to
   practice in CHCs; the interview process; and satisfaction with the CHC's
   mission, patient diversity and current compensation. With the expansion
   of CHCs, attention must be paid to the PCP workforce. These survey
   results can inform advocates, leaders, policymakers, and educators
   regarding workforce initiatives and practice redesign. Once a commitment
   is made to caring for CHC patients, if this commitment is sustained,
   retention is good.
ZB 1
ZR 0
ZS 1
TC 15
ZA 0
Z8 0
Z9 15
U1 0
U2 10
SN 1049-2089
UT WOS:000294088000010
PM 21841281
ER

PT J
AU Angell, C.
   Hemingway, A.
   Hartwell, H.
TI Surfing the net for public health resources
SO PUBLIC HEALTH
VL 125
IS 8
BP 547
EP 553
DI 10.1016/j.puhe.2011.02.007
PD AUG 2011
PY 2011
AB Objectives: To identify public health open educational resources (OER)
   available online, map the identified OER to The Public Health Skills and
   Career Framework (PHSCF), and triangulate these findings with public
   health practitioners.
   Study design: Systematic online search for public health OER.
   Methods: An online search was undertaken using a pre-defined set of
   search terms and inclusion/exclusion criteria. Public health OER were
   then mapped against the UK PHSCF. The findings of the search were
   discussed with public health specialists to determine whether or not
   they used these resources.
   Results: A number of public health OER were identified, located on 42
   websites from around the world. Mapping against the UK PHSCF
   demonstrated a lack of coverage in some areas of public health
   education. It was noted that many of the OER websites identified were
   not those generally used in practice, and those sites preferred by
   public health specialists were not identified by the online search.
   Conclusions: Public health OER are available from a number of providers,
   frequently universities and government organizations. However, these
   reflect a relatively small pool of original OER providers. Tagging of
   websites does not always identify their public health content. In
   addition, users of public health OER may not use search engines to
   identify resources but locate them using other means. (C) 2011 The Royal
   Society for Public Health. Published by Elsevier Ltd. All rights
   reserved.
RI Hemingway, Ann/AAD-2512-2019
OI Hemingway, Ann/0000-0002-0920-3897
ZS 0
ZB 0
Z8 1
ZR 0
TC 2
ZA 0
Z9 3
U1 0
U2 6
SN 0033-3506
UT WOS:000293828600011
PM 21802101
ER

PT J
AU Vetter, M. L.
   Wadden, T. A.
   Lavenberg, J.
   Moore, R. H.
   Volger, S.
   Perez, J. L.
   Sarwer, D. B.
   Tsai, A. G.
TI Relation of health-related quality of life to metabolic syndrome,
   obesity, depression and comorbid illnesses
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 8
BP 1087
EP 1094
DI 10.1038/ijo.2010.230
PD AUG 2011
PY 2011
AB Background: Metabolic syndrome has been associated with impaired
   health-related quality of life (HRQoL) in several studies. Many studies
   used only one HRQoL measure and failed to adjust for important
   confounding variables, including obesity, depression and comorbid
   conditions.
   Objective: To investigate the relationship between metabolic syndrome
   and HRQoL using multiple measures. We also sought to determine whether
   increasing body mass index or diabetes status further modified this
   relationship.
   Methods: This cross-sectional study included 390 obese participants with
   elevated waist circumference and at least one other criterion for
   metabolic syndrome. Of these 390 participants, 269 had metabolic
   syndrome (that is, they met 3 out of the 5 criteria specified by the
   NCEP (National Cholesterol Education Program)) and 121 did not.
   Participants were enrolled in a primary care-based weight-reduction
   trial. HRQoL was assessed using two generic instruments, the Medical
   Outcomes Study Short-Form 12 and the EuroQol-5D, as well as an
   obesity-specific measure, the Impact of Weight on Quality of Life.
   Differences in HRQoL were compared among participants with and without
   metabolic syndrome. Multivariable linear regression was used to
   determine how HRQoL varied according to metabolic syndrome status, and
   whether factors including weight, depression and burden of comorbid
   disease modified this relationship.
   Results: Metabolic syndrome was not associated with HRQoL as assessed by
   any of the measures. In univariable analysis, depression, disease burden
   and employment status were significantly associated with worse HRQoL on
   all instruments. In multivariable models, only depression remained
   significantly associated with reduced HRQoL on all measures. Increasing
   obesity and diabetes status did not modify the relationship between
   metabolic syndrome and HRQoL.
   Conclusion: In contrast to previous studies, metabolic syndrome was not
   associated with impaired HRQoL as assessed by multiple measures. This
   suggests that metabolic syndrome in itself is not associated with
   decreased HRQoL, but other factors such as obesity, depression and
   greater disease burden may significantly influence the quality of life
   in this population. International Journal of Obesity (2011) 35,
   1087-1094; doi:10.1038/ijo.2010.230; published online 2 November 2010
OI volger, sheri/0000-0002-1689-1173
ZA 0
Z8 0
ZB 10
ZR 0
TC 46
ZS 4
Z9 48
U1 0
U2 9
SN 0307-0565
EI 1476-5497
UT WOS:000293784100010
PM 21042326
ER

PT J
AU Harris, Paul A.
   Swafford, Jonathan A.
   Edwards, Terri L.
   Zhang, Minhua
   Nigavekar, Shraddha S.
   Yarbrough, Tonya R.
   Lane, Lynda D.
   Helmer, Tara
   Lebo, Laurie A.
   Mayo, Gail
   Masys, Daniel R.
   Bernard, Gordon R.
   Pulley, Jill M.
TI StarBRITE: The Vanderbilt University Biomedical Research Integration,
   Translation and Education portal
SO JOURNAL OF BIOMEDICAL INFORMATICS
VL 44
IS 4
BP 655
EP 662
DI 10.1016/j.jbi.2011.01.014
PD AUG 2011
PY 2011
AB StarBRITE is a one-stop, web-based research portal designed to meet the
   day-to-day needs of the Vanderbilt University and Meharry Medical
   College research community during the planning and conduct of research
   studies. StarBRITE serves as the main online location for research
   support addressing issues such as identification and location of
   resources, identification of experts, guidance for regulatory
   applications and approvals, regulatory assistance, funding requests,
   research data planning and collection, and serves as a central
   repository for educational offerings. To date, there have been more than
   590,038 StarBRITE hits by more than 6582 cumulative users. We present
   here StarBRITE design objectives, details about technical infrastructure
   and system components, status report and activity metrics for the first
   2.75-years of operation, and a report of lessons learned during
   organizing, launching and refining the portal. (C) 2011 Elsevier Inc.
   All rights reserved.
ZB 4
ZR 0
ZS 0
ZA 0
TC 13
Z8 0
Z9 13
U1 0
U2 8
SN 1532-0464
UT WOS:000293371500016
PM 21310264
ER

PT J
AU Ramakrishnan, K.
   Mazlan, M.
   Julia, P. E.
   Latif, L. Abdul
TI Return to work after spinal cord injury: factors related to time to
   first job
SO SPINAL CORD
VL 49
IS 8
BP 924
EP 927
DI 10.1038/sc.2011.16
PD AUG 2011
PY 2011
AB Study design: Cross-sectional survey.
   Objectives: To investigate factors related to length of time between
   spinal cord injury (SCI) onset and start of first post-injury
   employment.
   Setting: Persons living with SCI in the community who are members of a
   disability support organization.
   Methods: Participants were randomly selected from the membership list of
   a non-governmental voluntary organization. They met the following four
   criteria: traumatic SCI, minimum of 15 years of age at the time of
   survey, a minimum of 2 years after SCI and had been employed for some
   time since SCI. The main outcome measure was time (in years) from injury
   onset to beginning first post-injury job.
   Results: Participants averaged 4.9 years (s.d. 5.1) from the time of SCI
   to their first post-injury job, with a range of 3 months to 20 years.
   Fifty percent of the participants who eventually returned to work had
   done so by 4 years. Return to pre-injury employer and employment were
   associated with early return, whereas having less years in education and
   being older at the time of injury were associated with longer time to
   return to work.
   Conclusion: Rehabilitation team need to consider return to employment as
   a realistic goal even many years after SCI. Perhaps a focus on returning
   more people to their pre-injury employer and employment with added focus
   and input from rehabilitation team for those with lower education status
   and older age at time of injury might expedite the process of
   reintegration. Spinal Cord (2011) 49, 924-927; doi:10.1038/sc.2011.16;
   published online 8 March 2011
RI LATIF, LYDIA ABDUL/B-8894-2010; MAZLAN, MAZLINA/Y-9327-2019; Engkasan, Julia Patrick/M-5547-2018; Mazlan, Mazlina/A-1015-2011
OI LATIF, LYDIA ABDUL/0000-0002-2218-1151; Engkasan, Julia
   Patrick/0000-0003-0599-4908; Mazlan, Mazlina/0000-0002-4012-1873
ZS 0
Z8 0
ZB 7
ZA 0
TC 26
ZR 0
Z9 26
U1 0
U2 5
SN 1362-4393
UT WOS:000293573000013
PM 21383761
ER

PT J
AU Kania, Romain E.
   Verillaud, Benjamin
   Tran, Hugo
   Gagnon, Robert
   Kazitani, Driss
   Huy, Patrice Tran Ba
   Herman, Philippe
   Charlin, Bernard
TI Online Script Concordance Test for Clinical Reasoning Assessment in
   Otorhinolaryngology The Association Between Performance and Clinical
   Experience
SO ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 137
IS 8
BP 751
EP 755
DI 10.1001/archoto.2011.106
PD AUG 2011
PY 2011
AB Objective: To report on the creation and administration of an online
   Script Concordance Test (SCT) for ear, nose, and throat (ENT), the
   ENT-SCT.
   Design: Prospective study.
   Setting: Two tertiary care university centers.
   Participants: In total, 132 individuals were asked to test an ENT-SCT of
   20 cases and 94 questions based on the major educational objectives of
   the ENT residency program.
   Main Outcome Measures: Three levels of experience were tested: medical
   students, ENT residents, and board-certified otorhinolaryngologists as
   the expert panel. The test's construct validity-whether scores were
   related to clinical experience-was statistically analyzed. Reliability
   was estimated by the Cronbach alpha internal consistency coefficient.
   Participants' perception of the test was assessed with the use of a
   questionnaire.
   Results: The 65 respondents with usable data were medical students
   (n=21), ENT residents (n=22), and experts (n=22). Total mean (SD) test
   scores differed significantly: 76.81 (3.31) for the expert panel, 69.05
   (4.35) for residents, and 58.29(5.86) for students. The Cronbach alpha
   coefficient was 0.95. More than two-thirds of the participants found the
   test to be realistic and relevant for assessing clinical reasoning. The
   test was also considered fun, interesting, and intuitive.
   Conclusions: The Web-based ENT-SCT is feasible, reliable, and useful for
   assessing clinical reasoning. This online assessment tool may have
   applications for residency programs and continuing medical education.
RI Verillaud, Benjamin/AAM-5105-2020; Herman, Philippe/AAO-1376-2020
ZS 1
ZB 3
ZR 0
Z8 0
TC 23
ZA 0
Z9 23
U1 0
U2 3
SN 0886-4470
UT WOS:000293857000002
PM 21844407
ER

PT J
AU Mooij, S. C.
   Antony, P.
   Ruesseler, M.
   Pfeifer, R.
   Drescher, W.
   Simon, M.
   Pape, H. -C.
   Knobe, M.
TI Gender-Specific Evaluation of Student's Career Planning during Medical
   Study in Terms of Orthopaedic Trauma
SO ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE
VL 149
IS 4
BP 389
EP 394
DI 10.1055/s-0030-1271162
PD AUG 2011
PY 2011
AB Background: Due to recent changes in the medical licencing act as well
   as to the introduction of a new model-course programme for medical
   studies, careers in medicine have become increasingly more attractive.
   However, there is still a dramatic shortage in younger generation
   physicians, especially within the surgical fields. The goal of this
   cross-sectional study was the gender-specific assessment of the ideal
   career wishes of students during medical school, with a focus being
   placed in orthopaedic trauma surgery.
   Materials and Methods: During the winter semester of 2010/2011 an online
   questionnaire (www.surveymonkey.com) was created for students enrolled
   in their 3rd to 12th semester (n = 887). The questionnaire consisted of
   50 questions [Likert scale (LS); 5 = agree, 1 = disagree] along with 10
   free response questions. The scope of these questions ranged from
   personal career goals, within the context of their learning environment,
   to general life goals and planning. With regard to career choice, a
   differentiation was made between students' ideal career choices/subjects
   (IS), which were based solely on personal affinity, and so-called
   reality-based subjects (RS), which students considered more practical
   and to which they were more likely to apply in the future.
   Results: The response rate was 36,4% (n = 323, 23,4 years, 6.3
   semesters, 226 [70.0%] female [f] and 97 [30.0%] male [m]). A total of
   206 students (63.8%; m = 55.7% vs. f = 66.7%; p = 0.047) were able to
   pinpoint an IS, this percentage increased with increasing semester
   number (p = 0.048). Overall, 29.1% of students indicated that their IS
   lay in the field of orthopaedic trauma, while 20.0% of men and 19.1% of
   women saw it as a realistic career path (RS). Throughout the course of
   their studies, from the 3rd semester to their practical year, a
   declining tendency was observed regarding the agreement between ideal
   and realistic career paths. Particularly evident was a decreasing
   interest in the field of orthopaedic trauma, beginning around the 9th
   semester and during the practical year, especially among the female
   student population. The reason for this shift seems multifactorial,
   ranging from concerns about family planning as well as the work load in
   a male-dominated field. By the time students enter their practical year,
   13.5% of women and 15.4% of men were still certain in their choice to
   pursue a career in orthopaedic trauma (RS).
   Conclusions: It seems that there is great interest in the fields of
   orthopaedic trauma among both female and male students in the middle
   portion of their studies. Women, especially, tend to prefer a
   specialisation in this operative field early in the course of their
   studies. However, this pool of potential successors decreases
   dramatically with time, due to personal experiences garnered on the
   wards, expectations regarding career paths (male-dominated, long hours)
   as well as concerns about family planning. The most dramatic shift seems
   to occur during the practical year.
RI Ruesseler, Miriam/ABD-3388-2020; Knobe, Matthias/Y-3537-2019; Pape, Hans-Christoph/
OI Ruesseler, Miriam/0000-0001-7494-0159; Knobe,
   Matthias/0000-0002-9166-0965; Pape, Hans-Christoph/0000-0002-2059-4980
ZB 3
ZA 0
ZR 0
Z8 0
TC 14
ZS 0
Z9 14
U1 0
U2 8
SN 1864-6697
UT WOS:000293881700004
PM 21739415
ER

PT J
AU Faiman, Beth
TI Overview and Experience of a Nursing e-Mentorship Program
SO CLINICAL JOURNAL OF ONCOLOGY NURSING
VL 15
IS 4
BP 418
EP 423
DI 10.1188/11.CJON.418-423
PD AUG 2011
PY 2011
AB Little is known regarding the feasibility and efficacy of an online
   continuing education program for oncology nurses. The Multiple Myeloma
   Mentorship Program, a quality improvement project for the Institute for
   Medical Education and Research, was designed to meet the educational
   needs of oncology nurses caring for patients with multiple myeloma.
   Twenty-five expert nurses with expertise in multiple myeloma from 23
   cancer centers in the United States partnered with 50 oncology nurses in
   an electronic format from July 2009 to January 2010. The purpose of the
   program was to educate oncology nurses about the latest treatments and
   strategies for optimal side-effect management for patients with multiple
   myeloma. Nurse mentees selected their preferred form of
   learning-webcast, in-person speaker, or monograph. Two live webcasts
   allowed for didactic discussion between mentors and mentees. During and
   after the program, mentors conducted informal, unscripted interviews
   with nurse participants to determine preferred learning format,
   challenges, and implications for practice. Twelve nurses preferred
   Web-based learning to in-person presentations, citing flexibility and
   convenience as reasons for that choice. Time constraints with Web-based
   and in-person learning were a barrier to nurse mentees completing
   assigned modules. Several nurses implemented practice changes as a
   result of the program. Nurses who participated in the mentorship program
   were satisfied with the content. Learning styles and format should be
   considered in future mentorship programs.
Z8 1
ZA 0
ZB 0
TC 8
ZR 0
ZS 0
Z9 9
U1 1
U2 12
SN 1092-1095
EI 1538-067X
UT WOS:000293724400012
PM 21810575
ER

PT J
AU Joshi, L.
   Shanmuganathan, V. A.
   Kneebone, R. L.
   Amoaku, W.
TI Performance in the Duke-Elder ophthalmology undergraduate prize
   examination and future careers in ophthalmology
SO EYE
VL 25
IS 8
BP 1027
EP 1033
DI 10.1038/eye.2011.114
PD AUG 2011
PY 2011
AB Aims Cognitive factors (eg, academic achievement) have had a significant
   role in selecting postgraduate surgical trainees in the past. This
   project sought to determine the role of a national undergraduate
   ophthalmology prize examination (Duke-Elder examination) in the
   selection of postgraduate ophthalmology trainees. This would also serve
   as a quality assurance exercise for the assessment, in which the
   ultimate aim is to encourage trainees into ophthalmology.
   Methods A retrospective analysis of the top 20 ranked candidates in the
   Duke-Elder examination from 1989 to 2005 (except 1995) was carried out
   to determine which of them subsequently entered the ophthalmic training
   and General Medical Council Specialist Registers.
   Results Out of the top 20 candidates in the exam, 29.5% went into
   specialist training in ophthalmology. Some appeared in the top 20 more
   than once, with 56% of them going into ophthalmic training, but they had
   a similar median time to enter training as those who appeared in the top
   20 once. There was no significant evidence to suggest that the overall
   median ranking scores between the UK medical schools differed (P = 0.23;
   Kruskal-Wallis test). However, there was a marked difference in
   frequency of top 20 candidates from each medical school, which could not
   be explained by the size of the medical school alone.
   Conclusion It is difficult to conclude from these findings the
   importance that the Duke-Elder examination has in the selection of
   trainees into ophthalmology. The role of cognitive factors in selection
   into postgraduate medical/surgical training is discussed, along with the
   potential academic criteria, which may influence interview scores. Eye
   (2011) 25, 1027-1033; doi:10.1038/eye.2011.114; published online 13 May
   2011
OI Amoaku, Winfried/0000-0001-5028-7984
ZA 0
Z8 0
TC 5
ZB 0
ZS 0
ZR 0
Z9 5
U1 0
U2 4
SN 0950-222X
UT WOS:000293775400011
PM 21587276
ER

PT J
AU Titov, Nickolai
   Dear, Blake F.
   Schwencke, Genevieve
   Andrews, Gavin
   Johnston, Luke
   Craske, Michelle G.
   McEvoy, Peter
TI Transdiagnostic internet treatment for anxiety and depression: A
   randomised controlled trial
SO BEHAVIOUR RESEARCH AND THERAPY
VL 49
IS 8
BP 441
EP 452
DI 10.1016/j.brat.2011.03.007
PD AUG 2011
PY 2011
AB Disorder-specific cognitive behavioural therapy programs delivered over
   the internet (iCBT) with clinician guidance are effective at treating
   specific anxiety disorders and depression. The present study examined
   the efficacy of a transdiagnostic iCBT protocol to treat three anxiety
   disorders and/or depression within the same program (the Wellbeing
   Program). Seventy-seven individuals with a principal diagnosis of major
   depression, generalised anxiety disorder, panic disorder, and/or social
   phobia were randomly assigned to a Treatment or Waitlist Control group.
   Treatment consisted of CBT-based online educational lessons and homework
   assignments, weekly email or telephone contact from a clinical
   psychologist, access to a moderated online discussion forum, and
   automated emails. Eighty one percent of Treatment group participants
   completed all 8 lessons within the 10 week program. Post-treatment data
   were collected from 34/37 Treatment group and 35/37 Control group
   participants, and 3-month follow-up data were collected from 32/37
   Treatment group participants. Relative to Controls, Treatment group
   participants reported significantly reduced symptoms of anxiety and
   depression as measured by the Depression Anxiety and Stress Scales-21
   item, Patient Health Questionnaire-9 item, and Generalised Anxiety
   Disorder-7 item scales, with corresponding between-groups effect sizes
   (Cohen's d) at post treatment of .56, .58, and .52, respectively. The
   clinician spent a mean time of 84.76 min (SD = 50.37) per person over
   the program. Participants rated the procedure as highly acceptable, and
   gains were sustained at follow-up. These results provide preliminary
   support for the efficacy of transdiagnostic iCBT in the treatment of
   anxiety and depressive disorders. (C) 2011 Elsevier Ltd. All rights
   reserved.
RI Andrews, Gavin/J-6537-2012; McEvoy, Peter/; Titov, Nickolai/; Dear, Blake/
OI Andrews, Gavin/0000-0002-4315-2173; McEvoy, Peter/0000-0003-2924-6760;
   Titov, Nickolai/0000-0002-7268-729X; Dear, Blake/0000-0001-9324-3092
ZB 46
ZR 0
Z8 1
ZA 0
TC 178
ZS 2
Z9 182
U1 3
U2 69
SN 0005-7967
EI 1873-622X
UT WOS:000292807300002
PM 21679925
ER

PT J
AU Madrigal, Irene
   Xuncla, Mar
   Isabel Tejada, Maria
   Martinez, Francisco
   Fernandez-Carvajal, Isabel
   Alberto Perez-Jurado, Luis
   Rodriguez-Revenga, Laia
   Mila, Montserrat
TI Intermediate FMR1 alleles and cognitive and/or behavioural phenotypes
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 19
IS 8
BP 921
EP 923
DI 10.1038/ejhg.2011.41
PD AUG 2011
PY 2011
AB During the last few years, several studies have reported an excess of
   intermediate FMR1 alleles in patients with cognitive and/or behavioural
   phenotypes. Here, we report the frequency of intermediate alleles (IAs)
   in three pathologies, intellectual disabilities (IDs),
   attention-deficit/hyperactivity disorder and autism, from different
   Spanish regions. We found 142 IAs among 9015 patients with ID (1.6%), 4
   among the 415 ADHD patients (0.96%) and 4 among the 300 autistic
   patients (1.3%), similar to the frequency reported in our control
   population. No evidence was found of an excess of IA at the FRAXA locus
   in any of the study populations, although geographical variability was
   detected. Moreover, the analysis of 100 transmissions of IAs showed that
   95% of these alleles were stable. Only 3% expanded within the same range
   and 2% expanded to a full mutation in two generations. No evidence of an
   association between IAs and behavioural or cognitive phenotypes was
   found, suggesting that IAs are not clearly implicated in these
   pathologies. European Journal of Human Genetics (2011) 19, 921-923;
   doi:10.1038/ejhg.2011.41; published online 23 March 2011
RI Pérez Jurado, Luis Alberto/M-7706-2015; Madrigal, Irene/ACZ-4774-2022; Martinez, Francisco/A-2543-2009; M Isabel, Tejada/E-2394-2012; TEJADA, Maria-Isabel/O-5051-2019; Madrigal, Irene/; rodriguez-revenga, laia/
OI Martinez, Francisco/0000-0002-0589-2584; TEJADA,
   Maria-Isabel/0000-0002-7334-1864; Madrigal, Irene/0000-0002-7229-1199;
   rodriguez-revenga, laia/0000-0002-6332-3929
TC 15
ZB 9
ZA 0
ZR 0
Z8 0
ZS 1
Z9 15
U1 0
U2 8
SN 1018-4813
UT WOS:000292957600020
PM 21427756
ER

PT J
AU Gardner, Adrian
   Cohen, Ted
   Carter, E. Jane
TI Tuberculosis Among Participants in an Academic Global Health Medical
   Exchange Program
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 26
IS 8
BP 841
EP 845
DI 10.1007/s11606-011-1669-x
PD AUG 2011
PY 2011
AB BACKGROUND: Although individuals from low tuberculosis (TB) burden
   countries experience an increased risk of TB infection when traveling to
   high burden countries for medical training or service, the degree of
   risk has not been well quantified.
   OBJECTIVE: Improved knowledge will aid development of guidelines for TB
   screening, pre/post-travel education, and risk reduction.
   DESIGN: Retrospective survey including questions on demographic
   characteristics, pre-travel TB counseling, in-country activities, and
   post-travel TB testing.
   PARTICIPANTS: Six hundred eight individuals who traveled to Eldoret,
   Kenya with the Academic Model Providing Access to Healthcare (AMPATH)
   medical exchange program between July 2004 and June 2009 were invited to
   complete an online survey in January 2010.
   MAIN MEASURES: The percentage of participants with a tuberculin skin
   test (TST) conversion and percentage reporting pre-travel and
   post-travel counseling and testing for TB were examined.
   KEY RESULTS: Four hundred thirteen out of 608 (68%) responded with
   sufficient information to be included in the analysis. Two hundred
   thirty-nine individuals (58%) reported that TB prevention was discussed
   in pre-travel preparations. One hundred thirteen (27%) of the survey
   participants reported "ideal" care [definition: pre-travel TST (within 1
   year of travel), pre-travel counseling, and a post-travel TST
   specifically related to their travel]. Out of 267 participants at risk
   for TST conversion, 11 (4.1%; 95% CI: 2.2-7.3) had a conversion. TST
   conversion was not associated with longer duration of stay or
   participation in direct medical care.
   CONCLUSIONS: Travelers to TB-endemic areas with international medical
   exchange programs are at risk for TB infection, regardless of their
   length of stay or whether or not they participate in direct medical
   care. Many receive inadequate pre- and post-travel TB counseling and
   testing. Efforts should be made to improve TB education for program
   participants.
RI Cohen, Ted/G-8101-2011; Cohen, Ted/
OI Cohen, Ted/0000-0002-8091-7198
ZS 0
ZB 3
Z8 0
ZR 0
TC 9
ZA 0
Z9 9
U1 0
U2 0
SN 0884-8734
UT WOS:000292889000009
PM 21359579
ER

PT J
AU Chen, Hung-Yuan
   Cheng, I-Chih
   Pan, Yi-Ju
   Chiu, Yen-Ling
   Hsu, Shih-Ping
   Pai, Mei-Fen
   Yang, Ju-Yeh
   Peng, Yu-Sen
   Tsai, Tun-Jun
   Wu, Kwan-Dun
TI Cognitive-behavioral therapy for sleep disturbance decreases
   inflammatory cytokines and oxidative stress in hemodialysis patients
SO KIDNEY INTERNATIONAL
VL 80
IS 4
BP 415
EP 422
DI 10.1038/ki.2011.151
PD AUG 2011
PY 2011
AB Sleep disturbance is common in dialysis patients and is associated with
   the development of enhanced inflammatory responses. Cognitive-behavioral
   therapy is effective for sleep disturbance and reduces inflammation
   experienced by peritoneal dialysis patients; however, this has not been
   studied in hemodialysis patients. To determine whether alleviation of
   sleep disturbance in hemodialysis patients also leads to less
   inflammation, we conducted a randomized controlled interventional study
   of 72 sleep-disturbed hemodialysis patients. Within this patient cohort,
   37 received tri-weekly cognitive-behavioral therapy lasting 6 weeks and
   the remaining 35, who received sleep hygiene education, served as
   controls. The adjusted post-trial primary outcome scores of the
   Pittsburgh Sleep Quality Index, the Fatigue Severity Scale, the Beck
   Depression Inventory, and the Beck Anxiety Inventory were all
   significantly improved from baseline by therapy compared with the
   control group. The post-trial secondary outcomes of high-sensitive
   C-reactive protein, IL-18, and oxidized low-density lipoprotein levels
   significantly declined with cognitive-behavioral therapy in comparison
   with the control group. Thus, our results suggest that
   cognitive-behavioral therapy is effective for correcting disorganized
   sleep patterns, and for reducing inflammation and oxidative stress in
   hemodialysis patients. Kidney International (2011) 80, 415-422; doi:
   10.1038/ki.2011.151; published online 8 June 2011
RI Chiu, Yen-Ling/AAV-3431-2021; TSAI, TUN-JUN/; WU, KWAN-DUN/
OI Chiu, Yen-Ling/0000-0003-4504-5571; TSAI, TUN-JUN/0000-0002-1666-8940;
   WU, KWAN-DUN/0000-0002-3339-1509
Z8 5
ZS 1
ZB 29
ZA 0
TC 82
ZR 0
Z9 86
U1 2
U2 19
SN 0085-2538
UT WOS:000293264900013
PM 21654719
ER

PT J
AU Antonsen, Sofie L.
   Avall-Lundqvist, Elisabeth
   Salvesen, Helga B.
   Auranen, Annika
   Salvarsdottir, Anna
   Hogdall, Claus
CA Nordic Soc Gynaecological Oncology
TI Subspecialist training in surgical gynecologic oncology in the Nordic
   countries
SO ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
VL 90
IS 8
BP 917
EP 920
DI 10.1111/j.1600-0412.2011.01179.x
PD AUG 2011
PY 2011
AB To survey the centers that can provide subspecialty surgical training
   and education in gynecological oncology in the Nordic countries, we
   developed an online questionnaire in co-operation with the Nordic
   Society of Gynecological Oncology. The link to the survey was mailed to
   22 Scandinavian gynecological centers in charge of surgical treatment of
   cancer patients. Twenty (91%) centers participated. Four centers
   reported to be accredited European subspecialty training centers, a
   further six were interested in being accredited, and 11 centers were
   accredited by the respective National Board. Fourteen (74%) centers were
   interested in being listed for exchange of fellows. Our data show a
   large Nordic potential and interest in improving the gynecologic
   oncology standards and can be used to enhance the awareness of
   gynecologic oncology training in Scandinavia and to facilitate the
   exchange of fellows between Nordic countries.
RI salvesen, Helga B/C-1187-2017; Hogdall, Claus/; Auranen, Annika/
OI salvesen, Helga B/0000-0002-4438-8831; Hogdall,
   Claus/0000-0002-5959-8874; Auranen, Annika/0000-0002-9678-4684
ZB 1
ZA 0
ZR 0
TC 2
Z8 0
ZS 0
Z9 2
U1 0
U2 2
SN 0001-6349
UT WOS:000293151900017
PM 21564027
ER

PT J
AU South, A. P.
   Wessel, J. J.
   Sberna, A.
   Patel, M.
   Morrow, A. L.
TI Hospital readmission among infants with gastroschisis
SO JOURNAL OF PERINATOLOGY
VL 31
IS 8
BP 546
EP 550
DI 10.1038/jp.2010.206
PD AUG 2011
PY 2011
AB Objective: Infants with gastroschisis have significant perinatal
   morbidity including long hospitalizations and feeding intolerance. Two
   thirds are premature and 20% are growth restricted. Despite these known
   risk factors for post-natal complications, little is known about
   readmission for infants with gastroschisis. Our objective was to
   determine the frequency and indication for hospital readmission after
   initial discharge among infants with gastroschisis.
   Study Design: Retrospective cohort study. All surviving infants treated
   for gastroschisis at Cincinnati Children's Hospital Medical Center, born
   between January 2006 and December 2008 were included. Main outcome
   measures included the frequency and indication for readmission.
   Associated neonatal risk factors also were assessed.
   Result: Fifty-eight patients were analyzed. Twenty-three (40%) subjects
   were readmitted (five with multiple readmissions); 65% of readmissions
   occurred in the first year and 70% involved complications directly
   related to gastroschisis. The most common reasons for readmission were
   bowel obstruction and abdominal distention/pain. Median time to
   readmission directly related to gastroschisis was 23 weeks (range 5 to
   92). All three infants with home parenteral nutrition were readmitted.
   Readmission was not associated with gestational age, birth weight or
   length of initial hospitalization.
   Conclusion: Readmission after initial hospitalization is common in
   gastroschisis patients. Parental counseling should include education
   regarding the possibility of complications requiring readmission.
   Determinants of readmission require further study. Journal of
   Perinatology (2011) 31, 546-550; doi:10.1038/jp. 2010.206; published
   online 10 February 2011
RI Morrow, Ardythe/GQO-8482-2022
ZS 0
ZB 3
Z8 0
ZR 0
TC 11
ZA 0
Z9 11
U1 0
U2 2
SN 0743-8346
UT WOS:000293217600007
PM 21311496
ER

PT J
AU Coleman, Michelle M.
   Richard, George V.
TI Faculty Career Tracks at US Medical Schools
SO ACADEMIC MEDICINE
VL 86
IS 8
BP 932
EP 937
DI 10.1097/ACM.0b013e3182222699
PD AUG 2011
PY 2011
AB Purpose
   To describe faculty career tracks at U.S. MD-granting schools and
   explore which institutional characteristics are associated with the
   career tracks.
   Method
   Between 2008 and 2009, the authors sought the faculty policies of 129
   accredited MD-granting U.S. medical schools, through online searching
   and requests to faculty affairs representatives. An inventory of tenured
   and nontenured career tracks was conducted in the areas of teaching,
   research, and clinical care. Career track data were analyzed according
   to institutional characteristics.
   Results
   Complete data were collected from 98 schools (76%). On average, schools
   offered 3.6 career tracks to all faculty (range 1-8). Of the 353 career
   tracks identified, 210 were nontenured. Overall, schools offered more
   research tracks than education or clinical tracks. Of the 79 schools
   with clearly defined career tracks, 78 offered at least one clinical
   track; 34 offered at least one education track. Approximately 25% of the
   clinical tracks were tenured; 41% of the education tracks were tenured.
   Of the 98 schools, 61% used modified titles for faculty pursuing
   nontenure tracks. Schools that offered more career tracks were more
   likely to use modified titles for their nontenured clinical and research
   faculty. Schools with a smaller faculty size offered a greater number of
   clinical tracks, whereas community-based schools offered fewer clinical
   tracks. Research-intensive schools provided significantly more tenured
   clinical tracks.
   Conclusions
   There is great variation in faculty tracks and policies across
   institutions. This research may help institutions craft their own
   faculty policies and help students, residents, and faculty in making
   career decisions.
OI Coleman, Michelle/0000-0003-3982-9951
ZR 0
ZB 2
Z8 0
ZA 0
TC 29
ZS 0
Z9 29
U1 0
U2 7
SN 1040-2446
EI 1938-808X
UT WOS:000293215200011
PM 21694565
ER

PT J
AU McHugh, S. M.
   Corrigan, M. A.
   Dimitrov, B. D.
   Cowman, S.
   Tierney, S.
   Hill, A. D. K.
   Humphreys, H.
TI Preventing infection in general surgery: improvements through education
   of surgeons by surgeons
SO JOURNAL OF HOSPITAL INFECTION
VL 78
IS 4
BP 312
EP 316
DI 10.1016/j.jhin.2011.03.023
PD AUG 2011
PY 2011
AB Surgical patients are at particular risk of healthcare-associated
   infection (HCAI) due to the presence of a surgical site leading to
   surgical site infection (SSI), and because of the need for intravascular
   access resulting in catheter-related bloodstream infection (CRBSI). A
   two-year initiative commenced with an initial audit of surgical
   practice; this was used to inform the development of a targeted
   educational initiative by surgeons specifically for surgical trainees.
   Parameters assessed during the initial audit and a further audit after
   the educational initiative were related to intra-and postoperative
   aspects of the prevention of SSIs, as well as care of peripheral venous
   catheters (PVCs) in surgical patients. The proportion of prophylactic
   antibiotics administered prior to incision across 360 operations
   increased from 30.0% to 59.1% (P < 0.001). Surgical site dressings were
   observed in 234 patients, and a significant decrease was found in the
   percentage of dressings that were tampered with during the initial 48 h
   after surgery (16.5% vs 6.2%, P = 0.030). In total, 574 PVCs were
   assessed over the two-year period. Improvements were found in the
   proportion of unnecessary PVCs in situ (37.9% vs 24.4%, P < 0.001), PVCs
   in situ for > 72 h (10.6% vs 3.1%, P < 0.001) and PVCs covered with
   clean and intact dressings (87.3% vs 97.6%, P < 0.001). Significant
   improvements in surgical practice were established for the prevention of
   SSI and CRBSI through a focused educational programme developed by and
   for surgeons. Potentially, other specific measures may also be warranted
   to achieve further improvements in infection prevention in surgical
   practice. (C) 2011 The Healthcare Infection Society. Published by
   Elsevier Ltd. All rights reserved.
RI Humphreys, Hilary/C-9918-2012; Corrigan, Mark/; Dimitrov, Borislav/A-1246-2010; Tierney, Sean/I-7740-2013
OI Corrigan, Mark/0000-0002-9615-6450; Dimitrov,
   Borislav/0000-0002-5896-2072; Tierney, Sean/0000-0002-1886-7214
Z8 0
ZR 0
ZB 2
ZA 0
TC 12
ZS 0
Z9 12
U1 1
U2 7
SN 0195-6701
EI 1532-2939
UT WOS:000292682400014
PM 21640433
ER

PT J
AU Prilusky, Jaime
   Hodis, Eran
   Canner, David
   Decatur, Wayne A.
   Oberholser, Karl
   Martz, Eric
   Berchanski, Alexander
   Harel, Michal
   Sussman, Joel L.
TI Proteopedia: A status report on the collaborative, 3D web-encyclopedia
   of proteins and other biomolecules
SO JOURNAL OF STRUCTURAL BIOLOGY
VL 175
IS 2
SI SI
BP 244
EP 252
DI 10.1016/j.jsb.2011.04.011
PD AUG 2011
PY 2011
AB Proteopedia is a collaborative, 3D web-encyclopedia of protein, nucleic
   acid and other biomolecule structures. Created as a means for
   communicating biomolecule structures to a diverse scientific audience,
   Proteopedia (http://www.proteopedia.org) presents structural annotation
   in an intuitive, interactive format and allows members of the scientific
   community to easily contribute their own annotations. Here, we provide a
   status report on Proteopedia by describing advances in the web resource
   since its inception three and a half years ago, focusing on features of
   potential direct use to the scientific community. We discuss its
   progress as a collaborative 3D-encyclopedia of structures as well as its
   use as a complement to scientific publications and PowerPoint
   presentations. We also describe Proteopedia's use for 3D visualization
   in structure-related pedagogy. (C) 2011 Elsevier Inc. All rights
   reserved.
OI Martz, Eric/0000-0003-4679-6967; Sussman, Joel/0000-0003-0306-3878;
   Decatur, Wayne/0000-0002-6961-7514
Z8 0
ZR 0
ZB 20
TC 35
ZA 0
ZS 0
Z9 36
U1 0
U2 7
SN 1047-8477
EI 1095-8657
UT WOS:000292800700018
PM 21536137
ER

PT J
AU King, Judy
   Ingham-Clark, Celia
   Parker, Cathy
   Jennings, Richard
   Leonard, Pauline
TI Towards saving a million bed days: reducing length of stay through an
   acute oncology model of care for inpatients diagnosed as having cancer
SO BMJ QUALITY & SAFETY
VL 20
IS 8
BP 718
EP 724
DI 10.1136/bmjqs.2010.044313
PD AUG 2011
PY 2011
AB Problem: The need to develop a patient pathway for emergency admissions
   who have a previously undiagnosed cancer.
   Design: The existing patient pathway was audited and process-mapped to
   identify delays and areas for improvement. Discussions with key
   stakeholders were held to identify their needs from an acute oncology
   service.
   Strategies for change: A new patient pathway was developed, and a new
   online referral process was implemented. The publicity and education
   campaign was repeatedly aimed at referring physicians at consultant and
   junior level, and took the form of emails and presentations with
   handouts at all teaching sessions, multidisciplinary team meetings, the
   Consultants Committee and Junior Doctors' induction.
   Effects of change: The new system was piloted for 6 months. 12/18
   patients were referred via the new pathway. 15/18 patients were referred
   via the new online system. Length of stay, endoscopies, biopsies and
   blood tests were all statistically significantly reduced during the
   study period compared with the original audit.
   Lessons learnt: The challenge was to convince the referring general
   physicians to use the new patient pathway and referral method.
   Incorporating their ideas for improvement and implementation made it
   more likely that they would take up the new ideas. Education and
   publicity were also extensive, often repeated, and at both junior and
   senior level. Having the Lead Cancer Clinician and Acute Medicine
   Consultant engage directly with consultant colleagues, as well as strong
   support from the Medical Director, was also crucial to the project's
   success.
ZA 0
TC 14
ZS 0
Z8 0
ZR 0
ZB 3
Z9 14
U1 0
U2 6
SN 2044-5415
UT WOS:000292959500011
PM 21441605
ER

PT J
AU Galvin, James E.
   Meuser, Thomas M.
   Boise, Linda
   Connell, Cathleen M.
TI Internet-Based Dementia Resources: Physician Attitudes and Practices
SO JOURNAL OF APPLIED GERONTOLOGY
VL 30
IS 4
BP 513
EP 523
DI 10.1177/0733464810363894
PD AUG 2011
PY 2011
AB Despite the great potential of the Internet for improving clinical
   outcomes, little is know about physicians' use of and attitudes about
   Internet use for care of patients with dementia. The authors surveyed
   373 physicians to inform development of online dementia education
   resources. Two thirds reported using Internet-based resources in their
   clinical practices at least three times per week; 61% participated in
   online continuing medical education. Three fourths agreed that
   Internet-based resources are helpful in clinical care, but most
   expressed mixed views about quality of available information.
   Respondents reported limited awareness and use of dementia-specific
   Internet resources but expressed an interest in such information
   regarding screening, treatment, community resources, and patient
   education. National Institute on Aging-funded Alzheimer's Disease
   Centers are in a unique position to disseminate online resources for
   physicians on dementia diagnosis, treatment, and care. This study
   suggests that such a resource would be well received and utilized by
   physicians.
RI Galvin, James/AAM-7492-2021
ZB 0
Z8 0
ZA 0
ZR 0
TC 4
ZS 0
Z9 4
U1 0
U2 17
SN 0733-4648
UT WOS:000292132000007
PM 21769164
ER

PT J
AU Cook, N.
   Hart, A.
   Nuttall, K.
   Simpson, K.
   Turnill, N.
   Grant-Pearce, C.
   Damms, P.
   Allen, V.
   Slade, K.
   Dey, P.
TI A telephone survey of cancer awareness among frontline staff: informing
   training needs
SO BRITISH JOURNAL OF CANCER
VL 105
IS 3
BP 340
EP 345
DI 10.1038/bjc.2011.258
PD JUL 26 2011
PY 2011
AB BACKGROUND: Studies have shown limited awareness about cancer risk
   factors among hospital-based staff. Less is known about general cancer
   awareness among community frontline National Health Service and social
   care staff.
   METHODS: A cross-sectional computer-assisted telephone survey of 4664
   frontline community-based health and social care staff in North West
   England.
   RESULTS: A total of 671 out of 4664 (14.4%) potentially eligible
   subjects agreed to take part. Over 92% of staff recognised most warning
   signs, except an unexplained pain (88.8%, n = 596), cough or hoarseness
   (86.9%, n 583) and a sore that does not heal (77.3%, n = 519). The bowel
   cancer-screening programme was recognised by 61.8% (n = 415) of staff.
   Most staff agreed that smoking and passive smoking 'increased the chance
   of getting cancer.' Fewer agreed about getting sunburnt more than once
   as a child (78.0%, n = 523), being overweight (73.5%, n = 493), drinking
   more than one unit of alcohol per day (50.2%, n 337) or doing less than
   30 min of moderate physical exercise five times a week (41.1%, n = 276).
   CONCLUSION: Cancer awareness is generally good among frontline staff,
   but important gaps exist, which might be improved by targeted education
   and training and through developing clearer messages about cancer risk
   factors. British Journal of Cancer (2011) 105, 340-345.
   doi:10.1038/bjc.2011.258 www.bjcancer.com Published online 12 July 2011
   (C) 2011 Cancer Research UK
OI Cook, Neil/0000-0001-9738-9582
ZS 0
TC 4
Z8 0
ZR 0
ZA 0
ZB 0
Z9 4
U1 0
U2 6
SN 0007-0920
UT WOS:000293168200003
PM 21750554
ER

PT J
AU Sparud-Lundin, Carina
   Ranerup, Agneta
   Berg, Marie
TI Internet use, needs and expectations of web-based information and
   communication in childbearing women with type 1 diabetes
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 11
AR 49
DI 10.1186/1472-6947-11-49
PD JUL 7 2011
PY 2011
AB Background: In the childbearing period women use the internet both to
   seek information and as an important source of communication. For women
   with type 1 diabetes, pregnancy and early motherhood constitute a more
   complex situation than for women in general. This implies need for
   support from various professionals and a way of bridging any
   discontinuity in care would be to develop a website providing
   complementary social support and information. The objective of this
   study was to explore internet use, needs, and expectations regarding
   web-based information and communication in childbearing women with type
   1 diabetes.
   Methods: Data were collected via a web-based survey with an explorative
   and descriptive design, in which 105 of 139 eligible mothers with type 1
   diabetes and recent childbearing experience participated. The data were
   analyzed with descriptive and analytical statistics, and open answers
   with a directed content analysis.
   Results: Of the 105 women, 22% never used the internet to search for
   information concerning pregnancy, childbirth, and parenthood. 12%
   searched for information every day, 29% one or more times a week, and
   38% one or more times a month. Of the women 44% declared themselves to
   be passive participants on social websites, and 45% to be active
   participants. 45% had specific expectations of web-based support
   directed towards childbearing, especially those with higher educational
   level (P = .01). Expectations of instrumental and informational support
   included an expert-controlled website with reliable, updated, and
   information focused on childbearing and diabetes, improved access to
   diabetes care professionals and alternative ways to communicate and to
   receive childbearing-related support. The women also asked for online
   technical devices to manage the frequent monitoring of blood glucose
   during pregnancy. Informal, emotional, and appraisal support from women
   in similar situations was suggested as a way to provide an arena for
   belonging instead of creating feelings of alienation.
   Conclusions: Our results add important knowledge about the web-based
   needs of women with type 1 diabetes in relation to childbearing. This
   user directed study indicates specific areas of development for the
   provision of effective web-based support that includes facilities for
   reliable information, interactive support and social networking in this
   population.
OI Ranerup, Agneta/0000-0001-5085-9129
TC 22
ZS 0
ZA 0
ZB 0
ZR 0
Z8 0
Z9 22
U1 0
U2 16
EI 1472-6947
UT WOS:000293009800001
PM 21736713
ER

PT J
AU Folb, Barbara L.
   Wessel, Charles B.
   Czechowski, Leslie J.
TI Clinical and academic use of electronic and print books: the Health
   Sciences Library System e-book study at the University of Pittsburgh
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 99
IS 3
BP 218
EP 228
DI 10.3163/1536-5050.99.3.009
PD JUL 2011
PY 2011
AB Objectives: The purpose of the Health Sciences Library System (HSLS)
   electronic book (e-book) study was to assess use, and factors affecting
   use, of e-books by all patron groups of an academic health sciences
   library serving both university and health system-affiliated patrons.
   Methods: A web-based survey was distributed to a random sample (n=5,292)
   of holders of library remote access passwords. A total of 871 completed
   and 108 partially completed surveys were received, for an approximate
   response rate of 16.5%-18.5%, with all user groups represented.
   Descriptive and chi-square analysis was done using SPSS 17.
   Results: Library e-books were used by 55.4% of respondents. Use by role
   varied: 21.3% of faculty reported having assigned all or part of an
   e-book for class readings, while 86% of interns, residents, and fellows
   reported using an e-book to support clinical care. Respondents preferred
   print for textbooks and manuals and electronic format for research
   protocols, pharmaceutical, and reference books, but indicated high
   flexibility about format choice. They rated printing and saving e-book
   content as more important than annotation, highlighting, and bookmarking
   features.
   Conclusions: Respondents' willingness to use alternate formats, if
   convenient, suggests that libraries can selectively reduce title
   duplication between print and e-books and still support library user
   information needs, especially if publishers provide features that users
   want. Marketing and user education may increase use of e-book
   collections.
RI Folb, Barbara/B-7074-2016; Wessel, Charles B/B-2318-2013
OI Folb, Barbara/0000-0001-5531-980X; Wessel, Charles B/0000-0002-5018-0156
Z8 0
ZS 0
ZR 0
ZB 6
TC 43
ZA 1
Z9 48
U1 1
U2 88
SN 1536-5050
UT WOS:000293445700009
PM 21753914
ER

PT J
AU Hillier, Morgan
   McLeod, Shelley
   Mendelsohn, Danny
   Moffat, Bradley
   Smallfield, Audra
   Arab, Akram
   Brown, Ashley
   Sedran, Robert
TI Emergency medicine training in Canada: a survey of medical students'
   knowledge, attitudes, and preferences
SO CANADIAN JOURNAL OF EMERGENCY MEDICINE
VL 13
IS 4
BP 251
EP 258
DI 10.2310/8000.2011.110333
PD JUL 2011
PY 2011
AB Objectives: The objective of this study was to assess medical students'
   knowledge of and attitudes toward the two Canadian emergency medicine
   (EM) residency programs (Fellow of the Royal College of Physicians of
   Canada [FRCPC] and Certificant of the College of Family
   Physicians-Emergency Medicine [CCFP-EM]). Additionally, medical students
   interested in EM were asked to select factors affecting their preferred
   choice of residency training program and their intended future practice.
   Methods: Medical students enrolled at The University of Western Ontario
   for the 2008-2009 academic year were invited to complete an online
   47-item questionnaire pertaining to their knowledge, opinions, and
   attitudes toward EM residency training.
   Results: Of the 563 students invited to participate, 406 (72.1%)
   completed the survey. Of the respondents, 178 (43.8%) expressed an
   interest in applying to an EM residency training program, with 85
   (47.8%) most interested in applying to the CCFP-EM program.
   The majority of respondents (54.1%) interested in EM believed that there
   should be two streams to EM certification, whereas 18.0% disagreed.
   Family life and control over work schedule appeared to be common
   priorities seen as benefits of any career in EM. Other high-ranking
   factors influencing career choice differed between the groups interested
   in CCFP-EM and FRCPC. The majority of students interested in the CCFP-EM
   residency program (78%) reported that they intend to blend their EM with
   their family medicine practice. Only 2% of students planned to practice
   only EM with no family medicine.
   Conclusions: This is the first survey of Canadian medical students to
   describe disparities in factors influencing choice of EM residency
   stream, perceptions of postgraduate work life, and anticipated practice
   environment.
RI McLeod, Shelley/AAE-9636-2019
OI McLeod, Shelley/0000-0003-2686-6307
ZR 0
TC 5
ZB 0
ZS 0
ZA 0
Z8 0
Z9 5
U1 0
U2 3
SN 1481-8035
UT WOS:000297839700007
PM 21722554
ER

PT J
AU Nijland, Nicol
   van Gemert-Pijnen, Julia E. W. C.
   Kelders, Saskia M.
   Brandenburg, Bart J.
   Seydel, Erwin R.
TI Factors Influencing the Use of a Web-Based Application for Supporting
   the Self-Care of Patients with Type 2 Diabetes: A Longitudinal Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 3
AR e71
DI 10.2196/jmir.1603
PD JUL-SEP 2011
PY 2011
AB Background: The take-up of eHealth applications in general is still
   rather low and user attrition is often high. Only limited information is
   available about the use of eHealth technologies among specific patient
   groups.
   Objective: The aim of this study was to explore the factors that
   influence the initial and long-term use of a Web-based application
   (DiabetesCoach) for supporting the self-care of patients with type 2
   diabetes.
   Methods: A mixed-methods research design was used for a process analysis
   of the actual usage of the Web application over a 2-year period and to
   identify user profiles. Research instruments included log files,
   interviews, usability tests, and a survey.
   Results: The DiabetesCoach was predominantly used for interactive
   features like online monitoring, personal data, and patient-nurse email
   contact. It was the continuous, personal feedback that particularly
   appealed to the patients; they felt more closely monitored by their
   nurse and encouraged to play a more active role in self-managing their
   disease. Despite the positive outcomes, usage of the Web application was
   hindered by low enrollment and nonusage attrition. The main barrier to
   enrollment had to do with a lack of access to the Internet (146/226,
   65%). Although 68% (34/50) of the enrollees were continuous users, of
   whom 32% (16/50) could be defined as hardcore users (highly active), the
   remaining 32% (16/50) did not continue using the Web application for the
   full duration of the study period. Barriers to long-term use were
   primarily due to poor user-friendliness of the Web application (the
   absence of "push" factors or reminders) and selection of the "wrong"
   users; the well-regulated patients were not the ones who could benefit
   the most from system use because of a ceiling effect. Patients with a
   greater need for care seemed to be more engaged in long-term use; highly
   active users were significantly more often medication users than
   low/inactive users (P = .005) and had a longer diabetes duration (P =
   .03).
   Conclusion: Innovations in health care will diffuse more rapidly when
   technology is employed that is simple to use and has applicable
   components for interactivity. This would foresee the patients' need for
   continuous and personalized feedback, in particular for patients with a
   greater need for care. From this study several factors appear to
   influence increased use of eHealth technologies: (1) avoiding selective
   enrollment, (2) making use of participatory design methods, and (3)
   developing push factors for persistence. Further research should focus
   on the causal relationship between using the system's features and
   actual usage, as such a view would provide important evidence on how
   specific technology features can engage and captivate users.
RI Kelders, Saskia/AAD-2764-2019
OI Kelders, Saskia/0000-0001-8949-6871
ZA 0
ZR 0
ZB 10
Z8 0
ZS 1
TC 106
Z9 107
U1 0
U2 72
SN 1438-8871
UT WOS:000296260500009
PM 21959968
ER

PT J
AU Graham, Amanda L.
   Papandonatos, George D.
   Kang, Hakmook
   Moreno, Jose L.
   Abrams, David B.
TI Development and Validation of the Online Social Support for Smokers
   Scale
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 3
AR e69
DI 10.2196/jmir.1801
PD JUL-SEP 2011
PY 2011
AB Background: Social networks play an important role in smoking. Provision
   of social support during cessation is a cornerstone of treatment. Online
   social networks for cessation are ubiquitous and represent a promising
   modality for smokers to receive and provide the support necessary for
   cessation. There are no existing measures specific to online social
   support for smoking cessation.
   Objective: The objective was to develop a measure of social support to
   be used in online smoking cessation treatment research.
   Methods: Initial items for the Online Social Support for Smokers Scale
   (OS4) were based on existing theory and scales delineated in various
   taxonomies. Preliminary field analysis (N = 73) was conducted on 23
   initial items to optimize the scale. Further development was conducted
   on a refined 15-item scale in the context of a large randomized trial of
   Internet and telephone cessation treatment with follow-ups at 3, 6, 12,
   and 18 months. In all, 1326 participants were randomized to an enhanced
   Internet arm that included a large online social network; psychometric
   analyses employed 3-month follow-up data from those reporting use of the
   enhanced Internet intervention at least once (n = 873). Items were
   subjected to a factor analysis, and the internal consistency reliability
   of the scale was examined along with construct and criterion validity.
   Other measures used in the study included demographics, nicotine
   dependence, partner support for cessation, general social support,
   social integration, stress, depression, health status, online community
   use, Internet use behaviors, intervention satisfaction, and 30-day point
   prevalence abstinence.
   Results: The final 12-item OS4 scale demonstrated high internal
   consistency reliability (Cronbach alphas.86-.89) across demographic and
   smoking strata of interest. The OS4 also demonstrated good construct and
   criterion validity, with the directionality of the observed associations
   providing support for most a priori hypotheses. Significant Pearson
   correlations were observed between the OS4 and the Partner Interaction
   Questionnaire (PIQ) Positive subscale (rho = .24, P<.001). As
   hypothesized, participants with the highest OS4 scores were more likely
   to have actively participated in the enhanced Internet community and to
   have high levels of satisfaction with the enhanced Internet
   intervention. In logistic regression analyses, the OS4 was highly
   predictive of 30-day point-prevalence abstinence at 6, 12, and 18 months
   (all P values <.001). The odds of abstinence at 6 months rose by 48% for
   each standard unit increase in online social support (95% confidence
   interval [CI] 1.17 - 1.71), dropping only slightly to 37% at 12 and 18
   months (95% CI 1.17 - 1.59).
   Conclusions: The OS4 is a brief, reliable, and valid instrument for
   measuring online social support for smoking cessation. Results should be
   replicated and extended, but this study suggests the OS4 can be used to
   advance theory, understand mechanisms, and potentially help to improve
   the tailoring of Internet-based smoking cessation treatments. It can
   also inspire development of similar measures for other online
   health-related intervention research.
RI Papandonatos, George D/J-2328-2014; Abrams, David/AAY-7699-2020; Graham, Amanda/
OI Papandonatos, George D/0000-0001-6770-932X; Abrams,
   David/0000-0002-0868-4350; Graham, Amanda/0000-0003-3036-9653
ZA 0
ZS 0
ZB 2
Z8 0
ZR 0
TC 19
Z9 19
U1 1
U2 17
SN 1438-8871
UT WOS:000296260500033
PM 21955465
ER

PT J
AU Iredale, Rachel
   Mundy, Lisa
   Hilgart, Jennifer
TI An Online Resource of Digital Stories About Cancer Genetics: Qualitative
   Study of Patient Preferences and Information Needs
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 3
AR e78
DI 10.2196/jmir.1735
PD JUL-SEP 2011
PY 2011
AB Background: The Cancer Genetics Service for Wales (CGSW) was established
   in 1998 as an all-Wales service for individuals with concerns about
   their family history of cancer. CGSW offers a range of services such as
   risk assessment, genetic counseling, and genetic testing. Individuals
   referred to cancer genetics services often have unmet information and
   support needs, and they value access to practical and experiential
   information from other patients and health professionals. As a result of
   the lifelong nature of genetic conditions, a fundamental challenge is to
   meet the ongoing needs of these patients by providing easily accessible
   and reliable information.
   Objectives: Our aims were to explore how the long-term information and
   support needs of CGSW patients could be met and to assess whether an
   online bank of digital stories about cancer genetics would be acceptable
   to patients.
   Methods: In 2009, CGSW organized patient panels across Wales. During
   these events, 169 patients were asked for their feedback about a
   potential online resource of digital stories from CGSW patients and
   staff. A total of 75 patients registered to take part in the project and
   23 people from across Wales agreed to share their story. All
   participants took part in a follow-up interview.
   Results: Patient preferences for an online collection of cancer genetics
   stories were collected at the patient panels. Key topics to be covered
   by the stories were identified, and this feedback informed the
   development of the website to ensure that patients' needs would be met.
   The 23 patient storytellers were aged between 28 and 75 years, and 19
   were female. The digital stories reflect patients' experiences within
   CGSW and the implications of living with or at risk of cancer. Follow-up
   interviews with patient storytellers showed that they shared their
   experiences as a means of helping other patients and to increase
   understanding of the cancer genetics service. Digital stories were also
   collected from 12 members of staff working at CGSW. The digital stories
   provide reliable and easily accessible information about cancer genetics
   and are hosted on the StoryBank website
   (www.cancergeneticsstorybank.co.uk).
   Conclusions: The Internet is one mechanism through which the long-term
   information and support needs of cancer genetics patients can be met.
   The StoryBank is one of the first places where patient and staff stories
   have been allied to every aspect of a patient pathway through a service
   and provides patients with an experiential perspective of the cancer
   genetics "journey." The StoryBank was developed in direct response to
   patient feedback and is an innovative example of patient involvement in
   service development. The stories are a useful resource for newly
   referred patients, current patients, the general public, and health care
   professionals.
RI Hilgart, Jennifer/AAD-8659-2020; Hilgart, Jennifer/; Mundy, Lisa/
OI Hilgart, Jennifer/0000-0001-9688-5429; Mundy, Lisa/0000-0002-7983-5232
ZA 0
ZR 0
ZB 0
TC 9
Z8 0
ZS 0
Z9 9
U1 1
U2 24
SN 1438-8871
UT WOS:000296260500028
PM 22057223
ER

PT J
AU Lehto, Tuomas
   Oinas-Kukkonen, Harri
TI Persuasive Features in Web-Based Alcohol and Smoking Interventions: A
   Systematic Review of the Literature
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 3
AR e46
DI 10.2196/jmir.1559
PD JUL-SEP 2011
PY 2011
AB Background: In the past decade, the use of technologies to persuade,
   motivate, and activate individuals' health behavior change has been a
   quickly expanding field of research. The use of the Web for delivering
   interventions has been especially relevant. Current research tends to
   reveal little about the persuasive features and mechanisms embedded in
   Web-based interventions targeting health behavior change.
   Objectives: The purpose of this systematic review was to extract and
   analyze persuasive system features in Web-based interventions for
   substance use by applying the persuasive systems design (PSD) model. In
   more detail, the main objective was to provide an overview of the
   persuasive features within current Web-based interventions for substance
   use.
   Methods: We conducted electronic literature searches in various
   databases to identify randomized controlled trials of Web-based
   interventions for substance use published January 1, 2004, through
   December 31, 2009, in English. We extracted and analyzed persuasive
   system features of the included Web-based interventions using
   interpretive categorization.
   Results: The primary task support components were utilized and reported
   relatively widely in the reviewed studies. Reduction, self-monitoring,
   simulation, and personalization seem to be the most used features to
   support accomplishing user's primary task. This is an encouraging
   finding since reduction and self-monitoring can be considered key
   elements for supporting users to carry out their primary tasks. The
   utilization of tailoring was at a surprisingly low level. The lack of
   tailoring may imply that the interventions are targeted for too broad an
   audience. Leveraging reminders was the most common way to enhance the
   user-system dialogue. Credibility issues are crucial in website
   engagement as users will bind with sites they perceive credible and
   navigate away from those they do not find credible. Based on the textual
   descriptions of the interventions, we cautiously suggest that most of
   them were credible. The prevalence of social support in the reviewed
   interventions was encouraging.
   Conclusions: Understanding the persuasive elements of systems supporting
   behavior change is important. This may help users to engage and keep
   motivated in their endeavors. Further research is needed to increase our
   understanding of how and under what conditions specific persuasive
   features (either in isolation or collectively) lead to positive health
   outcomes in Web-based health behavior change interventions across
   diverse health contexts and populations.
Z8 0
ZB 14
TC 109
ZS 0
ZR 0
ZA 0
Z9 109
U1 4
U2 51
SN 1438-8871
UT WOS:000296260500005
PM 21795238
ER

PT J
AU Mitchell, Suzanne
   Heyden, Robin
   Heyden, Neil
   Schroy, Paul
   Andrew, Stephen
   Sadikova, Ekaterina
   Wiecha, John
TI A Pilot Study of Motivational Interviewing Training in a Virtual World
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 3
AR e77
DI 10.2196/jmir.1825
PD JUL-SEP 2011
PY 2011
AB Background: Motivational interviewing (MI) is an evidence-based,
   patient-centered counseling strategy proven to support patients seeking
   health behavior change. Yet the time and travel commitment for MI
   training is often a barrier to the adoption of MI by health care
   professionals. Virtual worlds such as Second Life (SL) are rapidly
   becoming part of the educational technology landscape and offer not only
   the potential to improve access to MI training but also to deepen the MI
   training experience through the use of immersive online environments.
   Despite SL's potential for medical education applications, little work
   is published studying its use for this purpose and still less is known
   of educational outcomes for physician training in MI using a
   virtual-world platform.
   Objective: Our aims were to (1) explore the feasibility, acceptability,
   and effectiveness of a virtual-world platform for delivering MI training
   designed for physicians and (2) pilot test instructional designs using
   SL for MI training.
   Methods: We designed and pilot tested an MI training program in the SL
   virtual world. We trained and enrolled 13 primary care physicians in a
   two-session, interactive program in SL on the use of MI for counseling
   patients about colorectal cancer screening. We measured self-reported
   changes in confidence and clinical practice patterns for counseling on
   colorectal cancer screening, and acceptability of the virtual-world
   learning environment and the MI instructional design. Effectiveness of
   the MI training was assessed by coding and scoring tape-recorded
   interviews with a blinded mock patient conducted pre- and post-training.
   Results: A total of 13 physicians completed the training. Acceptability
   ratings for the MI training ranged from 4.1 to 4.7 on a 5-point scale.
   The SL learning environment was also highly rated, with 77% (n = 10) of
   the doctors reporting SL to be an effective educational medium.
   Learners' confidence and clinical practice patterns for colorectal
   cancer screening improved after training. Pre- to post-training mean
   confidence scores for the ability to elicit and address barriers to
   colorectal cancer screening (4.5 to 6.2, P = .004) and knowledge of
   decision-making psychology (4.5 to 5.7, P = .02) and behavior change
   psychology (4.9 to 6.2, P = .02) increased significantly. Global MI
   skills scores increased significantly and component scores for the MI
   skills also increased, with statistically significant improvements in 4
   of the 5 component skills: empathy (3.12 to 3.85, P = .001), autonomy
   (3.07 to 3.85, P < .001), collaboration (2.88 to 3.46, P = .02), and
   evocative response (2.80 to 3.61, P = .008).
   Conclusions: The results of this pilot study suggest that virtual worlds
   offer the potential for a new medical education pedagogy that will
   enhance learning outcomes for patient-centered communication skills
   training.
OI Wiecha, John/0000-0003-4524-9283; Mitchell, Suzanne/0000-0002-5618-7383;
   Schroy, Paul/0000-0001-9273-7832
TC 40
ZR 0
ZS 0
Z8 0
ZB 3
ZA 0
Z9 40
U1 0
U2 35
SN 1438-8871
UT WOS:000296260500022
PM 21946183
ER

PT J
AU Westmaas, J. Lee
   Abroms, Lorien
   Bontemps-Jones, Jeuneviette
   Bauer, Joseph E.
   Bade, Jeanine
TI Using the Internet to Understand Smokers'Treatment Preferences:
   Informing Strategies to Increase Demand
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 3
AR e58
DI 10.2196/jmir.1666
PD JUL-SEP 2011
PY 2011
AB Background: Most smokers attempt to quit on their own even though
   cessation aids can substantially increase their chances of success.
   Millions of smokers seek cessation advice on the Internet, so using it
   to promote cessation products and services is one strategy for
   increasing demand for treatments. Little is known, however, about what
   cessation aids these smokers would find most appealing or what predicts
   their preferences (eg, age, level of dependence, or timing of quit
   date). Objective: The objective of our study was to gain insight into
   how Internet seekers of cessation information make judgments about their
   preferences for treatments, and to identify sociodemographic and other
   predictors of preferences.
   Methods: An online survey assessing interest in 9 evidence-based
   cessation products and services was voluntarily completed by 1196
   smokers who visited the American Cancer Society's Great American
   Smokeout (GASO) webpage. Cluster analysis was conducted on ratings of
   interest.
   Results: In total, 48% (572/1196) of respondents were "quite a bit" or
   "very much" interested in nicotine replacement therapy (NRT), 45%
   (534/1196) in a website that provides customized quitting advice, and
   37% (447/1196) in prescription medications. Only 11.5% (138/1196)
   indicated similar interest in quitlines, and 17% (208/1196) in receiving
   customized text messages. Hierarchical agglomerative cluster analysis
   revealed that interest in treatments formed 3 clusters:
   interpersonal-supportive methods (eg, telephone counseling, Web-based
   peer support, and in-person group programs), nonsocial-informational
   methods (eg, Internet programs, tailored emails, and informational
   booklets), and pharmacotherapy (NRT, bupropion, and varenicline). Only
   5% (60/1196) of smokers were "quite a bit" or " very much" interested in
   interpersonal-supportive methods compared with 25% (298/1196) for
   nonsocial-informational methods and 33% (399/1196) for pharmacotherapy.
   Multivariate analyses and follow-up comparisons indicated that level of
   interest in pharmacotherapy (" quite a bit or " very much" vs. " not at
   all") varied as a function of education (n = 575, chi(2)(3) = 16.6, P =
   .001), age (n = 528, chi(2)(3) = 8.2, P = .04), smoking level (n = 514,
   chi(2)(3) = 9.5, P = .02), and when smokers were planning to quit (n =
   607, chi(2)(4) = 34.0, P < .001). Surprisingly, greater age was
   associated with stronger interest in nonsocial-informational methods (n
   = 367, chi(2)(3) = 10.8, P = .01). Interest in interpersonal-supportive
   methods was greater if smokers had used a quitline before (n = 259,
   chi(2)(1) = 18.3, P < .001), or were planning to quit earlier rather
   than later (n = 148, chi(2)(1) = 4.9, P = .03).
   Conclusions: Smokers accessing the Internet for information on quitting
   appear to differentiate cessation treatments by how much interpersonal
   interaction or support the treatment entails. Quitting date, smoking
   level, and sociodemographic variables can identify smokers with varying
   levels of interest in the 3 classes of cessation methods identified.
   These results can potentially be used to more effectively target and
   increase demand for these treatments among smokers searching the
   Internet for cessation information.
Z8 0
ZS 0
TC 7
ZA 0
ZR 0
ZB 1
Z9 7
U1 0
U2 8
SN 1438-8871
UT WOS:000296260500003
PM 21873150
ER

PT J
AU Zuidgeest, Marloes
   Hendriks, Michelle
   Koopman, Laura
   Spreeuwenberg, Peter
   Rademakers, Jany
TI A Comparison of a Postal Survey and Mixed-Mode Survey Using a
   Questionnaire on Patients' Experiences With Breast Care
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 3
AR e68
DI 10.2196/jmir.1241
PD JUL-SEP 2011
PY 2011
AB Background: The Internet is increasingly considered to be an efficient
   medium for assessing the quality of health care seen from the patients'
   perspective. Potential benefits of Internet surveys such as time
   efficiency, reduced effort, and lower costs should be balanced against
   potential weaknesses such as low response rates and accessibility for
   only a subset of potential participants. Combining an Internet
   questionnaire with a traditional paper follow-up questionnaire
   (mixed-mode survey) can possibly compensate for these weaknesses and
   provide an alternative to a postal survey.
   Objective: To examine whether there are differences between a mixed-mode
   survey and a postal survey in terms of respondent characteristics,
   response rate and time, quality of data, costs, and global ratings of
   health care or health care providers (general practitioner, hospital
   care in the diagnostic phase, surgeon, nurses, radiotherapy,
   chemotherapy, and hospital care in general).
   Methods: Differences between the two surveys were examined in a sample
   of breast care patients using the Consumer Quality Index Breast Care
   questionnaire. We selected 800 breast care patients from the
   reimbursement files of Dutch health insurance companies. We asked 400
   patients to fill out the questionnaire online followed by a paper
   reminder (mixed-mode survey) and 400 patients, matched by age and
   gender, received the questionnaire by mail only (postal survey). Both
   groups received three reminders.
   Results: The respondents to the two surveys did not differ in age,
   gender, level of education, or self-reported physical and psychological
   health (all Ps > .05). In the postal survey, the questionnaires were
   returned 20 days earlier than in the mixed-mode survey (median 12 and 32
   days, respectively; P < .001), whereas the response rate did not differ
   significantly (256/400, 64.0% versus 242/400, 60.5%, respectively; P =
   .30). The costs were lower for the mixed-mode survey ((sic) 2 per
   questionnaire). Moreover, there were fewer missing items (3.4% versus
   4.4%, P = .002) and fewer invalid answers (3.2% versus 6.2%, P < .001)
   in the mixed-mode survey than in the postal survey. The answers of the
   two respondent groups on the global ratings did not differ. Within the
   mixed-mode survey, 52.9% (128/242) of the respondents filled out the
   questionnaire online. Respondents who filled out the questionnaire
   online were significantly younger (P < .001), were more often highly
   educated (P = .002), and reported better psychological health (P = .02)
   than respondents who filled out the paper questionnaire. Respondents to
   the paper questionnaire rated the nurses significantly more positively
   than respondents to the online questionnaire (score 9.2 versus 8.4,
   respectively;chi(2)(1) = 5.6).
   Conclusions: Mixed-mode surveys are an alternative method to postal
   surveys that yield comparable response rates and groups of respondents,
   at lower costs. Moreover, quality of health care was not rated
   differently by respondents to the mixed-mode or postal survey.
   Researchers should consider using mixed-mode surveys instead of postal
   surveys, especially when investigating younger or more highly educated
   populations.
TC 66
Z8 0
ZA 0
ZR 0
ZB 12
ZS 1
Z9 67
U1 1
U2 20
SN 1438-8871
UT WOS:000296260500020
PM 21946048
ER

PT J
AU Chomutare, Taridzo
   Fernandez-Luque, Luis
   Arsand, Eirik
   Hartvigsen, Gunnar
TI Features of Mobile Diabetes Applications: Review of the Literature and
   Analysis of Current Applications Compared Against Evidence-Based
   Guidelines
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 3
AR e65
DI 10.2196/jmir.1874
PD JUL-SEP 2011
PY 2011
AB Background: Interest in mobile health (mHealth) applications for
   self-management of diabetes is growing. In July 2009, we found 60
   diabetes applications on iTunes for iPhone; by February 2011 the number
   had increased by more than 400% to 260. Other mobile platforms reflect a
   similar trend. Despite the growth, research on both the design and the
   use of diabetes mHealth applications is scarce. Furthermore, the
   potential influence of social media on diabetes mHealth applications is
   largely unexplored.
   Objective: Our objective was to study the salient features of mobile
   applications for diabetes care, in contrast to clinical guideline
   recommendations for diabetes self-management. These clinical guidelines
   are published by health authorities or associations such as the National
   Institute for Health and Clinical Excellence in the United Kingdom and
   the American Diabetes Association.
   Methods: We searched online vendor markets (online stores for Apple
   iPhone, Google Android, BlackBerry, and Nokia Symbian), journal
   databases, and gray literature related to diabetes mobile applications.
   We included applications that featured a component for self-monitoring
   of blood glucose and excluded applications without English-language user
   interfaces, as well as those intended exclusively for health care
   professionals. We surveyed the following features: (1) self-monitoring:
   (1.1) blood glucose, (1.2) weight, (1.3) physical activity, (1.4) diet,
   (1.5) insulin and medication, and (1.6) blood pressure, (2) education,
   (3) disease-related alerts and reminders, (4) integration of social
   media functions, (5) disease-related data export and communication, and
   (6) synchronization with personal health record (PHR) systems or patient
   portals. We then contrasted the prevalence of these features with
   guideline recommendations.
   Results: The search resulted in 973 matches, of which 137 met the
   selection criteria. The four most prevalent features of the applications
   available on the online markets (n = 101) were (1) insulin and
   medication recording, 63 (62%), (2) data export and communication, 61
   (60%), (3) diet recording, 47 (47%), and (4) weight management, 43
   (43%). From the literature search (n = 26), the most prevalent features
   were (1) PHR or Web server synchronization, 18 (69%), (2) insulin and
   medication recording, 17 (65%), (3) diet recording, 17 (65%), and (4)
   data export and communication, 16 (62%). Interestingly, although
   clinical guidelines widely refer to the importance of education, this is
   missing from the top functionalities in both cases.
   Conclusions: While a wide selection of mobile applications seems to be
   available for people with diabetes, this study shows there are obvious
   gaps between the evidence-based recommendations and the functionality
   used in study interventions or found in online markets. Current results
   confirm personalized education as an underrepresented feature in
   diabetes mobile applications. We found no studies evaluating social
   media concepts in diabetes self-management on mobile devices, and its
   potential remains largely unexplored.
RI Fernandez-Luque, Luis/C-6723-2011; Chomutare, Taridzo/
OI Fernandez-Luque, Luis/0000-0001-8165-9904; Chomutare,
   Taridzo/0000-0003-3603-175X
Z8 1
TC 281
ZS 2
ZB 35
ZR 0
ZA 0
Z9 283
U1 0
U2 198
SN 1438-8871
UT WOS:000296260500013
PM 21979293
ER

PT J
AU Knapp, Caprice
   Madden, Vanessa
   Wang, Hua
   Sloyer, Phyllis
   Shenkman, Elizabeth
TI Internet Use and eHealth Literacy of Low-Income Parents Whose Children
   Have Special Health Care Needs
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 3
AR e75
DI 10.2196/jmir.1697
PD JUL-SEP 2011
PY 2011
AB Background: The Internet has revolutionized the way in which many
   Americans search for health care information. Unfortunately, being able
   to use the Internet for this purpose is predicated on having access to
   the Internet and being able to understand and comprehend online health
   information. This is especially important for parents of children with
   special health care needs who are forced to make many medical decisions
   throughout the lives of their children. Yet, no information is available
   about this vulnerable group.
   Objective: For parents of children with special health care needs we
   sought to (1) describe their Internet access and use, (2) determine
   which child and household factors were associated with Internet use, (3)
   describe eHealth literacy of Internet users, and (4) determine which
   child and household factors were associated with greater eHealth
   literacy.
   Methods: This was a cross-sectional telephone survey of 2371 parents
   whose children with special health care needs were enrolled in Florida's
   Medicaid and State Children's Health Insurance Plan (SCHIP) programs
   (4072 parents were approached). To be enrolled in the program, families
   must have incomes that are less than or equal to 200% of the federal
   poverty level. The eHealth Literacy Scale (eHEALS) was used to measure
   eHealth literacy. Descriptive and multivariate analyses were conducted
   to address the study objectives.
   Results: The survey response rate was 58.2%. Participating parents were
   mainly female (2154/2371, 91%), white non-Hispanic (915/2371, 39%),
   English speaking (1827/2371, 77%), high school graduates (721/2371,
   30%), married (1252/2371, 53%), and living in a two-parent household
   (1212/2371, 51%). Additionally, 82% of parents (1945/2371) in the sample
   reported that they used the Internet, and 49% of those parents used it
   daily (1158/2371). Almost three-quarters of Internet users had access to
   the Internet at home while about one-half had access at work. Parents
   who were African American, non-English speaking, older, and not college
   graduates were less likely to use the Internet than their referent
   groups (P < .001). About 74% of Internet users (1448/1945) reported that
   they knew how to find health information for their children. However,
   only about one-half (1030/1945) reported that they can tell high quality
   from low quality resources online or that they feel confident in using
   information accessed online to make health decisions. Multivariate
   regression results consistently showed that being a non-English speaker,
   having less than a high school education, and being older were all
   significantly associated with lower eHealth literacy (all P < .001).
   Conclusion: Low-income parents of children with special health care
   needs have access to and use the Internet as a source of information
   about their children's health. However, some parents are unable to
   distinguish between high and low quality information and are not
   confident in using the Internet. This information is timely because as
   the pressure to use the Internet to empower consumers and exchange
   information increases, issues related to access and disparities must be
   better understood.
RI Tang, Zeng/G-8085-2012
ZA 0
Z8 0
TC 122
ZB 17
ZS 2
ZR 0
Z9 123
U1 5
U2 62
SN 1438-8871
UT WOS:000296260500031
PM 21960017
ER

PT J
AU Gucciardi, Enza
   Chan, Vivian Wing-Sheung
   Fortugno, Mariella
   Khan, Sobia
   Horodezny, Stacey
   Swartzack, Susan J.
TI Primary Care Physician Referral Patterns to Diabetes Education Programs
   in Southern Ontario, Canada
SO CANADIAN JOURNAL OF DIABETES
VL 35
IS 3
BP 262
EP 268
DI 10.1016/S1499-2671(11)53009-6
PD JUL 2011
PY 2011
AB Objectives: Despite the reported benefits of diabetes self-management
   education (DSME), participation rates are low across North America. This
   study examines primary care physician (PCP) referral practices to
   diabetes education programs (DEPs) and factors that influence referral
   in a large suburban region in Ontario, Canada.
   METHODS: Ninety-nine PCPs practicing in the Peel and Halton regions of
   Ontario were sampled from the Ontario Medical Association membership
   list, and completed questionnaires were submitted online or by fax.
   Frequencies were tabulated for all responses.
   RESULTS: Fewer than half of PCPs referred all of their diabetes patients
   to DEPs. Common reasons for not referring were patients' unwillingness
   to attend, lack of evening/weekend appointments, language barriers, long
   referral waiting lists and inconvenient location for patients.
   CONCLUSION: Fewer than half of PCPs surveyed followed the Canadian
   Diabetes Association recommendation to refer patients to DSME. Physician
   referral was found to be encumbered by patient, system and operational
   factors. DEPs need to tailor their programming to meet the needs of
   their community and to commit to more outreach services to increase PCP
   and patient access as well as awareness of DSME services.
ZA 0
ZS 0
ZB 0
TC 17
Z8 1
ZR 0
Z9 18
U1 0
U2 6
SN 1499-2671
UT WOS:000296079800008
ER

PT J
AU Zschorlich, B.
   Knelangen, M.
   Bastian, H.
TI The Development of Health Information with the Involvement of Consumers
   at the German Institute for Quality and Efficiency in Health Care
   (IQWiG)
SO GESUNDHEITSWESEN
VL 73
IS 7
BP 423
EP 429
DI 10.1055/s-0030-1261879
PD JUL 2011
PY 2011
AB The German Institute for Quality and Efficiency in Health Care (IQWiG)
   began publishing free bilingual (German/English) evidence-based health
   information in February 2006 on the website,
   www.gesundheitsinformation.de/www.informedhealthonline.org. The
   Institute aims to be a patient-centred and non-directive provider of
   health information to the public and patients. The point of view and
   information needs of the public are a central element in the development
   of health information. People can be involved implicitly or explicitly.
   People can participate directly or explicitly in health information, for
   example, by suggesting a topic, by helping shape the content and during
   the development process. We do this in several ways, including surveys,
   consultation with consumer representatives as well as through
   user-testing and reader online rating. In addition, implicit involvement
   of patients occurs indirectly through consideration of the experiences
   and information needs of patients via an analysis of qualitative
   research. A challenge here is the generalisability of information
   derived from research in other cultures. The Institute monitors
   methodological developments in the area of patient and health
   information, to keep its methods up-to-date. In addition, the colleagues
   involved in this work participate in an in-house training program on
   patient-centred health information.
OI Bastian, Hilda/0000-0001-8544-7386
TC 7
ZB 1
ZR 0
ZS 0
Z8 0
ZA 0
Z9 7
U1 0
U2 3
SN 0941-3790
EI 1439-4421
UT WOS:000294648600005
PM 21089010
ER

PT J
AU Njuguna, Njogu
   Flanders, Adam E.
   Kahn, Charles E., Jr.
TI Informatics in Radiology Envisioning the Future of E-Learning in
   Radiology: An Introduction to SCORM
SO RADIOGRAPHICS
VL 31
IS 4
BP 1173
EP 1179
DI 10.1148/rg.314105191
PD JUL-AUG 2011
PY 2011
AB Computer-based learning, or "e-learning," plays an increasingly
   important role in healthcare education. Modular, standardized approaches
   to e-learning make learning content portable, reusable, and
   interoperable. The Shareable Content Object Reference Model (SCORM) is a
   standard for educational content that builds upon existing standards for
   e-learning. The " SCORM for Healthcare" model, which is designed to meet
   the particular needs of learning in health professions, is being
   developed to improve communication of educational needs, goals, and
   competencies among healthcare workers, educational providers, and
   certifying organizations. Radiologists can benefit from SCORM by
   becoming familiar with its features and the opportunities it affords to
   improve online learning. (C) RSNA, 2011 radiographics.rsna.org
RI Kahn, Charles/U-5055-2019
OI Kahn, Charles/0000-0002-6654-7434
ZB 0
ZR 0
ZS 0
ZA 0
TC 9
Z8 0
Z9 9
U1 0
U2 2
SN 0271-5333
UT WOS:000292867000021
PM 21546555
ER

PT J
AU Kim, J. Y.
   Jo, M-W
   Brauner, S. C.
   Ferrufino-Ponce, Z.
   Ali, R.
   Cremers, S. L.
   Henderson, B. An
TI Increased intraocular pressure on the first postoperative day following
   resident-performed cataract surgery
SO EYE
VL 25
IS 7
BP 928
EP 935
DI 10.1038/eye.2011.93
PD JUL 2011
PY 2011
AB Purpose The aim of this study was to investigate the incidence of
   intraocular pressure (IOP) elevation after resident-performed cataract
   surgery and to determine variables, which influence postoperative day 1
   (POD1) IOP.
   Methods In all, 1111 consecutive cataract surgeries performed only by
   training residents between 1 July 2001 and 30 June 2006 were included.
   Elevated IOP was defined as >= 23 mm Hg. Surgeries were classified
   according to the presence of POD1-IOP elevation. Fisher's exact test and
   Student t-test were used to compare both groups. Multivariate analyses
   using generalized estimating equations were performed to investigate
   predictor variables associated with POD1-IOP elevation.
   Results The average preoperative IOP was 16.0 +/- 3.2mmHg and the
   average POD1-IOP was 19.3 +/- 7.1 mm Hg, reflecting a significant
   increase in IOP (P<0.001, paired t-test). The incidence of POD1-IOP
   elevation >= 23 mm Hg was 22.0% (244/1111). Presence of glaucoma and
   ocular hypertension, higher preoperative IOP, and longer axial length
   were frequently encountered variables in the POD1-IOP elevation group
   (all P<0.05). Using a multivariate analysis, presence of glaucoma (P =
   0.004, OR = 2.38; 95% confidence interval (95% CI) = 1.31-4.30),
   presence of ocular hypertension (P = 0.003, OR = 6.09; 95% CI =
   1.81-20.47), higher preoperative IOP (P<0.001, OR = 3.73; 95% CI =
   1.92-7.25), and longer axial length (P = 0.01, OR = 1.15; 95% CI =
   1.03-1.29) were significant predictive factors for POD1-IOP elevation.
   Conclusions IOP elevation on the first postoperative day following
   resident-performed cataract surgery occurred frequently (22.0%).
   Increased early postoperative IOP was associated with presence of
   glaucoma and ocular hypertension, higher preoperative IOP, and longer
   axial length. Eye (2011) 25, 929-936; doi: 10.1038/eye.2011.93;
   published online 29 April 2011
ZA 0
ZB 13
TC 27
Z8 0
ZS 1
ZR 0
Z9 29
U1 0
U2 3
SN 0950-222X
EI 1476-5454
UT WOS:000292862500015
PM 21527959
ER

PT J
AU Hoffman, Jeanne
   Salzman, Cynthia
   Garbaccio, Chris
   Burns, Stephen P.
   Crane, Deborah
   Bombardier, Charles
TI Use of on-demand video to provide patient education on spinal cord
   injury
SO JOURNAL OF SPINAL CORD MEDICINE
VL 34
IS 4
BP 404
EP 409
DI 10.1179/2045772311Y.0000000015
PD JUL 2011
PY 2011
AB Background/objective: Persons with chronic spinal cord injury (SCI) have
   a high lifetime need for ongoing patient education to reduce the risk of
   serious and costly medical conditions. We have addressed this need
   through monthly in-person public education programs called SCI Forums.
   More recently, we began videotaping these programs for streaming on our
   website to reach a geographically diverse audience of patients,
   caregivers, and providers.
   Design/methods: We compared information from the in-person forums to
   that of the same forums shown streaming on our website during a 1-year
   period.
   Results: Both the in-person and Internet versions of the forums received
   high overall ratings from individuals who completed evaluation forms.
   Eighty-eight percent of online evaluators and 96% of in-person
   evaluators reported that they gained new information from the forum; 52
   and 64% said they changed their attitude, and 61 and 68% said they would
   probably change their behavior or take some kind of action based on
   information they learned. Ninety-one percent of online evaluators
   reported that video is better than text for presenting this kind of
   information.
   Conclusion: Online video is an accessible, effective, and well-accepted
   way to present ongoing SCI education and can reach a wider geographical
   audience than in-person presentations.
RI Bombardier, Charles H./AAZ-3260-2021
OI Bombardier, Charles H./0000-0003-4758-6283
ZS 0
ZA 0
TC 23
ZB 6
ZR 0
Z8 0
Z9 23
U1 0
U2 1
SN 1079-0268
EI 2045-7723
UT WOS:000293629500008
PM 21903014
ER

PT J
AU Reilly, Frank D.
TI Outcomes From Building System Courseware for Teaching and Testing in a
   Discipline-Based Human Structure Curriculum
SO ANATOMICAL SCIENCES EDUCATION
VL 4
IS 4
BP 190
EP 194
DI 10.1002/ase.227
PD JUL-AUG 2011
PY 2011
AB This study investigated the educational benefits of system-based lecture
   notes and interactive learning objects in a peripheral nervous system
   component of a traditional first-year medical school human anatomy
   course. The impetus for the investigation was anecdotal evidence
   suggesting enhanced learner satisfaction with the learning resources.
   Retrospective review of existing data from 2006 to 2009 was undertaken
   to quantify (1) the effects of Web-based system courseware on
   examination item performance, and (2) differences among learner opinions
   regarding the benefit level of the five different types of interactive
   learning objects as evaluated by instructional design questionnaires.
   Interactive patient-based case studies (IPCS) and review games (Games),
   simulated interactive patients (SIP), flashcards, and unit quizzes
   (Quizzes) developed in-house have been peer-reviewed and published in
   MedEdPORTAL. Statistics included one-way analysis of variance, Tukey's
   post hoc test, and power meta-analysis (d). Examination item analysis
   scores remained significantly higher (P <= 0.05; d = 0.3938) for
   learners receiving the instructional treatment incorporating
   system-based lecture notes and interactive learning objects than for
   those not receiving this treatment. Using questionnaires with a
   five-point Likert scale, students reported favorably on the benefit
   level of all learning objects. They rated the SIP and IPCS significantly
   higher (P <= 0.05) and games significantly lower (P <= 0.05) than in
   previous years, indicating a change in learner preferences. This study
   reaffirms that online system-based instructional techniques improve
   student examination performance and overall student satisfaction.
   Learners indicated stronger preferences for SIP and IPCS over exercises
   encouraging passive memorization of anatomical content. Anat Sci Educ 4:
   190-194. (C) 2011 American Association of Anatomists.
ZR 0
ZA 0
ZB 0
TC 5
Z8 0
ZS 0
Z9 5
U1 0
U2 5
SN 1935-9772
EI 1935-9780
UT WOS:000293084600003
PM 21618444
ER

PT J
AU Peneau, S.
   Salanave, B.
   Rolland-Cachera, M-F
   Hercberg, S.
   Castetbon, K.
TI Correlates of sedentary behavior in 7 to 9-year-old French children are
   dependent on maternal weight status
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 7
BP 907
EP 915
DI 10.1038/ijo.2011.104
PD JUL 2011
PY 2011
AB Objective: Sedentary behavior accounts for overweight and obesity,
   independently of physical activity. Correlates of sedentary behavior
   have not been extensively reported in the literature. Our objective was
   to determine factors associated with such behavior in 7 to 9-year-old
   French children in 2007, and to assess interactions between the
   identified correlates.
   Design: A nationally representative sample of 2525 children participated
   in the study. Television viewing, video/computer duration and
   characteristics of the children and their parents were assessed using a
   questionnaire completed by the parents. Correlates of television viewing
   (<2 h per day versus >= 2 h per day) as a proxy for sedentary behavior
   were estimated using multivariate logistic regression.
   Results: On an average, children spent more than 2 h per day in front of
   a screen (television: 1 h 32 min (s.e.m.: +/- 0 h 02 min);
   video/computer: 0 h 40 min (+/- 0 h 02 min)). Television viewing
   duration was associated with sociodemographic (child's age, weight
   status, socio-economic characteristics of the family) and behavioral
   factors (physical and lifestyle activities). In children of
   non-overweight mothers, risk of spending >= 2 h per day in front of a
   television was significantly higher in those over 9 (versus 7 years:
   odds ratio (OR): 2.07; 95% confidence intervals (CI): 1.04-4.11), living
   in an educational priority zone (OR: 1.62; 95% CI: 1.08-2.44), who were
   not members of a sports team (OR: 2.24; 95% CI: 1.47-3.41), nor declared
   active by parents (OR: 1.92; 95% CI: 1.13-3.25), and whose parents'
   education level was lower than high school (OR: 1.84; 95% CI:
   1.24-2.72). In contrast, in children of overweight mothers, only the
   criteria of >= 4 children in the family (versus 2-3 children: OR: 1.87;
   95% CI: 1.05-3.35) and no reported parental occupation (versus manager
   or white collar: OR: 0.29; 95% CI: 0.11-0.76) were associated with
   watching television >= 2 h per day.
   Conclusions: Correlates of sedentary behavior in 7 to 9-year-old
   children vary according to maternal overweight. Maternal body mass index
   must therefore be taken into account when developing strategies to
   prevent a sedentary lifestyle in children. International Journal of
   Obesity (2011) 35, 907-915; doi: 10.1038/ijo.2011.104; published online
   31 May 2011
RI Benoit, Salanave/F-3062-2017; HERCBERG, Serge/B-4429-2008; Serge, Hercberg/F-3038-2017; Marie-Françoise, Rolland-Cachera/F-3044-2017; Castetbon, Katia/F-2686-2017; Peneau, Sandrine/F-2701-2017; CASTETBON, Katia/
OI Benoit, Salanave/0000-0002-4573-3166; HERCBERG,
   Serge/0000-0002-3168-1350; Serge, Hercberg/0000-0002-3168-1350;
   Marie-Françoise, Rolland-Cachera/0000-0002-0245-1687; Peneau,
   Sandrine/0000-0002-3463-0989; CASTETBON, Katia/0000-0002-1207-6729
ZS 0
ZB 1
ZA 0
Z8 0
ZR 0
TC 4
Z9 4
U1 0
U2 12
SN 0307-0565
EI 1476-5497
UT WOS:000292641300004
PM 21629207
ER

PT J
AU Wijlaars, L. P. M. M.
   Johnson, L.
   van Jaarsveld, C. H. M.
   Wardle, J.
TI Socioeconomic status and weight gain in early infancy
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 7
BP 963
EP 970
DI 10.1038/ijo.2011.88
PD JUL 2011
PY 2011
AB Context: The association between low socioeconomic status (SES) and
   childhood obesity foreshadows lifelong inequalities in health. Insight
   into the causal mechanisms linking childhood adversity to long-term
   health could be provided by discovering when the negative SES gradient
   in weight emerges and what early life experiences are associated with
   it.
   Objective: SES differences in infant weight gain in the first 3 months
   of life were examined, and contributions of parental body mass index,
   maternal smoking and feeding method to this association were assessed.
   Design: Observational study using longitudinal weight data from 2402
   families taking part in the Gemini Study; a twin birth cohort recruited
   from all twin births between March and December 2007 in England and
   Wales.
   Outcome measures: Infant weights at birth and 3 months converted to
   standard deviation scores (SDS), change in weight SDS and rapid growth.
   SES was indexed by occupation and maternal education.
   Results: There were no SES differences in birth weight, but lower SES
   was associated with higher 3-month weight, greater change in weight and
   a higher prevalence of rapid growth (all P<0.01), with graded
   associations across levels of SES. Including parental overweight or
   smoking in pregnancy in the regression model did not affect the
   association between SES and weight gain, but including feeding method
   attenuated the SES effect on weight gain by at least 62% and rendered it
   nonsignificant.
   Conclusion: The foundations for lifelong socioeconomic inequalities in
   obesity risk may be laid in early infancy, with infant-feeding practices
   having a part in the diverging weight trajectories. International
   Journal of Obesity (2011) 35, 963-970; doi: 10.1038/ijo.2011.88;
   published online 3 May 2011
RI Johnson, Laura/C-2700-2008; Van Jaarsveld, Ellen CHM/A-4632-2016; 杜, 美晨/S-4063-2016; Johnson, Laura/; Wijlaars, Linda/
OI Van Jaarsveld, Ellen CHM/0000-0002-4269-0041; 杜, 美晨/0000-0002-1562-1155;
   Johnson, Laura/0000-0001-8985-3154; Wijlaars, Linda/0000-0003-1222-2922
TC 71
ZR 1
Z8 0
ZS 4
ZB 30
ZA 0
Z9 74
U1 0
U2 21
SN 0307-0565
EI 1476-5497
UT WOS:000292641300010
PM 21540830
ER

PT J
AU Primeau, V.
   Coderre, L.
   Karelis, A. D.
   Brochu, M.
   Lavoie, M-E
   Messier, V.
   Sladek, R.
   Rabasa-Lhoret, R.
TI Characterizing the profile of obese patients who are metabolically
   healthy
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 7
BP 971
EP 981
DI 10.1038/ijo.2010.216
PD JUL 2011
PY 2011
AB The presence of obesity-related metabolic disturbances varies widely
   among obese individuals. Accordingly, a unique subset of obese
   individuals has been described in the medical literature, which seems to
   be protected or more resistant to the development of metabolic
   abnormalities associated with obesity. These individuals, now known as
   'metabolically healthy but obese' (MHO), despite having excessive body
   fatness, display a favorable metabolic profile characterized by high
   levels of insulin sensitivity, no hypertension as well as a favorable
   lipid, inflammation, hormonal, liver enzyme and immune profile. However,
   recent studies have indicated that this healthier metabolic profile may
   not translate into a lower risk for mortality. Mechanisms that could
   explain the favorable metabolic profile of MHO individuals are poorly
   understood. However, preliminary evidence suggests that differences in
   visceral fat accumulation, birth weight, adipose cell size and gene
   expression-encoding markers of adipose cell differentiation may favor
   the development of the MHO phenotype. Despite the uncertainty regarding
   the exact degree of protection related to the MHO status, identification
   of underlying factors and mechanisms associated with this phenotype will
   eventually be invaluable in helping us understand factors that
   predispose, delay or protect obese individuals from metabolic
   disturbances. Collectively, a greater understanding of the MHO
   individual has important implications for therapeutic decision making,
   the characterization of subjects in research protocols and medical
   education. International Journal of Obesity (2011) 35, 971-981; doi:
   10.1038/ijo.2010.216; published online 26 October 2010
RI Sladek, Robert/R-2391-2019
OI Sladek, Robert/0000-0002-2730-1204
Z8 4
ZB 234
ZR 8
ZA 0
ZS 5
TC 430
Z9 443
U1 2
U2 38
SN 0307-0565
EI 1476-5497
UT WOS:000292641300011
PM 20975726
ER

PT J
AU Hayashi, Jennifer
   Christmas, Colleen
   Durso, Samuel C.
TI Educational Outcomes from a Novel House Call Curriculum for Internal
   Medicine Residents: Report of a 3-Year Experience
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 59
IS 7
BP 1340
EP 1349
DI 10.1111/j.1532-5415.2011.03471.x
PD JUL 2011
PY 2011
AB Physician house calls are an important mode of healthcare delivery to
   frail homebound older adults and positively affect patient outcomes and
   learner education, but most physicians receive scant training in home
   care medicine. A novel longitudinal curriculum in house call medicine
   for internal medicine residents was implemented in July 2006, and
   educational outcomes were evaluated over the following 3 years. The
   2-year curriculum included didactic and experiential components.
   Residents made house calls with preceptors and alone and completed a
   series of computer modules outlining knowledge essential to providing
   home-based care. They discussed the important features of the modules in
   regularly scheduled small groups throughout the 2-year experience, and
   each taught a "house call morning report'' in their senior resident
   year. Evaluation methods included surveys before, during, and at the end
   of the 2-year curriculum (knowledge and attitudes); direct observation
   by preceptors during house calls (skills); and an online, anonymous
   survey at the end of each year (attitudes). Results show statistically
   significant increases in residents' knowledge, skills, and attitudes
   relevant to home care medicine. Residents describe educationally
   significant and positive effects from their house call experiences. This
   novel curriculum improved medical residents' knowledge, attitudes, and
   skills in performing house calls for frail elderly individuals. The
   longer-term outcomes of this intervention will continue to be studied,
   with the hope that it may be used to help provide educational
   opportunities to prepare the physician workforce to meet the service
   needs of a growing segment of the population. J Am Geriatr Soc
   59:1340-1349, 2011.
ZA 0
ZS 1
TC 18
Z8 0
ZR 0
ZB 2
Z9 19
U1 0
U2 8
SN 0002-8614
UT WOS:000292696100024
PM 21718262
ER

PT J
AU Kopp, Sandra L.
   Smith, Hugh M.
TI Developing Effective Web-Based Regional Anesthesia Education A
   Randomized Study Evaluating Case-Based Versus Non-Case-Based Module
   Design
SO REGIONAL ANESTHESIA AND PAIN MEDICINE
VL 36
IS 4
BP 336
EP 342
DI 10.1097/AAP.0b013e3182204d8c
PD JUL-AUG 2011
PY 2011
AB Background and Objectives: Little is known about the use of Web-based
   education in regional anesthesia training. Benefits of Web-based
   education include the ability to standardize learning material quality
   and content, build appropriate learning progressions, use interactive
   multimedia technologies, and individualize delivery of course materials.
   The goals of this investigation were (1) to determine whether module
   design influences regional anesthesia knowledge acquisition, (2) to
   characterize learner preference patterns among anesthesia residents, and
   (3) to determine whether learner preferences play a role in knowledge
   acquisition. Direct comparison of knowledge assessments, learning
   styles, and learner preferences will be made between an interactive
   case-based and a traditional textbook-style module design.
   Methods: Forty-three Mayo Clinic anesthesiology residents completed 2
   online modules, a knowledge pretest, posttest, an Index of Learning
   Styles assessment, and a participant satisfaction survey. Interscalene
   and lumbar plexus regional techniques were selected as the learning
   content for 4 Web modules constructed using the Blackboard Vista
   coursework application. One traditional textbook-style module and 1
   interactive case-based module were designed for each of the interscalene
   and lumbar plexus techniques.
   Results: Participants scored higher on the postmodule knowledge
   assessment for both of the interscalene and lumbar plexus modules.
   Postmodule knowledge performance scores were independent of both module
   design (interactive case-based versus traditional textbook style) and
   learning style preferences. However, nearly all participants reported a
   preference for Web-based learning and believe that it should be used in
   anesthesia resident education. Participants did not feel that Web-base
   learning should replace the current lecture-based curriculum.
   Conclusions: All residents scored higher on the postmodule knowledge
   assessment, but this improvement was independent of the module design
   and individual learning styles. Although residents believe that online
   learning should be used in anesthesia training, the results of this
   study do not demonstrate improved learning or justify the time and
   expense of developing complex case-based training modules. While there
   may be practical benefits of Web-based education, educators in regional
   anesthesia should be cautious about developing curricula based on
   learner preference data.
OI Kopp, Sandra/0000-0003-2997-5445
Z8 0
TC 11
ZA 0
ZS 1
ZB 3
ZR 0
Z9 12
U1 0
U2 7
SN 1098-7339
UT WOS:000292774800007
PM 21654553
ER

PT J
AU Halpert, Albena
   Godena, Ellen
TI Irritable bowel syndrome patients' perspectives on their relationships
   with healthcare providers
SO SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY
VL 46
IS 7-8
BP 823
EP 830
DI 10.3109/00365521.2011.574729
PD JUL 2011
PY 2011
AB Objective. The objective of this qualitative study was to examine
   patients' perspectives on their relationships with healthcare providers
   (HCPs) as communicated in their expressive writings about irritable
   bowel syndrome (IBS). Methods. As part of a large national online study,
   IBS patients were asked to: (a) write expressively about their IBS
   illness experience for 30 min/day for four consecutive days and (b)
   answer the question, "What is the most important thing your HCP can do
   to maximize his/her relationship with you?" A key word search was used
   to identify comments that mentioned the words "doctor," "doc,"
   "physician," "MD," "gastroenterologist," "nurse," "nurse practitioner,"
   or "physician assistant" in the 228 expressive writings completed by the
   first 57 participants (four writings for each subject). Analyses of the
   comments about the patient-HCP relationship and responses to the above
   question were performed by the authors who identified themes and their
   frequencies over several sessions using a quantitative content analysis
   method. Results. We report the results of the first 57 subjects who
   participated in the study. Subjects' mean age was 41.1 (+/- 12.7) years,
   gender was 82% female, 98% had seen an MD for IBS, 58% had IBS <10
   years, with mild/moderate disease severity (IBS severity scale (IBSSS)
   190.6 + 45.55), and IBS-quality of life (QOL; 62.7.3 + 21.58). Of the 57
   subjects who wrote expressively about their experiences related to IBS,
   40 (70%) wrote about their relationships with their HCPs in at least one
   of their four writings. Of the 197 relationship comments about HCPs made
   in a total of 84 writings, 106 (54%) were categorized as "negative," 22
   (11%) as "positive," and 69 (35%) comments were categorized as "neutral
   mentions."The top five themes identified were: "I need more empathy and
   listening from my HCP about how much IBS affects my life" (27%),
   "Nothing my HCP does helps my IBS" (25%), "My HCP has been helpful and
   reassuring" (17%), "My HCP thinks I'm crazy" (8%), and "I don't trust my
   HCP" (5%). Forty-nine (86%) subjects answered the question regarding
   maximizing the relationship with their HCP, with 53% reporting that
   listening, empathy, and providing education were the most important
   factors for maximizing the relationship. Conclusion. Our results
   demonstrate that the patient-HCP relationship is central to patients'
   illness experience. The majority of our study subjects viewed their
   relationships with HCPs negatively, with major concerns relating to
   being heard and receiving empathy. The study findings highlight the need
   for improved patient-HCP communication. Further research utilizing novel
   modalities, such as expressive writing, in eliciting patient information
   and perspectives, may provide valuable educational tools.
OI Halpert, Albena/0000-0002-0679-2796
ZB 7
ZR 0
ZA 0
ZS 2
TC 31
Z8 0
Z9 31
U1 0
U2 14
SN 0036-5521
EI 1502-7708
UT WOS:000292646800008
PM 21561228
ER

PT J
AU Paschall, Mallie J.
   Antin, Tamar
   Ringwalt, Christopher L.
   Saltz, Robert F.
TI Effects of AlcoholEdu for College on Alcohol-Related Problems Among
   Freshmen: A Randomized Multicampus Trial
SO JOURNAL OF STUDIES ON ALCOHOL AND DRUGS
VL 72
IS 4
BP 642
EP 650
DI 10.15288/jsad.2011.72.642
PD JUL 2011
PY 2011
AB Objective: AlcoholEdu for College is a 2- to 3-hour online course for
   incoming college freshmen. This study was the first multicampus trial to
   examine effects of AlcoholEdu for College on alcohol-related problems
   among freshmen. Method: Thirty universities participated in the study.
   Fifteen were randomly assigned to receive AlcoholEdu, and the other 15
   were assigned to the control condition. AlcoholEdu was implemented by
   intervention schools during the summer and/or fall semester.
   Cross-sectional surveys of freshmen were conducted at each university
   beginning before the intervention in spring 2008/2009; post-intervention
   surveys were administered in fall 2008/2009 and spring 2009/2010. The
   surveys included questions about the past-30-day frequency of 28
   alcohol-related problems, from which we created indices for the total
   number of problems and problems in seven domains: physiological,
   academic, social, driving under the influence/riding with drinking
   drivers, aggression, sexual risk taking, and victimization. Multilevel
   Poisson regression analyses were conducted to examine intent-to-treat
   and dosage effects of AlcoholEdu for College on these outcomes. Results:
   Multilevel intent-to-treat analyses indicated significant reductions in
   the risk for past-30-day alcohol problems in general and problems in the
   physiological, social, and victimization domains during the fall
   semester immediately after completion of the course. However, these
   effects did not persist in the spring semester. Additional analyses
   suggested stronger AlcoholEdu effects on these outcomes at colleges with
   higher rates of student course completion. No AlcoholEdu effects were
   observed for alcohol-related problems in the other four domains.
   Conclusions: AlcoholEdu for College appears to have beneficial
   short-term effects on victimization and the most common types of
   alcohol-related problems among freshmen. Universities may benefit the
   most by mandating AlcoholEdu for College for all incoming freshmen and
   by implementing this online course along with environmental prevention
   strategies. (J. Stud. Alcohol Drugs, 72, 642-650, 2011)
OI Saltz, Robert/0000-0002-6373-7670
Z8 0
ZA 0
ZR 0
TC 44
ZS 1
ZB 12
Z9 44
U1 0
U2 11
SN 1937-1888
EI 1938-4114
UT WOS:000292356900014
PM 21683046
ER

PT J
AU Schneider, B.
   Fritze, J.
   Georgi, K.
   Grebner, K.
TI Do individuals with substance use disorders find information for crisis
   intervention and suicide prevention resources on the Internet?
SO NERVENARZT
VL 82
IS 7
BP 859
EP +
DI 10.1007/s00115-010-2974-z
PD JUL 2011
PY 2011
AB Suicidality is an important issue for substance-dependent people. The
   few studies about Internet searches have provided ambiguous results
   regarding help and support using suicide-related terms.
   Five popular search engines and several substance use- and
   suicide-related German search terms were used; the search results were
   classified as being pro-suicide, anti-suicide, suicide-neutral, websites
   not associated with suicide or aEuropage could not be loaded".
   The majority of identified websites was not associated with suicide at
   all, whereas websites offering help and support were less frequent.
   Using suicide-associated search terms (such as aEuroSelbsttotung")
   almost half of all web pages were help sites. Websites with instructions
   for committing suicide were very rarely found.
   In view of the difficulties for substance abusers to get immediate and
   adequate information about help and support in a suicidal crisis via the
   Internet, it is urgently necessary to extend fast available help sites
   on the Internet.
ZR 0
ZS 0
ZB 0
Z8 0
ZA 0
TC 0
Z9 0
U1 0
U2 5
SN 0028-2804
UT WOS:000292307000005
PM 20383485
ER

PT J
AU Julia, P. E.
   Othman, A. S.
TI Barriers to sexual activity: counselling spinal cord injured women in
   Malaysia
SO SPINAL CORD
VL 49
IS 7
BP 791
EP 794
DI 10.1038/sc.2011.4
PD JUL 2011
PY 2011
AB Study design: This study is a cross-sectional, face-to-face interview.
   Objectives: To examine the sexual activity in a sample of Malaysian
   women with traumatic spinal cord injuries (SCIs), identify the physical
   and psychological barriers to it, and explore their experiences with
   sexual counseling and rehabilitation.
   Setting: This study was conducted at the Spinal Rehabilitation Unit of a
   teaching hospital.
   Methods: All women who attended scheduled check-ups, over 1 year, and
   who met the inclusion criteria (age above 18 years, spinal injury of
   traumatic aetiology, living in the community and having completed the
   rehabilitation) were consecutively included in a face-to-face interview
   using a self-constructed questionnaire. Sociodemographic and
   disability-related variables, barriers to sexual activity/satisfaction
   and experiences of sexual rehabilitation services were obtained.
   Results: During the study period, 33/36 subjects were recruited.
   Although 67% indicated interest in sexual activity, only 24% was
   sexually active. The frequency of sexual activity declined after the
   injury, from 4.6 times per month to 1.5 times per month. Feeling
   unattractive, unable to satisfy the partner and less confident about
   sexual ability were top three psychological barriers to sexual activity,
   and the top three physical barriers were impaired genital sensation,
   positioning and vaginal lubrication. In all, 50% received some sexual
   information during rehabilitation. Rehabilitation professionals were
   expected to initiate sexual counseling by 62.5% of subjects.
   Conclusion: The effect of SCIs on sexual function is tremendous. Sexual
   counseling services must be improved and take into account the impact of
   psychological factors. Spinal Cord (2011) 49, 791-794; doi:
   10.1038/sc.2011.4; published online 15 February 2011
RI Engkasan, Julia Patrick/M-5547-2018
OI Engkasan, Julia Patrick/0000-0003-0599-4908
Z8 1
ZA 0
ZB 4
TC 15
ZS 0
ZR 0
Z9 15
U1 0
U2 4
SN 1362-4393
EI 1476-5624
UT WOS:000292282900006
PM 21321578
ER

PT J
AU Ruiz, Jorge G.
   Tunuguntla, Renuka
   Cifuentes, Pedro
   Andrade, Allen D.
   Ouslander, Joseph G.
   Roos, Bernard A.
TI Development and Pilot Testing of a Self-management Internet-based
   Program for Older Adults with Overactive Bladder
SO UROLOGY
VL 78
IS 1
BP 48
EP 53
DI 10.1016/j.urology.2011.01.043
PD JUL 2011
PY 2011
AB OBJECTIVES To implement and pilot test our Self-Management
   Internet-Based Program for Older Adults with Overactive Bladder
   (OAB-SMIP) in a group of older adults with overactive bladder (OAB) to
   determine its usability and outcomes, including knowledge,
   self-efficacy, perception of bladder condition, and health-related
   quality of life.
   METHODS In a single-group study design with pre- and post-tests, we
   recruited 25 men and women age 55 or older with symptoms of OAB. The
   OAB-SMIP intervention consisted of 3 multimedia e-learning tutorials,
   social networking features, and other online resources delivered over 6
   weeks.
   RESULTS Participants enjoyed the OAB-SMIP and found it easy to use.
   Participants demonstrated increased knowledge (SMD = 4.17, large effect
   size), and their symptoms improved after the intervention (SMD =
   1.20-1.30, large effect sizes). Participants improved their overall
   self-efficacy (SMD = 1.84, large effect size) as well as their
   self-efficacy in performing pelvic muscle exercises (SMD = 1.41, large
   effect size) and controlling urge symptoms (SMD = 1.32, large effect
   size), and there were significant increases in health-related quality of
   life (SMD = 1.13, large effect size) after exposure to the OAB-SMIP. We
   did not find any significant gender differences.
   CONCLUSIONS Participants using the OAB-SMIP improved their knowledge,
   symptoms, self-efficacy in performing pelvic muscle exercises and
   overall management of OAB, as well as health-related quality-of-life
   scores. UROLOGY 78: 48-53, 2011. Published by Elsevier Inc.
RI Tunuguntla, Renuka/AAN-9019-2021; Andrade, Allen/
OI Tunuguntla, Renuka/0000-0003-2582-0331; Andrade,
   Allen/0000-0003-4902-8728
ZA 0
ZS 0
Z8 1
ZB 4
TC 14
ZR 0
Z9 15
U1 0
U2 14
SN 0090-4295
EI 1527-9995
UT WOS:000292080300014
PM 21458038
ER

PT J
AU Fruge, Ernest
   Lakoski, Joan M.
   Luban, Naomi
   Lipton, Jeffrey M.
   Poplack, David G.
   Hagey, Anne
   Felgenhauer, Judy
   Hilden, Joanne
   Margolin, Judith
   Vaiselbuh, Sarah R.
   Sakamoto, Kathleen M.
TI Increasing Diversity in Pediatric Hematology/Oncology
SO PEDIATRIC BLOOD & CANCER
VL 57
IS 1
BP 147
EP 152
DI 10.1002/pbc.22977
PD JUL 2011
PY 2011
AB Background. Diversity is necessary for the survival and success of both
   biological and social systems including societies. There is a lack of
   diversity, particularly the proportion of women and minorities in
   leadership positions, within medicine [Leadley. AAMC 2009. Steinecke and
   Terrell. Acad Med 2010; 85: 236-245]. In 2009 a group of ASPHO members
   recognized the need to support the career advancement of women and
   minority members. This article reports the results of a survey designed
   to characterize the comparative career pathway experience of women and
   minority ASPHO members. Procedure. A group of ASPHO members modified a
   published Faculty Worklife survey [Pribbenow et al. High Educ Policy
   2010; 23: 17-38] for use by Pediatric Hematologist-Oncologists (PHOs). A
   link to an online version of the survey was sent to all ASPHO members.
   Results. Of 1,228 ASPHO members polled, 213 responded (17%). Women and
   minority PHOs reported less satisfaction than their counterparts on 70
   of the 90 issues addressed in the survey including the hiring process,
   access to resources as well as integration and satisfaction with their
   organizations. Women also expressed greater dissatisfaction with issues
   of work-life balance, support for family obligations and personal
   health. Conclusions. The current literature suggests that there are
   significant disparities in career opportunities, compensation and
   satisfaction for women compared to men and minority compared to majority
   faculty in academic medicine [Nivet. J Vasc Surg 2010; 51: 53S-58S;
   Peterson et al. J Gen Intern Med 2004; 19: 259-265; DesRoches et al.
   Acad Med 2010; 85: 631-639; Castillo-Page. AAMC 2008]. Our data, derived
   from a survey of ASPHO members, suggests that this holds true for PHOs
   as well. Pediatr Blood Cancer 2011;57:147-152. (C) 2011 Wiley-Liss, Inc.
OI Sakamoto, Kathleen/0000-0003-0494-8838
TC 9
Z8 0
ZR 0
ZB 3
ZS 0
ZA 0
Z9 9
U1 0
U2 5
SN 1545-5009
UT WOS:000290452400024
PM 21284078
ER

PT J
AU Bandayrel, Kristofer
   Wong, Sharon
TI Systematic Literature Review of Randomized Control Trials Assessing the
   Effectiveness of Nutrition Interventions in Community-Dwelling Older
   Adults
SO JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR
VL 43
IS 4
BP 251
EP 262
DI 10.1016/j.jneb.2010.01.004
PD JUL-AUG 2011
PY 2011
AB Objective: Nutrition interventions may play an important role in
   maintaining the health and quality of life in community-dwelling older
   adults. To the authors' knowledge, no systematic literature review has
   been conducted on the effectiveness of nutrition interventions in the
   community-dwelling older adult population.
   Design: Systematic literature review followed by descriptive data
   extraction and critical appraisals for studies meeting inclusion
   criteria.
   Setting: Medical Literature and Retrieval System Online (MEDLINE) and
   Cumulative Index to Nursing and Allied Health Literature (CINAHL) search
   for randomized controlled trials (RCTs) assessing nutrition
   interventions in community-dwelling older adults.
   Participants: Fifteen RCTs involving nutrition-related outcomes in
   community-dwelling older adults.
   Analysis: Descriptive data extraction and critical appraisals using the
   Jaded scale. Outcome measures included study blinding, allocation
   concealment, intention-to-treat analysis, and a priori calculations.
   Results: Ten RCTs involved nutrition counseling, education, or dietary
   advice, whereas 5 involved nutrition supplements. Jaded scores ranged
   from 1 (n = 8) to 2 (n = 4) to 4 (n = 3). Ten RCTs reported positive
   results post-intervention.
   Conclusions and Implications: Nutrition counseling interventions
   involving active participation and collaboration showed the most promise
   in affecting positive nutrition-related outcomes in community-dwelling
   older adults. Future research should determine which nutrition
   interventions will benefit community-dwelling older adults with less
   active participation and health perceptions, and lower educational
   attainment.
ZR 0
TC 48
ZS 0
ZB 14
ZA 0
Z8 1
Z9 50
U1 0
U2 22
SN 1499-4046
UT WOS:000291976600006
PM 21371944
ER

PT J
AU Stoddard, Hugh A.
   Schonfeld, Toby
TI A Comparison of Student Performance between Two Instructional Delivery
   Methods for a Healthcare Ethics Course
SO CAMBRIDGE QUARTERLY OF HEALTHCARE ETHICS
VL 20
IS 3
BP 493
EP 501
DI 10.1017/S0963180111000181
PD JUL 2011
PY 2011
RI Stoddard, Hugh/AAD-4654-2019; Schonfeld, Toby/
OI Stoddard, Hugh/0000-0002-7720-0655; Schonfeld, Toby/0000-0001-6798-1278
ZS 0
ZB 0
TC 7
Z8 0
ZR 0
ZA 0
Z9 7
U1 0
U2 8
SN 0963-1801
UT WOS:000291054400016
PM 21676335
ER

PT J
AU Clough, J. F. M.
   Veillette, C. J. H.
TI Orthopaedic Web Links (OWL): A Way to Find Professional Orthopaedic
   Information on the Internet
SO CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
VL 469
IS 7
BP 2049
EP 2061
DI 10.1007/s11999-011-1875-1
PD JUL 2011
PY 2011
AB Finding useful high-grade professional orthopaedic information on the
   Internet is often difficult. Orthopaedic Web Links (OWL) is a searchable
   database of vetted online orthopaedic resources. OWL uses a subject
   directory (OWL Directory) and a custom search engine (OWL Web) to
   provide a list of resources. The most effective way to find readily
   accessible, full text on-subject material suitable for education of an
   orthopaedic surgeon or trainee has not been defined.
   We therefore (1) proposed a method for selecting topics and evaluating
   searches and (2) compared the search results from an
   orthopaedic-specific directory (OWL Directory), a custom search engine
   (OWL Web), and standard Google searches.
   A scoring system for evaluation of the search results was developed for
   standardized comparison. Single words and sets of three words from
   randomly selected examination questions provided the search strings to
   compare the three strategies.
   For single keyword searches, the OWL Directory scored highest (16.4/50)
   of the three methods. For the three keywords searches, OWL Web had the
   highest mean score (26.0/50), followed by Google (22.8/50), and the OWL
   Directory (1.0/50). OWL Web searches had higher scores than Google
   searches, while returning 800 times fewer search results.
   The OWL Directory of orthopaedic subjects on the Internet provides a
   simple browsable category structure to find information. The OWL Web
   search engine scored higher than Google and resulted in a greater
   proportion of valid, on-subject, and accessible resources in the search
   results.
RI Veillette, Christian/AAF-5089-2021
ZB 0
ZR 0
TC 1
Z8 0
ZS 0
ZA 0
Z9 1
U1 0
U2 3
SN 0009-921X
UT WOS:000291484700038
PM 21455801
ER

PT J
AU Tamler, Ronald
   Green, Dina E.
   Skamagas, Maria
   Breen, Tracy L.
   Looker, Helen C.
   LeRoith, Derek
TI Effect of Case-Based Training for Medical Residents on Confidence,
   Knowledge, and Management of Inpatient Glycemia
SO POSTGRADUATE MEDICINE
VL 123
IS 4
BP 99
EP 106
DI 10.3810/pgm.2011.07.2309
PD JUL 2011
PY 2011
AB Objective: To determine whether a brief, case-based educational
   intervention improves resident confidence, knowledge, and management of
   glycemia in hospitalized patients. Research Design and Methods: All 116
   medical residents at a large academic medical center were offered a
   case-based curriculum on the management of inpatient glycemia in fall
   2008. Residents on ambulatory and elective rotations were taught in
   small groups, whereas all others underwent online training. All
   participants were offered a brief online refresher course in spring
   2009. We assessed resident confidence across 9 domains of treating
   inpatient dysglycemia, knowledge based on 4 questions before the course,
   a 23-part questionnaire after the intervention, and changes in resident
   behavior as documented in chart abstractions. Results: One hundred eight
   (93.1%) residents completed initial training, and 102 (87.9%) completed
   the refresher course. The share of scores indicating that residents felt
   "somewhat comfortable" or "completely comfortable" treating inpatient
   dysglycemia increased from 62.5% before the course to 94.3% (P < 0.001)
   after the initial intervention and 92.8% (P < 0.001) after the
   refresher. Knowledge scores improved from 72.2% correct answers to 88.9%
   (P < 0.001) for the 4 questions asked before and after the course.
   Across all 23 questions posed after the initial course, residents
   answered 86.1% correctly and maintained a score of 85.5% after the
   refresher course. Online-trained residents, at 89.7%, outscored their
   classroom-trained peers (82.3%; P < 0.001) after the initial course.
   Chart abstractions did not show any significant changes in managing
   glycemia. Conclusion: A curriculum on the management of inpatient
   glycemia was broadly adopted by medical residents at a large academic
   medical center and led to greater confidence and knowledge among
   residents. Further expansion to other health care providers and
   hospitals using a Web-based format and incorporation of updated
   guidelines is needed to confirm and build on these encouraging results.
ZB 2
ZR 0
TC 12
ZS 0
Z8 0
ZA 0
Z9 12
U1 0
U2 5
SN 0032-5481
UT WOS:000307098600011
PM 21680994
ER

PT J
AU Forbes, L. J. L.
   Linsell, L.
   Atkins, L.
   Burgess, C.
   Tucker, L.
   Omar, L.
   Ramirez, A. J.
TI A promoting early presentation intervention increases breast cancer
   awareness in older women after 2 years: a randomised controlled trial
SO BRITISH JOURNAL OF CANCER
VL 105
IS 1
BP 18
EP 21
DI 10.1038/bjc.2011.205
PD JUN 28 2011
PY 2011
AB BACKGROUND: We have developed the Promoting Early Presentation (PEP)
   Intervention to equip older women with the knowledge, skills, confidence
   and motivation to present promptly with breast symptoms, and thereby
   improve survival from breast cancer. The PEP Intervention consists of a
   10-min interaction between a radiographer and an older woman, supported
   by a booklet. Our previous report showed that at 1 year, the PEP
   intervention increased the proportion who were breast cancer aware
   compared with usual care.
   METHODS: We randomised 867 women aged 67-70 years attending for their
   final routine appointment on the National Health Service Breast
   Screening Programme to receive the PEP Intervention, a booklet alone or
   usual care. The primary outcome was breast cancer awareness measured
   using a validated questionnaire asking about knowledge of breast cancer
   symptoms, knowledge that the risk of breast cancer increases with age
   and breast checking behaviour.
   RESULTS: At 2 years, the PEP Intervention increased the proportion who
   were breast cancer aware compared with usual care (21 vs 6%; odds ratio
   8.1, 95% confidence interval 2.7-25.0).
   CONCLUSIONS: The uniquely large and sustained effect of the PEP
   Intervention on breast cancer awareness increases the likelihood that a
   woman will present promptly should she develop breast cancer symptoms up
   to many years later. British Journal of Cancer (2011) 105, 18-21. doi:
   10.1038/bjc.2011.205 www.bjcancer.com Published online 7 June 2011 (C)
   2011 Cancer Research UK
RI Forbes, Lindsay/X-4632-2019; Forbes, Lindsay J/E-3586-2010; Atkins, Louise/C-7740-2011; Forbes, Lindsay/
OI Forbes, Lindsay/0000-0002-4654-9520
ZB 7
Z8 0
TC 33
ZA 0
ZR 0
ZS 0
Z9 33
U1 2
U2 17
SN 0007-0920
UT WOS:000292182400004
PM 21654683
ER

PT J
AU Schneider, Francine
   van Osch, Liesbeth A. D. M.
   Kremers, Stef P. J.
   Schulz, Daniela N.
   van Adrichem, Mathieu J. G.
   de Vries, Hein
TI Optimizing diffusion of an online computer tailored lifestyle program: a
   study protocol
SO BMC PUBLIC HEALTH
VL 11
AR 480
DI 10.1186/1471-2458-11-480
PD JUN 20 2011
PY 2011
AB Background: Although the Internet is a promising medium to offer
   lifestyle interventions to large amounts of people at relatively low
   costs and effort, actual exposure rates of these interventions fail to
   meet the high expectations. Since public health impact of interventions
   is determined by intervention efficacy and level of exposure to the
   intervention, it is imperative to put effort in optimal dissemination.
   The present project attempts to optimize the dissemination process of a
   new online computer tailored generic lifestyle program by carefully
   studying the adoption process and developing a strategy to achieve
   sustained use of the program.
   Methods/Design: A prospective study will be conducted to yield relevant
   information concerning the adoption process by studying the level of
   adoption of the program, determinants involved in adoption and
   characteristics of adopters and non-adopters as well as satisfied and
   unsatisfied users. Furthermore, a randomized control trial will be
   conducted to the test the effectiveness of a proactive strategy using
   periodic e-mail prompts in optimizing sustained use of the new program.
   Discussion: Closely mapping the adoption process will gain insight in
   characteristics of adopters and non-adopters and satisfied and
   unsatisfied users. This insight can be used to further optimize the
   program by making it more suitable for a wider range of users, or to
   develop adjusted interventions to attract subgroups of users that are
   not reached or satisfied with the initial intervention. Furthermore, by
   studying the effect of a proactive strategy using period prompts
   compared to a reactive strategy to stimulate sustained use of the
   intervention and, possibly, behaviour change, specific recommendations
   on the use and the application of prompts in online lifestyle
   interventions can be developed.
   Trial registration: Dutch Trial Register NTR1786 and Medical Ethics
   Committee of Maastricht University and the University Hospital
   Maastricht (NL2723506809/MEC0903016).
RI Schneider, Francine/E-3629-2012; Schulz, Daniela/
OI Schulz, Daniela/0000-0002-1016-432X
ZS 0
ZB 1
ZA 0
TC 7
ZR 0
Z8 0
Z9 7
U1 0
U2 4
SN 1471-2458
UT WOS:000292502200001
PM 21689412
ER

PT J
AU Aggarwal, Rakesh
   Gupte, Nikhil
   Kass, Nancy
   Taylor, Holly
   Ali, Joseph
   Bhan, Anant
   Aggarwal, Amita
   Sisson, Stephen D.
   Kanchanaraksa, Sukon
   McKenzie-White, Jane
   McGready, John
   Miotti, Paolo
   Bollinger, Robert C.
TI A Comparison of Online versus On-site Training in Health Research
   Methodology: A Randomized Study
SO BMC MEDICAL EDUCATION
VL 11
AR 37
DI 10.1186/1472-6920-11-37
PD JUN 17 2011
PY 2011
AB Background: Distance learning may be useful for building health research
   capacity. However, evidence that it can improve knowledge and skills in
   health research, particularly in resource-poor settings, is limited. We
   compared the impact and acceptability of teaching two distinct content
   areas, Biostatistics and Research Ethics, through either on-line
   distance learning format or traditional on-site training, in a
   randomized study in India. Our objective was to determine whether
   on-line courses in Biostatistics and Research Ethics could achieve
   similar improvements in knowledge, as traditional on-site,
   classroom-based courses.
   Methods: Subjects: Volunteer Indian scientists were randomly assigned to
   one of two arms. Intervention: Students in Arm 1 attended a 3.5-day
   on-site course in Biostatistics and completed a 3.5-week on-line course
   in Research Ethics. Students in Arm 2 attended a 3.5-week on-line course
   in Biostatistics and 3.5-day on-site course in Research Ethics. For the
   two course formats, learning objectives, course contents and knowledge
   tests were identical. Main Outcome Measures: Improvement in knowledge
   immediately and 3-months after course completion, compared to baseline.
   Results: Baseline characteristics were similar in both arms (n = 29
   each). Median knowledge score for Biostatistics increased from a
   baseline of 49% to 64% (p < 0.001) 3 months after the on-site course,
   and from 48% to 63% (p = 0.009) after the on-line course. For the
   on-site Research Ethics course, median score increased from 69% to 83%
   (p = 0.005), and for the on-line Research Ethics course from 62% to 80%
   (p < 0.001). Three months after the course, median gains in knowledge
   scores remained similar for the on-site and on-line platforms for both
   Biostatistics (16% vs. 12%; p = 0.59) and Research Ethics (17% vs. 13%;
   p = 0.14).
   Conclusion: On-line and on-site training formats led to marked and
   similar improvements of knowledge in Biostatistics and Research Ethics.
   This, combined with logistical and cost advantages of on-line training,
   may make on-line courses particularly useful for expanding health
   research capacity in resource-limited settings.
RI Aggarwal, Amita/A-5679-2011; Aggarwal, Rakesh/D-1583-2009; Ali, Joseph/; Bollinger, Robert/
OI Aggarwal, Rakesh/0000-0001-9689-494X; Ali, Joseph/0000-0002-4767-2512;
   Bollinger, Robert/0000-0002-6798-6834
ZS 1
ZA 1
ZR 0
TC 40
ZB 6
Z8 0
Z9 41
U1 2
U2 24
SN 1472-6920
UT WOS:000292831000001
PM 21682858
ER

PT J
AU Schroter, Sara
   Jenkins, Richard D.
   Playle, Rebecca A.
   Walsh, Kieran M.
   Probert, Courtenay
   Kellner, Thomas
   Arnhofer, Gerhard
   Owens, David R.
TI Evaluation of an online interactive Diabetes Needs Assessment Tool
   (DNAT) versus online self-directed learning: a randomised controlled
   trial
SO BMC MEDICAL EDUCATION
VL 11
AR 35
DI 10.1186/1472-6920-11-35
PD JUN 16 2011
PY 2011
AB Background: Methods for the dissemination, understanding and
   implementation of clinical guidelines need to be examined for their
   effectiveness to help doctors integrate guidelines into practice. The
   objective of this randomised controlled trial was to evaluate the
   effectiveness of an interactive online Diabetes Needs Assessment Tool
   (DNAT) (which constructs an e-learning curriculum based on individually
   identified knowledge gaps), compared with self-directed e-learning of
   diabetes guidelines.
   Methods: Health professionals were randomised to a 4-month learning
   period and either given access to diabetes learning modules alone
   (control group) or DNAT plus learning modules (intervention group).
   Participants completed knowledge tests before and after learning
   (primary outcome), and surveys to assess the acceptability of the
   learning and changes to clinical practice (secondary outcomes).
   Results: Sixty four percent (677/1054) of participants completed both
   knowledge tests. The proportion of nurses (5.4%) was too small for
   meaningful analysis so they were excluded. For the 650 doctors
   completing both tests, mean (SD) knowledge scores increased from 47.4%
   (12.6) to 66.8% (11.5) [intervention group (n = 321, 64%)] and 47.3%
   (12.9) to 67.8% (10.8) [control group (n = 329, 66%)], (ANCOVA p =
   0.186). Both groups were satisfied with the usability and usefulness of
   the learning materials. Seventy seven percent (218/284) of the
   intervention group reported combining the DNAT with the recommended
   reading materials was "very useful"/"useful". The majority in both
   groups (184/287, 64.1% intervention group and 206/299, 68.9% control
   group) [95% CI for the difference (-2.8 to 12.4)] reported integrating
   the learning into their clinical practice.
   Conclusions: Both groups experienced a similar and significant
   improvement in knowledge. The learning materials were acceptable and
   participants incorporated the acquired knowledge into practice.
RI Schroter, Sara/G-3427-2012; Jenkins, Richard Dean/; Playle, Rebecca/
OI Schroter, Sara/0000-0002-8791-8564; Jenkins, Richard
   Dean/0000-0003-4475-2389; Playle, Rebecca/0000-0002-2989-1092
ZR 0
ZA 0
TC 13
Z8 1
ZB 5
ZS 0
Z9 14
U1 0
U2 11
SN 1472-6920
UT WOS:000292495900001
PM 21679446
ER

PT J
AU Sisson, Stephen D.
   Casagrande, Sarah S.
   Dalal, Deepan
   Yeh, Hsin-Chieh
CA Johns Hopkins Univ
TI Associations between quality indicators of internal medicine residency
   training programs
SO BMC MEDICAL EDUCATION
VL 11
AR 30
DI 10.1186/1472-6920-11-30
PD JUN 8 2011
PY 2011
AB Background: Several residency program characteristics have been
   suggested as measures of program quality, but associations between these
   measures are unknown. We set out to determine associations between these
   potential measures of program quality.
   Methods: Survey of internal medicine residency programs that shared an
   online ambulatory curriculum on hospital type, faculty size, number of
   trainees, proportion of international medical graduate (IMG) trainees,
   Internal Medicine In-Training Examination (IM-ITE) scores, three-year
   American Board of Internal Medicine Certifying Examination (ABIM-CE)
   first-try pass rates, Residency Review Committee-Internal Medicine
   (RRC-IM) certification length, program director clinical duties, and use
   of pharmaceutical funding to support education. Associations assessed
   using Chi-square, Spearman rank correlation, univariate and
   multivariable linear regression.
   Results: Fifty one of 67 programs responded (response rate 76.1%),
   including 29 (56.9%) community teaching and 17 (33.3%) university
   hospitals, with a mean of 68 trainees and 101 faculty. Forty four
   percent of trainees were IMGs. The average post-graduate year (PGY)-2
   IM-ITE raw score was 63.1, which was 66.8 for PGY3s. Average 3-year
   ABIM-CE pass rate was 95.8%; average RRC-IM certification was 4.3 years.
   ABIM-CE results, IM-ITE results, and length of RRC-IM certification were
   strongly associated with each other (p < 0.05). PGY3 IM-ITE scores were
   higher in programs with more IMGs and in programs that accepted
   pharmaceutical support (p < 0.05). RRC-IM certification was shorter in
   programs with higher numbers of IMGs. In multivariable analysis, a
   higher proportion of IMGs was associated with 1.17 years shorter RRC
   accreditation.
   Conclusions: Associations between quality indicators are complex, but
   suggest that the presence of IMGs is associated with better performance
   on standardized tests but decreased duration of RRC-IM certification.
RI Dalal, Deepan/I-5448-2018
ZA 0
ZB 1
Z8 0
ZS 1
TC 5
ZR 0
Z9 6
U1 0
U2 6
SN 1472-6920
UT WOS:000292295500001
PM 21651768
ER

PT J
AU Ruggiero, Kenneth J.
   Gros, Daniel F.
   McCauley, Jenna
   de Arellano, Michael A.
   Danielson, Carla Kmett
TI Rural Adults' Use of Health-Related Information Online: Data from a 2006
   National Online Health Survey
SO TELEMEDICINE AND E-HEALTH
VL 17
IS 5
BP 329
EP 334
DI 10.1089/tmj.2010.0195
PD JUN 2011
PY 2011
AB Objective: The objective of this study was to examine access and use of
   health-related information online in rural versus nonrural Internet
   users, using national data from the 2006 Pew Internet and American Life
   Project. Materials and Methods: A national telephone survey of 2,928
   adults in August 2006 yielded a sample of 1,992 adults who use the
   Internet regularly. A structured interview was administered to assess
   frequency of Internet use and access and use of health-related
   information online. Results: Most Internet-using rural adults search for
   health-related information online; two-thirds seek information about
   specific medical problems and over half seek information about
   treatment. Three-fifths of rural adults surveyed stated that online
   health-related information affected the decisions they made in health
   maintenance and managing treatment of an illness. More than one-third
   reported being significantly helped by information they found, whereas
   one-fourth reported being confused. Comparisons between rural and
   nonrural Internet users suggested that rural users were more likely to
   seek information about smoking cessation (chi(2) [1, N = 1,990] = 7.91,
   p < 0.01) and mental health issues (chi(2) [1, N = 1,988] = 3.71, p =
   0.05), less likely to seek information about a particular doctor or
   hospital (chi(2) [1, N = 1,983] = 15.49, p < 0.001), and more likely to
   report being helped (chi(2) [1, N = 1,534] = 5.24, p < 0.05)-but also
   confused (chi(2) [1, N = 1,592] = 9.83, p < 0.01)-by information they
   found. Conclusions: Rural Americans are increasingly using the Internet
   to acquire information about chronic disease, mental health, doctors,
   and treatment options. Priorities should include further development and
   rigorous evaluation of online resources to ensure high-quality, more
   direct tailoring of resources to rural families and development of tools
   to assist consumers in assessing the credibility of online information.
ZR 0
ZS 0
ZB 2
TC 24
ZA 0
Z8 0
Z9 24
U1 0
U2 14
SN 1530-5627
EI 1556-3669
UT WOS:000292198300004
PM 21524201
ER

PT J
AU Knapp, Herschel
   Chan, Kee
   Anaya, Henry D.
   Goetz, Matthew B.
TI Interactive Internet-Based Clinical Education: An Efficient and
   Cost-Savings Approach to Point-of-Care Test Training
SO TELEMEDICINE AND E-HEALTH
VL 17
IS 5
BP 335
EP 340
DI 10.1089/tmj.2010.0187
PD JUN 2011
PY 2011
AB Background: We successfully created and implemented an effective HIV
   rapid testing training and certification curriculum using traditional
   in-person trainings at multiple sites within the U. S. Department of
   Veterans Affairs (VA) Healthcare System. Objective: Considering the
   multitude of geographically remote facilities in the nationwide VA
   system, coupled with the expansion of HIV diagnostics, we developed an
   alternate training method that is affordable, efficient, and effective.
   Methods: Using materials initially developed for in-person HIV rapid
   test in-services, we used a distance learning model to offer this
   training via live audiovisual online technology to educate clinicians at
   a remote outpatient primary care VA facility. Results: Participants'
   evaluation metrics showed that this form of remote education is
   equivalent to in-person training; additionally, HIV testing rates
   increased considerably in the months following this intervention.
   Although there is a one-time setup cost associated with this remote
   training protocol, there is potential cost savings associated with the
   point-of-care nurse manager's time productivity by using the Internet
   in-service learning module for teaching HIV rapid testing. If additional
   in-service training modules are developed into Internet-based format,
   there is the potential for additional cost savings. Our cost analysis
   demonstrates that the remote in-service method provides a more
   affordable and efficient alternative compared with in-person training.
   Conclusions: The online in-service provided training that was equivalent
   to in-person sessions based on first-hand supervisor observation,
   participant satisfaction surveys, and follow-up results. This method
   saves time and money, requires fewer personnel, and affords access to
   expert trainers regardless of geographic location. Further, it is
   generalizable to trainings beyond HIV rapid testing. Based on these
   consistent implementation successes, we plan to expand use of online
   training to include remote VA satellite facilities spanning several
   states for a variety of diagnostic devices. Ultimately, Internet-based
   training has the potential to provide "big city'' quality of care to
   patients at remote (rural) clinics.
RI Goetz, Matthew Bidwell/GPX-4090-2022; Goetz, Matthew/
OI Goetz, Matthew/0000-0003-4542-992X
Z8 1
ZB 3
ZS 0
TC 14
ZA 0
ZR 0
Z9 15
U1 1
U2 15
SN 1530-5627
EI 1556-3669
UT WOS:000292198300005
PM 21492031
ER

PT J
AU Ramadas, A.
   Quek, K. F.
   Chan, C. K. Y.
   Oldenburg, B.
TI Web-based interventions for the management of type 2 diabetes mellitus:
   A systematic review of recent evidence
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 80
IS 6
BP 389
EP 405
DI 10.1016/j.ijmedinf.2011.02.002
PD JUN 2011
PY 2011
AB Introduction: The Internet has emerged as a potentially effective medium
   for information exchange. The Internet's potential has been recognised
   and web-based education programmes have been steadily adopted in recent
   years in preventing and managing chronic diseases such as diabetes
   mellitus. This review provides a descriptive discussion of web-based
   behavioural interventions for the management of type 2 diabetes
   mellitus.
   Method: Systematic literature searches were performed using MEDLINE,
   EMBASE, PUBMED, PsycINFO, Web of Science and Cochrane Library to
   retrieve articles published between 2000 and June 2010 which fulfilled
   all inclusion criteria. Methodological quality assessment and data
   synthesis were then performed.
   Results: Twenty articles representing 13 different studies were
   reviewed. None of the studies were ranked as low in the methodological
   quality. Goal-setting, personalised coaching, interactive feedback and
   online peer support groups were some of the successful approaches which
   were applied in e-interventions to manage type 2 diabetes mellitus.
   Strong theoretical background, use of other technologies and longer
   duration of intervention were proven to be successful strategies as
   well.
   Conclusion: The web-based interventions have demonstrated some level of
   favourable outcomes, provided they are further enhanced with proper
   e-research strategies. (C) 2011 Elsevier Ireland Ltd. All rights
   reserved.
RI Ramadas, Amutha/G-7532-2014; Quek, Kia Fatt/E-8599-2010; Chan, Carina/AAO-6804-2021; Chan, Carina/O-6258-2014; Quek, Kia Fatt/; Ramadas, Amutha/; Oldenburg, Brian/
OI Chan, Carina/0000-0002-1799-7877; Quek, Kia Fatt/0000-0001-5415-2163;
   Ramadas, Amutha/0000-0002-8238-9659; Oldenburg,
   Brian/0000-0002-7712-5413
ZB 19
ZA 0
TC 124
Z8 7
ZS 1
ZR 0
Z9 131
U1 0
U2 60
SN 1386-5056
EI 1872-8243
UT WOS:000290017100002
PM 21481632
ER

PT J
AU Cash, Brooks
   Mitchner, Natasha A.
   Ravyn, Dana
TI Confidence-Based Learning CME: Overcoming Barriers in Irritable Bowel
   Syndrome With Constipation
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 31
IS 3
BP 157
EP 164
DI 10.1002/chp.20121
PD SUM 2011
PY 2011
AB Introduction: Performance of health care professionals depends on both
   medical knowledge and the certainty with which they possess it.
   Conventional continuing medical education interventions assess the
   correctness of learners' responses but do not determine the degree of
   confidence with which they hold incorrect information. This study
   describes the use of confidence-based learning (CBL) in an activity
   designed to enhance learners' knowledge, confidence in their knowledge,
   and clinical competence with regard to constipation-predominant IBS
   (IBS-C), a frequently underdiagnosed and misdiagnosed condition.
   Methods: The online CBL activity included multiple-choice questions in 2
   modules: Burden of Care (BOC; 28 questions) and Patient Scenarios (PS; 9
   case-based questions). After formative assessment, targeted feedback was
   provided, and the learner focused on material with demonstrated
   knowledge and/or confidence gaps. The process was repeated until 85% of
   questions were answered correctly and confidently (ie, mastery was
   attained).
   Results: Of 275 participants (24% internal medicine, 13%
   gastroenterology, 32% family medicine, and 31% other), 249 and 167
   completed the BOC and PS modules, respectively. Among all participants,
   61.8% and 98.2% achieved mastery in the BOC and PS modules,
   respectively. Baseline mastery levels between specialties were
   significantly different in the BOC module (p = 0.002); no significant
   differences were evident between specialties in final mastery levels.
   Approximately one-third of learners were confident and wrong in topics
   of epidemiology, defining IBS and constipation, and treatments in the
   first iteration. No significant difference was observed between
   specialties for the PS module in either the first or last iterations.
   Discussion: Learners achieved mastery in topics pertaining to IBS-C
   regardless of baseline knowledge or specialty. These data indicate that
   CME activities employing CBL can be used to address knowledge and
   confidence gaps.
ZR 0
ZA 0
ZB 0
TC 3
Z8 0
ZS 0
Z9 3
U1 0
U2 2
SN 0894-1912
EI 1554-558X
UT WOS:000298483000004
PM 21953655
ER

PT J
AU George, Daniel R.
TI "Friending Facebook?" A Minicourse on the Use of Social Media by Health
   Professionals
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 31
IS 3
BP 215
EP 219
DI 10.1002/chp.20129
PD SUM 2011
PY 2011
AB Introduction: Health professionals are working in an era of social
   technologies that empower users to generate content in real time. This
   article describes a 3-part continuing education minicourse called
   "Friending Facebook?" undertaken at Penn State Hershey Medical Center
   that aimed to model the functionality of current technologies in health
   care and encourage discussion about how health professionals might
   responsibly utilize social media.
   Methods: Fifteen health professionals participated in the course and
   provided written evaluation at its conclusion. The course instructor
   took field notes during each of the 3 classes to document emergent
   themes.
   Results: The course received uniformly positive evaluations, and
   participants identified several current tools perceived as being
   potentially useful in their professional lives, including news
   aggregators, Google Alerts, and-if used responsibly-social networking
   sites such as Facebook.
   Discussion: Developing innovative and appropriate programming that
   teaches to emerging social media technologies and ideologies will be
   crucial to helping the health professions adapt to a new, networked era.
   Medical institutions would do well to foster interprofessional-and
   perhaps even intergenerational-conversations to share not only the
   dangers and risks of social media, but also the opportunities that are
   emerging out of a rapidly evolving online world.
ZS 1
ZA 0
TC 40
ZB 4
ZR 0
Z8 0
Z9 41
U1 2
U2 33
SN 0894-1912
UT WOS:000298483000012
PM 21953663
ER

PT J
AU Like, Robert C.
TI Educating Clinicians About Cultural Competence and Disparities in Health
   and Health Care
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 31
IS 3
BP 196
EP 206
DI 10.1002/chp.20127
PD SUM 2011
PY 2011
AB An extensive body of literature has documented significant racial and
   ethnic disparities in health and health care. Cultural competency
   interventions, including the training of physicians and other health
   care professionals, have been proposed as a key strategy for helping to
   reduce these disparities. The continuing medical education (CME)
   profession can play an important role in addressing this need by
   improving the quality and assessing the outcomes of multicultural
   education programs. This article provides an overview of health care
   policy, legislative, accreditation, and professional initiatives
   relating to these subjects. The status of CME offerings on cultural
   competence/disparities is reviewed, with examples provided of available
   curricular resources and online courses. Critiques of cultural
   competence training and selected studies of its effectiveness are
   discussed. The need for the CME profession to become more culturally
   competent in its development, implementation, and evaluation of
   education programs is examined. Future challenges and opportunities are
   described, and a call for leadership and action
Z8 0
ZB 3
ZA 0
ZR 0
ZS 0
TC 48
Z9 48
U1 0
U2 23
SN 0894-1912
UT WOS:000298483000010
PM 21953661
ER

PT J
AU Papadamou, T.
   Gavrilakis, C.
   Tsolakidis, C.
   Liarakou, G.
TI Second Life: A Virtual Learning Center for the Study of Sharks
SO International Journal of Emerging Technologies in Learning
VL 6
IS 2
BP 19
EP 25
DI 10.3991/ijet.v6i2.1580
PD June 2011
PY 2011
AB In this work the educational capabilities of the virtual world Second
   Life are researched and tested. A virtual world is constructed to
   support education for sustain able development. The life and
   characteristics of the shark is studied as this fish has received a lot
   of negative publicity and is in the danger of extinction. A virtual
   museum was developed for this purpose. The research question is focused
   on whether it can be used effectively in a modern classroom and how
   difficult is for an educator to develop such an application. To achieve
   that, a number of learning activities were developed, a number of on
   line questionnaires were issued and a series of virtual meetings were
   held. Teachers used the application and answered the questionnaires. The
   entire effort was attempted through Internet exclusively.
ZS 0
ZA 0
TC 1
ZB 0
ZR 0
Z8 0
Z9 1
U1 0
U2 0
SN 1863-0383
UT INSPEC:12379101
ER

PT J
AU Patterson, Marc C.
TI Inborn Errors of Metabolism for Child Neurology Residents
SO SEMINARS IN PEDIATRIC NEUROLOGY
VL 18
IS 2
BP 95
EP 97
DI 10.1016/j.spen.2011.06.016
PD JUN 2011
PY 2011
AB Inborn errors of metabolism (IEMs) are individually rare, but
   collectively common, and impose a burden on affected individuals, their
   families and society that is disproportionate to their individual
   incidence and prevalence. Child neurologists should be able to recognize
   the possibility of an IEM as the cause of their patients' symptoms and
   signs, and utilize online and print resources to initiate an appropriate
   work up and referrals. The foundation of this knowledge is an
   understanding of the mechanisms of IEMs, coupled with a practical
   classification of the relevant diseases, and knowledge of the resources
   available to make diagnoses and devise treatment plans. They should also
   be prepared to manage affected children as part of a multidisciplinary
   team that draws on the skills of other professionals and community
   organizations. Because of rapid advances in diagnostic technology and
   the improving survival of children with IEMs, all child neurologists
   should anticipate caring for children and families with IEMs, and must
   acquire the ability to diagnose and manage these disorders as part of
   their residency training, recognizing that maintenance of this
   competence requires a commitment to life-long learning. Semin Pediatr
   Neurol 18:95-97 (C) 2011 Elsevier Inc. All rights reserved.
RI Patterson, Marc/AAI-5056-2020; Patterson, Marc C./H-5331-2019; Patterson, Marc/
OI Patterson, Marc/0000-0002-1116-126X
ZR 0
TC 1
Z8 0
ZS 0
ZB 0
ZA 0
Z9 1
U1 0
U2 0
SN 1071-9091
UT WOS:000297103700012
PM 22036489
ER

PT J
AU Larsen, Rachelle
   Reif, LuAnn
TI Effectiveness of Cultural Immersion and Culture Classes for Enhancing
   Nursing Students' Transcultural Self-Efficacy
SO JOURNAL OF NURSING EDUCATION
VL 50
IS 6
BP 350
EP 354
DI 10.3928/01484834-20110214-04
PD JUN 2011
PY 2011
AB With diversity increasing in the United States, educators are struggling
   to find the most effective methods to prepare nursing students to care
   for diverse populations. This study's purpose was to determine the
   impact of immersion experiences and cultural classes on nursing
   students' transcultural competence. A pretest-posttest,
   quasi-experimental design was used. Nursing students completing a 2-week
   to 3-week immersion experience (n = 14) completed the Transcultural
   Self-Efficacy Tool online 1 week prior to and immediately following an
   immersion experience. The control group (n = 25), who were students not
   participating in an immersion experience, completed the instrument
   during the same time frame. Students who participated in an immersion
   experience had significantly higher posttest transcultural self-efficacy
   scores (p < 0.001). Compared with the control group, the students in the
   immersion group had significantly higher change scores (p < 0.001). In
   addition, the number of culture classes completed was not correlated
   with transcultural self-efficacy scores. Recommendations included
   encouraging student participation in immersion experiences to enhance
   transcultural competence.
ZS 0
Z8 0
TC 27
ZA 0
ZB 1
ZR 0
Z9 27
U1 1
U2 20
SN 0148-4834
EI 1938-2421
UT WOS:000294254800012
PM 21323246
ER

PT J
AU Sans, Pierre
   Mounier, Luc
   Benet, Jean-Jacques
   Lijour, Beatrice
TI The Motivations and Practice-Area Interests of First-Year French
   Veterinary Students (2005-2008)
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 38
IS 2
BP 199
EP 206
DI 10.3138/jvme.38.2.199
PD SUM 2011
PY 2011
AB Concerns about new trends in the veterinary profession in several
   industrialized countries have received significant attention recently.
   We conducted an online survey among first-year veterinary students
   enrolled between 2005 and 2008 in France's four National Veterinary
   Schools (Ecoles Nationales Veterinaires [ENV]) to inquire into what
   determined future graduates' practice-area interests and how they built
   a concept of their future work. A total of 1,080 students or 70% of
   first-year students responded to the survey. These students were
   predominantly of middle and higher social classes and most of them lived
   in urban areas. About 96% of the respondents had made the ENV their
   first choice when taking the entrance examination. In total, 39.7%
   declared "vocation" as the leading factor influencing their career
   choice. Together, the three leading practice types (wild animals, pets,
   and mixed) contemplated by students after graduating amount to 64.7% of
   the points awarded. Practice types that are not directly related to
   animal health were disregarded in this analysis. The results convey both
   how early and how firmly the choice of the veterinary career is made.
   They highlight the preponderance of the image of the veterinarian as an
   "animal doctor," the gap between the respective proportions of practice
   areas in the current employment pattern of veterinarians, and the
   aspirations of students upon admission to the ENV. A longitudinal study
   after one year is needed to test whether or not these career choices
   change during the five years of the ENV program under the influence of
   teaching and extramural studies.
RI Sans, Pierre/AAQ-8240-2021; mounier, luc/W-6950-2018
OI Sans, Pierre/0000-0002-4503-3389; mounier, luc/0000-0003-1083-8563
ZB 0
Z8 0
ZS 0
ZR 0
ZA 0
TC 12
Z9 12
U1 0
U2 15
SN 0748-321X
EI 1943-7218
UT WOS:000294190700013
PM 22023929
ER

PT J
AU Briley, Lauren Carney
   Harrell, Steven P.
   Woosley, Allison
   Eversmann, Jennifer
   Wo, John M.
TI National Survey of Physicians' Perception of the Cause, Complications,
   and Management of Gastroparesis
SO SOUTHERN MEDICAL JOURNAL
VL 104
IS 6
BP 412
EP 417
DI 10.1097/SMJ.0b013e318215fa5a
PD JUN 2011
PY 2011
AB Objectives: Manifestations of gastroparesis are heterogeneous and
   clinical complications are poorly defined. Misconceptions of
   gastroparesis may be common. The objective was to determine physicians'
   perception of gastroparesis and identify areas that need further
   research and education.
   Methods: A physician survey was prospectively developed and tested. The
   survey included questions on the etiology, symptoms, management and
   perceived complications of gastroparesis. Physicians' feedback included
   rated responses by Likert scale and ranked responses by priority. A
   total of 3658 surveys were mailed to gastroenterologists and general
   practitioners using an online physician directory and a local medical
   society directory. Analysis of variance and t test were utilized.
   Results: A total of 397 surveys were returned. 85.9% of responses were
   from the national survey and 14.1% were local. Physicians ranked
   diabetes (70%) as the most common cause of gastroparesis, followed by
   idiopathic (21%) and postsurgical (9%). Postprandial epigastric pain
   (61%) was ranked as the most frequent symptom of gastroparesis, followed
   by retching/vomiting (20%) and heartburn/regurgitation (19%). 60%
   believed scintigraphy t(1/2) is an accurate measurement of gastric
   emptying. Only one-third believed gastric electrical stimulation was
   effective as treatment of gastroparesis. Physicians rated abdominal pain
   as the most clinically significant complication of gastroparesis
   surpassing weight loss, hospitalization for dehydration, and
   malnutrition (P < 0.01). There were small but statistically significant
   differences between gastroenterologists versus general practitioners and
   private versus academic physicians.
   Conclusion: More physician awareness and education is needed on
   gastroparesis and the standardized four-hour gastric scintigraphy
   method, as well to clarify the management strategy for this condition.
ZS 0
ZA 0
TC 2
Z8 3
ZB 0
ZR 0
Z9 5
U1 0
U2 1
SN 0038-4348
EI 1541-8243
UT WOS:000290765300007
PM 21886030
ER

PT J
AU de Quincey, Ed
   Kostkova, Patty
   Jawaheer, Gawesh
   Farrell, David
   McNulty, Cliodna A. M.
   Weinberg, Julius
CA E-Bug Working Grp
TI Evaluating the online activity of users of the e-Bug web site
SO JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
VL 66
BP V45
EP V49
DI 10.1093/jac/dkr123
SU 5
PD JUN 2011
PY 2011
AB Web server log analysis is being increasingly used to evaluate the user
   behaviour on healthcare resource web sites due to the detailed record of
   activity that they contain. This study aimed to use this information to
   evaluate the e-Bug web site, a healthcare resource that provides a range
   of educational resources about microbes, hand and respiratory hygiene,
   and antibiotics. This evaluation was conducted by analysing the web
   server logs of the e-Bug web site for the period January 2008 to
   November 2009, using a proprietary application named Sawmill. The e-Bug
   web site has had >900000 page views generated from >88000 users, with an
   increase in May 2009 during the swine flu epidemic and a further
   increase in September 2009 following the official launch of e-Bug. The
   majority of visitors were from the UK, but visits were recorded from 190
   different countries. Word (R) document resources were downloaded >169000
   times, with the most popular being a swine flu fact-sheet. PowerPoint
   (R) document resources were downloaded >36000 times, with the most
   popular relating to the 'chain of infection'. The majority of visitor
   referrals originated from search engines, with the most popular referral
   keywords being variations on the e-Bug name. The most common non-search
   engine referrals were from other healthcare resources and agencies. Use
   of the site has increased markedly since the official launch of e-Bug,
   with average page views of >200000 per month, from a range of countries,
   illustrating the international demand for a teaching resource for
   microbes, hygiene and antibiotics.
OI Kostkova, Patricie/0000-0002-2281-3972; Kremastinou-Kourea,
   Konstantina/0000-0002-0098-181X; Weinberg, Julius/0000-0001-5973-359X;
   Adriaenssens, Niels/0000-0002-7957-1177
ZR 0
Z8 0
ZS 0
ZA 0
TC 9
ZB 5
Z9 9
U1 0
U2 3
SN 0305-7453
UT WOS:000292695800007
PM 21680587
ER

PT J
AU Farrell, David
   Kostkova, Patty
   Weinberg, Julius
   Lazareck, Lisa
   Weerasinghe, Dasun
   Lecky, Donna M.
   McNulty, Cliodna A. M.
TI Computer games to teach hygiene: an evaluation of the e-Bug junior game
SO JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
VL 66
BP V39
EP V44
DI 10.1093/jac/dkr122
SU 5
PD JUN 2011
PY 2011
AB Handwashing, respiratory hygiene and antibiotic resistance remain major
   public health concerns. In order to facilitate an effective outcome when
   teaching the basic principles of hand and respiratory hygiene,
   educational interventions should first target school children. As
   computer games are ubiquitous in most children's lives, e-Bug developed
   computer games targeted at teaching children handwashing, respiratory
   hygiene and antibiotic resistance. The games were designed for two
   target audiences: junior school children (9-12 year olds); and senior
   school children (13-15 year olds). Between May and August 2009, the
   finalized junior game underwent an evaluation in three UK schools (in
   Glasgow, Gloucester and London), involving 62 children in the schools
   and similar to 1700 players accessing the junior game online. The e-Bug
   junior game consists of a number of levels of play, each of which
   promotes a set of learning outcomes (LOs). These LOs, complementary to
   those in the e-Bug packs, are expressed through the game mechanics (the
   rules of the game) rather than through story or dialogue. Although the
   junior game's evaluation demonstrated a statistically significant change
   in the knowledge for only a small number of given LOs, because many
   children had the required knowledge already before playing the game,
   this is e-Bug's first statistical study on the junior game and the first
   comprehensive evaluation of its kind. Future work includes a
   re-examination of the quiz-style questionnaires utilized in this study
   and an exploration of the potential knowledge change acquired strictly
   through engagement.
RI Lecky, Donna Marie/AAB-6849-2019; Kostkova, Patricie/; Weinberg, Julius/
OI Lecky, Donna Marie/0000-0002-1223-9356; Kostkova,
   Patricie/0000-0002-2281-3972; Weinberg, Julius/0000-0001-5973-359X
Z8 0
ZS 0
ZB 6
ZR 0
TC 24
ZA 0
Z9 24
U1 0
U2 13
SN 0305-7453
UT WOS:000292695800006
PM 21680586
ER

PT J
AU Farnan, Jeanne M.
   Arora, Vineet M.
TI Blurring Boundaries and Online Opportunities
SO JOURNAL OF CLINICAL ETHICS
VL 22
IS 2
BP 183
EP 186
PD SUM 2011
PY 2011
AB The rising use of social media, for both clinical and nonclinical
   purposes, obviates the need for policy to more explicitly guide
   physicians, and their behaviors, in this new digital environment. The
   current report from the AMA Council on Ethical and Judicial Affairs
   (CEJA)(1) addresses a number of these issues, specifically the nature of
   interaction and representation between physicians and patients. However,
   given the nature of the focus of this report-the nonclinical use of the
   internet and social media-there are a number of issues that deserve
   attention, in particular encouraging education and addressing how to
   approach relationships among medical professionals of varying levels of
   training.
RI Roundtree, Aimee/B-8838-2012; Arora, Vineet/
OI Arora, Vineet/0000-0002-4745-7599
ZS 0
TC 11
ZA 0
ZR 0
ZB 0
Z8 0
Z9 11
U1 0
U2 9
SN 1046-7890
UT WOS:000293164800012
PM 21837892
ER

PT J
AU Gorrindo, Tristan
   Groves, James E.
TI Medical Professionalism: A Tale of Two Doctors
SO JOURNAL OF CLINICAL ETHICS
VL 22
IS 2
BP 176
EP 178
PD SUM 2011
PY 2011
AB The AMA's social media guidelines(1) provide physicians with some basic
   rules for maintaining professional boundaries when engaging in online
   activities. Left unanswered are questions about how these guidelines are
   to be implemented by physicians of different generations. By examining
   the issues of privacy and technological skill through the eyes of
   digital natives and digital immigrants, the challenges associated with
   medical e-professionalism become clear.
RI Roundtree, Aimee/B-8838-2012
ZS 0
Z8 0
ZA 0
TC 11
ZB 0
ZR 0
Z9 11
U1 0
U2 3
SN 1046-7890
UT WOS:000293164800010
PM 21837890
ER

PT J
AU Salam, Abdus
   Ibrahim, Norlinah Mohamad
   Kamaruddin, Mohamad Arif
   Besar, Mohd Nasri Awang
   Siraj, Harlina Halizah
   Mohamad, Nabishah
   Mahdy, Zaleha Abdullah
   Ali, Raymond Azman
   Saim, Lokman
TI Technology Enhanced Global Online Collaborative Networking Using
   MedEdWorld Wimba: UKM Medical Centres' Experience
SO INTERNATIONAL MEDICAL JOURNAL
VL 18
IS 2
BP 107
EP 109
PD JUN 2011
PY 2011
AB Introduction: Technological enhancement using software and internet has
   emerged a new educational model in collaboration among medical
   researchers and lead the globe to become an educational village.
   MedEdWorld is a technology enhanced global online medical education
   community, used Wimba software to share ideas and develop medical
   education globally. Universiti Kebangsaan Malaysia Medical Centre
   (UKMMC) had the opportunities to share ideas and contribute to
   MedEdWorld collaboration.
   Objectives: To identify the research methodology and UKMMC participants'
   observation on a MedEdWorld-Wimba collaboration.
   Materials and Methods: A post presentation survey was carried out on
   UKMMC participants' views on 28 May 2009 just after MedEdWorld's 60
   minutes presentation on "A Real Headache". Presenter was from the Dundee
   University UK, where MedEdWorld was located. Around 10 institutions
   globally took part and represented their countries, where UKMMC
   represented Malaysia with a group of students and one facilitator.
   Participants entered the Wimba classroom logged in their name with
   2-code country letters. All participants heard and saw the presenters'
   audio-video broad cast, and responded using media buttons in classroom.
   While presentation ended, a questionnaire was administered to UKMMC
   participants.
   Results: All UKMMC participants opined that MedEdWorld-Wimba offered a
   live participation in a transnational presentation which was an
   effective way to elicit different perspectives on a global problem.
   Conclusion: Knowledge of a global problem was discussed and updated
   effectively from a remote location using enhanced technology. UKMMC
   extended its contribution across diverse communities and remains
   up-to-date to ensure quality in education. Medical schools should share
   ideas with global communities to ensure educational quality.
RI Besar, Mohd Nasri Awang/AAW-1620-2021; Mahdy, Zaleha Abdullah/B-4061-2009; Siraj, Harlina Halizah/AAP-8483-2020; Mohamed Ibrahim, Norlinah/H-3847-2016; Raymond, Ali Azman/; Salam, Abdus/; Awang Besar, Mohd Nasri/
OI Mahdy, Zaleha Abdullah/0000-0003-0856-0697; Mohamed Ibrahim,
   Norlinah/0000-0002-6684-7488; Raymond, Ali Azman/0000-0001-6066-5168;
   Salam, Abdus/0000-0003-0266-9747; Awang Besar, Mohd
   Nasri/0000-0003-2585-3651
TC 7
Z8 0
ZA 0
ZS 0
ZB 0
ZR 0
Z9 7
U1 0
U2 1
SN 1341-2051
UT WOS:000292793100004
ER

PT J
AU Hardwick, David F.
   Sinard, John
   Silva, Fred
TI Development and evolution of The Knowledge Hub for Pathology and related
   electronic resources
SO HUMAN PATHOLOGY
VL 42
IS 6
SI SI
BP 795
EP 801
DI 10.1016/j.humpath.2010.10.019
PD JUN 2011
PY 2011
AB The Knowledge Hub for Pathology was created to provide authenticated and
   validated knowledge for United States and Canadian Academy of Pathology
   members and pathologists worldwide with access to the Web. Using the
   material presented at the annual meeting of the United States and
   Canadian Academy of Pathology with existing selection and review
   procedures ensured that these criteria were met without added costly
   procedures. Further submissions for courses and research papers are
   provided in electronic format and funded by universities and hospitals
   for their creation; thus, the principal costs borne by the United States
   and Canadian Academy of Pathology are Web site posting costs. Use has
   escalated rapidly from 2 million hits in 2002 to 51 million in 2009 with
   use by 35 000 pathologists from now a total of 180 countries. This true
   "freemium" model is a successful process as are more traditional
   continuing professional development course structures such as Anatomic
   Pathology Electronic Case Series, a "premium" model for learning
   electronically also sponsored by the United States and Canadian Academy
   of Pathology. (C) 2011 Elsevier Inc. All rights reserved.
Z8 0
ZR 0
ZA 0
ZB 3
TC 7
ZS 0
Z9 7
U1 0
U2 2
SN 0046-8177
EI 1532-8392
UT WOS:000291076200005
PM 21316077
ER

PT J
AU Boone, D.
   Halligan, S.
   Frost, R.
   Kay, C.
   Laghi, A.
   Lefere, P.
   Neri, E.
   Stoker, J.
   Taylor, S. A.
TI CT colonography: Who attends training? A survey of participants at
   educational workshops
SO CLINICAL RADIOLOGY
VL 66
IS 6
BP 510
EP 516
DI 10.1016/j.crad.2010.12.012
PD JUN 2011
PY 2011
AB AIM: To obtain information regarding the demographics of attendees of
   computed tomography colonography (CTC) training workshops organized by
   the European Society of Gastrointestinal and Abdominal Radiology
   (ESGAR), in particular their prior expertise and current practice.
   MATERIALS AND METHODS: Attendees at five CTC training workshops
   conducted in Edinburgh (UK), Malmo (Sweden), Amsterdam (Netherlands),
   Pisa and Stresa (Italy) between February 2007 and April 2010 completed
   an online questionnaire. Responses were collated and descriptive
   statistics produced.
   RESULTS: Three hundred and forty-eight delegates responded; a response
   rate of 73%. There was wide geographical variability encompassing 20
   European member-states and seven countries outside Europe. The
   overwhelming majority were radiologists (336; 97%). Of the respondents,
   299 (86%) were already interpreting CTC in clinical practice but of
   these, 158 (54%) had no prior formal training in CTC whereas 21(8%) had
   attended a previous workshop. Furthermore, of those reporting CTC, 227
   (76%) had interpreted fewer than 50 cases.
   CONCLUSIONS: Despite political imperatives for other groups to interpret
   CTC, the vast majority of those attending training are radiologists.
   Worryingly, a significant proportion of these are apparently reporting
   CTC in clinical practice without adequate training. (C) 2011 The Royal
   College of Radiologists. Published by Elsevier Ltd. All rights reserved.
RI Stoker, Jaap/AAH-7597-2019; Laghi, Andrea/AAQ-9807-2020; Halligan, Steve/C-5875-2009; Neri, Emanuele/N-1378-2019; Laghi, Andrea/A-2343-2011; Taylor, Stuart/
OI Stoker, Jaap/0000-0002-9822-3784; Halligan, Steve/0000-0003-0632-5108;
   Neri, Emanuele/0000-0001-7950-4559; Laghi, Andrea/0000-0002-3091-7819;
   Taylor, Stuart/0000-0002-6765-8806
Z8 0
TC 5
ZS 0
ZA 0
ZB 0
ZR 0
Z9 5
U1 0
U2 3
SN 0009-9260
EI 1365-229X
UT WOS:000291765500004
PM 21376309
ER

PT J
AU SteelFisher, Gillian K.
   Blendon, Robert J.
   Bekheit, Mark M.
   Mitchell, Elizabeth W.
   Williams, Jennifer
   Lubell, Keri
   Peugh, Jordon
   DiSogra, Charles A.
TI Novel pandemic A (H1N1) influenza vaccination among pregnant women:
   motivators and barriers
SO AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
VL 204
IS 6
BP S116
EP S123
DI 10.1016/j.ajog.2011.02.036
SU 1
PD JUN 2011
PY 2011
AB We sought to examine motivators and barriers related to monovalent 2009
   influenza A (H1N1) vaccination among pregnant women. We conducted a
   national poll of pregnant women using a random online sample (237) and
   opt-in supplement (277). In all, 42% of pregnant women reported getting
   the vaccine. Vaccination was positively associated with attitudinal
   factors including believing the vaccine is very safe or benefits the
   baby, and with provider recommendations. Women in racial/ethnic minority
   groups, women with less education, and women <35 years were less likely
   to get the vaccine and had differing views and experiences. Despite H1N1
   vaccination rates that are higher than past seasonal influenza rates,
   barriers like safety concerns may persist in a pandemic. Messaging from
   providers that encourages women to believe the vaccine is very safe and
   benefits their baby may be compelling. Messaging and outreach during
   future pandemics may require customization to increase vaccination among
   high-risk groups.
Z8 0
ZS 1
ZR 0
ZA 0
ZB 32
TC 68
Z9 68
U1 0
U2 9
SN 0002-9378
EI 1097-6868
UT WOS:000291201100020
PM 21492827
ER

PT J
AU Shofan, Y.
   Kedar, O.
   Branski, D.
   Berry, E.
   Wilschanski, M.
TI A school-based program of physical activity may prevent obesity
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 6
BP 768
EP 770
DI 10.1038/ejcn.2011.25
PD JUN 2011
PY 2011
AB An organized intervention program in pre-pubertal children based on
   increased physical education and activity together with nutritional
   advice to the children and their families may prevent obesity. Children
   aged 9 to 11 received double hours of weekly physical education lessons
   and additional nutritional advice for 2 years. They were compared with a
   similar group who received standard physical education lessons only. A
   total of 82 study and 26 control children completed the 2 years of the
   project. Boys in the control group gained significantly more weight than
   the corresponding study group (8.4 kg vs 3.2 kg, respectively
   (P<0.016)), control delta body mass index (BMI) 1.02 vs study 0.44
   (P<0.012). There was no significant change in the weight or BMI in the
   girls. We conclude that the prevention of obesity may be attained by
   similar programs. Hormonal effects and compliance at this age may be
   responsible for the sex differences in this study. European Journal of
   Clinical Nutrition (2011) 65, 768-770; doi:10.1038/ejcn.2011.25;
   published online 23 March 2011
ZR 0
ZA 0
ZS 0
Z8 0
ZB 3
TC 9
Z9 9
U1 0
U2 25
SN 0954-3007
UT WOS:000291218800017
PM 21427748
ER

PT J
AU Biering-Sorensen, F.
   Bickenbach, J. E.
   El Masry, W. S.
   Officer, A.
   von Groote, P. M.
TI ISCoS-WHO collaboration. International Perspectives of Spinal Cord
   Injury (IPSCI) report
SO SPINAL CORD
VL 49
IS 6
BP 679
EP 683
DI 10.1038/sc.2011.12
PD JUN 2011
PY 2011
AB Objective: The objective of this study was to describe the projects, the
   International Spinal Cord Society (ISCoS) has in cooperation with the
   World Health Organization (WHO) for the benefit of individuals with
   spinal cord injury (SCI) worldwide.
   Setting: International
   Methods: Collaboration between ISCoS and WHO can be divided into (A)
   building capacity for better SCI education and prevention programs; (B)
   improving classification systems for use of data in SCI research, the
   International Classification of External Cause of Injury (ICECI), the
   International Classification of Diseases (ICD) and the International
   Classification of Functioning, Disability and Health (ICF); and (C)
   improving the evidence base for SCI through the report, International
   Perspectives on Spinal Cord Injury (IPSCI). The objectives of the IPSCI
   report are first to summarize information on SCI, in particular the
   science and epidemiology, the services, interventions and policies that
   are relevant and 'the lived experience' of persons with SCI across the
   full spectrum of life and throughout the world; second, to document all
   aspects of the science and experience of SCI to identify gaps between
   what exists and what is required; and third to make recommendations
   based on this evidence, with a clear perception of feasible goals and
   targets, that are consistent with the aspirations and goals of inclusion
   and full participation as expressed in the UN Convention of the Rights
   of Persons with Disabilities.
   Future cooperation: ISCoS and WHO will continue to join forces in areas
   where they can make the greatest difference, especially in prevention
   and educational issues worldwide. Spinal Cord (2011) 49, 679-683;
   doi:10.1038/sc.2011.12; published online 22 March 2011
OI Biering-Sorensen, Fin/0000-0002-2186-0144
ZR 0
Z8 0
ZB 10
TC 31
ZS 0
ZA 0
Z9 31
U1 1
U2 8
SN 1362-4393
UT WOS:000291271600002
PM 21423254
ER

PT J
AU Shahpori, Reza
   Hebert, Marilynne
   Kushniruk, Andre
   Zuege, Dan
TI Telemedicine in the intensive care unit environment-A survey of the
   attitudes and perspectives of critical care clinicians
SO JOURNAL OF CRITICAL CARE
VL 26
IS 3
AR 328.e9
DI 10.1016/j.jcrc.2010.07.013
PD JUN 2011
PY 2011
AB Purpose: This study was conducted to assess the preimplementation
   knowledge and perceptions of intensive care unit (ICU) clinicians
   regarding the ability of telemedicine in the ICU environment (Tele-ICU)
   to address challenges resulting from the shortages of experienced
   critical care human resources and the drive to improve quality of care.
   Methods: An online survey was administered to clinicians from a Canadian
   multisite critical care department. Qualitative and quantitative
   analyses were undertaken to identify key positive and negative themes.
   Results: The overall self-rated knowledge about Tele-ICU was low, with
   significant uncertainty particularly related to the novelty of the
   technology, lack of widespread existing implementations, and
   insufficient education. A significant degree of skepticism was expressed
   regarding the ability of Tele-ICU to address the challenges of staff
   shortages and quality of care.
   Conclusions: Significant uncertainty and skepticism were expressed by
   critical care clinicians regarding the ability of Tele-ICU to address
   the challenges of human resource limitation and the delivery of quality
   care. This suggests the need for further research and education of
   system impact beyond patient outcomes related to this new technology.
   (C) 2011 Published by Elsevier Inc.
RI Zuege, Danny J./L-5368-2017
OI Zuege, Danny J./0000-0003-2033-5847
ZS 0
ZB 0
Z8 0
ZA 0
TC 21
ZR 0
Z9 21
U1 0
U2 7
SN 0883-9441
EI 1557-8615
UT WOS:000291390200021
PM 20869197
ER

PT J
AU Gurgel, Richard K.
   Miller, Robert A.
   Smith, Richard J. H.
TI Use of Portfolios in Otolaryngology Graduate Medical Education
SO LARYNGOSCOPE
VL 121
IS 6
BP 1173
EP 1176
DI 10.1002/lary.21803
PD JUN 2011
PY 2011
AB Objectives/Hypothesis: Learning portfolios, as defined by the
   Accreditation Council for Graduate Medical Education (ACGME), are
   professional development tools for resident education. Moreover, the
   scope of portfolio use is expanding to become a component of the
   accreditation system, with likely mandatory implementation by 2016. The
   objective of this study is to describe the extent of portfolio use in
   otolaryngology training programs and resident attitudes toward
   portfolios.
   Study Design: Cross-sectional survey.
   Methods: All residents in ACGME-accredited otolaryngology programs were
   contacted via email linked to an online survey. One follow-up email was
   sent after initial notification.
   Results: Three hundred eighteen (22%) of the 1,431 invited residents
   responded to the survey, representing 65 of 103 ACGME-accredited
   otolaryngology training programs. Fifty-eight percent of the programs
   represented had residents who maintained a portfolio. When asked to what
   extent portfolios enhanced education, 39% of residents who kept a
   portfolio found them helpful, 27% were neutral, and 35% did not find
   them helpful, although 60% plan to use their portfolio after residency.
   For those residents who did not maintain a portfolio, 70% cited they did
   not maintain a portfolio because it is not a requirement in their
   program. Twenty-one percent of all respondents felt that portfolios
   should be mandatory, whereas 61% felt that portfolios should be
   encouraged, but not required.
   Conclusions: Although portfolios are encouraged by the ACGME, and will
   ultimately become mandatory, they are not yet fully integrated in
   otolaryngology training programs. Only a minority of residents in this
   study thought portfolios enhanced education.
CT Annual Meeting of the Triological-Society-Combined-Sections
CY JAN 27-29, 2011
CL Scottsdale, AZ
SP Trilog Soc Combined Sections
OI Smith, Richard/0000-0003-1201-6731; Gurgel, Richard/0000-0001-9601-2628
ZR 0
ZS 0
ZB 0
TC 4
Z8 0
ZA 0
Z9 4
U1 0
U2 0
SN 0023-852X
UT WOS:000291259900008
PM 21484813
ER

PT J
AU Lenards, Nishele
TI STUDENT PERCEPTIONS OF AN ONLINE MEDICAL DOSIMETRY PROGRAM
SO MEDICAL DOSIMETRY
VL 36
IS 2
BP 178
EP 187
DI 10.1016/j.meddos.2010.03.001
PD SUM 2011
PY 2011
AB The University of Wisconsin La Crosse offers the first online medical
   dosimetry program in the nation. There is no data to research a program
   of this type. This research consisted of the evaluation of other
   distance education programs including health profession programs in
   addition to face-to-face medical dosimetry programs. There was a need to
   collect and analyze student perceptions of online learning in medical
   dosimetry. This research provided a guide for future implementation by
   other programs as well as validated the University of Wisconsin La
   Crosse program. Methodology used consisted of an electronic survey sent
   to all previous and currently enrolled students in the University of
   Wisconsin La Crosse medical dosimetry program. The survey was both
   quantitative and qualitative in demonstrating attitudinal perceptions of
   students in the program. Quantitative data was collected and analyzed
   using a 5-point Likert scale. Qualitative data was gathered based on the
   open-ended responses and the identifying themes from the responses. The
   results demonstrated an overall satisfaction with this program, the
   instructor, and the online courses. Students felt a sense of belonging
   to the courses and the program. Considering that a majority of the
   students had never taken an online course previously, the students felt
   there were no technology issues. Future research should include an
   evaluation of board exam statistics for students enrolled in the online
   and face-to-face medical dosimetry programs. (C) 2011 American
   Association of Medical Dosimetrists.
OI Lenards, Nishele/0000-0002-2347-6031
ZS 0
ZR 0
ZA 0
Z8 0
ZB 1
TC 2
Z9 2
U1 0
U2 2
SN 0958-3947
EI 1873-4022
UT WOS:000291118100011
PM 20510602
ER

PT J
AU Howlett, David
   Vincent, Tim
   Watson, Gillian
   Owens, Emma
   Webb, Richard
   Gainsborough, Nicola
   Fairclough, Jil
   Taylor, Nick
   Miles, Ken
   Cohen, Jon
   Vincent, Richard
TI Blending online techniques with traditional face to face teaching
   methods to deliver final year undergraduate radiology learning content
SO EUROPEAN JOURNAL OF RADIOLOGY
VL 78
IS 3
BP 334
EP 341
DI 10.1016/j.ejrad.2009.07.028
PD JUN 2011
PY 2011
AB Aim: To review the initial experience of blending a variety of online
   educational techniques with traditional face to face or contact-based
   teaching methods to deliver final year undergraduate radiology content
   at a UK Medical School.
   Materials and methods: The Brighton and Sussex Medical School opened in
   2003 and offers a 5-year undergraduate programme, with the final 5 spent
   in several regional centres. Year 5 involves several core clinical
   specialities with onsite radiology teaching provided at regional centres
   in the form of small-group tutorials, imaging seminars and also a
   one-day course. An online educational module was introduced in 2007 to
   facilitate equitable delivery of the year 5 curriculum between the
   regional centres and to support students on placement. This module had a
   strong radiological emphasis, with a combination of imaging integrated
   into clinical cases to reflect everyday practice and also dedicated
   radiology cases. For the second cohort of year 5 students in 2008 two
   additional online media-rich initiatives were introduced, to complement
   the online module, comprising imaging tutorials and an online case
   discussion room.
   Results: In the first year for the 2007/2008 cohort, 490 cases were
   written, edited and delivered via the Medical School managed learning
   environment as part of the online module. 253 cases contained a form of
   image media, of which 195 cases had a radiological component with a
   total of 325 radiology images. Important aspects of radiology practice
   (e. g. consent, patient safety, contrast toxicity, ionising radiation)
   were also covered. There were 274,000 student hits on cases the first
   year, with students completing a mean of 169 cases each. High levels of
   student satisfaction were recorded in relation to the online module and
   also additional online radiology teaching initiatives.
   Conclusion: Online educational techniques can be effectively blended
   with other forms of teaching to allow successful undergraduate delivery
   of radiology. Efficient IT links and good image quality are essential
   ingredients for successful student/clinician engagement. (C) 2009
   Elsevier Ireland Ltd. All rights reserved.
OI Miles, Kenneth/0000-0002-5920-381X
ZA 0
Z8 0
ZS 0
ZB 0
ZR 0
TC 42
Z9 42
U1 0
U2 23
SN 0720-048X
EI 1872-7727
UT WOS:000291047600005
PM 19729259
ER

PT J
AU Stieger, Stefan
   Praschinger, Andrea
   Kletter, Kurt
   Kainberger, Franz
TI Diagnostic grand rounds: A new teaching concept to train diagnostic
   reasoning
SO EUROPEAN JOURNAL OF RADIOLOGY
VL 78
IS 3
BP 349
EP 352
DI 10.1016/j.ejrad.2009.05.015
PD JUN 2011
PY 2011
AB Introduction: Diagnostic reasoning is a core skill in teaching and
   learning in undergraduate curricula. Diagnostic grand rounds (DGRs) as a
   subform of grand rounds are intended to train the students' skills in
   the selection of appropriate tests and in the interpretation of test
   results. The aim of this study was to test DGRs for their ability to
   improve diagnostic reasoning by using a pre-post-test design.
   Methods: During one winter term, all 398 fifth-year students (36.1%
   male, 63.9% female) solved 23 clinical cases presented in 8 DGRs. In an
   online questionnaire, a Diagnostic Thinking Inventory (DTI) with 41
   items was evaluated for flexibility in thinking and structure of
   knowledge in memory. Results were correlated with those from a summative
   multiple-choice knowledge test and of the learning objectives in a
   logbook.
   Results: The students' DTI scores in the post-test were significantly
   higher than those reported in the pre-test. DTI scores at either testing
   time did not correlate with medical knowledge as assessed by a
   multiple-choice knowledge test. Abilities acquired during clinical
   clerkships as documented in a logbook could only account for a small
   proportion of the increase in the flexibility subscale score. This
   effect still remained significant after accounting for potential
   confounders.
   Conclusion: Establishing DGRs proofed to be an effective way of
   successfully improving both students' diagnostic reasoning and the
   ability to select the appropriate test method in routine clinical
   practice. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
RI Stieger, Stefan/G-2572-2012; Praschinger, Andrea/
OI Stieger, Stefan/0000-0002-7784-6624; Praschinger,
   Andrea/0000-0002-1216-7401
TC 11
ZB 1
ZR 0
Z8 0
ZA 0
ZS 0
Z9 11
U1 1
U2 6
SN 0720-048X
EI 1872-7727
UT WOS:000291047600007
PM 19497695
ER

PT J
AU Kourdioukova, Elena V.
   Verstraete, Koenraad L.
   Valcke, Martin
TI The quality and impact of computer supported collaborative learning
   (CSCL) in radiology case-based learning
SO EUROPEAN JOURNAL OF RADIOLOGY
VL 78
IS 3
BP 353
EP 362
DI 10.1016/j.ejrad.2010.08.041
PD JUN 2011
PY 2011
AB Objective: The aim of this research was to explore (1) clinical years
   students' perceptions about radiology case-based learning within a
   computer supported collaborative learning (CSCL) setting, (2) an
   analysis of the collaborative learning process, and (3) the learning
   impact of collaborative work on the radiology cases.
   Methods: The first part of this study focuses on a more detailed
   analysis of a survey study about CSCL based case-based learning, set up
   in the context of a broader radiology curriculum innovation. The second
   part centers on a qualitative and quantitative analysis of 52 online
   collaborative learning discussions from 5th year and nearly graduating
   medical students. The collaborative work was based on 26 radiology cases
   regarding musculoskeletal radiology.
   Results: The analysis of perceptions about collaborative learning on
   radiology cases reflects a rather neutral attitude that also does not
   differ significantly in students of different grade levels. Less
   advanced students are more positive about CSCL as compared to last year
   students. Outcome evaluation shows a significantly higher level of
   accuracy in identification of radiology key structures and in radiology
   diagnosis as well as in linking the radiological signs with available
   clinical information in nearly graduated students. No significant
   differences between different grade levels were found in accuracy of
   using medical terminology.
   Conclusion: Students appreciate computer supported collaborative
   learning settings when tackling radiology case-based learning. Scripted
   computer supported collaborative learning groups proved to be useful for
   both 5th and 7th year students in view of developing components of their
   radiology diagnostic approaches. (C) 2010 Elsevier Ireland Ltd. All
   rights reserved.
RI Valcke, Martin/N-1311-2019; Valcke, Martin/H-6693-2012
OI Valcke, Martin/0000-0001-9544-4197; Valcke, Martin/0000-0001-9544-4197
ZR 0
ZA 0
ZS 0
Z8 0
ZB 0
TC 8
Z9 8
U1 0
U2 10
SN 0720-048X
UT WOS:000291047600008
PM 20864285
ER

PT J
AU Nasef, N.
   Skidmore, M.
   Shah, P. S.
TI Enablers and disablers allowing trainees' abstracts to proceed to full
   manuscripts: lessons from a large neonatal training program
SO JOURNAL OF PERINATOLOGY
VL 31
IS 6
BP 411
EP 416
DI 10.1038/jp.2010.140
PD JUN 2011
PY 2011
AB Objective: To study trainee and supervisor perspectives for success or
   failure of conversion of abstracts to full manuscripts.
   Study Design: Abstracts presented by trainees between 2000 and 2005 were
   identified from the syllabi of the Paediatric Academic Society, Canadian
   Paediatric Society and Hot Topics meetings. The trainee and senior
   supervisor for each abstract were asked to complete a web-based survey
   that explored enablers and disablers.
   Result: Of the 187 abstracts identified, 62 (33%) had trainees as
   primary authors. Of these, the responses of 42 (68%) trainees and 50
   (81%) supervisors were collected; the responses of 21 (50%) trainees and
   19 (38%) supervisors reported success in converting the abstract to a
   manuscript. According to trainees, good research idea, supportive
   supervisors and practical design were the main enablers, whereas limited
   time for research and the limited data collection only for abstracts
   were the main disablers. According to supervisors, adequate research
   time and the trainees' interest were the main enablers, whereas limited
   data collection and lack of trainees' interest were the main disablers.
   Specified research training, allocation of protected research time and
   making publication mandatory were suggested by both to enhance
   publication rate.
   Conclusion: Training programs should consider research training needs
   and provide dedicated time to improve research productivity by trainees.
   Journal of Perinatology (2011) 31, 411-416; doi:10.1038/jp.2010.140;
   published online 16 December 2010
RI Nasef, Nehad/O-4758-2019; Shah, Prakesh/AAA-9884-2020; Shah, Prakesh S/I-8098-2013; Nasef, Nehad/
OI Nasef, Nehad/0000-0001-7650-123X
ZS 0
Z8 0
ZR 0
ZA 0
ZB 0
TC 4
Z9 4
U1 0
U2 4
SN 0743-8346
EI 1476-5543
UT WOS:000291024300006
PM 21164429
ER

PT J
AU Wen, Li Ming
   Rissel, Chris
   Baur, Louise A.
   Lee, Eric
   Simpson, Judy M.
TI Who is NOT likely to access the Internet for health information?
   Findings from first-time mothers in southwest Sydney, Australia
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 80
IS 6
BP 406
EP 411
DI 10.1016/j.ijmedinf.2011.03.001
PD JUN 2011
PY 2011
AB Purpose: This study aimed to explore inequities in access to online
   health information and its relation to socioeconomic status, and to
   inform the development of the use of the Internet for health promotion.
   Methods: We analyzed cross-sectional baseline survey data for 664
   first-time mothers from the Healthy Beginnings Trial conducted in
   Southwest Sydney, Australia during 2007-2010. First-time mothers'
   reports of their computer ownership, sources of health information
   including Internet access and self-rated health as well as demographic
   data were collected through face-to-face interviews. Multivariate
   analysis was performed using log-binomial regression.
   Results: We found that 37% of first-time mothers reported not using the
   Internet for health information. Maternal education level, household
   income level and having a computer at home were significant factors
   associated with the use of the Internet for health information after
   adjusting for other factors. Mothers who only had school certificate or
   lower were 1.5 times more likely not to use the Internet for health
   information than those with university/ tertiary education [adjusted
   risk ratio (ARR) 1.50, 95% CI 1.06-2.12, P = 0.03]. Mothers with a
   household income of less than $40,000 per year were 1.7 times more
   likely not to use the Internet for health information than those with a
   household income over $80,000 per year (ARR 1.66, 95% CI 1.24-2.12, P =
   0.001).
   Conclusions: These findings have important implications for using the
   Internet for health promotion among young women. A substantial number of
   first-time mothers do not access the Internet for health information, in
   particular among those with lower levels of education, lower household
   income and without a computer at home. (C) 2011 Elsevier Ireland Ltd.
   All rights reserved.
RI Lee, Eric/AAS-4597-2020; Rissel, Chris/AAH-2423-2019; Baur, Louise/AAE-3413-2021; Wen, Li Ming/ABG-9005-2021; Rissel, Chris/; Simpson, Judy M/; Baur, Louise/
OI Lee, Eric/0000-0002-4219-1648; Wen, Li Ming/0000-0003-1381-4022; Rissel,
   Chris/0000-0002-2156-8581; Simpson, Judy M/0000-0001-5172-3004; Baur,
   Louise/0000-0002-4521-9482
TC 26
Z8 0
ZA 0
ZS 0
ZR 0
ZB 5
Z9 26
U1 0
U2 9
SN 1386-5056
UT WOS:000290017100003
PM 21493126
ER

PT J
AU Gronemeyer, Suzanne A.
TI Creating Synergy: Essential Components of a Successful R25E Cancer
   Education Program
SO JOURNAL OF CANCER EDUCATION
VL 26
IS 2
BP 215
EP 222
DI 10.1007/s13187-011-0208-0
PD JUN 2011
PY 2011
AB For an R25E cancer research program to be a resounding success for both
   participating students and faculty, and to maintain federal funding,
   many synergistic elements are necessary. Essential components of the
   R25E Pediatric Oncology Education Program at St. Jude Children's
   Research Hospital include (1) a unique focus, (2) a program director who
   is passionate about the program and who is enthusiastically supported by
   the institution, (3) committed and involved faculty mentors, (4) a
   current and complete program website with an online application process,
   (5) a large external network referring top students to the program, (6)
   an extensive, diverse, and highly qualified applicant pool with rigorous
   application requirements, (7) meticulous matching of faculty mentors
   with mentees, (8) adequate financial support for participants (stipend
   and housing), (9) an outstanding basic science and clinical research
   infrastructure, (10) training in the protection of human subjects, the
   responsible conduct of research, and research with vertebrate animals,
   (11) a comprehensive lunch and learn seminar series, (12) oral and
   written participant presentations of their research results, (13)
   ongoing internal and external program evaluation, (14) long-term
   tracking of participants, and (15) continuing program innovation.
OI Gronemeyer, Suzanne/0000-0001-9704-3813
Z8 0
ZS 0
ZA 0
TC 5
ZB 0
ZR 0
Z9 5
U1 1
U2 5
SN 0885-8195
EI 1543-0154
UT WOS:000290845600002
PM 21350929
ER

PT J
AU Scales, Charles D., Jr.
CA Int Evidence-Based Urology Working
TI Education and training in evidence-based urology
SO WORLD JOURNAL OF UROLOGY
VL 29
IS 3
BP 325
EP 329
DI 10.1007/s00345-011-0651-x
PD JUN 2011
PY 2011
AB Urologists believe evidence-based clinical practice improves patient
   care. Competence in critical appraisal skills is necessary to
   successfully implement evidence-based practice. However, practicing
   urologists, urology program training directors, and residents have
   identified the need for urology-specific resources to promote competence
   in evidence-based practice. The objective of this review is to identify
   urology-specific educational resources for critical appraisal skills.
   The PubMed(A (R)) database was searched using the terms "evidence-based
   urology", "training" and "medical education." Results were limited to
   systematic reviews. Reference lists for manuscripts were manually
   searched to identify additional relevant publications. Additional
   educational resources and training opportunities were identified via
   direct communication with authors.
   New urology-specific educational resources are being developed to
   support evidence-based clinical practice. Resources exist in the medical
   literature, including the User's Guide to the Urological Literature
   series and the Evidence-Based Urology in Practice series. Electronic
   resources include the Evidence Based Reviews in Urology program
   sponsored by the American Urological Association. Finally, workshops
   exist for live training to develop expertise in teaching EBM skills to
   others.
   Educational support for the nascent evidence-based clinical practice
   movement in urology is growing. Journals provide the majority of
   urology-specific educational material for evidence-based medicine
   training. Additional online and live training opportunities should be
   developed to encourage competence and leadership in evidence-based
   urology.
OI Scales, Charles/0000-0002-7887-0204
TC 3
ZB 0
Z8 0
ZA 0
ZS 0
ZR 0
Z9 3
U1 0
U2 2
SN 0724-4983
EI 1433-8726
UT WOS:000290806800011
PM 21293963
ER

PT J
AU Casanova, J M
   Soria, X
   Borrego, L
   De Argila, D
   Ribera, M
   Pujol, R M
TI [Portfolios: a tool for the training and assessment of residents in
   dermatology, part 2].
FT El portafolio como herramienta de formacion y evaluacion de los
   residentes de dermatologia (II).
SO Actas dermo-sifiliograficas
VL 102
IS 5
BP 325
EP 35
DI 10.1016/j.ad.2010.12.005
PD 2011-Jun
PY 2011
AB A portfolio is a collection of material documenting reflection about
   practice. It contains documents (eg, case histories and questionnaires
   the resident has used), images, and video recordings that reveal that an
   individual has acquired the competencies needed for professional
   practice. This assessment tool simultaneously supports learning and
   provides evidence for certifying competence. The adoption of portfolio
   use by a dermatology department requires the support of both the
   training supervisor and the chief of department. The learning objectives
   defined by the National Board for Medical-Surgical Dermatology and
   Venereology must be taken into consideration so that ways to assess each
   objective can be included; this approach supports holistic ongoing
   education as well as the certification of competencies the resident
   finally achieves. Use of portfolios in medical residency training can
   improve on current assessment methods, which we believe lack precision.
   We propose that portfolios gradually begin to replace the resident's
   training log. We are currently developing an online software application
   that will facilitate the use of portfolios.
RI Ribera, Miquel/AAE-7819-2020; Soria, Xavier/D-9517-2018; Borrego, Leopoldo/AAA-7917-2022; PUJOL, RAMON M/; Borrego, Leopoldo/
OI Soria, Xavier/0000-0002-5644-1214; PUJOL, RAMON M/0000-0002-5622-6055;
   Borrego, Leopoldo/0000-0002-0199-2756
ZB 0
ZR 0
ZA 0
ZS 0
Z8 0
TC 4
Z9 4
U1 0
U2 1
EI 1578-2190
UT MEDLINE:21531360
PM 21531360
ER

PT J
AU Khine, Myo
   Leung, Edward
   Morran, Chris
   Muthukumarasamy, Giri
TI Homemade laparoscopic simulators for surgical trainees.
SO The clinical teacher
VL 8
IS 2
BP 118
EP 21
DI 10.1111/j.1743-498X.2011.00441.x
PD 2011-Jun
PY 2011
AB BACKGROUND: Laparoscopic surgery has become increasingly popular in
   recent times. Laparoscopic skills and dexterity can be improved by using
   simulators. We provide a step-by-step guide with diagrams to build an
   individual homemade laparoscopic trainer box, which is easily available
   and affordable.
   METHODS: We collected the required material for our homemade trainer box
   from a local DIY shop and purchased a high-definition (HD) webcam
   online. We used a 12-litre plastic storage box and mounted the webcam
   inside the lid of the plastic box. The ultraslim energy-saving
   fluorescent light was mounted behind the webcam. Holes were made in the
   plastic lid and patched with circular pieces of Neoprene to accommodate
   the insertion of laparoscopic instruments.
   RESULTS: The trainer box can be built in 3 hours. The trainer box weighs
   1.2 kg with a light source, and is easily portable. It was demonstrated
   to a cohort of surgical trainees and they were very receptive, and liked
   the idea of an easy to assemble, low-cost trainer box with high-quality
   images.
   DISCUSSION: Our homemade trainer box offers HD vision that can be viewed
   on a personal computer, and the webcam is adjustable so it gives
   hands-free stability. It is built with a lightweight plastic box so it
   can be easily carried around by a trainee. This simple, inexpensive,
   easy-to-build trainer box makes a perfect solution for individuals who
   want to practise basic laparoscopic skills at home or in the workplace.
Z8 0
ZB 3
TC 14
ZR 0
ZA 0
ZS 0
Z9 14
U1 0
U2 1
EI 1743-498X
UT MEDLINE:21585673
PM 21585673
ER

PT J
AU Vogt, Claudia
   Schaefer, Marion
TI Disparities in knowledge and interest about benefits and risks of
   combined oral contraceptives
SO EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE
VL 16
IS 3
BP 183
EP 193
DI 10.3109/13625187.2011.561938
PD JUN 2011
PY 2011
AB Objectives This pilot study aimed at identifying counselling topics
   relevant to young women, at comparing their perceived and actual
   knowledge about combined oral contraceptives (COCs), and at determining
   the appropriate scope of counselling material about benefits and risks
   of COCs.
   Method Thirty women aged 18-24 completed an online questionnaire
   assessing information needs and knowledge about 25 medical conditions
   under consideration as potential counselling items (benefits, risks and
   myths) and preferences about counselling material.
   Results Respondents were unable to identify non-contraceptive benefits
   of COCs or potential severe health risks and had some misconceptions.
   They rated their knowledge of specific COC effects significantly lower
   than their corresponding interest in the effect. In contrast, the
   assessment of how well participants felt they were informed about
   benefits and risks was rated predominantly as ''rather well''. Eleven
   items were identified as relevant to patients, the most relevant being
   cancer-related effects of COCs whereas there was less interest in
   thrombotic risk. Participants preferred detailed counselling materials
   and considered gynaecologists, patient information leaflets and the
   internet as their major sources of information.
   Conclusion While most women were confident of being knowledgeable about
   COCs, many were unaware of their knowledge gap. Healthcare professionals
   should proactively educate about items relevant to their patients.
   Counselling materials provided by the gynaecologist seem to be an
   appropriate communication channel. Additional efforts are needed to
   improve knowledge of the thrombotic and other risk associated with COCs.
ZB 1
ZS 0
ZR 1
TC 12
ZA 0
Z8 0
Z9 13
U1 0
U2 2
SN 1362-5187
EI 1473-0782
UT WOS:000290539900004
PM 21401324
ER

PT J
AU Nie, Hongwei
   Xu, Yong
   Liu, Bin
   Zhang, Yaodong
   Lei, Ting
   Hui, Xiaoping
   Zhang, Ling
   Wu, Yan
TI The prevalence of mild cognitive impairment about elderly population in
   China: a meta-analysis
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 26
IS 6
BP 558
EP 563
DI 10.1002/gps.2579
PD JUN 2011
PY 2011
AB Background: Dementia has been a major public health problem and mild
   cognitive impairment is considered the pre-dementia syndrome in recent
   years. However, there has not yet been a systematic analysis of the
   prevalence of mild cognitive impairment in China.
   Objectives: The aim of this study was to analyse the prevalence of mild
   cognitive impairment among the population aged 60 years and older in
   China.
   Methods: Epidemiological investigations on mild cognitive impairment in
   China published in journals were identified manually and online by using
   CBMDISK, ChongqingVIP database and CNKI database. Those reported in
   English journals were identified using MEDLINE. Selected studies had to
   describe an original study defined by strict screening and diagnlstic
   criteria. The fixed effects model or random effects model was employed
   according to statistical test for homogeneity.
   Results: Twenty-two studies were selected, the statistical information
   of which was collected for systematic analysis. The results showed that
   the pooled prevalence of MCI for the elderly population was 12.7% (95%
   CI: 9.7-16.5%). In eastern and western China, the prevalence of MCI was
   9.6 and 14.7%, respectively. There was a higher prevalence of MCI in the
   illiterate elderly population than in those who received years of
   education.
   Conclusions: The prevalence of MCI affected by sex, age, education,
   which was lower in eastern than that in western China. Copyright (C)
   2010 John Wiley & Sons, Ltd.
Z8 24
ZS 2
ZA 0
ZB 32
ZR 0
TC 91
Z9 116
U1 3
U2 38
SN 0885-6230
EI 1099-1166
UT WOS:000289374700002
PM 20878675
ER

PT J
AU Lian, Kevin
   Davey, Caroline
   Wake, Michele
   Cashell, Angela
TI The Effects of Post-Radiation Education Pamphlet On Self-efficacy in
   Cancer Patients.
SO Journal of medical imaging and radiation sciences
VL 42
IS 2
BP 59
EP 65
DI 10.1016/j.jmir.2011.02.005
PD 2011-Jun
PY 2011
AB Cancer patients undergoing radiotherapy often experience anxiety and a
   sense of loss of control immediately after completion of their active
   treatment. This study aims to evaluate, using a cross-sectional survey,
   the effects of a post-radiation education pamphlet on the self-efficacy
   of cancer patients in terms of seeking/understanding medical
   information, seeking support, and coping with radiation side effects.
   Forty-eight patients from various age groups with a variety of cancer
   diagnoses were recruited from the Radiation Medicine Program at Princess
   Margaret Hospital. Descriptive analysis of 35 survey responses suggests
   that the pamphlet improved patient self-efficacy in terms of seeking and
   understanding medical information, seeking support, and coping with
   radiation side effects. The benefits of the pamphlet were also found to
   be independent of patients' education level. Despite the small sample
   size, this study demonstrates the effectiveness of the education
   pamphlet in improving patient self-efficacy and gives support to the
   pamphlet's utility in improving the transition care of cancer patients
   finishing radiotherapy. In parallel, 40 Princess Margaret Hospital
   Radiation Medicine Program staff members were also asked, via online
   surveys, about their awareness of the pamphlet, and its usefulness in
   terms of content, format, and timing of the information provided. More
   than 90% of the staff indicated that the pamphlet was an effective tool.
   Only 57% of oncologists were aware of the pamphlet's existence.
OI Cashell, Angela/0000-0002-5152-6868
Z8 0
ZS 0
ZB 0
ZA 0
TC 1
ZR 0
Z9 1
U1 0
U2 0
EI 1876-7982
UT MEDLINE:31051850
PM 31051850
ER

PT J
AU McLeod, D. L.
   Curran, J.
   White, M.
TI Interprofessional Psychosocial Oncology Education: Nurse Outcomes of the
   IPODE Project
SO PSYCHO-ONCOLOGIE
VL 5
IS 2
BP 109
EP 115
DI 10.1007/s11839-011-0318-2
PD JUN 2011
PY 2011
AB Standards of Care in Psychosocial Oncology (CAPO, 2010) identify that
   patients and families should expect to receive evidence-based
   psychosocial oncology health services in addition to their medical care.
   In Canada however, and in many other countries, the reality often falls
   short of these standards. While nurses often recognize the psychosocial
   needs of their patients, they identify that they do not feel confident
   about meeting them. Opportunities to collaborate with other health
   professionals who may be able to support the nurse in her or his
   practice as well as the patient/family are often limited. To address
   these gaps, the Canadian Association of Psychosocial Oncology (CAPO)
   launched a pan-Canadian education initiative, the Interprofessional
   Psychosocial Oncology Distance Education (IPODE) project. The aim of the
   project was to create web-based, interprofessional learning
   opportunities for practicing health professionals and graduate students
   in five core disciplines: nursing, social work, psychology, spiritual
   care and medicine. We report the nurse-related outcomes in this article.
   A web-based course titled "Interprofessional Psychosocial Oncology:
   Introduction to Theory and Practice" was developed and received approval
   from 11 Canadian universities. The course objectives related to
   psychosocial oncology content as well as interprofessional
   collaboration. Pre-(T1) and post-course surveys (T2-immediately after
   the course) were administered. A nonparametric Wilcoxon signed-rank test
   was used to compare changes in pre- and post-course knowledge and
   attitudes. Narrative data were thematically analysed.
   Analyses of the 53 pre-post surveys completed (49%) revealed the course
   was effective and significantly improved knowledge of other disciplines'
   roles, confidence, and satisfaction with interprofessional collaboration
   and with psychosocial oncology practice. Implications for oncology
   nurses with regard to retention and compassion fatigue were identified.
   Web-based learning is a viable alternative for interprofessional
   psychosocial oncology education and offers certain advantages over
   face-to-face education in speciality health professional education.
   Online interprofessional learning can benefit post-licensure as well as
   undergraduate students.
OI Curran, Janet/0000-0001-9977-0467
ZR 0
ZB 0
TC 3
Z8 0
ZS 0
ZA 0
Z9 3
U1 0
U2 17
SN 1778-3798
EI 1778-381X
UT WOS:000291799900007
ER

PT J
AU Jadoon, Nauman A.
   Zahid, Muhammad F.
   Mansoorulhaq, Hafiz
   Ullah, Sami
   Jadoon, Bilal A.
   Raza, Ali
   Hussain, Mansoor
   Yaqoob, Rehan
   Shahzad, Mohammad A.
TI Evaluation of internet access and utilization by medical students in
   Lahore, Pakistan
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 11
AR 37
DI 10.1186/1472-6947-11-37
PD MAY 30 2011
PY 2011
AB Background: The internet is increasingly being used worldwide in
   imparting medical education and improving its delivery. It has become an
   important tool for healthcare professionals training but the data on its
   use by medical students in developing countries is lacking with no study
   on the subject from Pakistan. This study was, therefore, carried out
   with an aim to evaluate the pattern of internet access and utilization
   by medical students in Pakistan.
   Methods: A structured pre-tested questionnaire was administered to a
   group of 750 medical students in clinical years studying at various
   public and private medical colleges in Lahore. The questions were
   related to patterns of internet access, purpose of use and self reported
   confidence in performing various internet related tasks, use of health
   related websites to supplement learning and the problems faced by
   students in using internet at the institution.
   Results: A total of 532 medical students (70.9%) returned the
   questionnaire. The mean age of study participants was 21.04 years (SD
   1.96 years). Majority of the respondents (84.0%) reported experience
   with internet use. About half of the students (42.1%) were using
   internet occasionally with 23.1%, 20.9% and 13.9% doing so frequently,
   regularly and rarely respectively. About two third of the students
   (61.0%) stated that they use internet for both academic and professional
   activities. Most of the participants preferred to use internet at home
   (70.5%). Self reported ability to search for required article from
   PubMed and PakMedinet was reported by only 34.0% of the entire sample.
   Students were moderately confident in performing various internet
   related tasks including downloading medical books from internet,
   searching internet for classification of diseases and downloading full
   text article. Health related websites were being accessed by 55.1%
   students to supplement their learning process. Lack of time, inadequate
   number of available computers and lack of support from staff were cited
   as the most common problems faced by students while accessing internet
   in the institution premises. There were significant differences among
   male and female students with respect to the place of internet use (p =
   0.001) and the ability to search online databases for required articles
   (p = 0.014).
   Conclusions: Majority of the medical students in this study had access
   to internet and were using it for both academic and personal reasons.
   Nevertheless, it was seen that there is under utilization of the
   potential of internet resources to augment learning. Increase in
   awareness, availability of requisite facilities and training in
   computing skills are required to enable better utilization of digital
   resources of digital resources by medical students.
RI Jadoon, Nauman A/A-4314-2013; Bhatti, Samiullah/
OI Bhatti, Samiullah/0000-0003-4976-3183
ZS 1
ZB 4
Z8 0
ZR 0
TC 17
ZA 0
Z9 18
U1 1
U2 9
SN 1472-6947
UT WOS:000291947500001
PM 21619707
ER

PT J
AU Pelayo, Marta
   Cebrian, Diego
   Areosa, Almudena
   Agra, Yolanda
   Vicente Izquierdo, Juan
   Buendia, Felix
TI Effects of online palliative care training on knowledge, attitude and
   satisfaction of primary care physicians
SO BMC FAMILY PRACTICE
VL 12
AR 37
DI 10.1186/1471-2296-12-37
PD MAY 23 2011
PY 2011
AB Background: The Spanish Palliative Care Strategy recommends an
   intermediate level of training for primary care physicians in order to
   provide them with knowledge and skills. Most of the training involves
   face-to-face courses but increasing pressures on physicians have
   resulted in fewer opportunities for provision of and attendance to this
   type of training. The effectiveness of on-line continuing medical
   education in terms of its impact on clinical practice has been scarcely
   studied. Its effect in relation to palliative care for primary care
   physicians is currently unknown, in terms of improvement in patient's
   quality of life and main caregiver's satisfaction. There is uncertainty
   too in terms of any potential benefits of asynchronous communication and
   interaction among on-line education participants, as well as of the
   effect of the learning process.
   The authors have developed an on-line educational model for palliative
   care which has been applied to primary care physicians in order to
   measure its effectiveness regarding knowledge, attitude towards
   palliative care, and physician's satisfaction in comparison with a
   control group.
   The effectiveness evaluation at 18 months and the impact on the quality
   of life of patients managed by the physicians, and the main caregiver's
   satisfaction will be addressed in a different paper.
   Methods: Randomized controlled educational trial to compared, on a first
   stage, the knowledge and attitude of primary care physicians regarding
   palliative care for advanced cancer patients, as well as satisfaction in
   those who followed an on-line palliative care training program with
   tutorship, using a Moodle Platform vs. traditional education.
   Results: 169 physicians were included, 85 in the intervention group and
   84 in the control group, of which five were excluded. Finally 82
   participants per group were analyzed. There were significant differences
   in favor of the intervention group, in terms of knowledge (mean 4.6; CI
   95%: 2.8 to 6.5 (p = 0.0001), scale range 0-33), confidence in symptom
   management (p = 0.02) and confidence in terms of communication (p =
   0.038). Useful aspects were pointed out, as well as others to be
   improved in future applications. The satisfaction of the intervention
   group was high.
   Conclusions: The results of this study show that there was a significant
   increase of knowledge of 14%-20% and a significant increase in the
   perception of confidence in symptom management and communication in the
   intervention group in comparison with the control group that received
   traditional methods of education in palliative care or no educational
   activity at all. The overall satisfaction with the intervention was
   good-very good for most participants.
   This on-line educational model seems a useful tool for palliative care
   training in primary care physicians who have a high opinion about the
   integration of palliative care within primary care. The results of this
   study support the suggestion that learning effectiveness should be
   currently investigated comparing different Internet interventions,
   instead of Internet vs. no intervention.
RI AGRA, YOLANDA/Q-9758-2018; Agra, Yolanda/AAV-3655-2020; Buendia, Felix/K-1267-2014
OI AGRA, YOLANDA/0000-0002-3757-8565; Buendia, Felix/0000-0003-3646-4264
ZS 1
ZA 0
ZR 1
Z8 0
ZB 2
TC 45
Z9 46
U1 1
U2 35
EI 1471-2296
UT WOS:000292051200001
ER

PT J
AU Canchihuaman, Fredy A.
   Garcia, Patricia J.
   Gloyd, Stephen S.
   Holmes, King K.
TI An Interactive Internet-Based Continuing Education Course on Sexually
   Transmitted Diseases for Physicians and Midwives in Peru
SO PLOS ONE
VL 6
IS 5
AR e19318
DI 10.1371/journal.pone.0019318
PD MAY 9 2011
PY 2011
AB Background: Clinicians in developing countries have had limited access
   to continuing education (CE) outside major cities, and CE strategies
   have had limited impact on sustainable change in performance. New
   educational tools could improve CE accessibility and effectiveness.
   Methodology/Principal Findings: The objective of this study was to
   evaluate an interactive Internet-based CE course on Sexually Transmitted
   Diseases (STDs) management for clinicians in Peru. Participants included
   physicians and midwives in private practice drawn from a census of 10
   Peruvian cities. The CE included a three-hour workshop for improving
   Internet skills, followed by a 22-hour online course on
   STD-syndrome-management, with subsequent educational support. The course
   used case-based clinical vignettes tailored to local STD problems.
   Knowledge and reported practices on STD management were assessed before,
   immediately after and at four months after completion of the course.
   Statistical analysis included parametric tests-linear regression
   multivariate analysis, paired t-test and repeated measures ANOVA using
   SPSS 14.0. Of 1,071 eligible clinicians, 510 agreed to participate, as
   did an additional 132 public sector clinicians. Of these 642
   participants, 619 (96.4%) completed the course, and 596 (96.3%) took the
   four-month follow-up evaluation. Physician and midwife scores improved
   from 64.2% correct answers on the pre-test to 77.9% correct on the
   four-month follow-up test (p < 0.001). Most participants (95%) found the
   online course useful for their work needs. Self reported STD management
   practices did not change.
   Conclusions/Significance: Among physicians and midwives in Peru, an
   Internet-based CE course was feasible, acceptable with high
   participation rates, and led to sustained improvement in knowledge at
   four months. Further studies are needed to test it as a model for
   improving the training of physicians, midwives, and other health care
   providers.
RI , Holmes/K-6215-2019
ZR 0
TC 13
ZS 0
ZB 7
Z8 0
ZA 0
Z9 13
U1 0
U2 6
SN 1932-6203
UT WOS:000290386800009
PM 21573054
ER

PT J
AU Freed, Gary L.
   Clark, Sarah J.
   Butchart, Amy T.
   Singer, Dianne C.
   Davis, Matthew M.
TI Sources and Perceived Credibility of Vaccine-Safety Information for
   Parents
SO PEDIATRICS
VL 127
BP S107
EP S112
DI 10.1542/peds.2010-1722P
SU 1
PD MAY 2011
PY 2011
AB CONTEXT: The source of health information can have an impact on the
   manner and frequency of its use. In the arena of vaccine safety, a
   variety of sources promulgate information from very different
   perspectives. The spectrum runs from traditional sources such as public
   health officials and physicians to nontraditional sources, such as
   celebrities.
   OBJECTIVE: To assess what proportion of parents trust vaccine
   information from different sources and whether different groups of
   parents vary in their trust of such information.
   METHODS: In January 2009, as part of a larger study of parents and
   nonparents, 2521 online surveys were fielded to a nationally
   representative sample of parents of children aged <= 17 years. The main
   outcome measure was the source credibility of vaccine-safety information
   used by parents.
   RESULTS: The response rate was 62%. Parents reported trusting their
   children's doctor for vaccine-safety information most often (76%
   endorsed a lot of trust), followed by other health care providers (26%),
   government vaccine experts/officials (23%), and family and friends
   (15%). In contrast, celebrities were trusted a lot by 2% of the
   respondents and not at all by 76% of the respondents. Levels of trust in
   specific sources of vaccine-safety information varied significantly by
   gender (women > men) and race/ethnicity (Hispanics > other groups).
   CONCLUSIONS: Although most parents place a lot of trust in their
   child(ren)'s physician, parents' trust in non-health professional
   sources for such information should not be discounted. Those who design
   public health efforts to provide evidence-based information must
   recognize that different strategies may be required to reach some groups
   of parents who use other information sources. Pediatrics
   2011;127:S107-S112
ZS 0
TC 216
ZB 83
ZR 0
ZA 0
Z8 2
Z9 218
U1 1
U2 31
SN 0031-4005
EI 1098-4275
UT WOS:000296918100016
PM 21502236
ER

PT J
AU Mandoki Mira
TI NOVICE: observations during the development of an international
   professional veterinary network
SO MAGYAR ALLATORVOSOK LAPJA
VL 133
IS 5
BP 307
EP 314
PD MAY 2011
PY 2011
AB The Network Of Veterinary ICT in Education (NOVICE) project has been
   awarded funding under the EU Lifelong Learning Programme and was
   launched in 2010 by 5 European veterinary training institutions. The
   project aims to offer a new veterinary online network, which is
   available strictly for professionals and veterinary students. It should
   serve as a community for exchanging ideas, practical experiences and
   social interactions at international level, which altogether means
   informal learning. As one of the primary objectives the project seeks to
   explore and extend the use of Web 2.0 tools in veterinary education and
   lifelong learning.
   The NOVICE project applies the benefits of Web 2.0 technologies for
   undergraduate veterinary education, for postgraduate studies of
   veterinarians and for continuing veterinary education. The NOVICE site
   (www.noviceproject.eu) was constructed as a personal learning
   environment (PIE) and enables members to exchange knowledge and
   expertise throughout Europe and beyond. A PIE allows the user to
   configure the set-up and design of the website for their own purposes.
   NOVICE can deal with all veterinary interests and needs.
   This project provides opportunity to become more familiar with Web 2.0
   tools, to use several techniques for collaborative writing and
   discussion, to link veterinarians in different countries, to engage with
   others on the veterinary field. Thus, an international veterinary social
   network will be built up. These tools are going to be used in education,
   especially within social and lifelong learning outside a school or
   college. This article is intensely concerned with the objectives
   specified in the NOVICE project, and also with the role, experience and
   achievements of SZIU Faculty of Veterinary Science in the project.
ZR 0
Z8 0
ZA 0
TC 0
ZS 0
ZB 0
Z9 0
U1 0
U2 5
SN 0025-004X
UT WOS:000290703000009
ER

PT J
AU Bosworth, Adam
   York, Chris
   Kotansky, Heidi
   Berman, Mark A.
TI An Inventor's Perspective on Consumer Health Informatics
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 40
IS 5
BP S241
EP S244
DI 10.1016/j.amepre.2011.02.004
SU 2
PD MAY 2011
PY 2011
ZA 0
Z8 0
ZR 0
TC 5
ZB 1
ZS 0
Z9 5
U1 0
U2 8
SN 0749-3797
UT WOS:000289833200022
PM 21521601
ER

PT J
AU Cohall, Alwyn T.
   Nye, Andrea
   Moon-Howard, Joyce
   Kukafka, Rita
   Dye, Bonnie
   Vaughan, Roger D.
   Northridge, Mary E.
TI Computer Use, Internet Access, and Online Health Searching Among Harlem
   Adults
SO AMERICAN JOURNAL OF HEALTH PROMOTION
VL 25
IS 5
BP 325
EP 333
DI 10.4278/ajhp.090325-QUAN-121
PD MAY-JUN 2011
PY 2011
AB Purpose. Computer use, Internet access, and online searching for health
   information were assessed toward enhancing Internet use for health
   promotion.
   Design. Cross-sectional random digit dial landline phone survey.
   Setting. Eight zip codes that comprised Central Harlem/Hamilton Heights
   and East Harlem in New York City.
   Subjects. Adults 18 years and older (N = 646).
   Measures. Demographic characteristics, computer use, Internet access,
   and online searching for health information.
   Analysis. Frequencies for categorical variables and means and standard
   deviations for continuous variables were calculated and compared with
   analogous findings reported in national surveys from similar time
   periods.
   Results. Among Harlem adults, ever computer use and current Internet use
   were 77% and 52%, respectively. High-speed home Internet connections
   were somewhat lower for Harlem adults than for U.S. adults overall (43%
   vs. 68%). Current Internet users in Harlem were more likely to be
   younger, white vs. black or Hispanic, better educated, and in better
   self-reported health than non current users (p < .01). Of those who
   reported searching online for health information, 74% sought information
   on medical problems and thought that information found on the Internet
   affected the way they eat (47%) or exercise (44%).
   Conclusions. Many Harlem adults currently use the Internet to search for
   health information. High-speed connections and culturally relevant
   materials may facilitate health information searching for underserved
   groups. (Am J Health Promot 2011;25[5]:325-333.)
OI Northridge, Mary/0000-0003-0358-8930
ZS 0
Z8 0
ZB 1
TC 17
ZA 0
ZR 0
Z9 17
U1 3
U2 19
SN 0890-1171
EI 2168-6602
UT WOS:000291180500008
PM 21534835
ER

PT J
AU Takahashi, Yoshimitsu
   Sakai, Michi
   Fukui, Tsuguya
   Shimbo, Takuro
TI Measuring the Ability to Interpret Medical Information Among the
   Japanese Public and the Relationship With Inappropriate Purchasing
   Attitudes of Health-Related Goods
SO ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH
VL 23
IS 3
BP 386
EP 398
DI 10.1177/1010539509344882
PD MAY 2011
PY 2011
AB To investigate the relationship with uncritical purchasing attitudes
   toward health-related goods, the authors devised a test for ability to
   interpret medical information (TAIMI) among the Japanese public,
   designed to measure numeracy, literacy, and also critical appraising
   skills. An online survey was conducted, and 6047 participants were
   randomly chosen from the Japanese public and 36 physicians. TAIMI score
   for the public was 3.9 +/- 1.7 (mean +/- standard deviation); the
   physicians' was higher at 6.2 +/- 1.3 (P < .01). The lower TAIMI scoring
   group was more prone to purchasing health-related goods in response to
   exaggerated advertising than the higher-scoring one (P < .01). Factor
   analysis indicated that TAIMI included 2 factors related to the ability
   to critically appraise the validity and impact of evidence. In
   conclusion, TAIMI successfully measured the ability to interpret medical
   information, including the critical aspect of appraising validity and
   impact of the information. People competent in the interpretation tended
   to have more critical purchasing attitudes.
RI Takahashi, Yoshimitsu/J-4664-2016
OI Takahashi, Yoshimitsu/0000-0003-4073-9945
ZS 0
ZR 0
Z8 0
ZA 0
TC 10
ZB 3
Z9 10
U1 0
U2 1
SN 1010-5395
UT WOS:000291346300013
PM 19723690
ER

PT J
AU Kroeplin, Birgit S.
   Strub, Joerg R.
TI Implant Dentistry Curriculum in Undergraduate Education: Part 1-A
   Literature Review
SO INTERNATIONAL JOURNAL OF PROSTHODONTICS
VL 24
IS 3
BP 221
EP 234
PD MAY-JUN 2011
PY 2011
AB Purpose: The aim of this literature review was to evaluate to what
   extent oral implant dentistry was integrated into undergraduate
   educational programs worldwide. Materials and Methods: An online search
   of PubMed (MEDLINE and additional life science journals) was performed
   for articles published from 1966 to January 2010 using combinations of
   select medical subject headings. Additionally, the ISI Web of Knowledge
   database (MEDLINE: 1950 to present, Web of Science: 1945 to present) was
   searched using "education" and "implant" as search terms. The online
   search was supplemented with a manual search of dental journals in the
   fields of education, prosthodontics, and implant dentistry and of the
   reference lists of selected full-text articles. Surveys comparing
   different undergraduate dental implant curricula and articles describing
   the undergraduate dental implant curriculum of a single university were
   identified. Postgraduate or continuing education programs for dental
   practitioners or master and specialist programs were excluded. Results:
   Twenty-five articles met the inclusion criteria of this review. The
   percentage of universities that included implant dentistry in
   undergraduate education increased from 51% in 1974 to 97% in 2006 for
   universities in the United States and to 100% for surveyed European
   universities. All curricula included lectures (mostly 1 to 20 hours) and
   30% to 42% included laboratory courses, but the level of clinical
   experience differed greatly between surveyed universities. Conclusion:
   Because oral implant dentistry has become a standard treatment
   alternative, the undergraduate dental curricula should include its
   application in treatment planning, observation of placing and restoring
   implants, and treating patients with implant-retained or -supported
   restorations. Int J Prosthodont 2011;24.221-234.
Z8 0
ZR 0
TC 19
ZS 0
ZA 0
ZB 1
Z9 19
U1 0
U2 5
SN 0893-2174
EI 1942-4426
UT WOS:000291327300006
PM 21519568
ER

PT J
AU Carpenter, Janet S.
   Studts, Jamie L.
   Byrne, Margaret M.
TI A systematic review of menopausal symptom management decision aid trials
SO MATURITAS
VL 69
IS 1
BP 11
EP 21
DI 10.1016/j.maturitas.2011.02.005
PD MAY 2011
PY 2011
AB Objective: To systematically review the literature regarding the effects
   of menopausal symptom management decision aids.
   Methods: Using pre-designated inclusion and exclusion criteria, relevant
   articles were located using the PubMed.gov online search engine and
   reviewing reference lists of relevant articles. Full-text,
   English-language, peer-reviewed articles relevant to testing decision
   aids in uncontrolled trials (UCT) and randomized controlled trials (RCT)
   were reviewed.
   Results: The 18 articles represented 15 trials focused on natural health
   products decision aids (1 UCT, 1 RCT) or hormone therapy decision aids
   (1 UCT, 12 RCT). Whereas the natural health products aid was intended
   for women deciding about menopausal symptom management strategies,
   decision aids for hormone therapy were intended for a broader group of
   menopausal women and included indications for symptom management,
   prevention of heart disease, and prevention of osteoporosis. Many trials
   occurred prior to two pivotal events: the 2002 announcement of the
   Women's Health Initiative findings and the 2006 publication of the
   International Patient Decision Aids Standards. Study limitations may
   help explain contradictory findings for outcomes such as decisional
   conflict, decisional confidence, decisional satisfaction, knowledge and
   values, and decisions.
   Conclusions: There is a relatively scant contemporary literature related
   to menopausal symptom management decision aids. Additional
   methodologically sound studies are needed to develop and subsequently
   test decision aids that are based on (a) contemporary knowledge
   regarding the wide array of available therapies and (b) international
   standards for decision aids that include consideration of women's values
   and preferences. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
RI Studts, Jamie L/A-4634-2008
OI Studts, Jamie L/0000-0003-3922-3597
ZB 2
ZR 0
Z8 0
ZA 0
ZS 0
TC 15
Z9 15
U1 0
U2 6
SN 0378-5122
EI 1873-4111
UT WOS:000290889200005
PM 21367544
ER

PT J
AU Desai, Tejas
   Stankeyeva, Darina
   Chapman, Arlene
   Bailey, James
TI Nephrology fellows show consistent use of, and improved knowledge from,
   a nephrologist-programmed teaching instrument
SO JOURNAL OF NEPHROLOGY
VL 24
IS 3
BP 345
EP 350
DI 10.5301/JN.2010.5820
PD MAY-JUN 2011
PY 2011
AB Introduction: Teaching nephrology through a traditional classroom-based
   approach has significant time and place limitations. In the 21st
   century, these limitations are more prevalent and harder to resolve.
   Fortunately, online teaching instruments can overcome these
   restrictions. On this basis, we hypothesized that a nephrology-focused
   online teaching instrument, programmed and maintained by nephrology
   educators, would result in sustained use by, and improved test scores
   for, nephrology fellows.
   Methods: To test this hypothesis, we programmed and managed a 3-tiered
   Web-based teaching instrument based on the Blackboard platform.
   Nephrology fellows from Emory University, from the Classes of 2008-2010,
   were the primary subjects asked to use this instrument. We tracked their
   use of every teaching resource for 20 months. In addition we tested
   their knowledge of nephrolithiasis before and after using our
   interactive teaching module.
   Results: Both the e-Library and Discussion forums showed increases in
   total use from years 1 to 2 (31% and 91% increases, respectively). When
   stratified by category or year in training, the changes in average
   monthly use of all online teaching resources were nonsignificant. Eight
   of 10 renal fellows showed increases in postmodule test scores (42.3%
   increase for the Class of 2009; 10.7% increase for the Class of 2010).
   Conclusions: Our results demonstrate sustained use in all 3 tiers of the
   online instrument. There was a significant improvement in knowledge
   after using the online module. The results indicate that nephrology
   educators can program sustainable online teaching tools that improve
   fellows' knowledge of nephrology.
ZA 0
ZS 0
Z8 0
ZR 0
ZB 2
TC 9
Z9 9
U1 0
U2 4
SN 1121-8428
EI 1724-6059
UT WOS:000290374700012
PM 20954135
ER

PT J
AU Kwan, Kelvin
   Wu, Christopher
   Duffy, Damian
   Masterson, John
   Blair, Geoffrey K.
TI Lights, camera, surgery: a novel pilot project to engage medical
   students in the development of pediatric surgical learning resources
SO JOURNAL OF PEDIATRIC SURGERY
VL 46
IS 5
BP 962
EP 965
DI 10.1016/j.jpedsurg.2011.02.029
PD MAY 2011
PY 2011
AB Background/Purpose: It is important to engage junior medical students in
   the pediatric surgical environment to showcase possible future career
   choices. Our aim was to assess how the students valued their experience
   in the realm of clinical learning, exposure to surgical careers, and
   development of skill sets necessary for creating learning resources.
   Methods: A novel pilot project entitled Lights, Camera, Surgery engaged
   13 medical students in the production of instructional videos of basic
   surgical procedures. An electronic survey questionnaire allowed the
   students to provide formal feedback on the project outcomes.
   Results: Of the students who responded, 87.5% expressed appreciation of
   the enhanced clinical experience. All of the students either agreed or
   strongly agreed that the project afforded them valuable leadership
   experience, practical skills in creating educational learning resources,
   and opportunities to explore careers in surgery. All of the students
   either agreed or strongly agreed that the project allowed them to gain
   valuable skills in educational video production. The project videos are
   now available as educational tools.
   Conclusions: Engaging medical students in the production of surgical
   videos potentially improves leadership skills and promotes the use of
   educational resources while affording them opportunities to explore
   pediatric surgery as a future career choice. (C) 2011 Elsevier Inc. All
   rights reserved.
TC 5
ZS 0
Z8 0
ZA 0
ZR 0
ZB 0
Z9 5
U1 0
U2 1
SN 0022-3468
UT WOS:000291004200042
PM 21616261
ER

PT J
AU McTigue, Kathleen M.
   Bhargava, Tina
   Bryce, Cindy L.
   Conroy, Molly
   Fischer, Gary S.
   Hess, Rachel
   Simkin-Silverman, Laurey R.
   Zickmund, Susan
TI Patient perspectives on the integration of an intensive online
   behavioral weight loss intervention into primary care
SO PATIENT EDUCATION AND COUNSELING
VL 83
IS 2
BP 261
EP 264
DI 10.1016/j.pec.2010.05.009
PD MAY 2011
PY 2011
AB Objective: To examine patients' perception of how a referral-based
   online lifestyle intervention contributed to primary care medicine.
   Methods: We invited 50 adults to complete a semi-structured interview
   after a 1-year online behavioral weight loss intervention (average
   weight change: -4.79 kg). We developed an iterative codebook using
   content analysis. Two coders independently coded all transcripts (kappa
   = 0.895). We analyzed responses regarding the integration of the program
   with primary care.
   Results: Among the 35 participants who completed the interview, 46%
   described a positive experience between the program and their routine
   medical care; 14% noted it was fine/OK; 9% reported no effect, 3% were
   negative, 11% said that the program was unrelated to their medical care,
   and 14% that the only connection was the referral. Factors such as
   physician feedback and support, coordination with routine health care,
   and improved cardiovascular risk factors were cited in support of a
   positive experience. Physician feedback was reported by 89%, and 80%
   stated that the program helped them to follow their physician's advice.
   Conclusion: Physician referral to online education and counseling may
   facilitate the integration of evidence-based behavioral counseling with
   primary care.
   Practice implications: Internet technology may enable improved access to
   evidence-based counseling for chronic health problems. (C) 2010 Elsevier
   Ireland Ltd. All rights reserved.
OI Simkin-Silverman, Lauren/0000-0003-1572-8726; Bryce,
   Cindy/0000-0001-6356-6675
ZS 0
TC 9
Z8 0
ZB 1
ZR 0
ZA 0
Z9 9
U1 0
U2 9
SN 0738-3991
UT WOS:000290929200022
PM 21459256
ER

PT J
AU Saunders, L. L.
   Krause, J. S.
TI Psychological factors affecting alcohol use after spinal cord injury
SO SPINAL CORD
VL 49
IS 5
BP 637
EP 642
DI 10.1038/sc.2010.160
PD MAY 2011
PY 2011
AB Study design: Cross-sectional.
   Objective: The purpose of this study is to assess risk factors,
   including personality and socioeconomic indicators, with alcohol use
   among persons with spinal cord injury (SCI).
   Setting: A large rehabilitation hospital in the Southeastern United
   States.
   Methods: A total of 1549 participants responded to a survey on outcomes
   after SCI. We used polychotomous logistic regression to assess the
   relationships of personality and socioeconomic factors with alcohol use.
   Results: In this study population, 19.3% were heavy drinkers, 29.4%
   moderate and 51.7% abstinent. Annual household income and education were
   both associated with heavy alcohol use, with persons with higher income
   or education more likely to be heavy drinkers. Impulsive sensation
   seeking, neuroticism-anxiety and aggression-hostility were associated
   with increased odds of heavy drinking.
   Conclusion: This study adds to the body of evidence indicating a
   substantial portion of individuals with SCI are heavy drinkers, and that
   personality and socioeconomic status are associated with heavy drinking.
   Spinal Cord (2011) 49, 637-642; doi: 10.1038/sc.2010.160; published
   online 23 November 2010
Z8 0
TC 19
ZB 5
ZR 0
ZS 0
ZA 0
Z9 20
U1 0
U2 2
SN 1362-4393
UT WOS:000290380000009
PM 21102575
ER

PT J
AU Gelis, A.
   Daures, J. P.
   Benaim, C.
   Kennedy, P.
   Albert, T.
   Colin, D.
   Joseph, P-A
   Pelissier, J.
   Fattal, C.
TI Evaluating self-reported pressure ulcer prevention measures in persons
   with spinal cord injury using the revised Skin Management Needs
   Assessment Checklist: reliability study
SO SPINAL CORD
VL 49
IS 5
BP 653
EP 658
DI 10.1038/sc.2010.177
PD MAY 2011
PY 2011
AB Study design: Cross-cultural adaptation and reliability study.
   Objective: To translate, evaluate the reliability and cross-culturally
   adapt the Skin Management Needs Assessment Checklist (SMnac), a
   questionnaire evaluating the knowledge on pressure ulcer (PU) prevention
   measures in persons with spinal cord injury (SCI).
   Subjects: 138 persons with SCI, mean age 45.9 years, mean time since
   injury 94 months.
   Material and method: The study was carried out in two stages. First, the
   questionnaire went through a forward-backward translation process and
   was cross-culturally adapted, according to a validated methodology for
   self-reported measures. Then, the test-retest reliability was evaluated
   on a population of persons with SCI
   Results: The standardized back-translation and cross-cultural adaptation
   led to the revised Smack grid, with the addition of seven items
   representing an update of PU prevention measures. The reliability was
   excellent (intraclass correlation coefficient: 0.899).
   Conclusion: The revised SMnac is an adaptation of the SMnac, including
   therapeutic education frameworks and the latest PU prevention practices.
   It appears to be a reliable tool for assessing the knowledge and
   benefits of PU prevention in persons with SCI. Further studies are
   needed to explore its validity and responsiveness to change. Spinal Cord
   (2011) 49, 653-658; doi: 10.1038/sc.2010.177; published online 11
   January 2011
ZA 0
ZR 0
ZS 0
ZB 2
TC 5
Z8 0
Z9 5
U1 0
U2 3
SN 1362-4393
UT WOS:000290380000012
PM 21221117
ER

PT J
AU Huber, Johannes
   Ihrig, Andreas
   Peters, Tim
   Huber, Christian G.
   Kessler, Anja
   Hadaschik, Boris
   Pahernik, Sascha
   Hohenfellner, Markus
TI Decision-making in localized prostate cancer: lessons learned from an
   online support group
SO BJU INTERNATIONAL
VL 107
IS 10
BP 1570
EP 1575
DI 10.1111/j.1464-410X.2010.09859.x
PD MAY 2011
PY 2011
AB What's known on the subject? and What does the study add?
   Social support plays a major role for decision-making in localized
   prostate cancer and the importance of online resources has become
   increasingly recognized. However, so far most of the knowledge has been
   generated on formal and stylistic aspects. The study adds to
   understanding the content and the dynamics of peer-to-peer counselling
   in an online support group.
   OBJECTIVE
   center dot To investigate patient-to-patient communication with regard
   to decision-making in localized prostate cancer; as most of it is done
   in private, online support groups are a unique means for this task.
   PATIENTS AND METHODS
   center dot Over a 32-month period, we screened 501 threads in the
   largest German online support group for prostate cancer.
   center dot Threads started by questioners newly diagnosed with localized
   prostate cancer and stating decision-making as the key topic were
   included; in all, 82 (16.4%) threads met these criteria.
   center dot Two independent investigators characterized every thread
   following a standardized protocol.
   center dot Fisher's exact test and Mann-Whitney U-test were applied for
   group analyses. A complementary qualitative linguistic approach was
   chosen.
   RESULTS
   center dot Threads were most commonly started to ask for therapy
   recommendations (66%), information on the course of treatment (46%) and
   emotional support (46%).
   center dot Answers consisted of treatment recommendations (40%),
   emotional support (37%) and personal experiences (28%).
   center dot A second opinion on the biopsy cores (51%) and additional
   imaging (40%) were common suggestions.
   center dot The rate of advice for radical prostatectomy (RP) vs
   radiotherapy was 67 vs 82%. Thus, surgery was less recommended in our
   sample (P = 0.01); 75% of the men with an initial therapeutic preference
   were finally confirmed herein.
   center dot Linguistic analysis showed that posters frequently use a
   tentative language style and that common language is avoided.
   CONCLUSIONS
   center dot Patients readily receive information, advice and emotional
   support as part of an online support group.
   center dot The scientific evaluation of an online support group is a
   complementary way of getting to know our patients' needs and worries.
   center dot Patient-physician contact can benefit from this knowledge.
RI Huber, Christian/A-4413-2009; Huber, Johannes/AAF-5514-2020; Hadaschik, Boris/; Peters, Tim/
OI Huber, Christian/0000-0002-2246-9008; Huber,
   Johannes/0000-0001-7243-8958; Hadaschik, Boris/0000-0002-1052-2692;
   Peters, Tim/0000-0003-2881-4180
ZA 0
ZR 0
Z8 0
ZB 9
ZS 0
TC 34
Z9 34
U1 1
U2 16
SN 1464-4096
UT WOS:000289899100007
PM 21105988
ER

PT J
AU Noethlings, U.
   Boeing, H.
   Maskarinec, G.
   Sluik, D.
   Teucher, B.
   Kaaks, R.
   Tjonneland, A.
   Halkjaer, J.
   Dethlefsen, C.
   Overvad, K.
   Amiano, P.
   Toledo, E.
   Bendinelli, B.
   Grioni, S.
   Tumino, R.
   Sacerdote, C.
   Mattiello, A.
   Beulens, J. W. J.
   Iestra, J. A.
   Spijkerman, A. M. W.
   van der A, D. L.
   Nilsson, P.
   Sonestedt, E.
   Rolandsson, O.
   Franks, P. W.
   Vergnaud, A-C
   Romaguera, D.
   Norat, T.
   Kolonel, L. N.
TI Food intake of individuals with and without diabetes across different
   countries and ethnic groups
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 5
BP 635
EP 641
DI 10.1038/ejcn.2011.11
PD MAY 2011
PY 2011
AB Background/Objectives: Given the importance of nutrition therapy in
   diabetes management, we hypothesized that food intake differs between
   individuals with and without diabetes. We investigated this hypothesis
   in two large prospective studies including different countries and
   ethnic groups.
   Subjects/Methods: Study populations were the European Prospective
   Investigation into Cancer and Nutrition Study (EPIC) and the Multiethnic
   Cohort Study (MEC). Dietary intake was assessed by food frequency
   questionnaires, and calibrated using 24h-recall information for the EPIC
   Study. Only confirmed self-reports of diabetes at cohort entry were
   included: 6192 diabetes patients in EPIC and 13 776 in the MEC. For the
   cross-sectional comparison of food intake and lifestyle variables at
   baseline, individuals with and without diabetes were matched 1: 1 on
   sex, age in 5-year categories, body mass index in 2.5 kg/m(2) categories
   and country.
   Results: Higher intake of soft drinks (by 13 and 44% in the EPIC and
   MEC), and lower consumption of sweets, juice, wine and beer (> 10%
   difference) were observed in participants with diabetes compared with
   those without. Consumption of vegetables, fish and meat was slightly
   higher in individuals with diabetes in both studies, but the differences
   were <10%. Findings were more consistent across different ethnic groups
   than countries, but generally showed largely similar patterns.
   Conclusions: Although diabetes patients are expected to undergo
   nutritional education, we found only small differences in dietary
   behavior in comparison with cohort members without diabetes. These
   findings suggest that emphasis on education is needed to improve the
   current behaviors to assist in the prevention of complications. European
   Journal of Clinical Nutrition (2011) 65, 635-641; doi:
   10.1038/ejcn.2011.11; published online 23 February 2011
RI Toledo, Estefania/H-6211-2014; Grioni, Sara/K-5320-2016; Sonestedt, Emily/I-3814-2016; Franks, Paul/AAA-3300-2020; Nöthlings, Ute/B-2713-2010; Romaguera, Dora/AAB-2852-2020; Romaguera, Dora/ABE-7004-2020; Dethlefsen, Claus/B-7832-2008; Teucher, Birgit/J-6380-2015; Mattiello, Amalia AM/K-5112-2016; tumino, rosario/; Sacerdote, Carlotta/; Bendinelli, Benedetta/; Venkatasubramanian, Siddharth/; Overvad, Kim/; Gueranger, Anne-Claire/; Tjonneland, Anne/; Sluik, Diewertje/; Beulens, Joline/; Dethlefsen, Claus/
OI Toledo, Estefania/0000-0002-6263-4434; Grioni, Sara/0000-0002-5891-8426;
   Sonestedt, Emily/0000-0002-0747-4562; Romaguera,
   Dora/0000-0002-5762-8558; Mattiello, Amalia AM/0000-0003-3676-7353;
   tumino, rosario/0000-0003-2666-414X; Sacerdote,
   Carlotta/0000-0002-8008-5096; Bendinelli, Benedetta/0000-0002-4796-1517;
   Venkatasubramanian, Siddharth/0000-0002-5860-0768; Overvad,
   Kim/0000-0001-6429-7921; Gueranger, Anne-Claire/0000-0003-0728-9313;
   Tjonneland, Anne/0000-0003-4385-2097; Sluik,
   Diewertje/0000-0001-6304-0913; Beulens, Joline/0000-0002-4181-0937;
   Dethlefsen, Claus/0000-0003-3994-6189
Z8 0
ZR 2
ZA 0
ZB 25
ZS 0
TC 38
Z9 39
U1 0
U2 21
SN 0954-3007
EI 1476-5640
UT WOS:000290249200011
PM 21346715
ER

PT J
AU McLernon, David J.
   Bond, Christine M.
   Lee, Amanda J.
   Watson, Margaret C.
   Hannaford, Philip C.
   Fortnum, Heather
   Krska, Janet
   Anderson, Claire
   Murphy, Elizabeth
   Avery, Anthony
CA Yellow Card Study Collaboration
TI Patient views and experiences of making adverse drug reaction reports to
   the Yellow Card Scheme in the UK
SO PHARMACOEPIDEMIOLOGY AND DRUG SAFETY
VL 20
IS 5
BP 523
EP 531
DI 10.1002/pds.2117
PD MAY 2011
PY 2011
AB Purpose To describe the characteristics of patient reporters to the UK's
   Yellow Card Scheme (YCS) and the suspect drugs reported, and to
   determine patient views and experiences of making a Yellow Card report.
   Methods A questionnaire was developed for distribution by the Medicines
   and Healthcare products Regulatory Agency (MHRA) to all patients
   reporting through the YCS between March 2008 and January 2009.
   Associations between reporting method (online, postal and telephone) and
   questionnaire responses were examined using Pearson's Chi-squared test.
   Results Evaluable questionnaires were returned by 1362 out of 2008
   reporters (68%). Respondents' median (IQR) age was 56.5 (43.0, 67.0)
   years, 910 (66.8%) were female, 1274 (93.5%) were white and 923 (67.8%)
   had at least a further education qualification. The most frequent
   reporting method was postal (59.8%), followed by online (32.8%) and
   telephone (6.3%). Online reporters were younger with a higher education
   level than those using other reporting methods. Most respondents, 1274
   (93.6%), thought that the report was fairly or very easy to complete,
   although many identified the need for improvements to the system. One
   third (n = 448; 32.9%) expected feedback from the MHRA and 828 (60.8%)
   would have liked feedback. Almost all respondents (n = 1302; 95.6%)
   would report again.
   Conclusions The majority of patients found the current methods of
   reporting suspected ADRs easy to use and would recommend them to others.
   Different methods of reporting were used by different demographic
   subgroups of reporters. Improvements to the system, including the
   provision of feedback to reporters, could be made. Copyright (C) 2011
   John Wiley & Sons, Ltd.
RI McLernon, David/D-5167-2012; Hannaford, Philip C/B-7867-2012; , Margaret/; Avery, Anthony/; Anderson, Claire/
OI McLernon, David/0000-0001-8905-2429; , Margaret/0000-0002-8198-9273;
   Avery, Anthony/0000-0001-7591-4438; Anderson, Claire/0000-0002-5406-2296
ZR 0
TC 29
ZA 0
ZB 13
ZS 0
Z8 0
Z9 29
U1 0
U2 3
SN 1053-8569
EI 1099-1557
UT WOS:000289996500011
PM 21328634
ER

PT J
AU Gabbard, Glen O.
   Kassaw, Kristin A.
   Perez-Garcia, Gonzalo
TI Professional Boundaries in the Era of the Internet
SO ACADEMIC PSYCHIATRY
VL 35
IS 3
BP 168
EP 174
DI 10.1176/appi.ap.35.3.168
PD MAY-JUN 2011
PY 2011
AB Objective: The era of the Internet presents new dilemmas in educating
   psychiatrists about professional boundaries. The objective of this
   overview is to clarify those dilemmas and offer recommendations for
   dealing with them.
   Method: The characteristics of social networking sites, blogs, and
   search engines are reviewed with a specific focus on their potential to
   present problems of professional boundaries for psychiatrists.
   Results: The professional boundary questions that have arisen in the
   expanded world of online communication can be subdivided into three
   areas: ethical concerns, professionalism issues, and clinical dilemmas.
   Only the first category involves true boundary problems as normally
   defined.
   Conclusions: The expansion of the Internet has redefined traditional
   areas of privacy and anonymity in the clinical setting. Guidelines are
   proposed to manage the alteration of professional boundaries, as well as
   issues of professionalism and clinical work, that have arisen from the
   complexities of cyberspace. The author discusses implications for
   residency training. Academic Psychiatry 2011; 35: 168-174
ZR 0
TC 64
ZB 5
ZS 3
Z8 0
ZA 0
Z9 67
U1 0
U2 14
SN 1042-9670
UT WOS:000290787500004
PM 21602438
ER

PT J
AU Kraemer, Bernhard
   Birch, Jennifer C.
   Birch, Judy V.
   Petri, Nina
   Ahmad, Umar
   Marikar, Dilshad
   Wallwiener, Markus
   Wallwiener, Christian
   Foran, Amanda
   Rajab, Taufiek K.
TI Patients' awareness of postoperative adhesions: results from a
   multi-centre study and online survey
SO ARCHIVES OF GYNECOLOGY AND OBSTETRICS
VL 283
IS 5
BP 1069
EP 1073
DI 10.1007/s00404-010-1504-3
PD MAY 2011
PY 2011
AB To analyse and to compare how female patients are informed about
   adhesions and their related problems by surgeons preoperatively.
   Over 8 weeks 105 patients (Germany) and 82 (UK) patients admitted for
   laparoscopic or open abdominopelvic surgery were interviewed
   preoperatively in a multi-centre study in Germany and the UK. 212
   responses to an online survey were also analysed.
   Less than 50% of patients are made aware of adhesions. Even fewer
   patients were told about complications caused by adhesions. Lack of
   knowledge is cited by 46% of patients as a reason for health
   professionals not informing them about adhesions. 41% considered
   adhesions as not sufficiently important. Patients who had previously
   heard of adhesions were most commonly informed by physicians.
   There is lack of information among patients and physicians about
   adhesions and their complications. Written information before surgery
   and computer-based applications may help raise patient's awareness.
RI Wallwiener, Markus/AAH-9038-2021; Birch, Judy/; Ahmad, Umar Naeem/; Marikar, Dilshad/
OI Birch, Judy/0000-0003-3911-2627; Ahmad, Umar Naeem/0000-0002-5186-965X;
   Marikar, Dilshad/0000-0001-9303-2359
Z8 0
ZB 1
TC 5
ZR 0
ZA 0
ZS 0
Z9 5
U1 0
U2 2
SN 0932-0067
UT WOS:000289896600025
PM 20473762
ER

PT J
AU Rowen, Tami S.
   Smith, James F.
   Eisenberg, Michael L.
   Breyer, Benjamin N.
   Drey, Eleanor A.
   Shindel, Alan W.
TI Contraceptive usage patterns in North American medical students
SO CONTRACEPTION
VL 83
IS 5
BP 459
EP 465
DI 10.1016/j.contraception.2010.09.011
PD MAY 2011
PY 2011
AB Background: Previous studies indicate that the sexual beliefs and mores
   of students in medical professions may influence their capacity to care
   for patients' sexuality and contraception issues. Students also
   represent a large sample of reproductive-age individuals. In this study,
   we examined contraceptive usage patterns in North American medical
   students.
   Study Design: Students using online medical student social and
   information networks enrolled in allopathic and osteopathic medical
   schools in North America between February and July of 2008 were invited
   to participate via email and published announcements in an
   Internet-based survey consisting of a questionnaire that assessed
   ethnodemographic factors, year in school and sexual history. We also
   collected information about current use of contraceptive and barrier
   methods. Descriptive statistics and logistic regression were utilized to
   analyze responses.
   Results: Among our 2269 complete responses, at least one form of
   contraception was being utilized by 71% of men and 76% of women. Condoms
   were the most popular form of contraceptive, utilized by 1011
   respondents (50% of men and 40% of women). Oral contraceptive pills were
   the contraceptive of choice for 34% of men and 41% of women. Decreased
   rates of contraception use were associated with being black or Asian,
   not being in a relationship and having more sexual dysfunction in female
   respondents. Students who reported comfort discussing sexual issues with
   patients were more likely to use effective contraceptive methods
   themselves. Ten percent of this of sexually active medical students was
   not currently using contraception.
   Conclusions: There are significant differences in contraceptive use
   based on demographics, even at the highest education levels. The
   personal contraception choices of medical students may influence their
   ability to accurately convey information about contraception to their
   patients. In addition, medical students may personally benefit from
   improved knowledge of effective contraceptive practices. (C) 2011
   Elsevier Inc. All rights reserved.
OI Eisenberg, Michael/0000-0001-5482-0141
TC 15
ZR 0
ZA 0
ZS 1
Z8 0
ZB 5
Z9 16
U1 0
U2 11
SN 0010-7824
UT WOS:000289821600013
PM 21477690
ER

PT J
AU Eskenazi, Ednalva de Sousa
   Martins, Milton de Arruda
   Ferreira, Mario, Jr.
TI Oral Health Promotion Through an Online Training Program for Medical
   Students
SO JOURNAL OF DENTAL EDUCATION
VL 75
IS 5
BP 672
EP 678
PD MAY 2011
PY 2011
AB The objective of this study was to compare the impact on knowledge and
   counseling skills of face-to-face and Internet-based oral health
   training programs on medical students. Participants consisted of 148 (82
   percent) of the 180 invited students attending their fifth academic year
   at the Faculty of Medicine, University of Sao Paulo, Brasil, in 2007.
   The interventions took place during a three-month training period in the
   clinical Center for Health Promotion, which comprised part of a
   clerkship in Internal Medicine. The students were divided into four
   groups: 1) Control Group (Control), with basic intervention; 2) Brochure
   Group (Br), with basic intervention plus complete brochure with oral
   health themes; 3) Cybertutor Group (Cy), with basic intervention plus
   access to an Internet-based training program about oral health themes;
   and 4) Cybertutor + Contact Group (Cy+C), the same as Cy plus brief
   proactive contact with a tutor. The impact of these interventions on
   student knowledge was measured with pre- and post assessments, and
   student skills in asking and counseling about oral health were assessed
   with an objective structured clinical examination (OSCE). Multivariate
   logistic regression models were applied to identify the odds ratios of
   scoring above Control's medians on the final assessment and the OSCE. In
   the results, Cy+C performed significantly better than Control on both
   the final assessment (OR 9.4; 95% CI 2.7-32.8) and the OSCE (OR 5.6; 95%
   CI 1.9-16.3) and outperformed all the other groups. The Cy+C group
   showed the most significant increase in knowledge and the best skills in
   asking and counseling about oral health.
RI Martins, Milton A/L-7541-2017
ZR 0
ZS 6
ZA 0
TC 9
ZB 0
Z8 0
Z9 12
U1 1
U2 5
SN 0022-0337
UT WOS:000290371800011
PM 21546601
ER

PT J
AU Ahmed, Kamran
   Ibrahim, Amel
   Anderson, Oliver
   Patel, Vanash M.
   Zacharakis, Emmanouil
   Darzi, Ara
   Paraskeva, Paraskevas
   Athanasiou, Thanos
TI Development of a Surgical Educational Research Program-Fundamental
   Principles and Challenges
SO JOURNAL OF SURGICAL RESEARCH
VL 167
IS 2
BP 298
EP 305
DI 10.1016/j.jss.2010.11.916
PD MAY 2011
PY 2011
AB Background. Surgical educational research is the scientific
   investigation of any aspect of surgical learning, teaching, training,
   and assessment. The research into development and validation of
   educational tools is vital to optimize patient care. This can be
   accomplished by establishing high quality educational research programs
   within academic surgical departments. This article aims to identify the
   components involved in educational research and describes the challenges
   as well as solutions to establishing a high quality surgical educational
   research program.
   Methods. A variety of sources including journal articles, books, and
   online literature were reviewed in order to determine the pathways
   involved in conducting educational research and establishing a research
   program.
   Results. It is vital to ensure that educational research is acceptable,
   innovative, robust in design, funded correctly, and disseminated
   successfully. Challenges faced by the current surgical research programs
   include structural organization, academic support, credibility, time,
   funding, relevance, and growth. The solutions to these challenges have
   been discussed.
   Conclusions. To ensure research in surgical education is of high quality
   and yields credible results, strong leadership in the organization of an
   educational research program is necessary. (C) 2011 Elsevier Inc. All
   rights reserved.
RI Anderson, Oliver/B-1434-2010
OI Anderson, Oliver/0000-0001-6216-2679
ZR 0
ZA 0
ZS 0
TC 9
ZB 1
Z8 0
Z9 9
U1 1
U2 2
SN 0022-4804
EI 1095-8673
UT WOS:000289407800062
PM 21236444
ER

PT J
AU Nisar, Pasha J.
   Scott, Humphrey J.
TI Key Attributes of a Modern Surgical Trainer: Perspectives from
   Consultants and Trainees in the United Kingdom
SO JOURNAL OF SURGICAL EDUCATION
VL 68
IS 3
BP 202
EP 208
DI 10.1016/j.jsurg.2010.12.010
PD MAY-JUN 2011
PY 2011
AB OBJECTIVE: This study identifies key attributes of a modern surgical
   trainer as defined by individual trainees and consultant training
   faculty members.
   DESIGN: Using a collaborative inquiry process, we conducted focus groups
   and semistructured interviews with 32 trainees and 10 consultant
   trainers in general surgery. This study was undertaken in a single
   postgraduate deanery in the United Kingdom. Key trainer attributes were
   identified and categorized into themes.
   RESULTS: Key attributes identified by core trainees (CTs) were
   enthusiasm, giving feedback, setting targets, completing online
   assessments, and inspiring trainees. From specialty trainees (STs), key
   attributes were leading in difficult situations, patience, ensuring
   trainees perform cases, inspiring trainees, and being a role model. Key
   attributes from consultants were engaging other trainers, awareness of
   individual needs, ensuring trainees perform cases, discussing problems
   sympathetically, and patience. Effective communication was the principal
   trainer theme for CTs and STs identified the principal theme of
   leadership. These themes were emphasized also by trainers.
   CONCLUSIONS: Trainees and trainers have different beliefs on the
   attributes a good surgical trainer should possess. These findings may be
   used to promote understanding between trainees and trainers of the
   expectations and difficulties faced by surgical consultants. (J Surg
   68:202-208. (C) 2011 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.)
ZA 0
TC 15
ZR 0
ZS 0
ZB 1
Z8 0
Z9 15
U1 0
U2 4
SN 1931-7204
UT WOS:000289877700010
PM 21481805
ER

PT J
AU Ludlow, Marie J.
   George, Charles R. P.
   Hawley, Carmel M.
   Mathew, Timothy H.
   Agar, John W. M.
   Kerr, Peter G.
   Lauder, Lydia A.
TI How Australian nephrologists view home dialysis: Results of a national
   survey
SO NEPHROLOGY
VL 16
IS 4
BP 446
EP 452
DI 10.1111/j.1440-1797.2010.01403.x
PD MAY 2011
PY 2011
AB Aim: Australia's commitment to home dialysis therapies has been
   significant. However, there is marked regional variation in the uptake
   of home haemodialysis (HD) and peritoneal dialysis (PD) suggesting
   further scope for the expansion of these modalities.
   Methods: Between 1 April and 5 August 2009, Australian nephrologists
   were invited to complete an online survey. Seventy-six questions were
   asked covering characteristics of the dialysis units, responders'
   experience, adequacy of facilities and support structures, attitudes to
   the use of home HD and PD and issues impeding the increased uptake of
   home dialysis.
   Results: Completed surveys were received and analysed from 71
   respondents; 27 from Heads of Units (35% response rate) and 44 (16%)
   from other nephrologists. There was strong agreement that HD with long
   hours was advantageous and that this was most easily accomplished in the
   home. PD was not considered to be an inferior therapy. A 'PD first'
   policy existed in 34% of Renal Units. The most commonly reported
   impediments to expanding home dialysis services were financial
   disadvantage for home HD patients, and lack of physical infrastructure
   for training, support and education. Areas of concern for expanding home
   dialysis programmes included psychiatry support, access to respite care
   and home visits, and lack of support from medical administration and
   government. The majority of nephrologists would recommend home dialysis
   to more patients if these impediments could be overcome.
   Conclusion: This survey identified support from nephrologists for the
   expansion of home dialysis in Australia and highlighted important
   barriers to improving access to these therapies.
RI Hawley, Carmel Mary/C-4905-2011; Kerr, Peter G/I-1461-2013
OI Hawley, Carmel Mary/0000-0002-1392-5649; 
Z8 0
ZA 0
TC 59
ZS 2
ZB 8
ZR 0
Z9 61
U1 0
U2 4
SN 1320-5358
UT WOS:000289899500014
PM 21518119
ER

PT J
AU Weiss, Kenneth M.
   Lambert, Brian W.
TI When the Time Seems Ripe: Eugenics, the Annals, and the Subtle
   Persistence of Typological Thinking
SO ANNALS OF HUMAN GENETICS
VL 75
BP 334
EP 343
DI 10.1111/j.1469-1809.2010.00611.x
PN 3
PD MAY 2011
PY 2011
AB P>This journal began in 1925 as the Annals of Eugenics. Much has changed
   since then. The original Editors' primary eugenic objective was not
   achieved, and eugenics justifiably became notorious for racism and gross
   abuse of human rights. But one founding aim was to publish advances in
   statistical genetics, and that objective prospered in the journal's
   pages from its beginning to the present day. The online availability of
   the original issues will be useful to those interested in the history of
   both eugenics and human genetics and will provide a reminder of how the
   careless use of genetical concepts can go astray.
Z8 0
ZS 0
ZB 4
TC 6
ZA 0
ZR 0
Z9 6
U1 0
U2 15
SN 0003-4800
EI 1469-1809
UT WOS:000289482300004
PM 21488850
ER

PT J
AU Barsoum, Rashad S.
TI A mission in evolution: the International Society of Nephrology in the
   past 10 years-2001-2010
SO KIDNEY INTERNATIONAL
VL 79
IS 9
BP 935
EP 943
DI 10.1038/ki.2011.7
PD MAY 2011
PY 2011
AB The International Society of Nephrology is now 50 years old! It has
   dedicated the year 2010 to celebrate its Gold Anniversary in many ways,
   including documentation of its progress during the past decade,
   following an earlier article addressing the period 1960-2000. The
   present article describes the changing mission of the Society in the
   direction of achieving its ultimate vision of "global elimination of
   kidney disease.'' While maintaining its leadership in the promotion of
   science, it became the prime driving force in capacity building for the
   diagnosis, prevention and management of kidney disease in the developing
   world. The society has recently modified its directive from addressing
   only the physicians providing renal care to supporting other health care
   providers, and sharing in community education on how to avoid kidney
   disease. This required the acquisition of new skills in publishing,
   marketing, politics and fund-raising, which could only be handled by
   professional management, which the Society has utilized since 2003. It
   also necessitated enlargement of the leadership circle to include
   members from all over the world, for which reason the constitution had
   to be amended twice during the past decade, and the bylaws re-written in
   2007. The pride that International Society of Nephrology takes from its
   scientific and outreach achievements is the fuel that drives its
   machinery to endless horizons in the humanitarian arena. Kidney
   International (2011) 79, 935-943; doi:10.1038/ki.2011.7; published
   online 9 February 2011
OI Barsoum, Rashad/0000-0003-1620-764X
TC 2
ZR 0
Z8 0
ZA 0
ZB 1
ZS 0
Z9 2
U1 0
U2 1
SN 0085-2538
UT WOS:000289514400003
PM 21307837
ER

PT J
AU Harper, J. Garrett
   Given, Kenna S.
   Pettitt, Barbara
   Losken, Albert
TI The Independent Plastic Surgery Match An In-Depth Analysis of the
   Applicants and Process
SO ANNALS OF PLASTIC SURGERY
VL 66
IS 5
BP 568
EP 571
DI 10.1097/SAP.0b013e31820b3cea
PD MAY 2011
PY 2011
AB Background: The independent plastic surgery match is an extremely
   competitive process that remains the most common training model for
   residents. The purpose of this study was to analyze the candidates and
   the overall process, both quantitative and qualitatively.
   Methods: Between 2006 and 2008, an anonymous 25-question online survey
   was sent to all applicants of the match. Questions regarding
   demographics, the match process, financial burden, and qualitative
   issues were all included. Information from the American Board of Plastic
   Surgery and The San Francisco Match was also used to evaluate the
   application and distribution process.
   Results: A total of 137 applicants responded (29.2% response rate). Of
   the responders, 62.5% were aged 30 to 34 years, 77.2% male, 66.2% white,
   94.1% in general surgery residencies, and 66.2% at an academic setting,
   with 39.7% at an institution that also had a plastic surgery residency
   program. For successful matchers, an average of 13.6 invitations were
   awarded, 10.02 interviews were attended, and they matched to number 2.52
   on their list. Of all, 64.5% spent more than $4000 on the process,
   whereas 9.2% spent more than $10,000. Applicants receiving 1 to 4, 5 to
   9, and 10 or more interviews had successful match rates of 47.2%, 62.9%,
   and 92.9%, respectively. In all, 45% of unsuccessful applicants stated
   that the stress on themselves and their family was the number one reason
   to not reapply.
   Conclusions: Candidates applying to the independent plastic surgery
   match need to be aware of the competitiveness and financial commitment
   the process requires.
CT 53rd Annual Scientific Meeting of the
   Southeastern-Society-of-Plastic-and-Reconstructive-Surgeons (SESPRS)
CY JUN 12-16, 2010
CL W Palm Beach, FL
SP SE Soc Plast & Reconstruct Surg (SESPRS)
ZB 1
TC 20
ZR 0
Z8 0
ZS 0
ZA 0
Z9 20
U1 0
U2 4
SN 0148-7043
EI 1536-3708
UT WOS:000289287300033
PM 21372669
ER

PT J
AU Beling, Jennifer
   Libertini, Linda S.
   Sun, Zhiyuan
   Masina, V. Maria
   Albert, Nancy M.
TI Predictors for Electronic Survey Completion in Healthcare Research
SO CIN-COMPUTERS INFORMATICS NURSING
VL 29
IS 5
BP 297
EP 301
DI 10.1097/NCN.0b013e3182065fbb
PD MAY 2011
PY 2011
AB Few studies have examined patients' preferences for and predictors of
   completing health surveys by paper versus Internet. The purpose of this
   study was to examine if participants of registry research preferred to
   complete health surveys by the Internet or paper, and if demographics
   and previous computer experiences were associated with health survey
   completion method preference. Using a descriptive design and convenience
   sample, participants of colorectal surgery registries completed an
   18-item survey about Internet use and personal characteristics. Multiple
   linear regressions were used to determine predictors of total Internet
   use and access and survey preference. In 526 participants, preference
   for Internet-based health survey completion was associated with younger
   age, higher education, computer ownership, and using e-health medical
   records (all P <= 01). Those who previously completed Internet-based
   health surveys were more often married or divorced and computer owners
   and had electronic access to health records (all P <= 001). After
   multivariable regression, the Internet use/access sum score was
   associated with computer ownership, using a secure Web-based system and
   preference for completing electronic health surveys (all P < 001). In
   conclusion, after controlling for demographics, computer ownership,
   comfort in using Web-based systems including surveys, and access to
   computerized health records predicted preference for completing
   research-based health surveys by the Internet.
ZR 0
ZS 0
ZA 0
Z8 0
TC 6
ZB 0
Z9 6
U1 0
U2 3
SN 1538-2931
EI 1538-9774
UT WOS:000291198300005
PM 21160426
ER

PT J
AU Lo, Vincent
   Ward, Coburn
TI 2011 ACGME Duty Hour Week Proposal-A National Survey of Family Medicine
   Residents
SO FAMILY MEDICINE
VL 43
IS 5
BP 318
EP 324
PD MAY 2011
PY 2011
AB BACKGROUND AND OBJECTIVES: In July 2010, the Accreditation Council for
   Graduate Medical Education (ACGME) published its proposed duty-hour
   regulations. We conducted a national online survey to assess current
   family medicine residents' perceptions of the proposed changes.
   METHODS: A 27-question survey was used to assess four ACGME proposal
   domains: resident supervision, 80-duty-hour week, maximum duty-period
   length, and maximum frequency of in-hospital duty. Additionally, we
   surveyed opinions on reasonable weekly work hours, under-reporting
   practice, and residents' activities during hours off, residents'
   perceptions of their program's ability to comply with future duty-hour
   regulations, and their overall satisfactions. Members of the Association
   of Family Medicine Residency Directors (AFMRD) were invited to send the
   survey Web link to their residents.
   RESULTS: Out of 720 respondents, 30% supported revision of current
   duty-hour work rules; 58% disagreed with limiting interns' working hours
   to 16 hours per day; 48% perceived revision of resident supervision
   favorably; 26% expressed concern about continuing the current
   80-duty-hour week rule; 75% supported limiting night duty to six
   consecutive nights; 83% agreed that reasonable resident weekly work
   hours should be 60-80 hours; and 18% admitted under-reporting of duty
   hours. Residents' hours off activities varied. Only 57% believed that
   their program will be able to implement the new changes effectively.
   Overall satisfaction with the future duty-hour rules were mixed: very
   satisfied (7%), satisfied (24%), somewhat satisfied (27%), unsatisfied
   (23%), and very unsatisfied (18%).
   CONCLUSIONS: Support for the proposed ACGME duty-hour regulations was
   mixed among current family medicine residents. Respondents and residency
   program directors shared similar concerns about some of the recommended
   changes.
ZS 0
ZB 2
ZA 0
Z8 0
TC 15
ZR 0
Z9 15
U1 0
U2 5
SN 0742-3225
EI 1938-3800
UT WOS:000306197700003
PM 21557100
ER

PT J
AU Benchimol, Eric I.
   Walters, Thomas D.
   Kaufman, Miriam
   Frost, Karen
   Fiedler, Karoline
   Chinea, Zenaida
   Zachos, Mary
TI Assessment of Knowledge in Adolescents with Inflammatory Bowel Disease
   Using a Novel Transition Tool
SO INFLAMMATORY BOWEL DISEASES
VL 17
IS 5
BP 1131
EP 1137
DI 10.1002/ibd.21464
PD MAY 2011
PY 2011
AB Background: In the transition from pediatric to adult care, patients are
   expected to increase their level of self-care. Knowledge of disease
   characteristics, medications, and resources is crucial. This study
   evaluated the knowledge of adolescents with inflammatory bowel disease
   (IBD) and their parents in four major domains: disease characteristics,
   treatments, medical history, and health services resources.
   Methods: Patients age 14-18 years and their parents completed MyHealth
   Passport for IBD as a cross-sectional assessment of knowledge. Responses
   were evaluated for accuracy using medical records. The proportion of
   correct responses between patients/parents were compared.
   Results: In all, 78 patients (age 16.2 +/- 1.2 years, IBD duration 3.6
   +/- 2.5 years), and 64 parents participated. Patients and parents were
   equally likely to answer questions correctly regarding disease
   characteristics and treatment, but not health services resources. Most
   patients accurately identified IBD classification and listed
   medications. Neither patients nor parents accurately identified disease
   location or previous investigation results. Parents more likely
   correctly named insurance provider (odds ratio [OR] 6.33, 95% confidence
   intervals [CI] 2.68-15.0), and pharmacy location (OR 18.5, 95% CI
   4.6-76.8). Multivariate regression revealed that patients with IBD type
   unclassified were more likely to be aware of their diagnostic
   classification (OR 17.2, 95% CI 2.81-105.4 compared with Crohn's disease
   patients). Older patients were less likely to recall if they had a small
   bowel x-ray (OR 0.59, 95% CI 0.35-0.996).
   Conclusions: Future educational interventions should target areas of
   weakness in adolescent knowledge, particularly health services
   resources. The MyHealth Passport for IBD (available freely online) could
   educate and instill independence in the transitioning adolescent.
   (Inflamm Bowel Dis 2011;17:1131-1137)
RI Benchimol, Eric Ian/A-7711-2010; Zachos, Mary/AAS-3163-2021
OI Benchimol, Eric Ian/0000-0001-8855-3598; Zachos,
   Mary/0000-0002-5582-2760
TC 71
ZB 20
ZA 0
ZR 0
ZS 1
Z8 0
Z9 71
U1 0
U2 5
SN 1078-0998
UT WOS:000289367100010
PM 21484961
ER

PT J
AU Pilcher, Jobeth W
   Bedford, Laurie
TI Willingness and preferences of nurses related to learning with
   technology.
SO Journal for nurses in staff development : JNSD : official journal of the
   National Nursing Staff Development Organization
VL 27
IS 3
BP E10
EP 6; quiz E17-8
DI 10.1097/NND.0b013e318217b447
PD 2011 May-Jun
PY 2011
AB To what extent are nurses willing to learn with technology-enhanced
   tools, such as online education, podcasts, webcasts, mobile learning,
   and realistic simulations? What factors influence their willingness?
   This article includes a description of a mixed methodology study that
   addressed these questions. Nurses of all ages indicated a willingness to
   learn with a variety of technological tools. Primary determinants of
   willingness were associated with ease of use, familiarity, convenience,
   and perceived benefit.
TC 10
ZS 0
ZA 0
ZR 0
ZB 0
Z8 0
Z9 10
U1 0
U2 5
EI 1538-9049
UT MEDLINE:21602623
PM 21602623
ER

PT J
AU Palma, J. P.
   Sharek, P. J.
   Longhurst, C. A.
TI Impact of electronic medical record integration of a handoff tool on
   sign-out in a newborn intensive care unit
SO JOURNAL OF PERINATOLOGY
VL 31
IS 5
BP 311
EP 317
DI 10.1038/jp.2010.202
PD MAY 2011
PY 2011
AB Objective: To evaluate the impact of integrating a handoff tool into the
   electronic medical record (EMR) on sign-out accuracy, satisfaction and
   workflow in a neonatal intensive care unit (NICU).
   Study Design: Prospective surveys of neonatal care providers in an
   academic children's hospital 1 month before and 6 months following EMR
   integration of a standalone Microsoft Access neonatal handoff tool.
   Result: Providers perceived sign-out information to be somewhat or very
   accurate at a rate of 78% with the standalone handoff tool and 91% with
   the EMR-integrated tool (P < 0.01). Before integration of neonatal
   sign-out into the EMR, 35% of providers were satisfied with the process
   of updating sign-out information and 71% were satisfied with the printed
   sign-out document; following EMR integration, 92% of providers were
   satisfied with the process of updating sign-out information (P < 0.01)
   and 98% were satisfied with the printed sign-out document (P < 0.01).
   Neonatal care providers reported spending a median of 11 to 15 min/day
   updating the standalone sign-out and 16 to 20 min/day updating the
   EMR-integrated sign-out (P = 0.026). The median percentage of total
   sign-out preparation time dedicated to transcribing information from the
   EMR was 25 to 49% before and < 25% after EMR integration of the handoff
   tool (P < 0.01).
   Conclusion: Integration of a NICU-specific handoff tool into an EMR
   resulted in improvements in perceived sign-out accuracy, provider
   satisfaction and at least one aspect of workflow. Journal of
   Perinatology (2011) 31, 311-317; doi:10.1038/jp.2010.202; published
   online 27 January 2011
OI Longhurst, Christopher/0000-0003-4908-6856
ZB 11
Z8 1
TC 47
ZS 0
ZA 0
ZR 0
Z9 48
U1 0
U2 6
SN 0743-8346
UT WOS:000289982300003
PM 21273990
ER

PT J
AU Jones, David R.
   Mack, Michael J.
   Patterson, Alexander
   Cohn, Lawrence H.
TI A positive return on investment: Research funding by the Thoracic
   Surgery Foundation for Research and Education (TSFRE)
SO JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
VL 141
IS 5
BP 1103
EP 1106
DI 10.1016/j.jtcvs.2011.03.010
PD MAY 2011
PY 2011
AB Objectives: The Thoracic Surgery Foundation for Research and Education
   (TSFRE) was formed in 1991 with the primary goals of generating new
   knowledge and nurturing the development of surgeon-scientists. The
   purpose of this article is to determine how effective the TSFRE has been
   in achieving these goals.
   Methods: A survey instrument was sent electronically to all former and
   current TSFRE research award recipients. Major themes included the
   benefits on TSFRE award recipients with respect to career choices of
   thoracic surgery, progress toward research independence, and the ability
   to leverage TSFRE funds to more substantive National Institutes of
   Health (NIH) awards. Success rates for NIH funding were confirmed using
   NIH Research Portfolio Online Reporting Tools.
   Results: The total completed survey response rate was 70% (75/107). The
   response rates for each group were as follows: resident 74% (28/38),
   faculty 85% (29/34), Braunwald 50% (9/18), and TSFRE/NIH K-award 65%
   (11/17). The funding rate for all grants was 14% (90/619). For resident
   research awardees, 81% (34/42) are cardiothoracic surgeons or are
   thoracic surgery residents. The conversion rate for existing TSFRE/NIH
   co-sponsored K-awards to R01 grants is 40% at 5 years compared with a
   20% K to R conversion rate for all NIH K-award recipients. K to R
   conversion rates for junior faculty grant awardees without a prior
   K-award is 44%, which is much higher than NIH rates for all new
   investigator R01 awards.
   Conclusions: The return on investment for TSFRE funding for
   surgeon-scientists is resoundingly positive with respect to promoting
   careers in cardiothoracic surgery and to obtaining subsequent NIH
   funding for thoracic surgeon investigators. (J Thorac Cardiovasc Surg
   2011; 141: 1103-6)
OI Jones, David/0000-0002-3318-0146
Z8 0
ZB 6
TC 20
ZR 0
ZA 0
ZS 0
Z9 20
U1 0
U2 1
SN 0022-5223
EI 1097-685X
UT WOS:000289546100009
PM 21497233
ER

PT J
AU Abbritti, G.
   Bertazzi, P. A.
   Murgia, N.
   Tinozzi, Chiara
   Apostoli, P.
TI Permanent education, updating and accreditation in Occupational
   Medicine: the contribution of the Italian Society of Occupational
   Medicine and Industrial Hygiene (SIMLII) in the first decade of the 21st
   century
SO MEDICINA DEL LAVORO
VL 102
IS 3
BP 227
EP 242
PD MAY-JUN 2011
PY 2011
AB "Permanent education, updating and accreditation in Occupational
   Medicine: the contribution of the Italian Society of Occupational
   Medicine and Industrial Hygiene (SIMLII) in the first decade of the 21st
   century". Background. Permanent education of health workers is
   obligatory under Italian legislation and is managed by the Ministry of
   Health through its Permanent Education Programme. Methods. In 2000 the
   Italian Society of Occupational Medicine and Industrial Hygiene
   (SIMLII), set up and implemented a programme of Permanent Education and
   Accreditation for specialists in occupational medicine, based on
   participation in "non-mandatory" and "mandatory" educational activities.
   "Non-mandatory" activities were chosen by the individual physician for
   education in topics related to occupational medicine. "Mandatory"
   educational activities, which were organised by the Society, included
   in-depth analysis of the Society's guidelines related to specific topics
   in occupational medicine. Results and Discussion. The Guidelines study
   course played a pre-eminent role in the Society's permanent education
   programme and was greatly appreciated by all participants. The Board of
   the Society has recently approved a new Plan of Permanent Education,
   identifying the means (Guidelines, Consensus Documents) whereby
   occupational physicians can improve their professional standards. The
   Plan's aims are to facilitate accreditation and also to identify and
   promote high-quality updating programmes which will lead to recognition
   of "professional excellence". Crucial to its success will be a 3-year
   on-line learning programme (MeLA) that SIMLII has just implemented,
   which will enable occupational physicians to acquire credits in
   "Occupational Medicine and Workplace Safety", as required by current
   Italian legislation. This article summarizes SIMLII activities over the
   past ten years in the field of permanent medical education for
   occupational physicians.
RI bertazzi, pietro alberto/D-5039-2017; MURGIA, Nicola/K-8342-2016
OI bertazzi, pietro alberto/0000-0003-3475-2449; MURGIA,
   Nicola/0000-0001-8180-1018
TC 1
ZA 0
ZB 0
ZS 0
Z8 0
ZR 0
Z9 1
U1 0
U2 3
SN 0025-7818
UT WOS:000290167400001
PM 21797040
ER

PT J
AU Mooney, Ellen
   Hood, Antoinette F.
   Lampros, James
   Kempf, Werner
   Jemec, Gregor B. E.
TI Comparative diagnostic accuracy in virtual dermatopathology
SO SKIN RESEARCH AND TECHNOLOGY
VL 17
IS 2
BP 251
EP 255
DI 10.1111/j.1600-0846.2010.00493.x
PD MAY 2011
PY 2011
AB Background
   Virtual microscopy can be used to teach histology and pathology and for
   in-training and certification examinations. A few online consultation
   websites already utilize virtual microscopy, thereby expanding the role
   of telemedicine in dermatopathology. There are, however, relatively few
   studies comparing the diagnostic accuracy and acceptability of virtual
   slides compared to traditional glass slides.
   Methods
   Ten Nordic dermatopathologists and pathologists were given a randomized
   combination of 20 virtual and glass slides and asked to identify the
   diagnoses. They were then asked to give their impressions about the
   virtual images. Descriptive data analysis and comparison of groups using
   Fisher's exact test were performed.
   Objective
   To compare the diagnostic ability of dermatopathologists and
   pathologists in two image formats: the traditional (glass) microscopic
   slides, and whole mount digitized images, and to elucidate their
   assessment of virtual microscopy in dermatopathology.
   Results
   Dermatopathologists and pathologists performed similarly in diagnosing
   dermatopathological disorders using virtual slides vs. glass slides,
   virtual 0.85 and glass 0.81, P=0.286. The order of administration of
   virtual or glass slides did not affect the percentage of questions
   answered correctly. Seven of nine participants completing the
   questionnaire, felt virtual microscopy is useful for both learning and
   testing.
   Conclusion
   There was no significant difference in the participants' diagnostic
   ability using virtual slides compared with glass slides. Most
   participants agreed that virtual microscopy is a useful tool for
   learning and testing.
OI Jemec, Gregor/0000-0002-0712-2540
TC 32
ZA 0
ZS 0
ZR 0
ZB 12
Z8 0
Z9 32
U1 0
U2 2
SN 0909-752X
EI 1600-0846
UT WOS:000288906900017
PM 21251087
ER

PT J
AU Kingsley, Karl
   Galbraith, Gillian M.
   Herring, Matthew
   Stowers, Eva
   Stewart, Tanis
   Kingsley, Karla V.
TI Why not just Google it? An assessment of information literacy skills in
   a biomedical science curriculum
SO BMC MEDICAL EDUCATION
VL 11
AR 17
DI 10.1186/1472-6920-11-17
PD APR 25 2011
PY 2011
AB Background: Few issues in higher education are as fundamental as the
   ability to search for, evaluate, and synthesize information. The need to
   develop information literacy, the process of finding, retrieving,
   organizing, and evaluating the ever-expanding collection of online
   information, has precipitated the need for training in skill-based
   competencies in higher education, as well as medical and dental
   education.
   Methods: The current study evaluated the information literacy skills of
   first-year dental students, consisting of two, consecutive dental
   student cohorts (n = 160). An assignment designed to evaluate
   information literacy skills was conducted. In addition, a survey of
   student online search engine or database preferences was conducted to
   identify any significant associations. Subsequently, an intervention was
   developed, based upon the results of the assessment and survey, to
   address any deficiencies in information literacy.
   Results: Nearly half of students (n = 70/160 or 43%) missed one or more
   question components that required finding an evidence-based citation.
   Analysis of the survey revealed a significantly higher percentage of
   students who provided incorrect responses (n = 53/70 or 75.7%) reported
   using Google as their preferred online search method (p < 0.01). In
   contrast, a significantly higher percentage of students who reported
   using PubMed (n = 39/45 or 86.7%) were able to provide correct responses
   (p < 0.01). Following a one-hour intervention by a health science
   librarian, virtually all students were able to find and retrieve
   evidence-based materials for subsequent coursework.
   Conclusions: This study confirmed that information literacy among this
   student population was lacking and that integration of modules within
   the curriculum can help students to filter and establish the quality of
   online information, a critical component in the training of new health
   care professionals. Furthermore, incorporation of these modules early in
   the curriculum may be of significant value to other dental, medical,
   health care, and professional schools with similar goals of
   incorporating the evidence base into teaching and learning activities.
ZS 1
Z8 0
ZB 3
ZR 1
TC 57
ZA 0
Z9 58
U1 5
U2 105
SN 1472-6920
UT WOS:000290804400002
PM 21518448
ER

PT J
AU Siliquini, Roberta
   Ceruti, Michele
   Lovato, Emanuela
   Bert, Fabrizio
   Bruno, Stefania
   De Vito, Elisabetta
   Liguori, Giorgio
   Manzoli, Lamberto
   Messina, Gabriele
   Minniti, Davide
   La Torre, Giuseppe
TI Surfing the internet for health information: an italian survey on use
   and population choices
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 11
AR 21
DI 10.1186/1472-6947-11-21
PD APR 7 2011
PY 2011
AB Background: Recent international sources have described how the rapid
   expansion of the Internet has precipitated an increase in its use by the
   general population to search for medical information. Most studies on
   e-health use investigated either through the prevalence of such use and
   the social and income patterns of users in selected populations, or the
   psychological consequences and satisfaction experienced by patients with
   particular diseases. Few studies have been carried out in Europe that
   have tried to identify the behavioral consequences of Internet use for
   health-related purposes in the general population. The aims of this
   study are to provide information about the prevalence of Internet use
   for health-related purposes in Italy according to demographic and
   socio-cultural features, to investigate the impact of the information
   found on health-related behaviors and choices and to analyze any
   differences based on health condition, self-rated health and
   relationships with health professionals and facilities.
   Methods: A multicenter survey was designed within six representative
   Italian cities. Data were collected through a validated questionnaire
   administered in hospital laboratories by physicians. Respondents were
   questioned about their generic condition, their use of the Internet and
   their health behaviors and choices related to Internet use. Data were
   analyzed using descriptive statistics and logistic regression to assess
   any differences by socio-demographic and health-related variables.
   Results: The sample included 3018 individuals between the ages of 18 and
   65 years. Approximately 65% of respondents reported using the Internet,
   and 57% of them reported using it to search for health-related
   information. The main reasons for search on the Internet were faster
   access and a greater amount of information. People using the Internet
   more for health-related purposes were younger, female and affected by
   chronic diseases.
   Conclusions: A large number of Internet users search for health
   information and subsequently modify their health behaviors and
   relationships with their medical providers. This may suggest a strong
   public health impact with consequences in all European countries, and it
   would be prudent to plan educational and prevention programs. However,
   it could be important to investigate the quality of health-related
   websites to protect and inform users.
RI La Torre, Giuseppe/AAI-6866-2020; Ceruti, Michele/B-2976-2013; Messina, Gabriele/F-3554-2011; Bert, Fabrizio/; Ceruti, Michele/; Manzoli, Lamberto/K-1895-2018; Bruno, Stefania/
OI La Torre, Giuseppe/0000-0002-1233-2040; Messina,
   Gabriele/0000-0002-2409-4369; Bert, Fabrizio/0000-0002-4329-9028;
   Ceruti, Michele/0000-0003-2455-4473; Manzoli,
   Lamberto/0000-0002-8129-9344; Bruno, Stefania/0000-0002-1551-4771
Z8 0
ZA 0
ZS 2
ZB 18
TC 94
ZR 0
Z9 97
U1 0
U2 33
SN 1472-6947
UT WOS:000289678600001
PM 21470435
ER

PT J
AU Sheaves, Bryony
   Jones, Ray B.
   Williamson, Graham R.
   Chauhan, Rohan
TI Phase 1 pilot study of e-mail support for people with long term
   conditions using the Internet
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 11
AR 20
DI 10.1186/1472-6947-11-20
PD APR 5 2011
PY 2011
AB Background: Use of the Internet for people with Long Term Conditions
   (LTCs) can have a positive effect on knowledge, social support,
   behavioural and clinical outcomes, yet there is concern that a 'digital
   divide' prevents some patients from benefitting. While some patients do
   not have access to the Internet, others that do may still lack expertise
   or the confidence to make full use of it. The aim of this pilot study
   was to develop an intervention and test methods for a definitive
   randomised controlled trial (RCT) of anonymous personal online email
   support for patients in this latter group.
   Methods: Recruitment success was evaluated by the number and
   appropriateness of participants recruited. A personalised e-health
   support intervention was developed. The provisional primary outcome was
   the extent to which the Internet affected the participants' confidence
   in dealing with their LTC. Primary outcome, seven process measures and
   two secondary outcomes measures were evaluated for completeness of data
   and sensitivity to detect changes.
   Results: Thirty nine participants were recruited, 29 after personally
   receiving a leaflet, seven via email advertising, and three via leaflets
   left in waiting areas. Most participants (61%) were aged over 60. The
   majority (21/38) rated themselves as experienced Internet users although
   only 5/38 had used discussion forums for their LTC. Piloting the
   intervention identified support needed as: (i) technical help with some
   websites, (ii) advice about issues such as anonymity, (iii) help in
   judging information quality, (iv) identification of relevant information
   (via 'Information Prescriptions'), (v) motivational support to try new
   sites. Attrition was fairly high: 20/39 completed follow up
   questionnaires. Three process measures showed ceiling effects and two
   had too many missing values to be useable.
   Conclusion: E-health support is a promising way of addressing the
   problems faced by older generation e-health seekers. Face-to-face
   leaflet distribution recruited sufficient numbers but additional
   locations other than hospital should be tried to recruit Internet
   novices with LTCs. An RCT is feasible and necessary to evaluate the
   potential benefits of anonymous email support. Our methods could be used
   by other researchers studying Internet use by people with LTCs.
RI Williamson, Graham/AAM-3324-2020; Morris, Josephine D./F-3366-2018; Sheaves, Bryony/
OI Williamson, Graham/0000-0002-5715-8621; Morris, Josephine
   D./0000-0001-9404-5602; Sheaves, Bryony/0000-0002-2995-193X
ZB 0
ZS 0
ZA 0
Z8 0
TC 10
ZR 0
Z9 10
U1 0
U2 12
EI 1472-6947
UT WOS:000289625900001
PM 21466699
ER

PT J
AU Christensen, Henry
   Lauterlein, Jens-Jacob
   Sorensen, Patricia D.
   Petersen, Eva R. B.
   Madsen, Jonna S.
   Brandslund, Ivan
TI Home Management of Oral Anticoagulation via Telemedicine Versus
   Conventional Hospital-Based Treatment
SO TELEMEDICINE AND E-HEALTH
VL 17
IS 3
BP 169
EP 176
DI 10.1089/tmj.2010.0128
PD APR 2011
PY 2011
AB Background and Objective: We have developed an expert computer system
   for the control of oral anticoagulation therapy, accessible by the
   patients via their own computer. To investigate if the weekly
   measurement and dosing of international normalized ratio (INR) at home
   using the online Internet-based system was superior to conventional
   treatment, we performed a randomized, controlled trial. Patients and
   Methods: All 669 patients in our anticoagulation clinic were asked to
   participate in the trial, providing that they had Internet access and
   could use the CoaguChek XS system. A total of 140 patients were included
   and randomized to (A) once weekly measurement and report online, (B)
   twice weekly measurement and report online, and (C) continued
   conventional treatment with INR measurement in the lab every 4 weeks and
   dose adjustment by letter. Results: Group A had 79.7% (95% CI 79.0-80.3)
   of time in therapeutic range (TTR), group B 80.2% (95% CI 79.4-80.9) of
   TTR, and group C 72.7% (95% CI 71.9-73.4) TTR. Groups A and B perform
   statistically significantly better than the conventional group C, with a
   difference of TTR of 7% points (p < 2.2 x 10(-16)), whereas no
   difference was seen between A and B. Conclusion: Home measurement of INR
   and the reporting and dosing of results online once a week increase TTR
   from 72% to 79% as compared to conventional computer-assisted monitoring
   in an anticoagulation clinic.
RI Madsen, Jonna Skov/AAF-7054-2019; Brandslund, Ivan/; Lauterlein, Jens-Jacob Lindegaard/
OI Madsen, Jonna Skov/0000-0001-6668-4714; Brandslund,
   Ivan/0000-0002-4203-5442; Lauterlein, Jens-Jacob
   Lindegaard/0000-0002-3049-1459
TC 26
ZS 0
ZB 3
ZA 0
Z8 1
ZR 0
Z9 27
U1 0
U2 6
SN 1530-5627
EI 1556-3669
UT WOS:000292196400005
PM 21254841
ER

PT J
AU Rada, Roy
TI Patient Data Access and Online Sleep Apnea Communities
SO TELEMEDICINE AND E-HEALTH
VL 17
IS 3
BP 226
EP 230
DI 10.1089/tmj.2010.0154
PD APR 2011
PY 2011
AB Purpose: To show that some patients with sleep apnea on positive airway
   pressure therapy show an interest in obtaining further monitoring data
   with the support of online patient communities. Methods: A case study is
   presented in which a patient struggles to comply with his therapy and
   interacts with an online patient community. Next, a content analysis is
   described in which sleep apnea online communities are identified, an
   indexing language for patients' messages is developed, and patient
   messages are indexed into concepts from the indexing language. Results:
   The case study patient substantially benefits from the guidance of other
   online patients about obtaining and interpreting monitoring and
   treatment data. In the content analysis of online communities, patients
   spend more time discussing long-term management than any other top-level
   concept and particularly focus on the role of data in long-term
   management. Conclusions: For certain patients, regularly accessing and
   interpreting their own detailed, monitoring data with support from other
   patients online seems important. Patients report that proprietary data
   formats from durable medical equipment manufacturers hinder patient
   access to their own data.
ZR 0
Z8 0
TC 0
ZB 0
ZA 0
ZS 0
Z9 0
U1 0
U2 0
SN 1530-5627
EI 1556-3669
UT WOS:000292196400014
PM 21361820
ER

PT J
AU Shurtz, Suzanne
   von Isenburg, Megan
TI Exploring e-readers to support clinical medical education: two case
   studies
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 99
IS 2
BP 110
EP 117
DI 10.3163/1536-5050.99.2.002
PD APR 2011
PY 2011
AB Question: Can e-readers loaded with medical textbooks and other relevant
   material benefit medical students, residents, and preceptors in clinical
   settings?
   Settings: The settings are North Carolina community clinics served by
   Duke University Medical Center and St. Joseph's Hospital in Bryan,
   Texas, and Scott and White Memorial Hospital in Temple, Texas.
   Methods: Duke University: Twenty second-year medical students and
   fourteen family medicine clerkship preceptors used Kindle e-readers in
   clinics during eight months of rotations. Students and preceptors
   provided feedback through an anonymous online survey. Texas A&M
   University: Nine fourth-year medical students in an elective compared
   medical textbooks in print, online, and on a Kindle. Six residents at a
   local hospital completed an anonymous online survey after a three-week
   loan of a Kindle loaded with medical textbooks.
   Results: The e-reader's major advantages in clinical settings are
   portability and searchability. The selected e-reader's limitations
   include connection speed, navigation, and display. User preferences
   varied, but online resources were preferred. Participants suggested
   additional uses for Kindles in medical education.
   Conclusions: The selected e-reader's limitations may be resolved with
   further development of the device. Investigation of other e-readers is
   needed. Criteria for evaluating e-readers in clinical settings should
   include portability, searchability, speed, navigation, and display.
   Research comparing e-readers and mobile devices in clinical education is
   also warranted.
RI von Isenburg, Megan/R-8105-2016; von Isenburg, Megan/; Shurtz, Suzanne/
OI von Isenburg, Megan/0000-0001-6084-5775; Shurtz,
   Suzanne/0000-0003-4388-0530
ZS 1
Z8 0
ZR 0
ZA 0
ZB 4
TC 19
Z9 23
U1 0
U2 18
SN 1536-5050
UT WOS:000291363300002
PM 21464848
ER

PT J
AU Neal, Diane M.
   McKenzie, Pamela J.
TI Putting the pieces together: endometriosis blogs, cognitive authority,
   and collaborative information behavior
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 99
IS 2
BP 127
EP 134
DI 10.3163/1536-5050.99.2.004
PD APR 2011
PY 2011
AB Objective: A discourse analysis was conducted of peer-written blogs
   about the chronic illness endometriosis to understand how bloggers
   present information sources and make cases for and against the authority
   of those sources.
   Methods: Eleven blogs that were authored by endometriosis patients and
   focused exclusively or primarily on the authors' experiences with
   endometriosis were selected. After selecting segments in which the
   bloggers invoked forms of knowledge and sources of evidence, the text
   was discursively analyzed to reveal how bloggers establish and dispute
   the authority of the sources they invoke.
   Results: When discussing and refuting authority, the bloggers invoked
   many sources of evidence, including experiential, peer-provided,
   biomedical, and intuitive ones. Additionally, they made and disputed
   claims of cognitive authority via two interpretive repertoires: a
   concern about the role and interests of the pharmaceutical industry and
   an understanding of endometriosis as extremely idiosyncratic. Affective
   authority of information sources was also identified, which presented as
   social context, situational similarity, or aesthetic or spiritual
   factors.
   Conclusions: Endometriosis patients may find informational value in
   blogs, especially for affective support and epistemic experience.
   Traditional notions of authority might need to be revised for the online
   environment. Guidelines for evaluating the authority of consumer health
   information, informed by established readers' advisory practices, are
   suggested.
RI McKenzie, Pamela J./Q-4083-2017; Pennington, Diane/P-7385-2018
OI McKenzie, Pamela J./0000-0002-5753-4375; Pennington,
   Diane/0000-0003-1275-7054
ZS 0
ZA 0
ZB 1
TC 42
ZR 0
Z8 0
Z9 42
U1 1
U2 31
SN 1536-5050
UT WOS:000291363300004
PM 21464850
ER

PT J
AU Smith, Catherine A.
TI Consumer language, patient language, and thesauri: a review of the
   literature
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 99
IS 2
BP 135
EP 144
DI 10.3163/1536-5050.99.2.005
PD APR 2011
PY 2011
AB Objective: Online social networking sites are web services in which
   users create public or semipublic profiles and connect to build online
   communities, finding likeminded people through self-labeled personal
   attributes including ethnicity, leisure interests, political beliefs,
   and, increasingly, health status. Thirty-nine percent of patients in the
   United States identified themselves as users of social networks in a
   recent survey. "Tags,'' user-generated descriptors functioning as labels
   for user-generated content, are increasingly important to social
   networking, and the language used by patients is thus becoming important
   for knowledge representation in these systems. However, patient language
   poses considerable challenges for health communication and networking.
   How have information systems traditionally incorporated these languages
   in their controlled vocabularies and thesauri? How do system builders
   know what consumers and patients say?
   Methods: This comprehensive review of the literature of health care
   (PubMed MEDLINE, CINAHL), library science, and information science
   (Library and Information Science and Technology Abstracts, Library and
   Information Science Abstracts, and Library Literature) examines the
   research domains in which consumer and patient language has been
   explored.
   Results: Consumer contributions to controlled vocabulary appear to be
   seriously under-researched inside and outside of health care.
   Conclusion: The author reflects on the implications of these findings
   for online social networks devoted to patients and the patient
   experience.
Z8 0
TC 9
ZB 1
ZS 0
ZR 0
ZA 0
Z9 9
U1 0
U2 33
SN 1536-5050
UT WOS:000291363300005
PM 21464851
ER

PT J
AU Creamer, Andrew
   Morales, Myrna
   Crespo, Javier
   Kafel, Donna
   Martin, Elaine Russo
TI Assessment of health sciences and science and technology librarian
   e-science educational needs to develop an e-science web portal for
   librarians
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 99
IS 2
BP 153
EP 156
DI 10.3163/1536-5050.99.2.007
PD APR 2011
PY 2011
RI Creamer, Andrew/O-4248-2019; Martin, Elaine/; Crespo, Javier/
OI Creamer, Andrew/0000-0002-5286-384X; Martin, Elaine/0000-0003-0693-9572;
   Crespo, Javier/0000-0001-8248-0172
ZR 0
ZB 0
TC 2
ZS 0
ZA 0
Z8 0
Z9 2
U1 2
U2 11
SN 1536-5050
UT WOS:000291363300007
PM 21464853
ER

PT J
AU Hickey, Kathleen T.
   Johnson, Mary P.
   Biviano, Angelo
   Aboelela, Sally
   Thomas, Tami
   Bakken, Suzanne
   Garan, Hasan
   Zimmerman, John L.
   Whang, William
TI Cardiac e-Learning: Development of a Web-Based Implantable Cardioverter
   Defibrillator Educational System
SO TELEMEDICINE AND E-HEALTH
VL 17
IS 3
BP 196
EP 200
DI 10.1089/tmj.2010.0108
PD APR 2011
PY 2011
AB Objective: The objective of this study was to design a Web-based
   implantable cardioverter defibrillator (ICD) module that would allow
   greater access to learning which could occur at an individual's
   convenience outside the fast-paced clinical environment. Materials and
   Methods: A Web-based ICD software educational program was developed to
   provide general knowledge of the function of the ICD and the
   interpretation of the stored electrocardiograms. This learning tool
   could be accessed at any time via the Columbia University Internet
   server, using a unique, password protected login. A series of basic and
   advanced ICD terms were presented using actual ICD screenshots and
   videos that simulated scenarios the practitioner would most commonly
   encounter in the fast-paced clinical setting. To determine the
   usefulness of the site and improve the module, practitioners were asked
   to complete a brief (less than 5 min) online survey at the end of the
   module. Results: Twenty-six practitioners have logged into our Web site:
   20 nurses/nurse practitioners, four cardiac fellows, and two other
   practitioners. The majority of respondents rated the program as easy to
   use and useful. Conclusion: The success of this module has led to it
   becoming part of the training for student nurse practitioners before a
   clinical electrophysiology rotation, and the module is accessed by our
   cardiac entry level fellows before a rotation in the intensive care unit
   or electrophysiology service. Remote electronic arrhythmia learning is a
   successful example of the melding of technology and education to enhance
   clinical learning.
RI Whang, William/AAE-3853-2019; Hickey, Kathleen T/G-5754-2013; Thomas, Tami/
OI Thomas, Tami/0000-0002-3907-1899
ZR 0
Z8 0
ZS 1
ZB 0
ZA 0
TC 1
Z9 1
U1 0
U2 9
SN 1530-5627
EI 1556-3669
UT WOS:000292196400009
PM 21500974
ER

PT J
AU Lee, Y. H.
   Barnard, A.
   Owen, C.
TI Initial evaluation of rural programs at the Australian National
   University: understanding the effects of rural programs on intentions
   for rural and remote medical practice
SO RURAL AND REMOTE HEALTH
VL 11
IS 2
AR 1602
PD APR-JUN 2011
PY 2011
AB Introduction: Rural health workforce issues are a priority area for the
   Australian Government and substantial funding has been provided for
   rural education programs to address health workforce disparities across
   Australia's rural and remote communities. The Australian Government
   established a Rural Health Strategy in 2001 and as a result there are
   now 14 rural clinical schools in Australia. The 2008 Urbis Report
   highlighted the lack of research on rural programs and workforce
   outcomes, essential to ensuring that educational efforts, resources and
   funding are being concentrated appropriately. This study examined the
   Australian National University (ANU) Medical School's 4 year rural
   program to identify the impact of elective and compulsory program
   components on student intentions to practice in a rural and remote
   location post-graduation. The study also explores factors that affect
   student decisions to apply for year-long rural placements.
   Methods: ANU Medical School's graduating cohort of 2008 fourth year
   medical students completed an anonymous and voluntary online survey
   questionnaire. Survey sections included student demographics, compulsory
   and elective components of the ANU rural program, and an overall
   evaluation of the ANU rural curriculum. The survey contained a mixture
   of forced-answer questions and open-ended commentary. Quantitative data
   were analyzed for descriptive and frequency statistics using EpiInfo
   V3.5.1 (http://wwwn.cdc.gov/epiinfo/). Qualitative data were reviewed
   and consistent themes among responses extracted.
   Results: In total, 40 students from a cohort of 88 (45%) responded, with
   26 respondents (65%) indicating that at medical school commencement they
   considered working in a rural or remote area. At the end of their
   medical education, 33 respondents (82%) indicated their intention to
   spend some time in their careers working in a rural or remote area.
   Students from non-rural backgrounds had greater positive change in their
   intentions to practice rurally as a direct effect of ANU rural programs
   when compared with students from rural backgrounds. More than 70% of
   students believed the amount of rural focus in the curriculum was
   correct, 75% believed that they will be better medical practitioners
   because of the program, and 85% found the curriculum was delivered
   effectively. Students who undertook elective rural programs such as a
   year-long rural placement were more likely to have future rural career
   intentions when compared with students undertaking compulsory rural
   components. Compulsory components, however, had a strong influence on
   students applying for elective programs. Regarding application for the
   year-long rural placement, students reported clinical exposure was the
   most encouraging factor, and time away from family and friends, and lack
   of spousal and family support were the most discouraging factors.
   Conclusions: Rural programs at the ANU, and medical school exposure to
   rural health experiences is important in influencing students'
   perceptions of a career in rural and remote health. This study provides
   evidence that both compulsory and elective components contribute to a
   successful holistic rural program which nurtures the rural interest of
   all students. Overall, students at the ANU medical school were satisfied
   with the rural curriculum. The results confirm that there is difficulty
   in recruiting students with family commitments into year-long rural
   placement programs, despite incentives. Those students who select
   long-term rural study for reasons other than an interest in a career in
   rural health end the program with positive rural intentions.
Z8 1
ZA 0
TC 27
ZR 0
ZS 0
ZB 1
Z9 28
U1 0
U2 14
SN 1445-6354
UT WOS:000296911400009
PM 21568620
ER

PT J
AU Howard, Cynthia R.
   Gladding, Sophia P.
   Kiguli, Sarah
   Andrews, John S.
   John, Chandy C.
TI Development of a Competency-Based Curriculum in Global Child Health
SO ACADEMIC MEDICINE
VL 86
IS 4
BP 521
EP 528
DI 10.1097/ACM.0b013e31820df4c1
PD APR 2011
PY 2011
AB Resident interest in global health is increasing; however, a paucity of
   literature on competency-based curricula in global child health is
   available. A collaborative group including members from the University
   of Minnesota (UMN) Department of Pediatrics, the UMN College of
   Education and Human Development, and the Makerere University Department
   of Paediatrics and Child Health in Kampala, Uganda, developed a
   competency-based global child health curriculum for pediatrics residents
   at UMN. The group defined competencies for each of the Accreditation
   Council for Graduate Medical Education competency domains and developed
   the curriculum via six steps: (1) defining competencies specific to
   global child health, (2) authoring goals and objectives for each
   competency, (3) assigning appropriate postgraduate training levels to
   each competency, (4) determining intended resident groups for each
   competency, (5) aligning the program with the existing residency
   education program, and (6) developing methods to evaluate acquisition of
   each competency. Faculty implemented the competency-based curriculum in
   2009, and the curriculum is now freely available online for adaptation
   and use by other residency programs. Faculty are currently introducing
   evaluation methods, which will allow them, for the first time, to assess
   a trainee's competency in global child health by the end of his or her
   residency. The authors believe that the development of this curriculum
   represents an important step forward in global health education for
   pediatric residents and that other residency programs, including those
   of nonpediatric specialties, can use the process as a model to develop
   global health curricula.
RI John, Chandy/GNP-8431-2022; Andrews, John/
OI John, Chandy/0000-0002-1634-1411; Andrews, John/0000-0002-2008-2686
ZB 13
ZA 0
Z8 0
TC 41
ZS 0
ZR 0
Z9 41
U1 0
U2 10
SN 1040-2446
UT WOS:000288966200027
PM 21346499
ER

PT J
AU Peters, Kathryn F.
   Petrill, Stephen A.
TI Development of a Scale to Assess the Background, Needs, and Expectations
   of Genetic Counseling Clients
SO AMERICAN JOURNAL OF MEDICAL GENETICS PART A
VL 155A
IS 4
BP 673
EP 683
DI 10.1002/ajmg.a.33610
PD APR 2011
PY 2011
AB Genetic professionals seek to tailor their counseling to meet the
   background, needs, and expectations (BNE) of their clients. We present
   the development of a new instrument, the BNE Scale, designed to assess
   BNE in genetic counseling clients. The initial items for the scale were
   created based on a review of the literature and clinical experience. The
   draft scale was piloted tested with 10 subjects, using cognitive
   interviewing techniques. Based on those results, a revised 82-item-scale
   was created and posted online. It was completed by 608 adult subjects
   who have experience with Down syndrome, Marfan syndrome, or
   neurofibromatosis. Responses were analyzed in aggregate based on
   clinically relevant item groupings. Exploratory factor analysis was used
   to refine the item groupings, and these groups were evaluated for
   reliability and cross-correlations. As a result, 61 items across 16
   subscales were retained for the final BNE Scale. Further, the subscales
   were segregated thematically into four groups: (1) Beliefs which
   includes the Consequences, Unsureness, Feelings, and Treatment
   subscales, (2) Social Support which includes the Spousal (or Partner)
   Support, Family Support, Friend Support, Healthcare Provider Support,
   Faith/God Support, and Support Group Interest subscales, (3) Needs which
   includes the Need for Information, Need for Context, and Need for
   Provider Input subscales, and (4) Expectations which includes the
   Education, Counseling, and Desired Feelings subscales. These data
   provide initial support for the BNE Scale as a psychometrically
   acceptable means to assess the clients' background, needs and
   expectations of genetic counseling. (C) 2011 Wiley-Liss, Inc.
RI Petrill, Stephen Anthony/J-3040-2013
ZR 0
Z8 0
TC 10
ZA 0
ZS 0
ZB 1
Z9 10
U1 0
U2 24
SN 1552-4825
EI 1552-4833
UT WOS:000288792700002
PM 21351244
ER

PT J
AU Boon, Brigitte
   Risselada, Anneke
   Huiberts, Annemarie
   Riper, Heleen
   Smit, Filip
TI Curbing Alcohol Use in Male Adults Through Computer Generated
   Personalized Advice: Randomized Controlled Trial
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 2
AR e43
DI 10.2196/jmir.1695
PD APR-JUN 2011
PY 2011
AB Background: In recent years, interventions that deliver online
   personalized feedback on alcohol use have been developed and appear to
   be a feasible way to curb heavy drinking. Randomized controlled trials
   (RCTs) among the general adult population, however, are scarce. The
   present study offers an RCT of Drinktest. nl, an online personalized
   feedback intervention in the Netherlands.
   Objective: The aim of this study was to assess the effectiveness of
   computer-based personalized feedback on heavy alcohol use in male
   adults.
   Methods: Randomization stratified by age and educational level was used
   to assign participants to either the intervention consisting of online
   personalized feedback or an information-only control condition.
   Participants were told as a cover story that they would evaluate newly
   developed health education materials. Participants were males (n = 450),
   aged 18 to 65 years, presenting with either heavy alcohol use (> 20
   units of alcohol weekly) and/or binge drinking (> 5 units of alcohol at
   a single occasion at least 1 day per week) in the past 6 months. They
   were selected with a screener from a sampling frame of 25,000
   households. The primary outcome measure was the percentage of the
   participants that had successfully reduced their drinking levels to
   below the Dutch guideline threshold for at-risk drinking.
   Results: Intention-to-treat analysis showed that in the experimental
   condition, 42% (97/230) of the participants were successful in reducing
   their drinking levels to below the threshold at the 1-month follow-up as
   compared with 31% (67/220) in the control group (odds ratio [OR] = 1.7,
   number needed to treat [NNT] = 8.6), which was statistically significant
   (chi(2)(1) = 6.67, P = .01). At the 6-month follow-up, the success rates
   were 46% (105/230) and 37% (82/220) in the experimental and control
   conditions, respectively (OR = 1.4, NNT = 11.9), but no longer
   statistically significant (chi(2)(1) = 3.25, P = .07).
   Conclusions: Personalized online feedback on alcohol consumption appears
   to be an effective and easy way to change unhealthy drinking patterns in
   adult men, at least in the short-term.
ZB 9
ZS 0
ZR 0
ZA 0
Z8 0
TC 35
Z9 35
U1 0
U2 9
SN 1438-8871
UT WOS:000293833500006
PM 21719412
ER

PT J
AU Sullivan, Patrick S.
   Khosropour, Christine M.
   Luisi, Nicole
   Amsden, Matthew
   Coggia, Tom
   Wingood, Gina M.
   DiClemente, Ralph J.
TI Bias in Online Recruitment and Retention of Racial and Ethnic Minority
   Men Who Have Sex With Men
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 2
AR e38
DI 10.2196/jmir.1797
PD APR-JUN 2011
PY 2011
AB Background: The Internet has become an increasingly popular venue for
   men who have sex with men (MSM) to meet potential sex partners. Given
   this rapid increase in online sex-seeking among MSM, Internet-based
   interventions represent an important HIV (human immunodeficiency virus)
   prevention strategy. Unfortunately, black and Hispanic MSM, who are
   disproportionately impacted by the HIV epidemic in the United States,
   have been underrepresented in online research studies.
   Objective: Our objective was to examine and quantify factors associated
   with underrecruitment and underretention of MSM of color in an online
   HIV behavioral risk research study of MSM recruited from an online
   social networking site.
   Methods: Internet-using MSM were recruited through banner advertisements
   on MySpace.com targeted at men who reported in their MySpace profile
   their age as at least 18 and their sexual orientation as gay, bisexual,
   or unsure. Multivariable logistic regression models were used to
   estimate the odds stratified by race and ethnicity of the MySpace user
   clicking through the banner advertisement. To characterize survey
   retention, Kaplan-Meier survival curves and multivariable Cox
   proportional hazards models identified factors associated with survey
   dropout.
   Results: Over 30,000 MySpace users clicked on the study banner
   advertisements (click-through rate of 0.37%, or 30,599 clicks from
   8,257,271 impressions). Black (0.36% or 6474 clicks from 1,785,088
   impressions) and Hispanic (0.35% or 8873 clicks from 2,510,434
   impressions) MySpace users had a lower click-through rate compared with
   white (0.48% or 6995 clicks from 1,464,262 impressions) MySpace users.
   However, black men had increased odds of click-through for
   advertisements displaying a black model versus a white model (adjusted
   odds ratio [OR] = 1.83, 95% confidence interval [CI] 1.72 - 1.95), and
   Hispanic participants had increased odds of click-through when shown an
   advertisement displaying an Asian model versus a white model (adjusted
   OR = 1.70, 95% CI 1.62 - 1.79). Of the 9005 men who consented to
   participate, 6258 (69%) completed the entire survey. Among participants
   reporting only male sex partners, black non-Hispanic and Hispanic
   participants were significantly more likely to drop out of the survey
   relative to white non-Hispanic participants (hazard ratio [HR] = 1.6,
   95% CI 1.4 - 1.8 and HR = 1.3, 95% CI 1.1 - 1.4, respectively). Men with
   a college-level of education were more likely to complete the survey
   than those with a high-school level of education (HR = 0.8, 95% CI 0.7 -
   0.9), while men who self-identified as heterosexual were more likely to
   drop out of the survey compared with men who self-identified as gay (HR
   = 2.1, 95% CI 1.1 - 3.7).
   Conclusions: This analysis identified several factors associated with
   recruitment and retention of MSM in an online survey. Differential
   click-through rates and increased survey dropout by MSM of color
   indicate that methods to recruit and retain black and Hispanic MSM in
   Internet-based research studies are paramount. Although targeting banner
   advertisements to MSM of color by changing the racial/ethnic composition
   of the advertisements may increase click-through, decreasing attrition
   of these study participants once they are engaged in the survey remains
   a challenge.
RI Khosropour, Christine M/J-5036-2013; Sullivan, Patrick Sean/
OI Khosropour, Christine M/0000-0002-9743-0829; Sullivan, Patrick
   Sean/0000-0002-7728-0587
TC 115
ZR 0
ZA 0
Z8 2
ZB 37
ZS 0
Z9 117
U1 1
U2 31
SN 1438-8871
UT WOS:000290634100004
PM 21571632
ER

PT J
AU Kelders, Saskia M.
   Van Gemert-Pijnen, Julia E. W. C.
   Werkman, Andrea
   Nijland, Nicol
   Seydel, Erwin R.
TI Effectiveness of a Web-based Intervention Aimed at Healthy Dietary and
   Physical Activity Behavior: A Randomized Controlled Trial About Users
   and Usage
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 2
AR e32
DI 10.2196/jmir.1624
PD APR-JUN 2011
PY 2011
AB Background: Recent studies have shown the potential of Web-based
   interventions for changing dietary and physical activity (PA) behavior.
   However, the pathways of these changes are not clear. In addition,
   nonusage poses a threat to these interventions. Little is known of
   characteristics of participants that predict usage.
   Objective: In this study we investigated the users and effect of the
   Healthy Weight Assistant (HWA), a Web-based intervention aimed at
   healthy dietary and PA behavior. We investigated the value of a proposed
   framework (including social and economic factors, condition-related
   factors, patient-related factors, reasons for use, and satisfaction) to
   predict which participants are users and which participants are
   nonusers. Additionally, we investigated the effectiveness of the HWA on
   the primary outcomes, self-reported dietary and physical activity
   behavior.
   Methods: Our design was a two-armed randomized controlled trial that
   compared the HWA with a waiting list control condition. A total of 150
   participants were allocated to the waiting list group, and 147
   participants were allocated to the intervention group. Online
   questionnaires were filled out before the intervention period started
   and after the intervention period of 12 weeks. After the intervention
   period, respondents in the waiting list group could use the
   intervention. Objective usage data was obtained from the application
   itself.
   Results: In the intervention group, 64% (81/147) of respondents used the
   HWA at least once and were categorized as "users." Of these, 49% (40/81)
   used the application only once. Increased age and not having a chronic
   condition increased the odds of having used the HWA (age: beta = 0.04, P
   = .02; chronic condition: beta = 2.24, P = .003). Within the
   intervention group, users scored better on dietary behavior and on
   knowledge about healthy behavior than nonusers (self-reported diet:
   chi(2)(2) = 8.4, P = .02; knowledge: F-1,F-125 = 4.194, P = .04).
   Furthermore, users underestimated their behavior more often than
   nonusers, and nonusers overestimated their behavior more often than
   users (insight into dietary behavior: chi(2)(2) = 8.2, P = .02).
   Intention-to-treat analyses showed no meaningful significant effects of
   the intervention. Exploratory analyses of differences between pretest
   and posttest scores of users, nonusers, and the control group showed
   that on dietary behavior only the nonusers significantly improved
   (effect size r = -.23, P = .03), while on physical activity behavior
   only the users significantly improved (effect size r = -.17, P = .03).
   Conclusions: Respondents did not use the application as intended. From
   the proposed framework, a social and economic factor (age) and a
   condition-related factor (chronic condition) predicted usage. Moreover,
   users were healthier and more knowledgeable about healthy behavior than
   nonusers. We found no apparent effects of the intervention, although
   exploratory analyses showed that choosing to use or not to use the
   intervention led to different outcomes. Combined with the differences
   between groups at baseline, this seems to imply that these groups are
   truly different and should be treated as separate entities.
RI Kelders, Saskia/AAD-2764-2019
OI Kelders, Saskia/0000-0001-8949-6871
ZB 14
TC 94
ZS 0
ZA 0
ZR 0
Z8 0
Z9 94
U1 0
U2 44
SN 1438-8871
UT WOS:000290634100001
PM 21493191
ER

PT J
AU van Deursen, Alexander J. A. M.
   van Dijk, Jan A. G. M.
TI Internet Skills Performance Tests: Are People Ready for eHealth?
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 2
AR e35
DI 10.2196/jmir.1581
PD APR-JUN 2011
PY 2011
AB Background: Despite the amount of online health information, there are
   several barriers that limit the Internet's adoption as a source of
   health information. One of these barriers is highlighted in
   conceptualizations of the digital divide which include the differential
   possession of Internet skills, or "eHealth literacy". Most measures of
   Internet skills among populations at large use self-assessments. The
   research discussed here applies a multifaceted definition of Internet
   skills and uses actual performance tests.
   Objective: The purpose of this study was to assess how ready a sample of
   the general population is for eHealth. More specifically, four types of
   Internet skills were measured in a performance test in which subjects
   had to complete health-related assignments on the Internet.
   Methods: From November 1, 2009, through February 28, 2010, 88 subjects
   participated in the study. Subjects were randomly selected from a
   telephone directory. A selective quota sample was used divided over
   equal subsamples of gender, age, and education. Each subject had to
   accomplish assignments on the Internet. The Internet skills accounted
   for were categorized as operational (basic skills to use the Internet),
   formal (navigation and orientation), information (finding information),
   and strategic (using the information for personal benefits). The tests
   took approximately 1.5 hours and were conducted in a University office,
   making the setting equally new for all. Successful completion and time
   spent on the assignments-the two main outcomes-were directly measured by
   the test leader.
   Results: The subjects successfully completed an average of 73% (5.8/8)
   of the operational Internet skill tasks and an average of 73% (2.9/4) of
   the formal Internet skill tasks. Of the information Internet skills
   tasks, an average of 50% (1.5/3) was completed successfully and, of the
   strategic Internet skills tasks, 35% (0.7/2). Only 28% (25/88) of the
   subjects were able to successfully complete all operational skills
   tasks, 39% (34/88) all formal skills tasks, 13% (11/88) all information
   skills tasks, and 20% (18/88) both the strategic skill tasks. The time
   spent on the assignments varied substantially. Age and education were
   the most important contributors to the operational and formal Internet
   skills. Regarding the formal Internet skills, years of Internet
   experience also had some influence. Educational level of attainment was
   the most important contributor to the information and strategic Internet
   skills.
   Conclusions: Although the amount of online health-related information
   and services is consistently growing, it appears that the general
   population lacks the skills to keep up. Most problematic appear to be
   the lack of information and strategic Internet skills, which, in the
   context of health, are very important. The lack of these skills is also
   problematic for members of younger generations, who are often considered
   skilled Internet users. This primarily seems to account for the
   operational and formal Internet skills. The results of the study
   strongly call for policies to increase the level of Internet skills.
RI Deursen, Alexander v/A-6730-2015; van Deursen, Alexander J.A.M./AAF-7076-2021; Tang, Zeng/G-8085-2012; van Dijk, Jan/AAP-7922-2020
OI van Deursen, Alexander J.A.M./0000-0002-0225-2637; 
Z8 0
ZA 0
ZS 1
ZB 9
TC 90
ZR 0
Z9 90
U1 3
U2 60
SN 1438-8871
UT WOS:000290634100006
PM 21531690
ER

PT J
AU McFarlin, Brian K.
   Weintraub, Randi J.
   Breslin, Whitney
   Carpenter, Katie C.
   Strohacker, Kelley
TI Designing Online Learning Modules in Kinesiology
SO EDUCATIONAL TECHNOLOGY & SOCIETY
VL 14
IS 2
BP 278
EP 284
PD APR 2011
PY 2011
AB Online-learning environment can substantially improve student learning
   and retention of key health concepts. In this case report, we describe
   our approach for the design of online learning modules to teach concepts
   in an undergraduate health science/kinesiology curriculum. This report
   describes our use of these concepts in two lower division and one upper
   division college courses at a major university in Texas. While our
   approach is based on our experience in health science/kinesiology
   courses, we anticipate that this report will inspire educators to
   explore the use of online learning principles in a variety of college
   courses.
OI Strohacker, Kelley/0000-0002-2067-8439
ZR 0
ZA 0
Z8 0
ZS 0
ZB 0
TC 2
Z9 2
U1 0
U2 4
SN 1436-4522
UT WOS:000291089100024
PM 25232276
ER

PT J
AU Wahl, Holger
   Banerjee, Jay
   Manikam, Logan
   Parylo, Craig
   Lakhanpaul, Monica
TI Health information needs of families attending the paediatric emergency
   department
SO ARCHIVES OF DISEASE IN CHILDHOOD
VL 96
IS 4
BP 335
EP 339
DI 10.1136/adc.2009.177527
PD APR 2011
PY 2011
AB Background The National Health Service Plan (July 2000) aimed to empower
   patients with more influence upon their own treatment. Provision of
   additional educational health information (AEHI) serves to inform
   families about health conditions and to allow them to manage their own
   health after discharge. However, to date, it is unknown how parents or
   carers perceive this information.
   Objectives To identify parents' and carers' views towards the current
   provision of AEHI following discharge of their child from an emergency
   care service, to assess their needs concerning AEHI and to provide
   recommendations for subsequent research.
   Methods Between 11 April and 19 June 2007, a piloted questionnaire was
   handed out at random times to each family attending the children's
   emergency department while they were waiting to be clinically assessed.
   1046 families chose to participate and answered questions about their
   ethnicity, language preference and ability, media access and their
   sources of health information. The data were analysed using descriptive
   methods.
   Results A majority of families wish to receive hospital AEHI as
   leaflets. Additionally, families frequently use a variety of other
   resources such as extended family and friends and the Internet to
   address their information needs. Poor literacy is a barrier to
   understanding in 15.6% of the study population. 73% of carers with
   children aged between 10 and 16 years wish their children to receive
   AEHI.
   Conclusions The authors identified a gap in the provision of health
   information with respect to appropriate educational material for
   children and young persons, for families with poor literacy skills and
   those with language barriers.
RI Schiaffino, Melody K/E-9629-2011; Parylo, Craig/; Lakhanpaul, Monica/; Manikam, Logan/
OI Parylo, Craig/0000-0003-4297-7808; Lakhanpaul,
   Monica/0000-0002-9855-2043; Manikam, Logan/0000-0001-5288-3325
ZS 0
ZA 0
TC 18
Z8 0
ZR 0
ZB 2
Z9 18
U1 0
U2 14
SN 0003-9888
EI 1468-2044
UT WOS:000288315700005
PM 21220262
ER

PT J
AU Marks, Andrew
   Maizels, Max
   Mickelson, Jennie
   Yerkes, Elizabeth
   Herndon, C. D. Anthony
   Lane, Jerry
   Ben-Ami, Tamar
   Maizels, Evelyn
   Stoltz, Rachel Stork
   Dixon, Scott
   Liu, Dennis
   Chaviano, Tony
   Hagerty, Jennifer
   Kaplan, William
TI Effectiveness of the computer enhanced visual learning method in
   teaching the society for fetal urology hydronephrosis grading system for
   urology trainees
SO JOURNAL OF PEDIATRIC UROLOGY
VL 7
IS 2
BP 113
EP 117
DI 10.1016/j.jpurol.2010.09.009
PD APR 2011
PY 2011
AB Objective: A novel educational tool, Computer Enhanced Visual Learning
   (CEVL), has been used to improve resident performance of routine
   orchiopexy. Our objective was to assess the effect of a CEVL teaching
   module on the diagnostic accuracy of medical trainees in grading
   neonatal hydronephrosis on ultrasound using the Society for Fetal
   Urology (SFU) grading system.
   Methods: The authors designed an online-based computerized tutorial to
   teach the grading of hydronephrosis using multimedia, practice cases and
   a grading checklist. In a crossover design trial, 29 residents and
   medical students were asked to grade 16 standard neonatal renal
   ultrasounds using the SFU grading system before and after viewing the
   web-based e-learning module. Primary outcome was percent improvement in
   grading accuracy.
   Results: The mean percentages of ultrasounds that were graded correctly
   before and after CEVL intervention were 51% and 72% respectively (mean
   improvement 21%, 95% CI 3-13%, P < 0.001). Residents graded correctly
   56% of ultrasounds before and 74% after CEVL (mean 18%, 7-28%, P =
   0.002). Medical students graded correctly 37% before and 69% after CEVL
   (mean improvement 32%, 95% CI 16-48%, P = 0.002).
   Conclusion: Exposure to a computer-based learning module based on the
   CEVL platform improved urology residents' and medical students' correct
   assignment of SFU hydronephrosis grading to newborn renal ultrasounds.
   (C) 2010 Journal of Pediatric Urology Company. Published by Elsevier
   Ltd. All rights reserved.
OI Lane, Jerome/0000-0003-3586-7563; Maizels, Evelyn/0000-0001-9072-1095
ZR 0
TC 11
Z8 1
ZA 0
ZB 1
ZS 0
Z9 12
U1 1
U2 2
SN 1477-5131
EI 1873-4898
UT WOS:000291195700004
PM 21094626
ER

PT J
AU Mustanski, Brian
   Lyons, Tom
   Garcia, Steve C.
TI Internet Use and Sexual Health of Young Men Who Have Sex with Men: A
   Mixed-Methods Study
SO ARCHIVES OF SEXUAL BEHAVIOR
VL 40
IS 2
BP 289
EP 300
DI 10.1007/s10508-009-9596-1
PD APR 2011
PY 2011
AB Young gay, bisexual, and other men who have sex with men (MSM)
   experience sexual health disparities due to a lack of support in
   settings that traditionally promote positive youth development. The
   Internet may help to fill this void, but little is known about how it is
   used for sexual health purposes among young MSM. This mixed-methods
   study reports quantitative results of a large survey of 18- to
   24-year-old MSM in an HIV testing clinic (N = 329) as well as
   qualitative results from interviews. Level of Internet use was high in
   this sample and the majority of participants reported using the Internet
   to find HIV/AIDS information. Black and Latino youth used the Internet
   less frequently than White youth, and after controlling for age,
   education, and frequency of Internet use, Black youth were 70% less
   likely to use the Internet to find HIV/AIDS information. Qualitative
   analyses identified themes related to the role of the Internet in
   finding sexual health information, sexual minority identity development,
   and sexual risk taking behaviors. Participants reported that the
   Internet filled an important and unmet need for sexual health education.
   It allowed for connections to the gay community and support during the
   coming out process, but also exposure to homophobic messages. There was
   no evidence of increased risk behaviors with partners met online, but at
   the same time the potential for the use of the Internet to facilitate
   safer sex communication was largely untapped. Our findings generally
   present an optimistic picture about the role of the Internet in the
   development of sexual health among young MSM.
OI Mustanski, Brian/0000-0001-9222-5116
ZA 0
TC 306
ZB 47
ZS 1
ZR 1
Z8 0
Z9 307
U1 2
U2 33
SN 0004-0002
EI 1573-2800
UT WOS:000289795500012
PM 20182787
ER

PT J
AU Pfeiffer, M.
   Dimitriadis, K.
   Holzer, M.
   Reincke, M.
   Fischer, M. R.
TI The motivation to become a medical doctor - doctoral students in a
   formal academic study program compared with those pursuing their
   doctorate independently
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 136
IS 17
BP 876
EP 881
DI 10.1055/s-0031-1275820
PD APR 2011
PY 2011
AB Background and objective: Weight and quality of medical doctoral theses
   have been discussed in Germany for years. Doctoral study programs in
   various graduate schools offer opportunities to improve quality of
   medical doctoral theses. The purpose of this study was to demonstrate
   distinctions and differences concerning motivation, choice of subject
   and the dissertation process between doctoral candidates completing the
   doctoral seminar for doctoral students in the
   Ludwig-Maximilians-University (LMU) Munich and doctoral candidates doing
   their doctorate individually.
   Methods: All 4000 medical students of the LMU obtained an
   online-questionnaire which was completed by 767 students (19% response
   rate). The theoretical framework of this study was based upon the
   Self-Determination-Theory by Deci and Ryan.
   Results: Doctoral candidates completing the doctoral study program were
   more intrinsically motivated than doctoral candidates doing their
   doctorate individually; no difference was found in their extrinsic
   motivation. In regard to choice of subject and dissertation process the
   doctoral students in the seminar were distinguished from the individual
   group by having chosen a more challenging project. They anticipated a
   demanding dissertation process including conference participation,
   publishing of papers, etc. Intrinsic motivation correlates positively
   with choosing a challenging project and a demanding dissertation
   process.
   Conclusion: High intrinsic motivation seems to be very important for
   autonomous scholarly practice. Our results suggest that doctoral study
   programs have a positive impact on intrinsic motivation and interest in
   research.
ZB 4
TC 8
ZS 0
Z8 0
ZR 0
ZA 0
Z9 8
U1 0
U2 8
SN 0012-0472
UT WOS:000289934100002
PM 21523637
ER

PT J
AU Richter, Jutta G.
   Becker, Arnd
   Schalis, Hendrik
   Koch, Tobias
   Willers, Reinhart
   Specker, Christof
   Monser, Robert
   Schneider, Matthias
TI An Ask-the-Expert Service on a Rheumatology Web Site: Who Were the Users
   and What Did They Look For?
SO ARTHRITIS CARE & RESEARCH
VL 63
IS 4
BP 604
EP 611
DI 10.1002/acr.20399
PD APR 2011
PY 2011
AB Objective. To analyze the inquiries sent to an online
   ask-the-rheumatologist service in order to identify the users' needs and
   requirements.
   Methods. The official web site of the German Competence Network
   Rheumatology (www.rheumanet.org) provided expert information for
   patients, relatives, and physicians. We analyzed the content of 1,133
   inquiries posted over 5 years and the experts' answers were blinded for
   analyses.
   Results. Patients (60.0%), relatives (24.3%), and physicians (15.7%)
   addressed the experts. Inquiries were predominantly sent by women
   (62.2%). Distinct rheumatic diseases were mentioned in 40.5% of the
   inquiries, and 16.3% reported musculoskeletal symptoms without a
   definite diagnosis. The number of questions ranged from 1-7 per inquiry
   (mean +/- SD 1.58 +/- 0.9). Of the inquiries, 33.2% contained personal
   histories, 24.9% searched for a rheumatologist nearby, and 11.6% asked
   for a "second opinion." The questions covered a wide range of interests,
   including medication (30.8%), diagnosis-related issues (15.7%),
   laboratory tests (6.9%), (treatment) guidelines (6.2%), sexual and
   reproductive health issues (4.1%), and clinical trials (3.4%). In more
   than 50% of the inquiries, the information requested from the experts
   was already at least partly published on the web site. The experts'
   answers covered the users' questions completely in 91.8%, partly in
   6.1%, and not at all in 2.1%.
   Conclusion. A standardized medical web site providing tailored and
   trustworthy information for all user groups gains from an ask-the-expert
   service. Only such an interactive online application is able to satisfy
   users' actual demands: searching for specific individualized information
   on the internet. Therefore, an ask-the-expert service contributes to
   optimized patient care.
RI Specker, Christof/ABE-6317-2021; Becker, Arnd/GQQ-2371-2022; Richter, Jutta G./AAA-5054-2021; Specker, Christof/
OI Specker, Christof/0000-0003-2504-3229
ZA 0
ZB 3
ZS 0
TC 10
ZR 0
Z8 0
Z9 10
U1 0
U2 12
SN 2151-464X
EI 2151-4658
UT WOS:000289422700017
PM 21452271
ER

PT J
AU Dudas, Robert A.
   Bundy, David G.
   Miller, Marlene R.
   Barone, Michael
TI Can teaching medical students to investigate medication errors change
   their attitudes towards patient safety?
SO BMJ QUALITY & SAFETY
VL 20
IS 4
BP 319
EP 325
DI 10.1136/bmjqs.2010.041376
PD APR 2011
PY 2011
AB Background: The purpose of this study was to evaluate the impact of a
   patient-safety curriculum administered during a paediatric clerkship on
   medical students' attitudes towards patient safety.
   Methods: Medical students viewed an online video introducing them to
   systems-based analyses of medical errors. Faculty presented an example
   of a medication administration error and demonstrated use of the
   Learning From Defects tool to investigate the defect. Student groups
   identified and then analysed medication errors during their clinical
   rotation using the Learning From Defects framework to organise and
   present their findings. Outcomes included patient safety attitudinal
   changes, as measured by questions derived from the Safety Attitudes
   Questionnaire.
   Results: 108 students completed the curriculum between July 2008 and
   July 2009. All student groups (25 total) identified, analysed and
   presented patient safety concerns. Curriculum effectiveness was
   demonstrated by significant changes on questionnaire items related to
   patient safety attitudes. The majority of students felt that the
   curriculum was relevant to their clinical rotation and should remain
   part of the clerkship.
   Conclusions: An active learning curriculum integrated into a clinical
   clerkship can change learners' attitudes towards patient safety.
   Students found the curriculum relevant and recommended its continuation.
OI dudas, robert/0000-0001-6837-121X
Z8 0
ZB 1
ZR 0
TC 21
ZA 0
ZS 0
Z9 22
U1 0
U2 12
SN 2044-5415
EI 2044-5423
UT WOS:000289728700006
PM 21228436
ER

PT J
AU Gracia-Marco, L.
   Vicente-Rodriguez, G.
   Borys, J. M.
   Le Bodo, Y.
   Pettigrew, S.
   Moreno, L. A.
TI Contribution of social marketing strategies to community-based obesity
   prevention programmes in children
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 4
BP 472
EP 479
DI 10.1038/ijo.2010.221
PD APR 2011
PY 2011
AB Objectives: To review child and adolescent obesity prevention programmes
   to determine whether they have included the Social Marketing Benchmark
   Criteria (BC). In addition, we analysed whether there was a relationship
   between the presence of the criteria and the effectiveness of the
   programme.
   Methods: Interventions had to be aimed at preventing obesity through
   behaviour changes relating to diet, physical activity, lifestyle and
   social support, separately or in combination. A total of 41
   interventions were identified in PubMed and Embase that fulfilled the
   inclusion criteria.
   Results: The more recent the studies, the greater the number of the BC
   that seem to have been used. However, regarding behaviour changes, we
   found the most effective period to be 1997-2002, with 100% of the
   interventions resulting in behaviour changes (9/9). In addition, almost
   all interventions resulted in improvements in body composition
   variables: 5 of 6 for body mass index or overweight/obesity prevalence
   and 6 of 6 for skin-folds.
   Conclusions: The presence of a higher number of BC does not assure
   higher effectiveness. Further research is required in this field. At the
   moment, studies aimed at preventing obesity in children and adolescents
   have not included social marketing aspects in their interventions in a
   comprehensive manner. International Journal of Obesity (2011) 35,
   472-479; doi: 10.1038/ijo.2010.221; published online 26 October 2010
RI Vicente-Rodriguez, German/J-9846-2016; Gracia-Marco, Luis/A-8845-2018; Moreno, Luis/S-1780-2019; Gracia-Marco, Luis/R-4899-2019; Pettigrew, Simone/
OI Vicente-Rodriguez, German/0000-0002-4303-4097; Gracia-Marco,
   Luis/0000-0002-4020-0256; Moreno, Luis/0000-0003-0454-653X;
   Gracia-Marco, Luis/0000-0002-4020-0256; Pettigrew,
   Simone/0000-0003-3921-1174
TC 34
ZS 1
ZA 0
ZR 0
ZB 5
Z8 0
Z9 35
U1 1
U2 26
SN 0307-0565
EI 1476-5497
UT WOS:000289409800003
PM 20975724
ER

PT J
AU Jansen, E.
   Mulkens, S.
   Jansen, A.
TI Tackling childhood overweight: treating parents exclusively is effective
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 4
BP 501
EP 509
DI 10.1038/ijo.2011.16
PD APR 2011
PY 2011
AB Objective: In general, treatment of childhood obesity focuses on
   treating the obese children. The results of child-directed treatments
   are disappointing in the long run. In the current study, it is tested
   whether a treatment aimed solely at obese children's parents results in
   positive effects on the children's weight status. In addition, potential
   predictors of treatment success are identified.
   Methods: The parents of 98 overweight or obese children (aged 7-13
   years) were randomly assigned to either the cognitive-behavioural group
   treatment (eight sessions) or the waiting-list control group.
   Results: With respect to child body mass index (BMI) percentile, the
   parents' treatment was successful in reducing overweight from
   pretreatment to posttreatment: BMI percentile decreased significantly by
   2.4% in the treatment group, whereas there was no change in the
   waiting-list control group. There was no significant relapse at
   follow-up (3 months). Child BMI percentile did not decrease in the
   waiting-list control group. In addition, significant main effects of
   time were found for both groups with respect to eating psychopathology
   (decrease), self-esteem (increase) and negative thoughts (decrease).
   Finally, parental BMI decreased significantly only in the treatment
   group. Four predictors were identified with respect to treatment
   success, namely, lower socioeconomic status, younger age of the child,
   higher parental attendance and lower BMI percentile of the child before
   treatment.
   Conclusions: The parents' treatment had significant effects on child and
   parent BMI. Long-term endurance of these positive effects needs to be
   studied. Striking are the positive effects of time in the waiting-list
   control group for some psychological outcome measures. Obviously,
   waiting for treatment already affects psychological processes (but not
   behaviour) in the children. International Journal of Obesity (2011) 35,
   501-509; doi: 10.1038/ijo.2011.16; published online 1 March 2011
RI Mulkens, Sandra/ABH-2102-2020; Mulkens, Alexandra/; Jansen, Anita/
OI Mulkens, Alexandra/0000-0002-0237-1628; Jansen,
   Anita/0000-0001-5101-8778
ZB 4
ZR 0
TC 31
ZS 0
Z8 0
ZA 0
Z9 31
U1 0
U2 15
SN 0307-0565
EI 1476-5497
UT WOS:000289409800006
PM 21364527
ER

PT J
AU Han, Y. S.
   Ha, E. H.
   Park, H. S.
   Kim, Y. J.
   Lee, S. S.
TI Relationships between pregnancy outcomes, biochemical markers and
   pre-pregnancy body mass index
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 4
BP 570
EP 577
DI 10.1038/ijo.2010.162
PD APR 2011
PY 2011
AB Objective: We examined the relationships between pre-pregnancy maternal
   body mass index (BMI), pregnancy outcomes and biochemical markers.
   Design: This study was conducted as a cross-sectional analysis.
   Subjects: Korean women in their second and third trimesters of pregnancy
   were recruited at two hospitals in the metropolitan Seoul area.
   Pre-pregnancy BMI was categorized in four groups according to the
   Asia-Pacific standard.
   Measurements: Fasting blood samples were obtained and analyzed for serum
   levels of homocysteine, folate and high-sensitivity C-reactive protein
   (hs-CRP). Concentrations of fetal fibronectin were assessed in the
   cervix and vagina, and cervical length was measured.
   Results: Obese subjects had a lower education level and a lower income
   level than subjects of normal weight. The level of maternal stress was
   positively associated with pre-pregnancy BMI. Normal weight subjects
   were more likely to eat breakfast and consume meals of appropriate size
   than the rest of our sample. In overweight and obese subjects, weight
   gain during pregnancy was significantly lower than in the underweight
   and normal subjects. High pre-pregnancy maternal BMI increased the risks
   of preterm delivery (odds ratio (OR) = 2.85, confidence interval (CI) =
   1.20-6.74), low-birth-weight (LBW) infants (overweight subjects: OR =
   5.07, CI = 1.76-14.63; obese subjects: OR = 4.49, CI = 1.54-13.13) and
   macrosomia. In obese subjects, the average serum folate level was
   significantly lower than in the underweight subjects. In obese subjects,
   the average serum hs-CRP level was significantly higher than in the rest
   of our sample.
   Conclusion: Pregnancy outcomes are influenced by pre-pregnancy BMI.
   These findings suggest that women can minimize their risks of preterm
   delivery, LBW and macrosomia by maintaining normal pre-pregnancy BMI.
   International Journal of Obesity (2011) 35, 570-577; doi:
   10.1038/ijo.2010.162; published online 31 August 2010
RI Kim, Young Ju/P-1853-2014; Park, Hyesook/
OI Kim, Young Ju/0000-0002-3153-3008; Park, Hyesook/0000-0002-9359-6522
ZA 0
TC 50
ZS 2
ZR 0
Z8 2
ZB 16
Z9 53
U1 0
U2 12
SN 0307-0565
EI 1476-5497
UT WOS:000289409800016
PM 20805829
ER

PT J
AU O'Keeffe, Gwenn Schurgin
   Clarke-Pearson, Kathleen
CA Council Commun & Media
TI Clinical Report-The Impact of Social Media on Children, Adolescents, and
   Families
SO PEDIATRICS
VL 127
IS 4
BP 800
EP 804
DI 10.1542/peds.2011-0054
PD APR 2011
PY 2011
AB Using social media Web sites is among the most common activity of
   today's children and adolescents. Any Web site that allows social
   interaction is considered a social media site, including social
   networking sites such as Facebook, MySpace, and Twitter; gaming sites
   and virtual worlds such as Club Penguin, Second Life, and the Sims;
   video sites such as YouTube; and blogs. Such sites offer today's youth a
   portal for entertainment and communication and have grown exponentially
   in recent years. For this reason, it is important that parents become
   aware of the nature of social media sites, given that not all of them
   are healthy environments for children and adolescents. Pediatricians are
   in a unique position to help families understand these sites and to
   encourage healthy use and urge parents to monitor for potential problems
   with cyberbullying, "Facebook depression," sexting, and exposure to
   inappropriate content. Pediatrics 2011;127:800-804
TC 805
ZB 70
ZR 1
ZA 9
Z8 0
ZS 8
Z9 824
U1 28
U2 799
SN 0031-4005
UT WOS:000289074800065
PM 21444588
ER

PT J
AU Breslin, F. Curtis
   Morassaei, Sara
   Wood, Matt
   Mustard, Cameron A.
TI Assessing Occupational Health and Safety of Young Workers Who Use Youth
   Employment Centers
SO AMERICAN JOURNAL OF INDUSTRIAL MEDICINE
VL 54
IS 4
BP 325
EP 337
DI 10.1002/ajim.20937
PD APR 2011
PY 2011
AB Background Adolescents and young adults who are out of school are at
   elevated risk for a work injury.
   Methods To obtain more information on this "high risk'' group of young
   workers, young people at youth employment centers across Ontario were
   asked through an online survey about training, unsafe work conditions,
   work injuries and safety knowledge.
   Results The 1,886 youth who completed the survey reported a medically
   attended work injury rate of 14.45 per 100 FTEs. Also, the most common
   unsafe work conditions were dust/particles, trip hazards and heavy
   lifting. In addition, many young workers reported using much of their
   income for living essentials (e. g., rent).
   Conclusions Though not a representative sample, it appears that youth
   using employment centers experience many unsafe work conditions and work
   injuries. While many report safety training, the nature and
   effectiveness of this training remains to be determined. The large
   portion of young workers out of school and working for living essentials
   included in this sample suggest that youth employment centers should be
   considered in future prevention efforts targeting this vulnerable
   subgroup of workers. Am. J. Ind. Med. 54:325-337, 2011. (C) 2011
   Wiley-Liss, Inc.
ZB 3
ZS 0
ZR 0
ZA 0
TC 4
Z8 0
Z9 4
U1 0
U2 11
SN 0271-3586
UT WOS:000288559800009
PM 21328419
ER

PT J
AU Shem, K.
   Medel, R.
   Wright, J.
   Kolakowsky-Hayner, S. A.
   Duong, T.
TI Return to work and school: a model mentoring program for youth and young
   adults with spinal cord injury
SO SPINAL CORD
VL 49
IS 4
BP 544
EP 548
DI 10.1038/sc.2010.166
PD APR 2011
PY 2011
AB Study design: This is a prospective study.
   Objectives: Young individuals with spinal cord injury (SCI) need support
   to actively participate in the community after their injuries. The 'Back
   on Track' mentoring program was developed to match mentees with SCI with
   mentors to assist with post-injury adjustment. The objectives of this
   study were to improve the percentage of youth and young adults with SCI,
   who access post-secondary education or employment opportunities and to
   improve quality of life.
   Setting: This study had a community-based setting.
   Methods: Each mentee with SCI was matched with a community-based mentor,
   with or without a disability. The mentoring relationship was planned for
   2 years. Participants were evaluated with standardized questionnaires at
   intake, at the time of post-secondary education or employment entry and
   4 months post entry.
   Results: In total, 39 individuals with SCI, age 16-26 years, were
   enrolled. Average age of mentees was 19.8 years (s.d = 3.0). In total,
   29 participants were matched with mentors, and 10 participants (34%)
   completed the program, with seven (24%) returning to school, two (6.9%)
   returning to work and one individual (3.4%) attending school part time.
   Conclusion: Although multiple barriers to success occurred, this program
   demonstrated that it could assist the youth and young adults with SCI to
   obtain post-secondary education and employment. This type of support
   system should be encouraged in order to improve the quality and
   satisfaction of life for young adults with disabilities. Spinal Cord
   (2011) 49, 544-548; doi: 10.1038/sc.2010.166; published online 7
   December 2010
RI Kolakowsky-Hayner, Stephanie A./I-9858-2019
OI Kolakowsky-Hayner, Stephanie A./0000-0002-6228-9909
Z8 0
ZB 5
TC 16
ZR 0
ZA 0
ZS 0
Z9 17
U1 0
U2 12
SN 1362-4393
EI 1476-5624
UT WOS:000289069400010
PM 21135861
ER

PT J
AU Galvan, Adriana
   Poldrack, Russell A.
   Baker, Christine M.
   McGlennen, Kristine M.
   London, Edythe D.
TI Neural Correlates of Response Inhibition and Cigarette Smoking in Late
   Adolescence
SO NEUROPSYCHOPHARMACOLOGY
VL 36
IS 5
BP 970
EP 978
DI 10.1038/npp.2010.235
PD APR 2011
PY 2011
AB Smoking is usually initiated in adolescence, and is the leading
   preventable cause of death in the United States. Little is known,
   however, about the links between smoking and neurobiological function in
   adolescent smokers. This study aimed to probe prefrontal cortical
   function in late adolescent smokers, using a response inhibition task,
   and to assess possible relationships between inhibition-related brain
   activity, clinical features of smoking behavior, and exposure to
   cigarette smoking. Participants in this study were otherwise healthy
   late adolescent smokers (15-21 years of age; n = 25), who reported daily
   smoking for at least the 6 months before testing, and age-and
   education-matched nonsmokers (16-21 years of age; n = 25), who each
   reported smoking fewer than five cigarettes in their lifetimes. The
   subjects performed the Stop-signal Task, while undergoing functional
   magnetic resonance imaging. There were no significant group differences
   in prefrontal cortical activity during response inhibition, but the
   Heaviness of Smoking Index, a measure of smoking behavior and
   dependence, was negatively related to neural function in cortical
   regions of the smokers. These findings suggest that smoking can modulate
   prefrontal cortical function. Given the late development of the
   prefrontal cortex, which continues through adolescence, it is possible
   that smoking may influence the trajectory of brain development during
   this critical developmental period. Neuropsychopharmacology (2011) 36,
   970-978; doi:10.1038/npp.2010.235; published online 26 January 2011
OI Poldrack, Russell/0000-0001-6755-0259
TC 75
ZS 0
Z8 1
ZR 0
ZA 0
ZB 46
Z9 76
U1 0
U2 18
SN 0893-133X
EI 1740-634X
UT WOS:000288493600006
PM 21270772
ER

PT J
AU Gold, Judy
   Lim, Megan S. C.
   Hocking, Jane S.
   Keogh, Louise A.
   Spelman, Tim
   Hellard, Margaret E.
TI Determining the Impact of Text Messaging for Sexual Health Promotion to
   Young People
SO SEXUALLY TRANSMITTED DISEASES
VL 38
IS 4
BP 247
EP 252
DI 10.1097/OLQ.0b013e3181f68d7b
PD APR 2011
PY 2011
AB Background: The use of new technologies, such as mobile phones and
   internet, has increased dramatically in recent years. Text messages
   offer a novel method of sexual health promotion to young people who are
   the greatest users of new technology and are also at high risk of
   sexually transmitted infections (STIs).
   Methods: In January 2008, young people aged between 16 and 29 years were
   recruited from a music festival in Melbourne, Australia. They completed
   a short survey and were asked to provide their mobile phone numbers.
   Participants received fortnightly short messaging service (SMS) relating
   to sexual health for 4 months, and then completed an online follow-up
   survey. Survey data were weighted to account for those lost to
   follow-up. McNemar's test was used to compare changes in survey
   responses.
   Results: A total of 1771 participants were included in analysis as they
   were sexually active and provided a valid mobile phone number at
   baseline. In all, 18% (319/1771) withdrew from receiving the SMS during
   the broadcast period and 40% (587/1452) completed the follow-up survey.
   The majority reported on the follow-up survey that they found the SMS
   entertaining (80%), informative (68%), and they showed the SMS to others
   (73%). Weighted analyses found a significant increase in knowledge (P <
   0.01) and STI testing (P < 0.05) over time in both males and females.
   Conclusion: The findings indicate that SMS appear to be a feasible,
   popular, and effective method of sexual health promotion to young people
   with a relatively low withdrawal rate, positive feedback, and an
   observed improvement in sexual health knowledge and STI testing.
RI Keogh, Louise/D-4667-2015; Hocking, Jane/AAD-5203-2021; Gold, Judy/T-9365-2019
OI Keogh, Louise/0000-0003-2963-6451; Hocking, Jane/0000-0001-9329-8501;
   Gold, Judy/0000-0002-3624-8900
ZR 0
ZS 0
ZB 20
ZA 0
TC 92
Z8 0
Z9 92
U1 0
U2 29
SN 0148-5717
EI 1537-4521
UT WOS:000288368100001
PM 20966830
ER

PT J
AU Nguyen, Diane N.
   Zierler, Brenda
   Nguyen, Huong Q.
TI A Survey of Nursing Faculty Needs for Training in Use of New
   Technologies for Education and Practice
SO JOURNAL OF NURSING EDUCATION
VL 50
IS 4
BP 181
EP 189
DI 10.3928/01484834-20101130-06
PD APR 2011
PY 2011
AB This study describes nursing faculty's use, knowledge of, and training
   needs associated with distance learning, simulation, telehealth, and
   informatics tools in nursing education and practice. Web-based surveys
   were completed by 193 faculty members from nursing schools in the
   western United States. More than half of the respondents were frequent
   users of distance learning and informatics tools. Approximately 66% of
   faculty reported they were competent with distance learning and
   informatics tools. Training and technical support for the use of
   distance learning was highest, yet 69% of faculty still reported a need
   for additional training. The availability of training and financial and
   technical support was associated with greater use of distance learning
   technologies (p < 0.05 for all). Although a key limitation of this
   survey was the overlapping definitions across the four technologies, the
   findings suggest nursing faculty perceive a need for training and
   support to effectively use educational technologies in nursing
   education.
RI Nguyen, HQ/AAI-7800-2020
ZB 1
ZR 0
ZA 2
Z8 0
ZS 4
TC 35
Z9 40
U1 1
U2 18
SN 0148-4834
EI 1938-2421
UT WOS:000288968300002
PM 21117532
ER

PT J
AU de Groot, Esther
   van den Berg, B. A. M.
   Endedijk, M. D.
   van Beukelen, P.
   Simons, P. R. J.
TI Critically Reflective Work Behaviour Within Autonomous Professionals'
   Learning Communities
SO VOCATIONS AND LEARNING
VL 4
IS 1
BP 41
EP 62
DI 10.1007/s12186-010-9048-z
PD APR 2011
PY 2011
AB Informal learning communities in which participants show critically
   reflective work behaviour (CRWB) have the potential to support lifelong
   learning. In practice this behaviour does not always occur in groups of
   autonomous professionals. This study explores design principles (DPs)
   that could act as social affordances for CRWB, within the context of
   healthcare professionals. From the literature, 28 DPs were deduced. In
   an online Delphi study, 12 experts gave their opinions about these. To
   explore strategies for implementation of these DPs, a face-to-face
   expert discussion meeting was organized. The Delphi study resulted in a
   subset of 13 DPs considered to be relevant for CRWB. Some of the design
   principles were confirmed or reformulated, others were considered to be
   unimportant. Exploration of strategies for implementation confirmed the
   importance of having moderators from within the group. The results of
   this study, combining issues of design and implementation, could
   contribute to the discussion about the support and set-up of learning
   communities for autonomous professionals. A framework for behavioural
   change is considered that could help to understand why these DPs should
   influence participants' interaction.
OI de Groot, Esther/0000-0003-0388-385X
ZB 0
Z8 0
TC 6
ZA 0
ZS 0
ZR 0
Z9 6
U1 1
U2 21
SN 1874-785X
EI 1874-7868
UT WOS:000288705500003
ER

PT J
AU Spice, Ron
   Palacios, Mone
   Biondo, Patricia D.
   Hagen, Neil A.
TI Design and Implementation of an Online Course on Research Methods in
   Palliative Care: Lessons Learned
SO JOURNAL OF PALLIATIVE MEDICINE
VL 14
IS 4
BP 413
EP 419
DI 10.1089/jpm.2010.0374
PD APR 2011
PY 2011
AB Background: Research capacity in palliative and end-of-life care is less
   than some other fields of medicine where there is a longer track record
   of biomedical research. Palliative medicine clinicians often receive
   little or no formal research training during their postgraduate
   education; hence, education efforts may prove pivotal to increasing
   palliative care research capacity. To that end, our group established a
   national online training program on palliative care research
   methodologies, called Foundations of Palliative Care Research. This
   report describes the development and implementation of the course, and
   its evaluation. To inform decisions on the overall course objectives,
   length, design, and implementation, formal needs assessments were
   conducted through surveys of Canadian palliative medicine residency
   program directors and of Canadian palliative medicine residents.
   Methods: A 12-week, online, module-based course was designed. The first
   iteration of the course was offered to English-speaking palliative
   medicine residents from across Canada between October 2008 and March
   2009. The course utilized Web-based communication methods, and was
   delivered using a combination of asynchronous and synchronous learning
   strategies and activities.
   Results: Ten palliative care residents from different parts of the
   country registered and all completed the course with passing marks.
   Participants evaluated the course through a post course survey. The
   formal evaluation of the course, along with successes, challenges, and
   lessons applicable to future ventures, are discussed.
Z8 0
ZR 0
ZA 0
ZB 1
ZS 0
TC 7
Z9 7
U1 0
U2 10
SN 1096-6218
UT WOS:000289235100010
PM 21375396
ER

PT J
AU Ong, Eugene J. S.
   Stevenson, Andrew R. L.
TI Current state of laparoscopic rectal cancer surgery in Australasia
SO ANZ JOURNAL OF SURGERY
VL 81
IS 4
BP 281
EP 286
DI 10.1111/j.1445-2197.2010.05590.x
PD APR 2011
PY 2011
AB Background:
   To establish the current surgical approach to rectal cancer in a group
   of colorectal surgeons in Australasia and the current opinion regarding
   laparoscopic rectal cancer surgery.
   Methods:
   An online survey was distributed to the Colorectal Surgical Society of
   Australia and New Zealand members.
   Results:
   123/177 surgeons responded. During the last year, 94.3% had performed a
   laparoscopic colorectal case, 77.2% a laparoscopic rectal case and 65% a
   laparoscopic rectal cancer case. The most common approach to high
   anterior resection was pure laparoscopic (52.8%). Low anterior
   resections were most commonly performed with a laparoscopic component
   (25.2% pure laparoscopic, 33.3% hybrid). Most surgeons (> 50%) performed
   ultra-low anterior resections or abdomino-perineal resections via an
   open technique. In addition, 64.2% intended to perform laparoscopic
   total mesorectal excision (TME) within 2 years. Most surgeons believe
   that the quality of laparoscopic TME and oncological outcomes are
   similar, and surgical access and short-term outcomes are superior when
   compared to the open procedure. The major concerns were in performing a
   low rectal transection, controlling haemorrhage and resource
   utilization/cost.
   Conclusion:
   Laparoscopic rectal surgery is now widely practiced by Australasian
   colorectal surgeons and projected to increase in the near future.
   However, only 10% of surgeons are routinely performing total
   laparoscopic ultra-low anterior resections which may have implications
   for the generalizability of clinical trials in laparoscopic TME and the
   ability to credential surgeons in this technically challenging field.
   Quality of TME and oncological outcomes were rated similar to the open
   operation. Areas of concern included low rectal transection, haemorrhage
   control and resource utilization/cost.
RI STEVENSON, Andrew Robert/F-5743-2011
OI STEVENSON, Andrew Robert/0000-0001-5639-3526
TC 5
ZS 0
Z8 0
ZA 0
ZR 0
ZB 1
Z9 5
U1 0
U2 1
SN 1445-1433
EI 1445-2197
UT WOS:000288678600016
PM 21418474
ER

PT J
AU Raptis, Dimitri A.
   Clavien, Pierre-Alain
CA IHPBA Edu Training Comm
TI Evaluation of Hepato-Pancreato-Biliary (HPB) fellowships: an
   international survey of programme directors
SO HPB
VL 13
IS 4
BP 279
EP 285
DI 10.1111/j.1477-2574.2010.00283.x
PD APR 2011
PY 2011
AB Objectives:
   This report describes a survey undertaken with the aim of assessing the
   current status of available fellowships in hepatopancreatobiliary (HPB)
   surgery in order to identify steps to be taken to ensure the provision
   of successful training in this specialty.
   Methods:
   An online survey was conducted among members of the International
   Hepato-Pancreato-Biliary Association (IHPBA) targeting registered and
   non-registered HPB surgery fellowships. A total of 71 programmes are
   registered on the IHPBA website and 40 fellowship directors completed
   the survey. Only 18 completed surveys referred to programmes previously
   listed on the website.
   Results:
   Responses showed great diversity among centres regarding their
   requirements for application, the duration of training and exposure to
   HPB cases during the fellowship. Factors associated with higher levels
   of training included the country of fellowship, a third year of training
   and the presence of a well-structured HPB curriculum. Over 90% of
   responders seek official accreditation from their regional association
   (i.e. the European, American and Asian-Pacific HPB Associations). Most
   programmes would welcome official IHPBA or regional association
   monitoring of their fellowship.
   Conclusions:
   This survey discloses important information which will allow the IHPBA
   Education and Training Committee to move forward. The next steps should
   include close monitoring of the performance of fellows by creating a
   fellows' registry, as well as a blog or forum which can be used to
   further enhance communication among fellows. The availability of
   registration to both programme directors and fellows may eventually lead
   to an official fellowship accreditation process.
OI Raptis, Dimitri Aristotle/0000-0002-0898-3270
TC 14
ZB 0
Z8 0
ZS 0
ZR 0
ZA 0
Z9 14
U1 0
U2 1
SN 1365-182X
EI 1477-2574
UT WOS:000288547100008
PM 21418134
ER

PT J
AU Hou, Huei-Tse
TI A case study of online instructional collaborative discussion activities
   for problem-solving using situated scenarios: An examination of content
   and behavior cluster analysis
SO COMPUTERS & EDUCATION
VL 56
IS 3
BP 712
EP 719
DI 10.1016/j.compedu.2010.10.013
PD APR 2011
PY 2011
AB In some higher education courses that focus on case studies, teachers
   can provide situated scenarios (such as business bottlenecks and medical
   cases) and problem-solving discussion tasks for students to promote
   their cognitive skills. There is limited research on the content,
   performance, and behavioral patterns of teaching using online
   discussions and integrated situated scenarios. This case study
   empirically explored the learning process of adopting collaborative
   online instructional discussion activities for the purpose of
   problem-solving using situated scenarios in a higher education course.
   Thirty-two university students carried out problem-solving activities on
   case scenarios and problem-solving tasks assigned by the teacher on the
   discussion forum. Two forms of instructional activities were considered:
   1) problem-solving in a given scenario and 2) problem-solving when
   learners play roles in a given scenario. The activities mentioned above
   were each implemented for a week.
   Using analytical methods that combined qualitative and quantitative
   approaches, we conducted quantitative content analysis, qualitative
   protocol analysis, and cluster analysis. We compared the differences in
   the quality of discussions, patterns of cognitive structure, and
   patterns of the clusters of possible discussion behaviors.
   Our study suggests that, when compared to general situated learning
   activity, discussions are of better quality when they involve a
   role-playing activity, which also yields the most diverse options for
   solutions. However, when learners engage in either approach to situated
   learning, the cognitive aspects of application, evaluation, and
   innovation are often still found lacking. Our study discusses the
   observed behavioral patterns and learning-related limitations of these
   activities and provides specific recommendations for teachers and
   researchers. (c) 2010 Elsevier Ltd. All rights reserved.
RI Hou, Huei-Tse/AAG-3220-2020
OI Hou, Huei-Tse/0000-0003-1783-8830
TC 49
ZR 0
ZB 0
Z8 1
ZS 1
ZA 0
Z9 51
U1 3
U2 128
SN 0360-1315
EI 1873-782X
UT WOS:000286682700017
ER

PT J
AU Modanlou, H. D.
TI Historical evidence for the origin of teaching hospital, medical school
   and the rise of academic medicine
SO JOURNAL OF PERINATOLOGY
VL 31
IS 4
BP 236
EP 239
DI 10.1038/jp.2010.162
PD APR 2011
PY 2011
AB Historical progression and the development of current teaching
   hospitals, medical schools and biomedical research originated from the
   people of many civilizations and cultures. Greeks, Indians, Syriacs,
   Persians and Jews, assembled first in Gondi-Shapur during the Sasanian
   empire in Persia, and later in Baghdad during the Golden Age of Islam,
   ushering the birth of current academic medicine. Journal of Perinatology
   (2011) 31, 236-239; doi: 10.1038/jp.2010.162; published online 13
   January 2011
TC 14
ZR 0
ZA 0
ZB 4
ZS 0
Z8 2
Z9 15
U1 0
U2 3
SN 0743-8346
EI 1476-5543
UT WOS:000289060000003
PM 21233794
ER

PT J
AU Duffy, Thomas
   Martinez, Bulmaro
TI AOA Approval of ACGME Internship and Residency Training.
SO The Journal of the American Osteopathic Association
VL 111
IS 4
BP 244
EP 6
DI 10.7556/jaoa.2011.111.4.244
PD 2011-Apr
PY 2011
AB Since the 1970s, the American Osteopathic Association (AOA) has provided
   a means for osteopathic physicians to apply for approval of their
   postdoctoral training in programs accredited by the Accreditation
   Council for Graduate Medical Education (ACGME). Osteopathic physicians
   who trained in ACGME programs need this approval to meet AOA licensure
   and board certification requirements. The AOA approves ACGME residency
   training with several different approval processes. Approval of the
   first year of postdoctoral training occurs through Resolution 42,
   specialty approval (for specialties in which the first year of training
   is part of the residency), or federal or military training approval. For
   residency training, the AOA verifies successful completion of an ACGME
   training program before approving the training. The AOA is using
   customer surveys and online applications to improve the review process
   for applicants.
ZA 0
Z8 0
ZS 0
ZB 0
ZR 0
TC 1
Z9 1
U1 0
U2 0
EI 1945-1997
UT MEDLINE:21562294
PM 21562294
ER

PT J
AU Rodgers, Delores J
TI AOA Continuing Medical Education.
SO The Journal of the American Osteopathic Association
VL 111
IS 4
BP 264
EP 78
PD 2011-Apr
PY 2011
AB The author provides an update on the current CME cycle, which began on
   January 1, 2010, and will end on December 31, 2012. The author also
   details minor changes to the requirements for Category 1 CME sponsors
   accredited by the AOA and describes new online CME opportunities. The
   current article also explains changes regarding the AOA's awarding and
   recording of specialty CME credit hours for AOA board-certified
   osteopathic physicians. In addition, the article includes information to
   assist osteopathic specialists and subspecialists in requesting AOA
   Category 1-A credit for courses accredited by the Accreditation Council
   for Continuing Medical Education.
ZA 0
TC 2
ZB 0
ZS 0
ZR 0
Z8 0
Z9 2
U1 0
U2 0
EI 1945-1997
UT MEDLINE:21562297
PM 21562297
ER

PT J
AU Locatis, Craig
   Berner, Eta S.
   Hammack, Glenn
   Smith, Steve
   Maisiak, Richard
   Ackerman, Michael
TI Communication and proximity effects on outcomes attributable to sense of
   presence in distance bioinformatics education
SO BMC MEDICAL EDUCATION
VL 11
AR 10
DI 10.1186/1472-6920-11-10
PD MAR 14 2011
PY 2011
AB Background: Online learning is increasingly popular in medical education
   and sense of presence has been posited as a factor contributing to its
   success. Communication media influences on sense of presence and
   learning outcomes were explored in this study. Test performance and
   ratings of instruction and technology, factors influenced by sense of
   presence, are compared under four conditions involving different media
   and degrees of student physical presence: 1) videoconference co-located,
   2) webcast co-located, 3) videoconference dispersed, and 4) webcast
   dispersed.
   Methods: Eighty one first to forth year medical students heard a lecture
   on telemedicine and were asked to collaboratively search a telemedicine
   website under conditions where the lecture was delivered by
   videoconference or one way streaming (webcast) and where students were
   either co-located or dispersed. In the videoconference conditions,
   co-located students could use the technology to interact with the
   instructor and could interact with each other face to face, while the
   dispersed students could use the technology to interact with both the
   instructor and each other. In the webcast conditions, all students could
   use chat to communicate with the instructor or each other, although the
   co-located students also could interact orally. After hearing the
   lecture, students collaboratively searched a telemedicine website, took
   a test on lecture-website content and rated the instruction and the
   technology they used. Test scores on lecture and website content and
   ratings of instruction and technology for the four conditions were
   compared with analysis of variance and chi-square tests.
   Results: There were no significant differences in overall measures,
   although there were on selected ratings of instruction. Students in both
   webcast conditions indicated they were encouraged more to follow up on
   their own and felt instruction was more interactive than co-located
   videoconferencing students. Dispersed videoconferencing students
   indicated the highest levels of interaction and there was evidence they
   interacted more.
   Conclusion: Results do not strongly support proximity as a sense of
   presence factor affecting performance and attitudes, but do suggest
   communication medium may affect interactivity.
RI Locatis, Craig/AAE-7482-2020; Berner, Eta/
OI Berner, Eta/0000-0003-4319-2949
ZS 0
ZA 0
Z8 0
TC 3
ZB 0
ZR 0
Z9 3
U1 1
U2 12
EI 1472-6920
UT WOS:000288943000001
PM 21401942
ER

PT J
AU Woolf, Katherine
   Potts, Henry W. W.
   McManus, I. C.
TI Ethnicity and academic performance in UK trained doctors and medical
   students: systematic review and meta-analysis
SO BMJ-BRITISH MEDICAL JOURNAL
VL 342
AR d901
DI 10.1136/bmj.d901
PD MAR 8 2011
PY 2011
AB Objective To determine whether the ethnicity of UK trained doctors and
   medical students is related to their academic performance.
   Design Systematic review and meta-analysis.
   Data sources Online databases PubMed, Scopus, and ERIC; Google and
   Google Scholar; personal knowledge; backwards and forwards citations;
   specific searches of medical education journals and medical education
   conference abstracts.
   Study selection The included quantitative reports measured the
   performance of medical students or UK trained doctors from different
   ethnic groups in undergraduate or postgraduate assessments. Exclusions
   were non-UK assessments, only non-UK trained candidates, only self
   reported assessment data, only dropouts or another non-academic
   variable, obvious sampling bias, or insufficient details of ethnicity or
   outcomes.
   Results 23 reports comparing the academic performance of medical
   students and doctors from different ethnic groups were included.
   Meta-analyses of effects from 22 reports (n=23 742) indicated candidates
   of "non-white" ethnicity underperformed compared with white candidates
   (Cohen's d=-0.42, 95% confidence interval -0.50 to -0.34; P<0.001).
   Effects in the same direction and of similar magnitude were found in
   meta-analyses of undergraduate assessments only, postgraduate
   assessments only, machine marked written assessments only, practical
   clinical assessments only, assessments with pass/fail outcomes only,
   assessments with continuous outcomes only, and in a meta-analysis of
   white v Asian candidates only. Heterogeneity was present in all
   meta-analyses.
   Conclusion Ethnic differences in academic performance are widespread
   across different medical schools, different types of exam, and in
   undergraduates and postgraduates. They have persisted for many years and
   cannot be dismissed as atypical or local problems. We need to recognise
   this as an issue that probably affects all of UK medical and higher
   education. More detailed information to track the problem as well as
   further research into its causes is required. Such actions are necessary
   to ensure a fair and just method of training and of assessing current
   and future doctors.
RI Woolf, Katherine/AAD-8043-2021; Potts, Henry WW/B-9597-2008; McManus, Ian/
OI Woolf, Katherine/0000-0003-4915-0715; Potts, Henry
   WW/0000-0002-6200-8804; McManus, Ian/0000-0003-3510-4814
ZR 0
Z8 0
ZA 0
ZB 11
ZS 1
TC 146
Z9 148
U1 0
U2 34
SN 1756-1833
UT WOS:000288446800006
PM 21385802
ER

PT J
AU Lin, Hsueh-Chun
   Wu, Hsi-Chin
   Chang, Chih-Hung
   Li, Tsai-Chung
   Liang, Wen-Miin
   Wang, Jong-Yi Wang
TI Development of a real-time clinical decision support system upon the web
   mvc-based architecture for prostate cancer treatment
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 11
AR 16
DI 10.1186/1472-6947-11-16
PD MAR 8 2011
PY 2011
AB Background: A real-time clinical decision support system (RTCDSS) with
   interactive diagrams enables clinicians to instantly and efficiently
   track patients' clinical records (PCRs) and improve their quality of
   clinical care. We propose a RTCDSS to process online clinical
   informatics from multiple databases for clinical decision making in the
   treatment of prostate cancer based on Web Model-View-Controller (MVC)
   architecture, by which the system can easily be adapted to different
   diseases and applications.
   Methods: We designed a framework upon the Web MVC-based architecture in
   which the reusable and extractable models can be conveniently adapted to
   other hospital information systems and which allows for efficient
   database integration. Then, we determined the clinical variables of the
   prostate cancer treatment based on participating clinicians' opinions
   and developed a computational model to determine the pretreatment
   parameters. Furthermore, the components of the RTCDSS integrated PCRs
   and decision factors for real-time analysis to provide evidence-based
   diagrams upon the clinician-oriented interface for visualization of
   treatment guidance and health risk assessment.
   Results: The resulting system can improve quality of clinical treatment
   by allowing clinicians to concurrently analyze and evaluate the clinical
   markers of prostate cancer patients with instantaneous clinical data and
   evidence-based diagrams which can automatically identify pretreatment
   parameters. Moreover, the proposed RTCDSS can aid interactions between
   patients and clinicians.
   Conclusions: Our proposed framework supports online clinical
   informatics, evaluates treatment risks, offers interactive guidance, and
   provides real-time reference for decision making in the treatment of
   prostate cancer. The developed clinician-oriented interface can assist
   clinicians in conveniently presenting evidence-based information to
   patients and can be readily adapted to an existing hospital information
   system and be easily applied in other chronic diseases.
RI Li, Tsai-Chung/P-2052-2015; /
OI Li, Tsai-Chung/0000-0002-3346-7462; /0000-0002-3733-6638
ZR 0
ZS 0
TC 13
Z8 0
ZB 4
ZA 0
Z9 13
U1 0
U2 17
SN 1472-6947
UT WOS:000288943300001
PM 21385459
ER

PT J
AU Hariri, Sanaz
   York, Sally C.
   O'Connor, Mary I.
   Parsley, Brian S.
   McCarthy, Joseph C.
TI Career Plans of Current Orthopaedic Residents with a Focus on Sex-Based
   and Generational Differences
SO JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
VL 93A
IS 5
BP 511
EP 511
DI 10.2106/JBJS.J.00489
PD MAR 2 2011
PY 2011
ZA 0
ZR 0
Z8 0
ZB 0
TC 54
ZS 0
Z9 54
U1 0
U2 1
SN 0021-9355
UT WOS:000287827000014
PM 21368070
ER

PT J
AU Ritchie, Ann
TI The Library's role and challenges in implementing an elearning strategy:
   a case study from northern Australia
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 28
IS 1
BP 41
EP 49
DI 10.1111/j.1471-1842.2010.00923.x
PD MAR 2011
PY 2011
AB Background: The Northern Territory Department of Health and Families'
   (DHF) Library supports education programs for all staff. DHF is
   implementing an elearning strategy, which may be viewed as a vehicle for
   coordinating the education function throughout the organisation.
   Objective: The objective of this study is to explore the concept of
   elearning in relation to the Library's role in implementing an
   organisation-wide elearning strategy.
   Methods: The main findings of a literature search about the
   effectiveness of elearning in health professionals' education, and the
   responsibility and roles of health librarians in elearning are
   described. A case study approach is used to outline the current role and
   future opportunities and challenges for the Library.
   Discussion: The case study presents the organisation's strategic
   planning context. Four areas of operational activity which build on the
   Library's current educational activities are suggested: the integration
   of library resources 'learning objects' within a Learning Management
   System; developing online health information literacy training programs;
   establishing a physical and virtual 'elearningLibrary/Centre';
   developing collaborative partnerships, taking on new responsibilities in
   elearning development, and creating a new elearning librarian role.
   Conclusion: The study shows that the Library's role is fundamental to
   developing the organisation's elearning capacity and implementing an
   organisation-wide elearning strategy.
ZA 0
ZB 1
ZR 0
TC 6
ZS 0
Z8 0
Z9 6
U1 0
U2 34
SN 1471-1834
UT WOS:000287310700005
PM 21314893
ER

PT J
AU Brewster, Liz
   Sen, Barbara
TI 'Quality signposting': the role of online information prescription in
   providing patient information
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 28
IS 1
BP 59
EP 67
DI 10.1111/j.1471-1842.2010.00912.x
PD MAR 2011
PY 2011
AB Background: Information prescriptions (IPs) are part of a Department of
   Health (DH) initiative to improve patient care. IPs aim to meet health
   information needs by providing personalised, high quality patient
   information about conditions and treatment.
   Objectives: This paper identifies current online IP provision and
   evaluates a sample of IP websites against the original DH aims of IP
   provision; British Medical Association usability criteria; and
   information seeking vignettes.
   Methods: Five UK and one international IP website were randomly selected
   as a sample. Two checklists designed to appraise the websites were used
   to review each IP provider. Two patient information seeking vignettes
   were developed to enable the websites to be assessed from a
   patient-centred perspective.
   Results: Information prescriptions currently vary in content,
   accessibility and quality. National IP websites score more highly than
   local IP websites, which are often weak on content for specific
   conditions and poorly designed but strong on signposting to local
   services.
   Conclusions: Guidelines for IP provision need to be improved to ensure
   higher quality, more easily accessible information is available. A
   synthesis of expertise included in national and local websites would
   improve usability for patients. IP websites should conform to standards
   of web design and accessibility.
RI Brewster, Liz/B-7490-2013
OI Brewster, Liz/0000-0003-3604-2897
ZA 0
ZB 0
Z8 0
TC 8
ZS 0
ZR 0
Z9 8
U1 0
U2 12
SN 1471-1834
UT WOS:000287310700007
PM 21314895
ER

PT J
AU Venderbos, Lionne D. F.
   Roobol, Monique J.
TI PSA-based prostate cancer screening: the role of active surveillance and
   informed and shared decision making
SO ASIAN JOURNAL OF ANDROLOGY
VL 13
IS 2
BP 219
EP 224
DI 10.1038/aja.2010.180
PD MAR 2011
PY 2011
AB Since the first publication describing the identification of
   prostate-specific antigen (PSA) in the 1960s, much progress has been
   made. The PSA test changed from being initially a monitoring tool to
   being also used as a diagnostic tool. Over time, the test has been
   heavily debated due to its lack of sensitivity and specificity. However,
   up to now the PSA test is still the only biomarker for the detection and
   monitoring of prostate cancer. PSA-based screening for prostate cancer
   is associated with a high proportion of unnecessary testing and
   overdiagnosis with subsequent overtreatment. In the early years of
   screening for prostate cancer, high rates of uptake were very important.
   However, over time the opinion on PSA-based screening has shifted
   towards the notion of informed choice. Nowadays, it is thought to be
   unethical to screen men without them being aware of the pros and cons of
   PSA testing, as well as the fact that an informed choice is related to
   better patient outcomes. Now, as the results of three major screening
   studies have been presented and the downsides of screening are becoming
   better understood, informed choice is becoming more relevant. Asian
   Journal of Andrology (2011) 13, 219-224; doi:10.1038/aja.2010.180;
   published online 7 February 2011
OI Venderbos, Lionne/0000-0002-4269-0623
ZS 0
ZR 0
ZA 0
Z8 2
TC 12
ZB 5
Z9 14
U1 0
U2 10
SN 1008-682X
EI 1745-7262
UT WOS:000288074400019
PM 21297655
ER

PT J
AU Sargeant, Joan
   MacLeod, Tanya
   Sinclair, Douglas
   Power, Mary
TI How Do Physicians Assess Their Family Physician Colleagues' Performance?
   Creating a Rubric to Inform Assessment and Feedback
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 31
IS 2
BP 87
EP 94
DI 10.1002/chp.20111
PD SPR 2011
PY 2011
AB Introduction: The Colleges of Physicians and Surgeons of Alberta and
   Nova Scotia (CPSNS) use a standardized multisource feedback program, the
   Physician Achievement Review (PAR/NSPAR), to provide physicians with
   performance assessment data via questionnaires from medical colleagues,
   coworkers, and patients on 5 practice domains: consultation
   communication, patient interaction, professional self-management,
   clinical competence, and psychosocial management of patients. Physicians
   receive a confidential report; the intent is practice improvement.
   However, research indicates that feedback from medical colleagues
   appears to be less understood than that from coworkers or patients, due
   to a lack of specificity and concerns regarding feedback credibility.
   The purpose of this study was to determine how physicians make decisions
   about performance ratings for family physician (FP) colleagues in the 5
   practice domains.
   Methods: This was an exploratory qualitative study using focus
   groups-one with 11 family physicians and one with 12 specialists-who had
   served as NSPAR "medical colleague" reviewers. We analyzed focus group
   transcripts using content analysis.
   Results: Family and specialist physicians provided examples of behaviors
   indicative of both high- and low-scoring performance for items within
   the 5 practice domains. From these, an assessment rubric was created to
   inform both external reviewers and the physicians being reviewed of
   performance expectations. Reviewers reported using varied sources of
   information to make assessments, including shared patients, medical
   records, referral letters, feedback from others, and self-reference.
   Discussion: The CPSNS has used the assessment rubric to create an online
   resource to inform medical colleague assessment and enhance the
   usefulness of their NSPAR scores. Further research will be required to
   determine its impact.
OI MacLeod, Tanya/0000-0002-1677-0275
ZR 0
ZB 1
Z8 0
ZS 0
TC 16
ZA 0
Z9 16
U1 1
U2 9
SN 0894-1912
EI 1554-558X
UT WOS:000291697800003
PM 21671274
ER

PT J
AU Shaw, Timothy
   Long, Andrea
   Chopra, Sanjiv
   Kerfoot, B. Price
TI Impact on Clinical Behavior of Face-to-Face Continuing Medical Education
   Blended with Online Spaced Education: A Randomized Controlled Trial
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 31
IS 2
BP 103
EP 108
DI 10.1002/chp.20113
PD SPR 2011
PY 2011
AB Background: Spaced education (SE) is a novel, evidence-based form of
   online learning. We investigated whether an SE program following a
   face-to-face continuing medical education (CME) course could enhance the
   course's impact on providers' clinical behaviors.
   Methods: This randomized controlled trial was conducted from March 2009
   to April 2010, immediately following the Current Clinical Issues in
   Primary Care (Pri-Med) CME conference in Houston, Texas. Enrolled
   providers were randomized to receive the SE program immediately after
   the live CME event or 18 weeks later (wait-list controls). The SE
   program consisted of 40 validated questions and explanations covering 4
   clinical topics. The repetition intervals were adapted to each provider
   based on his or her performance (8- and 16-day intervals for incorrect
   and correct answers, respectively). Questions were retired when answered
   correctly twice in a row. At week 18, a behavior change survey
   instrument was administered simultaneously to providers in both cohorts.
   Results: Seventy-four percent of participants (181/246) completed the SE
   program. Of these, 97% (176/181) submitted the behavior change survey.
   Across all 4 clinical topics, providers who received SE reported
   significantly greater change in their global clinical behaviors as a
   result of the CME program (p-values .013 to <.001; effect size 0.7).
   Ninety-seven percent (175/179) requested to participate in future SE
   supplements to live CME courses. Eighty-six percent (156/179) agreed or
   strongly agreed that the SE program enhanced the impact of the live CME
   conference.
   Discussion: Online spaced education following a live CME course can
   significantly increase the impact of a face-to-face course on providers'
   self-reported global clinical behaviors.
ZS 0
TC 62
Z8 0
ZA 0
ZB 5
ZR 0
Z9 62
U1 1
U2 12
SN 0894-1912
EI 1554-558X
UT WOS:000291697800005
PM 21671276
ER

PT J
AU Kranz, Ashley M.
   Rozier, R. Gary
TI Oral health content of early education and child care regulations and
   standards
SO JOURNAL OF PUBLIC HEALTH DENTISTRY
VL 71
IS 2
BP 81
EP 90
DI 10.1111/j.1752-7325.2010.00204.x
PD SPR 2011
PY 2011
AB Objective: Almost two out of every three US children younger than five
   receive child care from someone other than their parents. Health
   promotion in early education and child care (EECC) programs can improve
   the general health of children and families, but little is known about
   the role of these programs in oral health. We identified US EECC program
   guidelines and assessed their oral health recommendations for infants
   and toddlers.
   Methods: State licensing regulations were obtained from the National
   Resource Center for Health and Safety in Child Care's online database.
   Professional standards were identified through a search of PubMed, early
   childhood organizations' websites, and early childhood literature. All
   EECC guidelines were reviewed for key terms related to oral health
   promotion in children and summarized by domains.
   Results: Thirty-six states include oral health in their licensing
   regulations, but recommendations are limited and most often address the
   storage of toothbrushes. Eleven sets of standards were identified, four
   of which make recommendations about oral health. Standards from the
   American Academy of Pediatrics/American Public Health Association
   (AAP/APHA) and the Office of Head Start (OHS) provide the most
   comprehensive oral health recommendations regarding screening and
   referral, classroom activities, and education.
   Conclusions: Detailed guidelines for oral health practices exist but
   they exhibit large variation in number and content. States can use the
   comprehensive standards from the AAP/APHA and OHS to inform and
   strengthen the oral health content of their licensing regulations.
   Research is needed to determine compliance with regulations and
   standards, and their effect on oral health.
ZB 0
Z8 0
TC 13
ZR 2
ZS 0
ZA 0
Z9 15
U1 1
U2 7
SN 0022-4006
UT WOS:000291225300001
PM 21070244
ER

PT J
AU Griffiths, Merlyn A.
   Harmon, Tracy R.
   Gilly, Mary C.
TI Hubble Bubble Trouble: The Need for Education About and Regulation of
   Hookah Smoking
SO JOURNAL OF PUBLIC POLICY & MARKETING
VL 30
IS 1
SI SI
BP 119
EP 132
DI 10.1509/jppm.30.1.119
PD SPR 2011
PY 2011
AB A Middle Eastern tradition, hookah smoking involves burning flavored
   tobacco heated by charcoal, creating smoke that is filtered through
   water and ingested through the mouth using a hose. Hookah lounges are
   increasingly locating around college campuses in the United States, and
   websites offering hookah paraphernalia target U.S. high school and
   college students. In two studies involving interviews with college-age
   hookah smokers and analysis of website marketing practices, the authors
   investigate consumer beliefs and attitudes toward hookah smoking and the
   way it is portrayed online. The findings indicate that it is a social
   phenomenon, with young people introducing peers to the practice and
   websites promoting shared consumption experiences. Contrary to medical
   evidence, young people believe smoking sweetened tobacco through a
   hookah is nonaddictive and safer than cigarettes. Hookah lounges often
   are exempt from age restriction laws because many double as cafes and
   other eating establishments. Traditional tobacco warnings are not
   present in lounges or on websites. The findings highlight potential
   health dangers of hookah smoking and the need for education regarding
   this practice and demonstrate that regulatory oversight is needed.
TC 61
Z8 0
ZA 0
ZB 17
ZR 0
ZS 0
Z9 61
U1 0
U2 22
SN 0743-9156
EI 1547-7207
UT WOS:000290915500021
ER

PT J
AU Espinoza, Manuel
   Cabieses, Baltica
   Pedreros, Cesar
   Zitko, Pedro
TI Evaluation of the first training on clinical research methodology in
   Chile
SO REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC
   HEALTH
VL 29
IS 3
BP 203
EP 210
PD MAR 2011
PY 2011
AB This paper describes the evaluation of the first training on clinical
   research methodology in Chile (EMIC-Chile) 12 months after its
   completion. An online survey was conducted for students and the Delphi
   method was used for the teaching team. Among the students, the majority
   reported that the program had contributed to their professional
   development and that they had shared some of the knowledge acquired with
   colleagues in their workplace. Forty-one percent submitted a project to
   obtain research funding through a competitive grants process once they
   had completed the course. Among the teachers, the areas of greatest
   interest were the communication strategy, teaching methods, the
   characteristics of the teaching team, and potential strategies for
   making the EMIC-Chile permanent in the future. This experience could
   contribute to future research training initiatives for health
   professionals. Recognized challenges are the involvement of nonmedical
   professions in clinical research, the complexities associated with the
   distance learning methodology, and the continued presence of initiatives
   of this importance at the national and regional level.
RI Cabieses, Baltica/V-5024-2017; Espinoza, Manuel/AAU-5178-2020
OI Cabieses, Baltica/0000-0003-0756-1954; Espinoza,
   Manuel/0000-0001-9564-9512
ZA 0
Z8 0
ZB 0
ZR 0
TC 2
ZS 0
Z9 2
U1 0
U2 9
SN 1020-4989
UT WOS:000289364100009
PM 21484021
ER

PT J
AU Kleinpell, Ruth
   Ely, E. Wesley
   Williams, Ged
   Liolios, Antonios
   Ward, Nicholas
   Tisherman, Samuel A.
TI Web-based resources for critical care education
SO CRITICAL CARE MEDICINE
VL 39
IS 3
BP 541
EP 553
DI 10.1097/CCM.0b013e318206b5b5
PD MAR 2011
PY 2011
AB Objective: To identify, catalog, and critically evaluate Web-based
   resources for critical care education.
   Data Sources: A multilevel search strategy was utilized. Literature
   searches were conducted (from 1996 to September 30, 2010) using
   OVID-MEDLINE, PubMed, and the Cumulative Index to Nursing and Allied
   Health Literature with the terms "Web-based learning,"
   "computer-assisted instruction," "e-learning," "critical care,"
   "tutorials," "continuing education," "virtual learning," and "Web-based
   education." The Web sites of relevant critical care organizations
   (American College of Chest Physicians, American Society of
   Anesthesiologists, American Thoracic Society, European Society of
   Intensive Care Medicine, Society of Critical Care Medicine, World
   Federation of Societies of Intensive and Critical Care Medicine,
   American Association of Critical Care Nurses, and World Federation of
   Critical Care Nurses) were reviewed for the availability of e-learning
   resources. Finally, Internet searches and e-mail queries to critical
   care medicine fellowship program directors and members of national and
   international acute/critical care list-serves were conducted to 1)
   identify the use of and 2) review and critique Web-based resources for
   critical care education.
   Data Extraction and Data Synthesis: To ensure credibility of Web site
   information, Web sites were reviewed by three independent reviewers on
   the basis of the criteria of authority, objectivity, authenticity,
   accuracy, timeliness, relevance, and efficiency in conjunction with
   suggested formats for evaluating Web sites in the medical literature.
   Measurements and Main Results: Literature searches using OVID-MEDLINE,
   PubMed, and the Cumulative Index to Nursing and Allied Health Literature
   resulted in >250 citations. Those pertinent to critical care provide
   examples of the integration of e-learning techniques, the development of
   specific resources, reports of the use of types of e-learning, including
   interactive tutorials, case studies, and simulation, and reports of
   student or learner satisfaction, among other general reviews of the
   benefits of utilizing e-learning. Review of the Web sites of relevant
   critical care organizations revealed the existence of a number of
   e-learning resources, including online critical care courses, tutorials,
   podcasts, webcasts, slide sets, and continuing medical education
   resources, some requiring membership or a fee to access. Respondents to
   listserve queries (>100) and critical care medicine fellowship director
   and advanced practice nursing educator e-mail queries (>50) identified
   the use of a number of tutorials, self-directed learning modules, and
   video-enhanced programs for critical care education and practice.
   Conclusions: In all, >135 Web-based education resources exist, including
   video Web resources for critical care education in a variety of
   e-learning formats, such as tutorials, self-directed learning modules,
   interactive case studies, webcasts, podcasts, and video-enhanced
   programs. As identified by critical care educators and practitioners,
   e-learning is actively being integrated into critical care medicine and
   nursing training programs for continuing medical education and
   competency training purposes. Knowledge of available Web-based
   educational resources may enhance critical care practitioners' ongoing
   learning and clinical competence, although this has not been objectively
   measured to date. (Crit Care Med 2011; 39: 541-553)
RI Ely, E. Wesley/Z-2018-2019; Tisherman, Samuel A./AAK-9377-2020; Kleinpell, Ruth/
OI Ely, E. Wesley/0000-0003-3957-2172; Tisherman, Samuel
   A./0000-0003-3810-3729; Kleinpell, Ruth/0000-0003-0142-7527
ZB 1
ZA 0
Z8 1
ZR 0
TC 35
ZS 3
Z9 39
U1 0
U2 43
SN 0090-3493
EI 1530-0293
UT WOS:000287480000017
PM 21169819
ER

PT J
AU Jaso, Jesse
   Alex Nguyen
   Nguyen, Andy N. D.
TI A Synoptic Reporting System for Peripheral Blood Smear Interpretation
SO AMERICAN JOURNAL OF CLINICAL PATHOLOGY
VL 135
IS 3
BP 358
EP 364
DI 10.1309/AJCPPGSA9D0HYNAH
PD MAR 2011
PY 2011
AB Web-based synoptic reporting systems have been shown to improve
   efficiency, reduce turnaround time, and decrease reporting errors in
   reports of surgical pathology specimens and hematologic neoplasms and
   bone marrow. No such system has been previously described for the
   reporting of peripheral blood smears. We developed a Web-based synoptic
   reporting system composed of a knowledge base encompassing 150
   peripheral blood smear report templates covering a wide range of
   findings. This system was used at our institution, The University of
   Texas Medical School at Houston, by pathology residents under the
   supervision of an attending pathologist to generate peripheral blood
   smear reports. This system was found to produce a significant reduction
   in typographic errors with decreased turnaround time and improved
   accuracy. This synoptic reporting system can help practicing
   pathologists and pathology trainees to draft a complete and concise
   report.
ZS 0
ZA 0
Z8 1
TC 8
ZB 4
ZR 0
Z9 9
U1 0
U2 3
SN 0002-9173
EI 1943-7722
UT WOS:000287718200003
PM 21350088
ER

PT J
AU Abroms, Lorien C.
   Padmanabhan, Nalini
   Thaweethai, Lalida
   Phillips, Todd
TI iPhone Apps for Smoking Cessation A Content Analysis
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 40
IS 3
BP 279
EP 285
DI 10.1016/j.amepre.2010.10.032
PD MAR 2011
PY 2011
AB Background: With the proliferation of smartphones such as the iPhone,
   mobile phones are being used in novel ways to promote smoking cessation.
   Purpose: This study set out to examine the content of the 47 iPhone
   applications (apps) for smoking cessation that were distributed through
   the online iTunes store, as of June 24, 2009.
   Methods: Each app was independently coded by two reviewers for its (1)
   approach to smoking cessation and (2) adherence to the U. S. Public
   Health Service's 2008 Clinical Practice Guidelines for Treating Tobacco
   Use and Dependence. Each app was also coded for its (3) frequency of
   downloads.
   Results: Apps identified for smoking cessation were found to have low
   levels of adherence to key guidelines in the index. Few, if any, apps
   recommended or linked the user to proven treatments such as
   pharmacotherapy, counseling, and/or a quitline.
   Conclusions: iPhone apps for smoking cessation rarely adhere to
   established guidelines for smoking cessation. It is recommended that
   current apps be revised and future apps be developed around
   evidence-based practices for smoking cessation. (Am J Prev Med
   2011;40(3):279-285) (C) 2011 American Journal of Preventive Medicine
ZS 1
TC 257
ZB 34
Z8 3
ZA 0
ZR 0
Z9 261
U1 0
U2 107
SN 0749-3797
EI 1873-2607
UT WOS:000287445700005
PM 21335258
ER

PT J
AU Kouki, R.
   Schwab, U.
   Hassinen, M.
   Komulainen, P.
   Heikkila, H.
   Lakka, T. A.
   Rauramaa, R.
TI Food consumption, nutrient intake and the risk of having metabolic
   syndrome: the DR's EXTRA Study
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 3
BP 368
EP 377
DI 10.1038/ejcn.2010.262
PD MAR 2011
PY 2011
AB Background: The associations of different components of diet with
   metabolic syndrome (MetS) are largely unknown. We therefore studied the
   associations of intakes of selected food items and nutrients with the
   risk of having MetS.
   Methods: The participants were a representative population sample of
   1334 individuals ( 671 women, 663 men) 57-78 years of age. Dietary
   intake was assessed by a 4-day food record. MetS was defined by the
   National Cholesterol Education Program criteria.
   Results: Consumption of vegetables, non-root vegetables, legumes and
   nuts berries and fish had an inverse and consumption of sausage had a
   direct association with the risk of having MetS in men after adjustment
   for age, smoking and alcohol consumption. Consumption of vegetables and
   non-root vegetables had an inverse and consumption of sausage had a
   direct association with the risk of having MetS in women after these
   adjustments. However, after further adjustment for maximal oxygen uptake
   (VO2max) most of these associations vanished. Men in the highest third
   of consumption of berries, fish, and legumes and nuts had 49, 37 and 44%
   lower risk of having MetS, respectively, than those in the lowest third
   after further adjustment for VO2max. Women in the highest third of
   sausage consumption had a 72% higher risk of having MetS than
   non-consumers.
   Conclusions: Consumption of legumes and nuts, berries and fish was
   inversely associated with MetS in men. Consumption of sausage was
   directly associated with MetS in women. VO2max seems to be a strong
   confounding factor between food consumption and MetS. European Journal
   of Clinical Nutrition (2011) 65, 368-377; doi:10.1038/ejcn.2010.262;
   published online 1 December 2010
OI Lakka, Timo/0000-0002-9199-2871
ZA 0
ZS 2
ZB 25
TC 47
Z8 2
ZR 0
Z9 49
U1 0
U2 13
SN 0954-3007
EI 1476-5640
UT WOS:000287911800011
PM 21119694
ER

PT J
AU Bossaert, Goele
   Colpin, Hilde
   Pijl, Sip Jan
   Petry, Katja
TI The attitudes of Belgian adolescents towards peers with disabilities
SO RESEARCH IN DEVELOPMENTAL DISABILITIES
VL 32
IS 2
BP 504
EP 509
DI 10.1016/j.ridd.2010.12.033
PD MAR-APR 2011
PY 2011
AB This study aimed to explore Belgian adolescents' attitudes towards peers
   with disabilities and to explore factors associated with these
   attitudes. Based on the theory of persuasive communication, this study
   focused on receiver variables (the "whom"), characteristics of students
   with disabilities ("concerning who") and channel ("how"). An online
   survey was created and published on several popular websites for
   youngsters. Attitudes were assessed by means of the CATCH questionnaire
   among 167 adolescents between 11 and 20 years old. Univariate and
   multivariate regression analyses were conducted. Belgian adolescents had
   fairly tolerant attitudes towards peers with disabilities. Factors
   associated with more positive attitudes were being female, and viewing a
   video introduction of a peer with a disability before assessing
   attitudes. Factors such as having a parent, sibling or good friend with
   a disability and frequent contact with persons with disabilities did not
   remain significant in the overall model. The way in which students with
   disabilities are presented to their peers is very important. Further
   research is needed among larger samples, including more diverse
   variables, concerning the former mentioned categories, and also
   concerning the source (the "who") and message (the "what"). (C) 2011
   Elsevier Ltd. All rights reserved.
TC 42
Z8 0
ZS 1
ZB 6
ZR 0
ZA 2
Z9 45
U1 0
U2 8
SN 0891-4222
UT WOS:000287678900013
PM 21257288
ER

PT J
AU Weiner, M-F
   Silver, J. R.
TI The contribution to our understanding of spinal disorders by the great
   Windmill Street School of Anatomy
SO SPINAL CORD
VL 49
IS 3
BP 323
EP 332
DI 10.1038/sc.2010.55
PD MAR 2011
PY 2011
AB Study design: This is a review article.
   Objectives: The aim of this study is to investigate the contribution of
   the private school of anatomy, the Great Windmill Street School, in our
   understanding of the physiology, anatomy and pathology of the spine and
   spinal cord and its role in the treatment of spinal diseases in the
   eighteenth century. Much has been written about the Hunter brothers and
   Sir Charles Bell and their contribution to anatomy and medical teaching
   but the significant role of the Great Windmill Street School of Anatomy
   in our understanding of the spinal cord and the treatment of spinal
   disorders had not been previously explored.
   Setting: Wendover, UK.
   Methods: Review of the literature.
   Results: Not applicable.
   Conclusion: The Great Windmill Street School of Anatomy was unique and
   fundamental in our understanding of the spine and the spinal cord and
   the treatment of spinal diseases. What is remarkable is that this work
   emanated from a private school and not a hospital or a university and it
   allowed an outstanding school of surgeons and physicians to carry out
   their work unfettered. Spinal Cord (2011) 49, 323-332;
   doi:10.1038/sc.2010.55; published online 8 June 2010
ZS 0
ZA 0
ZR 0
ZB 1
TC 1
Z8 0
Z9 1
U1 0
U2 5
SN 1362-4393
EI 1476-5624
UT WOS:000288075600003
PM 20531356
ER

PT J
AU Han, Jeong Yeob
TI Transaction logfile analysis in health communication research:
   Challenges and opportunities
SO PATIENT EDUCATION AND COUNSELING
VL 82
IS 3
SI SI
BP 307
EP 312
DI 10.1016/j.pec.2010.12.018
PD MAR 2011
PY 2011
AB Objective: To investigate the individualized nature of eHealth
   communication, it is necessary for us to go beyond the conventional
   approach to explain the effect of eHealth initiatives. The current
   article proposes transaction logfile analysis as a unique method to
   probe the process by which individuals locate needed information and
   obtains benefits out of it.
   Methods: This article discusses the background of logfile analysis along
   with practical and methodological issues related to the analysis of log
   data.
   Results: This article recommends potential solutions to resolve issues
   discussed in the Section 2.
   Conclusions: This article discusses how transaction logfile analysis
   could benefit eHealth researchers, along with its relevance and
   application in health communication research. Logfile analysis could
   provide rich knowledge on how eHealth applications and tools work if
   performed on a regular basis, incorporated with appropriate measurement
   techniques and research design. and interpreted carefully.
   Practice implications: Logfile analysis can point toward important
   design implications for more effective eHealth applications. Further,
   interventions employing logfile analysis require not only well-designed
   research models but also interdisciplinary research team to handle the
   multifaceted work involved in the process. (C) 2010 Elsevier Ireland
   Ltd. All rights reserved.
TC 15
ZA 0
ZR 0
Z8 1
ZS 0
ZB 2
Z9 15
U1 0
U2 14
SN 0738-3991
UT WOS:000288837800005
PM 21277146
ER

PT J
AU Anker, Ashley E.
   Reinhart, Amber Marie
   Feeley, Thomas Hugh
TI Health information seeking: A review of measures and methods
SO PATIENT EDUCATION AND COUNSELING
VL 82
IS 3
SI SI
BP 346
EP 354
DI 10.1016/j.pec.2010.12.008
PD MAR 2011
PY 2011
AB Objective: Outlines the methods and measures commonly used to study
   active health information seeking and prescribes important
   considerations in advancing the study of patient information seeking.
   Methods: A systematic review of the literature from 1978 to 2010. A
   single bibliometric database. PsychInfo. identified 648 articles of
   health information seeking. The 129 articles included in the review were
   coded by type of sample, measures (n = 12) utilized to study health
   information seeking, and types of study methods (n = 5).
   Results: A majority of studies used non-clinical samples and measured
   general health information seeking (i.e.. whether the participant
   engaged in a search for health information) through cross-sectional
   study designs.
   Conclusions: There are varying samples, measures, and designs used to
   identify those who do or do not seek health information. Future research
   should look into how health information seeking influences health
   management and should uncover the social and relational functions of
   health information seeking using more advanced (and less routinely
   applied) measures and methods of studying health information seeking.
   Practice implications: More people are actively searching for health
   information and health providers should address this in their
   discussions with patients. (C) 2011 Elsevier Ireland Ltd. All rights
   reserved.
RI Reinhart, Amber/AHC-5822-2022
ZA 0
ZB 11
ZS 3
TC 197
Z8 1
ZR 0
Z9 199
U1 14
U2 158
SN 0738-3991
UT WOS:000288837800011
PM 21239134
ER

PT J
AU Thomas, K. Jackson
   Denham, Bryan E.
   Dinolfo, John D.
TI Perceptions Among Occupational and Physical Therapy Students of a
   Nontraditional Methodology for Teaching Laboratory Gross Anatomy
SO ANATOMICAL SCIENCES EDUCATION
VL 4
IS 2
BP 71
EP 77
DI 10.1002/ase.208
PD MAR-APR 2011
PY 2011
AB This pilot study was designed to assess the perceptions of physical
   therapy (PT) and occupational therapy (OT) students regarding the use of
   computer-assisted pedagogy and prosection-oriented communications in the
   laboratory component of a human anatomy course at a comprehensive health
   sciences university in the southeastern United States. The goal was to
   determine whether student perceptions changed over the course of a
   summer session regarding verbal, visual, tactile, and web-based teaching
   methodologies. Pretest and post-test surveys were distributed online to
   students who volunteered to participate in the pilot study. Despite the
   relatively small sample size, statistically significant results
   indicated that PT and OT students who participated in this study
   perceived an improved ability to name major anatomical structures from
   memory, to draw major anatomical structures from memory, and to explain
   major anatomical relationships from memory. Students differed in their
   preferred learning styles. This study demonstrates that the combination
   of small group learning and digital web-based learning seems to increase
   PT and OT students' confidence in their anatomical knowledge. Further
   research is needed to determine which forms of integrated instruction
   lead to improved student performance in the human gross anatomy
   laboratory. Anat Sci Educ 4:71-77. (C) 2011 American Association of
   Anatomists.
ZS 3
Z8 0
TC 25
ZB 0
ZR 0
ZA 0
Z9 27
U1 1
U2 14
SN 1935-9772
EI 1935-9780
UT WOS:000288794500003
PM 21387566
ER

PT J
AU Yeung, Jeffrey C.
   Fung, Kevin
   Wilson, Timothy D.
TI Development of a Computer-Assisted Cranial Nerve Simulation From the
   Visible Human Dataset
SO ANATOMICAL SCIENCES EDUCATION
VL 4
IS 2
BP 92
EP 97
DI 10.1002/ase.190
PD MAR-APR 2011
PY 2011
AB Advancements in technology and personal computing have allowed for the
   development of novel teaching modalities such as online web-based
   modules. These modules are currently being incorporated into medical
   curricula and, in some paradigms, have been shown to be superior to
   classroom instruction. We believe that these modules have the potential
   of significantly enriching anatomy education by helping students better
   appreciate spatial relationships, especially in areas of the body with
   greater anatomical complexity. Our objective was to develop an online
   module designed to teach the anatomy and function of the cranial nerves.
   A three-dimensional model of the skull, brainstem, and thalamus were
   reconstructed using data from the Visible Human Project and Amira (R).
   The paths of the cranial nerves were overlaid onto this 3D
   reconstruction. Videos depicting these paths were then rendered using a
   "roller coaster-styled'' camera approach. Interactive elements adding
   textual information and user control were inserted into the video using
   Adobe Creative Suite (R) 4, and finally, the module was exported as an
   Adobe Flash movie to be viewable on Internet browsers. Fourteen
   Flash-based modules were created in total. The primary user interface
   comprises a website encoded in HTML/CSS and contains links to each of
   the 14 Flash modules as well as a user tutorial. Anat Sci Educ 4:9297.
   (C) 2010 American Association of Anatomists.
RI Wilson, Timothy D./F-4980-2015
OI Wilson, Timothy D./0000-0001-7102-2491
ZS 1
Z8 0
ZA 0
TC 37
ZR 0
ZB 7
Z9 37
U1 0
U2 15
SN 1935-9772
EI 1935-9780
UT WOS:000288794500006
PM 21438158
ER

PT J
AU Inuwa, Ibrahim Muhammad
   Al Rawahy, Maimouna
   Taranikanti, Varna
   Habbal, Omar
TI Anatomy "Steeplechase'' Online: Necessity Sometimes is the Catalyst for
   Innovation
SO ANATOMICAL SCIENCES EDUCATION
VL 4
IS 2
BP 115
EP 118
DI 10.1002/ase.188
PD MAR-APR 2011
PY 2011
AB In most medical schools, summative practical examination in Anatomy
   usually takes the format of a "steeplechase'' ("spotters'' or "bell
   ringers'') conducted in the gross anatomy laboratory using cadaveric
   material and prosected specimens. Recently, we have started to
   administer similar examinations online using the quiz facility in WebCT
   (TM) and Moodle (TM). This article chronicles how we conceived and
   developed this method within the peculiar nature of our medical school
   setting. Over a five year period, practical summative examinations were
   organized as "steeplechase'' online. The online examinations were
   administered using WebCT (TM) and later Moodle (TM) learning management
   software. Assessment "objects'' were created from the materials
   available for anatomy teaching. These were digital images of cadaveric
   materials, radiological, and prosected specimens. In addition, short
   video clips of 30 seconds duration demonstrating muscle action were
   produced. These objects were optimized for online viewing and then
   uploaded onto the learning management software. A bank of questions
   (multiple choice or short answer type) was then created and linked to
   the assessment objects. These were used in place of the steeplechase in
   the computer laboratory. This method serves a crucial purpose in places
   like ours where continuous availability of human cadavers is impossible.
   Although time consuming initially, once questions are setup online,
   future retrieval, and administration becomes convenient especially where
   there are large batches of students. In addition, the online environment
   offers distinct advantages with regards to image quality, psychometric
   analysis of the examination and reduction of staff preparation time
   compared to traditional "steeplechase.'' Anat Sci Educ 4:115-118. (C)
   2010 American Association of Anatomists.
RI Taranikanti, Varna/AAF-4085-2020
OI Taranikanti, Varna/0000-0002-9319-1816
ZB 1
TC 21
ZR 0
ZS 0
Z8 0
ZA 0
Z9 21
U1 0
U2 6
SN 1935-9772
EI 1935-9780
UT WOS:000288794500009
PM 21438159
ER

PT J
AU Allan, Helen T.
   Smith, Pam
   O'Driscoll, Mike
TI Experiences of supernumerary status and the hidden curriculum in
   nursing: a new twist in the theory-practice gap?
SO JOURNAL OF CLINICAL NURSING
VL 20
IS 5-6
BP 847
EP 855
DI 10.1111/j.1365-2702.2010.03570.x
PD MAR 2011
PY 2011
AB Aims and objectives.
   This paper aims to increase our understanding about how student nurses'
   experiences of supernumerary status are embedded in the hidden
   curriculum in clinical practice and contribute to the theory-practice
   gap in nursing.
   Background.
   Current literature suggests that the hidden curriculum exists in many
   professional curricula and that it functions to socialise students into
   professional behaviours and practice. However, in nursing, there is a
   gap in our understanding of how these socialisation processes have been
   influenced by supernumerary status and what forms the hidden curriculum
   might take currently in clinical practice.
   Design.
   An ethnographic case study design.
   Method.
   Data were collected in four sites using fieldwork in clinical practice
   as well as interviews with students, mentors and key stakeholders, an
   online survey of student bodies and curriculum analysis in four
   universities. The findings in this paper are drawn from the qualitative
   fieldwork and interviews and were analysed thematically.
   Results.
   The findings suggest that supernumerary status is an important aspect of
   the hidden curriculum in clinical learning for nursing students; that
   students are expected by trained staff to work while they learn and that
   on registration, they are expected to be competent to work immediately
   as registered nurses. These expectations are at odds with those of
   academic nurses and contribute to a theory-practice gap for student
   nurses. These expectations form part of the hidden curriculum that
   shapes the clinical context, and students have to learn to negotiate
   their status as supernumerary students in practice to meet these
   expectations.
   Conclusion.
   Consequently, students have to learn in a disintegrated learning context
   where opposing values of learning exist.
   Relevance to clinical practice.
   To reintegrate student nurses' learning, educators in universities and
   clinical practice have to understand how the hidden curriculum and
   expectations around supernumerary status among trained staff affect
   learning for students.
OI O'Driscoll, Michael F./0000-0001-9221-6164
Z8 1
ZA 0
ZB 0
TC 54
ZR 0
ZS 2
Z9 55
U1 1
U2 14
SN 0962-1067
EI 1365-2702
UT WOS:000287363700026
PM 21320207
ER

PT J
AU Breederveld, Roelf S.
   Nieuwenhuis, Marianne K.
   Tuinebreijer, Wim E.
   Aardenburg, Brigit
TI Effect of training in the Emergency Management of Severe Burns on the
   knowledge and performance of emergency care workers as measured by an
   online simulated burn incident
SO BURNS
VL 37
IS 2
BP 281
EP 287
DI 10.1016/j.burns.2010.08.011
PD MAR 2011
PY 2011
AB Objective: To determine the value of training for the Emergency
   Management of Severe Burns (EMSB) for medical and nursing staff working
   in emergency care as measured by their performance in a simulated burn
   incident online program.
   Methods: An Internet-based questionnaire, which included a simulated
   burn incident, was developed. All of the medical and nursing staff in
   hospital emergency departments and ambulance services in the Netherlands
   were invited to complete this questionnaire. The effect of EMSB training
   on the individual's knowledge of and performance in the emergency
   management of a burn victim was evaluated because some of the
   respondents had participated in EMSB training, whereas others had not.
   Results: Of the 280 responses received, 198 questionnaires were included
   in the analysis. The analyzed questionnaires were submitted by nurses
   (43%), ambulance workers (33%), and physicians (23%). Only 14% of the
   people in the study had participated in EMSB training, whereas 78% had
   received other or additional life support training and 22% of
   respondents had no additional life support training.
   Medical and nursing staff who had participated in EMSB training
   performed better in the following subjects: mentioning hypothermia as a
   focus of attention (70% versus 53%, p = 0.085), correct use of hand size
   (70% versus 36%, p = 0.001) and use of the correct hand percentage in
   the estimation of total body surface area (TBSA, 82% versus 57%, p =
   0.015), suspicion of no airway obstruction in an outdoor trauma (93%
   versus 63%, p = 0.002) and referral of functional area burns to a burn
   center (22% versus 8%, p = 0.04). However, both groups overestimated the
   TBSA (34% of the total group overestimated >= 20%) and did not know the
   correct formula for fluid resuscitation (87% of the total group).
   Conclusion: There is some evidence that medical staff members who have
   participated in EMSB training have a better knowledge of emergency
   management and are more effective in the management of a simulated burn
   case. However, both individuals who had participated in EMSB as well as
   those who had not participated in EMSB needed additional training in
   EMSB. (C) 2010 Elsevier Ltd and ISBI. All rights reserved.
OI nieuwenhuis, marianne/0000-0001-5632-3333
ZS 2
TC 26
Z8 0
ZR 0
ZB 4
ZA 0
Z9 26
U1 0
U2 9
SN 0305-4179
EI 1879-1409
UT WOS:000288410900014
PM 21074330
ER

PT J
AU Campos, Javier H.
   Hallam, Ezra A.
   Ueda, Kenichi
TI Training in placement of the left-sided double-lumen tube among
   non-thoracic anaesthesiologists: intubation model simulator versus
   computer-based digital video disc, a randomised controlled trial
SO EUROPEAN JOURNAL OF ANAESTHESIOLOGY
VL 28
IS 3
BP 169
EP 174
DI 10.1097/EJA.0b013e328340c332
PD MAR 2011
PY 2011
AB Objectives To compare the effectiveness of training with an airway model
   simulator versus digital video disc (DVD)-based instruction in placement
   of double-lumen endotracheal (DLT) tubes by anaesthesiologists with
   limited thoracic experience.
   Design Single academic centre parallel randomised controlled trial with
   computer-generated random allocation.
   Participants Sixty patients undergoing elective thoracic or oesophageal
   surgeries requiring one-lung ventilation. Twenty-seven non-thoracic
   anaesthesiologists were randomised to place a DLT.
   Intervention DLT placement instruction by an interactive airway
   simulator or computer-based DVD training. The main outcome measure was
   successful DLT placement.
   Results Twenty-seven anaesthesiologists were randomised to one of the
   two intervention groups. Sixty consecutive patients were assigned to a
   randomised anaesthesiologist (n = 30 in each group). Participants failed
   to correctly place or position the DLT tubes in 14 of 60 patients
   (failure rate of 23%). There was no difference in the probability of
   satisfactory placement or time for positioning of the DLT between the
   training groups; 80.5% (95% confidence interval 58.2-96.2%) of tubes
   were successfully placed following intubation model simulator training
   versus 73.6% (95% confidence interval 49.8-88.5%) in the DVD group (P =
   0.378).
   Conclusion Both teaching methods had similar outcomes for placement of
   DLTs by anaesthesiologists with limited thoracic anaesthesia experience.
   Both groups performed better than individuals in our prior study.
   Therefore, these methods should be considered when training
   anaesthesiologists to successfully place DLTs. Eur J Anaesthesiol
   2011;28:169-174 Published online 19 November 2010
RI Ueda, K./AAC-4492-2019; Campos, Javier/
OI Ueda, K./0000-0002-4559-4581; Campos, Javier/0000-0001-6363-4252
Z8 1
ZR 0
ZB 3
TC 14
ZS 0
ZA 0
Z9 15
U1 0
U2 8
SN 0265-0215
UT WOS:000287439400006
PM 21088594
ER

PT J
AU Gozzo, Y. F.
   Cummings, C. L.
   Chapman, R. L.
   Bizzarro, M. J.
   Mercurio, M. R.
TI Who is performing medical procedures in the neonatal intensive care
   unit?
SO JOURNAL OF PERINATOLOGY
VL 31
IS 3
BP 206
EP 211
DI 10.1038/jp.2010.121
PD MAR 2011
PY 2011
AB Objective: Owing to resident work-hour reductions and more permanent
   personnel in the newborn intensive care unit (NICU), we sought to
   determine if pediatric housestaff are missing learning opportunities in
   procedural training due to non-participation.
   Study Design: A prospective, observational study was conducted at an
   academic NICU using self-reported data from neonatal personnel after
   attempting 188 procedures on 109 neonates, and analyzed using Fisher's
   exact and chi(2)-tests.
   Result: Housestaff first attempted 32% of procedures (P<0.001) and were
   less likely to make attempts early in the academic year (P<0.001). There
   was no significant difference in attempts based on urgency of situation
   (P = 0.742). Of procedures performed by non-housestaff personnel, 93%
   were completed while housestaff were present elsewhere in the unit.
   Conclusion: Pediatric housestaff performed the minority of procedures in
   the NICU, even in non-urgent situations, and were often uninvolved in
   other procedures, representing missed learning opportunities. Journal of
   Perinatology (2011) 31, 206-211; doi:10.1038/jp.2010.121; published
   online 4 November 2010
ZS 0
TC 26
ZB 8
ZA 0
Z8 0
ZR 0
Z9 26
U1 0
U2 1
SN 0743-8346
EI 1476-5543
UT WOS:000287728400012
PM 21052046
ER

PT J
AU Selden, Nathan R.
   Barbaro, Nicholas
   Origitano, Thomas C.
   Burchiel, Kim J.
TI Fundamental Skills for Entering Neurosurgery Residents: Report of a
   Pacific Region "Boot Camp'' Pilot Course, 2009
SO NEUROSURGERY
VL 68
IS 3
BP 759
EP 764
DI 10.1227/NEU.0b013e3182077969
PD MAR 2011
PY 2011
AB BACKGROUND: Incorporation of the first postgraduate year of training
   into neurological surgery residencies in 2009 posed new challenges to
   neurosurgical educators. A "boot camp'' course was held in August 2009
   to introduce first year neurosurgical trainees to various fundamental
   cognitive and practical skills.
   OBJECTIVE: The effectiveness of this course was evaluated by electronic
   survey of all trainees and faculty members.
   METHODS: Eighteen trainees entering 5 western neurosurgical residencies
   (in either the first or second postgraduate year) participated in a
   course taught by 10 faculty members at a single host institution (Oregon
   Health & Science University) for 2 days. All trainees completed an
   online survey evaluating the relevance and quality of each didactic and
   hands-on course component and answered additional questions about the
   goals and design of the course. Faculty members were also surveyed.
   RESULTS: All trainees thought the course met its goals, provided
   relevant and useful information and experience, and was likely to
   improve patient care. In particular, hands-on procedural and operative
   course components were highly valued.
   CONCLUSION: A fundamental skills boot camp course for first year
   neurosurgical trainees seems valuable.
OI Selden, Nathan/0000-0001-6108-9721
ZA 0
ZB 16
Z8 0
TC 46
ZS 0
ZR 0
Z9 46
U1 0
U2 3
SN 0148-396X
UT WOS:000287242300054
PM 21311302
ER

PT J
AU McHugh, Seamus
   Corrigan, Mark
   Sheikh, Athar
   Lehane, Elaine
   Tanner, William
   Hill, Arnold
TI Factors Influencing Career Choice After Initial Training in Surgery
SO WORLD JOURNAL OF SURGERY
VL 35
IS 3
BP 487
EP 492
DI 10.1007/s00268-010-0934-1
PD MAR 2011
PY 2011
AB Irish general surgery faces a recruitment crisis with only 87 of 145
   (60%) basic surgical training (BST) places filled in 2009. We assessed
   basic surgical trainees to identify objective, and potentially
   modifiable, factors that influence ultimate recruitment into a general
   surgical career.
   Candidates commencing BST training during a 5-year period between 2004
   and 2008 were included in a quantitative study. In addition a total of
   2,536 candidates, representing all those who commenced surgical training
   in Ireland since 1960 were identified through the Royal College of
   Surgeons in Ireland (RCSI) database and invited to complete an online
   survey. Statistical analysis was performed using SPSS version 15, with p
   < 0.05 considered significant.
   During the 5-year quantitative study period there were 381 BST trainees.
   Gender was a significant predictor of career choice with women more
   likely to ultimately choose a nonsurgical career after initial surgical
   training (p = 0.049). Passing surgical membership examinations (MRCS)
   also was predictive of remaining in surgery (p = 0.005). Training region
   was not a significant predictor of ultimate career choice. There were
   418 survey respondents. The influence of role models was most commonly
   cited as influencing candidates in choosing to commence surgical
   training. Candidates who rated "academic opportunity" (p = 0.023) and
   "intellectual challenge" (p = 0.047) as factors that influenced their
   decision to commence surgical training were more likely to ultimately
   continue their careers in a surgical speciality.
   This study describes the career pathway of surgical trainees and
   confirms the importance of academic achievement in discriminating
   between candidates applying for surgical training schemes.
OI Corrigan, Mark/0000-0002-9615-6450; Lehane, Elaine/0000-0002-0144-7467
ZS 0
ZB 0
TC 9
ZR 0
Z8 0
ZA 0
Z9 9
U1 0
U2 5
SN 0364-2313
EI 1432-2323
UT WOS:000286934700004
PM 21207028
ER

PT J
AU AlGhamdi, Khalid M.
   Almohedib, Mohammed A.
TI Internet use by dermatology outpatients to search for health information
SO INTERNATIONAL JOURNAL OF DERMATOLOGY
VL 50
IS 3
BP 292
EP 299
DI 10.1111/j.1365-4632.2010.04705.x
PD MAR 2011
PY 2011
AB Background
   As the use of the Internet increases, it is important to gain insight
   into how it is used by patients to obtain health-related information.
   Objectives
   We aimed to explore the attitudes and practices of dermatology
   outpatients regarding their use of the Internet to find health
   information. We also aimed to investigate the consequences of this
   Internet use on the patient-doctor relationship.
   Methods
   A self-administered questionnaire on Internet use was given to adult
   dermatology outpatients attending the Dermatology Department at King
   Saud University, Riyadh, Saudi Arabia, from January to June 2008.
   Results
   A total of 86% (432/500) of distributed questionnaires were returned.
   The mean age of respondents was 29.7 +/- 10.0 years. Of the respondents
   who answered the relevant items, 42% (185/431) were females, 87%
   (376/432) were Internet users, and 47% (190/404) stated that they had
   accessed the Internet to obtain general medical information. Younger
   women educated to college level and with higher incomes tended to search
   for online health-related information more often than other groups. More
   than 93% (343/367) of respondents reported that they relied on their
   doctors as their primary source of information, but 69% (277/401)
   indicated that online medical information was beneficial, and almost 8%
   (30/399) stated that they would always trust data obtained from the
   Internet.
   Conclusions
   A significant proportion of patients use the Internet to search for
   medical information. This has a positive effect on the patients' skin
   diseases and on their relationships with their doctors. Therefore,
   doctors should be more aware of the health-related information available
   online and should guide patients to reliable websites.
OI AlGhamdi, Khalid/0000-0002-5030-5035
Z8 0
ZB 4
ZS 0
TC 22
ZR 0
ZA 0
Z9 22
U1 0
U2 21
SN 0011-9059
UT WOS:000287587700008
PM 21342162
ER

PT J
AU Kerfoot, B. Price
   Shaffer, Kitt
   McMahon, Graham T.
   Baker, Harley
   Kirdar, Jamil
   Kanter, Steven
   Corbett, Eugene C., Jr.
   Berkow, Roger
   Krupat, Edward
   Armstrong, Elizabeth G.
TI Online "Spaced Education Progress-Testing" of Students to Confront Two
   Upcoming Challenges to Medical Schools
SO ACADEMIC MEDICINE
VL 86
IS 3
BP 300
EP 306
DI 10.1097/ACM.0b013e3182087bef
PD MAR 2011
PY 2011
AB Purpose
   U.S. medical students will soon complete only one licensure examination
   sequence, given near the end of medical school. Thus, schools are
   challenged to identify poorly performing students before this
   high-stakes test and help them retain knowledge across the duration of
   medical school. The authors investigated whether online spaced education
   progress-testing (SEPT) could achieve both aims.
   Method
   Participants were 2,648 students from four U.S. medical schools; 120
   multiple-choice questions and explanations in preclinical and clinical
   domains were developed and validated. For 34 weeks, students randomized
   to longitudinal progress-testing alone (LPTA) received four new
   questions (with answers/explanations) each week. Students randomized to
   SEPT received the identical four questions each week, plus two-week and
   six-week cycled reviews of the questions/explanations. During weeks
   31-34, the initial 40 questions were re-sent to students to assess
   longer-term retention.
   Results
   Of the 1,067 students enrolled, the 120-question progress-test was
   completed by 446 (84%) and 392 (74%) of the LPTA and SEPT students,
   respectively. Cronbach alpha reliability was 0.87. Scores were 39.9%,
   51.9%, 58.7%, and 58.8% for students in years 1-4, respectively.
   Performance correlated with Step 1 and Step 2 Clinical Knowledge scores
   (r = 0.52 and 0.57, respectively; P < .001) and prospectively identified
   students scoring below the mean on Step 1 with 75% sensitivity, 77%
   specificity, and 41% positive predictive value. Cycled reviews generated
   a 170% increase in learning retention relative to baseline (P < .001,
   effect size 0.95).
   Conclusions
   SEPT can identify poorly performing students and improve their
   longer-term knowledge retention.
RI Kanter, Steven L/B-1386-2009; liu, jing/D-9482-2012; McMahon, Graham/D-3740-2009; Shaffer, Kitt/
OI Kanter, Steven L/0000-0002-0436-1503; McMahon,
   Graham/0000-0003-4288-6535; Shaffer, Kitt/0000-0001-6488-6988
ZS 0
TC 21
Z8 0
ZR 0
ZA 0
ZB 3
Z9 21
U1 0
U2 17
SN 1040-2446
EI 1938-808X
UT WOS:000287690700016
PM 21248600
ER

PT J
AU Judd, Terry
   Kennedy, Gregor
TI Expediency-based practice? Medical students' reliance on Google and
   Wikipedia for biomedical inquiries
SO BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 42
IS 2
BP 351
EP 360
DI 10.1111/j.1467-8535.2009.01019.x
PD MAR 2011
PY 2011
AB Internet usage logs captured during self-directed learning sessions were
   used to determine how undergraduate medical students used five popular
   sites to locate and access biomedical resources. Students' perceptions
   of each site's usefulness and reliability were determined through a
   survey. Google and Wikipedia were the most frequently used sites despite
   students rating them as the least reliable of the five sites
   investigated. The library-the students' primary point of access to
   online journals-was the least used site, and when using Google less than
   40% of pages or resources located by students were from 'high' quality
   sources. Students' use of all sites' search tools was unsophisticated.
   Despite being avid users of online information and search tools, the
   students targeted in this study appeared to lack the requisite
   information-seeking skills to make the most of online resources.
   Although there is evidence that these skills improved over time, a
   greater emphasis on information literacy skills training may be required
   to ensure that graduates are able to locate the best available evidence
   to support their professional practice.
OI Judd, Terry/0000-0002-4692-6701
ZR 0
ZB 9
ZA 0
Z8 0
ZS 0
TC 55
Z9 57
U1 0
U2 33
SN 0007-1013
EI 1467-8535
UT WOS:000287486800026
ER

PT J
AU Stahl, Christiane Ellen
   Necheles, Jonathan Wolf
   Mayefsky, Jay Hirsh
   Wright, Lydia Katherine
   Rankin, Kristin Michele
TI 5-4-3-2-1 Go! Coordinating Pediatric Resident Education and Community
   Health Promotion to Address the Obesity Epidemic in Children and Youth
SO CLINICAL PEDIATRICS
VL 50
IS 3
BP 215
EP 224
DI 10.1177/0009922810385106
PD MAR 2011
PY 2011
AB This study investigated the feasibility and effectiveness of training
   pediatric residents to conduct a brief clinic-based behavioral
   intervention in coordination with community dissemination of a health
   promotion message developed by the Consortium for Lowering Obesity in
   Chicago Children. A total of 113 residents completed a short (< 60
   minutes) online training program. Some (64) residents distributed
   interview contact cards to patients they saw in their continuity of care
   clinics after training; others (45) distributed cards before training. A
   researcher interviewed 75% of the 509 patients 4 weeks after the visit.
   More patients of trained residents reported positive changes in
   behaviors which have been associated with lower obesity rates: increased
   intake of fruits and vegetables (28% vs 16%, P < .01), increased intake
   of water (30% vs 19%, P < .01), increased physical activity (40% vs 29%,
   P < .03), and decreased television time (36% vs 24%, P < .01). Brief
   training using the 5-4-3-2-1-Go! message seems to be feasible and
   effective.
ZR 0
TC 16
ZS 0
Z8 0
ZB 6
ZA 0
Z9 17
U1 0
U2 16
SN 0009-9228
UT WOS:000287148500008
PM 21098524
ER

PT J
AU Dielissen, Patrick
   Bottema, Ben
   Verdonk, Petra
   Lagro-Janssen, Toine
TI Attention to gender in communication skills assessment instruments in
   medical education: a review
SO MEDICAL EDUCATION
VL 45
IS 3
BP 239
EP 248
DI 10.1111/j.1365-2923.2010.03876.x
PD MAR 2011
PY 2011
AB Context
   Gender is increasingly regarded as an important factor in doctor-patient
   communication education. This review aims to assess if and how gender is
   addressed by current assessment instruments for communication skills in
   medical education.
   Methods
   In 2009 at Radboud University Nijmegen Medical Centre, an online search
   was conducted in the bibliographic databases PubMed, PsycINFO and ERIC
   for references about communication skills assessment instruments
   designed to be completed by trained faculty staff and used in medical
   education. The search strategy used the following search terms:
   'consultation skills'; 'doctor-patient communication';
   'physician-patient relations'; 'medical education'; 'instruments';
   'measurement', and 'assessment'. Papers published between January 1999
   and June 2009 were included. The assessment instruments identified were
   analysed for gender-specific content.
   Results
   The search yielded 21 communication skills assessment instruments. Only
   two of the 17 checklists obtained explicitly considered gender as a
   communication-related issue. Only six of 21 manuals considered gender in
   any way and none gave specific details to explain which aspects of
   communication behaviour should be assessed with regard to gender.
   Conclusions
   Very few communication assessment instruments in medical education focus
   on gender. Nevertheless, interest exists in using gender in
   communication skills assessment. The criteria for and purpose of
   assessing gender in communication skills in medical education are yet to
   be clarified.
RI Dielissen, P.W./L-4271-2015; Lagro, A.L.M./H-8066-2014; Bottema, B.J.A.M./L-4223-2015
ZA 0
TC 17
ZB 0
Z8 0
ZS 2
ZR 1
Z9 19
U1 2
U2 20
SN 0308-0110
EI 1365-2923
UT WOS:000287093700005
PM 21299599
ER

PT J
AU Kibble, Jonathan D.
TI Voluntary participation in online formative quizzes is a sensitive
   predictor of student success
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 35
IS 1
BP 95
EP 96
DI 10.1152/advan.00053.2010
PD MAR 2011
PY 2011
OI Kibble, Jonathan/0000-0001-7634-8044
Z8 0
ZS 0
ZR 0
ZA 0
ZB 1
TC 22
Z9 22
U1 1
U2 9
SN 1043-4046
UT WOS:000288124800015
PM 21386008
ER

PT J
AU Ladhani, Zahra
   Chhatwal, Jugesh
   Vyas, Rashmi
   Iqbal, Mobeen
   Tan, Christina
   Diserens, Deborah
TI Online role-playing for faculty development.
SO The clinical teacher
VL 8
IS 1
BP 31
EP 6
DI 10.1111/j.1743-498X.2010.00401.x
PD 2011-Mar
PY 2011
AB BACKGROUND: There has been a rapid growth of online teaching in the past
   few years, yet the implementation of role-play for formal educational
   activities in an online setting is growing more slowly. The use of
   online role-playing for the development of health professions educators
   is virtually un-documented in the literature.
   INNOVATION: In the project reported here we use role-playing as a method
   to motivate and increase active participation in an online web-based
   discussion on community-based medical education (CBME). The Foundation
   for Advancement of International Medical Education & Research (FAIMER()
   ) Institute hosts virtual group discussions for fellows as part of its
   fellowship programmes, in order to deepen their knowledge base in health
   professions education and research. In June 2008, a group of seven
   FAIMER() fellows and faculty members moderated an online discussion on
   CBME using an online role-play exercise with other fellows and faculty
   members.
   RESULTS: Out of a total of 102 fellows, 36 (35.3%) participated
   actively, which exceeded the typical percentage of list server
   participation. In addition, a rich discussion resulted in a
   comprehensive report on the goals, challenges, logistical components,
   role of Health Ministry policy and the possible ethical mandate of CBME
   in developing countries.
   CONCLUSION: Online role-play encouraged distributed participation among
   a highly diverse international group of participants, supporting the
   conclusion that role-playing can be used effectively with mid-career
   health professional faculty members in the online environment.
TC 6
ZS 0
ZB 0
Z8 0
ZA 0
ZR 0
Z9 6
U1 0
U2 4
EI 1743-498X
UT MEDLINE:21324070
PM 21324070
ER

PT J
AU Santoro, Eugenio
   Caldarola, Pasquale
   Villella, Alessandro
TI [Using Web 2.0 technologies and social media for the cardiologist's
   education and update].
FT Web 2.0 e social media: nuovi strumenti al servizio dell'aggiornamento
   del cardiologo.
SO Giornale italiano di cardiologia (2006)
VL 12
IS 3
BP 174
EP 81
PD 2011-Mar
PY 2011
AB The features and tools of Web 2.0 are increasingly introduced and used
   in the medical field. RSS feeds, podcasts, blogs, online social
   networks, and social media are proposed as innovative tools for the
   education and update of clinicians, physicians, nurses, and medical
   students because of their easy and widespread use. Cardiology area is
   one of the medical fields where they have been successfully applied.
   Medical journals such as Circulation and the Journal of the American
   College of Cardiology, and scientific societies such as the American
   College of Cardiology and the European Society of Cardiology are using
   these new and powerful communication tools. In addition, blogs and
   social networks have been developed to allow physicians to distribute,
   share, and comment medical contents (images, videos, slides, scientific
   abstracts, clinical trials updates) concerning issues related to
   cardiology and cardiovascular diseases. This review provides some
   background on the evolution of Web 2.0 and social media and describes
   the most interesting applications of Web 2.0 (and its features) both in
   the medical and cardiology fields.
RI santoro, eugenio/ABG-7901-2020
OI santoro, eugenio/0000-0002-5719-9896
ZA 0
ZR 1
TC 10
Z8 0
ZB 0
ZS 1
Z9 12
U1 0
U2 2
SN 1827-6806
UT MEDLINE:21560473
PM 21560473
ER

PT J
AU Harned, Melanie S.
   Dimeff, Linda A.
   Woodcock, Eric A.
   Skutch, Julie M.
TI Overcoming barriers to disseminating exposure therapies for anxiety
   disorders: A pilot randomized controlled trial of training methods
SO JOURNAL OF ANXIETY DISORDERS
VL 25
IS 2
BP 155
EP 163
DI 10.1016/j.janxdis.2010.08.015
PD MAR 2011
PY 2011
AB The present study evaluated methods for training mental health providers
   (N = 46) in exposure therapies (ETs) for anxiety disorders. A pilot
   randomized controlled trial compared: (1) an interactive, multimedia
   online training (ET OLT), (2) the ET OLT plus a brief Motivational
   Interviewing-based intervention (ET OLT + MI), and (3) a placebo control
   OLT. Assessments were completed at baseline, post-training, and one-week
   following training. Both ET OLT and ET OLT + MI received high
   satisfaction ratings and were comparably effective at increasing
   knowledge of ETs as well as clinicians' overt efforts to learn and use
   the treatment. ET OLT + MI was the most effective method for improving
   clinicians' attitudes toward ETs. Results indicate that OLT is effective
   for disseminating knowledge about ETs to clinicians, and suggest that
   supplementing OLT with a brief MI-based intervention may be a promising
   direction to address potential attitudinal barriers to adopting these
   highly efficacious treatments. (C) 2010 Elsevier Ltd. All rights
   reserved.
ZA 0
ZS 0
Z8 0
ZR 0
TC 34
ZB 9
Z9 34
U1 0
U2 10
SN 0887-6185
EI 1873-7897
UT WOS:000287009100001
PM 20888186
ER

PT J
AU Greene, Jeremy A.
   Choudhry, Niteesh K.
   Kilabuk, Elaine
   Shrank, William H.
TI Online Social Networking by Patients with Diabetes: A Qualitative
   Evaluation of Communication with Facebook
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 26
IS 3
BP 287
EP 292
DI 10.1007/s11606-010-1526-3
PD MAR 2011
PY 2011
AB Several disease-specific information exchanges now exist on Facebook and
   other online social networking sites. These new sources of knowledge,
   support, and engagement have become important for patients living with
   chronic disease, yet the quality and content of the information provided
   in these digital arenas are poorly understood.
   To qualitatively evaluate the content of communication in Facebook
   communities dedicated to diabetes.
   We identified the 15 largest Facebook groups focused on diabetes
   management. For each group, we downloaded the 15 most recent "wall
   posts" and the 15 most recent discussion topics from the 10 largest
   groups.
   Four hundred eighty unique users were identified in a series of 690
   comments from wall posts and discussion topics.
   Posts were abstracted and aggregated into a database. Two investigators
   evaluated the posts, developed a thematic coding scheme, and applied
   codes to the data.
   Patients with diabetes, family members, and their friends use Facebook
   to share personal clinical information, to request disease-specific
   guidance and feedback, and to receive emotional support. Approximately
   two-thirds of posts included unsolicited sharing of diabetes management
   strategies, over 13% of posts provided specific feedback to information
   requested by other users, and almost 29% of posts featured an effort by
   the poster to provide emotional support to others as members of a
   community. Approximately 27% of posts featured some type of promotional
   activity, generally presented as testimonials advertising non-FDA
   approved, "natural" products. Clinically inaccurate recommendations were
   infrequent, but were usually associated with promotion of a specific
   product or service. Thirteen percent of posts contained requests for
   personal information from Facebook participants.
   Facebook provides a forum for reporting personal experiences, asking
   questions, and receiving direct feedback for people living with
   diabetes. However, promotional activity and personal data collection are
   also common, with no accountability or checks for authenticity.
RI Alatas, Ali Z A/F-7456-2012; Gutowski, Emily/N-1491-2015; CHAO, LI/
OI Alatas, Ali Z A/0000-0002-1114-6617; CHAO, LI/0000-0002-6787-9449
ZS 9
ZA 1
Z8 4
TC 404
ZB 44
ZR 1
Z9 415
U1 4
U2 164
SN 0884-8734
UT WOS:000287661800016
PM 20945113
ER

PT J
AU Brewer, Devon D.
TI Knowledge of blood-borne transmission risk is inversely associated with
   HIV infection in sub-Saharan Africa
SO JOURNAL OF INFECTION IN DEVELOPING COUNTRIES
VL 5
IS 3
BP 182
EP 198
DI 10.3855/jidc.1308
PD MAR 2011
PY 2011
AB Introduction: Accurate, comprehensive knowledge of an infectious
   pathogen's modes of transmission helps people to avoid infection.
   Growing evidence suggests that blood-borne HIV transmission is
   widespread in sub-Saharan Africa.
   Methodology: I examined the association between knowledge of blood-borne
   HIV risk and prevalent HIV infection in Demographic and Health Survey
   data from 16 sub-Saharan African countries. I also searched three online
   databases for evidence of public education campaigns focused on
   blood-borne HIV risks in these countries.
   Results: Knowledge was moderately to strongly inversely related to HIV
   prevalence at the national level (i.e., countries in which many
   respondents were aware of blood-borne risk had lower HIV prevalence than
   countries in which few respondents were aware of such risk). At the
   individual level, respondents who knew about blood-borne HIV risks were
   modestly less likely to be infected than those who did not show
   awareness of this risk, independent of demographic and sexual behavior
   variables. This relationship was stronger in southern Africa than in
   west, central, and east Africa. In parallel analyses, knowledge of
   condom use as a way to prevent HIV was positively associated with
   prevalent HIV infection at both the national and individual levels.
   West, central, and east African countries with low to moderate HIV
   prevalence had implemented public education campaigns that included a
   focus on blood-borne transmission risks. Such campaigns were absent from
   high prevalence countries in southern Africa.
   Conclusion: These findings suggest that knowledge of blood-borne HIV
   risk protects against HIV infection and that public education campaigns
   are important for spreading that knowledge.
TC 4
ZA 0
ZR 0
ZS 0
Z8 0
ZB 2
Z9 4
U1 0
U2 4
SN 1972-2680
UT WOS:000301248800006
PM 21444987
ER

PT J
AU Piguet, Vincent
   Tokura, Yoshiki
   Green, Kathleen
TI Systematic Mentoring on Three Continents
SO JOURNAL OF INVESTIGATIVE DERMATOLOGY
VL 131
IS 3
BP 549
EP 550
DI 10.1038/jid.2010.424
PD MAR 2011
PY 2011
OI Piguet, Vincent/0000-0001-6079-4517
Z8 0
ZS 0
ZB 4
TC 4
ZR 0
ZA 0
Z9 4
U1 0
U2 1
SN 0022-202X
UT WOS:000287229700001
PM 21307945
ER

PT J
AU Mackert, Michael
   Love, Brad
   Holton, Avery E.
TI Journalism as Health Education: Media Coverage of a Nonbranded Pharma
   Web Site
SO TELEMEDICINE AND E-HEALTH
VL 17
IS 2
BP 88
EP 94
DI 10.1089/tmj.2010.0127
PD MAR 2011
PY 2011
AB Objective: As healthcare consumers increasingly use the Internet as a
   source for health information, direct-to-consumer (DTC) prescription
   drug advertising online merits additional attention. The purpose of this
   research was to investigate media coverage of the joint marketing
   program linking the movie Happy Feet and the nonbranded disease
   education Web site FluFacts-a resource from Tamiflu flu treatment
   manufacturer Roche Laboratories Inc. Materials and Methods: Twenty-nine
   articles (n = 29) were found covering the Happy Feet-FluFacts marketing
   campaign. A coding guide was developed to assess elements of the
   articles, including those common in the sample and information that
   ideally would be included in these articles. Two coders independently
   coded the articles, achieving intercoder agreement of kappa = 0.98
   before resolving disagreements to arrive at a final dataset. Results:
   The majority of articles reported that Roche operated FluFacts (51.7%)
   and mentioned the product Tamiflu (58.6%). Almost half (48.3%) reported
   FluFacts was an educational resource; yet, no articles mentioned other
   antiviral medications or nonmedical options for preventing the flu.
   Almost a quarter of the articles (24.1%) provided a call to
   action-telling readers to visit FluFacts or providing a link for them to
   do so. Conclusions: Findings suggest that journalists' coverage of this
   novel campaign-likely one of the goals of the campaign-helped spread the
   message of the Happy Feet-FluFacts relationship, often omitting other
   useful health information. Additional research is needed to better
   understand online DTC campaigns and how consumers react to these
   campaigns and resulting media coverage and to inform the policymakers'
   decisions regarding DTC advertising online.
ZS 0
ZB 0
Z8 0
TC 1
ZR 0
ZA 0
Z9 1
U1 0
U2 2
SN 1530-5627
UT WOS:000292195900006
PM 21254943
ER

PT J
AU Burnier, D.
   Dubois, L.
   Girard, M.
TI Exclusive breastfeeding duration and later intake of vegetables in
   preschool children
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 2
BP 196
EP 202
DI 10.1038/ejcn.2010.238
PD FEB 2011
PY 2011
AB Background/Objectives: To examine whether a relationship exists between
   exclusive breastfeeding duration and later vegetable consumption in
   4-year-old children, independently of factors traditionally associated
   with children's vegetable intake.
   Subjects/Methods: A longitudinal study using information collected on
   children's food consumption patterns and behaviors from a representative
   sample of children born in 1998 in the province of Quebec, Canada.
   Face-to-face interviews and self-administered questionnaires were
   addressed to children's mothers and fathers. From the first group of
   children (n = 2100) included in the cohort, a subsample of 4-year-old
   children participated in a nutrition substudy (n = 1549).
   Results: Children whose mothers held a university degree had odds of 8.7
   (95% CI: 4.23-17.93) for consuming two or more servings of vegetables a
   day at 4 years of age (vs less than one serving per day) in comparison
   to children of mothers with no high school diploma. Likewise, children
   who were exclusively breastfed for 3 or more months had odds of 2.6 (95%
   CI: 1.34-5.02, with 3 to <4 months of exclusive breastfeeding) and 1.9
   (95% CI: 1.01-3.61, with 4 or more months of exclusive breastfeeding)
   for consuming two or more servings of vegetables per day (vs less than
   one serving per day) in comparison to children who were formula-fed
   and/or partially breastfed (no exclusive breastfeeding).
   Conclusions: The findings suggest that three or more months of exclusive
   breastfeeding is a predictive factor for higher vegetable consumption in
   preschool children. European Journal of Clinical Nutrition (2011) 65,
   196-202; doi:10.1038/ejcn.2010.238; published online 27 October 2010
OI BURNIER, Daniel/0000-0002-2680-7051
ZS 4
ZR 0
ZA 0
ZB 28
TC 55
Z8 0
Z9 56
U1 0
U2 12
SN 0954-3007
EI 1476-5640
UT WOS:000286875300008
PM 20978527
ER

PT J
AU Eilat-Adar, S.
   Koren-Morag, N.
   Siman-Tov, M.
   Livne, I.
   Altmen, H.
TI School-based intervention to promote eating daily and healthy breakfast:
   A survey and a case-control study
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 2
BP 203
EP 209
DI 10.1038/ejcn.2010.247
PD FEB 2011
PY 2011
AB Background/Objective: The recent rapid increase in childhood obesity
   rates suggests that a consideration of the role of the schools in
   addressing this problem is necessary. 'Fits me' program functions to
   promote eating daily and healthy breakfast among elementary school
   children.
   Methods: Separate children groups were sampled each year by clusters
   from seven regions around Israel. They filled a self-administered
   questionnaire at the beginning of 2003, before the program started, and
   in 2003-2005, after the program. A separate sample was collected in 2006
   in a case-control structure. The answer to the question: 'what do you
   eat for breakfast?' considered as a healthy breakfast if it included one
   of the following food items: A sandwich (not including chocolate, jam or
   butter), cereals, vegetable, fruit, egg and dairy product.
   Results: As compared with 2003 before the program, more children
   reported eating daily breakfast over the years (51-65% before and until
   2005, respectively, P for trend<0.01). Odds ratio (OR) and 95%
   confidence interval (95% CI) for eating a healthy breakfast, in 2006 in
   the intervention (n = 417) vs controls (n = 572), adjusted for sex and
   age were OR 1.53 (95% CI: 1.15-2.04). However, only a third of 75% of
   the children who ate a healthy breakfast in the intervention group
   estimated that they were eating a healthy breakfast.
   Conclusions: After implementation an educational program to promote
   daily and healthy breakfast eating, the goal of a healthier breakfast
   was achieved. However, one should strive to define an exact definition
   of a healthy breakfast. European Journal of Clinical Nutrition (2011)
   65, 203-209; doi:10.1038/ejcn.2010.247; published online 10 November
   2010
Z8 1
ZB 1
ZA 0
TC 12
ZS 1
ZR 0
Z9 13
U1 0
U2 26
SN 0954-3007
EI 1476-5640
UT WOS:000286875300009
PM 21063433
ER

PT J
AU Ebenegger, V.
   Marques-Vidal, P-M
   Nydegger, A.
   Laimbacher, J.
   Niederer, I.
   Buergi, F.
   Giusti, V.
   Bodenmann, P.
   Kriemler, S.
   Puder, J. J.
TI Independent contribution of parental migrant status and educational
   level to adiposity and eating habits in preschool children
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 65
IS 2
BP 210
EP 218
DI 10.1038/ejcn.2010.248
PD FEB 2011
PY 2011
AB Background/Objective: Little is known about the precise role of parental
   migrant status (MS) and educational level (EL) on adiposity and various
   eating habits in young children. Therefore, we assessed their
   independent contribution in preschoolers.
   Subjects/Methods: Of 655 randomly selected preschoolers, 542 (5.1 +/-
   0.6 years; 71% of parental MS and 37% of low parental EL) were analysed.
   Body composition was measured by bioelectrical impedance. Eating habits
   were assessed using a semiqualitative food frequency questionnaire and
   analysed according to five messages developed by the Swiss Society for
   Nutrition, based on factors implicated in childhood obesity: (1)
   'Drinking water and decreasing sweetened drinks', (2) 'Eating fruit and
   vegetables', (3) 'Decreasing breakfast skipping', (4) 'Reducing fatty
   and sweet foods' and (5) 'Reducing the intake of meals and snacks in
   front of television'.
   Results: Children of migrant and low EL parents had higher body fat, ate
   more meals and snacks while watching television and had more fruit and
   fatty foods compared with their respective counterparts (all P <= 0.04).
   Children of low EL parents also consumed less water and vegetables
   compared with their counterparts (all P <= 0.04). In most instances, we
   found an independent contribution of parental MS and EL to adiposity and
   eating habits. A more pronounced effect was found if both parents were
   migrants or of low EL. Differences in adiposity and eating habits were
   relatively similar to the joint parental data when assessed individually
   for maternal and paternal MS and EL.
   Conclusions: Parental MS and EL are independently related to adiposity
   and various eating habits in preschoolers. European Journal of Clinical
   Nutrition (2011) 65, 210-218; doi:10.1038/ejcn.2010.248; published
   online 3 November 2010
RI Marques-Vidal, Pedro/C-9449-2009; Bodenmann, Patrick/; Puder, Jardena/
OI Marques-Vidal, Pedro/0000-0002-4548-8500; Bodenmann,
   Patrick/0000-0002-1058-1035; Puder, Jardena/0000-0002-0460-7614
ZB 11
TC 29
ZA 0
ZS 1
Z8 0
ZR 0
Z9 29
U1 1
U2 23
SN 0954-3007
UT WOS:000286875300010
PM 21048774
ER

PT J
AU Kelly, E. H.
   Anderson, C. J.
   Garma, S. I.
   Russell, H. F.
   Klaas, S. J.
   Gorzkowski, J. A.
   Vogel, L. C.
TI Relationships between the psychological characteristics of youth with
   spinal cord injury and their primary caregivers
SO SPINAL CORD
VL 49
IS 2
BP 200
EP 205
DI 10.1038/sc.2010.78
PD FEB 2011
PY 2011
AB Study design: Cross-sectional survey.
   Objectives: To describe anxiety and depression among caregivers of youth
   with spinal cord injury (SCI), examine predictors of caregiver
   psychological functioning and evaluate relationships between caregiver
   and child psychological outcomes. The protective factor of youth social
   relationships was also included to examine its impact on relationships
   between caregiver and child psychological functioning.
   Setting: Families received services at one of three pediatric specialty
   hospitals within a single hospital system in the United States.
   Methods: The study included English-speaking youth with SCI, aged
   between 7 and 17 years, who had been injured at least one year before,
   and their self-identified primary caregivers. Participants completed
   surveys assessing their anxiety, depression and youth's perceived social
   relationships.
   Results: The study included 203 youth with an average age of 12.70 years
   (s.d.=3.15), and among them 70% had paraplegia. Seventy-eight percent of
   caregivers were mothers, 14% fathers and 8% other family members. In
   all, 16 and 21% of caregivers scored in the range of moderate/severe
   anxiety and depression, respectively. Being female and having a child
   with mental health problems predicted caregiver anxiety and depression.
   In addition, having a child who was older at the time of injury
   predicted caregiver depression. Poor social relationships, having a
   caregiver with mental health problems and having a caregiver with less
   education predicted both child anxiety and depression.
   Conclusion: Caregiver sex, child age at injury and child mental health
   were related to caregiver outcomes; caregiver education, marital status
   and child age were not. Caregiver mental health and education and child
   social relationships predicted child outcomes. Neither injury level nor
   injury severity was related to caregiver or child outcomes. Spinal Cord
   (2011) 49, 200-205; doi: 10.1038/sc.2010.78; published online 6 July
   2010
Z8 0
ZS 0
TC 18
ZA 0
ZR 0
ZB 2
Z9 18
U1 0
U2 5
SN 1362-4393
UT WOS:000286971600007
PM 20603632
ER

PT J
AU Stone, Amanda M.
   Merlo, Lisa J.
TI Attitudes of College Students Toward Mental Illness Stigma and the
   Misuse of Psychiatric Medications
SO JOURNAL OF CLINICAL PSYCHIATRY
VL 72
IS 2
BP 134
EP 139
DI 10.4088/JCP.09m05254ecr
PD FEB 2011
PY 2011
AB Objective: Mental illness stigma remains a significant barrier to
   treatment. However, the recent increase in the medical and nonmedical
   use of prescription psychiatric medications among college students seems
   to contradict this phenomenon. This study explored students' attitudes
   and experiences related to psychiatric medications, as well as
   correlates of psychiatric medication misuse (ie, attitudes toward mental
   illness and beliefs about the efficacy of psychiatric medications).
   Method: Data were collected anonymously via self-report questionnaires
   from April 2008 to February 2009. Measures included the Michigan
   Alcoholism Screening Test, the Drug Abuse Screening Test, Day's Mental
   Illness Stigma Scale, the Attitudes Toward Psychiatric Medication scale,
   and the Psychiatric Medication Attitudes Scale. Participants included
   383 university students (59.2% female), recruited on the campus of a
   large state university or through online classes offered through the
   same university.
   Results: High rates of psychiatric medication misuse were shown (13.8%)
   when compared to rates of medical use (6.8%), and students with
   prescriptions for psychiatric drugs were also more likely to be misusers
   (chi(2)=20.60, P < .001). Psychiatric medication misusers reported less
   stigmatized beliefs toward mental illness, including lower anxiety
   around the mentally ill (t = 3.26, P < .001) as well as more favorable
   attitudes toward psychiatric medications (t = 2.78, P < .01) and
   stronger beliefs in the potential for recovery from mental illness (t =
   -2.11, P < .05). Students with more stigmatized beliefs had greater
   concerns about psychiatric medications and less favorable beliefs
   regarding their effectiveness. Reasons for misuse varied by medication
   class, with 57.1% of stimulant misusers noting help with studying as
   their primary reason for use and 33.3% of benzodiazepine misusers noting
   attempts to get high or "party" as their primary reason for misuse.
   Conclusions: Results suggest the need for improved education regarding
   the nature of mental illness, the appropriate use of psychiatric
   medications, and the potential consequences associated with abuse of
   these potent drugs. J Clin Psychiatry 2011;72(2):134-139 (C) Copyright
   2010 Physicians Postgraduate Press, Inc.
RI Merlo, Lisa J./AAU-9179-2020
OI Merlo, Lisa J./0000-0003-3613-7853
TC 21
ZA 0
ZR 0
ZS 0
Z8 0
ZB 5
Z9 21
U1 0
U2 24
SN 0160-6689
EI 1555-2101
UT WOS:000287985400002
PM 21208582
ER

PT J
AU Wolpin, Seth
   Lee, Jung-Ah
   Glenny, Robb W.
   Wittkowsky, Ann K.
   Wolf, Fredric M.
   Zierler, Brenda K.
TI Evaluation of Online Training on the Prevention of Venous
   Thromboembolism
SO VASCULAR AND ENDOVASCULAR SURGERY
VL 45
IS 2
BP 146
EP 156
DI 10.1177/1538574410391281
PD FEB 2011
PY 2011
AB introduction: The integration of new evidence into clinical practice can
   be a prolonged process, with delays of years or even decades. One
   approach to speed this integration is through the use of online provider
   education. Problem: Venous thronnboembolism (VTE) is a serious patient
   safety issue. Prevention requires coordinated care and adherence to
   evidence-based guidelines, supported by provider education. Purpose:
   This study reports how an interdisciplinary team developed and piloted
   an online provider training program for the prevention of VTE.
   Hypothesis: If providers use the online educational training, they will
   demonstrate increased mastery of key content areas related to VTE
   prophylaxis. Methods: We used a prospective test-retest study design in
   which medical residents and fellows served as their own controls. All
   participants were given a pretest followed by educational content and
   then a posttest. We also assessed 2 different types Of learning content
   (ie, with and without case studies/questions) and randomized
   participants to each type prior to assessment. Results: Using the
   McNemar test we found a trend for knowledge gains related to VTE
   guidelines on the posttest for clinicians (n = 67) with a 14.5%
   improvement in content mastery (P = .05, 2-tailed). We did not find any
   significant differences between training modalities. Clinicians overall
   reported high levels of satisfaction with the application. Conclusion:
   Our online education efforts indicate the potential for increasing
   mastery of VTE prophylaxis concepts. If resources are limited, we
   suggest a static approach to content delivery and an exploration of
   standardized methods for portability of online curriculums across
   learning management systems.
ZA 0
ZS 0
ZR 0
ZB 2
TC 7
Z8 0
Z9 7
U1 0
U2 0
SN 1538-5744
EI 1938-9116
UT WOS:000288285600006
PM 21156715
ER

PT J
AU Sivamalai, Sundram
   Murthy, Shashidhar Venkatesh
   Sen Gupta, Tarun
   Woolley, Torres
TI Teaching pathology via online digital microscopy: Positive learning
   outcomes for rurally based medical students
SO AUSTRALIAN JOURNAL OF RURAL HEALTH
VL 19
IS 1
BP 45
EP 51
DI 10.1111/j.1440-1584.2010.01176.x
PD FEB 2011
PY 2011
AB Introduction:
   Technology has revolutionised teaching. Teaching pathology via digital
   microscopy (DM) is needed to overcome increasing student numbers, a
   shortage of pathology academics in regional medical schools, and
   difficulties with teaching students on rural clinical placement.
   Objective:
   To identify whether an online DM approach, combining digital pathology
   software, Web-based slides and classroom management software, delivers
   effective, practical pathology teaching sessions to medical students
   located both on campus and on rural placement.
   Methods:
   An online survey collected feedback from fourth and fifth year
   undergraduate James Cook University medical students on the importance
   of 16 listed benefits and challenges of using online DM to teach
   pathology, via a structured five-point Likert survey.
   Results:
   Fifty-three students returned the survey (response rate = 33%). Benefits
   of online DM to teach pathology rated as 'very important' or 'extremely
   important' by over 50% of students included: higher quality images;
   faster learning; more convenient; better technology; everyone sees the
   same image; greater accessibility; helpful annotations on slides; cost
   savings; and more opportunity for self-paced learning out-of-hours and
   for collaborative learning in class. Challenges of online DM rated as
   'very important' or 'extremely important' by over 50% of students
   included: Internet availability in more remote locations and potential
   problems using online technology during class.
   Conclusions:
   Nearly all medical students welcomed learning pathology via online
   digital technology. DM should improve the quantity, quality, cost and
   accessibility of pathology teaching by regional medical schools, and has
   significant implications for the growing emphasis in Australia for
   decentralised medical education and rural clinical placements.
RI Woolley, Torres/Q-1750-2019
OI Woolley, Torres/0000-0002-8892-1941
Z8 0
TC 15
ZB 3
ZA 0
ZR 0
ZS 0
Z9 15
U1 0
U2 9
SN 1038-5282
EI 1440-1584
UT WOS:000286601200010
PM 21265925
ER

PT J
AU Astle, William F.
   El-Defrawy, Sherif
   LaRoche, G. Robert
   Lafontaine, Marc D.
   Anderson, Lynn D.
   Dukes, Margaret
   Anderson, Inika
   Weirens, Nicholas
TI Survey on allied health personnel in Canadian ophthalmology: the scalpel
   for change
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 46
IS 1
BP 28
EP 34
DI 10.3129/i10-126
PD FEB 2011
PY 2011
AB Objective: To determine the recruiting and training needs for ophthalmic
   medical personnel (OMP), assess the value of their certification, and
   compare the ophthalmic practice productivity and performance of
   non-certified and certified OMP, as rated by both ophthalmologists and
   OMP.
   Design: Comparative analysis.
   Participants: One hundred and sixteen Canadian ophthalmologists and 98
   OMP.
   Methods: An invitation to complete an online survey on OMP recruitment,
   training, certification, and productivity performance in a clinical
   setting was sent to 1081 ophthalmologists and OMP.
   Results: Fifteen percent of ophthalmologists and 31% of OMP completed
   the survey. Ophthalmologists (61%) reported difficulty hiring OMP;
   employee referrals was the best method (40%). Awareness of formal OMP
   training programs was high and 50% of respondents supported developing
   additional training programs; 55% of OMP were encouraged by their
   employers to obtain certification. Personal challenge and achievement
   (79%) and improved skills (71%) were the main reasons for OMP to obtain
   certification. The majority of OMP and ophthalmologists felt that
   certified OMP enhanced most practice productivity measures. Higher wages
   associated with certification were reported by 73% of respondents.
   Conclusions: Training of qualified OMP was identified as a need by
   ophthalmologists. Ophthalmic practices can increase their overall
   productivity by adding certified OMP to their staff.
TC 2
ZA 0
ZS 1
Z8 0
ZR 0
ZB 0
Z9 3
U1 1
U2 5
SN 0008-4182
EI 1715-3360
UT WOS:000287990400004
PM 21283154
ER

PT J
AU Razik, Roshan
   Mammo, Zaid
   Gill, Harmeet S.
   Lam, Wai-Ching
TI Academic screencasting: internet-based dissemination of ophthalmology
   grand rounds
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 46
IS 1
BP 72
EP 76
DI 10.3129/i10-093
PD FEB 2011
PY 2011
AB Objective: To evaluate and compare the preferences and attitudes of
   Ontario ophthalmologists and ophthalmology residents toward
   screencasting as an educational tool with potential use for continuing
   medical education (CME) events.
   Design: Cross-sectional study.
   Participants: Eighty of 256 participants completed the survey.
   Methods: The surveys were sent to participants by email, with follow-up
   via telephone. Study participants were urban and rural Ontario
   ophthalmologists, registered with the Canadian Ophthalmological Society,
   and University of Toronto ophthalmology residents. Pre-recorded online
   presentations-screencasts were used as the main intervention. Online
   surveys were used to measure multiple variables evaluating the attitudes
   of the participants toward screencasting. This data was then used for
   further quantitative and qualitative analysis.
   Results: Over 95% of participants replied favourably to the introduction
   and future utilization of screencasting for educational purposes. Rural
   ophthalmologists were the most enthusiastic about future events.
   Practising in rural Ontario was associated with a higher interest in
   live broadcasts than practising in urban centres (p < 0.02), an
   association supported by qualitative data. Qualitative analysis revealed
   geographic isolation, busy schedules, ease of use/access, and
   convenience to be the key factors contributing to interest in
   screencasting.
   Conclusions: Practising ophthalmologists and residents in Ontario are
   interested in academic online screencasting. Rural ophthalmologists were
   more interested in live lectures than their urban colleagues. More
   research is required to assess the potential of screencasting as a CME
   tool.
OI Lam, Wai-Ching/0000-0003-2057-9374
TC 5
ZA 0
ZR 0
ZS 0
Z8 0
ZB 1
Z9 5
U1 0
U2 3
SN 0008-4182
EI 1715-3360
UT WOS:000287990400012
PM 21283162
ER

PT J
AU Pancholy, Apurva B.
   Goldenhar, Linda
   Fellner, Angela N.
   Crisp, Catrina
   Kleeman, Steve
   Pauls, Rachel
TI Resident Education and Training in Female Sexuality: Results of a
   National Survey
SO JOURNAL OF SEXUAL MEDICINE
VL 8
IS 2
BP 361
EP 366
DI 10.1111/j.1743-6109.2010.02117.x
PD FEB 2011
PY 2011
AB Introduction.
   Considering the prevalence of female sexual dysfunction, the lack of
   education and training in female sexual function and dysfunction (FSF&D)
   during and obstetrics and gynecology residency highlights a need for
   greater focus on this topic.
   Aim.
   To assess understanding and confidence among third and fourth year
   Ob/Gyn residents with respect to FSF&D.
   Methods.
   An Internet-based survey was constructed to evaluate third and fourth
   year residents in American Council for Graduate Medical
   Education-approved Ob/Gyn programs. Residents were asked about
   familiarity, knowledge, and confidence in treating various aspects of
   FSF&D, based on the Council on Resident Education in Obstetrics and
   Gynecology (CREOG) Educational Objectives for Ob/Gyn training. They were
   also queried regarding areas of improvement for their education.
   Main Outcome Measure.
   Responses to survey instrument.
   Results.
   Two hundred thirty-four residents responded. The majority (91.5%)
   reported attending < 5 didactic activities on FSF&D. Only 19.6% reported
   often or always screening women for sexual function problems; most had
   very little or no knowledge in administering or interpreting screening
   questionnaires. While many (82.8%) felt confident about obtaining a
   complete sexual history, only 54.7% felt able to perform a targeted
   physical exam. Although most residents had cared for women with
   dyspareunia (55.1%), a minority had managed many women with low desire
   (18.4%), arousal problems (8.1%), anorgasmia (5.6%), or vaginismus
   (16.7%). In treating patients, 34-56% reported rarely or never
   suggesting ancillary therapy such as counseling and medications.
   However, the majority believed that their confidence would increase
   through FSF&D lectures (97.9%), FSF&D patient observations (97.4%),
   rotating with a urogynecologist (94.4%), and online modules (90.6%).
   Conclusion.
   Despite CREOG requirements for Ob/Gyn training in female sexuality, most
   residents feel ill-equipped to address these problems. Additional
   evidence-based educational and didactic activities would enhance
   residents' knowledge and confidence in treating these common,
   quality-of-life issues. Pancholy AB, Goldenhar L, Fellner AN, Crisp C,
   Kleeman S, and Pauls R. Resident education and training in female
   sexuality: Results of a national survey. J Sex Med 2011;8:361-366.
TC 39
ZA 0
ZB 5
ZR 0
ZS 3
Z8 0
Z9 39
U1 1
U2 4
SN 1743-6095
EI 1743-6109
UT WOS:000286838900004
PM 21143411
ER

PT J
AU Ferullo, Ashley
   Silk, Hugh
   Savageau, Judith A.
TI Teaching Oral Health in US Medical Schools: Results of a National Survey
SO ACADEMIC MEDICINE
VL 86
IS 2
BP 226
EP 230
DI 10.1097/ACM.0b013e3182045a51
PD FEB 2011
PY 2011
AB Purpose
   Good oral health is an important aspect of good overall health. Past
   studies show physicians have had limited oral health training.
   Method
   In 2009, the authors sent a 22-question online survey to the deans of
   education of 126 MD-granting and 28 DO-granting U.S. medical schools to
   determine the extent to which these schools have an oral health
   curriculum.
   Results
   Eighty-eight schools (57.1%) responded. Of these, 61 (69.3%) reported
   offering less than five hours of oral health curriculum; 9 (10.2%)
   offered no curriculum. Schools with greater than 150 students per class
   were more likely to offer five or more hours of oral health curriculum
   compared with small or midsize schools (P = .022). School location and
   having a dental school and/or residency were not significantly related
   to the number of hours of oral health curriculum (P = .728 and .271,
   respectively). Awareness of oral questions on the United States Medical
   Licensing Examination board exams and/or the Association of American
   Medical Colleges report on oral health education was also not associated
   with curriculum volume. In schools with an oral health curriculum,
   topics being covered ranged from 10.0% teaching hands-on skills training
   to 81.7% covering oral cancers. Only 29.9% reported evaluating students
   around oral health topics.
   Conclusions
   The majority of the responding U.S. medical schools offer very little
   oral health education. There are few meaningful correlations as to what
   contributes to schools having a more robust curriculum. Further study is
   needed to explore how to improve this educational void.
RI liu, jing/D-9482-2012
ZB 4
ZA 0
Z8 1
ZR 0
ZS 0
TC 55
Z9 57
U1 0
U2 7
SN 1040-2446
EI 1938-808X
UT WOS:000287692000021
PM 21169775
ER

PT J
AU Burykin, Anton
   Peck, Tyler
   Krejci, Vladimir
   Vannucci, Andrea
   Kangrga, Ivan
   Buchman, Timothy G.
TI Toward optimal display of physiologic status in critical care: I.
   Recreating bedside displays from archived physiologic data
SO JOURNAL OF CRITICAL CARE
VL 26
IS 1
AR 105.e1
DI 10.1016/j.jcrc.2010.06.013
PD FEB 2011
PY 2011
AB Background: Physiologic data display is essential to decision making in
   critical care. Current displays echo first-generation hemodynamic
   monitors dating to the 1970s and have not kept pace with new insights
   into physiology or the needs of clinicians who must make progressively
   more complex decisions about their patients. The effectiveness of any
   redesign must be tested before deployment. Tools that compare current
   displays with novel presentations of processed physiologic data are
   required. Regenerating conventional physiologic displays from archived
   physiologic data is an essential first step.
   Objectives: The purposes of the study were to (1) describe the SSSI
   (single sensor single indicator) paradigm that is currently used for
   physiologic signal displays, (2) identify and discuss possible
   extensions and enhancements of the SSSI paradigm, and (3) develop a
   general approach and a software prototype to construct such "extended
   SSSI displays" from raw data.
   Results: We present Multi Wave Animator (MWA) framework-a set of open
   source MATLAB (Math Works, Inc., Natick, MA, USA) scripts aimed to
   create dynamic visualizations (eg, video files in AVI format) of patient
   vital signs recorded from bedside (intensive care unit or operating
   room) monitors. Multi Wave Animator creates animations in which vital
   signs are displayed to mimic their appearance on current bedside
   monitors. The source code of MWA is freely available online together
   with a detailed tutorial and sample data sets. (C) 2011 Elsevier Inc.
   All rights reserved.
RI Vannucci, Andrea/AAL-6095-2020; Buchman, Timothy/
OI Buchman, Timothy/0000-0001-7350-5921
ZS 0
ZB 2
ZR 0
Z8 0
ZA 0
TC 14
Z9 14
U1 0
U2 3
SN 0883-9441
EI 1557-8615
UT WOS:000287465900022
PM 20813491
ER

PT J
AU Dinh, Michael
   Tan, Timothy
   Bein, Kendall
   Hayman, Jon
   Wong, Yuk Kuen
   Dinh, David
TI Emergency department knowledge management in the age of Web 2.0:
   Evaluation of a new concept
SO EMERGENCY MEDICINE AUSTRALASIA
VL 23
IS 1
BP 46
EP 53
DI 10.1111/j.1742-6723.2010.01373.x
PD FEB 2011
PY 2011
AB Objective:
   The objective of the present study was to describe the implementation of
   an organizational learning model and evaluate the effectiveness and
   usability of an application used to facilitate it in an ED setting.
   Methods:
   This was an implementation case study and technology evaluation. The
   organizational learning model was implemented using an online Web 2.0
   collaborative learning application developed by the investigating team.
   Online use was tracked over a 9-month period. At the end of the study
   period, a usability assessment was conducted as well as a semistructured
   interview of participants to assess perceptions of usefulness and effect
   on learning capacity in the ED.
   Results:
   Over a period of 9 months, a total of 54 individual sites from 74
   eligible staff members were created within a specific web domain. There
   were 251 registered users including users outside the ED, who accessed
   learning materials within these sites 7494 times. The majority of staff
   members interviewed agreed or strongly agreed that the collaborative
   learning application had improved learning capacity within this ED (88%,
   95% CI 74-94%).
   Conclusion:
   We demonstrate the implementation of an organizational learning model
   based on independent online sites networking together within an
   organization. This appears to be both usable and acceptable to staff
   members working in a large ED as a means of knowledge management.
OI Dinh, Michael/0000-0002-0086-455X
ZS 0
Z8 0
ZB 0
ZR 0
TC 9
ZA 0
Z9 9
U1 0
U2 11
SN 1742-6731
EI 1742-6723
UT WOS:000286888500008
PM 21284813
ER

PT J
AU Sultana, Carmen J.
   Baxter, Jason K.
TI A Resident Conference for Systems-Based Practice and Practice-Based
   Learning
SO OBSTETRICS AND GYNECOLOGY
VL 117
IS 2
BP 377
EP 382
DI 10.1097/AOG.0b013e318203e582
PN 1
PD FEB 2011
PY 2011
AB Improving patient safety and quality of care is part of systems-based
   practice and practice-based learning for residents. We expanded our
   obstetrics and gynecology department's regularly scheduled morbidity and
   mortality conferences to teach quality assurance concepts based on
   patient care on obstetrics and gynecology fourth-year resident
   rotations. Obstetrics and gynecology fourth-year residents on one of the
   two rotations each presented and analyzed a systems-based problem they
   encountered during patient care. They used an online learning module and
   proposed solutions, many of which were effectively implemented. Over 5
   years, case presentations from 33 conferences were available with
   problems identified in emergency preparedness, coordination of care,
   scheduling and supervision, communication, medical practice,
   documentation, and lack of equipment or facilities. Twenty-two of the
   suggested solutions were partially or totally implemented. Barriers to
   implementation were identified. In conclusion, a conference presentation
   by fourth-year residents can identify patient safety problems, aid in
   their resolution, and suggest changes to patient care while teaching the
   principles of systems-based practice and practice-based learning.
   (Obstet Gynecol 2011;117:377-82) DOI: 10.1097/AOG.0b013e318203e582
Z8 0
ZA 0
ZR 0
ZB 1
ZS 0
TC 9
Z9 9
U1 0
U2 2
SN 0029-7844
UT WOS:000286460600026
PM 21252753
ER

PT J
AU Zou, Lily
   King, Alexander
   Soman, Salil
   Lischuk, Andrew
   Schneider, Benjamin
   Walor, David
   Bramwit, Mark
   Amorosa, Judith K.
TI Medical Students' Preferences in Radiology Education: A Comparison
   Between the Socratic and Didactic Methods Utilizing PowerPoint Features
   in Radiology Education
SO ACADEMIC RADIOLOGY
VL 18
IS 2
BP 253
EP 256
DI 10.1016/j.acra.2010.09.005
PD FEB 2011
PY 2011
AB Rationale and Objectives: The Socratic method has long been a
   traditional teaching method in medicine and law. It is currently
   accepted as the standard of teaching in clinical wards, while the
   didactic teaching method is widely used during the first 2 years of
   medical school. There are arguments in support of both styles of
   teaching.
   Materials and Methods: After attending a radiology conference
   demonstrating different teaching methods, third-year and fourth-year
   medical students were invited to participate in an online anonymous
   survey.
   Results: Of the 74 students who responded, 72% preferred to learn
   radiology in an active context. They preferred being given adequate time
   to find abnormalities on images, with feedback afterward from
   instructors, and they thought the best approach was a volunteer-based
   system of answering questions using the Socratic method in the small
   group. They desired to be asked questions in a way that was constructive
   and not belittling, to realize their knowledge deficits and to have
   daily pressure to come prepared. The respondents thought that pimping
   was an effective teaching tool, supporting previous studies.
   Conclusions: When teaching radiology, instructors should use the
   Socratic method to a greater extent. Combining Socratic teaching with
   gentle questioning by an instructor through the use of PowerPoint is a
   preferred method among medical students. This information is useful to
   improve medical education in the future, especially in radiology
   education.
OI Soman, Salil/0000-0002-5887-0717
ZR 0
ZA 0
ZB 0
Z8 0
ZS 1
TC 33
Z9 34
U1 0
U2 14
SN 1076-6332
UT WOS:000286699200018
PM 21075021
ER

PT J
AU Bangalore, Sripal
   Kumar, Sunil
   Wetterslev, Jorn
   Bavry, Anthony A.
   Gluud, Christian
   Cutlip, Donald E.
   Bhatt, Deepak L.
TI Carotid Artery Stenting vs Carotid Endarterectomy Meta-analysis and
   Diversity-Adjusted Trial Sequential Analysis of Randomized Trials
SO ARCHIVES OF NEUROLOGY
VL 68
IS 2
BP 172
EP 184
DI 10.1001/archneurol.2010.262
PD FEB 2011
PY 2011
AB Background: The role of carotid artery stenting (CAS) when compared with
   carotid endarterectomy (CEA) is controversial, with recent trials
   showing an increased risk of harm with CAS.
   Objective: To evaluate the periprocedural and intermediate to long-term
   benefits and harms of CAS compared with CEA.
   Data Sources and Study Selection: PubMed, EMBASE, and Cochrane Central
   Register of Controlled Trials searches for randomized clinical trials
   until June 2010 of CAS compared with CEA for carotid artery disease.
   Periprocedural (<= 30-day) outcomes (death, myocardial infarction [MI],
   or stroke; death or any stroke; any stroke; and MI) and intermediate to
   long-term outcomes (outcomes as in the Stenting and Angioplasty With
   Protection in Patients at High Risk for Endarterectomy [SAPPHIRE] trial:
   composite of periprocedural death, MI, or stroke plus ipsilateral stroke
   or death thereafter; periprocedural death or stroke plus ipsilateral
   stroke thereafter; death or any stroke; and any stroke) were evaluated.
   Data Extraction: Two of us independently extracted data in duplicate.
   Baseline characteristics, inclusion and exclusion criteria, use of an
   embolic protection device, US vs non-US study, and the earlier-mentioned
   outcomes of interest were extracted from each trial.
   Data Synthesis: We identified 13 randomized clinical trials randomizing
   7477 participants. Carotid artery stenting was associated with an
   increased risk of periprocedural outcomes of death, MI, or stroke (odds
   ratio = 1.31; 95% confidence interval, 1.08-1.59), 65% and 67% increases
   in death or stroke and any stroke, respectively, but with 55% and 85%
   reductions in the risk of MI and cranial nerve injury, respectively,
   when compared with CEA. The trial sequential monitoring boundary was
   crossed by the cumulative z curve, suggesting firm evidence for at least
   a 20% relative risk increase of periprocedural death or stroke and any
   stroke and at least a 15% reduction in MI with CAS compared with CEA.
   Similarly, CAS was associated with 19%, 38%, 24%, and 48% increases in
   the intermediate to long-term outcomes of SAPPHIRE-like outcome,
   periprocedural death or stroke and ipsilateral stroke thereafter, death
   or any stroke, and any stroke, respectively. The trial sequential
   monitoring boundary was crossed by the cumulative z curve, suggesting
   firm evidence for at least a 20% relative risk increase of any stroke.
   Conclusions: In this largest and most comprehensive meta-analysis to
   date using outcomes that are standard in contemporary studies, CAS was
   associated with an increased risk of both periprocedural and
   intermediate to long-term outcomes, but with a reduction in
   periprocedural MI and cranial nerve injury. Strategies are urgently
   needed to identify patients who are best served by CAS vs CEA. Arch
   Neurol. 2011; 68(2):172-184. Published online October 11, 2010.
   doi:10.1001/archneurol.2010.262
RI Wetterslev, Jørn/ABF-1251-2020; Bangalore, Sripal/B-6246-2013; Gluud, Christian/AAY-1027-2021; Bangalore, Sripal/
OI Wetterslev, Jørn/0000-0001-7778-1771; Gluud,
   Christian/0000-0002-8861-0799; Bangalore, Sripal/0000-0001-9485-0652
TC 79
ZR 0
Z8 1
ZS 0
ZB 19
ZA 0
Z9 80
U1 0
U2 5
SN 0003-9942
EI 1538-3687
UT WOS:000287330300004
PM 20937941
ER

PT J
AU Goetz, K.
   Miksch, A.
   Hermann, K.
   Loh, A.
   Kiolbassa, K.
   Joos, S.
   Steinhaeuser, J.
TI Aspirations of medical students: "Planning for a secure career" -
   Results of an online-survey among students at five medical schools in
   Germany
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 136
IS 6
BP 253
EP 257
DI 10.1055/s-0031-1272520
PD FEB 2011
PY 2011
AB Background: In times of shortage of doctors, expectations and interests
   of the future generation of doctors towards their career aspiration is
   of major importance. The aim of this study was to analyze expectations
   of medical students at the five medical schools in the State of
   Baden-Wuerttemberg (Germany) concerning their career choice and factors
   influencing it.
   Methods: Between January and February 2010, 1299 medical students (out
   of 12062 medical students at the five medical schools) participated in
   an online-survey. In addition to socio-demographic items, career choice
   and aspects of planning reliability were raised.
   Results: Three quarters of the students assign a medical profession for
   their future occupation. There is a dominance of internal medicine (n =
   152), gynaecology (n = 127), paediatrics (n = 125), surgery (n = 115),
   anaesthesiology (n = 101), and family medicine (n = 88). The time point
   of decision varies between the different undergraduate years of medical
   school and specialty. Students at the beginning of their studies seem to
   be interested mostly in surgery. During medical school the interests
   towards internal medicine grows. Regarding planning dependability
   important aspects for medical students were to work in a job that has a
   future (61.2% fully agree), to have a safe job (57.7%), and to have a
   safe income (57.1%). Less important seems to be to have good opportunity
   to earn money (29.6%).
   Conclusions: Interest in a certain specialty changes markedly at during
   medical school. Factors such as economical guarantee, good future
   prospects and also the studies itself have an essential impact for
   students on choosing a specific career. Strategies to face physicians'
   shortage in different specialties need to be close to the needs and
   expectations of future physicians. This is not only valid for the
   undergraduate time period but also for the work circumstances of their
   future.
RI Steinhaeuser, Jost/D-8283-2012; Goetz, Katja/D-9079-2012; Joos, Stefanie/
OI Joos, Stefanie/0000-0002-5810-529X
Z8 0
ZR 0
ZB 4
ZS 0
ZA 0
TC 36
Z9 36
U1 2
U2 7
SN 0012-0472
UT WOS:000286873700001
PM 21287428
ER

PT J
AU Vasquez, L. M.
   Giuliari, G. P.
   Halliday, W.
   Pavlin, C. J.
   Gallie, B. L.
   Heon, E.
TI Continuing Medical Education: Ultrasound biomicroscopy in the management
   of retinoblastoma
SO EYE
VL 25
IS 2
BP 141
EP 147
DI 10.1038/eye.2010.193
PD FEB 2011
PY 2011
AB Purpose To determine the role of ultrasound biomicroscopy (UBM) in the
   management of children affected with retinoblastoma.
   Methods A review of clinical records of children with the diagnosis of
   retinoblastoma at the Hospital for Sick Children from January 1995 to
   December 2007, for whom UBM was used to determine the extent of
   intraocular tumor. Clinical characteristics were compared with UBM.
   Pathological correlation was performed for enucleated eyes.
   Results In total, 101 eyes of 75 patients were included in the final
   analysis. Only 11 eyes were diagnosed on UBM to have extension of the
   tumor anterior to the ora serrata, and were enucleated.
   Histopathological examination confirmed the anterior extension in all
   the 11 eyes. In total, 50 eyes were enucleated because of various
   reasons, such as poor visual prognosis (12 eyes), unilateral group D or
   E (23 eyes), recurrences (8 eyes), and treatment failure (7 eyes). None
   of those patients were found to have anterior extension of the disease
   on histopathological examination. UBM did not yield any false negative
   (0/50) or any false positives (0/11).
   Conclusions The UBM provided a sensitive and reproducible visualization
   of the anterior retina, ciliary region, and anterior segment allowing a
   better staging of the advanced disease process. Primary assessment of
   the true extent of retinoblastoma is critical for the selection of an
   optimal management approach. Eye (2011) 25, 141-147;
   doi:10.1038/eye.2010.193; published online 14 January 2011
OI Gallie, Brenda/0000-0002-9697-9211
ZR 0
ZS 0
TC 13
ZB 8
ZA 0
Z8 2
Z9 15
U1 0
U2 1
SN 0950-222X
EI 1476-5454
UT WOS:000287187300002
PM 21242989
ER

PT J
AU Plon, Sharon E.
   Cooper, H. Paul
   Parks, Bethany
   Dhar, Shweta U.
   Kelly, P. Adam
   Weinberg, Armin D.
   Staggs, Stephanie
   Wang, Tao
   Hilsenbeck, Susan
TI Genetic testing and cancer risk management recommendations by physicians
   for at-risk relatives
SO GENETICS IN MEDICINE
VL 13
IS 2
BP 148
EP 154
DI 10.1097/GIM.0b013e318207f564
PD FEB 2011
PY 2011
AB Purpose: Sequence-based cancer susceptibility testing results are
   described as negative, deleterious mutation or variant of uncertain
   significance. We studied the impact of different types of test results
   on clinical decision making. Methods: Practicing physicians from five
   specialties in Texas completed an online case-based survey (n = 225).
   Respondents were asked to make genetic testing and management
   recommendations for healthy at-risk relatives of patients with cancer.
   Results: When the patient carried a deleterious BRCA1 mutation or
   variant of uncertain significance, 98% and 82% of physicians,
   respectively, recommended testing of at-risk relatives (P < 0.0001). In
   both situations, comprehensive BRCA1/2 analysis was selected most with a
   corresponding 9-fold increase in unnecessary genetic testing costs.
   There was no difference in physicians with (n = 81) or without (n = 144)
   prior BRCA1/2 testing experience (P = 0.3869). Cancer risk management
   recommendations were most intense for the relative with a deleterious
   mutation compared with variant of uncertain significance, negative, or
   no testing with 63%, 13%, 5%, and 2%, respectively, recommending
   oophorectomy (P < 0.0001). Conclusions: Independent of experience, or
   specialty, physicians chose more comprehensive testing for healthy
   relatives than current guidelines recommend. In contrast, management
   decisions demonstrated the uncertainty associated with a variant of
   uncertain significance. Utilization of genetic professionals and
   education of physicians on family-centered genetic testing may improve
   efficacy and substantially reduce costs. Genet Med 2011:13(2):148-154.
Z8 0
ZR 0
ZS 0
TC 81
ZB 33
ZA 0
Z9 81
U1 0
U2 8
SN 1098-3600
UT WOS:000286971500010
PM 21224735
ER

PT J
AU Gomez-Huelgas, R.
   Bernal-Lopez, M. R.
   Villalobos, A.
   Mancera-Romero, J.
   Baca-Osorio, A. J.
   Jansen, S.
   Guijarro, R.
   Salgado, F.
   Tinahones, F. J.
   Serrano-Rios, M.
TI Hypertriglyceridemic waist: an alternative to the metabolic syndrome?
   Results of the IMAP Study (multidisciplinary intervention in primary
   care)
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 2
BP 292
EP 299
DI 10.1038/ijo.2010.127
PD FEB 2011
PY 2011
AB Aim: To study the prevalence of hypertriglyceridemic waist (HTGW) in an
   urban adult Spanish population and its association with type 2 diabetes
   mellitus (T2DM) and cardiovascular disease (CVD).
   Methods: We undertook a cross-sectional analysis in a random sample of
   2270 individuals (18-80 years of age). All participants provided a
   clinical history and underwent a physical examination. Blood and urine
   analyses were conducted. HTGW was diagnosed using anthropometric
   criteria for the European population (waist circumference: for men, >=
   94 cm; for women, >= 80 cm) and fasting plasma triglycerides (TGs) >=
   1.71 mmol l(-1) (>= 150mg per 100 ml).
   Results: The prevalence of HTGW was 14.5% (men: 18.2%, women: 10.8%) and
   was significantly greater in men <59 years (P<0.001). HTGW was
   associated with older individuals, a low educational level and, in men,
   with a sedentary lifestyle (P<0.001). Subjects with HTGW had higher
   levels of total cholesterol, low-density lipoprotein-cholesterol (LDL-c)
   and uric acid, lower levels of high-density lipoprotein-cholesterol, a
   higher blood pressure, a greater degree of obesity and a higher
   prevalence of T2DM (20.00 vs 6.4%, P<0.001) (odds ratio (OR) 3.61; 95%
   confidence interval (95% CI), 2.60-5.01) and CVD (8.5 vs 3.4%, P<0.001)
   (OR 2.63; 95% CI, 1.66-4.16). The association of HTGW with T2DM and CVD
   disappeared after adjusting for age. The degree of concordance between
   HTGW and the metabolic syndrome (MS) was moderate, with both the Adult
   Treatment Panel III Report (ATP-III) and the International Diabetes
   Federation criteria (k = 0.51 and k = 0.58, respectively). Subjects with
   isolated HTGW as compared with those with isolated MS (ATP-III) were
   younger, had greater levels of total cholesterol, LDL-c and TGs and a
   lower prevalence of obesity, high blood pressure and dysglycemia.
   Conclusion: HTGW is a phenotype of cardiometabolic risk prevalent in the
   adult population in our environment. HTGW may be an alternative to MS to
   detect the population at risk for T2DM and CVD, especially in young
   individuals who do not fulfill the criteria for MS. International
   Journal of Obesity (2011) 35, 292-299; doi: 10.1038/ijo.2010.127;
   published online 15 June 2010
RI Tinahones, Francisco José/AAB-2882-2020; Bernal-Lopez, Rosa/F-3548-2011; Gomez-Huelgas, Ricardo/ABF-5100-2021; Tinahones, Francisco J/
OI Gomez-Huelgas, Ricardo/0000-0002-9909-3555; Tinahones, Francisco
   J/0000-0001-6871-4403
ZR 0
ZS 17
TC 63
ZA 0
Z8 2
ZB 17
Z9 70
U1 0
U2 4
SN 0307-0565
EI 1476-5497
UT WOS:000287355000015
PM 20548300
ER

PT J
AU Pott, Leonard M.
   Randel, Gail I.
   Straker, Tracey
   Becker, Katherine D.
   Cooper, Richard M.
TI A survey of airway training among US and Canadian Anesthesiology
   residency programs
SO JOURNAL OF CLINICAL ANESTHESIA
VL 23
IS 1
BP 15
EP 26
DI 10.1016/j.jclinane.2010.06.009
PD FEB 2011
PY 2011
AB Study Objective: To determine the current trends in airway education in
   academic programs.
   Design: Survey instrument.
   Setting: American academic medical center.
   Subjects: 147 directors of American and Canadian anesthesiology
   residency programs.
   Measurements: An invitation to complete an online questionnaire was
   sent. Non-responding institutions were contacted repeatedly by email and
   telephone to ensure a reasonable response rate.
   Main Results: 88 of the 147 (60%) programs completed the survey.
   Forty-three respondents (49%) reported that they had formal airway
   rotations, and 39 respondents said that a designated titled faculty
   member was responsible for airway training. Didactic lecture and manikin
   instruction were used by more than two thirds of the programs.
   Documentation of supervised airway experience was recorded in 71 (82%)
   programs. The majority of the programs (81%) had videolaryngoscopes. A
   fiberoptic bronchoscope was nearly universally available, and
   approximately one third (34%) of graduating residents were estimated to
   have performed more than 25 awake fiberoptic intubations. For most
   techniques, the estimates of the required number of procedures to ensure
   competence varied widely.
   Conclusions: The number of programs with a formal airway management
   program continues to increase, and programs are incorporating newer
   intubation techniques. The criteria for competence have not been
   established. (C) 2011 Elsevier Inc. All rights reserved.
RI Straker, Tracey/AAZ-7848-2020
ZB 10
ZR 0
ZA 0
Z8 0
ZS 0
TC 24
Z9 24
U1 0
U2 1
SN 0952-8180
EI 1873-4529
UT WOS:000287465000004
PM 21296243
ER

PT J
AU Lester, Paula E.
   Daroowalla, Feroza
   Harisingani, Ruchika
   Sykora, Alzbeta
   Lolis, James
   Patrick, Patricia A.
   Feuerman, Martin
   Berger, Jeffrey T.
TI Evaluation of Housestaff Knowledge and Perception of Competence in
   Palliative Symptom Management
SO JOURNAL OF PALLIATIVE MEDICINE
VL 14
IS 2
BP 139
EP 145
DI 10.1089/jpm.2010.0305
PD FEB 2011
PY 2011
AB Purpose: The Accreditation Council for Graduate Medical Education
   requires that internal medicine (IM) core curricula include end-of-life
   care and pain management concepts and that fellows in
   hematology/oncology, pulmonary/critical care, and geriatrics should
   receive formal instruction and clinical experience in palliative and
   end-of-life care. We aimed to assess the effectiveness of current
   teaching methods for housestaff in these fields.
   Method: All of the IM residents, geriatric medicine fellows,
   hematology/oncology fellows, and pulmonary/critical care fellows from
   four regional graduate medical education sites were asked to participate
   in an online survey at the beginning and end of the 2008-2009 academic
   year. We evaluated seven domains of knowledge of palliative care and
   pain management with a self-assessment of competence in these areas. We
   also asked participants to describe their current curriculum and
   training in palliative medicine.
   Results: There were 326 e-mailed survey invitations. There were 180
   responses for the start-year survey and 102 responses for the end-year
   survey. All sites were represented in the responses. The only learners
   to significantly improve their palliative knowledge during a year of
   training were PGY-1s and PGY-4s. The majority of housestaff surveyed
   report that their current palliative medicine training is inadequate.
   The vast majority (84.6%) said a dedicated palliative medicine rotation
   would be "useful'' or "very useful.''
   Conclusions: Housestaff recognize their lack of experience and training
   in palliative medicine and are interested in many teaching venues to
   improve their skills. A more focused curriculum in palliative and
   end-of-life care is required at both resident and subspecialty
   fellowship levels.
OI daroowalla, feroza/0000-0002-0350-2650; Berger,
   Jeffrey/0000-0001-7702-7496
Z8 2
ZS 0
ZB 1
ZA 0
TC 18
ZR 0
Z9 20
U1 0
U2 0
SN 1096-6218
UT WOS:000287236200007
PM 21214379
ER

PT J
AU Elliott, Digby
   Grierson, Lawrence E. M.
   Hayes, Spencer J.
   Lyons, James
TI Action representations in perception, motor control and learning:
   implications for medical education
SO MEDICAL EDUCATION
VL 45
IS 2
BP 119
EP 131
DI 10.1111/j.1365-2923.2010.03851.x
PD FEB 2011
PY 2011
AB Objectives
   The motor behaviours or 'actions' that provide the basis for precision
   limb control, including the performance of complex medical procedures,
   are represented at different levels in the central nervous system. This
   review focuses on how these representations influence the way people
   perceive, execute and learn goal-directed movements.
   Perception and attention
   The neural processes associated with paying attention to an object are
   part and particle of the same processes engaged to physically interact
   with that object. The automatic way in which specific actions are
   engaged makes it important that we structure perceptual motor
   environments in a manner that facilitates goal actions and minimises the
   likelihood of unwanted actions.
   Motor control
   Most actions are organised to optimise speed, accuracy and energy
   expenditure while avoiding worst-case outcomes. To achieve a good
   outcome on movements, the performer must have the opportunity to
   experiment with the way specific actions are executed. Early in the
   discovery process, errors are necessary if the performer is to determine
   his or her performance boundaries.
   Motor learning
   As learning progresses, representations of action become predictive. For
   example, if rapid corrective processes are to operate, the performer
   needs to anticipate sensorimotor consequences of movement. Thus,
   practice should be specific to the conditions under which actions are
   performed, and the performer. Although nothing can replace physical
   practice, complex representations of action can develop by observing
   both expert performers and learners. In many cases, practice scenarios
   that include both physical practice and observations of other learners
   can be the most efficient use of time and resources.
   Conclusions
   Although most of the experiments reviewed here involved laboratory tasks
   such as rapid aiming and movement sequencing, the majority of the
   principles apply to motor control and learning in more complex
   situations. Thus, they should be considered when developing methods to
   train medical personnel to perform perceptual motor procedures with
   precision.
RI Lyons, James L/A-9076-2008; Grierson, Lawrence/; Hayes, Spencer/
OI Lyons, James L/0000-0003-1995-8836; Grierson,
   Lawrence/0000-0003-0739-5976; Hayes, Spencer/0000-0002-8976-9232
ZR 0
ZB 3
TC 37
ZA 0
Z8 0
ZS 0
Z9 37
U1 0
U2 11
SN 0308-0110
EI 1365-2923
UT WOS:000285924800004
PM 21166837
ER

PT J
AU Fischer, Melissa A.
   Haley, Heather-Lyn
   Saarinen, Carrie L.
   Chretien, Katherine C.
TI Comparison of blogged and written reflections in two medicine clerkships
SO MEDICAL EDUCATION
VL 45
IS 2
BP 166
EP 175
DI 10.1111/j.1365-2923.2010.03814.x
PD FEB 2011
PY 2011
AB Context
   Academic medical centres may adopt new learning technologies with little
   data on their effectiveness or on how they compare with traditional
   methodologies. We conducted a comparative study of student reflective
   writings produced using either an electronic (blog) format or a
   traditional written (essay) format to assess differences in content,
   depth of reflection and student preference.
   Methods
   Students in internal medicine clerkships at two US medical schools
   during the 2008-2009 academic year were quasi-randomly assigned to one
   of two study arms according to which they were asked to either write a
   traditional reflective essay and subsequently join in faculty-moderated,
   small-group discussion (n = 45), or post two writings to a
   faculty-moderated group blog and provide at least one comment on a
   peer's posts (n = 50). Examples from a pilot block were used to refine
   coding methods and determine inter-rater reliability. Writings were
   coded for theme and level of reflection by two blinded authors; these
   coding processes reached inter-rater reliabilities of 91% and 80%,
   respectively. Anonymous pre- and post-clerkship surveys assessed student
   perceptions and preferences.
   Results
   Student writing addressed seven main themes: (i) being humanistic; (ii)
   professional behaviour; (iii) understanding caregiving relationships;
   (iv) being a student; (v) clinical learning; (vi) dealing with death and
   dying, and (vii) the health care system, quality, safety and public
   health. The distribution of themes was similar across institutions and
   study arms. The level of reflection did not differ between study arms.
   Post-clerkship surveys showed that student preferences for blogging or
   essay writing were predicted by experience, with the majority favouring
   the method they had used.
   Conclusions
   Our study suggests there is no significant difference in themes
   addressed or levels of reflection achieved when students complete a
   similar assignment via online blogging or traditional essay writing.
   Given this, faculty staff should feel comfortable in utilising the blog
   format for reflective exercises. Faculty members could consider the
   option of using either format to address different learning styles of
   students.
RI Haley, Heather-Lyn/AAA-1830-2020; Haley, Heather-Lyn/
OI Haley, Heather-Lyn/0000-0002-4064-9547
ZR 0
TC 42
ZB 1
ZS 0
ZA 0
Z8 0
Z9 42
U1 0
U2 15
SN 0308-0110
EI 1365-2923
UT WOS:000285924800009
PM 21208262
ER

PT J
AU Kuo, Grace M.
   Ma, Joseph D.
   Lee, Kelly C.
   Halpert, James R.
   Bourne, Philip E.
   Ganiats, Theodore G.
   Taylor, Palmer
TI University of California San Diego Pharmacogenomics Education Program
   (PharmGenEd (TM)): bridging the gap between science and practice
SO PHARMACOGENOMICS
VL 12
IS 2
BP 149
EP 153
DI 10.2217/PGS.10.213
PD FEB 2011
PY 2011
AB Clinical application of evidence-based pharmacogenomics information has
   the potential to help healthcare professionals provide safe and
   effective medication management to patients. However, there is a gap
   between the advances of pharmacogenomics discovery and the health
   professionals' knowledge regarding pharmacogenomics testing and
   therapeutic uses. Furthermore, pharmacogenomics education materials for
   healthcare professionals have not been readily available or accessible.
   Pharmacogenomics Education Program (PharmGenEd (TM)) is an
   evidence-based pharmacogenomics education program developed at the
   University of California San Diego Skaggs School of Pharmacy and
   Pharmaceutical Sciences and the School of Medicine (CA, USA), with
   funding support from the Centers for Disease Control and Prevention.
   Program components include continuing education modules,
   train-the-trainer materials and shared curriculum modules based on
   therapeutic topics, and virtual communities with online resources.
RI Bourne, Philip/ABG-8967-2021; Lee, Kelly/Q-9073-2018; Kuo, Grace/
OI Bourne, Philip/0000-0002-7618-7292; Kuo, Grace/0000-0002-8916-4014
TC 19
ZA 0
ZR 0
ZS 0
Z8 0
ZB 5
Z9 19
U1 0
U2 8
SN 1462-2416
EI 1744-8042
UT WOS:000288881000007
PM 21332308
ER

PT J
AU Braschinsky, M.
   Rannikmaee, K.
   Krikmann, Ue
   Lueues, S-M
   Raidvee, A.
   Gross-Paju, K.
   Haldre, S.
TI Health-related quality of life in patients with hereditary spastic
   paraplegia in Estonia
SO SPINAL CORD
VL 49
IS 2
BP 175
EP 181
DI 10.1038/sc.2010.61
PD FEB 2011
PY 2011
AB Study design: Observational population-based cohort study.
   Objectives: The main aim of this study was to examine the relative
   effect of hereditary spastic paraplegia (HSP) on the health-related
   quality of life (HRQoL).
   Methods: HRQoL was evaluated using a RAND 36-Item Health Survey 1.0
   questionnaire. Fifty-eight patients received a questionnaire through
   mail and signed an informed consent. The results for the control group
   were obtained from the RAND-36 data collected in 2004 in the European
   Social Survey. R2.9.0 and Statistica 6.1 were used to analyze the
   RAND-36 data.
   Setting: The study was performed in Estonia, a country with a population
   of 1.3 million.
   Results: Completed questionnaires were received from 49 participants
   (response rate was 84.5%). The control group consisted of 549
   individuals from the Estonian population. Patients with HSP had lower
   mean scores in all categories as compared with the control group. Six of
   the eight categories showed significant differences, with P<0.0001. For
   the vitality category, the P-value ranged from 0.000006 from 0.002, and
   the P-value for the mental health category ranged from 0.001 to 0.055.
   Conclusions: The HRQoL in patients with HSP was found to be
   significantly worse than that for the general population. The level of
   education might affect the HRQoL experienced by HSP patients. Spinal
   Cord (2011) 49, 175-181; doi: 10.1038/sc. 2010.61; published online 25
   May 2010
RI Raidvee, Aire/G-9403-2012; Braschinsky, Mark/ABD-3204-2020
OI Raidvee, Aire/0000-0003-2385-9099; Braschinsky, Mark/0000-0002-3457-0242
Z8 0
ZS 0
ZR 0
TC 9
ZB 7
ZA 0
Z9 9
U1 0
U2 11
SN 1362-4393
UT WOS:000286971600003
PM 20498662
ER

PT J
AU Ofoma, Uchenna R.
   Lehman, Erik E.
   Haidet, Paul
   Yacht, Andrew C.
TI Associations between subspecialty fellowship interest and knowledge of
   internal medicine: A hypothesis-generating study of internal medicine
   residents
SO BMC MEDICAL EDUCATION
VL 11
AR 5
DI 10.1186/1472-6920-11-5
PD JAN 31 2011
PY 2011
AB Background: Little is known about whether and how medical knowledge
   relates to interest in subspecialty fellowship training. The purpose of
   this study was to examine the relationships between residents' interest
   in subspecialty fellowship training and their knowledge of internal
   medicine (IM).
   Methods: A questionnaire was emailed to 48 categorical postgraduate-year
   (PGY) two and three residents at a New York university-affiliated IM
   residency program in 2007 using the Survey Monkey online survey
   instrument. Overall and content area-specific percentile scores from the
   IM in-training examination (IM-ITE) for the same year was used to
   determine objective knowledge.
   Results: Forty-five of 48 residents (response rate was 93.8%) completed
   the survey. Twenty-two (49%) were PG2 residents and 23(51%) were PGY3
   residents. Sixty percent of respondents were male. Six (13%) residents
   were graduates of U.S. medical schools. Eight (18%) reported formal
   clinical training prior to starting internal medicine residency in the
   U.S. Of this latter group, 6 (75%) had training in IM and 6 (75) %
   reported a training length of 3 years or less. Thirty-seven of 45 (82%)
   residents had a subspecialty fellowship interest. Residents with a
   fellowship interest had a greater mean overall objective knowledge
   percentile score (56.44 vs. 31.67; p = 0.04) as well as greater mean
   percentile scores in all content areas of IM. The adjusted mean
   difference was statistically significant (p < 0.02) across three content
   areas.
   Conclusions: More than half of surveyed residents indicated interest in
   pursuing a subspecialty fellowship. Fellowship interest appears
   positively associated with general medical knowledge in this study
   population. Further work is needed to explore motivation and study
   patterns among internal medicine residents.
RI Ofoma, Uchenna/H-5615-2019
OI Ofoma, Uchenna/0000-0002-4723-4109
ZB 0
ZA 0
ZS 0
Z8 0
ZR 0
TC 2
Z9 2
U1 0
U2 0
SN 1472-6920
UT WOS:000287240000001
PM 21281500
ER

PT J
AU Balwit, James M.
   Hwu, Patrick
   Urba, Walter J.
   Marincola, Francesco M.
TI The iSBTc/SITC primer on tumor immunology and biological therapy of
   cancer: a summary of the 2010 program
SO JOURNAL OF TRANSLATIONAL MEDICINE
VL 9
AR 18
DI 10.1186/1479-5876-9-18
PD JAN 31 2011
PY 2011
AB The Society for Immunotherapy of Cancer, SITC (formerly the
   International Society for Biological Therapy of Cancer, iSBTc), aims to
   improve cancer patient outcomes by advancing the science, development
   and application of biological therapy and immunotherapy. The society and
   its educational programs have become premier destinations for
   interaction and innovation in the cancer biologics community. For over a
   decade, the society has offered the Primer on Tumor Immunology and
   Biological Therapy of Cancer T in conjunction with its Annual Scientific
   Meeting. This report summarizes the 2010 Primer that took place October
   1, 2010 in Washington, D. C. as part of the educational offerings
   associated with the society's 25th anniversary. The target audience was
   basic and clinical investigators from academia, industry and regulatory
   agencies, and included clinicians, post-doctoral fellows, students, and
   allied health professionals. Attendees were provided a review of basic
   immunology and educated on the current status and most recent advances
   in tumor immunology and clinical/translational caner immunology. Ten
   prominent investigators presented on the following topics: innate
   immunity and inflammation; an overview of adaptive immunity; dendritic
   cells; tumor microenvironment; regulatory immune cells; immune
   monitoring; cytokines in cancer immunotherapy; immune modulating
   antibodies; cancer vaccines; and adoptive T cell therapy. Presentation
   slides, a Primer webinar and additional program information are
   available online on the society's website.
RI Buonaguro, Franco M./T-6028-2019
OI Buonaguro, Franco M./0000-0002-7491-7220
ZS 0
TC 13
ZA 0
ZB 8
Z8 0
ZR 0
Z9 13
U1 1
U2 2
SN 1479-5876
UT WOS:000287261500001
PM 21281484
ER

PT J
AU Epstein, R.
   Muzzatti, L.
TI Preliminary Validation of an Online DSM-Based Mental Health Referral
   Inventory
SO Journal of Technology in Human Services
VL 29
IS 4
BP 284
EP 95
DI 10.1080/15228835.2011.638421
PD 2012
PY 2012
AB A brief online inventory was developed as a much needed corrective for
   the hundreds of unscientific tests that are used now by millions of
   people to self-diagnose mental health problems. The primary purpose of
   the new inventory is to refer people to mental health professionals for
   further evaluation when they are experiencing problems that might be
   diagnosable under DSM guidelines; it is not designed to diagnose,
   however. The inventory was found to be a valid and reliable measuring
   instrument based on analysis of data obtained from 3,403 subjects. The
   54-item checklist looks for 18 common problems identified in the DSM-IV
   and takes from 5 to 10 min to complete. Test scores proved to be good
   predictors of a variety of self-reported criterion measures, including
   happiness, personal and professional success, history of
   hospitalization, history of therapy, current participation in therapy,
   employment, and level of education. Females were found to have slightly
   more mental health problems than males, but no differences in scores
   were found by race or ethnicity.
ZR 0
ZS 0
ZB 0
TC 2
ZA 0
Z8 0
Z9 2
U1 0
U2 0
SN 1522-8835
UT INSPEC:13445141
ER

PT J
AU Chorney, Elizabeth T.
   Lewis, Petra J.
TI Integrating a Radiology Curriculum Into Clinical Clerkships Using Case
   Oriented Radiology Education
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 8
IS 1
BP 58
EP 64
DI 10.1016/j.jacr.2010.08.018
PD JAN 2011
PY 2011
AB Rationale and Objectives: In an effort to expose all medical students to
   a standardized radiology curriculum, the authors developed and used an
   online case-based teaching tool called Case Oriented Radiology Education
   (CORE) to teach medical students radiology during clinical clerkships.
   This paper discusses the authors' experience with the development and
   use of CORE as an educational tool.
   Methods: The Alliance of Medical Student Educators in Radiology medical
   student curriculum was used as the foundation for CORE cases. CORE cases
   were published using the CASUS authoring system, incorporating text,
   interactive questions, hyperlinks, and multimedia in a Web-based format.
   CORE cases are presented as clinical scenarios introducing students to
   simulated patients who undergo various radiologic imaging procedures
   during the course of their diseases and complications.
   Results: Since 2005, 14 cases have been published. CORE incorporates
   more than 75% of the Alliance of Medical Student Educators in Radiology
   curriculum, with cases covering chest imaging, pediatric radiology,
   abdominal imaging, women's imaging, neuroradiology, and musculoskeletal
   imaging. CORE cases are taken during medicine, surgery, obstetrics and
   gynecology, and neurology clerkships by third-year and fourth-year
   medical students. The majority of students surveyed agreed or strongly
   agreed that CORE cases made good use of their self-directed study time
   (84%), provided useful resources (73%), were appropriate for their level
   of training (86%), and expanded their knowledge and understanding of
   radiology (88%).
   Conclusions: The integration of CORE cases into clinical clerkships
   provides medical students with the opportunity to learn a standardized
   radiology curriculum in an interactive, online, and case-based format
   tailored specifically for medical students. To date, 14 cases have been
   published and are used by students on clinical clerkships in their third
   and fourth years of medical school.
Z8 0
ZS 2
ZR 0
ZA 0
ZB 1
TC 21
Z9 23
U1 0
U2 7
SN 1546-1440
UT WOS:000305361100013
PM 21211766
ER

EF